Challenges and Achievements of Medical Tourism from the viewpoint of  Medical tourists and Service Providers in the Public Hospitals of Shiraz (2017)

Introduction: Obviously, medical tourism is growing rapidly. This study aimed to identify the challenges and achievements of medical tourism from the viewpoint of medical tourists and service providers in the public hospitals of Shiraz in 2007. Method: This descriptive study was carried out through structural and thematic analysis, using a method called SWOT. The study sample included all tourists, medical tourists, and service providers in the public hospitals of Shiraz. Accordingly, 21 medical staff and 31 medical tourists were investigated. The Friedman Test was used to prioritize and rank the most important weaknesses, strengths, opportunities, and threats of medical tourism. Results: The results showed that medical tourism in the public hospitals of Shiraz had 9 strengths, 8 weaknesses, 8 opportunities, and 6 threats. A total of 17 strategies, including four SO strategies, three ST strategies, six WO strategies, and four WT strategies for medical tourism in the public hospitals of Shiraz were developed. Some of the major parts of these strategies included the development of medical tourism in the public hospitals of Shiraz, the establishment of medical justice for medical tourists through the optimal distribution of services and control over price and quality, the fight against corruption and collusion, plans for supporting the officials, financial support and investment in the medical tourism sector, and the development of strategic plans for supporting medical tourism. Conclusion: It seems that appropriate policies should be legislated by the Ministry of Health and Medical Education to improve the medical tourism in Shiraz.

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FISCAL EQUIVALENCE: PRINCIPLE AND PREDATION IN THE PUBLIC ADMINISTRATION OF JUSTICE

Social Philosophy and Policy ◽

10.1017/s0265052521000303 ◽

2021 ◽

Vol 38 (1) ◽

pp. 244-265

Author(s):

Emily C. Skarbek

Keyword(s):

Public Administration ◽

Equivalence Principle ◽

Justice System ◽

Service Providers ◽

The Political ◽

The Public ◽

Local Police ◽

Administration Of Justice ◽

Internal Pressures ◽

And Control

AbstractFiscal equivalence in the public administration of justice requires local police and courts to be financed exclusively by the populations that benefit from their services. Within a polycentric framework, broad based taxation to achieve fiscal equivalence is a desirable principle of public finance because it conceptually allows for the provision of justice to be determined by constituent’s preferences, and increases the political accountability of service providers to constituents. However, the overproduction of justice services can readily occur when the benefits of the justice system are not enjoyed equally. Paradoxically, the same properties that make fiscal equivalence desirable by imposing restraint and control between constituents and local government also create internal pressures for agents of the state to engage in predatory, revenue-generating behavior.

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The practice of hand hygiene in the maternities of the public hospitals of Lubumbashi

Archives of Infectious Diseases & Therapy ◽

10.33140/aidt.05.02.02 ◽

2021 ◽

Vol 5 (2) ◽

Keyword(s):

Hand Hygiene ◽

Descriptive Study ◽

Public Hospitals ◽

Hand Washing ◽

Cesarean Sections ◽

Cross Sectional ◽

The Public ◽

Hand Rubbing ◽

Maternity Hospitals ◽

The One

Introduction: The objective of this study was to evaluate the practice of hand hygiene in the maternities of the public hospitals of Lubumbashi. Method and techniques: We carried out a cross-sectional descriptive study in which the population consisted on the one hand of the technical rooms of the maternity hospitals and the operating rooms for cesarean sections and on the other hand the nurses responsible for these maternities. The observation technique using an observation guide of the WHO model allowed us to collect the data. Results: Hand hygiene was not properly carried out in the maternity wards of Lubumbashi's public hospitals. Most of the prerequisites before hand washing and hydro-alcoholic hand rubbing were not respected, the prerequisites for surgical hand washing were observed only at 21.4%:e wearing of short-sleeved clothing (43.0%),absence of jewelry (78.6%), short nails without varnish and false nails (50.0%). In the absence of hydroalcoholic solution (SHA) (71.4%) for the friction, they used denatured alcohol (28.6%). The duration of soaping and friction was in an interval between 11 to 20 seconds or 42.9% and that of hygienic hand washing was observed at 28.6%. The duration of surgical and antiseptic hand washing was 21 to 40 seconds to 35.7%. Only 21.4% of the departments surveyed had used the broad-spectrum antiseptic foaming solution, no structure had a sterile disposable brush for hygienic and surgical hand washing, 2/14 departments surveyed had sterile disposable towels, the water used had not undergone bacteriological control and only one service, ie 7.1%, which had non-manually operated bins. Conclusion: Hand hygiene is not properly carried out in maternity hospitals in Lubumbashi's public hospitals, due to a lack of equipment and knowledge on this practice, equipment must be provided and staff trained in hand hygiene.

