scholarly journals Sterwe, dood en rou as ’n gesondheidsprobleem

Curationis ◽  
1979 ◽  
Vol 2 (3) ◽  
Author(s):  
Frederika M.J. De Villiers

It is clear that the progress in medical technology, the increasing awareness of psycho - social aspects in the health services, the humanistic emphasis on patient care, changes in the family structure, the hospitalisation of the dying patient and the increasing relationship of the health personnel in the death situation, all resulted in an increasing idenitification with dying, death and mourning as health care problems. These tendencies have reached a level which created a need for the development of effective approaches in respect of the case of man in the throes of death. The acceptance of the responsibility not only for the care but also for the accompaniment of dying persons and their loved ones, has become a necessity, because dying, death and mourning actually are health problems.

1987 ◽  
Vol 3 (2) ◽  
pp. 275-280
Author(s):  
Mark G. Field

AbstractThe classical equation for the production of goods and services, that is, the combination of labor, capital, and knowledge, constrained by the time dimension, may also be used to examine the production of medical and hospital services. However, this is qualified by the special nature of the “capital” used in health care, particularly medical technology. Because of the particular nature of health services, the adoption and the use of technology follows rules that are different from those in the industrial sphere. These differences are examined in some detail as are the implications for the health field in general, and for the hospitals where most of the new (and often costly) technology is located.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Larrea ◽  
R Leyva-Flores ◽  
N Guarneros-Soto ◽  
C Infante-Xibille

Abstract Background Mexico has implemented policies seeking to reduce barriers to care for migrants in transit; however, it is estimated that only 3% of migrants use public health services when needed. The main purpose of this study was to identify the barriers to access public health services faced by migrants in transit through Mexico. Methods Under the human security perspective, in 2018, a qualitative study was carried out in Mexican communities with high migrant mobility. 34 semi-structured interviews were conducted with migrants in transit, and personnel from public health services and migrant shelters (NGOs). Values and meanings related to risks, health problems, barriers to care, experiences of health services utilization, and opinions on facilitating elements to diminish these barriers were identified. Results Migrants in transit through Mexico face risks that affect all dimensions of human security. Perceived anti-migratory and discriminative attitudes during the journey were constantly mentioned in the interviews. Barriers to care were found in the four stages of health care access, classified according to the Tanahashi framework, with the majority related to accessibility and acceptability. The following facilitating elements were also identified: political willingness of local government, knowledge and talent management of health personnel, and strategies implemented for adapting local health care services to migrants. Conclusions Social and political conditions in Mexico disrupt any effort to reduce social risks and barriers to care for migrants in transit. Non-governmental actors are key players for facilitating interactions between migrants and local governmental health care institutions. However, the general anti-migratory context negatively affects access to health care and influence the perspectives of migrants, NGOs, and health personnel. Key messages The predominant perceived barriers to care are in counterpoint to local governmental pro-migrant rights perspectives. NGOs are key actors to promote access to public health care services.


SASI ◽  
2018 ◽  
Vol 23 (2) ◽  
pp. 149
Author(s):  
Arman Anwar

Health is a fundamental need for every human being in his life and to meet these needs the role of doctors and health workers is very important. Doctors and Health care in providing health services to the community is always required in order to provide the best service. So with the Hospital. However, the health services provided may result in two different possibilities of the patient being cured or even worsening the disease until death. If the patient recovers it will flow millions of praise and abundant various forms of appreciation that he receives but if that happens is the opposite then in certain conditions where the patient feels aggrieved can culminate until the lawsuit to court. In medical practice, doctors do not work alone but are also often assisted by other health workers. Likewise Hospital as a corporation employs doctors and health workers to provide health services to the community. If in the event of any medical treatment from medical personnel to medical personnel and/or Hospital to the physician and at risk of mistake or negligence in the health service, then the loss suffered by the patient may result in risks (risico aanspraklijkheid) based on Article 1367 paragraph (3) BW. In the context of health law regulated in Article 65 of Law Number 36 Year 2014 on Health Personnel, and Article 35 Paragraph 6 of Law Number 38 Year 2014 on Nursing and Article 23 Paragraph (3) point c Regulation of the Minister of Health of the Republic of Indonesia No. 2052 / Menkes / Per / X / 2011 About Practice License and Implementation of Medical Practice as well as Article 46 Act Number 44 of 2009 About Hospital that is Hospital is legally responsible for all the losses caused by negligence made by health personnel in the Hospital. Efforts to prevent it internally need to agree on the rights and obligations of each party in a specified standard of conduct that is proportionally regulated and based on equitability values, either in the form of Hospital by Law as well as the prevailing rules binding on all staff within a hospital staff (Medical staff by law).


