scholarly journals RISK AND THE MANAGEMENT OF A HEALTHCARE UNIT – A LITERATURE REVIEW

2021 ◽  
Author(s):  
ANDRZEJ SZEWCZUK ◽  
EMILIA MAGDALENA ŁUGOWSKA ◽  
JARI KRUTH
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Risk Management ◽  
Medical Service ◽  
Service Providers ◽  
Risk Allocation ◽  
Legal Regulations ◽  
Specific Nature ◽  
Health Care Unit ◽  
Reduce Risk

Due to its specific nature, the provision of medical services is associated with considerable risk; and it is extremely important to diagnose and manage this same risk. Healthcare entities should be covered by appropriate instruments that reduce risk and support quality. In addition to legal regulations that must be met by entities providing such services, there are systemic solutions that are being implemented by more and more healthcare entities. The article analyses the risk that occurs in the management of a health care unit. In the first part of the article, the literature on the topic is reviewed, whereas what follows thereafter analyses risks in the management of a healthcare unit, including risk factors and risk allocation. The conclusion points to the risks which play the greatest role in the management of medical service providers; and enumerates some of the most important issues of risk management in medical entities.

scholarly journals Comparison of prevalence and risk factors of somatization between Chinese health care workers and non-health care workers during COVID-19 outbreak

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xiuli Song ◽  
Yongjie Zhou ◽  
Wenwang Rao ◽  
Xiangyang Zhang
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care Workers ◽  
Online Survey ◽  
Medical Service ◽  
Multiple Logistic Regression Analysis ◽  
Related Factors ◽  
Dimension Score ◽  
Care Workers ◽  
High Prevalence

Abstract Background This study aimed to compare prevalence and risk factors of somatization (SOM) between health care workers and non-health care workers during COVID-19 outbreak in China. Methods From 14 February to 29 March 2020, an online survey was performed in both 605 health care workers and 1151 non-health care workers. Based on the somatization dimension score of the Symptom Checklist-90, participants were divided into non-SOM group and SOM group. Results Health care workers had higher prevalence rate of SOM (p < 0.001) than non-health care workers, with an OR of 1.70 (95% CI, 1.22–2.36, p = 0.002). Multiple logistic regression analysis revealed that in non-health care workers, the risk factors of SOM included other ethnicities, insomnia, and suicide, while in health care workers, the risk factors included working 6–8 h per day, and working ≥10 h per day during COVID-19 outbreak. Conclusions Our research suggests that both non-health care workers and health care workers have a relatively high prevalence of somatization. However, the related factors for somatization in both groups are significantly different, showing that medical service-related factors are associated with somatization in health care workers, while demographic and clinical factors are associated with somatization in non-health care workers.

Research on risk management of medical and health care integration projects based on fuzzy WINGS-G1

Kybernetes ◽  
2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yu Zhang ◽  
Lan Xu
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Risk Management ◽  
Fuzzy Theory ◽  
Dynamic Nature ◽  
Content Type ◽  
Care Integration ◽  
Rational Allocation ◽  
Control And Prevention ◽  
Risk Potential

PurposeThis study establishes a risk management system for medical and health care integration projects to address the problem of high-risk potential and a strong correlation between risk factors.Design/methodology/approachA new fuzzy WINGS-G1 model for identifying key risk factors in medical and health care integration projects is proposed by introducing the fuzzy theory and the concept of risk incidence into the Weighted Influence Non-linear Gauge System (WINGS) method.FindingsThe authors analyze the fluidity of project risk factors through complex networks to control direct risks and cut off risk transmission paths to provide a reference for risk control and prevention of medical and health care integration projects.Originality/value(1) The integration of fuzzy theory into the WINGS method solves the problem of strong subjectivity of expert scoring in the traditional WINGS method; (2) By the different probabilities of risk factors, the concept of risk incidence is introduced in the WINGS model, which is more conducive to the identification of the critical risk factors and the rational allocation and utilization of organizational resources; (3) The use of the complex network for risk interactivity analysis fully reflects the dynamic nature of risk factors in medical and health care integration projects.

scholarly journals Risk factors in patients with type 2 diabetes mellitus

2008 ◽  
Vol 16 (2) ◽  
pp. 238-244 ◽  
Author(s):  
Idalina Diair Regla Carolino ◽  
Carlos Alexandre Molena-Fernandes ◽  
Raquel Soares Tasca ◽  
Sonia Silva Marcon ◽  
Roberto Kenji Nakamura Cuman
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Overweight And Obesity ◽  
Public Health Care ◽  
Diabetic Patients ◽  
Type 2 Diabetic Patients ◽  
Health Care Unit ◽  
Diet Intake ◽  
Obesity Hypertension

