scholarly journals Improving Health Care Network Adequacy Through Spatial Analysis Utilizing GIS Technology

2020 ◽  
Author(s):  
◽  
Ashley Pervorse
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Insurance Companies ◽  
Gis Technology ◽  
Care Facilities ◽  
New Locations ◽  
Network Adequacy ◽  
The Government ◽  
Health Field ◽  
Improving Health Care

Network adequacy is a set of regulations a provider’s office must follow. Requirements are dependent on what funding they are receiving from the government, insurance companies, and other paying entities. Network adequacy at a provider’s office should be able to prove that they are providing their patients reasonable access to care. Generating these reports is currently a timely and costly process. Using GIS can improve the efficiency of generating and turning in their network adequacy reports to the required entities which would help save time and money. Having a way for providers offices to spend less time on these reports would allow for them to have more time to give to patients. Utilizing GIS to see the providers accessibility to patients can also show health care facilities where there are underserved areas, which would allow them to build new locations and add new providers. This paper shows the benefit of integrating GIS into the health field and how both provider facilities and patients can gain from this integration. Using the two-step floating catchment area method combined with ArcGIS Pro proved to be beneficial to calculating network adequacy and can be seen in the results of this paper.

CANADA'S FAILURE

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
New England ◽  
Care Delivery ◽  
Health Care Facilities ◽  
User Fees ◽  
Capital Expenditures ◽  
The Past ◽  
Care Facilities ◽  
Dog Owners ◽  
The Government

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!

MEDICAL INDUSTRIAL COMPLEX

PEDIATRICS ◽  
1982 ◽  
Vol 69 (6) ◽  
pp. 798-798
Author(s):  
Keyword(s):  
Health Care ◽  
Conflicts Of Interest ◽  
Health Care Facilities ◽  
Insurance Companies ◽  
Industrial Complex ◽  
Medical Procedures ◽  
Narrow Focus ◽  
Care Facilities ◽  
The Future

The fees of private physicians, ... are rising because of the failure of both doctors and insurance companies to control them; more and more doctors face conflicts of interest between their duty to their patients and their quest for high incomes based on expanding technologies and unneccessary medical procedures; and the nation is producing far too many specialists whose narrow focus raises the costs of health care even more astronomically ... the future independence—[of American physicians] and the welfare of their patients— are profoundly threatened by the growth of doctors as businessmen whose profit-making ownership of health care facilities is creating an enromously expensive "medical-industrial complex."

scholarly journals The Comparison Of Service Quality For Bpjs And Non Bpjs Users In Batam Health Facilities

2021 ◽  
Vol 2 (6) ◽  
pp. 2260-2266
Author(s):  
Rini Susanti ◽  
Victor E. D Palapessy
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Sector ◽  
Health Care Facilities ◽  
Future Research ◽  
Cross Sectional ◽  
Significant Difference ◽  
Care Facilities ◽  
The Government

BPJS and Non BPJS dependent patients have the same rights as other general patients to receive satisfying services just like other health care facilities. Considering that, this new program from the government in the health sector is aimed at controlling the quality and costs of health, so that it can be accessed by all levels of society, as well as having good prospects for hospitals and other health care facilities. Thus, hospitals are responsible for being able to provide satisfying and quality services so that they can be chosen by the community, both BPJS and non BPJS participants. The purpose of this study was to compare the quality of BPJS and Non BPJS dependent health services on the satisfaction of inpatients in health care facilities in the Riau Archipelago. This type of research is quantitative using a cross-sectional approach. The sample in this study was 60 people. The instrument used is a questionnaire. Data analysis in this study used the independent t-test. The results of the study found that there were significant differences between the quality of health services for the BPJS and Non BPJS respondent groups. And there is a significant difference between the satisfaction of inpatients in the BPJS and Non BPJS respondent groups. It is hoped that this research can be a reference for future research.

scholarly journals Peran Wakaf sebagai Penggerak Fasilitas Kesehatan Dalam Peradaban Islam dan Penerapannya di Indonesia

