scholarly journals Evacuation from Healthcare Facilities in Poland: Legal Preparedness and Preparation

2020 ◽  
Vol 17 (5) ◽  
pp. 1779 ◽  
Author(s):  
Krzysztof Goniewicz ◽  
Patrycja Misztal-Okońska ◽  
Witold Pawłowski ◽  
Frederick M. Burkle ◽  
Robert Czerski ◽  
...  
Keyword(s):  
Health Care ◽  
Critical Infrastructure ◽  
Human Life ◽  
Real Life ◽  
Emergency Evacuation ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Medical Facilities ◽  
Care Facilities ◽  
Evacuation Drills

Medical facilities, while providing both essential and demanding health care to society’s most vulnerable populations, also belong to the most demanding category of risk to human life if and when a crisis event occurs within its walls. The development of a safe evacuation plan for these facilities is extremely complicated, as the evacuation of medical facilities is much more complex than for other critical infrastructure. In this category, the evacuated patients constitute a specific risk group requiring specialized medical care. Hospitalized persons may be dependent on life-saving measures, are unconscious or immobile, are significantly restricted in movement or mentally unbalanced, being dependent on the continued assistance of trained third parties. Additionally, the medical transport of evacuated patients becomes more difficult due to the limited capacity of ambulances and available health care facilities to transport them to, which are increasingly limited due to their overcrowded census. The study aimed to analyze the requirements which are placed on hospitals in Poland to ensure the safety of patients in case of an evacuation. The research method used in the paper was retrospective analysis and evaluation of the media and literature. We have found, that Polish law imposes an obligation on the administrator of a medical facility to ensure the safety of both patients and employees. The regulations cover issues of technical conditions to be met by buildings and their location, prevention, and fire protection requirements, and the determination of which staff is responsible for the evacuation. However, available documents fail to describe what the hospital evacuation process itself should entail under emergency evacuation. Taking into account the complexity of the hospital evacuation process, health care facilities should have a well-developed plan of action that must be implemented at least once a year in the form of facility-wide training. Evacuation drills should not be avoided. Only trained procedures offer the possibility of later analysis to identify and eliminate errors and provide the opportunity to acquire skill sets and habits which promote the behaviors expected in real-life emergencies.

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 A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

2021 ◽  
Vol 18 (6) ◽  
pp. 2953
Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People With Disabilities ◽  
Health Care Facilities ◽  
Internal Space ◽  
Major Barrier ◽  
Healthcare Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.

scholarly journals Delayed access to treatment and frequency of acute respiratory infection as risk factors of severe pneumonia among children aged 12-59 months in Denpasar, Bali

2017 ◽  
Vol 5 (1) ◽  
pp. 61
Author(s):  
Dewa Ayu Ketut Sri Abadi ◽  
Dewa Nyoman Wirawan ◽  
Anak Agung Sagung Sawitri ◽  
I Gusti Ayu Trisna Windiani
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Access To Health Care ◽  
Respiratory Infections ◽  
Severe Pneumonia ◽  
Health Care Facilities ◽  
First Episode ◽  
Access To Treatment ◽  
Healthcare Facilities ◽  
Care Facilities

Background and purpose: Period prevalence of pneumonia among children in Indonesia increased from 2.1 in 2007 to 2.7 per 1000 children in 2013. The highest incidence was found among children aged 12-23 months. This study aims to examine association between delayed access to health care facilities and severity of children pneumonia.Methods: A case control study was conducted in Denpasar City. A total of 132 children were recruited to participate in this study, consisted of 44 cases and 88 controls. Cases were selected from 161 children with severe pneumonia who registered at Pulmonology Department of Sanglah General Hospital between January 2015 to April 2016. Controls were selected from 261 children aged 12-59 months with mild pneumonia who visited out-patient service at all community health centres in Denpasar City between January 2015 and April 2016. Cases and controls were matched by sex. Data were collected by interview with the parents in their houses. Data were analysed using multivariate analysis with logistic regression.Results: Risk factors associated to severity of pneumonia among children aged 12-59 months were delayed access to treatment for more than three days (AOR=2.15;95%CI: 1.39-3.32), non-health care facilities at first episode of illness (AOR=4.02; 95%CI: 1.53-10.61) and frequent episodes of respiratory infections (>4 times) over the last 6 months (AOR=5.45; 95%CI: 2.13-13.96).Conclusion: Delayed access to treatment, did not access healthcare facilities at first episode of illness, and high frequency of acute respiratory infections are risk factors of severe pneumonia among children.

