scholarly journals Analysis of the Functional Space Area Configuration of a Large General Hospital in the Preliminary Planning Stage

2021 ◽  
Author(s):  
Jiali Yao ◽  
Jiachen Zhong ◽  
Xiaoying Liu ◽  
Li Huang

The area configuration of different functional spaces has an important impact on the preliminary planning of large general hospitals. This paper takes a 2000-bed hospital in Zhejiang Province as an example to introduce the area configuration of hospital’s functional space in detail, including the main functional rooms on the ground and the underground buildings, and the area configuration is analyzed. The results show that the average construction area of hospital beds is 191 square meters, and the total area of buildings for seven facilities, underground garage, medical research rooms and rooms for medical equipment accounts for 92.4%. In the decision-making stage of hospital construction, the area configuration of these four functional spaces should be focused to meet the needs of the hospital’s operation and development.

2021 ◽  
Author(s):  
Peter Klimek ◽  
Dejan Baltic ◽  
Martin Brunner ◽  
Alexander Degelsegger-Marquez ◽  
Gerhard Garhöfer ◽  
...  

UNSTRUCTURED Real-world data (RWD) collected in routine healthcare processes and transformed to real-world evidence (RWE) has become increasingly interesting within research and medical communities to enhance medical research and support regulatory decision making. Despite numerous European initiatives, there is still no cross-border consensus or guideline determining which quality RWD must meet in order to be acceptable for decision making within regulatory or routine clinical decision support. An Austrian expert group led by GPMed (Gesellschaft für Pharmazeutische Medizin, Austrian Society for Pharmaceutical Medicine) reviewed drafted guidelines, published recommendations or viewpoints to derive a consensus statement on quality criteria for RWD to be used more effectively for medical research purposes beyond registry-based studies discussed in the European Medicines Agency (EMA) guideline for registry-based studies


Author(s):  
Teh-wei Hu

AbstractThe objective of this article is to describe and analyze the decision-making process and its consequences for medical technology transfer in China. Data were obtained in 1987 from 35 elite teaching hospitals affiliated with 13 medical universities, directly supervised by the Ministry of Health in the People's Republic of China. This article focuses on three kinds of diagnostic equipment: computerized tomographs, ultrasonic diagnostic units, and high-power x-ray diagnostic apparatuses. Decision-making on the transfer of medical technology in China is decentralized. Most hospitals rely on foreign medical sales representatives and medical exhibits, and their decisions on the acquisition of equipment rely more on the services available than on the price of the product. Chinese hospitals also encounter serious infrastructure problems when buying medical equipment. A number of alternatives are suggested for improving the efficiency of medical technology transfer in China.


1988 ◽  
Vol 1 (3) ◽  
pp. 24-30 ◽  
Author(s):  
Ronald Labonte

Just 20 years ago, health promotion was a little understood aspect of healthcare. Although still secondary to disease treatment, especially in hospitals, it now has gained a great deal of support. A number of charters, frameworks and reports have been put forth in the last several years which have tried to establish that social conditions and personal actions are also important in determining health, not only physicians and sophisticated medical equipment. Community leadership, consisting of collective discussion, decision making and action is the key. Two successful groups illustrate how social action can produce beneficial results, and how professionals and agencies can help communities put health promotion into operation.


Childhood ◽  
2018 ◽  
Vol 25 (3) ◽  
pp. 355-368 ◽  
Author(s):  
Sarah Louise Skyrme ◽  
Simon Woods

Issues relating to qualitative research with disabled children and young people will be discussed. Semi-structured interviews with boys who have Duchenne muscular dystrophy were conducted to explore their thoughts on how they might make a decision to take part in medical research. Assumptions about disabled children’s vulnerability can impact how researchers conduct qualitative research, and how they are involved in significant decision-making. Working reflexively and in partnership with children illustrates their competence, supporting reconsideration of their vulnerability.