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Identifying executive challenges of performance-based payment from medical and educational hospitals managers’ perspective and offering solutions in Isfahan (2018)

Evidence Based Health Policy Management and Economics ◽

10.18502/jebhpme.v3i2.1223 ◽

2019 ◽

Author(s):

Alireza Jabbari ◽

Nasrin Shaarbafchi Zadeh ◽

Behrooz Maddahian

Keyword(s):

Financial Incentives ◽

Service Providers ◽

Public Hospitals ◽

Structured Interviews ◽

Educational Support ◽

The Public ◽

Health Service Providers ◽

Research Population ◽

Information And Communication ◽

Correct Implementation

Introduction: Performance-based payment is a payment model that attempts to reward the measured dimensions of performance and encourages health service providers to achieve predetermined goals by financial incentives. This study aimed to identify executive challenges of performance-based payment from medical and educational hospitals managers’ perspective and offering solutions in Isfahan 2018. Methods: This study was a qualitative study. Semi structured interviews were used to collect data. The research population was 11 people (the managers of educational and medical hospitals in Isfahan) who were selected purposefully. All interviews were recorded and then written on a paper. The duration of the interviews varied between 45 to 60 minutes. The data were analyzed using MAXQDA120 software and based on thematic analysis. Results: In this study, , regarding executive challenges, seven themes and fifteen sub-themes were obtained, including the weakness of the performance-based payment project, weakness in education and educational support, low employee participation, weakness of information and communication technology, weakness of laws and regulations, unfavorable economic conditions of the public sector, and special conditions governing public hospitals. Conclusion: performance-based payment, if implemented correctly, can lead to the improvement of quantitative and qualitative indicators related to employees’ performance. Correct implementation requires identifying challenges and obstacles and then corrective actions. This study was able to identify and present some of the operational challenges of the performance-based payment from the viewpoint of hospital managers.

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Service Quality, Satisfaction and Trust: a Study of Public Hospitals in Bandung, Indonesia

International Journal of Engineering & Technology ◽

10.14419/ijet.v7i3.30.18340 ◽

2018 ◽

Vol 7 (3.30) ◽

pp. 393

Author(s):

Marcellia Susan ◽

. .

Keyword(s):

Service Quality ◽

Structural Equation ◽

Service Providers ◽

Clinical Care ◽

Healthcare Services ◽

Public Hospitals ◽

Care Process ◽

Primary Data ◽

Equation Modeling ◽

The Public

Research on service quality has been performed by researchers on various research objects. In many previous studies, service quality provided by service providers became the factor that affects customer satisfaction and other various research variables. The study was conducted at public hospitals that offer healthcare services with a focus on service quality. The purpose of this study was to analyze the service quality provided by public hospitals, and to test their effect on the satisfaction and trust of patients or attendants. The objects of this research are the public hospitals in Bandung with the patients or attendants as the unit of analysis. Primary data were obtained through the dissemination of questionnaires on patients or attendants to obtain data on their evaluation of service quality of public hospitals, and their satisfaction and trust towards public hospitals. Obtained data was processed using structural equation modeling to confirm causality of related research variable. The results depict the service quality provided by public hospitals in Bandung covering infrastructure, personnel quality, clinical care process, administrative procedures, safety indicators, and social responsibility. Moreover, the results of hypothesis testing show that service quality has an influence on patient satisfaction, and ultimately affects their trust in the hospital.

