scholarly journals Factors affecting utilization of medical diagnostic equipment: A study at a tertiary healthcare setup of Chandigarh

2015 ◽  
Vol 2 (4) ◽  
pp. 316 ◽  
Author(s):  
Poonam Chaudhary ◽  
Pankaj Kaul
Keyword(s):  
Diagnostic Equipment ◽  
Factors Affecting ◽  
Medical Diagnostic ◽  
Tertiary Healthcare

scholarly journals An Assessment of Diagnostic Equipment Utilization in a Tertiary Healthcare Setup: A Key to Economical Patient Management

2014 ◽  
Vol 2 (2) ◽  
pp. 111-116
Author(s):  
Poonam Chaudhary ◽  
Pankaj Kaul
Keyword(s):  
Patient Management ◽  
Low Cost ◽  
Healthcare Services ◽  
Diagnostic Equipment ◽  
Utilization Coefficient ◽  
Medical Diagnostic ◽  
Tertiary Healthcare ◽  
Equipment Utilization ◽  
Medium Cost ◽  
Medical Equipments

ABSTRACT Equipment utilization management is the evaluation of the medical equipment necessity, appropriateness, and efficiency of the use in the healthcare services or procedures. The investment on an equipment is said to be a good one if it shows a utilization coefficient of 50% or above. The study was descriptive observational in nature and was conducted in the Histopathology Department, PGIMER, Chandigarh. The data for the entire year of 2012 was collected by studying various records of the department including purchase files, inventory registers, log books and service records of medical equipments. The results indicated that the Utilization Coefficients of various diagnostic equipments in the department of Histopathology, PGIMER, Chandigarh for the year 2012 were in the order of 58.1, 62.1 and 60.4% for high cost, medium cost and low cost equipments respectively. On an average, the utilization coefficient of medical equipments under study (Year 2012) of the Histopathology Department, PGIMER, Chandigarh, was found to be 60.2% (above 50%). This figure reflects that the budget spent on average medical diagnostic equipment in this department is very much justifiable. The study also showed that the cost incurred on various cost categories of diagnostic equipments, i.e. the low, medium and high cost equipments was also equally important. How to cite this article Chaudhary P, Kaul P. An Assessment of Diagnostic Equipment Utilization in a Tertiary Healthcare Setup: A Key to Economical Patient Management. Int J Res Foundation Hosp Healthc Adm 2014;2(2):111-116.

scholarly journals Identifying a Medical Department Based on Unstructured Data: A Big Data Application in Healthcare

Information ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 25 ◽  
Author(s):  
Veena Bansal ◽  
Abhishek Poddar ◽  
R. Ghosh-Roy
Keyword(s):  
Character Recognition ◽  
Optical Character Recognition ◽  
Medical Science ◽  
Imaging Data ◽  
Medical Department ◽  
User Input ◽  
Medical Diagnostic ◽  
Tertiary Healthcare ◽  
Big Data Application ◽  
And Performance

Health is an individual’s most precious asset and healthcare is one of the vehicles for preserving it. The Indian government’s spend on healthcare system is relatively low (1.2% of GDP). Consequently, Secondary and Tertiary government healthcare centers in India (that are presumed to be of above average ratings) are always crowded. In Tertiary healthcare centers, like the All India Institute of Medical Science (AIIMS), patients are often unable to articulate their problems correctly to the healthcare center’s reception staff, so that these patients to be directed to the correct healthcare department. In this paper, we propose a system that will scan prescriptions, referral letters and medical diagnostic reports of a patient, process the input using OCR (Optical Character Recognition) engines, coupled with image processing tools, to direct the patient to the most relevant department. We have implemented and tested parts of this system wherein a patient enters his symptoms and/or provisional diagnosis; the system suggests a department based on this user input. Our system suggests the correct department 70.19% of the time. On further investigation, we found that one particular department of the hospital was over-represented. We eliminated the department from the data and performance of the system improved to 92.7%. Our system presently makes its suggestions using random forest algorithm that has been trained using two information repositories-symptoms and disease data, functional description of each medical department. It is our informed assumption that, once we have incorporated medicine information and diagnostics imaging data to train the system; and the complete medical history of the patient, performance of the system will improve further.

