scholarly journals Specificity of the work of physicians in inpatient healthcare facilities of the Gomel region in the situation of the COVID-19 pandemic

2021 ◽  
Vol 18 (4) ◽  
pp. 121-128
Author(s):  
T. M. Sharshakova ◽  
V. S. Volchek

Objective. To study the specificity of the functioning of inpatient healthcare facilities in the Gomel region in the spread of the coronavirus disease COVID-19.Materials and methods. A survey among 78 physicians of the inpatient healthcare facilities was conducted, which provided an opportunity to analyze the specificity of the work in the spread of the coronavirus disease COVID-19 and related difficulties.Results. According to the respondents, in the situation of the COVID-19 pandemic, there has been a considerable growth in working hours and intensity of the work of the physicians in the inpatient healthcare facilities. In the vast majority of the cases (74.7 %), the physicians in the inpatient healthcare facilities underwent training on prevention, diagnostics, adoption of anti-epidemic measures in the detection and treatment of COVID-19 patients. Nevertheless, only 25.6 % of the respondents considered their professional competence level with regard to their work with COVID-19 patients to be high. Moreover, the physicians` satisfaction rate for the existing strategies for rendering medical care to COVID-19 patientswas 6.87 ± 2.06 outof 10.Conclusion. To a large extent, the physicians of inpatient healthcare facilities of the Gomel region during their work with patients are concerned about such circumstances as longer working hours and increased working intensity, complexity of making balanced and optimal decisions regarding the organization of the work of inpatient healthcare facilities during the pandemic, as well as issues related to contact with patients (worrying about getting infected and infecting family, organization of childcare due to the closure of schools and preschool institutions during quarantine and others).

2019 ◽  
Vol 61 (1) ◽  
pp. 17-22
Author(s):  
I. P. Artyukhov ◽  
F. V. Kapitonov ◽  
Vladimir F. Kapitonov

The shortcomings offunctioning of ambulatory polyclinic service and overrated volume ofprovided emergency medical care became actual propblemin primary medical care support of population in small towns due to age structure of population. Purpose of study. To investigate dynamics of age structure of out-patient visits and calls of emergency care by population of small town in 2011-2015. The analysis of out-patient visits and calls emergency care in 2011-2015 demonstrated that during five years number of visits to polyclinic decreased up to 5.3% mainly (14%) at the expense of residents of able-bodied age while number ofpatients of junior and senior able-bodied age increased on 1.5% and 5.1% correspondingly. The analysis of calls of emergency medical care revealed shortcomings in organization of ambulatory polyclinic care: more than a half (70.4%) of all calls because of instant diseases and conditions falls on the period of working hours of polyclinic (from 8 to 20 h.) The occasion of call by population of junior able-bodied age in 68.7% became acute diseases of respiratory organs (acute respiratory viral infection - in 93.6%) and by patients of senior ablebodied age in 72.6% - exacerbation of chronic pathology (ischemic heart disease, hypertension disease). The correction of these calls could be implemented by ambulatory polyclinic service itself. The acquired data corresponds to publication data and indicates to existing problems of primary medical care support of rural population in various regions of the Russian Federation. The investigation of age structure of out-patient visits, calls of emergency medical care of data of sociological survey of respondents revealed shortcomings in organization of functioning of municipal polyclinic related to population of senior able-bodied age that result in increasing of volume of work implemented by teams of emergency care.


2021 ◽  
Vol 1 (5) ◽  
pp. 5-10
Author(s):  
Rajat Shandilya ◽  
◽  
Bhagyesh Acharya ◽  
Mayank ◽  
Monika Garg ◽  
...  

India is quickly becoming one of the most popular tourist destinations in the world. The rise of India as a tourist destination can be attributed to a number of factors. The growth of medical tourism in India is one of the reasons examined in this paper. Healthcare tourism is when people from all over the world fly to another country to receive medical, dental, and surgical treatment when exploring, vacationing, and completely immersing themselves in the attractions of the countries they are visiting. In the medical tourism industry, India is one of the most popular destinations. Medical tourism is experiencing rapid growth in India. Medical tourists cross foreign boundaries in search of medical care. Medical tourism has developed to become a multibillion-dollar industry. It is important to remember that the primary goal of medical tourists is to provide high-quality medical care at an affordable cost. When compared to other developing countries in the world, India has emerged as the most sought-after destination for medical tourists due to the availability of world-class doctors at affordable prices. In addition, India has a wide range of tourist destinations. It has tremendous potential for creating jobs and earning large sums of foreign currency. The paper ends with policy recommendations for advancing the rapidly growing medical tourism industry.


