scholarly journals An Experiential Community Orientation to Improve Knowledge and Assess Resident Attitudes Toward Poor Patients

2013 ◽  
Vol 5 (1) ◽  
pp. 119-124 ◽  
Author(s):  
Erik A. Wallace ◽  
Julie E. Miller-Cribbs ◽  
F. Daniel Duffy

Abstract Background Future physicians may not be prepared for the challenges of caring for the growing population of poor patients in this country. Given the potential for a socioeconomic “gulf” between physicians and patients and the lack of curricula that address the specific needs of poor patients, resident knowledge about caring for this underserved population is low. Intervention We created a 2-day Resident Academy orientation, before the start of residency training, to improve community knowledge and address resident attitudes toward poor patients through team-based experiential activities. We collected demographic and satisfaction data through anonymous presurvey and postsurvey t tests, and descriptive analysis of the quantitative data were conducted. Qualitative comments from open-ended questions were reviewed, coded, and divided into themes. We also offer information on the cost and replicability of the Academy. Results Residents rated most components of the Academy as “very good” or “excellent.” Satisfaction scores were higher among residents in primary care training programs than among residents in nonprimary care programs for most Academy elements. Qualitative data demonstrated an overall positive effect on resident knowledge and attitudes about community resource availability for underserved patients, and the challenges of poor patients to access high-quality health care. Conclusions The Resident Academy orientation improved knowledge and attitudes of new residents before the start of residency, and residents were satisfied with the experience. The commitment of institutional leaders is essential for success.

2013 ◽  
Vol 3 (3) ◽  
pp. 261-266
Author(s):  
Sebija Izetbegović ◽  
Goran Stojkanović ◽  
Suvada Švrakić ◽  
Eldar Mehmedbašić

Introduction: The goal of this article is to present that innovating in health care begins to become an imperative in present time. Innovating will enable the achievement of the highest quality health care results and the patients' satisfaction with the least amount of financial resources.Methods: The thorough literature review of multifaceted sources was conducted including: studies, books, monographies and peer – reviewed journals with the goal of achieving the clearer picture of today's modern challenges in the complex fi eld of health care innovation.Discussion: Theoretical and empirical studies clearly indicate that the innovation is one of the key factors in the competitiveness of the organization and its survival in the market. Developed countries of the world today are making significant efforts in order for innovation to become a national priority, with special emphasis placed on measuring innovation performance. Results of theoretical and practical studies show that in the future, treatment of the most diffi cult and complex diseases of our time, through the entirely new discoveries and results, derived from the process of innovation, will project entirely new positive forms and outcomes in the health care.Conclusion: There is no doubt that the humanity and medical science will through innovation succeed to win the battles against the majority of the most complex contemporary diseases. Malignant neoplasm of tomorrow, through the application of a new, innovative approaches to research, processes and treatments will become a chronic diseases. Among many, the particular problem in the process of innovation will represent the cost of research and development (R&D), production and the safety of prescription drugs.


Author(s):  
Nilmini Wickramasinghe ◽  
Santosh K. Misra

The cost of health care is increasing exponentially worldwide. The adoption and diffusion of e-health and the application of Internet and Communication Technology (ICT) in health care is growing at a rapid rate in an attempt to find cost-effective methods of providing quality health care. Both European and US governments are making e-health a priority on their agendas. However, few, if any, discuss the critical issues of the sustainability and feasibility of e-health models. We attempt to fill this critical void by presenting a macro framework that identifies the key components of a generic e-health system and identifying factors playing a role in the assessment of e-health sustainability.


2000 ◽  
Vol 6 (4) ◽  
pp. 54
Author(s):  
Alison McClelland

Health is one of the most significant factors affecting people's present enjoyment and participation in life as well as future wellbeing. There is a special community concern about equity and health. This concern has at least three facets. The first facet is equity and health status. Although it is unrealistic to expect equal health outcomes amongst individuals, there is an equity problem if people's socio-economic backgrounds have a significant impact on capacity to have good health. The second aspect is equity and access to health care. As access to health care can impact on the suffering connected with poor health as well as influencing the prospect of good health, there is an equity concern if people's backgrounds influence their ability to access appropriate, quality health care according to need. The third aspect concerns the cost and the financing of health care. We are concerned if the cost of health care acts as a barrier to access according to need. There is also a problem if the cost of health care substantially undermines people's capacity to have a decent standard of living by reducing disposable incomes, especially for those who are on low incomes and finding it difficult 'to make ends meet'.


