scholarly journals Spatial Accessibility to Primary Healthcare Services by Multimodal Means of Travel: Synthesis and Case Study in the City of Calgary

2019 ◽  
Vol 16 (2) ◽  
pp. 170 ◽  
Author(s):  
Amritpal Kaur Kaur Khakh ◽  
Victoria Fast ◽  
Rizwan Shahid
Keyword(s):  
Primary Healthcare ◽  
Public Transportation ◽  
Universal Access ◽  
Healthcare Services ◽  
Spatial Accessibility ◽  
Healthcare Sector ◽  
Ratio Method ◽  
Urban Centre ◽  
Healthcare Facilities ◽  
The City

Universal access to primary healthcare facilities is a driving goal of healthcare organizations. Despite Canada’s universal access to primary healthcare status, spatial accessibility to healthcare facilities is still an issue of concern due to the non-uniform distribution of primary healthcare facilities and population over space—leading to spatial inequity in the healthcare sector. Spatial inequity is further magnified when health-related accessibility studies are analyzed on the assumption of universal car access. To overcome car-centric studies of healthcare access, this study compares different travel modes—driving, public transit, and walking—to simulate the multi-modal access to primary healthcare services in the City of Calgary, Canada. Improving on floating catchment area methods, spatial accessibility was calculated based on the Spatial Access Ratio method, which takes into consideration the provider-to-population status of the region. The analysis revealed that, in the City of Calgary, spatial accessibility to the primary healthcare services is the highest for the people with an access to a car, and is significantly lower with multimodal (bus transit and train) means despite being a large urban centre. The social inequity issue raised from this analysis can be resolved by improving the city’s pedestrian infrastructure, public transportation, and construction of new clinics in regions of low accessibility.

MEASURING SPATIAL HEALTHCARE FACILITIES ACCESSIBILITY USING TWO-STEP FLOATING CATCHMENT ANALYSIS (2SFCA) (Case Study: Cianjur Regency, Indonesia)

2021 ◽  
pp. 11
Author(s):  
Muhamad Iqbal Januadi Putra ◽  
Nabila Dety Novia Utami
Keyword(s):  
Travel Time ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Spatial Accessibility ◽  
Healthcare Facilities ◽  
Spatial Disparities ◽  
Time Threshold

The presence of healthcare facilities is quite essential to provide good healthcare services in a particular area, however, the existence of healthcare facilities is not evenly distributed in Cianjur Regency. This condition leads to the disparities of healthcare facilities across the Cianjur Regency. In this paper, we aim to measure and map the spatial disparities of healthcare facilities using a Two-Step Floating Catchment Analysis (2SFCA). This method can calculate the magnitude of spatial accessibility for healthcare facilities by formulating the travel time threshold and the quality of healthcare facilities across the study area. This research shows the result that the spatial accessibility of healthcare facilities in the Cianjur Regency is not evenly distributed across the districts. The spatial accessibility value resulted from 2SFCA is ranging from 0- 3.97. A low value indicates low spatial accessibility, while a higher value shows good accessibility. The majority of districts in the Cianjur Regency have the spatial accessibility value 0-0.5 (86%). Meanwhile, only a few have the higher value; value 0.5-0.99 as much as 6.6%, 0.99-1.49 as 3.3%, and 3.48-3.97 has a percentage of 3.3%. Also, this analysis results in the cluster of good spatial accessibility in healthcare facilities, namely the Pagelaran District and Cipanas District. Interestingly, the downtown of Cianjur Regency has lower spatial accessibility compared to both areas.

scholarly journals A comparison of the levels of satisfaction with the medical services provided by primary healthcare centers in selected communes in Lubelskie Voivodeship

2016 ◽  
Vol 126 (1) ◽  
pp. 8-12
Author(s):  
Daria Przybylska ◽  
Piotr Przybylski ◽  
Bartłomiej Drop ◽  
Krzysztof Czarnocki ◽  
Wojciech Przybylski ◽  
...  
Keyword(s):  
Family Medicine ◽  
Primary Healthcare ◽  
The Elderly ◽  
Healthcare Services ◽  
Medical Services ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Primary Type ◽  
Primary Healthcare Centers

