scholarly journals Appointment scheduling system in multi doctor/multi services environment

2021 ◽  
Vol 12 (3) ◽  
pp. 171-176
Author(s):  
Ivica Lukić ◽  
Mirko Köhler ◽  
Erik Kiralj
Keyword(s):  
Health Care Providers ◽  
Web Application ◽  
Appointment Scheduling ◽  
Care Providers ◽  
Medical Providers ◽  
Health Tourism ◽  
Specific Service ◽  
Appointment Time ◽  
Patient Waiting Time ◽  
Improve Health

Appointment scheduling systems are used by health care providers to manage access to their services. In this paper an algorithm and a web application for automatic appointment scheduling is presented. Both are implemented using the concept of booking appointments for patients for a specific service offered by each doctor. The purpose of the application is to make signing up for a specific service easier for patients and to improve health tourism in Croatia by maximizing doctor’s efficiency and minimize patient waiting time. Medical providers are added to the system, they add the services which they provide, and each service offered has its own duration time. Users register, search for services matching their parameters, and schedule an appointment for the requested service. Available appointments are generated using the presented algorithm, which is the main part of this paper. The algorithm searches the database and returns possible appointments. If patient has more than one appointment, possible appointments time can be before the existing appointment, between two appointments, or at the end of the last appointment. Thus, web application enables the patient to reserve desirable appointment time.

scholarly journals Defining and Achieving Health Equity in Genomic Medicine

2019 ◽  
Vol 29 (Suppl 1) ◽  
pp. 173-178 ◽  
Author(s):  
Sonya Jooma ◽  
Michael J. Hahn ◽  
Lucia A. Hindorff ◽  
Vence L. Bonham
Keyword(s):  
Health Care ◽  
Health Equity ◽  
Health Care Providers ◽  
Genomic Medicine ◽  
Genomic Research ◽  
Infrastructure Development ◽  
Care Providers ◽  
Health Care Settings ◽  
Traditional Research ◽  
Improve Health

The potential of genomics to improve health comes with the peril that the benefits will not be equitably available to all populations. Existing health disparities can be exacer­bated if the implementation of genomic medicine does not intentionally focus on health equity. Defining what health equity means in the context of genomics and outlining how it can be achieved is impor­tant for the future of the field. Strategies to improve health equity include addressing underrepresentation of diverse popula­tions in genomic research, investigating how genomic services can be deployed in diverse health care settings and underserved communities, increasing workforce diversity, supporting infrastructure development out­side traditional research centers, and engag­ing communities and health care providers. By employing these strategies, the genomic research community can advance health equity in genomic medicine. Ethn Dis. 2019;29(Suppl 1):173-178; doi:10.18865/ed.29.S1.173.

Caregiver Decision-Making for Terminally Ill Children: A Qualitative Study

2019 ◽  
Vol 35 (3) ◽  
pp. 161-166
Author(s):  
Emily Pinto Taylor ◽  
Benjamin Doolittle
Keyword(s):  
Decision Making ◽  
Health Care Providers ◽  
Critical Role ◽  
Terminally Ill ◽  
Medical Decision ◽  
Medical Team ◽  
Care Providers ◽  
Medical Providers ◽  
Team Members ◽  
Institutional Review

Introduction: Many children are born with life-limiting illnesses. Medical decision-making for these children by caregivers is complex and causes significant psychosocial distress, which can be partially alleviated by effective communication with medical providers. In order for providers to support caregivers, this study explores how caregivers make decisions regarding the medical care of their terminally ill children. Methods: Semistructured interviews were conducted among caregivers of terminally ill children. Participation was voluntary and confidential. The institutional review board approved the protocol. Transcripts were read and coded by 2 authors using inductive, concurrent analysis to reach thematic saturation and generate common themes. Results: Nine interviews were completed, discussing the care of 10 children. Caregivers described decision-making as impacted by their relationships with medical providers of 2 distinct types—trusting and nontrusting. Trusting relationships were notable for a longitudinal relationship with medical staff who empowered caregivers and treated the patient primarily as a child. Nontrusting relationships were noted when the medical team objectified their child as a “patient” and appeared to withhold information. Also, nontrusting relationships occurred when caregivers felt frustration with needing to educate health-care providers about their child’s illness. Conclusion: Decision-making by caregivers of terminally ill children is complex, and supporting families in this process is a critical role of all medical providers. A trusting relationship with medical team members was identified as an effective tool for well-supported decision-making, which can potentially alleviate the suffering of the child and distress of the caregivers during this emotionally charged time.

