scholarly journals Die funksie van die gemeenskapsverpleegkundige in kuratiewe distriksgesondheidsdienste

Curationis ◽  
2000 ◽  
Vol 23 (2) ◽  
Author(s):  
H P SMIT ◽  
Dr S D Roos

In South Africa patients are discharged sooner from hospitals, because of a shortage in hospital beds, thus more patients are nursed at home. More prominence should be given to the function of the community nurse in these mainly curative health services. An explorative and descriptive study was performed in order to explore and describe the functions of the community nurse in the context of the district health service in South Africa. These functions described in this article were determined by means of an analysis of duty sheets as well as the use of questionnaires which was based on a literature study. Some conclusions and recommendations were made on which the community nurse can base these nursing services.

2021 ◽  
Vol 8 (3) ◽  
pp. 332-355
Author(s):  
Musa Pane ◽  
Diah Pudjiastuti

Fraud is a systematic crime that has a very broad impact. It can happen in any fields, including in hospitals. Fraud is a form of corruption. Hospital is a health service institution. Corruption in hospitals has the potential to lead to ineffective health services for people. The phenomenon of health care fraud in hospital is an indication the law does not function in accordance with the objective. This study aims to determine the functionalization of law and sentence for fraudulent acts as a form of corruption in hospitals based on justice values. This study is a descriptive study with normative juridical method that employed statutory and conceptual approaches. The data were collected through a literature study. It was subsequently analyzed qualitatively. This study is of the position to view that prosecution of criminal acts of corruption requires functionalization of law. The functionalization of law must be interpreted as positioning everything in its proper place. It is the synergy of the legal system, which consists of formulative, judicial, and executive policies. The criminal procedures can apply the punishment system for perpetrators of fraudulent acts in hospitals that includes extended alternative punishment.


2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).


Curationis ◽  
1981 ◽  
Vol 4 (3) ◽  
Author(s):  
N. Snyman

The Department of Health. Welfare and Pensions is responsible for rendering a school health service to Black, Coloured and Indian scholars in the Republic of South Africa.


2020 ◽  
Vol 1 (1) ◽  
pp. 28-31
Author(s):  
Lucio Mango

The world of chronicity is an area in progressive growth that involves a considerable commitment of resources, requiring continuity of assistance for long periods of time and a strong integration of health services with social ones and those requiring residential and territorial services often not sufficiently designed and developed. The fundamental aim of the treatment of chronic systems is to keep as much as possible the patient at home and prevent or reduce the risk of institutionalization. GP could put their expertise to good use in the Complex of Primary Care Units and Territorial Functional Aggregations, reducing the costs of the health service.


Jurnal Niara ◽  
2019 ◽  
Vol 12 (1) ◽  
pp. 69-78
Author(s):  
Dedy Afrizal ◽  
Nahar Effendi ◽  
Pertiwi Handayani

            Public services provided by service providers must be synchronized with act no.25 of 2009 on public services in which there are stipulation of services, goods services, and administrative services for the society. The technical services unit (upt) of the puskesmas balai makam subdistrict of bathin solapan, bengkalis regency is a type of non-inpatient puskesmas under the supervision of the bengkalis district health service that provides services to the society, especially health services, however the facilities and infrastructure are not well implemented, payment system is not in accordance with the standard, and the problem of lack of availability of medicines for people who need health services. This study will elaborate the conduct of the services at how the implementation of services, supporting factors and inhibiting factors of health services. The result of the study will refer to the implementation of 5 indicators such as tangibles, reliability, responsiveness, assurance, emphaty are obtained a total score of 3,974 (88.31%) for the good category


2019 ◽  
Vol 36 (3) ◽  
pp. 187-193 ◽  
Author(s):  
L. Bond ◽  
A. Feeney ◽  
R. Collins ◽  
I. Khurshid ◽  
S. Healy ◽  
...  

ObjectivesThe transition from adolescent to adult mental health services (AMHS) is associated with disengagement, poor continuity of care and patient dissatisfaction. The aim of this retrospective and descriptive study was to describe the ‘care pathways’ in an independent mental health service when adolescents reach age 18 and to investigate the level of engagement of those who transitioned to independent AMHS.MethodsThis is a retrospective, naturalistic and descriptive study in design. All patients discharged from the St Patrick’s Adolescent Mental Health Service aged 17 years and 6 months and older, during a 3-year period between January 2014 and December 2016, were included. Electronic records were used to collect socio-demographic and clinical details and to determine engagement rates in adolescents who transferred to independent adult services.ResultsA total of 180 patients aged over 17 years and 6 months were discharged from the adolescent service. Of these, 45.6% were discharged to their GP, 28.9% to public mental health services and 25.6% to independent mental health services. The majority who transitioned to independent AMHS went to a Young Adult Service, which had high engagement rates at 3 and 12 months post-transition.ConclusionsIn this independent mental health service, less than half of adolescents who reach the transition age are referred onto AMHS. Engagement rates were found to be high among those referred on to a specialised young adult service.