2020 ◽  
Vol 11 (1) ◽  
pp. 32
Author(s):  
Herlina Herlina ◽  
Ifa Hafifah ◽  
Noor Diani

Introduction: Critical and life-threatening patients cause anxiety in the family, which may be caused by many factors such as age, education, experience, knowledge, attitudes, and so on. Objective: The purpose of this study was factors assosiated patient’s family anxiety in the ICU. Method: Correlation research with cross sectional approach. Samples amounted to 30 people with consecutive sampling technique. The instrument used questionnaires respondent characteristics, knowledge, health services, and HARS anxiety. Data analysis using the Spearman rank test. Result: There was a relationship of age (p = 0,000), level of education (p = 0,000), experience (p = 0,000), knowledge (p = 0,000), with the patient's family anxiety and no gender relationship (p = 0.163) and health services ( p = 0.334) with patient’s family anxiety in the ICU. Age, level of education, experience, and knowledge influence the patient's family anxiety. Discussion: It is recommended to hospitals to provide regular counseling between families and health professionals in the ICU, as well as provide leaflets about care in the ICU.


1994 ◽  
Vol 10 (2) ◽  
pp. 273-281 ◽  
Author(s):  
Inger Stauning

AbstractNew medical technologies are often developed and diffused in health care without societal assessments or setting of priorities. This article discusses the driving forces behind the development of new technologies and asks how women as users and providers of health services can gain influence on the process. Technologies used in pregnancy and childbirth are discussed to reveal different interests in their development and use and to discuss the role of industry in the development of new medical technologies in general.


2021 ◽  
Vol 15 (8) ◽  
pp. 2319-2323
Author(s):  
Palmer J. Hernández-Yépez ◽  
Alejandro Rojas-Huillca ◽  
Miguel A. Oscuvilca-Quinteros ◽  
Abihail N. Mendoza-ojeda ◽  
Mario J. Valladares-garrido ◽  
...  

Introduction: There is little evidence regarding the knowledge of the National Superintendence of Health (Superintendencia Nacional de Salud, SUSALUD), and health rights. The objective of this study was to determine the factors associated with filing complaints in patients treated at a Level III-1 health facility of the Ministry of Health (MINSA) in Lima 2019. Methods: Cross-sectional study on Internal Medicine patients treated at a Level III-1 health facility of MINSA, Lima, Peru in 2019. We used a modified survey taken from the complaints and knowledge about SUSALUD section from the questionnaire of the National Health User Satisfaction Survey (ENSUSALUD 2016). Prevalence ratios were estimated through simple and multiple regression. Results: Of 250 patients, the average age was 52 years and most of them were women (61.2%). Of the total, 37.3% made some health care complaints. The majority of the patients knew about the complaints book (66.4%), but only 30% knew about SUSALUD. Knowing SUSALUD (PR=3.33, CI95%: 1.81-6.11), the right to access health services (PR=1.15, CI95%: 0.41-3.29) and the right to be informed (PR=2.65, CI95%: 1.07-6.60) were associated with a greater frequency of filing health care complaints. Conclusions: The frequency of complaints due to care problems is high. The knowledge about SUSALUD, the right to access health services and the right to be informed were positively associated with filing any type of complaint. Keywords: Knowledge, complaints, health care, hospitals (Source: DECS)


Curationis ◽  
1985 ◽  
Vol 8 (1) ◽  
Author(s):  
Elsje J Hall

Daily exposure of Blacks to the Western culture has been brought about by their urbanisation. This causes involuntary adaptations and changes at all levels, including in the field of health. In order to investigate the effects of exposure to the Western culture on the knowledge and practices of Blacks regarding health services the Institute for Communication Research of the HSRC undertook a study in Atteridgeville near Pretoria. It was determined that most residents had great trust in the medical practitioner and the nurse. The mother was the family member who supported fellow members of the family most during illness. Parents of younger respondents appeared to be their most important source of information about the doctor, hospital and pharmacist while their friends took this part regarding the nyaka, isangoma and moprofeta. Although the Western system of health care has an influence on the urban Black, it appears that the Black non-Western health system is still functioning.


Curationis ◽  
1984 ◽  
Vol 7 (2) ◽  
Author(s):  
J.P. Roux

The new Constitution of the RSA presents new challenges in the field of health services. For the first time the various population groups will participate in decisions about delivery of health care to their own communities. The diseases which affect the population of South Africa, however, do not have any ethnical or geographical boundaries. This necessitates effective co-ordination, despite the various authorities and services. Administrative implications include greater privatisation of functions currently performed by the authorities, devolution of power to local authorities and co-ordination regarding health personnel administration. For the allocation of finances for health services the author suggests a number of principles for the delivery of health services as well as priorities for long term spending. Management ability of health personnel at all levels in order to meet the challenges of the new Constitution is also stressed.


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