scholarly journals Critical Issues in Melanoma Follow-up and Treatment, Safety of Patients and Communication with Healthcare Professionals During Covid-19 Pandemic in Romania

2021 ◽  
Vol 1 (1) ◽  
pp. 15-33
Author(s):  
Violeta Astratinei ◽  
Andreea Strambu-Dima ◽  
Bettina Ryll
Keyword(s):  
Healthcare Services ◽  
Public Hospitals ◽  
Original Research ◽  
State Of Emergency ◽  
Healthcare Facilities ◽  
Patient Reports ◽  
Social Media Networks ◽  
Critical Issues ◽  
Treatment Safety ◽  
The Impact

"Background: The Covid-19 pandemic has significantly impacted cancer care worldwide. The aim of this study was to capture the impact of Covid-19 on melanoma patients during the national state of emergency. Material and methods: We sent a survey to the members of the Romanian Melanoma patient community between April - May 2020. Results: We received feedback from 108 patients. Forty percent of the respondents experienced difficulties in accessing healthcare services, while 56% found it difficult or impossible to speak with their physician. With regard to feeling safe in healthcare facilities, 60% of patients felt safe in the private sector, versus 48% in public hospitals. Over half of the respondents delayed investigations such as dermoscopy, imaging, and laboratory tests by their own initiative, while a third saw investigation delayed upon their physician’s initiative. We found no significant delays in the administration of systemic therapies for advanced disease. While e-prescriptions for melanoma treatments were not communicated and implemented consistently, we noted an increased interest in telemedicine and social media networks by physicians. Spontaneous patient reports collected in the same period further show the lack of access to melanoma diagnostic surgery, insufficient management of side effects of different treatments, difficulties in obtaining pain medication, alterations in the administration schemes of both immunotherapies and target therapies, and cumbersome access to Covid-19 testing. Conclusions: Our results provide a melanoma-specific perspective on the impact of Covid-19 on patients that is unexpectedly nuanced with regards to patient subpopulations and captures differences in impact between systemic treatment and Journal of Medical and Radiation Oncology Journal homepage: www.jmedradonc.org Original research 16 other interventions. In addition, this proof-of-concept study demonstrates the ability of virtual patient communities to sensitively detect and report issues in health care provision, offering the opportunity for timely intervention. Based on our findings, we formulate a set of recommendations on how to save-guard melanoma care during the pandemic, some of which we believe to be generalizable to other patient communities."

Assessment of Healthcare Service Quality

2020 ◽  
pp. 271-291
Author(s):  
Segufta Dilshad ◽  
Afsana Akhtar ◽  
S. S. M. Sadrul Huda ◽  
Nandeeta Samad
Keyword(s):  
Service Quality ◽  
Quality Measurement ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Research Approach ◽  
Healthcare Facilities ◽  
Level Of Satisfaction ◽  
Related Quality ◽  
Private And Public

The service quality measurement of healthcare services is always a big concern for the hospitals, patient rights activists, regulators, and general patients. This study deals with quality assessment of healthcare facilities concerning the private and public health facilities of Dhaka, Bangladesh. This study follows the survey research approach. Using the purposive sampling method, the individuals have been selected from households who have received healthcare services from public or private hospitals of Dhaka city in last year. The study collected data among 410 respondents. Standard statistical software (i.e., SPSS and STATA) have been used to analyze the data. This study confirms existing evidence that Bangladeshi patients have a growing concern with lower level of satisfaction in public healthcare services. The respondents faced multi-dimensional problems, characterized by a low level of overall service quality, interpersonal service quality, and technical or treatment-related quality at public hospitals. Further research is recommended to analyze the issues further.

Management of public healthcare facilities in the Philippines: issues and concerns

2019 ◽  
Vol 25 (10) ◽  
pp. 1-17 ◽  
Author(s):  
Ramiro Z Dela Cruz ◽  
Ruth A Ortega-Dela Cruz
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Services ◽  
The Philippines ◽  
Public Hospitals ◽  
Public Health Care ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Descriptive Research ◽  
Primary Means ◽  
Insufficient Knowledge

Background/Aims Public hospitals are the primary means of healthcare delivery in developing countries. Given the pressing need for efficient health services, it is imperative to know the extent to which a country's public healthcare institutions meet an ever increasing public demand. This study aimed to assess the state of hospital facilities among public health care institutions in a developing country. Methods Descriptive research methods were used, including needs analysis along with management and client satisfaction surveys, in order to analyse information on issues that related to the management of hospital facilities in the Philippines. Various members of the hospital community were selected to assess different aspects of hospital management. Results The results of this study show that most concerns stemmed from the lack of financial resources, materials, equipment and technological innovations; insufficient knowledge, skills and human resources; and problems that related to processes and methodologies. Conclusions Public hospitals are in dire need of facility upkeep to maintain their operations. This has become a more pressing concern because of the very limited resources at the disposal of public hospitals. This study also highlighted the crucial role played by the national government in finding effective and efficient ways to address these issues and concerns to ensure successful delivery of healthcare services in the country.

