The technology organization of production in health services: (re)knowing boundaries and embracing perspective

2009 ◽  
Vol 4 (1) ◽  
pp. 385
Author(s):  
Diego Bonfada ◽  
José Rodolfo Lopes de Paiva Cavalcanti ◽  
Dayane Pessoa de Araujo ◽  
Jacileide Guimarães
Keyword(s):  
Health Services ◽  
Medical Model ◽  
Theoretical Discussion ◽  
Health Manpower ◽  
Technological Organization ◽  
Basic Reference ◽  
Recursos Humanos ◽  
Health Institutions ◽  
Organization Of Production

ABSTRACTObjective: to reflect on the current dynamics of health services focusing on the importance of soft technologies such proposal to break with the curative hegemonic medical model. Methods: it was performed a literature review of author considered a basic reference for the theme. From this, was developed a theoretical discussion of the texts consulted with a view to support the discussion of soft technologies and production of health care. Results: we perceived that health services point to a fragmented practice, curative and appreciate the highly complex procedures, expertise and hard technologies and soft-hard to guarantee the quality of care. Conclusion: it is essential that the technological organization of work in health rescue the prioritization of the use of soft technologies to that can move forward in the consolidation of the quality of a health system. In this sense, universities and health institutions must act mutually pointing to the reality transformation. Descriptors: health manpower;, technology; health services. RESUMOObjetivo: refletir sobre a atual dinâmica dos serviços de saúde evidenciando a importância das tecnologias leves como proposta de ruptura com o modelo médico curativista hegemônico. Métodos: foi realizado um levantamento bibliográfico de autores considerados referência básica para o tema. A partir disso, foi desenvolvida uma reflexão teórica dos textos consultados, na perspectiva de subsidiar a discussão sobre as tecnologias leves e a produção do cuidado em saúde. Resultados: percebeu-se que os serviços de saúde apontam para uma prática fragmentadora, curativista e que valoriza os procedimentos de alta complexidade, a especialização e as tecnologias duras e leve-duras como garantia da qualidade da assistência. Conclusão: torna-se imprescindível que a organização tecnológica do trabalho em saúde resgate a priorização do uso das tecnologias leves para que se possa avançar no processo de consolidação de um sistema de saúde de qualidade. Nesse sentido, Universidades e os serviços precisam atuar mutuamente objetivando a transformação da realidade. Descritores: recursos humanos em saúde; tecnologia; serviços de saúde. RESUMENObjetivo: reflexionar sobre la dinámica actual de los servicios de salud se destaca la importancia de las tecnologías blandas propuesta de este tipo para romper con el modelo médico hegemónico de la curativa. Métodos: se realizó una revisión de la literatura de autores considera como una referencia básica para el tema. De esto, hemos desarrollado un análisis teórico de los textos consultados con el fin de apoyar la discusión de las tecnologías blandas y la producción de atención de la salud. Resultados: se observó que los servicios sanitarios apuntan a una práctica trituradora, curativos y de apreciar los procedimientos de alta complejidad, la experiencia y las tecnologías de duro y blando-duro para garantizar la calidad de la atención. Conclusión: es esencial que la organización tecnológica de los trabajos de rescate en la priorización de la salud de la utilización de tecnologías blandas para avanzar en la consolidación de un sistema de atención sanitaria de calidad. En este sentido, las universidades y otros servicios deben actuar encaminadas a cambiar la realidad. Descriptores: recursos humanos en salud; tecnologia; servicios de salud. 

scholarly journals Compromised quality of maternal healthcare in a market economy: Medellín, Colombia 2008-2009

2011 ◽  
pp. 294-302 ◽  
Author(s):  
Gloria Molina ◽  
Gilma Vargas ◽  
Alina Shaw
Keyword(s):  
Health Services ◽  
Maternal Care ◽  
Maternal Health Services ◽  
Labor Costs ◽  
Individual Interviews ◽  
The Social ◽  
Municipal Policies ◽  
Obstetric Services ◽  
Health Institutions

