scholarly journals Rationale of the levels of intensity and differentiated cost of labor costs of doctors in the hospital

2020 ◽  
pp. 4-12
Author(s):  
Dmitry I. Zabolotny ◽  
Viktor M. Samohodskiy
Keyword(s):  
Labor Intensity ◽  
Labor Costs ◽  
Medical Specialties ◽  
Family Doctors ◽  
Real Cost ◽  
Individual Level ◽  
Department Of Health ◽  
Hospital Doctors ◽  
The Individual ◽  
Material Stimulation

Introduction: Due to the fact that Ukraine has not formally established tariffs for medical services and their complexity factors and the doctor’s remuneration system continues to exist on the basis of the “equalization” principle, we propose a scientifically based mechanism for determining the rate of labor intensity of hospital doctors and adequate the level of increase salary in accordance with the DRG. The purpose of the study: Because of, the level of labor of residents of the inpatient departments of the inpatient department of health facilities of the II and III levels is not the same, then based on the analysis of the number of treated patients in accordance with the DRG, the degree of complexity of the disease, their score, determine the level of labor intensity of doctors and real the size of their wages. Materials and methods: Based on the recommendations of the doctoral dissertation and a number of innovative medical and economic standards, analysis of a significant number of otolaryngologicalpatients, the use of the CSG, DRG system, the distribution of patients with a degree of complexity, their score, the algorithm for applying the above organizational standards, criteria and standards, and the use of timing. The technology of determining the individual level of the doctor’s labor intensity factors and an adequate level of its material stimulation has been developed. Results: Recommended technologies for using the aforementioned prerequisites, the need to create appropriate computer programs to simplify the analysis of individual doctors' work results, using the formulas presented in the article made it possible to determine both the degree of workload for a doctor and the level of possible increase in his salary. Conclusions: The algorithm for determining the coefficient of labor intensity of doctors and the mechanism for calculating the real cost of their labor in the treatment of specific patients of varying degrees of complexity can be used as a technological matrix for doctors of other medical specialties, in the future it will increase the material incentives of the latter at least to the level of family doctors.

scholarly journals The New Brunswick Act Respecting Research Three Years Later: A Data Trickle Turns into a Flood

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Ted McDonald
Keyword(s):  
New Brunswick ◽  
Standardized Testing ◽  
Provincial Government ◽  
Enabling Factors ◽  
Research Partnerships ◽  
Individual Level ◽  
Department Of Health ◽  
Wide Range ◽  
The Individual ◽  
National Networks

IntroductionIn New Brunswick Canada (NB) in 2017, the Provincial Government passed a bill called the Act Respecting Research. This Act took the form of an omnibus bill modifying 20 pieces of legislation to define a legal authority for the New Brunswick Institute for Research, Data and Training (NB-IRDT) to receive prepared, linkable microdata from multiple public bodies in NB. This was followed in 2019 by a second Act Respecting Research that broadened the scope of the first. Together this legislation has helped to expand NB-IRDT’s data holdings from its first dataset – hospital records received in 2015 – to over 40 different linkable datasets as of March 2020. These datasets are underpinning ambitious research partnerships between NB-IRDT and the Provincial Government. Objectives and ApproachThis presentation will detail the rapid progress made since the first Act was passed in 2017 and presented at IPDLN-2018. It will outline enabling factors, including secured funding, the central role of the Department of Health, engagement with senior decisionmakers, and interaction with other provincial data centres and national networks including HDRN Canada. Ongoing and new challenges arising from the rapid increase in the scale of data collection and their resolution will be discussed. ResultsIn addition to a wide range of provincial health administrative and clinical datasets, recent datasets include school records (report cards, standardized testing, attendance), income support data, workers compensation claims data, higher education program and graduation data, court appearances, adult training/retraining programs and immigration landing records. All files are linkable at the individual level. Multi-year research projects to support program evaluation are underway, with departments now able to access other agency data through NB-IRDT. Conclusion / ImplicationsNB-IRDT and the experience in NB offer important lessons for other jurisdictions aiming to expand access to linkable multi-agency data for research and evaluation.

scholarly journals Learning or leaving? An international qualitative study of factors affecting the resilience of female family doctors

BJGP Open ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. bjgpopen20X101017 ◽  
Author(s):  
Alice Shiner ◽  
Jessica Watson ◽  
Noemi Doohan ◽  
Amanda Howe
Keyword(s):  
Qualitative Study ◽  
Professional Staff ◽  
External Support ◽  
Framework Analysis ◽  
Family Doctors ◽  
Factors Affecting ◽  
Individual Level ◽  
Self Confidence ◽  
Competing Demands ◽  
The Individual

