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

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.

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Addressing Inadequacies in the Care of Patients with Schizophrenia and Bipolar Disorder

CNS Spectrums ◽

10.1017/s1092852900003126 ◽

2008 ◽

Vol 13 (S10) ◽

pp. 11-12

Author(s):

Suzanne Vogel-Scibilia

Keyword(s):

Mental Health ◽

Health Care ◽

Community Mental Health ◽

Psychiatric Care ◽

Health Centers ◽

Community Mental Health Centers ◽

Laboratory Facilities ◽

Underserved Patients ◽

Mental Health Centers ◽

Physical Care

Physicians treating patients with serious mental illness need to overcome a number of hurdles to ensure that appropriate health care is provided to these often underserved patients. The Community Mental Health Act of 1963 established community mental health centers (CMHCs) that provide patients with access to psychiatric care, with the unintended consequence of separating mental health care from physical care. CMHCs do not always have adequate resources to screen, monitor, and treat cardiovascular disease (CVD): they lack sufficient funding, have limited staff, and often do not have laboratory facilities for monitoring lipids and blood glucose.

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The Experience on Preservation of Mental Health of the Workers of Locomotive Brigades in Non-state Health Care Facilities JSC Russian Railways on the Moscow Railway

Congress on mental health meeting the needs of the XXI century ◽

10.22343/mental-health-congress-compendium122-124 ◽

2016 ◽

Keyword(s):

Mental Health ◽

Health Care ◽

Health Care Facilities ◽

State Health ◽

Care Facilities

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Descriptive Study of Physiotherapy Services Used in the South Kalimantan Region in 2020

Jurnal Medika : Karya Ilmiah Kesehatan ◽

10.35728/jmkik.v6i2.748 ◽

2021 ◽

Vol 6 (2) ◽

Author(s):

Maulida Wijaya Putri

Keyword(s):

Health Care ◽

Health Services ◽

Descriptive Study ◽

Health Care Facilities ◽

Health Centers ◽

The South ◽

Care Facilities ◽

Descriptive Approach ◽

Almost All ◽

Therapy Manual

Health services, including physiotherapy services, are carried out in almost all health care facilities such as clinics, health centers, and hospitals. Physiotherapy services are one form of health services needed by the community. In order to provide physiotherapy services, physiotherapists can provide various types of modalities or physiotherapy services in the form of electro therapy, actino therapy, hydro therapy, manual therapy or exercise therapy. Almost all health care facilities in South Kalimantan have physiotherapy services, but there is no data on the number and types of physiotherapy services used by health care facilities in the South Kalimantan region. This study aims to determine the types of physiotherapy services that are widely used by health care facilities in South Kalimantan. This study uses a descriptive approach. Based on the results of the study, it was found that 35 respondents (67.3%) used electrotherapy very often and 30 respondents (57.7%) used actino therapy very often. These two types of physiotherapy services are the most widely used by health care facilities in the South Kalimantan region in 2020

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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

Environment & Health ◽

10.32402/dovkil2021.04.042 ◽

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.

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The helps toolkit - a tool to promote the physical health of residents in psychiatric facilities across Europe

European Psychiatry ◽

10.1016/s0924-9338(11)72294-5 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 587-587

Author(s):

