scholarly journals Effective Reengineering Computing Model For Ethiopian Health Care Center

Author(s):  
Rajasekar Sundaram

The ordinary information get to control framework is to keep up the specific sharing composite Personal Health Information Records (PHIRs)in health center, operations from different health centers in cloud major research looks into in the present IT. A PHIR administration license a patient to making, overseeing, and controlling the individual wellbeing information in one spot through the web, which has made the extra room, recovery, and appropriation of the clinical data progressively effective. Uncommonly, every patient is secure the full control of clinical records and can impart the wellbeing information to an enormous scope of clients with social insurance donors and relatives. Because of the significant expense of building and keep up secured and specific server, numerous PHIR administrations are redistributed to make accessible by client from specialist organizations. Decentralized server farms the emission of CO2 is high and nature get spoiled and polluted by making reusable datacenters the data's or information's can shared through the PHIR's. By this we can keep away from the high emission of CO2, the adaptability; accessibility and similarity are increments according to Moore's law. To share the cutting edge data's from other server farm information with reusable asset and e-Health Care Service in Ethiopian health center.

2020 ◽  
Vol 32 (S1) ◽  
pp. 184-185
Author(s):  
T. Leon ◽  
L. Castro ◽  
F. Mascayano ◽  
BA. Lawlor ◽  
A. Slachevsky

AbstractThe prevalence of dementia in Chile is 1.06 %, meaning that over 200,000 people are affected. In 2017, the Ministry of Health launched the National Plan of Dementia, which proposed establishing a range of health-care services from primary care to Memory Units (MU).MUs have emerged as a new health care service composed of multidisciplinary teams with the goal of improving diagnosis and management of dementia patients.The creation and implementation of a MU should take into consideration the organization of a particular healthcare system. In this context, the evaluation of a Chilean MU might provide information for the standardization and replication of such a health service on a regional basis.The objective of this paper was to evaluate the implementation processes of a MU using the RE-AIM model, a multi-component model aimed to assist the evaluation of the implementation of ongoing programs.Regarding “R” (Reach): from March 2018 up to June 2019, a total of 510 patients were referred and assessed at the Hospital del Salvador. Most patients came from primary care (51.9 %) and from outpatient services at the Hospital (39.2 %), particularly from the Neurology (63.3%) and Psychiatry (16.0 %) departments. We estimated that the MU assessed 5.39% of dementia patients living in the area of referral.In relationship with “E” (Effectiveness): of patients evaluated by the MU, 60 (11%) were discharged. Of these, 41 (66%) were referred to primary health care, 9 (17%) to other outpatient services, 6 (10%) to a specialized mental health care center, and 4 (7%) to a daycare center.Due to the short lifespan of our MU, no other RE-AIM dimensions could be evaluated yet.This was the first evaluation of the implementation of a MU in Chile as part of the Chilean Dementia Plan. It showed that it is possible to implement a MU in a Latin American country and improve access to dementia diagnosis, management, and treatment. Ongoing challenges include continuing to collect clinical data, creating research projects as part of the MU, and developing a MU protocol that can be adopted elsewhere in Chile and other Latin American countries.


2013 ◽  
Vol 23 (6) ◽  
pp. 108-110
Author(s):  
Mantė Agnė Jurkevičiūtė ◽  
Egidijus Rimkus

The efficiency and scale of outpatient rehabilitation provided by the first stage health care institutions can not outperform those provided by second and third stage health care institutions. However, the outpatient rehabilitation provided by first stage health care center in Palanga can significantly improve the chronic disease treatment, decrease disability and improve quality of life to the patients. Everyday there are provide 25 massage, 10 kinesitherapy and around 40 physical therapy procedures.. Every year around 700 are provided 4000 procedure to the patients. More specifically, 300 patients went through 2200 individual kinesitherapy treatment procedures and around 900 patients had 5800 physical therapy procedures. Medical procedures are performed on individuals once per year based on doctors’ recommendations regardless in which primary health center they are registered. The primary health center in Palanga has a license to provide services of physical medicine and rehabilitation nurse as well as massage and assistance to kinesitherapist. Based on medicine law MN:2005 section on family doctor’s duties, competence and responsibility, there is no precise determination of family doctor’s legitimate to provide rehabilitation treatment, hence this treatment is provided by rehabilitation therapist, working in licensed rehabilitation institution.


