scholarly journals Siting of Healthcare Care Facilities Based on the Purpose of Their Operation, Demographic Changes, Environmental Characteristics, and the Impact on Public Health

2021 ◽  
Vol 12 (1) ◽  
pp. 379
Author(s):  
Marko Jausovec ◽  
Nande Korpnik ◽  
Branko Gabrovec ◽  
Vanja Skalicky Klemencic
Keyword(s):  
Public Health ◽  
Human Health ◽  
Healthcare Services ◽  
Review Literature ◽  
Demographic Changes ◽  
Social Significance ◽  
Environmental Characteristics ◽  
Healthcare Facilities ◽  
Care Facilities ◽  
The Impact

A contemporary approach to the spatial design of healthcare care facilities faces numerous challenges at the crossroads of multidisciplinary topics of architecture and urbanism, healthcare, security, and organisational sciences. Due to the unique combination of uses, users and architectural expression, they are defined as urban nodes. With their inclusion, architects facilitate a better placing of healthcare facilities, indirectly improving human health. The purpose of the article is to seek guidelines for the siting of healthcare facilities to provide suitable and equal healthcare to different social structures, and for the optimal and fair spatial distribution of healthcare services. The descriptive method was used to review literature on the siting of healthcare facilities based on the purpose of their operation, demographic changes, environmental characteristics, and the impact on public health. This method was selected as it facilitates data acquisition from various sources and a comprehensive understanding of the topic discussed. The results of the research show how important the impact of the healthcare care facilities siting on human health and the wider social significance of the topic discussed is. The findings may provide guidelines and proposals for future spatial decisions.

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

scholarly journals The Impact of Enhanced Antimicrobial Stewardship Support on Antibiotic Starts in Long-Term Care Facilities

2020 ◽  
Vol 41 (S1) ◽  
pp. s527-s527
Author(s):  
Gabriela Andujar-Vazquez ◽  
Kirthana Beaulac ◽  
Shira Doron ◽  
David R Snydman
Keyword(s):  
Public Health ◽  
Pilot Study ◽  
Infection Control ◽  
Antimicrobial Stewardship ◽  
Long Term Care ◽  
Medical Center ◽  
Term Care ◽  
Care Facilities ◽  
The Impact

Background: The Tufts Medical Center Antimicrobial Stewardship (ASP) Team has partnered with the Massachusetts Department of Public Health (MDPH) to provide broad-based educational programs (BBEP) to long-term care facilities (LTCFs) in an effort to improve ASP and infection control practices. LTCFs have consistently expressed interest in individualized and hands-on involvement by ASP experts, yet they lack resources. The goal of this study was to determine whether “enhanced” individualized guidance provided by an ASP expert would lead to antibiotic start decreases in LTCFs participating in our pilot study. Methods: A pilot study was conducted to test the feasibility and efficacy of providing enhanced ASP and infection control practices to LTCFs. In total, 10 facilities already participating in MDPH BBEP and submitting monthly antibiotic start data were enrolled, were stratified by bed size and presence of dementia unit, and were randomized 1:1 to the “enhanced” group (defined as reviewing protocols and antibiotic start cases, providing lectures and feedback to staff and answering questions) versus the “nonenhanced” group. Antibiotic start data were validated and collected prospectively from January 2018 to July 2019, and the interventions began in April 2019. Due to staff turnover and lack of engagement, intervention was not possible in 2 of the 5 LTCFs randomized to the enhanced group, which were therefore analyzed as a nonenhanced group. An incidence rate ratios (IRRs) with 95% CIs were calculated comparing the antibiotic start rate per 1,000 resident days between periods in the pilot groups. Results: The average bed sizes for enhanced groups versus nonenhanced groups were 121 (±71.0) versus 108 (±32.8); the average resident days per facility per month were 3,415.7 (±2,131.2) versus 2,911.4 (±964.3). Comparatively, 3 facilities in the enhanced group had dementia unit versus 4 in the nonenhanced group. In the per protocol analysis, the antibiotic start rate in the enhanced group before versus after the intervention was 11.35 versus 9.41 starts per 1,000 resident days (IRR, 0.829; 95% CI, 0.794–0.865). The antibiotic start rate in the nonenhanced group before versus after the intervention was 7.90 versus 8.23 antibiotic starts per 1,000 resident days (IRR, 1.048; 95% CI, 1.007–1.089). Physician hours required for ASP for the enhanced group totaled 8.9 (±2.2) per facility per month. Conclusions: Although the number of hours required for intervention by an expert was not onerous, maintaining engagement proved difficult and in 2 facilities could not be achieved. A statistically significant 20% decrease in the antibiotic start rate was achieved in the enhanced group after interventions, potentially reflecting the benefit of enhanced ASP support by an expert.Funding: This study was funded by the Leadership in Epidemiology, Antimicrobial Stewardship, and Public Health (LEAP) fellowship training grant award from the CDC.Disclosures: None

