scholarly journals Development of a Multi-Criteria Model for Sustainable Reorganization of a Healthcare System in an Emergency Situation Caused by the COVID-19 Pandemic

2020 ◽  
Vol 12 (18) ◽  
pp. 7504
Author(s):  
Dragan Pamučar ◽  
Mališa Žižović ◽  
Dragan Marinković ◽  
Dragan Doljanica ◽  
Saša Virijević Jovanović ◽  
...  
Keyword(s):  
Healthcare System ◽  
Management Strategies ◽  
Emergency Situation ◽  
Medical Personnel ◽  
Weight Coefficient ◽  
Healthcare Systems ◽  
Crisis Response ◽  
Aggregation Functions ◽  
The Republic ◽  
Selection Of

Healthcare systems worldwide are facing problems in providing health care to patients in a pandemic caused by the SARS-CoV-2 virus (COVID-19). The pandemic causes an extreme disease to spread with fluctuating needs among patients, which significantly affect the capacity and overall performance of healthcare systems. In addition, its impact on the sustainability of the entire economic and social system is enormous and certain sustainable management strategies need to be selected. To meet the challenges of the COVID-19 pandemic and ensure sustainable performance, national healthcare systems must adapt to new circumstances. This paper proposes an original multi-criteria methodology for the sustainable selection of strategic guidelines for the reorganization of a healthcare system under the conditions of the COVID-19 pandemic. The selection of an appropriate strategic guideline is made on the basis of defined criteria and depending on infection capacity and pandemic spread risk. The criteria for the evaluation of strategic guidelines were defined on the basis of a survey in which the medical personnel engaged in the crisis response team during the COVID-19 pandemic in the Republic of Serbia participated. The Level-Based Weight Assessment (LBWA) model and Measuring Attractiveness by a Categorical-Based Evaluation Technique (MACBETH) method were used to determine the weight coefficient criteria, while a novel fuzzy Ranking of Alternatives through Functional Mapping of Criterion Subintervals into a Single Interval (RAFSI) model was used to evaluate the strategic guidelines. The proposed multi-criteria methodology was tested in a case study in the Republic of Serbia. The validity of the proposed methodology is shown through the simulation of changes in input parameters of Bonferroni aggregation functions and through a comparison with other multi-criteria methodologies.

scholarly journals Professional deformations of medical workers as a reflection liberal reforms of the national healthcare system

2020 ◽  
pp. 4
Keyword(s):  
Healthcare System ◽  
Service Providers ◽  
Medical Personnel ◽  
Medical Services ◽  
Structural Elements ◽  
State Sector ◽  
National Healthcare ◽  
National Healthcare System ◽  
Selection Of

As a result of liberal reforms of the national healthcare system, the structure of the state sector of medical services production has changed. The number of hospitals has more than halved, and the number of hospital beds has decreased from 2,037.6 thousand in 1990 to 1,182. 7 thousand in 2017, while the motivation of medical personnel has changed. External professional motivations of medical service providers began to prevail over internal ones. To achieve an acceptable level of accessibility and quality of medical services to the population, it will be necessary not only to restore the structural elements of domestic medicine, but also to revise the ideology of professional selection of medical school applicants, adapt medical education to the requirements of "Medicine 5P" and radically change the personnel policy.

scholarly journals Provision of population of the republic of Sakha (Yakutia) with medical personnel

2021 ◽  
Vol 38 (6) ◽  
pp. 103-108
Author(s):  
Tatiana E. Burtseva ◽  
V. V. Arzhakova ◽  
N. M. Gogolev ◽  
N. I. Douglas ◽  
E. A. Borisova ◽  
...  
Keyword(s):  
Healthcare System ◽  
Medical Information ◽  
Medical Personnel ◽  
The Arctic ◽  
Healthcare Sector ◽  
National Project ◽  
Qualified Personnel ◽  
The Republic ◽  
General Provision ◽  
Doctors And Nurses