2019 ◽  
Vol 12 (1) ◽  
pp. 4-6
Author(s):  
Robert Badgett ◽  
Jiatian Chen ◽  
Douglas R. May ◽  
Tom Field ◽  
K. Allen Griener

Introduction. Experts suggest health care institutions switch focusfrom measuring burnout to measuring positive organizational psychology.Concerns include burnout being a late sign of organizationaldecline. The Baldrige survey is promoted by the U.S. Departmentof Commerce to measure positive worksite conditions (e.g., workforcewellbeing of industries, including health care and education).For years, the survey has been completed by managers within organizations,but now the same survey is promoted for completion byan organization’s workforce. We tested the structure of the Baldrigesurvey when completed by an academic health care workforce. Inaddition, we tested whether the results in an academic worksite correlatewith an example metric of an organizational mission.Methods.xIn 2015, our academic health center surveyed facultyand staff with the Baldrige survey. The validity of the Baldrige wastested with confirmatory factor analyses. Within the School of Medicine,responses for the Baldrige’s concepts were correlated againsta measure of organizational outcome: graduates’ assessments ofDepartmental educational quality.Results. The structure of the Baldrige survey did not validate whenassessed by a workforce (RMSEA = 0.086; CFI = 0.829; TLI = 0.815).None of its concepts correlated with learner reported educationalquality.Conclusions. The Baldrige survey, when administered to a workforcerather than managers, did not appear to measure workforcewell-being within an academic health care center. We discourage useof the current survey for this purpose. Kans J Med 2019;12(1):4-6.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Laura X. Vargas ◽  
Therese S. Richmond ◽  
Heidi L. Allen ◽  
Zachary F. Meisel

Abstract Objectives We analyze the degree to which community violence in Mexico, largely due to organized crime violence, affects health care service utilization. Methods This study exploits temporal and geographic variation in monthly county-level homicide rates, matching outpatient service utilization from individual longitudinal measures. Sensitivity analyses test for an age specific concentration of violence, respiratory conditions that are likely unrelated to violence, insurance status and health center availability per capita. We test for distributional responses to violence by urban and rural localities. Results The likelihood of service utilization increases by 5.2% with each additional homicide per 100,000. When we include self-reported health conditions in the model, our main coefficient remains significant at 4.5%. We find no added effect to our results from interaction terms for age specific concentration of violence, respiratory conditions, insurance status, or health center availability. A substantial increase of 11.7% in the likelihood of service utilization occurs in localities with > = 100,000 inhabitants, suggesting that service utilization is sensitive to the location of violence. Conclusions Results highlight the relationship between and increase in violence at the local level and an increase in health care service utilization. This study is among the first to examine this relationship empirically in Mexico. Future research is needed to shed more light on this relationship and its mechanisms.


2018 ◽  
Vol 1 (3) ◽  
pp. 24
Author(s):  
Menik Kustriyani ◽  
Suci Andyana ◽  
Rahayu Winarti

Background : Healthcare quality should be improved to give patients satisfaction, that will lead them to use the service again and recommend the health center to the other people. The quality also affects the patient revisit rate. Good service and quality have to fulfill five dimensions of service quality, namely responsiveness, assurance, tangible, empathy, and reliability. This research is conducted to acknowledge the relation between health care service quality and out-patient revisit rate in Mijen Community Health Center, Semarang.Methods : This research is analytical quantitative research. The method used in this research is cross-sectional design. The sample was selected using purposive sampling technique, with a total sample of 74 respondents and using  informed consent for the filled in by respondents. The data was taken by using a questionnaire with the rank spearman trial analysis method.Result : 58.1 respondents state that the healthcare service quality is good. 77.0 respondents stated that they are willing to revisit Mijen Community Health Center, Semarang. The result of rank spearman statistic trial shows that there is a correlation between health care service quality and out-patient revisit rate in Mijen Community Health Center, Semarang (p=0,000) which is lower than ά = 0,05.Conclusion : The better healthcare service quality given to the patient, the higher patient revisit rate in Mijen Community Health Center, Semarang. 


2018 ◽  
Vol 2 (1) ◽  
pp. 12-23
Author(s):  
Ishak Ishak

Based on the data of Pangkajene Health Care Center, Maritengngae, Sidenreng Rappang 2016, the number of dengue patients treated in 2013 as many as 50 patients, in 2014 decreased by 22 patients with the death of 2 patients, while in 2015 decreased by 15 patients. From the number of cases January 2013 to December 2015 as many as 87 patients. Puskesmas Pangkajene is the health center with the highest number of DHF patients in Sidrap district. This research is a qualitative study by using in-depth interview technique to informant (program manager from Puskesmas Pangkajene).


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