scholarly journals ANALYSIS OF TOURIST TRAVEL PATTERNS TOWARD HEALTH CARE FACILITIES

2018 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Nida Hanifah ◽  
Marta Nilasari Catur Pujianingsih ◽  
Dea Handika Pratiwi ◽  
Linta Alfi Fahmi ◽  
Fathurohim Anhari ◽  
...  
Keyword(s):  
Health Care ◽  
Network Analysis ◽  
Health Service ◽  
Health Sector ◽  
Route Planning ◽  
Health Care Facilities ◽  
Travel Patterns ◽  
Service Facility ◽  
Healthcare Facilities ◽  
Care Facilities

One of the sectors that are closely related and reasonably determining for the growth and development of the tourism sector is the health sector. The aim of this research  was to a) know the affordability of health care facilities from tourism Prambanan and Plaosan Temple,  b) to know the travel patterns of tourists headed for healthcare facilities. This research uses qualitative descriptive method by using data collection observation techniques, documentation, and data analysis using network analysis. The network analysis method that used is the closest facility. The results of this research show that a) the affordability of the nearest health service facility from the Plaosan Temple object is Kebondalem Lor Puskesmas which is traveled by 1.7 km distance and takes about 4 minutes from the location of Plaosan Temple, while the closest health service facility from the Prambanan Temple is Prambanan Puskesmas which is taken with distance of 5.3 km and travel time 14 minutes from location of Prambanan Temple. to be known travelers can use private vehicles at tourism Plaosan Temple, because the attractions have a radius of 1.7 km. While on the tourist object of tourism Prambanan Temple can not use private vehicle because the mileage exceeds 3 km, and b) The travel pattern of tourists to health care facilities is categorized good, because the tourists can access health services with the nearest route and adequate facilities. Keywords: Travel Patterns, Health Facilities, Network Analysis   ReferencesAnwar, A. (2010). Introduction to Health Administration.Jakarta: Binarupa Aksara.Groenou, M. V., & Tilburg, T. V. (1975). Network Anaysis. Vrije Universitet, Amsterdam, The Netherland.Kuntarto, A., & Purwanto, T. H. (2012). Use of Geographic Information Network Analysis System for Route Planning Tourists in Sleman. Journal of The Earth Indonesia of Vol 1 Number 2, 141.Laksono, A. D., & dkk. (2016). The accessibility of health service in Indonesia. Yogyakarta: KANISIUS PT.Law number. 36 Year 2009 About HealthLaw number. 47 Year 2016 About Health Facilities.Moeleong, L. (2002). Qualitative Research Methods. Bandung: Teens Rosdakarya.Muta'ali, L. (2013). Regional and City Spatial Planning (Tinjauan Normatif-Teknis). Yogyakarta: Badan Penerbit Fakultas Geografi (BPFG) Gadjah Mada University.Narsid, S. (1988). Development Geography. Jakarta: Space.O.Z, T. (1997). Transport Planning and Modeling. Bandung: Institut Teknologi Bandung.  

scholarly journals Development of Healthcare Kiosk for Checking Heart Health

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Riyanto Sigit ◽  
Zainal Arief ◽  
Mochamad Mobed Bachtiar
Keyword(s):  
Health Care ◽  
Heart Disease ◽  
Heart Diseases ◽  
Human Life ◽  
Health Care Facilities ◽  
Filter Method ◽  
Heart Health ◽  
Care Facilities ◽  
Artificial Neural Network Method

The main problem encountered nowadays in the health field, especially in health care is the growing number of population and the decreasing health facilities. In this regard, healthcare kiosk is used as an alternative to the health care facilities. Heart disease is a dangerous one which could threaten human life. Many people have died due to heart disease and the surgery itself is still very expensive. To analyze heart diseases, doctor usually takes a video of the heart movement using ultrasound equipment to distinguish between normal and abnormal case. The results of analysis vary depending on the accuracy and experience of each doctor so it is difficult to determine the actual situation. Therefore, a method using healthcare kiosk to check the heart health is needed to help doctor and improve the health care facilities. The aim of this research is to develop healthcare kiosk which can be used to check the heart health. This research method is divided into three main parts: firstly, preprocessing to clarify the quality of the image.In this section, the writers propose a Median High Boost Filter method which is a combined method of Median Filtering and High Boost Filtering. Secondly, segmentation is used to obtain local cavities of the heart. In this part, the writers propose using Triangle Equation that is a new method to be developed. Thirdly, classification using Partial Monte Carlo method and artificial neural network method; these methods are used to measure the area of the heart cavity and discover the possibility of cardiac abnormalities. Methods for detecting heart health are placed in the kiosk. Therefore, it is expected to facilitate and improve the healthcare facilities.Keywords: Healthcare kiosk, heart health, reprocessing, segmentation, classification.