This study was carried out to evaluate the risk factors of type 2 diabetic patients through sociodemographic data, habits of health, anthropometric and biochemist profiles, assisted at a basic public health care unit in Maringá, Paraná. Sixty-six patients, 56 women aged over than 50 years-old were interviewed. High prevalence factors for cardiovascular risk were observed, such as: overweight and obesity, hypertension, dyslipidemia, sedentariness and inadequate diet. Data suggested the need for multidisciplinary intervention programs in health care units associated to educative programs, adjusted diet intake and regular physical activity for these diabetic patients.

scholarly journals Cognitive Impairment, Alzheimer’s Disease, and Other Dementias in the Lives of Lesbian, Gay, Bisexual and Transgender (LGBT) Older Adults and Their Caregivers: Needs and Competencies

2016 ◽  
Vol 37 (5) ◽  
pp. 545-569 ◽  
Author(s):  
Karen I. Fredriksen-Goldsen ◽  
Sarah Jen ◽  
Amanda E. B. Bryan ◽  
Jayn Goldsen
Keyword(s):  
Risk Factors ◽  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Cognitive Impairment ◽  
Health Care Access ◽  
Service Providers ◽  
Adult Population ◽  
Bisexual And Transgender

Cognitive impairment, Alzheimer’s disease, and other dementias are important health concerns for older adults. As a marginalized and growing segment of the older adult population, lesbian, gay, bisexual, and transgender (LGBT) older adults face distinct risk factors related to cognitive impairment and dementias, including social isolation, discrimination, barriers to health care access, limited availability of and support for caregivers, and higher rates of certain chronic illnesses. We examine cognitive impairment and dementias among LGBT older adults, describe their unique risk factors, and outline key competencies for health care and human service providers to ensure culturally relevant care for LGBT older adults experiencing cognitive impairment, Alzheimer’s disease, or other dementias, as well as their caregivers, families, and communities. Implications include developing an awareness of the context of LGBT older adults’ lives and relationships, the importance of early detection and support, and the development of policies and practices that promote community-level advocacy and education.

scholarly journals Comparison of prevalence and risk factors of somatization between Chinese health care workers and non-health care workers during COVID-19 outbreak

2021 ◽  
Author(s):  
Xiuli Song ◽  
Yongjie Zhou ◽  
Wenwang Rao ◽  
Xiangyang Zhang
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Care Workers ◽  
Online Survey ◽  
Medical Service ◽  
Multiple Logistic Regression Analysis ◽  
Related Factors ◽  
Dimension Score ◽  
Care Workers ◽  
High Prevalence

Abstract Background: This study aimed to compare prevalence and risk factors of somatization (SOM) between health care workers and non-health care workers during COVID-19 outbreak in China. Methods: From 14 February to 29 March 2020, an online survey was performed in both 605 health care workers and 1151 non-health care workers. Based on the somatization dimension score of the Symptom Checklist-90, participants were divided into non-SOM group and SOM group. Results: Health care workers had higher prevalence rate of SOM (p < 0.001) than non-health care workers, with an OR of 1.70 (95% CI: 1.22–2.36, p = 0.002). Multiple logistic regression analysis revealed that in non-health care workers, the risk factors of SOM included other ethnicities, insomnia, and suicide, while in health care workers, the risk factors included working 6-8 hours per day, and working ≥10 hours per day during COVID-19 outbreak. Conclusions: Our research suggests that both non-health care workers and health care workers have a relatively high prevalence of somatization. However, the related factors for somatization in both groups are significantly different, showing that medical service-related factors are associated with somatization in health care workers, while demographic and clinical factors are associated with somatization in non-health care workers.

scholarly journals An Intuitive and Secured Framework for Sharing Health-care Data using Block-chain Techniques

2020 ◽  
Vol 9 (4) ◽  
pp. 1948-1952
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Cloud Storage ◽  
Medical Service ◽  
Service Providers ◽  
Cyber Attacks ◽  
Health Care Data ◽  
Block Chain

Electronic Medical Records are now widely used by medical organizations as a replacement for physical manual records of the patients. These Electronic Medical Records (EMR) were effectively adopted as a result of the evolution in the field of Information technology supported by more innovative computer science engineering feats, as the EMR systems became more advanced it still had a drawback of being vulnerable to cyber attacks, which will eventually compromise the integrity and confidentiality. Hence the same EMR system is built along with the use of Block-chain technology on a cloud storage platform, this system will be integrated with various features compatible for the interoperability between the patients and medical service providers. The main objective of this project is to leverage maximum cyber protection to the EMR system.

scholarly journals Oral Piercing: An Overview

2008 ◽  
Author(s):  
Kayla Janssen ◽  
Brigette Cooper
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Young Adults ◽  
Oral Health ◽  
Health Care Professionals ◽  
Medical Professionals ◽  
Reduce Risk

