scholarly journals Breakdown Time Analysis in The Effort to Maximize Medical Equipment Productivity in Hospital

2021 ◽  
Vol 1 (1) ◽  
pp. 1-14
Author(s):  
Buyung Sakti Hamel
Keyword(s):  
Medical Devices ◽  
Medical Equipment ◽  
Qualitative Method ◽  
Health Service Delivery ◽  
Professional Organizations ◽  
High Tech ◽  
Government Employees ◽  
Breakdown Time ◽  
Government Hospitals ◽  
Depth Interviews

Health equipment in hospitals determines the productivity of health service delivery. Medical equipment must continue to function properly. One way to measure the success of maintaining medical devices is by standard Breakdown Time. This study aims to determine the application of standard Breakdown Time on damaged medical devices. The research method used is a descriptive qualitative method with in-depth interviews. There are interviewees with private status and ASN (government employees). From the private sector, there are consultants, technical managers, and administrators of professional organizations in the field of medical equipment. Interviewees with ASN status are practitioners of maintenance and repair of health equipment in government hospitals. The results of the interviews were compiled into 6 groups based on the main questions asked, then analyses descriptively. The results of the study, Standard Breakdown Time have not been applied comprehensively in hospitals. Several informants informed that although there is an application of breakdown time, the standard is not yet clear and is only applied to high-tech equipment and/or for a minimal number of equipment there is only one in the hospital. For other equipment, there is no standard when the damage occurs, until when the damaged equipment must be able to function again. In conclusion, the Standard Breakdown Time for medical devices is important and its application must be supported by Ministerial-level regulations.

scholarly journals Effect of Deploying Biomedical Equipment Technician on the Functionality of Medical Equipment in the Government Hospitals of Rural Nepal

2021 ◽  
Author(s):  
Rita Thapa ◽  
Alison Yih ◽  
Ashish Chauhan ◽  
Salomi Poudel ◽  
Sagar Singh ◽  
...  
Keyword(s):  
Functional Status ◽  
Medical Devices ◽  
Medical Equipment ◽  
Healthcare Services ◽  
Working Environment ◽  
Health Staff ◽  
Biomedical Equipment ◽  
Government Hospitals ◽  
The Government ◽  
Rural Nepal

Abstract Background: Medical equipment plays a crucial role in the provision of quality healthcare services, despite this more than 50% of equipment in developing countries are non-functioning due to a lack of appropriate human resources to maintain. To address this problem some government hospitals of Nepal have deployed a mid-level technical cadre called 'Biomedical Equipment Technician' (BMET). This study aims to evaluate the effectiveness of deploying a BMET on the functionality of medical equipment in government hospitals of rural Nepal.Methods: We used a mixed-methods approach with a comparative research design. A comprehensive range of 2189 pieces of medical equipment at 22 hospitals with and without BMET were observed to assess their functional status. Medical equipment were stratified into 6 categories based on department and T-tests were conducted. We collected qualitative data from 9 BMETs, 22 medical superintendents, and 22 health staff using semi-structured interviews and focus-group discussions. Thematic content analysis was conducted to explore how the BMET's work was perceived.Findings: The quantity of non-functional devices in hospitals without BMETs was double that of hospitals with BMETs (14% and 7% respectively, p<0.005). Results were similar across all departments including General (16% versus 3%, p=0.056), Lab (15% versus 7%, p<0.005) and Operation Theater (14% versus 5%, p<0.005). Hospitals with BMETs had fewer overall non-functional devices requiring simple or advanced repair compared to hospitals without BMETs [3% versus 7% (p<0.005) simple; 4% versus 6% (p < 0.005) advanced]. In our qualitative analysis, we found that BMETs were highly appreciated by hospital staff. Hospital workers perceived that having a BMET on staff, rather than twice-yearly visits from central-level maintenance technicians, is an effective way to keep medical equipment functional. However, without a favorable working environment, the BMET alone cannot perform optimally. Conclusions: Having a BMET at a rural government hospital has a substantial positive effect on the functional status of medical devices at the hospital. BMETs should be deployed at all rural hospitals to increase the functionality of medical devices, thereby improving the working environment and quality of health services provided.

scholarly journals Distribution and Utilisation of Radiotherapy Units in Greece

2019 ◽  
Vol 2 (1) ◽  
pp. 28-35
Author(s):  
Aris Dermitzakis
Keyword(s):  
Medical Devices ◽  
Biomedical Engineering ◽  
Medical Equipment ◽  
Modern Medicine ◽  
Clinical Engineering ◽  
World Health ◽  
Current Status ◽  
High Tech ◽  
Health Technologies ◽  
Management Procedures