Healthcare facilities maintenance management: a literature review

2017 ◽  
Vol 15 (4) ◽  
pp. 352-375 ◽  
Author(s):  
Zahra Yousefli ◽  
Fuzhan Nasiri ◽  
Osama Moselhi
Keyword(s):  
Literature Review ◽  
Healthcare Services ◽  
Facility Management ◽  
Maintenance Management ◽  
Future Research ◽  
Content Type ◽  
Healthcare Facilities ◽  
And Performance ◽  
Management Functions ◽  
The Impact

Purpose The complexity and criticality of healthcare services highlight the importance of maintenance management function in healthcare facilities. The purpose of this paper is to review the literature on maintenance management of healthcare facilities and hospital buildings to provide an organized literature review and identify gaps from the perspective of research and practice. Design/methodology/approach The paper categorizes the literature and adopts a review hierarchy according to maintenance management functions in hospital buildings. It explores the impact of those functions on the performance of maintenance activities in hospitals. Furthermore, it examines the role of information technology and automated decision support systems in facilitating hospital maintenance management functions and performance. Findings Literature on maintenance management in healthcare facilities and hospital buildings has so far been very limited. Recently published literature focusing on healthcare facilities management and its maintenance management functions is classified into various areas and sub-areas. The paper highlights gaps in the literature and suggests avenues for future research and improvements. Originality/value The paper contains a comprehensive listing of publications and their classifications according to various attributes. It will be useful for researchers, maintenance managers, practitioners and stakeholders concerned with facility management of hospital buildings.

Quarantine of the Covid-19 pandemic in suicide: A psychological autopsy

2020 ◽  
Vol 88 (4) ◽  
pp. 182-184
Author(s):  
Isabella Aquila ◽  
Matteo Antonio Sacco ◽  
Cristoforo Ricci ◽  
Santo Gratteri ◽  
Pietrantonio Ricci
Keyword(s):  
Risk Factors ◽  
Decision Making Process ◽  
Psychological Autopsy ◽  
State Of Emergency ◽  
Occupational Risk Factors ◽  
Global Pandemic ◽  
Critical Issues ◽  
Forensic Case ◽  
The Impact ◽  
General Concern

The epidemiology of suicide has identified numerous psychiatric and occupational risk factors. The circumstances surrounding a suicide are fundamental to determining whether its characteristics will play a crucial role in the decision-making process. The state of emergency arising from the Covid-19 pandemic has introduced a new element, given the general concern and feelings of alarm which are global. The most suitable forensic method to analyse these cases is the psychological autopsy. This study’s purpose is to analyse the application of the psychological autopsy method to evaluate the impact of the pandemic where government lockdowns impose restrictions on personal freedom. We set out to consider how far this together with other factors may induce suicide. The literature does not as yet offer us a retrospective analysis of the influence of the global pandemic state on rates of suicide. Accordingly, we report a forensic case and examine the critical issues and problems in the management of these cases.

The Fit Between Spatial Configuration and Idealized Flows: Mapping Flows in Surgical Facilities as Part of Case Study Visits

2020 ◽  
pp. 193758672092835
Author(s):  
Herminia Machry ◽  
Anjali Joseph ◽  
Deborah Wingler
Keyword(s):  
Design Process ◽  
Spatial Configuration ◽  
Healthcare Services ◽  
Design Teams ◽  
Flow Mapping ◽  
Healthcare Facilities ◽  
Mapping Tool ◽  
Mapping Approach ◽  
The Impact