2021 ◽  
Vol 4 (1) ◽  
pp. 17-32
Author(s):  
Muhammad Sena Nugraha Pamungkas
Keyword(s):  
Health Care ◽  
Research Method ◽  
Research Topic ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Secondary Sources ◽  
Care Facilities ◽  
Presidential Decree ◽  
The Government ◽  
Islamic Civilization

This study aims to identify the concept and utilization of waqf in establishing and running health care facilities in Islamic civilization and evaluating if the same concept is applied in Indonesia. By using the documentary research method this study examining and exploring various secondary sources related to the research topic. This research concludes that the use of waqf in supporting and maintaining the sustainability of healthcare facilities has become a part of Islamic civilization. The concept of using waqf in operating and supporting health facilities is also not against the prevailing laws and regulations. In fact, the concept is in the same line with article 170 of Law No. 36 of 2009 concerning Health and Presidential Decree No.59 of 2017 concerning Sustainable Development. With the harmony between the concept of waqf and the prevailing law and regulations, it is expected that the government could realizing development a sustainable and inclusive healthcare facilities based on waqf.

scholarly journals A cross sectional study to assess the discrimination faced by trans genders in health care facilities- Chennai, Tamil Nadu

2018 ◽  
Vol 5 (2) ◽  
pp. 662
Author(s):  
Chitra A. ◽  
Sakthimarieswari G. M. ◽  
Kaleeswaran S. ◽  
Indhira V. R. ◽  
Mythili Menon Pathiyil ◽  
...  
Keyword(s):  
Health Care ◽  
Tamil Nadu ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Equal Treatment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Verbal Form ◽  
Care Facilities ◽  
The Government

Background: Transgender people are those who by definition, have a gender identity or gender expression that differs from their assigned sex at birth. The Government of Tamil Nadu was the first Indian state to pioneer welfare schemes for transgenders such as formation of transgender welfare board, creation of a third column for gender in college application forms. The study aims to assess the discrimination faced by the transgenders in health care facilities. Methods: A cross sectional study was carried out among 50 transgenders using a self-administered questionnaire. Results: Among 47 responendents, 17.6% of the transgenders had delayed going to hospital fearing discrimination. Harassment either in physical or verbal form experienced by 41.2% and 37.5% faced discrimination in form of judgemental looks or comments, while 5.9% of the transgenders were denied treatment altogether in the hospital. Denial of equal treatment experienced by 52.9% of the study participants.  Conclusions: The study highlights that transgenders even today face considerable discrimination which refrains them from assessing health care facilities. Even though we in Tamil Nadu have pioneered with the formation of transgender board, free sex re-assignment surgery in government health care facilities, the utilisation by the transgenders are far from behind. This may be attributed due to the discrimination faced by the transgenders.  

Implementation of Fee-Free Maternal Health-Care Policy in Ghana: Perspectives of Users of Antenatal and Delivery Care Services From Public Health-Care Facilities in Accra

2018 ◽  
Vol 38 (4) ◽  
pp. 259-267 ◽  
Author(s):  
Patricia Anafi ◽  
Wisdom K. Mprah ◽  
Allen M. Jackson ◽  
Janelle J. Jacobson ◽  
Christopher M. Torres ◽  
...  
Keyword(s):  
Health Care ◽  
Maternal Care ◽  
Indirect Costs ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Delivery Care ◽  
Care Services ◽  
Care Facilities ◽  
Exemption Policy ◽  
The Government

In 2008, the government of Ghana implemented a national user fee maternal care exemption policy through the National Health Insurance Scheme to improve financial access to maternal health services and reduce maternal as well as perinatal deaths. Although evidence shows that there has been some success with this initiative, there are still issues relating to cost of care to beneficiaries of the initiative. A qualitative study, comprising 12 focus group discussions and 6 interviews, was conducted with 90 women in six selected urban neighborhoods in Accra, Ghana, to examine users’ perspectives regarding the implementation of this policy initiative. Findings showed that direct cost of delivery care services was entirely free, but costs related to antenatal care services and indirect costs related to delivery care still limit the use of hospital-based midwifery and obstetric care. There was also misunderstanding about the initiative due to misinformation created by the government through the media.We recommend that issues related to both direct and indirect costs of antenatal and delivery care provided in public health-care facilities must be addressed to eliminate some of the lingering barriers relating to cost hindering the smooth operation and sustainability of the maternal care fee exemption policy.