Abstract Introduction. Family medicine remains the primary type of medical services in Poland and it is supposed to treat both individual patients and the society as a whole. Due to the growing commercialization of the health service, most primary healthcare centers have transformed into non-public healthcare facilities. The public ones (called SPZOZ in Polish) account only for a small fraction of the whole number of primary healthcare facilities. The quality of medical services provided by such facilities, as patients see it, remains one of the key elements determining the development of family medicine centers. Aim. The aim of this paper was to assess patient satisfaction levels regarding the healthcare services they received in two primary healthcare institutions, both of the NZOZ and SPZOZ type, in a small town located close to Lublin. Material and methods. An anonymous survey was filled out by 30 patients of both a public and non-public healthcare center located in Niemce (Niemce Commune, Lublin District). The quality of services was assessed using an original questionnaire in the form of a poll. Results. The results obtained indicate a clear relationship between one’s trust to the physician, diagnosis accuracy and visiting the particular center again, in order to continue the treatment. For older subjects, it was nurses’ kindness and politeness that was the most important. The elderly appreciated the kindness and politeness of the nurses in particular. No significant differences were found between the institutions in respect of the overall perception of satisfaction with services. In terms of infrastructure assessment, the majority of positive feedback was provided for NZOZ. Conclusions. The findings above suggest that it is essential to conduct surveys on a regular basis, in order to check patients’ assessment of the service quality in various institutons.

scholarly journals User-centric work environments in modular healthcare facilities

2019 ◽  
Vol 26 (6) ◽  
pp. 1047-1062
Author(s):  
Leena Aalto ◽  
Pia Sirola ◽  
Tiina Kalliomäki-Levanto ◽  
Marjaana Lahtinen ◽  
Virpi Ruohomäki ◽  
...  
Keyword(s):  
Work Environment ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Structured Interviews ◽  
Public And Private ◽  
Content Type ◽  
Healthcare Facilities ◽  
Safety Issues ◽  
User Centric ◽  
Traditional Construction

Purpose The challenges arising from the reform of the social and healthcare sector call for efficient, effective and novel processes in both public and private health and medical care. Facilities need to be designed to suit the new processes and to offer usable workspaces at different levels of healthcare services. Along with traditional construction, modular facility innovations could be one solution to these pressures. The paper aims to discuss these issues. Design/methodology/approach This case study analyzed the different usability characteristics of the work environment in modular and non-modular healthcare facilities (HCFs). The qualitative research method was based on semi-structured interviews of employees and observations of the case buildings. Findings According to the results, the usability characteristics were divided into four main categories: functionality, healthiness, safety/security and comfort. The main differences between the modular and non-modular facilities appeared to be room size, soundproofing, safety issues and the utilization of colors and artwork, which were all perceived as better realized in the non-modular facilities. The staff highlighted functionality as the most important characteristic in their work environment. They even considered functionality as a feature of a comfortable work environment. Originality/value This paper presents new knowledge and a detailed description of the opinions and experiences of healthcare professionals concerning a user-centric, usable environment in the context of modular and non-modular HCFs.

scholarly journals Nurses’ attitudes towards the implementation of the Mother-Baby Friendly Initiative in selected primary healthcare facilities at Makhuduthamaga Municipality, Limpopo province

Curationis ◽  
2019 ◽  
Vol 42 (1) ◽  
Author(s):  
Siyabulela E. Mgolozeli ◽  
Hilda N. Shilubane ◽  
Lunic B. Khoza
Keyword(s):  
Primary Healthcare ◽  
Positive Attitude ◽  
Negative Attitude ◽  
Healthcare Services ◽  
Primary Objective ◽  
Strategy Implementation ◽  
Limpopo Province ◽  
Healthcare Facilities ◽  
Positive Attitudes ◽  
The Ideal