Biomedical Engineering is playing a leading role in the development of medical technology which is one of the pillars of Modern medicine, or as differently expressed at the European Economic and Social Committee (EESC) opinion paper: “Biomedical Engineering is not simply a subset of modern medicine. Modern medicine predominantly secures important advances through the use of the products of biomedical engineering”1. Health technology, according to World Health Organization (WHO), refers to the application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of lives. Therefore, Medical Devices (MDs) belong to the Health Technologies, and Radiotherapy (RT) is an important subgroup of them. Radiotherapy refers to high-tech medical devices that are of high capital value both in terms of initial investment and operation, requiring specially trained personnel for its use and needs regular quality control, preventive maintenance and management procedures, to function properly and safely. Clinical Engineering plays a major role in facing of the afore mentioned challenges. The present paper provides an overview of the results of a study under the WHO action on Strengthening Capacity for Universal Coverage Greece/Phase 2 (SCUC2)2aiming to: Assess the sufficiency and equity in the distribution of RT and its use in Greece Identify eventual inequalities in terms of geographical coverage, specific needs and lack of RT Asses the current status of staffing in RT units Estimate the costs for the use of High Value Capital Medical Equipment (HVCME) Since a country-wide medical equipment inventory for Greece does not exist, various sources were used to obtain a clear picture of the installed units in public Greek hospitals and private clinics. As a result, it came out that, in terms of number of units the per million population the number of RT units rose by 23% from 4.3 in 2009 to 5.3 in 2017. In terms of number of acts, a general increasing trend is noticed, resulting to a total cost increase of 25% from 2013 to 2016. The study revealed that in Greece, there are quite pronounced inequalities in terms of availability of RT technologies in different regions. Long term strategic planning is needed based on evidence, such as updated inventory of MDs, acts performed, associate costs etc , which are unfortunately lacking in Greece. Additionally, the role of clinical engineers in the effective management and safe use of this technology should be widely recognised and regulated.

scholarly journals BRINGING INNOVATION PRODUCTS ONTO EXTERNAL MARKET: AN EMPIRICAL ANALYSIS OF MEDICAL DEVICES INDUSTRY

2018 ◽  
pp. 80-87
Author(s):  
K. V. Sayapina
Keyword(s):  
Medical Devices ◽  
Medical Equipment ◽  
Market Research ◽  
High Tech ◽  
Target Market ◽  
Diagnostic Systems ◽  
Foreign Markets ◽  
External Market ◽  
Foreign Countries

The article is aimed at defining effective methods to manage promotion of high-tech products onto foreign markets, on basis of medical equipment market research. Key trends for development of medical equipment market in foreign countries are defined, which are consolidation of small laboratories and scientific centers in net associations, and offering personified products and diagnostic systems for individual usage. Features of algorithm of entering foreign markets are presented. In context of recommendations for bringing innovation high-tech products onto external markets, it is necessary to hold preliminary monitoring of local and foreign analogues on target market, to offer complex decisions, to organize conjoint enterprises for products promotion, and to form public-private partnership in long-term perspective.

scholarly journals Cost Benefit dan Effectiveness Investasi Alat Kesehatan Berteknologi Tinggi di Instalasi Radiologi

2021 ◽  
Vol 12 (2) ◽  
pp. 01
Author(s):  
Hari Mukti Udyanto
Keyword(s):  
Interest Rates ◽  
Ct Scan ◽  
Medical Devices ◽  
Medical Equipment ◽  
Quantitative Methods ◽  
Planning Process ◽  
High Tech ◽  
Depth Information ◽  
4D Ultrasound ◽  
Investment Process

<p><em>One of the important components supporting the effort to cure patients is medical devices. Hermina Mekarsari Hospital type C classification seeks to meet services in accordance with service standards. Preliminary monitoring data found that the CT - Scan examination room facilities in the Radiology Installation have not been used as intended. This is because the medical equipment investment process is not optimal, the financial sector is not involved, so no investment analysis is conducted.  The research objective was to analyze the investment feasibility and investment planning process of two CT-Scan and 3D / 4D ultrasound medical devices in Radiology Installation. Research is an empirical study with quantitative methods. The aim is to obtain more in-depth information about the planning process for high-tech and expensive medical equipment. A total of 6 informants as parties involved in the investment process. The results of the study for CT-Scan and 3D / 4D ultrasound, based on NPV calculations are positive, IRR values are lower than the interest rates used, CBR values are more than 1, and PI values are more than 1. It was concluded that from the analysis of financial aspects for investment in both medical devices is worth the investment. It is recommended that hospitals immediately hold the two medical devices in 2020 or 2021.</em></p>