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HYPERTENSION

The Professional Medical Journal ◽

10.29309/tpmj/2015.22.02.1377 ◽

2015 ◽

Vol 22 (02) ◽

pp. 215-220

Author(s):

Mamoona Mushtaq ◽

Najma Najam

Keyword(s):

Public Hospitals ◽

Control Group ◽

Monthly Income ◽

Chi Square ◽

The Public ◽

Collection Data ◽

Study Methodology ◽

And Control ◽

Relationship Of ◽

The Relationship

Hypertension is a condition of the person in which blood pressure is chronicallyhigh. Hypertension is a leading factor to damage health and turn out many chronic conditionsin human body1. Objectives: To study the relationship of hypertension with psychologicalstates of anger, stress and anxiety and do they predict hypertension? Study Design: A corelational study. Methodology: Outdoor hypertensive patients (N = 200, men = 110, women= 90) between ages 30-65, and control group (N = 170, men = 90, women = 80), matchedwith age, gender and monthly income were taken from the public hospitals. STAXI (Spielberger,1988) and DASS (Lovibond & Lovibond, 1995) were used for data collection. Data analysis:Descriptive statistics, chi-square, logistic regression analyses were used. Results: Significantpositive correlation of hypertension with anger, stress and anxiety was found. Anger-control,anger-in, stress and anxiety emerged as strongest predictors of hypertension.

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Healthcare service provider type selection of the medical tourists by using neutrosophic sets

Journal of Intelligent & Fuzzy Systems ◽

10.3233/jifs-189111 ◽

2020 ◽

Vol 39 (5) ◽

pp. 6475-6485

Author(s):

Saliha Karadayi-Usta ◽

Cafer Erhan Bozdag

Keyword(s):

Decision Making ◽

Healthcare Service ◽

Medical Tourism ◽

Service Providers ◽

Public Hospitals ◽

Provider Type ◽

Neutrosophic Sets ◽

Number Of Patients ◽

Tourism Service ◽

Selection Of

Medical tourism service offers a professional healthcare opportunity by travelling abroad with the chance of touristic and cultural activities at the destination country. Medical travelers prefer a foreign country for treatment due to long waiting periods, high costs, excessive number of patients, inadequate number of healthcare professionals and inadequate cutting-edge technological equipment at their country of residence. An assistance company (AC) is a legal requirement to support medical tourists in Turkey during the treatment period, and offers alternative healthcare service providers (HSPs) that are public hospitals, private hospitals and private clinics at the first phase of the medical tourism service. Moreover, there are specific HSPs certificated by the government, and a few number of public hospitals authenticated for medical tourism. By taking the whole above statements into consideration, HSP selection is a key decision-making point differentiating from a traditional hospital selection of a patient. Medical tourists must evaluate various criteria in order to select a proper HSP. Additionally, these decision criteria are often vague, complex, indeterminate and inconsistent information in the HSP type decision. Hence, in this study, a decision making model based on neutrosophic fuzzy sets considering HSP selection in every aspect (truthiness, indeterminacy and falsity) is suggested.

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Research on Regulation of Internet Advertising Platform

Scientific and Social Research ◽

10.36922/ssr.v3i1.1065 ◽

2021 ◽

Vol 3 (1) ◽

Author(s):

Ming Ni ◽

Peng Yan

Keyword(s):

Service Providers ◽

Internet Advertising ◽

Regulatory Agencies ◽

Control Mechanisms ◽

Public Governance ◽

The Public ◽

The Media ◽

Advertising Content ◽

Content Review ◽

And Control

As advertisement publishers, Internet advertising platforms are the main media and channels for Internet commercial paid advertisements. Management norms and control mechanisms act are the first barrier in actual governance activities. Interest-oriented Internet platforms have natural defects in the process of regulation. The Internet advertising platform has multiple identities such as participants in the public governance of Internet advertising, rule-makers, discourse system builders, advertising publishers, product development and operators, platform owners, and service providers. Internet advertising platforms need to strengthen their own regulations to improve advertising content review rules, advertising qualification access rules, operations and channel management mechanisms, and also need to strengthen their own self-discipline[1]. At the same time, government regulatory agencies and industry organizations need to strengthen the supervision of the platform, and the society and the media also need to strengthen supervision and participation.