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.

scholarly journals КРІ model impact on employee motivation and competitiveness of private healthcare facilities

2021 ◽  
Vol 2 (2) ◽  
pp. 31-42
Author(s):  
Stanislav Kotenko ◽  
Iana Kobushko ◽  
Iryna Heiets ◽  
Oleksandr Rusanov
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Care Quality ◽  
Health Care Facilities ◽  
Private Health Care ◽  
Healthcare Facilities ◽  
Private Healthcare ◽  
Care Facilities ◽  
Private Medicine ◽  
Health And Economic Development

The Constitution of Ukraine stipulates that an individual, his/her life, and health are the highest state social values. The authors highlighted that the health care system is the basis of social policy, national security, public health, and economic development. The current reformation of medical and legal reforms in Ukraine are fully covered by health legislation. In the context of these laws, the government promotes the development of private, communal, and state healthcare facilities. The authors noted that private medicine is snowballing in Ukraine, but the competitiveness of private health care facilities is insufficient in state medical reform. The study emphasized the absence of appropriate tools and mechanisms to motivate staff in private healthcare facilities. Based on the findings, the authors proposed introducing a set of evaluation indicators combined into a single integrated system – key performance indicators (KPIs), which would be the basis for calculating the bonus payroll. In turn, this system of material incentives should encourage medical staff to work effectively, be active, and initiative. The mechanism for developing a set of KPIs should be approved at the administration of the private health care facility. At the same time, medical workers of all levels must participate in KPIs elaborating. The indicators of medical care quality could be further used to improve healthcare, differentiated work assessment of medical staff, and healthcare facility in general, in accreditation and certification of private health care facilities. In the study, the authors formed and analyzed groups of indicators for different categories of the medical staff of private medical institutions. The obtained results showed that different bonus rates are needed to motivate employees at various levels to create an additional incentive to build a medical career. Thus, it could be argued that private healthcare facilities should develop motivation policy and strategy, revise system and forms of remuneration, improve the mechanism of motivation and incentives, focus on increasing competitiveness indicators in private medicine.

Notes From the Field: Availability of Satellite Pharmacies and Pharmacy Service Units in Nigerian Hospitals—Implications for Pharmaceutical Care

2020 ◽  
pp. 016327872093417
Author(s):  
Ene Daniel-Ebune ◽  
Abubakar Ibrahim Jatau ◽  
Sai’du Lawal Burji ◽  
Mustapha Mohammed
Keyword(s):  
Health Care ◽  
Pharmaceutical Care ◽  
Emergency Departments ◽  
Drug Information ◽  
Health Care Facilities ◽  
Pharmacy Service ◽  
Healthcare Facilities ◽  
Care Services ◽  
Care Facilities ◽  
Hospital Pharmacies

The optimal provision of pharmaceutical care services requires an adequate number of pharmacists, satellite pharmacies and service units at healthcare facilities. We examined the availability of these requirements at Nigerian hospitals using the 2016 nationwide inspection reports of hospital pharmacies conducted by the Pharmacists Council of Nigeria. Records of 254 hospitals inspected were retrieved, of which 171 (67.3%) were public. The total number of pharmacists across facilities was 753. The most common satellite pharmacy units recorded were antiretroviral 80 (31.5%) and emergency departments 48 (18.8%). The most common service units were drug revolving funds 176 (69.3%) and drug information 112 (44.1%) units. These findings suggest the availability of pharmacists, satellite pharmacies and service units are inadequate for the optimal delivery of pharmaceutical care services at healthcare facilities in Nigeria. Therefore, there is a need for interventions to improve the provision of pharmaceutical care services at health care facilities in Nigeria.

scholarly journals LEED CERTIFICATION AND PATIENT WELLBEING IN GREEN HEALTHCARE FACILITIES

