Protecting Public Health and Preserving the Financial Viability of North Carolina’s Critical Health Care Facilities during Infectious Disease Outbreaks

2022 ◽  
Author(s):  
Harrison Zeff ◽  
Nicholas DeFelice ◽  
Gregory W. Characklis ◽  
Yufei Su ◽  
Bethany Percha

While hospitals’ primary emphasis during the COVID-19 pandemic has been on ensuring sufficient health-related resource capacity (e.g., ICU beds, ventilators) to serve admitted patients, the impacts of the pandemic on the financial viability of hospitals has also become a critical concern. Data from the period March 2020-Janaury 2021 suggest that the halt to elective and non-emergency inpatient procedures, combined with a reduction in emergency room procedures, led to losses equal to 6.5% of revenue from inpatient procedures, or about $825 million. This study finds that societal measures to reduce the community transmission rates have a larger impact on available healthcare capacity and hospital financial losses than hospital-level decisions. This study illustrates the tradeoffs between hospital capacity, quality of care, and financial risk faced by health care facilities throughout the U.S. as a result of COVID-19, providing potential insights for many hospitals seeking to navigate these uncertain scenarios through adaptive decision-making.

sjesr ◽  
1970 ◽  
Vol 4 (2) ◽  
pp. 477-482
Author(s):  
Muhammad Avais ◽  
Aijaz Wassan ◽  
Hamida Narijo

Unfortunately, the self-reported health status of female prisoners in Pakistan and especially in Sindh province have not been appropriately explored or documented. No doubt, the health of female prisoners is more vulnerable as compared to male prisoners. However, neither policymakers nor social scientists paid attention to the health-related issues of female prisoners in Pakistan. Therefore, 113 (convicted: 28, under trial: 85) female prisoners in three prisons of Sindh (Karachi, Hyderabad, and Larkana) were interviewed. It was found that there is a positive correlation (p=0.007) between the educational background of female prisoners and satisfaction toward available health care facilities in women prisons of Sindh province. The main objective of on-going research was to reveal the female prisoners' health status and their level of satisfaction toward provided health care facilities in the Sindh province of Pakistan. The research findings suggest that the health status of female prisoners and the impact of imprisonment on their health must be better studied at the National or provincial level for the enhancement of the health-related interventions in prisons.


2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.


2017 ◽  
pp. 69-74
Author(s):  
Van Hung Nguyen ◽  
Van Thang Vo

Background: Accident injuries caused has been serious heatlth problem in developing coutries. Children is vulnerable group with accident injury beucase of lacking knowlegde and exposing with risk factors in eviromental household. The treatment outcome for accident injury of children usually has more serious than other groups. The aims of this study to describle some characteristics of first aid and the outcome of treatment for children accident in Buon Ma Thuot, Dak Lak provice in 2014. Methodology: A cross-sectional study was conducted total 2,273 household which was 4,505 children aged under 16 in 8 communes, Buon Ma Thuot city, Daklak province. Interview technique with structural questionnaire and household observation methods were used for data collection. Results: The propotion of first aid was 75.9%; not received any first aid (23.8%); mortality at accident place (0.3%). At the time accident: The highest personal involving first aid was pedestrians 54.1%; 25% of health staff, self- first aid was 14.5%. Two main of first aid methods were hemostasis and bandeged with 45.5%; 28% respectiviely. After first aid, there was 80% delivering to health care facilities. The transport methods were motocycle (91.8%), car (5.6%) and ambulance (0.4%). The rate of approach health care facilities around early 6 hours were 86.7%. The characteristics of damages: sub-damages (scratches, dislocations, sprains...) were 36.9 %, deep damages (fractures, open wounds) accounted for 44.6%. Inpatient treatment was 23.9%; 91.5% medical therapy, surgery of 8.2%. The outcome of treatment were good (97.2%), sequelae/disability 2.6%. Conclusion: First aid activities for children at time and properly right were demonstrated effectively for prevented seriously outcome. There should be an intervention program for children with the appropriate models to reduce accident injuries in children; improvement first aid to communities and health care worker. Key words: accident injury, first aid, capacity first care, children under 16 years old


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