Medical Entrepreneurship in Cluj During the Interwar Period. Case Studies: The ‘Cosmuța,’ ‘Charité,’ and ‘Lengyel’ Sanatoriums

2021 ◽  
pp. 65-82
Author(s):  
Ghizela Cosma ◽  

"Several private hospital ventures developed in Cluj, an important medical center, between the two World Wars. This article presents four case studies, namely private sanatoriums established in Cluj at the initiative of individual entrepreneurs: the ‘Cosmuța,’ ‘Park,’ ‘Charite,’ and ‘Lengyel’ Sanatoriums. Based on these, a number of characteristics of interwar Cluj medical entrepreneurship can be outlined."

2020 ◽  
Vol 41 (S1) ◽  
pp. s311-s312
Author(s):  
Kelsie Cowman ◽  
Belinda Ostrowsky ◽  
Susan Seo ◽  
Victor Chen ◽  
Rachel Bartash ◽  
...  

Background: New York City is a gateway for emerging pathogens and global threats. In 2013, faculty from Montefiore Medical Center and Memorial Sloan Kettering developed a free half-day workshop for postgraduate trainees in antimicrobial stewardship (AS), infection prevention (IP), hospital epidemiology, and public health. This annual workshop, sponsored by the Infectious Diseases Society of New York (IDSNY), incorporates case studies and expert panel discussions on timely topics such as Ebola, Candida auris, Clostridiodes difficile, measles, nosocomial influenza, drug shortages, and AS/IP “big data.” Methods: From 2013 through 2017, the workshop involved 10–15 interactive AS/IP cases with audience response questions and panel discussions. In 2018–2019, based on feedback, the format was revised to emphasize breakout sessions in which participants actively practiced AS/IP tools, (eg, medication utilization evaluations, epidemiologic curves, and performance improvement devices). Examples of 2018–2019 cases are shown in Figure 1. A pre- and postseminar paper survey was conducted yearly to understand baseline training in AS/IP, desire for future AS/IP careers, and self-reported effectiveness of the workshop. Results: Initially, the primary audience was NYC ID fellows. From 2018 onward, we opened enrollment to pharmacy residents. Approximately 45 NYC ID fellows were eligible for the course each year. Results from 2013 to 2016 surveys were reported previously (Fig. 2). There were 32 attendees in 2018, 42 in 2019. The survey response rate was 88% in 2018 and 95% in 2019, with 68 (92%) total participants. Most participants had received previous training in IP (82%) and AS (94%) (Fig. 3). Most participants reported that the program was a good supplement to their ID training (98%) and that case studies were an effective means of learning IP (100%) and AS (98%). Furthermore, 92% stated they would like additional AS/IP training, and many since 2013 have requested a full-day course. Self-reported interest in future involvement in AS/IP increased after the workshop: IP, 68%–83% (P =.04) and AS, 88%–91% (P = .61). Conclusions: Most trainees reported satisfaction with the workshop and case-study learning method; interest in future AS/IP careers increased after the seminar. We intend to explore Funding: to expand to a full-day program for all NYC postgraduate trainees and AS/IP junior faculty. As such, we hope to obtain the endorsement of professional societies such as SHEA. This workshop could address a crucial educational gap in AS/IP postgraduate training and help sustain our future workforce.Funding: NoneDisclosures: None


2021 ◽  
Vol 42 (02) ◽  
pp. 136-151
Author(s):  
Tommy Evans ◽  
Timothy Nejman ◽  
Erin Stewart ◽  
Ian Windmill

AbstractTelehealth as a means to deliver health care services has been used by physicians for many years, but the use of telehealth in audiology, specifically in pediatrics, has been minimal. Barriers such as licensure, reimbursement, technology, and equipment have been cited as reasons for audiologists not participating in telehealth. However, the COVID-19 pandemic created the need for telehealth services to be widely used to safely increase access to healthcare, and emergent orders helped reduce previous barriers so that audiologists could participate in telehealth service delivery. This article details three cases where audiologists delivered telehealth services to children. These case studies demonstrate portions of the Division of Audiology Telehealth Program of the Cincinnati Children's Hospital Medical Center and how they increased access to hearing healthcare in response to the COVID-19 pandemic.