Objective. To analyze the provision of the population of the Republic of Sakha (Yakutia) with medical personnel. Materials and methods. The article presents an analysis of the human resources of the healthcare of the Republic of Sakha (Yakutia) for 20002020. The main trends in the medical personnel provision of the Republic of Sakha (Yakutia) are determined according to the data of the Yakut Republican Medical Information and Analytical Center. Results. The personnel resource of healthcare is its fundamental component. The problem of providing the population with medical personnel is one of the key factors in the socio-economic development of the regions, especially the regions of the Arctic zone of Russia. The national project "Healthcare" includes the federal project "Providing Medical Organizations of the Healthcare system with Qualified Personnel". The key goal of the national project on staffing the medical service is to achieve almost full staffing of doctors and nurses in healthcare institutions. The article analyzes the provision of the population with medical personnel in the Republic of Sakha (Yakutia) for the period 2017-2019. In dynamics, there is an increase in the indicator of providing the population with doctors and nurses in general; provision with therapeutists and pediatricians in the primary healthcare sector is growing. The article describes the qualification characteristics of medical personnel in the Republic of Sakha (Yakutia). Conclusions. The indicators of the provision of the population of the Republic of Sakha (Yakutia) with medical personnel according to official reports of the Ministry of Health of the RS (Y) are higher than the average in Russia. This is due to the territorial, logistical characteristics, features of the network and healthcare system of the region.

Determination of integral indicators characterizing the possibility of accommodating the evacuated population in the territory of the Republic of Kazakhstan

2020 ◽  
pp. 154851292097028
Author(s):  
Yernar Zh Akimbayev ◽  
Zhumabek Kh Akhmetov ◽  
Murat S Kuanyshbaev ◽  
Arman T Abdykalykov ◽  
Rashid V Ibrayev
Keyword(s):  
Statistical Data ◽  
Armed Conflicts ◽  
Security Issues ◽  
Inaccurate Information ◽  
The Subject ◽  
The Republic ◽  
The Impact ◽  
Integrated Indicators ◽  
Selection Of

Studying the historical facts of past wars and armed conflicts and natural and man-made emergencies, today in the Republic of Kazakhstan one of the most important security issues is the preparation and organization of the evacuation of the population from possible dangerous zones, taking into account the emergence of new threats to the country’s security. The paper presents an algorithm for constructing universal scales of the distribution function of opportunities by types of support and rebuilding them into subject scales using display functions. The purpose of the paper is to determine the integral indicators characterizing the possibility of accommodation of the evacuated population and the impact on resources during relocation. On the subject scales of cities and districts of the region, indicators of the possibility of relocation of a certain amount of the evacuated population by types of support and indicators characterizing the impact on the district’s resources during resettlement of a certain amount of the evacuated population are determined. It was concluded that the use of integrated indicators allows the selection of areas to accommodate the evacuated population without the use of statistical data, in conditions of incomplete and inaccurate information. The presented method does not replace traditional methods based on classical methods of territory assessment by the level of life sustenance, but also allows their reasonable combination with the experience of specialists in this field, taking into account the incompleteness, uncertainty, and inconsistency of the initial data of the study area, which does not allow the application of existing methods.

scholarly journals Need to Intervene: An Exploratory Study of Nurses’ Experiences With Patienthood

2021 ◽  
Vol 8 ◽  
pp. 237437352199884
Author(s):  
Marian A O Cohen ◽  
Jim McQuaid ◽  
Ruth Remington
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Healthcare System ◽  
Family Caregiver ◽  
Exploratory Study ◽  
Medical Personnel ◽  
Healthcare Personnel ◽  
Coordination Of Care ◽  
Professional Perspective

Much has been written about the patient experience, but there is little information about experiences of providers as patients. Since lay patients and providers have differing perspectives and expectations, it is important to identify those elements shared by those in each group and those that diverge. This study identified experiences of nurses as being a patient or a family caregiver of a patient as well as identified assessments of the healthcare system by nurses. An exploratory study using a self-administered electronic questionnaire with a group of registered nurses was conducted. Assessments of the system by responders were positive when addressing quality of care, interactions among healthcare personnel, and interactions with patients. However, when discussing their experiences as patient, nurses reported they encountered problems with coordination of care, responses of medical personnel, attention to details of care, and responses to their attempts to become more involved. Results confirm issues raised by patients who are not medical experts in patient satisfaction studies. Adding a professional perspective highlights where problems with the healthcare system lie.