Health Care Providers’ Readiness to Identify and Respond to Intimate Partner Violence

2019 ◽  
pp. 088626051986770 ◽  
Author(s):  
Lynette M. Renner ◽  
Qi Wang ◽  
Mary E. Logeais ◽  
Cari Jo Clark
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Behavioral Health ◽  
Health Care Providers ◽  
Nursing Staff ◽  
Partner Violence ◽  
Intimate Partner ◽  
Health Providers ◽  
Care Providers ◽  
Medical Providers

Screening rates for intimate partner violence (IPV) among most health care providers are low; yet, positive interactions with providers can benefit people who experience IPV, with respect to increased safety, support, and self-efficacy. Missing is a broad assessment and comparison of knowledge, attitudes, and behavior across the range of providers who are likely to be involved in a response to IPV disclosure. The purpose of our study was to assess health care providers’ IPV preparation, knowledge, opinions, and practices and examine differences across three types of health care providers (medical providers, nursing staff, and social/behavioral health providers). We used an anonymous online survey to gather self-reported information on preparation, knowledge, opinions, and practices around IPV. A random sample of 402 providers was drawn from 13 clinics in a large multispecialty outpatient practice setting. The respondents ( N = 204) consisted of medical providers ( n = 70), nursing staff ( n = 107), and social/behavioral health providers ( n = 27). Data analyses consisted of univariate, bivariate, and multivariate analyses. Social/behavioral health providers reported more preparation, knowledge, victim understanding, and less job-related constraints, yet they reported lower screening rates than medical providers and nursing staff. Overall, no provider group seemed well-equipped to work with patients who disclose IPV. Our findings identify unmet needs within our health system to better train health care providers and restructure care models to support IPV identification and response. A focus on interprofessional training and care collaboration would bolster competency and reduce constraints felt by the health care workforce.

scholarly journals INTRAVENOUS MEDICATION ADMINISTRATION ERRORS AND THIS CAN ENDANGER THE LIVES OF PATIENTS

2020 ◽  
pp. 171-175
Author(s):  
OMAR ABDULWAHID SALIH AL-ANI
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Human Error ◽  
Medication Administration ◽  
Care Providers ◽  
Medication Administration Errors ◽  
Health Quality ◽  
Standard Classification ◽  
Intravenous Medication ◽  
Improve Health

Objective: Intravenous errors are one of the most frequent and common medical errors, but no direct causes found. The theory of human error is the most common expression of errors in hospitals, and this can endanger the lives of patients. This research study aims to identify the errors in the vein and try to find solutions to avoid those errors where the study conducted on a sample of hospitals in Baghdad. Methods: The study conducted to improve health quality in some hospitals. During the study period, a group of severe cases was detected, which based on intravenous infusions. Patients’ data and information were collected through five sources, examined and documented venous errors found and placed in a standard classification according to an incorrect dose and incorrect medication. The incorrect dose includes the following: Overdose, extra dose, underdose, wrong strength, and wrong form. Results: During the period of study, a total of 99 cases, among these cases, 52 incorrect medications include (drug-drug interaction, drug-disease interaction, and not indicated medication) the incorrect dose 42 and route of administration and incorrect rate also take place in mistakes. Conclusion: Intravenous errors can cause significant harm to patients and health-care providers, so proper attention paid to them. Several reasons may cause medication errors such as lack of experience and knowledge of health-care providers, inaccurate communications that do not explain the drug, and the exact dose. The prescribing errors in the medication or dosage were collected, discussed, and clarified so that the risks arising from them observed so that health-care providers and hospital specialists would be alerted and the study would serve as an alarm for health organizations.

scholarly journals The Public Health Reach of High Fluoride Vehicles: Examples of Innovative Approaches

2016 ◽  
Vol 50 (Suppl. 1) ◽  
pp. 61-67 ◽  
Author(s):  
Marisol Tellez ◽  
Mark S. Wolff
Keyword(s):  
Public Health ◽  
Health Care Providers ◽  
Preventive Services ◽  
Health Programs ◽  
Main Concern ◽  
Care Providers ◽  
Medical Providers ◽  
Community Based ◽  
Public Health Programs ◽  
High Fluoride

Fluorides and sealants have been shown to reduce caries in populations, making fluoride interventions a large part of the dental public health effort. Although public health programs have traditionally focused on fluoride vehicles delivering less than 1,000 ppm of fluoride, more recent efforts have shifted toward the use of high fluoride vehicles such as varnishes and prescription toothpastes. In the USA, states are developing innovative strategies to increase access to dental services by using primary care medical providers to deliver early preventive services as part of well-child care visits. Currently, Medicaid programs in 43 states reimburse medical providers for preventive services including varnish application. Still, there is uncertainty about the cost-effectiveness of such interventions. In many resource-strained environments, with shortages of dental health care providers, lack of fluoridated water and lower dental awareness, it is necessary to develop sustainable programs utilizing already established programs, like primary school education, where caries prevention may be set as a priority. Dental caries among the elderly is an ongoing complex problem. The 5,000-ppm F toothpaste may be a reasonable approach for developing public health programs where root caries control is the main concern. Fluoride varnish and high concentration fluoride toothpaste are attractive because they can easily be incorporated into well-child visits and community-based geriatric programs. Additional research on the effectiveness and costs associated with population-based programs of this nature for high risk groups is needed, especially in areas where a community-based fluoride delivery program is not available.