2020 ◽  
Vol 15 (4) ◽  
pp. 3-18
Author(s):  
Maryam Golbazi ◽  
Can B. Aktas
Keyword(s):  
Health Care ◽  
Statistical Significance ◽  
Well Being ◽  
Green Buildings ◽  
Health Care Facilities ◽  
National Average ◽  
Rating System ◽  
Indoor Environments ◽  
Healthcare Facilities ◽  
Care Facilities

ABSTRACT Beyond resource efficiencies, green buildings aim to create healthy indoor environments for building occupants. In terms of improving occupant well-being, a unique case emerges for healthcare facilities, whose patients may be at a vulnerable state. In the U.S., the Leadership in Energy and Environmental Design (LEED) rating system has become the most widely recognized certification system for green buildings, including green healthcare facilities and buildings. Hospitals with high total scores in the LEED rating system are green buildings but may not necessarily be the optimal green healthcare environment from a patient’s wellbeing perspective. Certified health-care facilities were analyzed in terms of their credit valuation to assess whether health-care facilities prioritize specific criteria that influence patient wellbeing and recovery time. Analysis of results indicate hospitals may be valuing the level of certification more than those credits that were deemed relevant for patient wellbeing and rate of recovery, either due to lack of information or due to economic constraints. To consolidate the previous results and to compare the performance of LEED certified green hospitals to the national average, the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was analyzed for patients’ perspectives on the healthcare facility. Results indicate higher satisfaction in green hospitals’ overall patient care performance as well as a greater tendency to recommend green hospitals to others compared to the national average. No statistical significance was found for hospital cleanliness and quietness between green hospitals and the national average. HIGHLIGHTS

scholarly journals Barriers to the access of oral health care facilities among adults: an exploratory study from Lahore

2020 ◽  
Vol 14 (03) ◽  
pp. 105-109
Author(s):  
Shehla J. Akram ◽  
Raheela Yasmin ◽  
Saira Atif ◽  
Asadullah Rathore ◽  
Omair Anjum ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Exploratory Study ◽  
Sociodemographic Factors ◽  
Oral Health Care ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Dental Clinics ◽  
Dental Procedures ◽  
Care Facilities

Background: Oral health is one of the key indicators of the quality of life, overall health and well‑being of the general population. Globally, the high prevalence of the periodontal disease, excessive tooth loss, dental caries experiences, oral cancers and xerostomia are the major issues reported among adult populations. Timely access to oral healthcare facilities preserves the function, morbidity and mortality. The best possible health outcomes are only possible if the personal health care services are accessible timely. So, the primary objective of this study was to explore the barriers to the access of oral health care facilities among adults. In addition, the study also determined the association between adult’s demographic factors and their visits to dental clinics.  Subjects and methods: This exploratory study was conducted for two months between November 2019 and January 2020. The study recruited 400 adults including 200 males and 200 females visiting outpatient department (OPD) of public hospital i.e. Jinnah Hospital, Lahore. Participants were included in this study if they were 18 years of age or older and had provided written informed consent before data collection. Data were collected using a structured questionnaire whereas barriers to access the oral healthcare facilities was confirmed by asking an open-ended question. Statistical Package for Social Sciences (SPSS) software was used to calculate descriptive statistics (i.e., mean, standard deviation, percentages). The study also determined the association between sociodemographic factors of adults and their tendency to visit dental clinics just for routine checkups using the chi-square test. Results: The average age of the participants was 36.81±9.29 years ranged from 18 – 63 years. Of the 400 participants, 259 (64.75%) reported costly treatment as a barrier affecting access to oral healthcare facilities followed by difficulty in access to dental clinics (27.75%) and fear of the pain of dental procedures (20.25%). Only 52 (13%) adults were regularly visiting dental clinics for routine check-ups whereas 21 (5.25%) respondents never had been to the dentist throughout their life. Nearly, half of the respondents i.e. 189 (47.25%) stated that dental care expenditures were borne by them and none of them was health insured. Statistically, a significant association was found between demographics (i.e. education, rural background and income) and the tendency to visit the dental clinics (p<0.05). Conclusion: Expensive treatment, difficulty in accessing dental facilities and fear from dental procedures are the major barriers to the utilization of dental services. Access to dental clinics for routine check-ups is significantly influenced by sociodemographic factors.

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