​BackgroundMany countries have insufficient numbers of family doctors, and more females than males leave the workforce at a younger age or have difficulty sustaining careers. Understanding the differing attitudes, pressures, and perceptions between genders toward their medical occupation is important to minimise workforce attrition.​AimTo explore factors influencing the resilience of female family doctors during lifecycle transitions.​Design & settingInternational qualitative study with female family doctors from all world regions.​MethodTwenty semi-structured online Skype interviews, followed by three focus groups to develop recommendations. Data were transcribed and analysed using applied framework analysis.​ResultsInterview participants described a complex interface between competing demands, expectations of their gender, and internalised expectations of themselves. Systemic barriers, such as lack of flexible working, excessive workload, and the cumulative impacts of unrealistic expectations impaired the ability to fully contribute in the workplace. At the individual level, resilience related to: the ability to make choices; previous experiences that had encouraged self-confidence; effective engagement to obtain support; and the ability to handle negative experiences. External support, such as strong personal networks, and an adaptive work setting and organisation or system maximised interviewees’ professional contributions.​ConclusionOn an international scale, female family doctors experience similar pressures from competing demands during lifecycle transitions; some of which relate to expectations of the female's ’role’ in society, particularly around the additional personal pressures of caring commitments. Such situations could be predicted, planned for, and mitigated with explicit support mechanisms and availability of workplace choices. Healthcare organisations and systems around the world should recognise this need and implement recommendations to help reduce workforce losses. These findings are likely to be of interest to all health professional staff of any gender.

scholarly journals The impact of creative thinking in cultural intelligence Field research on a sample of medical specialists تأثير التفكير الابداعي في الذكاء الثقافي: بجث ميداني على عينة من الاطباء الاختصاص سعدون حمود جثير سارة علي سعيد

2018 ◽  
Vol 24 (105) ◽  
pp. 49-78
Keyword(s):  
Cultural Diversity ◽  
Creative Thinking ◽  
Cultural Intelligence ◽  
Medical Service ◽  
Field Research ◽  
Individual Level ◽  
Department Of Health ◽  
Medical City ◽  
The Individual ◽  
The Impact

Basic Orientation and search path in determining the impact of creative thinking in cultural intelligence field research on the doctors competence, as is a theme of creative thinking great importance in spite of being a old , but his role at the individual level and / or organizational a sustainable effect toward developing a fact uncommon , any sense that one of the pillars of modernity and provide a unique future, as is the competitive weapon of the organizations in an environment dubbed fundamental change and provide all that is unfamiliar, and in the center of the field of research and objective measurement of creative thinking on doctors specialists at the construction of a state of the preference and loyalty of by auditors require to be with information on modern methods of providing medical service and provide grants to do their thinking creative both in regard to treatments or how to deal with auditors and in relation to medical examination, also it attracts cultural intelligence attention for its novelty and for being the ability and defensive ability and offensive at the same time to deal with cultural diversity, which has become the age feature specifically in the aftermath of the diversity of affected its effects with the adoptive category of culture and social class within the same country as the trend was the result of differing ideologies and ideas and the adoption of norms and values ​​even at the micro level and this led to find variations in the nature of preferences and the needs and requirements of the student medical service that in turn require the possession of knowledge culture Forever and fork them of subcultures, since owning a propensity to creative thinking is not enough for the success of doctors specialists in their field, but should enjoy the susceptibility and the ability to cultural intelligence in order to deal with this cultural diversity, and in this framework consisted sample of physicians jurisdiction in the Department of Health in the Rusafa and Karkh and Medical city has been the exclusion of the forensic medicine department because it does not include the profit area and have been using the questionnaire as a tool to collect data, reaching number (336), and Search for the existence and effect correlation between creative thinking and cultural intelligence had reacheddata, reaching number (336), and may reach search for the existence correlation and effect between creative thinking and cultural intelligence .

scholarly journals Added value of a household-level study during an outbreak investigation of Salmonella serotype Saintpaul infections, New Mexico 2008

2012 ◽  
Vol 141 (10) ◽  
pp. 2068-2073 ◽  
Author(s):  
A. L. BOORE ◽  
J. JUNGK ◽  
E. T. RUSSO ◽  
J. T. REDD ◽  
F. J. ANGULO ◽  
...  
Keyword(s):  
New Mexico ◽  
Exposure Period ◽  
Case Control ◽  
Added Value ◽  
Case Control Studies ◽  
Household Level ◽  
Individual Level ◽  
Department Of Health ◽  
Salmonella Serotype ◽  
The Individual

SUMMARYIn 2008, nationwide investigations of a Salmonella serotype Saintpaul outbreak led first to consumer warnings for Roma and red round tomatoes, then later for jalapeño and serrano peppers. In New Mexico, where there were a large number of cases but no restaurant-based clusters, the NM Department of Health and the Indian Health Service participated with CDC in individual-level and household-level case-control studies of infections in New Mexico and the Navajo Nation. No food item was associated in the individual-level study. In the household-level study, households with an ill member were more likely to have had jalapeño peppers present during the exposure period and to have reported ever having serrano peppers in the household. This report illustrates the complexity of this investigation, the limitations of traditional individual-level case-control studies when vehicles of infection are ingredients or commonly eaten with other foods, and the added value of a household-level study.