Purpose: This study proposes a flow mapping approach for surgical facilities that can be implemented by design teams as a component of case study tours. Background: The provision of healthcare services involves simultaneous and closely coupled flows of people, objects, and information, and the efficiency of these flows is influenced by the spatial configuration of the buildings where these services are housed. Many architecture firms conduct case study tours to inform their design process. However, these tours often lack a structured way of documenting different flows and interpreting observations. A structured approach is needed during the design process to understand the impact of spatial configuration on healthcare flows. Method: Site tours were conducted at four surgery centers to develop and test an evidence-based flow mapping approach. Idealized flows within surgical facilities were first identified from the literature, followed by the development of a data collection tool aimed at documenting these flows in each case study through a pre-assessment questionnaire, a physical assessment, and interviews with staff. Results: The flow mapping tool kit was effective in allowing the design team to systematically understand the physical configuration of surgical flows across case studies. The tool also allowed the team to identify spatial configuration characteristics acting as barriers and facilitators to idealized flows. Conclusions: The flow mapping approach was able to provide structure for conducting these short tours more effectively via observations and staff inquiry, enabling design teams to draw more meaningful conclusions from case study tours and conduct comparisons between healthcare facilities visited.

scholarly journals The impacts of motivation, personal traits of managers and management education on the performances of public healthcare facilities

2016 ◽  
Vol 73 (9) ◽  
pp. 831-837
Author(s):  
Nevena Karanovic ◽  
Sanja Stosic
Keyword(s):  
Public Sector ◽  
Personal Development ◽  
Formal Education ◽  
Management Education ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
The Public ◽  
Health Technologies ◽  
The Impact

Background/Aim. Exposed to increasing needs of users for better and faster services, more medications and innovative health technologies, managers of healthcare services in the public sector need motivation, permanent updating of information and constant personal development. The aim of this paper was to evaluate, on the basis of experienced healthcare managers, the impact of their motivation, selected character traits, managerial skills and formal education in management on healthcare facilities performances in the public sector. Methods. For the purposes of this study, 97 experienced managers from public hospitals and primary health centers in Serbia answered to 30 questions on the motivation of managers, essential skills for successful management and formal education in management in health facilities. The obtained data about their motivation, governing experience, personal skills and formal education in management were systematized and processed by the Statistical Package for Social Sciences (SPSS). Healthcare facilities performances were expressed by the healthcare facilities ranks in the official annual rankings according to the quality improvement, conducted by the Institute of Public Health of Serbia. Pearson's or Spearman's correlation coefficients were used for proving the potential impact of selected factors on performances of healthcare facilities. Results. This study confirmed the association between the healthcare facilities ranks and managers' abilities to organize the working process (t = -2.453; p = 0.018); expressed high managers? motivation (?S = 0.206; p = 0.048) and the length of governing experience (r = -0.198; p = 0.043). Within a 3-year follow-up, this study also confirmed a positive correlation between annual ranks of healthcare facilities and managers quality management courses (?S = -0.238; p = 0.017) and managers education in human resources management (?S = -0.234; p = 0.027). Conclusion. In addition to management education, permanent personal development and higher motivation of managers have positive influence on healthcare performances.

scholarly journals The worthiness of corporate governance in public sector the case of public healthcare sector in Greece

2014 ◽  
Vol 12 (1) ◽  
pp. 490-501
Author(s):  
Georgios K. Papachristou ◽  
Michail K. Papachristou
Keyword(s):  
Corporate Governance ◽  
Control System ◽  
Public Sector ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Corporate Governance Code ◽  
Public Healthcare Sector ◽  
The Impact

The objective of this paper is to measure the worthiness which the compliance of governance norms will provide to public organizations. We introduce the principles of corporate governance that should characterize the function of public sector and our analysis focuses on public hospitals. Sending appropriate designed questionnaires to an adequate sample of Greek public hospitals, we measure and analyze the impact that the implementation of a corporate governance code would have to hospitals’ administration, control system and communication with stakeholders. According to research’s results the implementation of a corporate governance code by public hospitals could add value to the provided healthcare services.

scholarly journals Siting of Healthcare Care Facilities Based on the Purpose of Their Operation, Demographic Changes, Environmental Characteristics, and the Impact on Public Health

2021 ◽  
Vol 12 (1) ◽  
pp. 379
Author(s):  
Marko Jausovec ◽  
Nande Korpnik ◽  
Branko Gabrovec ◽  
Vanja Skalicky Klemencic
Keyword(s):  
Public Health ◽  
Human Health ◽  
Healthcare Services ◽  
Review Literature ◽  
Demographic Changes ◽  
Social Significance ◽  
Environmental Characteristics ◽  
Healthcare Facilities ◽  
Care Facilities ◽  
The Impact