P. Weiser ◽

T. Becker ◽

R. Kilian

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Physical Health ◽

Health Care Facilities ◽

Medical Care System ◽

Increased Risk ◽

Co Morbidity ◽

Wide Range ◽

Care Facilities

IntroductionPeople with a mental disorder are at increased risk for physical illness and therefore their risk of premature death is raised. An unhealthy lifestyle, living conditions, medication side-effects and a lack of physical health monitoring are regarded as the main causes of high somatic morbidity. But up to now only little research has addressed the physical co-morbidity in mentally ill. At present, there are no specific policies to improve the health status of residents in mental health care facilities.Objectives / methodsAgainst this background a multi-disciplinary network of experts from 15 European countries was set up. Working together with researchers, stakeholders, professionals, networks, practitioners, and relevant organizations, the HELPS network developed a “physical health promotion toolkit” for routine application in a wide range of mental health care facilities across Europe. The HELPS toolkit intends to empower patients and staff to identify the most relevant risk factors in their specific context and subsequently select the most appropriate action out of a range of defined health promoting interventions. In doing so, the toolkit takes into account the heterogeneity of mental disorders, the high number of somatic problems, aspects of lifestyle, environment, medical care system, personal goals of patients and their motivation for health behavior.Results / conclusionsThe poster presents the HELPS toolkit. It illustrates the individual components of the tool and the processes of its implementation and evaluation. First results of the pilot study concerning the feasibility of the toolkit will be presented and discussed.

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POSSIBILITIES OF ENHANCEMENT OF VACCINE PROPHYLAXIS IN CONTEMPORARY RUSSIA

Journal of microbiology epidemiology immunobiology ◽

10.36233/0372-9311-2016-4-60-65 ◽

2016 ◽

pp. 60-65

Author(s):

M. P. Kostinov ◽

I. V. Lukachev

Keyword(s):

Health Care ◽

Adult Population ◽

Health Care Facilities ◽

Health Centers ◽

Outpatient Visits ◽

Maternity Hospitals ◽

Care Facilities ◽

Novel Approaches ◽

Vaccine Prophylaxis ◽

Child Health Centers

Discussing the situation regarding coverage of adult population with prophylaxis vaccines at contemporary stage, we propose novel approaches of enhancement of vaccination, taking into consideration realities of the present day. Use of additional resources for organization of vaccination of adult population is possible during outpatient visits to health care facilities, hospitalizations, in maternity hospitals, migration points, as well as joint vaccination of children and adults during visits to child health centers. Re-evaluation of diversity of reserve possibilities for increase of coverage among adult population by prophylaxis vaccines allows to effectively realize prophylaxis approach of country healthcare.

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

10.21272/hem.2021.2-04 ◽

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.

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Outcome of Biomedical Waste Management Training Among Staff Nurses of Primary Health Centers of Hassan District

International Quarterly of Community Health Education ◽

10.1177/0272684x20915380 ◽

2020 ◽

pp. 0272684X2091538

Author(s):

Venkatesh Gonibeedu ◽

M. Sundar ◽

H. C. Santhosh ◽

D. Mallikarjuna Swamy

Keyword(s):

Health Care ◽

Waste Management ◽

Management Practices ◽

Significant Risk ◽

Health Care Facilities ◽

Health Centers ◽

Family Welfare ◽

Biomedical Waste ◽

Primary Health ◽

Care Facilities

Introduction Inadequate biomedical waste management not only poses significant risk of infection due to pathogens such as HIV and Hepatitis B and C virus but also carries the risk of water, air, and soil pollution thereby adversely affecting the environment and community at large. Therefore, the Ministry of Health and Family Welfare commissioned implementation of an Infection Management and Environment Plan (IMEP) in health-care facilities. Hence, this study is undertaken to assess the knowledge, attitude, practice, and gaps in implementing the biomedical waste management practices at the primary health-care facilities. Methodology: A cross-sectional study was conducted among the Primary Health Centers of Hassan District. Details of knowledge, attitude, and practice of biomedical waste management were collected through observation, staff interview, and record review on the predesigned questionnaire. A score of 0, 1, and 2 was given for noncompliant (0), partially compliant (1), and fully compliant (2), respectively, based on the compliance. A scoring system was devised to evaluate the effectiveness of training as good, average, and poor. A score of >70 was considered as good, 50 to 70 as average, and <50 as poor. Results The mean efficacy score was 63; knowledge was good with a score of 74, attitude was average with a score of 63, and practice was also average with a score of 54. Conclusion There is a need for retraining of all the staff and strict supportive supervision by the district health authorities to ease the implementation requirements.

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