Background: The implementation of the Mother-Baby Friendly Initiative (MBFI) strategy demonstrated its capabilities to improve global children’s health and maternal survival. However, its implementation in primary healthcare (PHC) facilities remains a challenge as many nurses are reluctant to adopt it for the improvement of child and maternal healthcare services in their respective clinics.Objectives: The primary objective of this study was to determine the attitudes of nurses towards the implementation of the MBFI in selected PHC facilities in the Makhuduthamaga Municipality, Limpopo province.Method: This study used a quantitative, descriptive design, and all respondents were conveniently sampled. A self-administered questionnaire was used to collect data. One-hundred and seventy-seven questionnaires were distributed, and 153 nurses responded and completed the questionnaire. The Statistical Package for Social Sciences version 23 was used to analyse data.Results: Results show that the majority of nurses (professional nurses [PNs] = 65, 78%; enrolled nurses [ENs] = 18, 72%; enrolled nursing auxiliaries [ENAs] = 23, 51%) had a positive attitude towards the MBFI strategy implementation as they agreed that it increased breastfeeding rates. Most PNs (n = 58, 70%) and ENs (n = 15, 60%) showed positive attitudes towards exclusive breastfeeding (EBF) as they agreed that it was the ideal feeding option for any child, and most ENAs (n = 38, 84%) showed a negative attitude as they disagreed that EBF was the ideal feeding option for any child.Conclusion: In this study, most PNs and ENs had a positive attitude in all the aspects that determined their attitudes towards MBFI strategy implementation. A concern is the fact that most ENAs showed negative attitudes in almost all the statements that were in line with the principles of MBFI, as they disagreed in most aspects. Therefore, this study recommends that on-going orientation and trainings should be offered to all nurses including ENAs to equip them with information that can assist in changing their attitudes towards MBFI implementation in PHC facilities.

scholarly journals Using a mentorship model to localise the Practical Approach to Care Kit (PACK): from South Africa to Nigeria

2018 ◽  
Vol 3 (Suppl 5) ◽  
pp. e001079 ◽  
Author(s):  
Ajibola Awotiwon ◽  
Charlie Sword ◽  
Tracy Eastman ◽  
Christy Joy Ras ◽  
Prince Ana ◽  
...  
Keyword(s):  
South Africa ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Health Systems Strengthening ◽  
Added Value ◽  
Practical Approach ◽  
Continuous Learning ◽  
Healthcare Facilities ◽  
Face To Face ◽  
User Friendly

Nigeria, in its quest to strengthen its primary healthcare system, is faced with a number of challenges including a shortage of clinicians and skills. Methods are being sought to better equip primary healthcare clinicians for the clinical demands that they face. Using a mentorship model between developers in South Africa and Nigerian clinicians, the Practical Approach to Care Kit (PACK) for adult patients, a health systems strengthening programme, has been localised and piloted in 51 primary healthcare facilities in three Nigerian states. Lessons learnt from this experience include the value of this remote model of localisation for rapid localisation, the importance of early, continuous stakeholder engagement, the need expressed by Nigeria’s primary healthcare clinicians for clinical guidance that is user friendly and up-to-date, a preference for the tablet version of the PACK Adult guide over hard copies and the added value of WhatsApp groups to complement the programme of face-to-face continuous learning. Introduction of the PACK programme in Nigeria prompted uptake of evidence-informed recommendations within primary healthcare services.

Primary health care facility performance assessment in Armenia

2010 ◽  
Vol 23 (2) ◽  
pp. 141-155
Author(s):  
Tsovinar Harutyunyan ◽  
Anahit Demirchyan ◽  
Michael Thompson ◽  
Varduhi Petrosyan
Keyword(s):  
Access To Care ◽  
Performance Assessment ◽  
Primary Healthcare ◽  
Positive Impact ◽  
Care Facility ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Primary Health Care Facility ◽  
Content Type ◽  
The Status

