Diversity and Equity in Healthcare

2022 ◽  
pp. 163-183
Author(s):  
Alexis S. K. Bain
Keyword(s):  
Healthcare Disparities ◽  
Medical Personnel ◽  
Virtual Level ◽  
Healthcare Industry ◽  
Negative Outcomes ◽  
Healthcare Facilities ◽  
Medical Facilities ◽  
The Impact

Overcoming diversity and equity challenges in healthcare is no small feat for healthcare facilities, professionals, and the healthcare industry at large. This chapter will bring awareness to healthcare disparities that transpire because of the lack of equity which can occur when diversity is finite. It will identify and explore how diversity and equity have been omitted from medical facilities and look at the impact of the presence of diversity and equity on both consumers and medical personnel. In addition, it will uncover factors that contribute to negative outcomes at the virtual level and uncover ways to reduce inefficiencies and negative outcomes caused by the lack of diversity and equity in healthcare.

scholarly journals Assessment of emergency supply of healthcare facilities as a module of the crisis management information system

2018 ◽  
Vol 210 ◽  
pp. 02026
Author(s):  
Katerina Vichova ◽  
Martin Hromada
Keyword(s):  
Information Systems ◽  
Crisis Management ◽  
Management Information Systems ◽  
Crisis Preparedness ◽  
Management Information ◽  
Healthcare Facilities ◽  
Medical Facilities ◽  
The World ◽  
The Impact ◽  
The Given

This paper focuses on assessing the crisis preparedness of healthcare facilities as a new module of crisis management information systems. The crisis is widespread around the world, and it is essential that the medical facility is ready. The first part of the thesis deals with the introduction to the given issue and the crisis preparedness of the population. The second part of the paper deals with the analysis of extraordinary events and crisis situations around the world. The impact of emergencies on healthcare facilities is described in this part. The third part of the thesis deals with the emergency survival of the population. The following part describes the methods used in this research. The heuristic analysis of preparedness is one of the most valuable methods. The next section presents the results of the work according to the chosen method. In this section, we will find the strengths and weaknesses of the evaluated medical facilities. At the end of the thesis is proposed a new module for evaluation of medical facilities. This module can be applied as part of crisis management information systems.

scholarly journals Measuring Spatial Accessibility of Urban Medical Facilities: A Case Study in Changning District of Shanghai in China

2021 ◽  
Vol 18 (18) ◽  
pp. 9598
Author(s):  
Min Cheng ◽  
Li Tao ◽  
Yuejiao Lian ◽  
Weiwei Huang
Keyword(s):  
Transportation Network ◽  
Spatial Accessibility ◽  
Spatial Decision Support System ◽  
Residential Areas ◽  
Healthcare Facilities ◽  
Medical Facilities ◽  
Tertiary Hospitals ◽  
Travel Impedance ◽  
Scientific Decision ◽  
The Impact

Medical facilities help to ensure a higher quality of life and improve social welfare. The spatial accessibility determines the allocation fairness and efficiency of medical facilities. It also provides information about medical services that residents can share. Although critical, scholars often overlooked the level of medical facilities, the composition of integrated transportation networks, and the size of service catchment in the literature on accessibility. This study aims to fill this research gap by considering the integrated transportation network, population scale, travel impedance between medical facilities and residential areas, and the impact of medical facilities’ levels on residents’ medical choices. An improved potential model was constructed to analyze the spatial accessibility of medical facilities in Changning District of Shanghai, China. Interpolation analysis was conducted to reveal the spatial accessibility pattern. Cluster and outlier analysis and Getis-Ord Gi* analysis were applied for the cluster analysis. Results show that the spatial accessibility of medical facilities is quite different in different residential areas of Changning District, Shanghai. Among them, the spatial accessibility of medical facilities is relatively high in Hongqiao subdistrict, Xinjing Town, and part of Xinhua Road subdistrict. In addition, residents have overall better access to secondary hospitals than to primary and tertiary hospitals in the study area. This study provides a spatial decision support system for urban planners and policymakers regarding improving the accessibility of healthcare facilities. It extends the literature on spatial planning of public facilities and could facilitate scientific decision making.

scholarly journals Dystrybucja usług medycznych w Meksyku

2010 ◽  
Vol 16 ◽  
pp. 259-266
Author(s):  
Anna Winiarczyk-Raźniak
Keyword(s):  
Spatial Distribution ◽  
Medical Care ◽  
Medical Personnel ◽  
Medical Services ◽  
Healthcare Industry ◽  
Comprehensive Index ◽  
Medical Facilities ◽  
Analytical Laboratories

The fundamental purpose of healthcare industry is to effectively provide medical services that improve the quality of health in a given society. The most important issue is the issue of access to medical facilities. The paper presents the spatial distribution of medical services across Mexico. This includes access to hospitals, clinics, and analytical laboratories, as well as the number and profile of medical personnel, as measured by the number of physicians, nurses, and dentists. Available data was used to construct a comprehensive index that was used to determine whether medical care in Mexico had become more or less accessible from 1995 to 2005.

