Cloud Computing Location-Based Services for Quality Health Care Services Delivery

2016 ◽  
pp. 779-794
Author(s):  
Jalel Akaichi

This chapter proposes a cloud computing location-based services system able to query points of interest, according to mobile users' preferences and contexts, under dynamic changes of locations. The contribution consists of providing software as a service based on Delaunay Triangulation on road (DTr) able to establish the Continuous k-Nearest Neighbors (CkNNs) on road, while taking into account the dynamic changes of locations from which queries, enhanced by users' preferences and contexts, are issued. The proposed software, implemented on a mobile cloud and exploited by mobile physicians for healthcare institutions localization and selection, considerably improves the quality of services provided for patients in critical situations by permitting real time localization of adequate resources that may contribute to save patients' lives.

Author(s):  
Jalel Akaichi

This chapter proposes a cloud computing location-based services system able to query points of interest, according to mobile users' preferences and contexts, under dynamic changes of locations. The contribution consists of providing software as a service based on Delaunay Triangulation on road (DTr) able to establish the Continuous k-Nearest Neighbors (CkNNs) on road, while taking into account the dynamic changes of locations from which queries, enhanced by users' preferences and contexts, are issued. The proposed software, implemented on a mobile cloud and exploited by mobile physicians for healthcare institutions localization and selection, considerably improves the quality of services provided for patients in critical situations by permitting real time localization of adequate resources that may contribute to save patients' lives.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261757
Author(s):  
Radhika Dayal ◽  
Mukta Gundi

The Adolescent Friendly Health Clinic (AFHCs), a key component of the Government of India’s National Adolescent Health Programme a.k.a. Rashtriya Kishor Swasthya Karyakram (RKSK), aims to increase the accessibility and utilization of sexual-reproductive health services by adolescents and youth. However, low quality of care provided at AFHCs by counsellors calls for attention. We, thus, explore both the clients’ and providers’ perspectives using the World Health Organization’s (WHO) global standards for quality health-care services for adolescents to assess the quality of the sexual reproductive health service delivery at AFHCs in Rajasthan, India. We conducted a qualitative study, comprising observation of the service delivery using mystery clients (MCs) (n = 12) and in-depth interviews with the counsellors (n = 4) in four AFHCs. Interviews were transcribed in local language and were translated in English. The transcripts were coded thematically. Our study, using five of the eight WHO global standards for quality health-care services for adolescents highlighted several gaps in the quality-of-service delivery at AFHCs. We unearth various intricacies related to the quality of the services provided at the AFHCs by referring to the relevant input, process, and the output criteria of WHO global standards I, III, IV, V and VI. Our study calls for efforts to improve- (i) the counsellors’ competencies to increase adolescents’ health literacy on sensitive topics, (ii) the facilities at the clinic to ensure privacy, comfort and confidentiality of the adolescents seeking services, (iii) the referrals to improve appropriate package of services, and (iv) an overall environment to ensure an equity and non-discrimination for all the adolescents. Our findings unearth the barriers that both the service providers and the adolescents face at the AFHCs and underscore the need for regular monitoring and evaluation of the AFHCs to strengthen the facility-based intervention of the RKSK programme.


Author(s):  
Nick T. Matlala ◽  
Rambelani N. Malema ◽  
Mamare A. Bopape ◽  
Peter M. Mphekgwana

Background: Despite many initiatives made by the National Department of Health through the Minister of Health, the provision of quality health care services remains a serious challenge in South Africa, especially in public rural clinics.Aim: The study aims to determine the perceptions of professional nurses on the factors affecting the provision of quality health care services at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Setting: The study was conducted at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Methods: This study utilised a quantitative method, descriptive and a cross-sectional study conducted for three months at the selected public primary health care clinics. A structured self-administered questionnaire was used to collect data from 155 professional nurses who met the selection criteria. Data were analysed using Statistical Package for Social Sciences programme version 26.0.Results: The results of 155 professional nurses were only 116 (74%) and reported that the use of modern technology such as electronic blood pressure, sonar machines and pulse reading computers improves the quality of health care services. Also 129 (84%), 124 (77%) and 118 (76%) reported that they were overwhelmed by the workload, the staff attitude and cleanliness of the clinic, respectively, which all affect the quality of health care services rendered. Moreover, only about 29 (19%) were satisfied with the salary they earned.Conclusion: Despite the effort and interventions put in place by the Department of Health with regard to the Ideal Clinic Realisation and Maintenance in response to the current deficiencies in the quality of primary health care services and to lay a strong foundation for the implementation of National Health Insurance. The quality of health care services is still hindered by several factors such as an overwhelming workload, the attitude of the staff and cleanliness in the work environment, poor infrastructure and the professional nurses perceive the environment as lacking equipment.


2012 ◽  
Vol 5 (1) ◽  
pp. 34-41
Author(s):  
Antonio Rial Boubeta ◽  
Jesús Varela Mallou

Different studies in the field of addictions have highlighted the importance of providing a good quality health care. Perceived quality as well as being an indicator of the degree of excellence achieved by an organization, is also an excellent predictor of the individual's attitude towards treatment and adherence. 931 users of public Galician health care services were interviewed in order to develop an empirical validation and a reliability study on a perceived quality scale. The SEM analysis carried out made possible to offer a simple and brief scale (only 14 items) with excellent psychometric properties (α=0,84; criterion validity=64%), to be used to assess the quality of health care in the field of drug addiction.


