Substantiation of the hygienic standard for air exchange multiplicity in medical premises of ambulances built into residential houses for preservation and improvement of the health of medical staff

2021 ◽  
pp. 42-50
Author(s):  
V.M. Makhniuk ◽  
◽  
A.V. Chaika ◽  
N.P. Pavlenko ◽  
S.M. Mohylnyi ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Air Conditioning ◽  
Health Care Facilities ◽  
Town Planning ◽  
Office Work ◽  
Current Standard ◽  
Care Facilities ◽  
Hygienic Standard ◽  
Air Exchange

Objective: We substantiated a hygienic standard for air exchange multiplicity in the doctors’medical premises at the ambulances built into residential houses to preserve and strengthen their health. Materials and methods: The analytical method was applied in the work (regulatory framework of sanitary and town-planning legislation, development of the hygienic standard by calculation method). The air exchange calculation for the working places of family doctors of the built-in ambulances was carried out in accordance with the NBS B.2.5-67:2013 Heating, Ventilation and Air Conditioning. Results and discussion: The calculation of air exchange rate for the doctors’ working places of the healh care facilities built into the residential houses was carried out in accordance with the NBS B.2.5-67:2013 Heating, Ventilation and Air Conditioning (Annex X (mandatory) Minimum Outdoor Air Consumption) and corresponding formulas. To calculate the air exchange in the doctors’premises, the category of the works of the doctors of the ambulance medical practice, which refers to light physical (office) work by the category I; the number of nurses at work at the same time and the potential number of visitors (2 persons - doctor and patient; 3 persons - doctor, nurse and patient and / or doctor, patient and accompanying person; 4 persons - doctor, nurse, patient and accompanying patient person); the minimum air consumption per 1 person - 60 m3 / hour; the regulatory size of the area of the medical premises (12 m2, 18 m2) and different types of housing estate with 2.5 m and 3 m premise high were taken into account. Conclusions: To replace the current standard K = 1 (NBS B.2.2-10-2001 Health Care Facilities), the standards of optimal air exchange multiplicity K = 6.44 and K = 8.40 in doctors’ medical facilities with different sizes and the number of people staying simultaneously were substantiated on the basis of the conducted hygienic study of the conditions of the placement of modern health care facilities of ambulance type built into residential houses. In order to ensure strengthening and preservation of the health of medical staff and patients and to create the proper sanitary and anti-epidemic working conditions for staff, the health care facilities, built into residential houses, need the mechanical plenum-exhaust ventilation according to the new reasonable standards of air exchange multiplicity for medical premises.

scholarly journals КРІ model impact on employee motivation and competitiveness of private healthcare facilities

2021 ◽  
Vol 2 (2) ◽  
pp. 31-42
Author(s):  
Stanislav Kotenko ◽  
Iana Kobushko ◽  
Iryna Heiets ◽  
Oleksandr Rusanov
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Care Quality ◽  
Health Care Facilities ◽  
Private Health Care ◽  
Healthcare Facilities ◽  
Private Healthcare ◽  
Care Facilities ◽  
Private Medicine ◽  
Health And Economic Development

The Constitution of Ukraine stipulates that an individual, his/her life, and health are the highest state social values. The authors highlighted that the health care system is the basis of social policy, national security, public health, and economic development. The current reformation of medical and legal reforms in Ukraine are fully covered by health legislation. In the context of these laws, the government promotes the development of private, communal, and state healthcare facilities. The authors noted that private medicine is snowballing in Ukraine, but the competitiveness of private health care facilities is insufficient in state medical reform. The study emphasized the absence of appropriate tools and mechanisms to motivate staff in private healthcare facilities. Based on the findings, the authors proposed introducing a set of evaluation indicators combined into a single integrated system – key performance indicators (KPIs), which would be the basis for calculating the bonus payroll. In turn, this system of material incentives should encourage medical staff to work effectively, be active, and initiative. The mechanism for developing a set of KPIs should be approved at the administration of the private health care facility. At the same time, medical workers of all levels must participate in KPIs elaborating. The indicators of medical care quality could be further used to improve healthcare, differentiated work assessment of medical staff, and healthcare facility in general, in accreditation and certification of private health care facilities. In the study, the authors formed and analyzed groups of indicators for different categories of the medical staff of private medical institutions. The obtained results showed that different bonus rates are needed to motivate employees at various levels to create an additional incentive to build a medical career. Thus, it could be argued that private healthcare facilities should develop motivation policy and strategy, revise system and forms of remuneration, improve the mechanism of motivation and incentives, focus on increasing competitiveness indicators in private medicine.

scholarly journals E-HEALTH SERVICES AND THEIR REQUIREMENTS EVALUATION

2010 ◽  
Vol 8 (1) ◽  
pp. 246-260 ◽  
Author(s):  
Rimantas Stašys
Keyword(s):  
Health Care ◽  
Work Experience ◽  
Medical Staff ◽  
Information Technologies ◽  
Best Practice ◽  
Healthy Lifestyle ◽  
Outpatient Service ◽  
Health Care Facilities ◽  
Career Opportunities ◽  
Care Facilities