Objective: To analyze the quality of the maternal health services in Medellín city, Colombia within the context of the Social Security System in Health from the perspective of the mothers, physicians and nurses involved in the provision of these services. Methodology: A qualitative study was carried out, during which 24 individual interviews were conducted to key doctors and nurses, who work in health institutions that providing maternal care. Also three focus groups with mothers were conducted. The data analysis was carried out using a systematic and carefully coding and categorization process. Findings: In spite of the fact that municipal policies have been put in place to improve maternity care, mother and pregnant women face problems with health services. Findings suggests that the strategies put in place by these health institutions to decrease labor costs, the administrative barriers, the low tariffs of the obstetric services paid by the health insurers within and competitive market, and the focus on getting financial profitability, are aspects that affecting quality of maternal care.

scholarly journals EVALUATION OF THE LEVEL OF SATISFACTION OF HOSPITALIZED PUERPERAL WOMAN IN A MATERNITY IN THE COUNTRYSIDE OF PARAÍBA

2018 ◽  
Vol 2 (4) ◽  
pp. 140-159
Author(s):  
Maria Cristina Nascimento de Freitas ◽  
Joselito Santos ◽  
Andreia Oliveira Barros Sousa ◽  
Symara Abrantes Albuquerque de Oliveira Cabral ◽  
Maria Nizete Tavares Alves ◽  
...  
Keyword(s):  
Data Collection ◽  
Health Services ◽  
Consumer Satisfaction ◽  
Maternity Hospital ◽  
Descriptive Research ◽  
Puerperal Woman ◽  
Level Of Satisfaction ◽  
Sample Error ◽  
Health Institutions

There is now a growing need for improvement in health services provided in all health institutions. One possible strategy with this aim is to identify factors that may directly interfere with the quality of care and, therefore,  determine the satisfaction of the user of this service . The purpose of this study was to evaluate the level of satisfaction of postpartum women admitted to a maternity ward, taking into account the existing structure and services provided by the institution. This is an exploratory, descriptive research of quantitative nature developed at the Deodato Cartaxo maternity hospital, belonging to the Regional Hospital of Cajazeiras, located in the municipality of Cajazeiras, Paraiba State in Brazil. The population was composed of hospitalized puerperal women and the sample of 100 woman was performed for convenience, systematic of the proportional type with a sample error of 5%. The data collection period was between the months of august and september 2015. The instrument of data collection was SERVQUAL, evaluating its five quality indicators (tangibility, reliability, attendance, safety and empathy). The results were presented in table form with their respective absolute and relative frequencies. Among the indicators studied, reliability, care and security were the ones that generated the most satisfaction among the puerperal woman and tangibility was referred to as an indicator of dissatisfaction among the users. Keywords: Evaluation of health services; consumer satisfaction; maternities.

The Effectiveness of QMS Implementation in Applying of Quality Health Care for Patients in Health Institutions of Kosovo

2016 ◽  
Vol 2 (3) ◽  
pp. 95
Author(s):  
Samir Lleshi
Keyword(s):  
Health Services ◽  
Continuous Improvement ◽  
Health Sector ◽  
Iso 9001 ◽  
Quality Health Care ◽  
Continuous Quality ◽  
Quality Health ◽  
Health Institutions ◽  
Set Up

Continuous improvement of quality in health system is a challenge for many countries, particularly for those which are undergoing difficult period of transition from the system where the quality was not even known, measured or hasn’t consequently been improved in a system where the health service offers are different. In its route toward the European integration in the recent years Kosovo has set up the basis in terms of quality of infrastructure. Even though compared to its neighbors it is still staying behind in terms of quality of legal infrastructure by creating a quality system according to the requirements of EN ISO 9001 standards, while making easier instalment and constant monitoring of the healthcare standards by setting the guidelines for best application practices, particularly in well-known international fields Health sector in Kosovo is one of the most important sectors and has been continually stated as a priority for development of the country, therefore, creating of conditions for a continuous quality improvement, safety of health services and evaluation of such services is a major challenge associated with a patient and citizens to offer more and higher qualitative health services.