scholarly journals Design of Medical Wastes Incinerator for Health Care Facilities in Akure

2019 ◽  
pp. 1-13
Author(s):  
O. O. Olanrewaju ◽  
R. J. Fasinmirin
Keyword(s):  
Health Care ◽  
Medical Waste ◽  
Health Care Facilities ◽  
Composition Analysis ◽  
Waste Generation ◽  
Efficient Treatment ◽  
Care Facilities ◽  
The Government ◽  
Combustible Wastes ◽  
Child Hospital

Health Care Facilities (HCFs) are primarily saddled with the responsibilities of providing medical care, thus ensuring sound health of individuals. Tremendous efforts have been made by the government to ensure her availability in nooks and crannies of every community, which have resulted into improved medical services. However, among other environmental challenges confronting health care facilities in developing countries is Medical Waste generated in the course of carrying out their duties which is often ignored and in most instances treated as municipal or domestic solid waste. Effective management of medical waste requires keen planning, training and tracking throughout the waste generation, segregation, storage, collection, transportation, treatment and disposal processes. The fundamental information for selecting and designing the most efficient treatment method of medical waste is obtained by means of Waste Composition Analysis. Results from this study revealed that the daily waste generation rate of Ondo State Specialist Hospital Akure (OSSHA) and Mother and Child Hospital Akure (MCHA) was 124.5 kg/day. The hospitals’ waste consists of 81.6% combustible wastes and 18.4% non-combustible wastes by mass. The combustible wastes are paper (6.50%), textiles (14.34%), cardboard (3.88%), plastics (6.04%) and food waste (19.08%). Since the ratio of combustible medical waste is higher than non-combustible medical waste, incineration (thermal destruction) at elevated temperature under controlled operational condition is considered the best disposal option to detoxify the medical waste. In other to prevent the release of harmful gases from burnt medical waste through incinerator, a counter-current packed bed wet scrubber is designed which operates by impaction and absorption.

scholarly journals Recommendations for improving the hospital’s marketing policy

2020 ◽  
Vol 1 (2) ◽  
pp. 91-99
Author(s):  
Yuriy Yula ◽  
Olexandr Pushko ◽  
Maksym Palienko
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Facilities ◽  
Medical Services ◽  
Scientific Discussion ◽  
Marketing Policy ◽  
Medical Institutions ◽  
Care Facilities ◽  
The Government

This article summarizes the arguments and counterarguments within the scientific discussion on improving the marketing policy of the clinic. The purpose of the study is to improve the marketing policy of the clinic. The urgency of solving the scientific problem lies in need to promote medical services, where marketing activities contribute to establishing relations between providers and consumers of medical services. The authors noted that patients have a low level of awareness in medical services, making it difficult to understand the market of medical services. In turn, public and municipal health care facilities have a passive marketing policy that is not competitive enough with private health care facilities. In most cases, state and municipal medical institutions do not use marketing tools to acquaint consumers with the list of available services, do not inform consumers about the expansion of medical services and the benefits of their medical institution. The object of the study was selected health care management. According to the results of empirical analysis of ways to improve the marketing policy of the clinic, it is established that the reform of the medical sector of Ukraine intensifies the processes of competition in the market. The marketing system of Ukrainian health care has no concept of medical care. Instead of that, there is a market element as medical service or health care service provided to the patient by a health care institution or an individual registered according to the law and possessing the medical business license. Besides, the medical services are paid for by the customer, such as patients, various organizations, local authorities, and the government. Thus, public medical institutions faced the need to fight (particularly with private medical institutions) for the consumer and state funding for the package of primary medical services. The study empirically confirms and theoretically proves the existence of competition between private and public medical institutions in the market of medical services. The results of this study can help improve the marketing policy of public and municipal clinics.

