scholarly journals Agent-Based Simulation of Virus Testing in Certain-Exposure Time through Community Health Service Centers’ Evaluation—A Case Study of Wuhan

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1519
Author(s):  
Xingyu Zhou ◽  
Jie Zhao ◽  
Duanya Zheng ◽  
Yang Yu ◽  
Lingbo Liu

Short-term and large-scale full-population virus testing is crucial in containing the spread of the COVID-19 pandemic in China. However, the uneven distribution of health service facilities in terms of space and size may lead to prolonged crowding during testing, thus increasing the chance of virus cross-infection. Therefore, appropriate control of crowd exposure time in large-scale virus testing should be an important goal in the layout of urban community health facilities. This paper uses the Quanta concept and Wells-Riley model to define the “certain-exposure time” under low cross-infection rate. Then, an agent-based simulation model was used to simulate the reasonable screening efficiency of community health service facilities during certain-exposure time at different stages of the COVID-19 pandemic and under different screening processes. Eventually, the screening efficiency was evaluated for all community health service centers in Wuhan. During the early period of the pandemic, 23.13% of communities failed to complete virus testing of community residents within 2 h of certain-exposure time, leaving approximately 56.07% of the population unscreened; during the later period of the COVID-19 pandemic, approximately 53% of communities and 75% of residents could not be screened. The results can pinpoint the distribution of community health service centers with inadequate screening capacity, facilitate targeted policymaking and planning, and effectively curb COVID-19 cross-infection during screening.

2017 ◽  
Vol 4 (2) ◽  
pp. 99-104
Author(s):  
Agus Nursikuwagus

Information system at community health center is an information system that has several activities, such as registration, medical record, health care, and reporting.  Day to day operation, community health service, is using process manually. It is cause the stack of service. Sometime, the patient has to wait within several times. For Further, the patient did not know that the queuing is full. In order to help the problem, this paper wants to show about E-Health as service software. The research is completed by conveying the model like UML diagram. The UML diagrams are consisting such as usecase, class, activity, and component. The sequence of system construct is using Prototype Paradigm. The result is the software which has ability to service patient start from registration, medical check, medical prescription, until reporting. As an impact for Community health service is the service more efficiency. The system is able to control the medicine and reporting on day to day operation.   REFERENCES[1] Susanto, Gunawan,” Sistem Informasi Rekam Medis PadaRumah Sakit Umum Daerah (RSUD) Pacitan Berbasis WebBase”. Pacitan. 2012.[2] B, Nugroho, S.H. Fitriasih, B. Widada, “Sistem InformasiRekam Medis Di Puskesmas Masaran I Sragen”. JournalTIKomSiN, vol.5, no.1, p.49-56, 2017.[3] G.G.S. Bagja,” Membangun Sistem Informasi KesehatanPuskesmas Cibaregbeg”, Univ. Komp. Indonesia, 2010.[4] A.M. Herdy, Aulia, M. Amran, D. Novita, “PerancanganSistem Informasi Pelayanan Medis Di Puskesmas SungaiDua”, STMIK MDP. 2014.[5] J. Sundari, “Sistem Informasi Pelayanan Puskesmas BerbasisWeb”, Int.Journal.on Soft.Eng, vol.2, no.1, p.57-62, 2016.[6] R.S. Pressman, Software Engineering A PractitionersApproach. Nineth Edition, Addsion Wesley, 2011.[7] G. Booch, J. Rumbaugh, I. Jacobson, Unified ModelingLanguage User Guide, Addison-Wesley, 1999.[8] I, Daqiqil. (2011, August 2). Framework CodeIgnite. [Online].Available: http://koder.web.id/buku-codeigniter-gratis/


2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Shuang Shao ◽  
Tao Wu ◽  
Aimin Guo ◽  
Guanghui Jin ◽  
Rui Chen ◽  
...  

2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.


2019 ◽  
Author(s):  
Yunque Bo ◽  
Miaojie Qi ◽  
Siyu Liu ◽  
Jiyu Cui ◽  
Youli Han

Abstract Background:Fragmentation of medical care has become one of the main reasons for the inefficiency of medical delivery systems. Vertical integration of medical delivery systems (VIMDS) is a reform direction in the world. Managers’ behavior toward profit distribution is an important factor that influences them to pursue the goal of VIMDS. We conducted a controlled economics experiment to explore decision-making by managers of medical institutions in respect of profits and what influences the distribution mechanism in VIMDS. Methods:Undergraduate and postgraduate Students majoring in health management, and administrative staffs from hospitals were recruited to make choices in the role of directors of institutions. Z-Tree software was used to design the experimental program. 96 subjects participated in the experiment. We gathered 479 valid contracts. Results: 66.39% of the subjects choose flexible contracts. The median of the bidding distribution rate to community health service centers of all auctions was 18.50%. The final distribution rate is about 3 percentage points higher than the bidding distribution rate. The median of the effort level was 9.00. There was a significant correlation between the improvement rate and the choice of effort level (p<0.05) in flexible contracts. Conclusions: The hospital managers have a preference for flexible contracts because of uncertainty in the medical system. Community health service center director may be perfunctory as shading in the integration. Flexible contract and sharing rate beyond participants’ expectation motivate managers to make more cooperative behaviors.


1942 ◽  
Vol 42 (7) ◽  
pp. 847
Author(s):  
Dorothy J. Carter ◽  
Amelia Howe Grant

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