Self-assessment by medical workers of the degree of influence of working conditions on the development of occupational diseases

2019 ◽  
pp. 463-467 ◽  
Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov
Keyword(s):  
Health Care ◽  
Working Conditions ◽  
Occupational Diseases ◽  
Health Workers ◽  
Medical Personnel ◽  
Long Term Memory ◽  
Self Assessment ◽  
Medical Institutions ◽  
Care Workers ◽  
The Impact

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .

scholarly journals Demographics associated with US healthcare disparities are exacerbated by the telemedicine surge during the COVID-19 pandemic

2021 ◽  
pp. 1357633X2110259
Author(s):  
Kristin N Gmunder ◽  
Jose W Ruiz ◽  
Dido Franceschi ◽  
Maritza M Suarez
Keyword(s):  
Income Tax ◽  
Healthcare Disparities ◽  
Descriptive Statistics ◽  
Internal Revenue Service ◽  
Patient Specific ◽  
Postal Code ◽  
The Us ◽  
Hispanic Patients ◽  
The Impact ◽  
Racial Ethnic

Introduction As coronavirus disease 2019 (COVID-19) hit the US, there was widespread and urgent implementation of telemedicine programs nationwide without much focus on the impact on patient populations with known existing healthcare disparities. To better understand which populations cannot access telemedicine during the coronavirus disease 2019 pandemic, this study aims to demographically describe and identify the most important demographic predictors of telemedicine visit completion in an urban health system. Methods Patient de-identified demographics and telemedicine visit data ( N = 362,764) between March 1, 2020 and October 31, 2020 were combined with Internal Revenue Service 2018 individual income tax data by postal code. Descriptive statistics and mixed effects logistic regression were used to determine impactful patient predictors of telemedicine completion, while adjusting for clustering at the clinical site level. Results Many patient-specific demographics were found to be significant. Descriptive statistics showed older patients had lower rates of completion ( p < 0.001). Also, Hispanic patients had statistically significant lower rates ( p < 0.001). Overall, minorities (racial, ethnic, and language) had decreased odds ratios of successful telemedicine completion compared to the reference. Discussion While telemedicine use continues to be critical during the coronavirus disease 2019 pandemic, entire populations struggle with access—possibly widening existing disparities. These results contribute large datasets with significant findings to the limited research on telemedicine access and can help guide us in improving telemedicine disparities across our health systems and on a wider scale.

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.

Testing for Legionella in Healthcare Facilities: Evaluation of the Reproducibility of Legionella Test Results and the Impact of Time on Viability and Variability

2013 ◽  
Vol 41 (6) ◽  
pp. S69 ◽  
Author(s):  
Sue M. Mietzner ◽  
Andrea J. Schaeffer ◽  
Sue M. Mietzner ◽  
Mohamed H. Yassin ◽  
Marilyn M. Wagener ◽  
...  
Keyword(s):  
Test Results ◽  
Healthcare Facilities ◽  
The Impact

The impact of medical activity bureaucratization on professional values of personnel: analysis of international research results and data from sociological surveys of Kuzbass Medical Organizations (NII KPSSZ AND GBUZ “KKKD”)

2021 ◽  
Vol 10 (2) ◽  
pp. 15-20
Author(s):  
Ya. V. Danilchenko ◽  
A. N. Popsuyko ◽  
E. A. Batsina ◽  
D. V. Kilizhekova ◽  
D. V. Karas
Keyword(s):  
Comparative Analysis ◽  
Creative Thinking ◽  
International Study ◽  
Medical Personnel ◽  
Professional Values ◽  
Diagnostic Process ◽  
Federal State ◽  
Medical Organization ◽  
Medical Activity ◽  
The Impact

Aim. To assess the correspondence between the results of the European Social Survey (ESS) “The Impact of Medical Activity Bureaucratization on Professional Values of Personnel” and the results of sociological surveys of personnel of medical organizations such as Federal State Budgetary Institution Research Institute for Complex Issues of Cardiovascular Diseases (NII KPSSZ) and Federal State Budgetary Institution “Kuzbass Clinical Cardiology Dispensary named after academician L.S. Barbarash” (GBUZ “KKKD”).Methods. Comparative analysis of the results of ESS (3271 medical workers from 29 countries were questioned) and the results of sociological surveys of the medical personnel at NII KPSSZ (204 respondents in 2017) and at GBUZ “KKKD” (385 respondents in 2021) was carried out.Results. According to the survey data of employees of NII KPSSZ the dominant values are: professionalism and conscientious attitude to work, respectful attitude to colleagues and patients, strict compliance with law and regulatory requirements. Among the main values of GBUZ “KKKD” staff the following were named: discipline and order in fulfilling responsibilities, professionalism and conscientious attitude to work, and respectful attitude to patients.Conclusion. On the basis of the comparative analysis, the authors proved the validity of the conclusions and results of an international study devoted to the problem of the influence of bureaucratization of a medical organization on the structure of personnel values in medical organizations focused only on the treatment and diagnostic process. If an institution functions as a scientific and medical organization, then its employees tend to strive for professional self-development, innovative and creative thinking, which is not consistent with the conclusions of international researchers.

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