scholarly journals Factors Associated With Patient Waiting Time at a Medical Outpatient Clinic: A Case Study of University of Nairobi Health Services

2021 ◽  
Vol 6 (12) ◽  
pp. 915-918
Author(s):  
Rebecca Bisanju Wafula (BSCN, MSCHSM) ◽  
Dr. Richard Ayah (MBCHB, MSC, PHD)
Keyword(s):  
Health Services ◽  
Health Care Providers ◽  
Waiting Time ◽  
Outpatient Clinic ◽  
Health Workers ◽  
Waiting Times ◽  
Care Providers ◽  
Cross Sectional ◽  
Patient Waiting Time ◽  
Patient Waiting

Background: Long waiting time in outpatient clinics is a constant challenge for patients and the health care providers. Prolonged waiting times are associated with poor adherence to treatment, missed appointment and failure or delay in initiation of treatment and is a major factor towards the perception of the patient towards the care received. Objective: To determine the waiting time and associated factors among out patients attending staff clinic at University of Nairobi health services. Method: A cross-sectional study design was used and data collected from 384 ambulatory patients over a period of four weeks using an interviewer administered pretested structured exit questionnaire with a time-tracking section. Simple random sampling was used to select respondents in a walk- in outpatient clinic set up. Data was cleaned and analysed using Statistical Package for Social Sciences (SPSS) 20. Analysis of variance (ANOVA), and cross tabulation was used to establish associations between the independent variable and dependent variables. Results: In total 384 patients were tracked and interviewed. The average patient waiting time was 55.3mins.Most respondents (52%) suggested that improving availability of staff at their stations would help to reduce patient waiting time. In this study, gender (P=0.005) and availability of doctors (p=0.000) were found to affect patient waiting time with women waiting longer than the male patients. Conclusion: Majority of the patients spent about an hour at the facility to be served. Inadequate number of health workers was the main cause of long waiting time.

scholarly journals Dissatisfaction between medical providers and patients in the Republic of Kazakhstan.

2020 ◽  
Author(s):  
Anara Zhumadilova ◽  
Aizhan Kozhakhmetova ◽  
Gaukhar Kuanyshbayeva ◽  
Madina Kazhen ◽  
Amina Akhmadiyeva ◽  
...  
Keyword(s):  
Health Care ◽  
Life Satisfaction ◽  
Health Care Providers ◽  
Care Providers ◽  
Medical Providers ◽  
Doctor Visit ◽  
Patient Centred Care ◽  
Patient Dissatisfaction ◽  
The Republic ◽  
The City

Abstract Background: Dissatisfaction among patients towards health care providers remains a serious concern in the Republic of Kazakhstan that requires further attention(1-3). Patient-centred care, trust between patients and medical providers, the involvement of patients in their own treatment process, and effective communication are major areas in need of strengthening in order to improve outcomes of medical care (4-7). The objective of this study was to broaden the investigation of patient dissatisfaction to various departments from different medical facilities in the city of Nur-Sultan and examine additional factors that may be influencing provider-patient communication and contributing to patient dissatisfaction. Methods: This cross-sectional study of 500 patients (response rate, 85.4%) and 500 health care providers (response rate, 86.4%) from one private and one state hospital and two state policlinics (outpatient departments) in the city of Nur-Sultan, Kazakhstan, used questionnaires containing the Patient-Practitioner Orientation Scale (PPOS) and scales assessing life and job satisfaction, job effort-job reward balance, and patient evaluation of communication. Results: Our study showed that the majority of health care providers and patients were doctor-centred as opposed to patient-centred in their expectations of the doctor visit. The patient-centred orientation of health care providers was negatively correlated with age (P=0.000218) and life satisfaction (P=0.000001). In patients, contrarily, patient-centredness was enhanced by higher life satisfaction (P=0.040), although negatively correlated with age (P=2.659E-21). Conclusions: The results of this study demonstrate that younger health care providers and those with lower life satisfaction expect a more patient-centred approach to the doctor visit. Older respondents and those with higher life satisfaction, in contrast, reported doctor-centred attitudes. The majority of younger patients have a stronger belief in good health associated with patient-centred care whereas the older population preferred a more doctor-centred approach to care. In all patients, the preference for patient-centred care was associated with higher satisfaction in life.