1970 ◽  
Vol 6 (2) ◽  
pp. 74-83 ◽  
Author(s):  
B Devkota

Background: Ensuring delivery of quality health services in a sustainable and equitable manner is a challenge in Nepal. A host of factors may have impeded the access, quality and utilization of the health services particularly by the marginalized and disadvantaged sections of the population. Review essential health care services (EHCS) provided by the public health facilities, level of progress, effectiveness, sustainability, equity and efficiency, quality of care and inclusion of marginalized and disadvantaged populations in health care servicesMethods: A total of 40 VDCs from 10 districts representing five regions and three eco-zones were covered. Altogether 800 mothers with under two year children, 40 health service providers, 145 key informants and 40 exit clients were interviewed. Forty focused group discussions were also conducted. From each district, health records of one hospital, PHCC, HP, SHP and Ayurvedic health facility each were collected.Results: More than two-third (68.2%) of the mothers received antenatal checks, highest in hills (85%) followed by terai (64.5%) and mountain districts (52.8%).Tetanus vaccine coverage (80.7%) seems higher compared to Nepal Demographic Health Survey 2001 (45%). FP use rate in mountain, hill and terai are 57.6%, 54.1% and 49.7%, higher than in DoHS 2003/2004 statistics, which were 26.8%, 36.4% and 45.3% respectively. Nine out of ten patients visiting the health facilities were outpatients. The coverage of DPT 3, Polio 3, BCG and measles are 92.8%, 93.4%, 95.2% and 90.7% respectively. From the service utilization perspective, disparities in terms of gender, ecological regions, season of the year and health facility were revealed.Conclusion: Health sector services are yet to be made responsive to the ecological and district specific health problems, and be made more inclusive linking with doable safety nets.  Key words: Essential health care services; Effectiveness; Sustainability; Equity and efficiency; Quality of care and inclusion  doi: 10.3126/jnhrc.v6i2.2188Journal of Nepal Health Research Council Vol. 6 No. 2 Issue 13 Oct 2008 Page: 74-83 


2021 ◽  
Author(s):  
Nadine Misago ◽  
Desire Habonimana ◽  
Ann Alero Roberts ◽  
Patrick Bitangumutwenzi

Abstract Background3502 Congolese refugees based in Bujumbura possess the United Nations Higher Commissioner for Refugees (UNHCR) health insurance covering primary health care needs offered by CMC SOLIS clinic. This study sought to assess the quality of health care services received by Congolese refugees and determine factors affecting satisfaction. MethodsA cross-sectional survey was conducted on 400 refugees visiting CMC SOLIS for health care from June to August 2018. A questionnaire based on SERQUAL tool composed of five health quality dimensions was used to collect data on reliability, tangibility, assurance, responsiveness, and empathy. Logistic models were used to determine factors affecting satisfaction. ResultsOverall, 43% of refugees reported satisfaction with health care services. Age and gender significantly determined overall satisfaction. Other determinants such as education did not have significant effects. ConclusionsOverall, results from this study claim that CMC SOLIS does not offer quality health care services to Congolese refugees living in Bujumbura. Most importantly, the quality of health care services worsened with an increasing age as older ages were associated with less likelihood of satisfaction. Also, health care services offered to females seem to be deficient. Trial registration: N/A


2018 ◽  
Vol 23 (3) ◽  
pp. 216-225 ◽  
Author(s):  
Sabina Nurakynova

PurposeThe purpose of this paper is to analyze the medical education strategic planning to align with international best practices in university governance.Design/methodology/approachResearch methods used: content analysis, analysis of modern concepts of strategic planning in universities. The study used two main methodological approaches: analysis of medical education governance and analysis of strategic planning in universities.FindingsApplied models of educational governance at most universities are not always effective in achieving their goals. A strategy is a complex and potentially powerful tool, with the help of which a modern university can withstand the constantly changing environment. By using such a tool, the university can gain prestige, leading positions and recognition in international scientific and educational spheres. Therefore, strategy and strategic planning deserve close attention as a higher education governance tool, suitable not only for a medical college but also for a wide range of other types of social organizations.Originality/valueEducation is a policy priority of any state determining the state’s level of modern socio-economic development and building a productive workforce. The quality of human resources primarily depends on the system of higher education, which is carried out by universities. Foreign countries’ experience shows that prosperity of the state and society is impossible without a healthy nation. Improving the quality of people’s lives depends, in particular, on health education, so “medical education governance” is how we prepare personnel, which must be properly trained and qualified to provide high-quality health care services. Kazakhstan medical universities are increasingly becoming players in the medical education market, but the governance systems of universities are lagging behind. The success of universities largely depends on the results of their strategic planning, which is why special attention should be given to strategic planning analysis. Despite the importance of analyzing medical education governance, there has been insufficient research in this area in Kazakhstan.


2019 ◽  
pp. 291-300
Author(s):  
Leslie Mikkelsen ◽  
Rea Pañares ◽  
Larry Cohen

This chapter looks at prevention and public health. Preventing illness and injury in the first place has the potential to be a powerful component of a country's strategy to improve population health while strengthening access to quality health care and reducing costs. The chapter looks at the Community-Centered Health Home (CCHH) term, which is used to describe health care organizations that take an active role, in partnership, to improve community conditions that impact patients' health (for example, supporting rental housing code enforcement, building septic systems, and improving community access to healthy food and places for physical activity). The chapter looks at ways to test the CCHH initiative. The chapter concludes by stating that CCHH contributes to the US's journey toward a system of health by highlighting the value of health care in partnering with its surrounding community and offering a systematic approach to partnering with community groups to improve community conditions, while continuing to meet the daily priority of delivering high-quality health care.


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