Author(s):  
Jane M. Gould

A unique feature of most pediatric healthcare facilities is that they provide opportunities for both inpatients and outpatients to participate in play with developmentally appropriate toys during their medical care. Reasons for play in hospitalized pediatric patients may include providing mechanisms to educate children about their particular medical conditions, providing stress reduction during frightening procedures, assisting in the development of coping strategies, and attempting to maintain a sense of normalcy during long hospitalizations. Although toys and playroom environments provide a vital psychosocial and quality-of-life function, however, they are also known to contribute to the transmission of infectious agents. This chapter provides guidance on minimizing transmission of pathogens in hospital-based playrooms and classrooms: pathogens that are commonly found in pediatric healthcare facilities. This chapter also discusses the transmission challenges with pet therapy programs for children, and suggests approaches for safe implementation of these programs. Sample policies are included.


2018 ◽  
Vol 221 (2) ◽  
pp. 267-292
Author(s):  
Huda Abd Al-Razak

    The study aimed to identify Daily Hassles and its relationship to professional competence among Educational Counselors, the researcher used descriptive approach and reached the study sample (400) Educational Counselors. The researcher instruments used are: Daily Hassles scale and second professional competence scale has been checked and validtiy (face, and construction) and consistency of the instruments using the re-test, and internal consistency Cronbach's alpha The study came to the following findings: - The degree of Daily Hassles among Educational Counselors was (145.1725) this refers to a higher level, compared with the The theoretical average of (138) and that professional competence level have (135.182), a high level indicates that the enjoyment of the sample with professional competence, compared with the The theoretical average of (102) and the study showed that there were statistically significant differences between Educational Counselors in Daily Hassles due to the variable sex, the results showed no significant statistical differences between Educational Counselors in the level of professional competence due to the variable sex  and the results indicated the presence of a positive correlation between Daily Hassles function and professional competence relationship.


2014 ◽  
Vol 95 (2) ◽  
pp. 257-261
Author(s):  
K Yu Dobrovinskaya ◽  
L N Voyt

Aim. To study the opinion of patients with low back pain of judgement of assessibility and quality of medical care in public and private medical centers. Methods. Back pain patients to assess the quality of medical care filled in specially designed questionnaires for each type of medical facilities (two types of questionnaires for each patient who underwent treatment in both outpatient public clinics and private medical centers, total of 600 questionnaires). The poll was anonymous and was performed at one of the private medical centers in august 2013. Patients were randomly picked out from all patients who seek for medical aid in private center being unsatisfied with the quality of medical aid offered at public medical centers or who were on the waiting list for a doctor visit, or with disease worsening not within the working hours of public medical centers (600 questionnaires). The poll included patients of active working age: men aged 20 to 60 years (118 patients, 39.3%) and females aged 20 to 55 years (182 patients, 60.7%). Results. The majority of patients were more satisfied with the quality of the treatment, examination and attitude of medical personnel in private medical centers compared to public institutions. The following issues of providing medical aid to back pain patients were discovered both in private and public settings: untimely referral to specialist, or consultation only by general practitioner without subsequent consultation of neurologist, long waiting lists, incomplete neurologic examination, and low qualification of doctors in choosing appropriate examinations, treatment approach and further prophylaxis. Abovementioned issues were more significant in public settings. Conclusion. The research showed that there is a need in developing uniform standards of medical care in case of a back pain in outpatients that do not yet exist.


PEDIATRICS ◽  
1968 ◽  
Vol 42 (5) ◽  
pp. 743-751
Author(s):  
Willis A. Wingert ◽  
William Larson ◽  
David B. Friedman

Patterns of obtaining medical care for children from broken, lower socioeconomic families did not differ significantly from that of intact families. Many separated and divorced mothers handled their children's health problems adequately in spite of economic and transportation problems. Stability and intactness are not synonymous. The broken family may actually be quite stable due to hidden mates, guidance from appropriate social agencies and social norms which assign medical nursing care to the mother. This parental coping mechanism may be developed by long experience in dealing with the usual problems of a disadvantaged population: unemployment, desertion, poor housing and frequently, open violence.