Medicina ◽  
2007 ◽  
Vol 43 (8) ◽  
pp. 664 ◽  
Author(s):  
Rytė Giedrikaitė ◽  
Irena Misevičienė ◽  
Irayda Jakušovaitė

The aim of the study was to evaluate and compare patients’ and physicians’ opinions about the assurance of patients’ right to information about the disease, the results of medical examination, treatment methods and their outcomes. Material and methods. The study was performed during November 2006 – February 2007 in two counties of Lithuania. Seven hospitals were randomly selected for the study. The participants of the study were all patients who on the day of the inquiry were treated in the departments of internal diseases and surgery and all physicians who worked in these departments on that day. Patients with severe conditions and those who were newly admitted were excluded from the study. In total, 494 questionnaires were distributed, of which 366 were distributed among patients (response rate – 71.3%) and 128 among physicians (response rate – 70.3%). Results. One-half of the inquired patients (50.9%) did not know what rights they are guaranteed by the Republic of Lithuania Law on the Rights of Patients and Compensation of the Damage to Their Health. However, the majority of patients thought that they were provided information about their disease (86.1%), the results of medical examination (76.2%), the methods of treatment (74.2%), and possible positive and negative consequences (65.2%). The comparison of patients’ and physicians’ evaluation of the provided information revealed certain differences. Physicians were inclined to evaluate themselves better. More than one-half (65.5%) of physicians stated that they provided patients with information concerning the possibility for their participation in treatment-related decision-making, but patients did not participate sufficiently actively (34.5% of positive responses) in making heath-related decisions. Conclusions. Patients are not very well informed about the Republic of Lithuania Law on the Rights of Patients and Compensation of the Damage to Their Health. The majority of patients in the studied general hospitals stated that they were provided with and understood information about their disease, the results of medical examination, and treatment methods and prognosis. The study showed that only one-third of patients expressed their opinion to the physician when making treatment-related decisions, and their opinion was taken into consideration.


2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Junjun Ye ◽  
Jijian Wang ◽  
Yangzhou Zhang

This paper attempts to evaluate the transformation and upgrading (T&U) levels of the three industries in 11 prefectures of Zhejiang Province, China, since 2016. Taking the provincial T&U levels of the three industries as the benchmark, the three industries in each prefecture were analyzed by shift-share method (SSM). The main results are as follows: In terms of primary industry, none of the 11 prefectures had structural advantage (structural shifts < 0), but 3 had regional competitiveness (competitiveness shifts > 0); in terms of secondary industry, none of the 11 prefectures had structural advantage (structural shifts < 0), but 5 had regional competitiveness (competitiveness shifts > 0); in terms of tertiary industry, all of the 11 prefectures had structural advantage (structural shifts > 0), and 6 had regional competitiveness (competitiveness shifts > 0); Shaoxing was competitive in all three industries, ranking the first in the competitiveness of every industry; Huzhou, Quzhou, and Jinhua were not competitive in tertiary industry. The research provides a new yardstick of industrial T&U level and lays the decision-making basis for local governments in Zhejiang to formulate industrial T&U policies.


Author(s):  
Susanne Malchau

The article gives a statistical overview and confessional perspectives on the female Catholic nursing-orders in Denmark from 1856 to the present. In focus are the Catholic orders which to some extend are compared to the Protestant deaconesses of the country. The background is that in Denmark in 1849 the Danish Constitution introduced freedom of worship, and in 1856 the first Catholic nursing- order settled in Denmark. Today 27 different female catholic orders/congregations have been or still are in Denmark. Ten of these orders were nursing-orders and six of them, comprising 90 percent of the Catholic sisters in Denmark, opened 16 general hospitals in the period 1875-1931. Within these hospitals they made their greatest contribution to Danish society between 1920 and 1940, when numbered 537-775 sisters and owning ten percent of the hospital beds in Denmark. The deaconesses comprised a similar amount of sisters and they owned two percent of the hospital beds. The deaconesses were Danish but the Catholic sisters came from abroad. Consequently, they had cultural ballast in terms of another nationality and an approach to Christianity, which differed from the Danish Lutheranism. The encounter between these two cultures was not always friendly, as the sisters were facing a society where the general opinion was that Catholicism was dangerous. The lack of vocations and the development of the Danish welfare state 1930-1970 by and large ended the Catholic nursing-orders hospitals. Despite the fact that they were a significant part of the Danish welfare project, they have never been included in the Danish history.


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