Slaughtering to serving: a reflection on healthcare leadership in Indonesia

BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000442
Author(s):  
Jeslyn Tengkawan ◽  
Felicia Felicia ◽  
Aqsha Azhary
Keyword(s):  
Quality Of Care ◽  
Health Services ◽  
Work Environment ◽  
Effective Leadership ◽  
Work Motivation ◽  
Leadership Studies ◽  
Healthcare Leadership ◽  
Workplace Environment ◽  
Health Institutions

Climate and culture within health institutions are strongly determined by healthcare leadership. Studies have shown how workers’ motivations and satisfactions not only improve their performances but also impact quality of care. Every healthcare leader should make reasonable policies that meet population needs and ensure safe, effective and good quality services. Effective leadership is very crucial to create and maintain a supportive work environment in maximising the potentials of health services. This article aimed to reflect about the importance of healthcare leadership and encourage us to start asking ourselves about our work motivation, strengths and weaknesses, and aspects we aimed to develop, which will help to create a good and healthy workplace environment.

The Effectiveness of QMS Implementation in Applying of Quality Health Care for Patients in Health Institutions of Kosovo

2016 ◽  
Vol 2 (3) ◽  
pp. 95
Author(s):  
Samir Lleshi
Keyword(s):  
Health Services ◽  
Continuous Improvement ◽  
Health Sector ◽  
Iso 9001 ◽  
Quality Health Care ◽  
Continuous Quality ◽  
Quality Health ◽  
Health Institutions ◽  
Set Up

Continuous improvement of quality in health system is a challenge for many countries, particularly for those which are undergoing difficult period of transition from the system where the quality was not even known, measured or hasn’t consequently been improved in a system where the health service offers are different. In its route toward the European integration in the recent years Kosovo has set up the basis in terms of quality of infrastructure. Even though compared to its neighbors it is still staying behind in terms of quality of legal infrastructure by creating a quality system according to the requirements of EN ISO 9001 standards, while making easier instalment and constant monitoring of the healthcare standards by setting the guidelines for best application practices, particularly in well-known international fields Health sector in Kosovo is one of the most important sectors and has been continually stated as a priority for development of the country, therefore, creating of conditions for a continuous quality improvement, safety of health services and evaluation of such services is a major challenge associated with a patient and citizens to offer more and higher qualitative health services.

scholarly journals Estratégias nas instituições de saúde para reduzir estresse na enfermagem

2020 ◽  
Vol 10 (29) ◽  
pp. 40-47
Author(s):  
Tatiana Zanotti Novais Calil ◽  
Celia Maria Francisco
Keyword(s):  
Health Services ◽  
Nursing Staff ◽  
Stress Reduction ◽  
Education Management ◽  
Calidad De Vida ◽  
Nursing Stress ◽  
Reduction Strategies ◽  
Agents Of Change ◽  
Health Institutions

O objetivo deste estudo foi identificar as principais estratégias utilizadas pelas instituições de saúde para diminuir o estresse entre a equipe de enfermagem. Trata-se de uma revisão integrativa composta por 14 artigos que apresentam estratégias de redução do stress voltada a equipe de enfermagem em serviços de saúde que foram estratificados nos eixos temáticos: Educação Permanente, Gestão, Relacionamento e Práticas Complementares. Com os altos índices de estresse que acometem as equipes de instituições de saúde, a identificação de fatores estressores no trabalho corresponde a um dos grandes agentes de mudança, facilitando o planejamento e a implementação de ações para melhoria da qualidade de vida e de trabalho dos profissionais gestores dos serviços de saúde.Descritores: Enfermagem, Estresse, Serviços de Saúde. Strategies in health institutions to reduce nursing stressAbstract: The aim of this study was to identify the main strategies used by health institutions to reduce stress among the nursing staff. This is an integrative review composed of 14 articles that present stress reduction strategies aimed at the nursing staff working in health services that were stratified into the thematic axes: Permanent Education, Management, Relationship and Complementary Practices. The high levels of stress that affect the teams of health institutions, the identification of stressors at work is one of the major agents of change, facilitating the planning and implementation of actions to improve the quality of life and work of professionals. health service managers.Descriptors: Nursing, Stress, Health Services. Estrategias en instituciones de salud para reducir el estrés de enfermeríaResumen: El objetivo de este estudio fue identificar las principales estrategias utilizadas por las instituciones de salud para reducir el estrés entre el personal de enfermería. Esta es una revisión integradora compuesta por 14 artículos que presentan estrategias de reducción del estrés dirigidas al personal de enfermería que trabaja en los servicios de salud que se estratificaron en los ejes temáticos: educación permanente, gestión, relación y prácticas complementarias. Con los altos niveles de estrés que afectan a los equipos de las instituciones de salud, la identificación de estresores en el trabajo es uno de los principales agentes de cambio, facilitando la planificación e implementación de acciones para mejorar la calidad de vida y el trabajo de los profesionales. gerentes de servicios de salud.Descriptores: Enfermería, Estrés, Servicios de Salud.

