scholarly journals The Use of Medical and Non-Medical Services by Older Inpatients from Emergency vs. Chronic Departments, during the SARS-CoV-2 Pandemic in Poland

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1547
Author(s):  
Iwona Demczyszak ◽  
Justyna Mazurek ◽  
Dominik M. Marciniak ◽  
Katarzyna Hap ◽  
Natalia Kuciel ◽  
...  

The COVID-19 pandemic has forced numerous changes in medical care. The monitoring of current needs and problems among the elderly in health care facilities seems to be essential. This study aims to assess the difference in terms of the use of medical and non-medical services before planned or emergency hospitalisation by the older population during the strict lockdown period due to the SARS-CoV-2 pandemic in Poland. The study used the FIMA (Fragebogen zur Inanspruchnahme medizinischer und nicht-medizinischer Versorgungsleistungen im Alter) questionnaire. Patients admitted on a planned basis (n = 61) were on average 4 years younger, self-administered the questionnaire more frequently and used the services of different types of therapists. Patients admitted on an emergency basis (n = 60) were more likely to visit general practitioners and other specialists and used the carer's allowance benefits. In the case of the elderly, emergency hospitalisation during the pandemic is more frequently preceded by seeking outpatient care in specialists in various fields, covered by insurance. The chronically ill use the services of various therapists while awaiting hospitalisation, usually not covered by health insurance. For both groups, the age > 73 years is critical for the use of assisting means and completing the self-administered questionnaire, which can be used in planning the health care in these patients.

2018 ◽  
Vol 1 (2) ◽  
pp. 148-156
Author(s):  
Delfina Gusman ◽  
Marryo Borry WD

Clinics are health care facilities that provide individual health services that provide basic medical and / or specialist services. Primary Clinic is a clinic that provides basic medical services both general and special. To establish primary clinics until they can operate through a series of licensing processes, namely the Hinder Ordonnantie (HO) Permit, Clinical Establishment Permit (IMK) and Clinical Operational Permit (IOK). The results of the process are overlapping or suggesting requirements that make the process ineffective and inefficient


2011 ◽  
Vol 23 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masayoshi Kanoh ◽  
◽  
Yukio Oida ◽  
Yu Nomura ◽  
Atsushi Araki ◽  
...  

We have developed a Robot Assisted Activity (RAA) program for recreational use in health care facilities for elderly people. The RAA program has been evaluated in such a facility to assess its usefulness. The program applies a standard classroom model, starting with homeroom and including lessons in the Japanese language, music, gymnastics, arithmetic, and other subjects. At the end of the program, there is a graduation ceremony. We use a video camera to record each scene. Each behavior and utterance of the participants is then analyzed. In addition, immediately upon completion of the RAA program, specialists conduct a Focus Group Interview (FGI) in which they collect comments, opinions, and requests from the participants. Ten elderly people participate in the program, two men and eight women (81.0±3.7 years old). All are residents at a health care facility in Aichi Prefecture, Japan. TheMMSE (MiniMental State Examination) score indicating the level of dementia is 24.1±3.0 points. Two participants are judged to be in a moderate stage of cognitive decline (21 points or less), six are in a mild stage (22-26 points), and the remaining two are normal. On the Geriatric Depression Scale (GDS), in which a score of 13.3±4.2 points indicates a state of depression, seven participants are judged to be depressive (11 points or more). The results of our study show that all participants have a favorable impression of the robot and nearly all have a positive opinion of the RAA program. This suggests that the program can be used for emotional and recreational therapy at health care facilities for the elderly. However, in spite of the overall success of the RAA program, we seldom observe interaction between participants and the robot.


2021 ◽  
Vol 03 (03) ◽  
pp. 18-24
Author(s):  
Khalida J. IBRAHEEM ◽  
Mohammed S. BAQER

The genus Acinetobacter are a wide spread in nature, and there are at least 25 different types of them .In the medical field, Acinetobacter baumannii is one of the most important speciesof this genus . It is an opportunistic pathogen and have many virulence factors that make the bacteria capable of causing many hospital-acquired diseases which leads to nosocomial outbreak attendant with arise in death rates . This bacteria has the ability to be resistant to many antibiotics, and the emergence of high levels of multi-drug resistance A. baumannii has made it apriority health issue and is considered a serious threat to health care facilities, public health and the elderly . Which requires a tremendous effort to stop this escalation.


2021 ◽  
Vol 9 (E) ◽  
pp. 1461-1466
Author(s):  
Trias Mahmudiono ◽  
Agung Dwi Laksono

Abstract: The utilization of hospital services is a benchmark for the success of a health care referral system. Indonesia as the largest archipelago in the world encounters challenging conditions along with lack of infrastructure posed economic and health disparity among its regions. Disparities as a result of this development also have an impact on the accessibility of health care facilities. Regions with good economic movements tend to have good accessibility to health care facilities. For this reason, reducing disparity to achieve universal health services is the goal of health planners and policy makers. Chi Square test was used to test dichotomy variables and t-tests was performed for analysing the difference among continuous variables. These tests were employed to assess the hypothesis that there was significant regional difference in the access of health care in Indonesia. Estimation using multinomial logistic regression test was used to study the disparity between regions in hospital utilization. The results of this study showed that disparities between regions in Indonesia exist in term of hospital utilization. The disparities in hospital utilization among regions in Indonesia were associated with: marital status, socioeconomic status, education level, occupation and insurance ownership. However, the difference in odds ratio for mortality between regions decreased compared to the previous period. Conclusion. Disparities in the hospital utilization among region in Indonesia was associated with complex factors from individual characteristics through geographic barriers.


2016 ◽  
Vol 14 (5) ◽  
Author(s):  
Rosilawati Zainol ◽  
Christopher J. Pettit

The trend of ageing at home which is preferred option by the elderly in Australia is to be supported with good community facilities such as community health care facilities. The proximity of these facilities to their homes plays a significant role in their everyday life activity. Thus, this study examines the spatial relationship between elderly’s population distribution and also the spatial distribution of community health care. Digital boundaries and population census 2011 data were retrieved from the Australian Bureau Statistics (ABS). Data on community health care facilities, on the other hand, were obtained from the National Health Services Directory (NHSD). Both data were analysed using Local Indicator Spatial Association technique (LISA). Results show there is a mismatch between the placement of community health care facilities and where the elderly reside. This mismatch will later create accessibility problems to the elderly if not tackle properly. They may be required to travel quite a distance to receive treatment and medications. Facilities are to be provided with projections of elderly population distribution in mind. This condition would minimize accessibility issue in the future.


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