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Dress and Gulf imagery in two Malayalam films: Pathemari and Marubhoomiyile Aana

Film Fashion & Consumption ◽

10.1386/ffc_00018_1 ◽

2020 ◽

Vol 9 (2) ◽

pp. 177-192 ◽

Cited By ~ 1

Author(s):

Musthafa Mubashir ◽

M. Shuaib Mohamed Haneef

Keyword(s):

Public Sphere ◽

Thematic Analysis ◽

Symbolic Capital ◽

Semiotic Analysis ◽

The Public ◽

Power And Control ◽

The Status ◽

History Of ◽

The Public Sphere ◽

And Control

Malayalam films since the 1970s have captured the history of Gulf migration from Kerala, which occurs primarily due to the desperate need of its people for jobs and for money. Predominantly, the discourses of migrants in the films are embedded in various things, including dress from the Gulf, the insignia of opulence that depict the status of the migrants in the public sphere. Using thematic analysis of two Malayalam films, Pathemari and Marubhoomiyile Aana, this study argues that the motif of the Gulf is associated with power and control in the cultural discourse of Kerala. Drawing on the semiotic analysis of Barthes, we contend that the replacement of mundu, a traditional attire of Kerala men, by trousers, is one among several mythical markers of modernity, including perfumes and watches brought from the Gulf. The performativity and materiality of dress in these two films produce imageries of the Gulf by which the wearers, mostly male, accumulate social and symbolic capital and assert dominance in the film’s narration.

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EVALUATION OF MEDICAL TOURISM IN PUBLIC HOSPITAL SERVICES

JOURNAL OF TOURSIM AND HOSPITALITY MANAGEMENT ◽

10.35666/25662880.2015.1.303 ◽

2015 ◽

pp. 303-309

Keyword(s):

Medical Tourism ◽

Field Research ◽

Public Hospitals ◽

Chi Square ◽

Turkish Republic ◽

Face To Face ◽

The Public ◽

Hospital Patients ◽

Research Findings ◽

Obstetric Services

Evaluating the services of public hospitals in medical tourism in our country, to create data structures to improve. The research is descriptive and field research. The questionnaire was used as data collection tool. The population of the research was public hospitals in Ġstanbul. It has yet to determine the sample. All were included in the study of the universe. Surveys have been applied to the hospital executives face to face. Serving a total of 62 public hospitals in Istanbul has reached 60 from the administrator. Data were analyzed by SPSS software package was used. Demographic information obtained as a result of the implementation of the survey percentage (%) and number of people (n) taking statements have been prepared. In the analysis of data obtained from the survey; frequency distribution, mean, standard deviation, chi-square (χ2) test was conducted as required statistical analysis. According to the research findings; from abroad, especially from June to July and August in the patients (86.7%) were admitted to hospitals and reference is made to themselves (90%) were determined. Patients are often admitted to the eye and obstetric services (40%), the majority (91.7%) of the patients and 46.7% from the Turkish Republic of Germany. If Turkey is found to be effective in the choice of the price with a rate of 96.7%. These results indicate that the desired level yet in the public hospitals of health tourism.It shows that we are more advanced in their health tourists. Foreign patients, especially the Public Hospitals have to choose when they come to Turkey. Choice of hospital activity in patients, beds, staff and a similar number of properties have been found to be no effect. When assessing overseas promotion activities for both types of hospital patients it has been identified where there aren‘t serious efforts. For this purpose, the Internet, magazines, newspapers, brochures or tour operators visit methods were used. In our country, it is necessary to increase the awareness level of the public hospitals in medical tourism. Management and organization structure, together with physical conditions must arrange accordingly. Need to develop promotional activities. For this, they need to do serious work with academics and industry representatives of the relevant ministries.

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