DISCRESSION OF THE SAMPLE RESORTS POLICE IN THE IMPLEMENTATION OF ADMINISTRATIVE LAW PERSPECTIVE INVESTIGATION

2020 ◽  
Vol 4 (2) ◽  
pp. 147
Author(s):  
Tamrin Muchsin ◽  
Sri Sudono Saliro ◽  
Nahot Tua Parlindungan Sihaloho ◽  
Sardjana Orba Manullang
Keyword(s):  
Empirical Research ◽  
Qualitative Method ◽  
Government Regulation ◽  
Sampling Technique ◽  
Administrative Law ◽  
Criminal Investigation ◽  
Accurate Data ◽  
Long Distance ◽  
The Impact ◽  
Depth Interviews

It is still found that investigating officers do not have an S1 degree or equivalent in thejurisdiction of the Sambass Resort Police as mandated in PP No. 58 of 2010 concerningAmendments to Government Regulation Number 27 of 1983 concerning theImplementation of KUHAP article 2A paragraph (1) letter a. If the requirements ofinvestigators are not fulfilled, there will automatically be limits of authority, includingthe inability to issue investigation orders, detention warrants and other administrativeletters. This study used a qualitative method with juridical empirical research. Toobtain accurate data, purposive sampling technique was used, and primary datacollection by conducting in-depth interviews. The research results found, among others:first, discretion regarding the administration of investigations in the jurisdiction of theSambas Resort Police for the Sambas District Police who do not have investigatingofficers who meet the requirements, is then taken over by the Head of the CriminalInvestigation Unit as the supervisor of the integrated criminal investigation function.Second, the impact of an integrated investigation administration causes the time tocarry out investigations to be slow due to the long distance between the Sector Policeand the Resort Police.

scholarly journals Co-Creation as the Solution to Sustainability Challenges in the Greenhouse Horticultural Industry: The Importance of a Structured Innovation Management Process

2021 ◽  
Vol 13 (13) ◽  
pp. 7149
Author(s):  
Ingrid Moons ◽  
Kristien Daems ◽  
Lorens L. J. Van de Velde
Keyword(s):  
Innovation Management ◽  
Relationship Management ◽  
High Tech ◽  
Innovation Development ◽  
Creation Process ◽  
Management Literature ◽  
Sustainability Challenges ◽  
Depth Interviews ◽  
Stakeholder Relationship

Sustainable innovations try to resolve complex challenges related to climate change. Co-creation with diverse stakeholders in innovation networks opens opportunities to successfully develop and implement sustainable innovations. However, collaboration between heterogeneous partners poses challenges at the level of stakeholder relationship management that affect the progress of innovation development. This study’s purpose is to investigate how co-creation processes that develop sustainable and climate-neutral high-tech innovations in the greenhouse horticultural industry should be structured and how stakeholder relationship management affects the progress of innovation development. Design methodology is linked with innovation management literature. A case study observed seven innovation trajectories that developed energy saving and climate-neutral growing techniques in the greenhouse horticultural industry in Flanders (Belgium) and The Netherlands over a period of three years. In-depth interviews (n = 13) were conducted to have the partners reflect on the co-creation process. Results show that co-creation management should focus on team composition, partner alignment and transparent communication about intentions, expectations and role division throughout the process. The initial stages of a co-creation process are crucial for context mapping and creation of team cohesion and do affect the subsequent stages in the process. Besides, in sustainable high-tech contexts, co-creation facilitators are faced with the need for technical knowledge and skills.

scholarly journals Communication Patterns of Indonesian Diaspora Women in Their Mixed Culture Families

2021 ◽  
Author(s):  
Sri Seti Indriani ◽  
Deddy Mulyana
Keyword(s):  
Data Collection ◽  
Mixed Culture ◽  
Qualitative Method ◽  
Phenomenological Approach ◽  
Verbal Communication ◽  
Communication Patterns ◽  
Language And Culture ◽  
Mixed Language ◽  
Depth Interviews