Healthcare facilities maintenance management: a literature review

2017 ◽  
Vol 15 (4) ◽  
pp. 352-375 ◽  
Author(s):  
Zahra Yousefli ◽  
Fuzhan Nasiri ◽  
Osama Moselhi
Keyword(s):  
Literature Review ◽  
Healthcare Services ◽  
Facility Management ◽  
Maintenance Management ◽  
Future Research ◽  
Content Type ◽  
Healthcare Facilities ◽  
And Performance ◽  
Management Functions ◽  
The Impact

Purpose The complexity and criticality of healthcare services highlight the importance of maintenance management function in healthcare facilities. The purpose of this paper is to review the literature on maintenance management of healthcare facilities and hospital buildings to provide an organized literature review and identify gaps from the perspective of research and practice. Design/methodology/approach The paper categorizes the literature and adopts a review hierarchy according to maintenance management functions in hospital buildings. It explores the impact of those functions on the performance of maintenance activities in hospitals. Furthermore, it examines the role of information technology and automated decision support systems in facilitating hospital maintenance management functions and performance. Findings Literature on maintenance management in healthcare facilities and hospital buildings has so far been very limited. Recently published literature focusing on healthcare facilities management and its maintenance management functions is classified into various areas and sub-areas. The paper highlights gaps in the literature and suggests avenues for future research and improvements. Originality/value The paper contains a comprehensive listing of publications and their classifications according to various attributes. It will be useful for researchers, maintenance managers, practitioners and stakeholders concerned with facility management of hospital buildings.

scholarly journals Fistula as a Public Health challenge in Pakistan

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Shamoon Noushad ◽  
Shershah Syed ◽  
Sadaf Ahmed
Keyword(s):  
Public Health ◽  
Obstetric Fistula ◽  
Secondary Data ◽  
Health Interventions ◽  
Public Health Interventions ◽  
Healthcare Facilities ◽  
Public Health Challenge ◽  
Effective Public Health ◽  
The Impact

Aims: To explore the impact of obstetric fistula in the county and to propose effective public health interventions that can help to prevent the condition with a long-term goal of eradicating the condition. Methods: The survey and analysis included secondary data addressing women's experiences of fistula; dynamics and limitationsdetermining women's access to in healthcare facilities for fistula management; and restraintsof health professional as well as health inequities. Results: It was assessed that recently, many hospitals and organizations in the country go on board on intercessions to address the impact of the illness, however, much importance is on pinpointing and discussing the existing cases rather than focusing on public health interventions that can help to prevent and eventually eradicate the condition in Pakistan.

scholarly journals Glyphosate Use, Toxicity and Occurrence in Food

Foods ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 2785
Author(s):  
Diogo Soares ◽  
Liliana Silva ◽  
Sofia Duarte ◽  
Angelina Pena ◽  
André Pereira
Keyword(s):  
Public Health ◽  
Human Health ◽  
Broad Spectrum ◽  
Scientific Community ◽  
Food Samples ◽  
Toxic Effects ◽  
Health Consequences ◽  
Safety And Health ◽  
The Impact

Glyphosate is a systemic, broad-spectrum and post-emergent herbicide. The use of glyphosate has grown in the last decades, and it is currently the most used herbicide worldwide. The rise of glyphosate consumption over the years also brought an increased concern about its possible toxicity and consequences for human health. However, a scientific community consensus does not exist at the present time, and glyphosate’s safety and health consequences are controversial. Since glyphosate is mainly applied in fields and can persist several months in the soil, concerns have been raised about the impact that its presence in food can cause in humans. Therefore, this work aims to review the glyphosate use, toxicity and occurrence in diverse food samples, which, in certain cases, occurs at violative levels. The incidence of glyphosate at levels above those legally allowed and the suspected toxic effects of this compound raise awareness regarding public health.