PurposeThe purpose of this study is to focus on the performance of select facilities in Lori and Shirak provinces in Armenia in Spring 2008. This is in response to the deterioration of the primary healthcare sector in Armenia.Design/methodology/approachThe performance assessment focused on the status of several performance indicators, both current and as recalled for 2006. The interviewer‐administered questionnaire addressed access to care, provider relations with community and clients, environment, management, and primary and secondary prevention at the facilities. For each domain, a summative score that ranged from 0 to 3 was computed and a mean score for each facility derived.FindingsThe project has had significant positive impact on facilities' performance. Access to care scores increased from 2.0 in 2006 to 2.5 in 2008; provider relations with community improved from 1.1 to 1.4; environment scores improved from 1.3 to 1.9, facility management improved from 1.4 to 1.7; and prevention efforts increased from 1.3 to 1.9. The overall mean facility score increased from 1.4 to 1.8. Although the scores for small rural clinics increased, their scores were lower than the scores for other facility types.Originality/valueIn the chronic absence of administrative surveillance data, this paper provides valuable information on the status of primary healthcare services in Armenian provinces. It demonstrates the value of interviewer‐administered performance assessments in obtaining data across project sites when internal monitoring of progress is unavailable.

scholarly journals Role of Information Technology in Healthcare Services: Visitor's Perception

2018 ◽  
Vol 4 (2) ◽  
pp. 83-93
Author(s):  
Santosh Kumar Sharma ◽  
Anil Kumar
Keyword(s):  
Information Technology ◽  
Empirical Relationship ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Ageing Population ◽  
Human Beings ◽  
Healthcare Facilities ◽  
Number Of Patients ◽  
Role Of Information

The ageing population, increasing pollution, and lethargic life style of human beings are some of the primary reasons for the growth of healthcare sector. Indian entrepreneurs have observed this growth opportunities and providing healthcare services in multiple ways. However, the literature emphasizes that without integrating information technology in existing healthcare facilities, quality service cannot be rendered to a large number of patients. With this backdrop, the present study is a novel endeavour to explore the role of information technology in Indian healthcare services. It aims to explain the relevance and dimensions of information technology in relation to healthcare services and examines the empirical relationship between identified dimensions and some demographical factors (age, educational qualification, income, and gender).The results of this study can be beneficial to healthcare professionals, service enablers, implementing agencies, and policy makers. Limitations, further research directions and conclusions have been discussed.

scholarly journals Determinants of pregnant mothers to bypass primary health facilities and directly seek postnatal care in hospitals in Dar es Salaam region – A Community health needs assessment, Cross Sectional Study

2019 ◽  
Author(s):  
Joseph Christopher Hokororo ◽  
Eliudi S. Eliakimu ◽  
Ruth Ngowi ◽  
Mohammed A. Mohammed ◽  
Hamisi M. Malebo ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Dar Es Salaam ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Healthcare Needs ◽  
Postnatal Women ◽  
Pregnant Mothers

Abstract Introduction Dar es Salaam is the region with a large number of Primary healthcare facilities (dispensaries and health centres) outnumber the available hospitals. Although policies on referral system are available, there is a gap in terms of compliance and adherence to the governance system. Hospitals are overwhelmed with patients as compared to primary healthcare facilities, leading to poor quality of the healthcare services. The aim was to assess the needs of community members for primary healthcare services, as well as, to identify the reasons and determinants that influence mothers to bypass primary healthcare facilities.Methodology A cross-sectional study that assessed the determinants associated with pregnant mothers to bypass primary healthcare facilities in their healthcare needs. The study was conducted in Kinondoni, Ilala, Kigamboni, Temeke and Ubungo healthcare facilities in Dar es Salaam region. It targeted all postnatal women. A consecutive sampling procedure was used and a total of 544 of respondents were involved in the study. A structured questionnaire was used to collect information on: social demographic; Clinical factors of the mother; Health services; and provider’s factors that might contribute to the observed bypass. Data were analysed in levels of univariate, bivariate and multivariate using SPSS statistical package number 20.Results A total of 544 respondents were interviewed. Mothers who bypassed the primary healthcare facilities were 94%. After adjustment it was found that, those with income more than 1USD a day were (OR=4.27, CI=1.8- 15.4, P=0.01) more likely to bypass the primary facilities and go straight to the upper levels of healthcare facilities.Conclusions This study has found postnatal women in Dar es Salaam region are at high chance of going straight to the secondary and tertiary Hospitals without passing at primary healthcare facilities. Nine in every ten postnatal women were found to have by passed the primary healthcare facilities. Findings from this study reveals a strong and urgent need to strengthen primary healthcare facilities and as well implement the referral guidelines on all clients who seek health care to reduce the bypass.