The Value of Brand Fans during a Crisis: Exploring the Roles of Response Strategy, Source, and Brand Identification

2021 ◽  
pp. 232948842199969
Author(s):  
Hayoung Sally Lim ◽  
Natalie Brown-Devlin
Keyword(s):  
Social Media ◽  
Experimental Design ◽  
Crisis Communication ◽  
Word Of Mouth ◽  
Crisis Response ◽  
Response Strategy ◽  
Brand Identification ◽  
Communication Source ◽  
Practical Implications ◽  
Selection Of

Using a two (crisis response strategy: diminish vs. rebuild) × three (source: brand organization vs. brand executive vs. brand fan) experimental design, this study examines how brand fans (i.e., consumers who identify with a brand) can be prompted to protect a brand’s reputation during crises and how the selection of a crisis spokesperson can influence consumers’ evaluations of the crisis communication. Being buffers for their preferred brands, brand fans are more likely to accept their brand’s crisis response and engage in positive electronic word-of-mouth on social media. Brand fans are more likely to evaluate other brand fan’s social media accounts as a credible crisis communication source, whereas those who are not brand fans are more likely to evaluate brand and/or brand executives as credible. Findings provide theoretical applications in paracrisis literature pertaining to social media but also practical implications for brand managers to strategically utilize brand fans in crisis communication.

Incorporating Human Factors Into a Healthcare System’s COVID-19 Communication Strategy

2021 ◽  
Vol 10 (1) ◽  
pp. 175-179
Author(s):  
Rebecca L. Butler ◽  
Ann Katherine Hoobler ◽  
Lucy C. Stein ◽  
Erica S. Hoenig ◽  
Laura M. Lee ◽  
...  
Keyword(s):  
Human Factors ◽  
Healthcare System ◽  
Communication Strategies ◽  
Clinical Information ◽  
Effective Communication ◽  
Healthcare Systems ◽  
User Feedback ◽  
Communication Strategy ◽  
Successful Communication

The COVID-19 era has been an age of change for healthcare systems worldwide. At the beginning of the pandemic in particular, there was a huge need to rapidly communicate new and constantly changing information with critical safety implications. Previously successful communication strategies were not adequate for this unprecedented challenge. At MedStar Health, the Quality & Safety team led a unique partnership between human factors experts, clinical teams, and the communications department to develop a three-pronged strategy for effective communication during the pandemic. This strategy incorporated the following components: 1) Using human factors and usability concepts to distill complex clinical information into easy-to-understand infographics for frontline associates; 2) Creating regular, succinct messaging to distribute the information and provide frequent updates throughout the healthcare system; and 3) Designing and maintaining a usable webpage where associates could access up-to-date information relevant to their specialty at any time, on or off the hospital network. This strategy, which was dynamic and adapted to user feedback, was supported by associates as a streamlined method for communicating important information throughout the pandemic.

USE OF THE RISK MANAGEMENT TECHNOLOGY IN EVALUATION OF HEALTH SERVICES FOR EMPLOYEES OF ENTERPRISES OF A LARGE OIL PRODUCING COMPANY

2021 ◽  
Vol 55 (1) ◽  
pp. 91-98
Author(s):  
O.I. Orlov ◽  
◽  
E.Yu. Mamonova ◽  
V.M. Levanov ◽  
O.V. Perevedentsev ◽  
...  
Keyword(s):  
Risk Management ◽  
Health Risk ◽  
Information Acquisition ◽  
Medical Personnel ◽  
Weight Coefficient ◽  
Online Information ◽  
Medical Care System ◽  
Healthcare Evaluation ◽  
Corporate Social ◽  
Key Resources