scholarly journals EDUKASI TEHNIK ASEPTIK SEDIAAN STERIL BAGI TENAGA KESEHATAN DI FASILITAS PELAYANAN KESEHATAN KABUPATEN SUMBA TIMUR NTT

2020 ◽  
Vol 4 (1) ◽  
pp. 237
Author(s):  
Dewi Isadiartuti ◽  
Sugiyartono Sugiyartono ◽  
Retno Sari ◽  
Muh Agus S Rijal ◽  
Dini Retnowati
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Workers ◽  
Health Care Facilities ◽  
Pharmaceutical Services ◽  
Basic Principles ◽  
Care Facilities ◽  
The Government ◽  
Service Standards

The Government through Permenkes 72/2016 on Pharmaceutical Services Standards in Hospitals has provided guidance on the regulation of pharmaceutical service standards. Pharmaceutical services in the field of management of sterile preparations is one aspect that receives attention, because it will affect the quality of services provided to sufferers. East Sumba Regency is one of the East Nusa Tenggara provinces located in Eastern Indonesia. East Sumba Regency has a large enough population but health workers in health care facilities have limitations in getting the latest information. To answer this condition, training was held in collaboration with IAI PC East Sumba. The aim of the training is to increase the knowledge and skills of aseptic techniques for sterile preparations for health workers in health care facilities so that the quality of health services can be improved. The training was given in the form of lectures consisting of compatibility and stability material for parenteral preparations and dispensing materials for sterile preparations followed by the practice of aseptic techniques for sterile preparations. The training activity was attended by 49 participants consisting of pharmacists, nurses, midwives and pharmaceutical technical personnel who worked in hospitals, health services, health centers, clinics, and pharmacies in Sumba (East, Central and West). From the results of the evaluation of the activity, it was known that the participants gained knowledge and increased knowledge about the basic principles of aseptic techniques and there was an increase in the participants' understanding of the material provided.abstrakPemerintah melalui Permenkes 72/2016 tentang Standar Pelayanan Kefarmasian di Rumah Sakit telah memberikan arahan mengenai pengaturan standar pelayanan kefarmasian. Pelayanan kefarmasian di bidang pengelolaan sediaan steril merupakan salah satu aspek yang mendapat perhatian, karena akan memengaruhi mutu pelayanan yang diberikan kepada penderita. Kabupaten Sumba Timur merupakan salah satu wilayah propinsi Nusa Tenggara Timur yang terletak di Indonesia Bagian Timur. Kabupaten Sumba Timur memiliki jumlah penduduk yang cukup besar akan tetapi tenaga kesehatan di fasilitas pelayanan kesehatan memiliki keterbatasan dalam mendapatkan informasi terbaru. Untuk menjawab kondisi tersebut diadakan pelatihan bekerjasama dengan IAI PC Sumba Timur. Tujuan pelatihan adalah untuk meningkatkan pengetahuan dan ketrampilan tehnik aseptik sediaan steril bagi tenaga kesehatan di fasilitas pelayanan kesehatan agar mutu pelayanan kesehatan dapat meningkat. Pelatihan diberikan dalam bentuk ceramah terdiri dari materi kompatibilitas dan stabilitas sediaan parenteral dan materi dispensing sediaan steril dilanjutkan dengan praktek tehnik aseptik sediaan steril. Kegiatan pelatihan diikuti 49 peserta yang terdiri dari apoteker, perawat, bidan dan tenaga teknis kefarmasian yang bekerja di Rumah Sakit, Dinas Kesehatan, Puskesmas, Klinik, dan Apotek sedaratan Sumba (Timur, Tengah, dan Barat). Dari hasil evaluasi kegiatan diketahui peserta mendapatkan penyegaran ilmu dan peningkatan wawasan tentang prinsip dasar tehnik aseptik dan terdapat peningkatan pemahaman peserta terhadap materi yang diberikan.

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