scholarly journals Cyber-physical Threat Detection Platform Designed for Healthcare Systems

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
George Suciu ◽  
Mari-Anais Sachian ◽  
Ioana Petre ◽  
Daniel Petrache ◽  
Gabriel Petrescu ◽  
...  
Keyword(s):  
Real Time ◽  
Low Cost ◽  
Personal Data ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Healthcare Facilities ◽  
Physical Threat ◽  
Fast Pace ◽  
Day To Day Operations ◽  
Health Insurance Providers

Hospitals are responsible for delivering healthcare services to patients in need. These services are large and complex and get affected by multiple interacting actors, such as doctors, nurses, patients, citizens, medical suppliers, health insurance providers. Lately, hospitals around the world are one of the main targets when it comes to terrorist attacks, the cyber realm being the principal source. The healthcare sector is particularly vulnerable due to heavy involvement in patient personal and health information, time constraints, and complex day-to-day operations. In addition to cyber-threats, physical threats are increasingly growing and even healthcare facilities are not immune to them. Malicious intended people created cyber threatening attacks with the purpose to systematically collect evidence against the healthcare system, to advocate for the end of such attacks, and to endanger people's lives or to use the stolen personal data for bad intended actions. Henceforth it is necessary to build a platform that will get alerts and incidents at a fast pace in real-time to prevent any casualties at low cost. SAFECARE project aims to offer protection to hospitals and increase the compliance for the European regulations and security regarding ethics and privacy for health services. This paper presents a solution that will enhance security in hospitals. The primary platform will be built based on a BTMS (Building Threat Monitoring System) where events, incidents, and alerts will be transmitted by sensors from hospital rooms in real-time. Several scenarios were thought to simulate different types of attacks against hospitals and according to the scenarios, various prototypes will be built for assuring the security of the personal and patients from various hospitals.

scholarly journals Assessing Spatial Accessibility to Medical Resources at the Community Level in Shenzhen, China

2019 ◽  
Vol 16 (2) ◽  
pp. 242 ◽  
Author(s):  
Lei Zhu ◽  
Shuang Zhong ◽  
Wei Tu ◽  
Jing Zheng ◽  
Shenjing He ◽  
...  
Keyword(s):  
Population Data ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Community Level ◽  
Spatial Accessibility ◽  
Public Healthcare ◽  
Health Coverage ◽  
Medical Resources ◽  
Private And Public ◽  
The City

Spatial accessibility to medical resources is an integral component of universal health coverage. However, research evaluating the spatial accessibility of healthcare services at the community level in China remains limited. We assessed the community-level spatial access to beds, doctors, and nurses at general hospitals and identified the shortage areas in Shenzhen, one of the fastest growing cities in China. Based on hospital and population data from 2016, spatial accessibility was analyzed using several methods: shortest path analysis, Gini coefficient, and enhanced 2-step floating catchment area (E2SFCA). The study found that 99.9% of the residents in Shenzhen could get to the nearest general hospital within 30 min. Healthcare supply was much more equitable between populations than across communities in the city. E2SFCA scores showed that the communities with the best and worst hospital accessibility were found in the southwest and southeast of the city, respectively. State-owned public hospitals still dominated the medical resources supply market and there was a clear spatial accessibility disparity between private and public healthcare resources. The E2SFCA scores supplement more details about resource disparity over space than do crude provider-to-population ratios (PPR) and can help improve the efficiency of the distribution of medical resources.

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