Protection of personnel health is part and parcel of the corporate social policy adopted by oil producing companies with the divisional structure. The medical care system using outsourcing needs a proficient control of its functioning. Since it incorporates dozens of objects, the control is workable only provided digital technologies are applied. We made choice of the infographic matrix to build up two matrices, i.e. one for health risk management and the other, for resources and processes management. Besides, we developed systems for quantitative risk evaluation, and to score key resources, processes, and medical personnel efficiency on 5-point scales. Weight coefficient was accepted for each factor. The technique has been implemented for health analysis and healthcare evaluation at 49 enterprises. Scrupulous attention was given to the enterprises within the orange zone (51-75 on the scale). Out of 9 to 10 enterprises that traveled in the zone over 3 years of monitoring, 4 were present in both matrices. Analysis of the reports provided guides to develop response measures suitable for specific enterprises. Health risk matrices can find application in a large number of enterprises for online information acquisition, problem identification and solving.

Natural Disaster at the Closing of the Dutch Golden Age

2022 ◽  
Author(s):  
Adam Sundberg
Keyword(s):  
Eighteenth Century ◽  
Natural Disasters ◽  
Natural Disaster ◽  
Golden Age ◽  
Management Strategies ◽  
Dutch Republic ◽  
Dutch Golden Age ◽  
Scale Of Response ◽  
The Republic ◽  
Dutch Experience

By the early eighteenth century, the economic primacy, cultural efflorescence, and geopolitical power of the Dutch Republic appeared to be waning. The end of this Golden Age was also an era of natural disasters. Between the late seventeenth and the mid-eighteenth century, Dutch communities weathered numerous calamities, including river and coastal floods, cattle plagues, and an outbreak of strange mollusks that threatened the literal foundations of the Republic. Adam Sundberg demonstrates that these disasters emerged out of longstanding changes in environment and society. They were also fundamental to the Dutch experience and understanding of eighteenth-century decline. Disasters provoked widespread suffering, but they also opened opportunities to retool management strategies, expand the scale of response, and to reconsider the ultimate meaning of catastrophe. This book reveals a dynamic and often resilient picture of a society coping with calamity at odds with historical assessments of eighteenth-century stagnation.

PP048 Quality Of Health Care Through Integration: Experience Of Cochlear Implantation

2017 ◽  
Vol 33 (S1) ◽  
pp. 93-94
Author(s):  
Lyazzat Kosherbayeva ◽  
Aigul Medeulova ◽  
Abdulla Alzhanov
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Cochlear Implantation ◽  
Cost Utility ◽  
Economic Research ◽  
Rehabilitation Programs ◽  
Life Years ◽  
The Republic ◽  
The Cost

INTRODUCTION:The State Program for Health Development of the Republic of Kazakhstan (RK) “Densaulyk” for 2016–2019 initiated the modernization of primary health care with the introduction of family practice in order to ensure the availability, completeness and quality of health services on the basis of an integrated healthcare system focused on the needs of the population. The aim of this study was to determine the effectiveness of the cochlear implantation (CI) programs.METHODS:A literature search was conducted for all clinical trials, randomized controlled trials, and reviews in the PubMed, Cochrane, and Center for Reviews and Dissemination databases. Two reviewers independently evaluated all publications for selection. The analysis included the cost-effectiveness and benefit from the CI program.RESULTS:We analyzed the effectiveness of the services for CI in the RK and other countries (1). In our analysis, we identified that there is no research on Quality-adjusted Life Years (QALYs) and Cost-Utility Analysis (CUA) in RK. We found that, in general, the cost of CI and pre-surgical procedures are comparable with other countries. The length of stay in Kazakhstan was much higher (an average of 8 days) compared with other countries (3 days). Also in RK, there were significantly lower prices per hospital day and cost of various consultations. Postoperative costs of other countries consisted of one-third to two-thirds of the total costs for preoperative and implantation stages (2, 3). There was a little information on the effectiveness of rehabilitation programs in RK.CONCLUSIONS:Economic research like QALYs and CUA are new directions in the healthcare system in the RK. Lack of integration between primary care, rehabilitation and other services leads to difficulties in assessing the effectiveness of CI programs (for example, in our case, there was the restriction of assessment in only postoperative costs).

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