Differential Effects of Competence and Morality on Self-Esteem at the Individual and the Collective Level

2020 ◽  
Vol 51 (3) ◽  
pp. 183-198
Author(s):  
Wiktor Soral ◽  
Mirosław Kofta
Keyword(s):  
Self Esteem ◽  
Differential Effects ◽  
Individual Level ◽  
The Subject ◽  
The Individual

Abstract. The importance of various trait dimensions explaining positive global self-esteem has been the subject of numerous studies. While some have provided support for the importance of agency, others have highlighted the importance of communion. This discrepancy can be explained, if one takes into account that people define and value their self both in individual and in collective terms. Two studies ( N = 367 and N = 263) examined the extent to which competence (an aspect of agency), morality, and sociability (the aspects of communion) promote high self-esteem at the individual and the collective level. In both studies, competence was the strongest predictor of self-esteem at the individual level, whereas morality was the strongest predictor of self-esteem at the collective level.

Metonymy in Dance: Ballet Bunheads Take a Cognitive Turn

2019 ◽  
Vol 37 (1) ◽  
pp. 18-34
Author(s):  
Edward C. Warburton
Keyword(s):  
Identity Formation ◽  
Cognitive Science ◽  
Artistic Development ◽  
Individual Level ◽  
Figures Of Speech ◽  
Self Image ◽  
Level I ◽  
Dance Educators ◽  
The Individual ◽  
Metaphor And Metonymy

This essay considers metonymy in dance from the perspective of cognitive science. My goal is to unpack the roles of metaphor and metonymy in dance thought and action: how do they arise, how are they understood, how are they to be explained, and in what ways do they determine a person's doing of dance? The premise of this essay is that language matters at the cultural level and can be determinative at the individual level. I contend that some figures of speech, especially metonymic labels like ‘bunhead’, can not only discourage but dehumanize young dancers, treating them not as subjects who dance but as objects to be danced. The use of metonymy to sort young dancers may undermine the development of healthy self-image, impede strong identity formation, and retard creative-artistic development. The paper concludes with a discussion of the influence of metonymy in dance and implications for dance educators.

Exploring the effect of weight loss on food reward at the individual level

2019 ◽  
Author(s):  
Pauline Oustric ◽  
Kristine Beaulieu ◽  
Nuno Casanova ◽  
Francois Husson ◽  
Catherine Gibbons ◽  
...  
Keyword(s):  
Weight Loss ◽  
Food Reward ◽  
Individual Level ◽  
The Individual

Personality change and environmental concerns

2020 ◽  
Author(s):  
Christopher James Hopwood ◽  
Ted Schwaba ◽  
Wiebke Bleidorn
Keyword(s):  
Personality Traits ◽  
Personality Change ◽  
Environmental Concerns ◽  
Big Five Personality ◽  
German Population ◽  
Individual Level ◽  
Sustainable Behavior ◽  
Nationally Representative ◽  
The Individual ◽  
Over Time

Personal concerns about climate change and the environment are a powerful motivator of sustainable behavior. People’s level of concern varies as a function of a variety of social and individual factors. Using data from 58,748 participants from a nationally representative German sample, we tested preregistered hypotheses about factors that impact concerns about the environment over time. We found that environmental concerns increased modestly from 2009-2017 in the German population. However, individuals in middle adulthood tended to be more concerned and showed more consistent increases in concern over time than younger or older people. Consistent with previous research, Big Five personality traits were correlated with environmental concerns. We present novel evidence that increases in concern were related to increases in the personality traits neuroticism and openness to experience. Indeed, changes in openness explained roughly 50% of the variance in changes in environmental concerns. These findings highlight the importance of understanding the individual level factors associated with changes in environmental concerns over time, towards the promotion of more sustainable behavior at the individual level.

Reply to Connor and Evers (2020): Critique of the Bias of Crowds Model Simply Restates the Model

2020 ◽  
Author(s):  
Keith Payne ◽  
Heidi A. Vuletich ◽  
Kristjen B. Lundberg
Keyword(s):  
Implicit Bias ◽  
Group Level ◽  
Systemic Racism ◽  
Individual Level ◽  
The Core ◽  
Psychological Science ◽  
Implicit Biases ◽  
The Individual

The Bias of Crowds model (Payne, Vuletich, & Lundberg, 2017) argues that implicit bias varies across individuals and across contexts. It is unreliable and weakly associated with behavior at the individual level. But when aggregated to measure context-level effects, the scores become stable and predictive of group-level outcomes. We concluded that the statistical benefits of aggregation are so powerful that researchers should reconceptualize implicit bias as a feature of contexts, and ask new questions about how implicit biases relate to systemic racism. Connor and Evers (2020) critiqued the model, but their critique simply restates the core claims of the model. They agreed that implicit bias varies across individuals and across contexts; that it is unreliable and weakly associated with behavior at the individual level; and that aggregating scores to measure context-level effects makes them more stable and predictive of group-level outcomes. Connor and Evers concluded that implicit bias should be considered to really be noisily measured individual construct because the effects of aggregation are merely statistical. We respond to their specific arguments and then discuss what it means to really be a feature of persons versus situations, and multilevel measurement and theory in psychological science more broadly.

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