scholarly journals MEETING SOCIAL NEEDS TO IMPROVE HEALTH OUTCOMES: PARTNERSHIPS BETWEEN COMMUNITY-BASED ORGS AND HEALTH CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S499-S500
Author(s):  
Traci L Wilson ◽  
Suzanne R Kunkel ◽  
Jane Straker ◽  
Marisa Scala-Foley ◽  
Elizabeth Blair
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Social Services ◽  
Health Care Providers ◽  
Health Care Use ◽  
Social Needs ◽  
Care Providers ◽  
Community Based ◽  
Cross Sectional ◽  
Improve Health

Abstract Unmet social needs negatively affect individual and population health, and better integration of community-based supports and health systems is a promising approach to improve health outcomes and avoid unnecessary health care use. Community-based organizations (CBOs) such as Area Agencies on Aging (AAAs) and Centers for Independent Living (CILs), as providers and coordinators of social services, are well-positioned within their communities to coordinate care and provide for unmet social needs. Partnerships between CBOs and health care entities have clear potential to improve health care outcomes while also reducing expenditures. This paper will present a cross-sectional analysis of a national survey of AAAs, CILS, and other CBOs at two time points (2017: n=593; 2018: n=763) to understand the extent, type, and evolution of CBO engagement with health care providers. In addition, longitudinal analysis (n=374) shows movement at the organization level: 33% of organizations who did not have a contract at T1 but were pursuing one had achieved a contract by T2. This presentation will: describe details of the services delivered, contracting arrangements, and populations served under CBO/health care contracts, as well as challenges experienced by CBOs; examine differences by state and organizational structure; and discuss the implications of state policy on integrated care and contracting.

scholarly journals Medical Provider Recommendations to Massage Therapy: a Card Study

2019 ◽  
Vol 12 (3) ◽  
pp. 9-15 ◽  
Author(s):  
Diane Mastnardo, BS, LMT ◽  
Jeanmarie C. Rose, MPA ◽  
Jacqueline Dolata, MBA ◽  
James J. Werner, PhD, MSSA
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Primary Care Provider ◽  
Massage Therapy ◽  
Research Network ◽  
Care Providers ◽  
Medical Providers

Background: Communication between massage therapy patients and their medical providers has not been widely described, especially with respect to health care in the United States. Purpose: To examine which type of medical providers recommend massage therapy (MT), and how often massage therapy patients tell their providers about their treatment. Setting: Independent massage therapy practices in a Practice-based Research Network (PBRN) in Northeast Ohio.Participants: 21 licensed massage therapists (LMT). Research Design: A cross-sectional descriptive study. For consecutive, nonrepeating visits to their practices, each LMT completed up to 20 cards with information on the patient and visit. Analysis compared visits for patients based on whether they reported telling their health provider about their use of MT or being recommended for massage by a health provider.Results: Among 403 visits to 21 LMTs, 51% of patients had told their primary care clinician about seeing an LMT, and for 23%, a health-care provider had recommended visiting an LMT for that visit. Patients who told their primary care provider that they use massage therapy were more likely to be established patients, or to be seen for chronic pain complaints. Visits recommended by a physi-cian were more likely to be for chronic conditions.Conclusion: Patients who are established in the massage practice and those receiving massage for a specific condition are more likely to tell their primary care provider that they use massage and are also more likely to have been recommended for massage by a health-care provider. This information will help LMTs target and inform patients about the importance of talking with their health-care providers about their use of massage, and provide LMTs with a starting point of which types of health-care providers already recommend massage. This information will further open the dialogue about the integration of massage therapy in conventional health care. 

scholarly journals “Most of Them Are Amateurs”: Women with Spinal Cord Injury Experience the Lack of Education and Training among Medical Providers While Seeking Gynecological Care

2015 ◽  
Vol 35 (3) ◽  
Author(s):  
Heather Elise Dillaway ◽  
Catherine L. Lysack
Keyword(s):  
Spinal Cord ◽  
Health Care Providers ◽  
Spinal Cord Injuries ◽  
Education And Training ◽  
Care Providers ◽  
Medical Providers ◽  
Attitudes And Practices ◽  
Cord Injury ◽  
Gynecological Care ◽  
And Training

<span>Although the American Disabilities Act (ADA, 1990) became federal law more than two decades ago, individuals with disabilities continue to experience substandard healthcare. We use this article to hone in on disabled women's experiences of seeking gynecological care and the access disparities they still face. The data for this qualitative study were gathered using in-depth interviews with 20 women living with spinal cord injuries in or around Detroit, Michigan. Each interviewee was questioned about overall health and physical functioning, accessibility of doctor offices, interactions with health care providers, and gynecological health-seeking behaviors. In this paper we report on women's gynecological healthcare experiences and related attitudes and practices, and what women see as the primary structural and social barriers to comprehensive care. Findings echo past literature about the inaccessibility of doctor's offices, including the lack of suitable exam tables. However, our findings also suggest that the lack of education and training among medical providers could be a key social barrier and determinant of whether individual women actually secure gynecological care.</span>

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