scholarly journals Hubungan Pengetahuan dan Sikap Ibu Postpartum tentang Persalinan di Fasyankes dengan Pemilihan Pertolongan Persalinan

2018 ◽  
Vol 18 (3) ◽  
pp. 522
Author(s):  
Ratu Kusuma
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Center ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Public Health Center ◽  
The Public ◽  
Care Facilities ◽  
Postpartum Mothers ◽  
Selection Of

Safe childbirth is childbirth that helped by health personnel in health care facilities. Coverage of childbirth in health care facilities in Jambi province did not reach strategic plan target yet (77.00%), achievement (63.03%), Jambi city (93.86%) and the public health center did not reach target province yet (90%) that is the public health center Talang Bakung (79.00%) and Pal Merah II (78.00%). This study aimed to determine the correlation of knowledge and postpartum mothers attitude about childbirth in health care facilities with a selection of helping in childbirth at the public health center Talang Bakung. This is an analytic descriptive research; with total populations were 32 postpartum mothers, it used total sampling technique. Instrument test was conducted at the public health center Pal Merah II toward 10 postpartum mothers; an instrument used demographic data instrument, knowledge instrument, attitude instrument, and selection of helping in childbirth instrument, with fisher exact test and contingency coefficient. The findings indicated that there is no significant correlation between knowledge and attitudes of childbirth in healthcare facilities with a selection of helping in childbirth with each score p is (p=0.444 p=1.000), contingency coefficient (p=0.399, p=1.000). It is concluded that knowledge and attitude of the postpartum mother about childbirth in healthcare facilities did not affect in a selection of childbirth place chosen by the mother. For the next researcher to research about childbirth in healthcare facilities with the different method.

The Role of Advertisements in Promoting Healthcare Services and Their Effects on Corporate Image

2021 ◽  
pp. 352-366
Author(s):  
Gülay Tamer
Keyword(s):  
Public Health ◽  
Health Service ◽  
Social Structure ◽  
Human Health ◽  
Health Personnel ◽  
Healthcare Services ◽  
Corporate Image ◽  
Poor Control ◽  
The Social

While some segments of society may want to be promoted and informed about products and services, some segments argue that most of the advertising activities can negatively affect human health due to poor control. Considering that the advertisements will mislead individuals and affect the health of the society in a positive way, the existence of advertising bans is considered an accurate decision to protect public health. Due to its advertising structure, it turns healthcare into a commercial commodity and sells healthcare. This situation disrupts the social structure of the health service and makes the service a subject of competition between institutions and individuals. It is seen that obstacles are put in this regard and serious sanctions are imposed. Health personnel also have important duties to prevent health from being a commercial good and to provide a respected health environment.

scholarly journals 450 - Exploring staff perspectives on the role of physical environment in dementia care facilities in Sweden and Canada

2020 ◽  
Vol 32 (S1) ◽  
pp. 170-170
Author(s):  
Sook Young Lee ◽  
Lillian Hung ◽  
Habib Chaudhury
Keyword(s):  
Physical Environment ◽  
Dementia Care ◽  
Care Practice ◽  
Group Method ◽  
Environmental Characteristics ◽  
Sensory Stimuli ◽  
Care Facilities ◽  
The Impact

This study explored staff perceptions of the role of physical environment in dementia care facilities in affecting resident’s behaviors and staff care practice. We used focus group method (Krueger & Casey, 2000; Krueger, 1998) to elicit staff’s shared perceptions on the impact of the physical environment on residents’ behaviors and on their own care practice. A total of 24 staff members from four facilities, two in Sweden and two in Canada, participated. Discussions in the focus groups generated rich and inter-subjective accounts via dynamic and interactive exchange among participants. Participants were explained that the researchers were particularly interested in three aspects of the physical environment: architecture or spatial layout of the setting (e.g. corridor length, bath room size, etc.), interior design aspects (e.g. lighting, flooring, furnishing, etc.) and sensory aspects (e.g. noise, smell, tactile properties, etc.). Staff in both countries reported similar physical environmental characteristics that enabled and hindered them from delivering good care. This study yielded three environmental themes that have a substantial effect on the social interaction and care practice: design ambience, space arrangement, and sensory stimuli. The deficits in the physical environmental characteristics prevented staff from providing effective person-centred care. Our findings identified substantial differences between the facilities of the two countries, although it is possible that greater differences might exist between the range of facilities in each country about the quality of environment and care. The quality of environment contributed to a high job satisfaction reported by staff in Sweden. The unsupportive and problematic features of the physical environment seemed to be the primary factor that triggers agitation among the residents with dementia in Canada.