Implications of Physical Access Barriers for Breast Cancer Diagnosis and Treatment in Women With Mobility Disability

2021 ◽  
pp. 104420732110101
Author(s):  
Nicole D. Agaronnik ◽  
Areej El-Jawahri ◽  
Lisa I. Iezzoni
Keyword(s):  
Breast Cancer ◽  
Cancer Diagnosis ◽  
Care Delivery ◽  
Breast Cancer Diagnosis ◽  
Diagnosis And Treatment ◽  
Access Barriers ◽  
Diagnostic Equipment ◽  
Mobility Disability ◽  
Medical Diagnostic ◽  
Physical Access

More than 30 years since enactment of the Americans with Disabilities Act, people with disability continue to face physical access barriers, notably inaccessible medical diagnostic equipment, in clinical settings. Access barriers affect breast cancer screening and treatment for women with disability. We used standard diagnosis codes and natural language processing to screen electronic health records (EHRs) in a digital data repository from a large health care delivery system for patients with pre-existing mobility disability diagnosed with breast cancer between 2005 and 2017. We reviewed EHRs of 20 patients, using conventional content analysis to examine breast cancer diagnosis and treatment experiences. Clinicians noted challenges positioning patients for routine procedures including manual breast exam, screening mammography, and breast biopsies. Given challenges accommodating disability for adjuvant therapies, mastectomy was favored over breast-conserving options despite early stages of diagnosis. Notations contained little information about proactive problem-solving for arranging accommodations. Notations described physical access barriers for breast cancer detection and treatment, with limited planning for mitigating barriers. Despite 2017 promulgation of federal Standards for Accessible Medical Diagnostic Equipment, implementing these standards requires further rulemaking.

Rehabilitation of Patients with Musculoskeletal Pathology in the Pyatigorsk

10.12737/7278 ◽  
2014 ◽  
Vol 21 (4) ◽  
pp. 97-102
Author(s):  
Антоненков ◽  
Yu. Antonenkov ◽  
Михаэлис ◽  
A. Mikhaelis ◽  
Косолапов ◽  
...  
Keyword(s):  
Risk Factors ◽  
Necessary Conditions ◽  
Previous Treatment ◽  
Economic Study ◽  
Factors Affecting ◽  
Forecasting Methods ◽  
Number Of Patients ◽  
Medical Diagnostic ◽  
Musculoskeletal Pathology ◽  
Complex Methods

In the study as a model for the organization of rehabilitation of patients with diseases of the musculoskeletal system was chosen Piatigorsky resort. The presence in the Stavropol Territory, Pyatigorsk and includes resorts, sanatoriums with the necessary conditions for the organization of medical diagnostic and counseling was the reason for the decision. The arrangement of the study was based on program-target method. The complex methods were: statistical, forecasting methods morbidity, estimated, the method of a sociological survey, clinical and economic study, functional and organizational modeling. Patients were examined in sanatorium "Lenin rocks" for 2009 - 2013 years. Number of patients examined in the study, was 30 933 person. During the study, the authors carried out a study of demographic, medical, sociological, climatic, social, hygienic and other risk factors affecting the incidence of persons. To study the effects of factors on the efficiency of their treatment in a sanatorium, the authors revealed such as age, climatic, the nature of previous treatment, and others. Factor, that less affects on the effectiveness of treatment, is the age of the patients more than 70 years.

scholarly journals Study to Assess the Status of Hepatitis B Vaccination and Factors Affecting Antibody Titers Level for Hepatitis B to Various Health Care Workers and Medical Students in Tertiary Healthcare Setup in Himachal Pradesh

2021 ◽  
Vol 8 (9) ◽  
pp. 242-246
Author(s):  
Aditya Rana ◽  
Subhash Chand Jaryal ◽  
Anuradha Sood
Keyword(s):  
Medical Student ◽  
Medical Students ◽  
Hepatitis B ◽  
Cross Sectional Study ◽  
Hepatitis B Vaccination ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Hbv Vaccination ◽  
Tertiary Healthcare ◽  
Antibody Titers

Background: Hepatitis B(HBV) is one of the most important occupational hazards among the medical student and healthcare workers(HCW's) due to risk of exposure to infected bodily fluids and blood. This study aimed to assess status of HBV vaccination and factors affecting anti-HBs titres levels for HBV in HCW and medical students. Material and Method: It was a prospective, descriptive and cross sectional study done at the Department of Microbiology, DRPGMC Kangra at Tanda(H.P). Randomly 215 HCW’s and medical students were taken in the study who fulfilled the inclusion criteria. Results: Total of 215 subjects were included in the study. Males were 89 and females were 126. 182 subjects were vaccinated and 33 were unvaccinated for hepatitis B. Out of 182 vaccinated 137 were completely vaccinated. Significant correlation was seen with decrease in antibody titers with gender, duration of vaccination and smoking. Conclusion: Vaccination should be mandatory for every HCW and medical student entering the health institutions. The factors affecting the antibody titers must be evaluated and antibody titers must be reviewed from time to time. The need for a booster dose can be made mandatory at least for healthcare professionals. Keywords: Hepatitis B virus, Vaccination, Antibody titers, HCW.