Oral piercing has become increasingly popular among young adults in recent years. This is of concern to dental and medical professionals because of the risks and complications to their health. This paper provides an overview of oral piercing and potential complications associated with piercings. Health care professionals are encouraged to educate their patients concerning risk factors, ways to reduce risk factors, and homecare to promote optimal oral health when piercings are present.

scholarly journals Reform of health-care payments for Chinese medical insurancepractices in Luohu District, Shenzhen City, Guangdong Province

2019 ◽  
Author(s):  
Fangfang Gong ◽  
Xizhuo Sun ◽  
Wenhai Li ◽  
Zou Zhang ◽  
Yanan Li
Keyword(s):  
Health Care ◽  
Medical Service ◽  
Service Providers ◽  
Guangdong Province ◽  
Medical Insurance ◽  
Hospitalization Rate ◽  
Health Maintenance ◽  
Insurance System ◽  
Shenzhen City ◽  
Medical Health Care

Abstract Background Following the implementation of the Healthy China 2030 strategy, China’s health-care system must shift from being disease-centered to health-centered. Medical insurance funds are the main economic resource for medical health-care service providers in China; therefore, the Chinese medical insurance system has become an important economic lever for adjusting the behavior of medical health-care providers. In the new round of medical reform, substantial progress has been made in the construction of a medical treatment insurance system. The world’s largest medical insurance network has been created in a relatively short period in China and basically achieves universal medical insurance coverage. However, this system mainly provides full coverage to the amount and has yet to fully achieve the principle of “health-care for all” proposed by the Healthy China 2020 strategy. China must promote reform in the medical insurance system and establish a medical insurance guidance mechanism to ensure that medical service providers consider and promote health care. Methods Using Luohu Hospital Group in Shenzhen City, Guangdong Province as the research object, the details of the health maintenance organization’s reform of its medical insurance payment patterns to be more health-oriented are introduced. Comparing the summarized characteristics of the health maintenance organization’s payment patterns, the relevant data for the medical insurance operation and health status of the insured before and after the reform were analyzed statistically. Results The data show that after the reform, the total hospitalization cost of the insured, number of inpatients, and hospitalization rate all decreased. The growth rate of expenditure in the medical insurance fund slowed and initial results were shown in preventive health-care work. The incidence of some infectious diseases and the hospitalization rate of patients with chronic diseases decreased. Conclusions The medical service providers form positive incentives and appropriate medical orientations, while patients demanding health care may form good habits of seeking medical treatment and healthy life, but not pursuing economic benefits through the medical insurance reform.

Emergency Medical Service Providers’ Perspectives towards Management of the Morbidly Obese

2016 ◽  
Vol 31 (5) ◽  
pp. 471-474 ◽  
Author(s):  
John J. Cienki
Keyword(s):  
Health Care ◽  
Airway Management ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Service Providers ◽  
The United States ◽  
Morbidly Obese ◽  
Average Weight ◽  
Intravenous Access ◽  
Emergency Medical

AbstractObjectiveObesity is a growing epidemic in the United States with increasing burden to the health care system. Management and transport of the morbidly obese (MO) pose challenges for Emergency Medical Services (EMS) providers. Though equipment and resources are being directed to the transport of the obese, little research exists to guide these efforts. To address this, the author of this study sought to assess EMS providers’ perspectives on the challenges of caring for MO patients.MethodsAn anonymous, web-based survey was distributed to all active providers of prehospital transport of a large, urban, fire-based EMS system to evaluate the challenges of MO patients. The definition of MO was left up to the provider. This survey looked at various components of transport: lifting, transport time, airway management, establishing intravenous access, drug administration, as well as demographics, equipment, and education needs. The survey contained yes/no, rank-order, and Likert scale questions. Data were analyzed using descriptive statistics. The study was approved by the University of Miami (Miami, Florida USA) Institutional Review Board.ResultsOf survey participants, 71.9% felt the average weight of their patients had increased, and 100% reported to have transported a MO patient. Of calls made to EMS, 25% were only for assistance in the house and another 25% were for non-emergent transport to a health care facility; shortness of breath was the most common emergent complaint. Of specific challenges to properly care for MO patients, 94.4 % ranked lifting and/or moving the patient highest, followed by airway management, intravenous access, and measuring vital signs. A total of 43.8% of respondents felt that MO patients require at least six to eight EMS personnel to transport patients while 31.8% felt more than eight providers were necessary. Greater than 81.3% felt it would be beneficial to receive more training and 90.4% felt more equipment was needed. Of participants, 68.8 % felt that MO patients did not receive the same standard of care.ConclusionsSurveyed participants reported that patient’s weights are increasing with all having transported a MO patient. Despite the majority of transports being for non-emergent problems, providers felt more training would be beneficial, that equipment available does not meet needs, and that the MO pose challenges to appropriate patient care.CienkiJJ. Emergency Medical Service providers’ perspectives towards management of the morbidly obese. Prehosp Disaster Med. 2016;31(5):471–474.

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