scholarly journals Environmental noise levels and noise annoyance in Novi Sad, 2012-2016

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Zivadinovic ◽  
M Jevtic ◽  
N Dragic ◽  
S Bijelovic
Keyword(s):  
Public Health ◽  
Human Health ◽  
Noise Level ◽  
Urban Areas ◽  
Road Traffic ◽  
Public Health Problem ◽  
Road Traffic Noise ◽  
Residential Areas ◽  
Novi Sad ◽  
The Impact

Abstract Objective Increased noise level represents a significant public health problem in urban environments. The aim of this paper is to examine the annoyance of the population by road traffic noise in the City of Novi Sad. Methods The results of 161 24-hour noise measurements in Novi Sad were analyzed. Measurements were done by Public Health Institute of Vojvodina, according to accredited and standardized national methodology during 2012 - 2016. Results Total noise indicator (Lden) / night noise indicator (Lnight) ranged from 61,1 dB / 50,7 dB in residential, up to 66,3 dB / 58,1 dB in recreation / hospital areas, 68,0 dB / 60,3 dB in city traffic areas and 70,2 dB / 62,7 dB in business and residential areas. Taking into account the results and using methodology prescribed by national regulations, the percentage of highly annoyed population (% HA) was found to be in the range 11-25% during the day, and 6-13% during the night. Using ISO 1996-1:2016, prevalence of a population highly annoyed (PHA) was established to be in the range 9,2-33,9% in residential; 18,4-45,7% in recreation / hospital areas 22,9-50,6 in city traffic; 27,7-55,4% in business and residential areas. Conclusions The results confirm that urban noise seriously disturbs people. It was established that about a half of the population was highly annoyed which poses a serious challenge for public health. The results have social, health and economic importance for the population. Activities to reduce the noise level could also stimulate economic, health, social and community programs for sustainable development aiming to preserve and improve human health. Acknowledgment: Supported by the Ministry of Education and Science of the Republic of Serbia - Project “Biosensing Technologies and Global System for Continuous Research and Integrated Management”, No.43002 Key messages Continous noise monitoring is important for understanding the impact of noise on human health. About a half of the population was highly annoyed by noise, which poses a big challenge for public health in urban areas.

The Fit Between Spatial Configuration and Idealized Flows: Mapping Flows in Surgical Facilities as Part of Case Study Visits

2020 ◽  
pp. 193758672092835
Author(s):  
Herminia Machry ◽  
Anjali Joseph ◽  
Deborah Wingler
Keyword(s):  
Design Process ◽  
Spatial Configuration ◽  
Healthcare Services ◽  
Design Teams ◽  
Flow Mapping ◽  
Healthcare Facilities ◽  
Mapping Tool ◽  
Mapping Approach ◽  
The Impact

Purpose: This study proposes a flow mapping approach for surgical facilities that can be implemented by design teams as a component of case study tours. Background: The provision of healthcare services involves simultaneous and closely coupled flows of people, objects, and information, and the efficiency of these flows is influenced by the spatial configuration of the buildings where these services are housed. Many architecture firms conduct case study tours to inform their design process. However, these tours often lack a structured way of documenting different flows and interpreting observations. A structured approach is needed during the design process to understand the impact of spatial configuration on healthcare flows. Method: Site tours were conducted at four surgery centers to develop and test an evidence-based flow mapping approach. Idealized flows within surgical facilities were first identified from the literature, followed by the development of a data collection tool aimed at documenting these flows in each case study through a pre-assessment questionnaire, a physical assessment, and interviews with staff. Results: The flow mapping tool kit was effective in allowing the design team to systematically understand the physical configuration of surgical flows across case studies. The tool also allowed the team to identify spatial configuration characteristics acting as barriers and facilitators to idealized flows. Conclusions: The flow mapping approach was able to provide structure for conducting these short tours more effectively via observations and staff inquiry, enabling design teams to draw more meaningful conclusions from case study tours and conduct comparisons between healthcare facilities visited.

Sign in / Sign up

Export Citation Format

Share Document