Metrological assessment of image quality in ultrasonic medical diagnostic equipment

2020 ◽  
Vol 36 (4) ◽  
pp. 379-397
Author(s):  
Raquel Monteiro Souza ◽  
André Victor Alvarenga ◽  
Lorena Itati Petrella ◽  
Rodrigo P. B. Costa-Felix
Keyword(s):  
Image Quality ◽  
Diagnostic Equipment ◽  
Medical Diagnostic

scholarly journals Optimizing Daily Service Scheduling for Medical Diagnostic Equipment Considering Patient Satisfaction and Hospital Revenue

2018 ◽  
Vol 10 (9) ◽  
pp. 3349
Author(s):  
Gang Du ◽  
Xinyue Li ◽  
Hui Hu ◽  
Xiaoling Ouyang
Keyword(s):  
Patient Satisfaction ◽  
Supply And Demand ◽  
Severity Of Illness ◽  
Utilization Rate ◽  
Iteration Algorithm ◽  
Value Iteration ◽  
Diagnostic Equipment ◽  
Service Scheduling ◽  
Hospital Revenue ◽  
Medical Diagnostic

Under the background of the unbalanced supply and demand of medical diagnostic equipment and rising health care costs, this study aims to optimize the service scheduling for medical diagnostic equipment so as to improve patient satisfaction by ensuring the equipment utilization rate and hospital revenue. The finite horizon Markov Decision Process (MDP) was adopted to solve this problem. On the basis of field research, we divided patients into four categories: emergency patients, inpatients, appointed outpatients, and the randomly arrived outpatients according to the severity of illness and appointment situations. In the construction of the MDP model, we considered the possibility of cancellation (no-show patients) in scheduling optimization. Combined with the benefits and costs related to patient satisfaction, based on the value iteration algorithm, we took patient satisfaction and hospital revenue as the objective functions. Results indicated that, compared with the current scheduling strategy, the integrated strategy proposed in this study has a better performance, which could maintain the sustainable usage rate of large medical resources and patient satisfaction.

scholarly journals DETERMINATION OF OPTIMIZATION WAYS OF RE-PROTHESIS USING VARIOUS SCHEMES GNATHOLOGICAL SUPPORT OF PATIENTS AT THE PREPARATORY STAGE TO THE ORTHOPEDIC CORRECTION OF PATIENTS WITH OCCLUSIVE IATROGENIC DISORDERS OF TOOTH-JAW APPARATUS

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
V. P. Nespryadko ◽  
O. G. Tereshchuk ◽  
I. A. Shynchukovskyi ◽  
P. S. Flis ◽  
N. S. Khrol
Keyword(s):  
Treatment Time ◽  
Diagnostic Equipment ◽  
Reconstructive Procedures ◽  
Dental Surgery ◽  
Muscle Disorders ◽  
Occlusal Adjustment ◽  
Jaw Apparatus ◽  
Medical Diagnostic ◽  
Preparatory Stage ◽  
The Moment

We brought to the light that one of the the most controversial issues is the moment of adaptation to reconstructive procedures. Often it becomes unclear which and in which order to use medical diagnostic equipment, to training for fixed prosthetic stages. Our studies make it possible to predict not only the treatment time, but the amount of occlusal adjustment in conjunction with the reconstruction of the position of the mandible.One of the most debated issues is the time of adaptation to reconstructive manipulation. Often it becomes unclear how and in what order medical diagnostic equipment should be used in the preparatory stages of the stationary prosthetics. Our studies make it possible to predict not only the treatment time, and the amount of occlusal adjustment in conjunction with the reconstruction of the lower jaw. Keywords: tooth-jaw apparatus, temporomandibular joint, violation functional occlusion, dental surgery, medical diagnostic devices, muscle disorders, adaptation, occlusal splint, occlusal adjustment, chewing muscles, provisional design.

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