Author(s):  
Havva Ozturk

The current study was done to determine whether smiling and accessible healthcare services were provided to the patients. This descriptive study was conducted at a university. The sample of the study was composed of 188 patients who were hospitalized in hospitals. The data were collected with a questionnaire consisted of 15 questions about patients’ demographic characteristics and their views about smiling and were analyzed with percentages, means, chi-square test.  In the selection of the healthcare personnel, 62% of the patients paid attention to the fact that healthcare personnel should be caring and behave well. However; 83% of the patients stated that they could contact nurses easily while only 2% of the patients could reach physicians easily. In conclusion, patients thought that nurses were more smiling and accessible than physicians and particularly medical secretaries.  Keywords: Health service; nursing; smiling; Turkey.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carren Ginsburg ◽  
Mark A. Collinson ◽  
F. Xavier Gómez-Olivé ◽  
Mark Gross ◽  
Sadson Harawa ◽  
...  

Abstract Background In South Africa, human geographic mobility is high as people engage in both permanent and temporary relocation, predominantly from rural to urban areas. Such mobility can compromise healthcare access and utilisation. The objective of this paper is to explore healthcare utilisation and its determinants in a cohort of internal migrants and permanent residents (non-migrants) originating from the Agincourt sub-district in South Africa’s rural northeast. Methods A 5-year cohort study of 3800 individuals aged 18 to 40 commenced in 2017. Baseline data have been collected from 1764 Agincourt residents and 1334 temporary, mostly urban-based, migrants, and are analysed using bivariate analyses, logistic and multinomial regression models, and propensity score matching analysis. Results Health service utilisation differs sharply by migrant status and sex. Among those with a chronic condition, migrants had 0.33 times the odds of non-migrants to have consulted a health service in the preceding year, and males had 0.32 times the odds of females of having used health services. Of those who utilised services, migration status was further associated with the type of healthcare utilised, with 97% of non-migrant rural residents having accessed government facilities, while large proportions of migrants (31%) utilised private health services or consulted traditional healers (25%) in migrant destinations. The multinomial logistic regression analysis indicated that, in the presence of controls, migrants had 8.12 the relative risk of non-migrants for utilising private healthcare (versus the government-services-only reference category), and 2.40 the relative risk of non-migrants for using a combination of public and private sector facilities. These findings of differential utilisation hold under statistical adjustment for relevant controls and for underlying propensity to migrate. Conclusions Migrants and non-migrants in the study population in South Africa were found to utilise health services differently, both in overall use and in the type of healthcare consulted. The study helps improve upon the limited stock of knowledge on how migrants interface with healthcare systems in low and middle-income country settings. Findings can assist in guiding policies and programmes to be directed more effectively to the populations most in need, and to drive locally adapted approaches to universal health coverage.


2021 ◽  
Vol 9 (1) ◽  
pp. 57-72
Author(s):  
Ade Heryana ◽  
Erlina Puspitaloka Mahadewi

AbstractIndonesia health system just facing the surge of health service due to Covid-19 pandemic i.e. diagnostic, cases tracing, treatment and immunization that unbalance with existing capacity. The requisition of non-physical queue health services more increasing due to and after Covid-19 pandemic. This condition opposite with inevitability queue problem in health services. The queues control related to health services quality and cost efficient. This paper aims to propose framework for queue system optimization with deliberates quality and cost controlling. Literature study and health system observation were conducted to build the optimization framework for resources allocation. It’s suggest that this framework would applied in order to queues controlling in health services.      Keyword: queuing theory, health services, system optimization, determining model  AbstrakSistem kesehatan Indonesia sedang menghadapi lonjakan permintaan layanan kesehatan terkait Covid-19 seperti diagnostik, pelacakan kasus, pengobatan dan vaksinasi pada akhir tahun 2020 yang tidak sebanding dengan kapasitas pelayanan kesehatan yang tersedia. Selama dan pasca pandemik tuntutan untuk memberikan pelayanan yang tidak menimbulkan antrian fisik semakin tinggi. Kondisi ini bertolak belakang dengan keniscayaan pelayanan kesehatan yang tidak mungkin terhindar dari masalah antrian. Pengendalian antrian berkaitan dengan atribut kualitas dan efisiensi biaya pelayanan kesehatan. Paper ini bertujuan mengusulkan kerangka kerja optimalitas sistem antrian yang mempertimbangkan kendali mutu dan kendali biaya. Studi pustaka dan observasi dilakukan untuk membangun kerangka kerja dalam rangka alokasi sumber daya pelayanan yang optimal. Diharapkan kerangka kerja ini dapat digunakan industry pelayanan kesehatan dalam pengendalian antrian.  Kata Kunci: teori antrian, pelayanan kesehatan, sistem optimasi, model penentuan


2005 ◽  

While many HIV-infected individuals do not wish to have children, others want children despite their infected status. The desire and intent to have children among HIV-infected individuals may increase because of improved quality of life and survival following commencement of antiretroviral treatment. In developing countries such as South Africa, where the largest number of people living with HIV/AIDS worldwide reside, specific government reproductive health policy and service provision for HIV-infected individuals is underdeveloped. This policy brief presents findings from a qualitative study that explored HIV-infected individuals’ reproductive intentions, decision-making, and need for reproductive health services. The study also assessed the opinions of health-service providers, policymakers, and influential figures within nongovernmental organizations who are likely to play important roles in the shaping and delivery of reproductive health services. Conducted at two health centers in the Cape Town metropolitan area in South Africa from May 2004 to January 2005, the study focused on issues that impact reproductive choice and decision-making and identified critical policy, health service, and research-related matters to be addressed.


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