AbstractThis research underlines the communication patterns of Indonesian diaspora women in their mixed culture families and how they use these patterns in Australia. There are some differences in interpreting meanings because of the differences in language and culture. Thus, researchers are interested in examining communication patterns experienced by these diaspora women who live in Australia. The research was conducted through a qualitative method with a phenomenological approach. Data collection techniques used were in-depth interviews with 13 Indonesian women who had been living in Australia for more than 5 years and observation and documentation studies. The study showed that the communication patterns of Indonesian diaspora women living within their mixed culture families consist mainly of verbal communication classified into five categories: (1) pure English, (2) mixed language, (3) unstructured grammar English, (4) compliments and appreciation, and (5) obscene words or swearing.

scholarly journals The role of fathers in the postpartum period: experiences with skin to skin method

2012 ◽  
Vol 25 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Joaquín Jesús Blanca Gutiérrez ◽  
María del Rosario Ábalos Pérez ◽  
Maria Victoria Montes Aguilera ◽  
Soledad González Moreno
Keyword(s):  
Health Professionals ◽  
Qualitative Method ◽  
Simple Technique ◽  
Contact Method ◽  
Skin Contact ◽  
Father’S Role ◽  
Skin To Skin ◽  
Depth Interviews ◽  
Positive Results

OBJECTIVE: This study aimed at investigating the significance of the skin-to-skin contact method with fathers, looking at their own experiences with their newborns. METHODS: The information was collected through in-depth interviews with 14 fathers who had used the skin-to-skin contact method with their newborns, after a cesarean delivery. The technique utilized for data analysis was the qualitative method of content analysis. RESULTS: Four principal themes emerged from the data: the preparation for the skin-to-skin method, the experiences of the fathers, the father's role, and effects of the method on the baby. CONCLUSIONS: The investigations performed highlighted the importance of the involvement of health professionals in the use of this method, which leads to a series of positive results for the organization related to satisfaction. We conclude that the skin-to-skin method is a simple technique, recommended for positive results for fathers and their babies.

scholarly journals Philosophical meaning of the myth of pregnant and nursing mothers at Dawuhan village, Banyumas

2018 ◽  
Vol 3 (2) ◽  
pp. 188
Author(s):  
Astiana Ajeng Rahadini ◽  
Rahmat Rahmat
Keyword(s):  
Research Method ◽  
Qualitative Method ◽  
Public Life ◽  
Field Research ◽  
Traditional Culture ◽  
Oral Literature ◽  
Wide Range ◽  
Nursing Mothers ◽  
The Village ◽  
Depth Interviews

Traditional culture underlying a wide range of behavior and deeds of a society and gave birth to a variety of oral literature as well as myth. The myth that developed and still surviving in public life of Java among other myths related to pregnant and nursing mothers. This research is under a descriptively qualitative method supported by field research method along with un-depth interviews in Dawuhan village of Banyumas which is the village where the ancestors of Banyumas was buried. Through field observation and research method of interview to the trusted resource in Dawuhan village was obtained by results of research regarding the myth of pregnant and nursing mothers. This research finds some kinds of myths in relation to recommending and prohibition to perform an action that may harm the fetus, while the myth of breastfeeding mothers mostly prohibition and advice about foods that are consumed by the mother breastfeeding can harm the health of the baby.

scholarly journals Administration Of E-Invoicing Value Added Tax(Comparative Study between Indonesia and Australia)

2020 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Riki Tenardi ◽  
Titi Muswati Putranti
Keyword(s):  
Qualitative Method ◽  
Value Added ◽  
Digital Data ◽  
Technological Changes ◽  
Technology System ◽  
Australian State ◽  
The World ◽  
Directorate General ◽  
Ministry Of Finance ◽  
Depth Interviews

Technological changes in tax administration especially VAT have also changed the way tax authorities around the world implement e-invoice tax, one of which is Australia. The Ministry of Finance of the Directorate General of Tax (DGT) Indonesia responded to this in 2013 by creating a VAT administrative technology system called the Electronic Tax Invoice (e-Faktur). This study aims to determine the administration of Indonesian e-Faktur by looking at the Australian e-invoice as a benchmark and to find out the problems of e-Faktur in Indonesia after implementation. This research method is a qualitative method with techniques in the form of literature studies and in-depth interviews with informants. The results of this study are that the e-Faktur of the system in Indonesia is different from the understanding of the existing e-invoicing in the literature and the Australian state. Australian e-invoicing system neglects sending data in the form of digital data (PDF) and sending via email. E-Faktur was found to still have problems after its application such as access which was always problematic because of the network, the insecurity of VAT data, and the costs that still arise due to the application e-Faktur such as the still printing of documents and inefficiency. The conclusion from this study is that there are still fundamental differences between the administration of Indonesian and Australian e-invoice.

Sign in / Sign up

Export Citation Format

Share Document