Management and Marketing in Health Institutions

2020 ◽  
Author(s):  
Andjela Jaksic-Stojanovic ◽  
Marija Jankovic
Keyword(s):  
Health Care ◽  
Health Services ◽  
Care Delivery ◽  
Global Market ◽  
Health Care Market ◽  
Traditional Role ◽  
Management Concept ◽  
Health Institutions

In the last decades radical changes in the health care market have happened. Customers continuously require a higher level of quality of service and they become more careful and demanding in the decision process, market intelligence is continuously growing, competition and quality of services are dramatically increasing, as well as the external influences of various lobbyists in many parts of the world. Also, it is important to mention the fact that there are many initiatives for change in many branches of health care delivery, as well as many innovative models for providing health services that change the traditional role of healthcare institutions. In these conditions in order to be competitive on the global market and to create satisfied and loyal consumers of health services, health institutions need to introduce a marketing management concept which is completely in accordance with actual trends on the global market as well as needs and demands of services consumers.

The Effectiveness of QMS Implementation in Applying of Quality Health Care for Patients in Health Institutions of Kosovo

2016 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Samir Lleshi
Keyword(s):  
Health Services ◽  
Continuous Improvement ◽  
Health Sector ◽  
Iso 9001 ◽  
Quality Health Care ◽  
Continuous Quality ◽  
Quality Health ◽  
Health Institutions ◽  
Set Up

Continuous improvement of quality in health system is a challenge for many countries, particularly for those which are undergoing difficult period of transition from the system where the quality was not even known, measured or hasn’t consequently been improved in a system where the health service offers are different. In its route toward the European integration in the recent years Kosovo has set up the basis in terms of quality of infrastructure. Even though compared to its neighbors it is still staying behind in terms of quality of legal infrastructure by creating a quality system according to the requirements of EN ISO 9001 standards, while making easier instalment and constant monitoring of the healthcare standards by setting the guidelines for best application practices, particularly in well-known international fields Health sector in Kosovo is one of the most important sectors and has been continually stated as a priority for development of the country, therefore, creating of conditions for a continuous quality improvement, safety of health services and evaluation of such services is a major challenge associated with a patient and citizens to offer more and higher qualitative health services.

The Effectiveness of QMS Implementation in Applying of Quality Health Care for Patients in Health Institutions of Kosovo

2016 ◽  
Vol 2 (3) ◽  
pp. 95
Author(s):  
Samir Lleshi
Keyword(s):  
Health Services ◽  
Continuous Improvement ◽  
Health Sector ◽  
Iso 9001 ◽  
Quality Health Care ◽  
Continuous Quality ◽  
Quality Health ◽  
Health Institutions ◽  
Set Up

Continuous improvement of quality in health system is a challenge for many countries, particularly for those which are undergoing difficult period of transition from the system where the quality was not even known, measured or hasn’t consequently been improved in a system where the health service offers are different. In its route toward the European integration in the recent years Kosovo has set up the basis in terms of quality of infrastructure. Even though compared to its neighbors it is still staying behind in terms of quality of legal infrastructure by creating a quality system according to the requirements of EN ISO 9001 standards, while making easier instalment and constant monitoring of the healthcare standards by setting the guidelines for best application practices, particularly in well-known international fields Health sector in Kosovo is one of the most important sectors and has been continually stated as a priority for development of the country, therefore, creating of conditions for a continuous quality improvement, safety of health services and evaluation of such services is a major challenge associated with a patient and citizens to offer more and higher qualitative health services.

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