2021 ◽  
Vol 10 (2) ◽  
pp. 213
Author(s):  
Achmad Achmad ◽  
Emanuel Kristijadi

Capital for the banking industry as a safeguard against possible risks is very important. This study aims to analyze whether NPL, CKPN, LAR, and BOPO have a significant effect on CAR. This research uses secondary data, taken by documentation method. The data were obtained from the Bank’s financial reports (Book 3) for the 2016-2019 period from the published reports of the Financial Services Authority (OJK). The data were analyzed using a descriptive analysis and Multiple Regression Analysis (MRA). The results show that NPL, CKPN, and LAR have a significant positive effect on BOPO. The effect of NPL, CKPN, and LAR is significantly negative on CAR. The effect of the BOPO variable on CAR is positive but insignificant. Meanwhile, the effect of NPL, CKPN, LAR through BOPO as an intervening variable on CAR is negative and insignificant. The research results imply that, in the future, banks can control the number of non-performing loans so that the cost of funds reserved for problem loans does not increase.


2015 ◽  
Vol 13 (1) ◽  
pp. 356-361
Author(s):  
Moshibudi J. Selatole ◽  
Collins C. Ngwakwe

The impact that rising costs of litigations has had on many countries has seen society deprived of good quality health care and a substantial extra-expenditure in health budgets. The financial and societal costs of medical malpractice litigations have also been a growing cause for concern in the developing country of South Africa. This paper attempted to contribute to the knowledge of this problem in the South African setting by examining settlement costs of medical litigations in one province of the country over a 6 year period, and examining the relationship between these costs and the number of litigations. No correlation was found between the number of litigations and the costs of litigations, this indicates that, aside from the number of litigations, other factors are responsible for rising costs of litigation. The paper recommends that the department should continue monitoring the environmental costs of litigations for budgetary and management purposes; and the need to introduce an electronic integrated medical litigations reporting system, as well as tort reforms to curb the costs of the litigations. This work also calls for substantial further research in terms of what disciplines, what medical errors, and what circumstances greatly influence litigation outcomes.


Author(s):  
Shella Putri Yulistiani ◽  
Gusganda Suria Manda

ABSTRACT This study uses descriptive analysis and verification with quantitative approach that is 3 tobacco company listed on the Stock Exchange. Data obtained are secondary data from the annual of financial statements consists of  income over 11 years, ie the year 2009 to 2019. Technical analysis of data used is the technique of multiple linear regression analysis. Based on the results of this study showed that the cost of production and a significant positive effect on net income, Showed the operational costs do net mean a net income. Showed the sales determined net income.   Keywords: Production Costs; Operating Costs; Sales; Net Income   ABSTRAK Penelitian ini menggunakan metode analisis deskriptif dan verifikatif dengan pendekatan kuantitatif yaitu 3 perusahaan rokok yang terdaftar di BEI. Data yang diperoleh adalah data sekunder berupa laporan keuangan tahunan selama 11 tahun, yaitu tahun 2009-2019. Teknis analisis data yang dipergunakan adalah teknik analisis regresi linier berganda. Berdasarankan hasil penelitian ini menunjukan bahwa biaya produksi berpengaruh dan signifikan terhadap laba bersih. Biaya operasional tidak berpengaruh terhadap laba bersih. Penjualan berpengaruh terhadap Laba Bersih.   Kata kunci: Biaya Produksi; Biaya Operasional; Penjualan; Laba Bersih  


2019 ◽  
Vol 2 (2) ◽  
pp. 01-06
Author(s):  
Ziemlé Clément Méda

Introduction The satisfaction of users of the health facilities is common used in order to appreciate quality of care. The objective of the present research was to study satisfaction of women inpatients from the care units of the Department of Gynecology, Obstetrics and Reproductive Medicine of the National teaching hospital Souro Sanou, in Bobo Dioulasso, Burkina Faso. Methods A cross-sectional analytical study conducted in 8 months. The areas of satisfaction were calculated according to the SAPHORA model (version 7). Results Two hundred (200) clients were eligible and were all interviewed, with the participation rate of 100.0%. The mean age of clients was 28.4 (95% CI: 27.3-29.5) years-old with extremes ranged from 15 to 56 years-old. The low score domains of satisfaction were: reception, catering and staff organization. The scores per domain of satisfaction and per service and the overall satisfaction score were less than 50%. The differences between the services were related to: Hospitality score and Organization of the outing score. There were a difference between the services and the following variables: hospitality domain of satisfaction, the organization of the outing domain of satisfaction, and the cost of care. Conclusion The improvement of the satisfaction of women inpatients requires the respect of the patients' basic needs and a reorganization of health services with committed staff in order to provide quality health care and services.


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