Author(s):  
Suhyun Oh ◽  
Hyeongsu Kim

Employment turnover among doctors at healthcare facilities negatively influences healthcare provision, facility management, and staffing. To support institutional and policy change, turnover intentions and its related factors of employed doctors were evaluated with 2016 Korean Physician Survey (n = 2719) in Korea. About 30.5% intended a turnover within two years. The significant related factors by multivariate analysis via binary logistic regression were gender, age, specialty, type of facility, length of current employment, usual number of hours worked per week, and income satisfaction. The odds of reporting turnover intention are 46.2% greater for males than females and 55.5% greater for aged 30–39 than aged 40–49. The odds are 28.9% smaller for support medicine than internal medicine. The odds are 224.2% greater for those employed at tertiary hospitals than those employed at clinics, but the odds are 34.0% smaller for convalescent hospital employment than general hospital employment. The number of years of current employment and income satisfaction each negatively, and the number of hours worked per week positively, related to turnover intentions. Fair compensation and performance evaluation systems and reasonable working hours should be guaranteed at healthcare facilities to reduce turnover, and institutional and policy measures should be implemented to improve workplace environmental quality.


Author(s):  
R. N. Lemeshkin ◽  
V. D. Bigunets ◽  
V. S. Belousov ◽  
A. V. Sinkiewicz

Relevance. The available unique experience of elimination of medical and sanitary consequences of emergency situations of natural, technogenic and social nature proves that the effectiveness of rendering medical care within or on the border of emergency area depends on timely arrival and actions of non-staff healthcare professionals of the All-Russian service for disaster medicine – crews for specialized medical care, physician-and-nurse crews. Directly during training and practical activities non-staff healthcare professionals face problematic issues affecting their readiness and quick response.Intention. To define the most significant problematic issues influencing work of non-staff healthcare professionals of the Service for disaster medicine of the Ministry of Defense of the Russian Federation on elimination of medical and sanitary consequences of emergency situations.Methodology. Content analysis of the facts and trends in the documents regulating activities of non-staff healthcare professionals of emergency formations was performed. Non-staff physicians were surveyed on problematic issues of training, practical activities and professional competence and importance of these issues ranked: “not important” – 1, “important” – 2, “very important” – 3 with assigning respective points.Results and Discussion. In the military-medical organizations of the central subordination, including the Kirov Military Medical Academy, emergency formations of Service for disaster medicine of the Ministry of Defense of the Russian Federation exist to strengthen (special-purpose) medical groups and medical institutions responsible for admitting casualties from emergency areas. An “average portrait” of a non-staff healthcare professional was as follows: male surgeon of 38.7±1.1 after a clinical internship, with an academic degree and experience in subject domain of 13.4 years. He has served (worked) at the Kirov Military Medical Academy and carried out functional duties on a constant basis, with experience more than two years as a part of physician-nurse or specialized medical care (thoracoabdominal) crew, with sufficient experience in elimination of medical and sanitary consequences of emergencies. At the same time during training and practical activities he faces a number of issues, such as labor relations and quality assessment of performance during elimination of medical and sanitary consequences of emergency situations, unsatisfactory resource and organizational support and also low readiness of all the non-staff members of the crew.Conclusion. Besides problematic issues of labor relations in emergency formations, the factors influencing training, performance and professional competence of non-staff healthcare professionals were defined, i.e. special equipment for medical evacuation (sanitary aviation); unsatisfactory facilities intended for elimination of medical and sanitary consequences of emergencies; medical equipment in emergency areas. As a result of the analysis, all the problematic issues were limited to 3 fundamental internal (hidden) factors influencing training, performance and professional competence of healthcare professionals at the Kirov Military Medical Academy: “Basic resources” (22.05%), “Shortcomings in daily activities” (11.9%), “Readiness for actions” (10.4%). To minimize the specified problematic issues, various (alternative) options are suggested. 


2020 ◽  
Vol 1 (37) ◽  
pp. 103
Author(s):  
V. Anishchenko

The main indicator of the readiness for future activity of penitentiary officers of the State Criminal and Executive Service of Ukraine is the professional competence. The problem of its formation study is urgent especially at present, when the whole penitentiary system of our country is being reformed.The purpose of the article is to determine the results of experimental verification of professional competence level of future penitentiary officers of the traditional training system. In order to achieve the purpose, there were used the study methods as questioning, testing, cadets and students' practical tasks in solving juridical situations, writing essays, interviews and others.The article presents the results of the study of professional competence level of future penitentiary officers of Ukraine, who obtain higher education at the first (bachelor’s) and second (master’s) levels of education. The professional competence level of future officers of the State Criminal and Executive Service of Ukraine was determined by cognitive, activity, motivational, motivational and volitional, axiological and professional and personal criteria.The provided study results of the status of professional competence formation of future penitentiary officers in the traditional training system indicate the need for methodological improvement of the training system which in the future will become the basis for the author's concept development for the graduate officers` training of the State Criminal ans Executive Service of Ukraine.Keywords: penitentiary officer, professional competence, service quasi-professional activity, criteria of the level of professional competence formation, professional development.


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