E-health could be defined as the use of modern information technologies within the health care facilities in order to better satisfy expectations and needs of the patients, medical staff and administration. As the research shows economic profits exceed investments in the e-health three times. Studies in Lithuania in December of 2008 show that only 38 % of the country hospitals have online WebPages. Only large hospitals located in the major Lithuanian cities have internet sites. Situation within the outpatient facilities is even worse. Only 12 % of these health care facilities had online services offered to the public according to the survey completed at the end of 2008. There is insufficient focus for doctors’ advices and not enough links to other websites. Additionally, many sites do not contain information about career opportunities within a facility. Finally, online sites lack such information as the institution’s service charges or their implementation for various projects. Only a few hospitals have an online registra-tion feature and very few provide work hours. Outpatient service facilities do not reflect the institution’s activities adequately. None of the outpatient service facilities provide business reports; there is no information about their participation in the international projects. Only four WebPages contain sections providing the career opportunities for the office and a list of new doctor positions available. By the comparison of the Webpages of polyclinics and health care facilities one can indicate that polyclinic facilities have better online pages. Most of the health care consumers would use the Internet to find out such information as the doctor’s qualifications and work experience, information about main diseases and their symptoms, the medications and their side effects, tips on healthy lifestyle, as well as utilize registration to a specialist feature. Most of the respondents surveyed also indicated that there should be more information about health care services and their prices, institution’s medical equipment and devices as well as their methods of treatment. The best practice for the e-Health website is classifying it into four groups: information on the health care institution, information relating to the services provided, information on the medical staff working in the office, other information. 48 % of the respondents were not familiar with the online registration possibility, and 74 % of survey participants would like to use the feature. Only 13 % of the respondents knew that they could fill prescription online and only 10 % were aware of the electronic medical record. All of this leads to the conclusion that Lithuanian consumers lack information about the e-health.

scholarly journals ON THE QUESTION OF QUALITY ASSESSMENT OF CONDITIONS OF MENTALLY PATIENTS IN HOSPITAL INSTITUTIONS IN A HOSPITAL CONDITION ON THE SURVEY OF THEIR RELATIVES

2020 ◽  
Vol 11 (87) ◽  
Author(s):  
Valentyna Chorna ◽  
◽  
Valentyna Makhniuk ◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mentally Ill ◽  
Medical Staff ◽  
Psychiatric Care ◽  
Health Care Facilities ◽  
Health Centers ◽  
Care Facilities ◽  
Mental Health Centers ◽  
Hygienic Conditions

The article presents the results of a sociological survey of relatives of patients with mental disorders to assess the sanitary and hygienic conditions of patients in psychoneurological hospitals, determine their satisfaction with the provision of medical services to patients, establish the stigma of medical staff and their sick relatives, and evaluate their proposal to improve the hospital. According to the results of the survey of relatives of the mentally ill, 32,6% of patients have referred without a referral, given their awareness of extremely unsatisfactory sanitary and hygienic conditions in the hospital and the lack of trust on their part and their relatives to the medical staff who served them Previously, 74,1% of male relatives and 66,2% of female relatives responded to inpatient treatment, which encourages patients and their relatives to seek medical help only in case of exacerbation of the disease, deterioration of health. Non-compliance with the normative area per patient, the distance of bathrooms and showers from wards at a distance of more than 25 m, outmoded decrepit equipment (furniture, cabinets, etc.) in the hospital of psychoneurological hospitals causes special dissatisfaction of relatives (77,3% of respondents) as extremely unsatisfactory -hygienic conditions are dangerous in epidemic terms – on the one hand, the long-term stay of mentally ill people in the hospital (this figure in Ukraine is 1,7-2,5 times higher than in European countries.) There are 27 state mental health centers in the Republic of Poland, which provide free psychiatric care to every Pole, so there is no need to hospitalize patients for continued stays in psychiatric wards. In these centers, 70% of mental health counseling has been providing by psychiatrists. According to the results of the survey, relatives of patients have spending money on food in 96% of cases, on medicines for the treatment of patients in the hospital up to 85,3%, on personal hygiene products 81,3% of respondents. It is necessary to implement European requirements in the standardization of design of these institutions in Ukraine and to develop additions to the State building norms "Health care facilities" for construction of a new type – "Mental Health Centers" to improve the quality of psychiatric care and speed recovery of Ukrainian patients in health care facilities psychoneurological health.

ETHNOVETERINARY MEDICINAL USES OF SOME MEDICINAL PLANTS ON PNEUMONIA BY THE GUJJAR AND PAHARI TRIBES OF POONCH DISTRICT OF JAMMU AND KASHMIR

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Medicinal Plant ◽  
Natural Resources ◽  
Indigenous People ◽  
Health Care Facilities ◽  
Jammu And Kashmir ◽  
Medicinal Uses ◽  
Modern Health Care ◽  
Care Facilities

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.

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