A contemporary approach to the spatial design of healthcare care facilities faces numerous challenges at the crossroads of multidisciplinary topics of architecture and urbanism, healthcare, security, and organisational sciences. Due to the unique combination of uses, users and architectural expression, they are defined as urban nodes. With their inclusion, architects facilitate a better placing of healthcare facilities, indirectly improving human health. The purpose of the article is to seek guidelines for the siting of healthcare facilities to provide suitable and equal healthcare to different social structures, and for the optimal and fair spatial distribution of healthcare services. The descriptive method was used to review literature on the siting of healthcare facilities based on the purpose of their operation, demographic changes, environmental characteristics, and the impact on public health. This method was selected as it facilitates data acquisition from various sources and a comprehensive understanding of the topic discussed. The results of the research show how important the impact of the healthcare care facilities siting on human health and the wider social significance of the topic discussed is. The findings may provide guidelines and proposals for future spatial decisions.

The implementation of a chronic disease management program (Prolanis) in Indonesia: a literature review

2019 ◽  
Vol 30 (6) ◽  
Author(s):  
Sesty Rachmawati ◽  
Hanni Prihhastuti-Puspitasari ◽  
Elida Zairina
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Literature Review ◽  
Disease Management Program ◽  
Social Insurance ◽  
Chronic Disease Management ◽  
Healthcare Services ◽  
Management Program ◽  
Healthcare Facilities ◽  
The Impact

Abstract Background The Chronic Disease Management Program or Program Pengelolaan Penyakit Kronis (Prolanis) is a program initiated by the Social Insurance Administration Organization or Badan Penyelenggara Jaminan Social (BPJS) in Indonesia. Prolanis aim to provide a proactive healthcare service approach for patients with chronic diseases particularly those with diabetes mellitus and hypertension. Prolanis also aims to achieve the optimal quality of life in patients with chronic disease through effective and efficient healthcare services including cost. All primary healthcare centers and a few of the private clinics in Indonesia have implemented Prolanis, however, the impact of the program has not been reviewed. This review aimed to see the implementation of Prolanis in healthcare facilities in Indonesia. Methods A literature review was conducted by searching articles through Google Scholar and PubMed databases up to August 2019. The following keywords or terms were used: Prolanis, BPJS indexed with terms related to blood pressure or hypertension in Indonesia. The references, citations and similar articles from the identified articles were used to identify additional sources. Results Twenty-four articles were identified through the first search using the key terms although only eight articles met the inclusion criteria. This review showed that the implementation of Prolanis in the healthcare facilities in Indonesia was varied in terms of the activities and services provided. The healthcare professional involved in the implementation of Prolanis were also varied. There were some barriers faced by the healthcare facilities including the availability of funding, the healthcare facilities and infrastructures, the unavailability of standard operating orocedures (SOPs) as well as the limitation of human resources involved in Prolanis. Conclusions The implementation of Prolanis in Indonesia has not been optimized, as there were some barriers during its implementation in the healthcare facilities.

scholarly journals Technical Efficiency of Regional Public Hospitals in China Based on the Three-Stage DEA

2020 ◽  
Vol 17 (24) ◽  
pp. 9383
Author(s):  
Zhensheng Chen ◽  
Xueli Chen ◽  
Xiaoqing Gan ◽  
Kaixuan Bai ◽  
Tomas Baležentis ◽  
...  
Keyword(s):  
Healthcare Services ◽  
Public Hospitals ◽  
Chinese Government ◽  
Operational Environment ◽  
The Public ◽  
Time Period ◽  
Number Of Patients ◽  
The Social ◽  
Low Efficiency ◽  
The Impact

Many countries are facing the increasing cost of healthcare services and the low efficiency of public hospitals. These issues are also evident in China. This paper offers a comprehensive assessment of the efficiency of public hospitals operating in China’s 31 regions. The impact of the third round of reform of the health system in 2009 is assessed based on the three-stage data envelopment analysis procedure. The time period from 2011 to 2018 is covered in this study. Due to different functions performed by the public hospitals and other ones, the number of patients with infectious diseases is incorporated as an output variable reflecting the social function. The outpatient visits and inpatient visits are considered to reflect the outputs related to the private functions. The results imply an increase in the mean efficiency of public hospitals from 0.927 to 0.981 after taking the impact of environmental variables and statistic noise into account. These results indicate that the efficiency of public hospitals is dependent in the operational environment. There are 11 regions whose hospitals operate on the efficiency frontier during the whole period covered. Therefore, the Chinese government should reasonably design and apply the regulatory tools to improve the efficiency of public hospitals.

Sign in / Sign up

Export Citation Format

Share Document