1995 ◽  
Vol 4 (4) ◽  
pp. 280-285 ◽  
Author(s):  
MC Corley

BACKGROUND: Constraint of nurses by healthcare organizations, from actions the nurses believe are appropriate, may lead to moral distress. OBJECTIVE: To present findings on moral distress of critical care nurses, using an investigator-developed instrument. METHODS: An instrument development design using consensus by three expert judges, test-retest reliability, and factor analysis was used. Study participants (N = 111) were members of a chapter of the American Association of Critical-Care Nurses, critical care nurses employed in a large medical center, and critical care nurses from a private hospital. A 32-item instrument included items on prolonging life, performing unnecessary tests and treatments, lying to patients, and incompetent or inadequate treatment by physicians. RESULTS: Three factors were identified using factor analysis after expert consensus on the items: aggressive care, honesty, and action response. Nurses in the private hospital reported significantly greater moral distress on the aggressive care factor than did nurses in the medical center. Nurses not working in intensive care experienced higher levels of moral distress on the aggressive care factor than did nurses working in intensive care. Of the 111 nurses, 12% had left a nursing position primarily because of moral distress. CONCLUSIONS: Although the mean scores showed somewhat low levels of moral distress, the range of responses revealed that some nurses experienced high levels of moral distress with the issues. Research is needed on conditions organizations must provide to support the moral integrity of critical care nurses.


1974 ◽  
Vol 8 (4) ◽  
pp. 166-166
Author(s):  
Margaret M. McCarhon

This series of case studies has been prepared by the faculty of the Department of Clinical Education and Services at U.S.C. School of Pharmacy as a continuing education course for pharmacists. The cases are meant to be studied in sequence; concepts and laboratory test evaluations presented in one case will be used in subsequent cases. All normal laboratory test values will be those used at the Los Angeles County/U.S.C. Medical Center; values may differ at other hospitals depending on the method used. Medical material is presented to give the pharmacist an understanding of the case, it is not meant to teach the pharmacist diagnosis. The cases have been altered for teaching purposes so that they do not represent actual cases.


1974 ◽  
Vol 8 (1) ◽  
pp. 16-16
Author(s):  
Margaret M. McCarron

This series of case studies has been prepared by the faculty of the Department of Clinical Education and Services at U.S.C. School of Pharmacy as a continuing education course for pharmacists. The cases are meant to be studied in sequence; concepts and laboratory test evaluations presented in one case will be used in subsequent cases. All normal laboratory test values will be those used at the Los Angeles County/U.S.C. Medical Center; values may differ at other hospitals depending on the method used. Medical material is presented to give the pharmacist an understanding of the case, it is not meant to teach' the pharmacist diagnosis. The cases have been altered for teaching purposes so that they do not represent actual cases.


1998 ◽  
Vol 21 (4) ◽  
pp. 221 ◽  
Author(s):  
Deborah Yarmo ◽  
Melissa McDonald

Case management has the potential to improve the quality of care for patients,streamline efficiencies within organisations, and ultimately lower health careexpenditure. This article explores why Warringal Private Hospital embraced theconcept and how the chosen model of case management was developed. It describesthe implementation and evaluation of the model and how it was received, accepted,and applied by the various stakeholders. The cardiac and orthopaedic units will becited as case studies in order to emphasise some of the challenges encountered in thisprocess as well as the successful outcomes. It should be noted, however, that each unitwithin the hospital is unique and, although the principles of case management havebeen applied throughout the hospital, the development, implementation andevaluation has been specific to each unit.


Author(s):  
Stephanie B. Wheeler

Organization- and health system-level determinants of cancer outcomes are critical to understand. Studies focusing only on individual- or provider-level factors contributing to differential outcomes may mask the important, and often far-reaching, influence of organizational and system-wide structures, policies, norms, and behaviors that drive outcomes. This chapter explores case studies including implementation of patient reported outcomes symptom monitoring within a large academic medical center; cancer patient navigation programs to reduce social, economic, cultural, and system barriers to timely cancer care; how psychosocial support has been integrated into community-based and Veterans Administration (VA) oncology programs; and implementing Lynch syndrome testing within a VA integrated health care system.


2015 ◽  
Vol 33 (4) ◽  
pp. 337 ◽  
Author(s):  
Kwangzoo Chung ◽  
Youngyih Han ◽  
Jinsung Kim ◽  
Sung Hwan Ahn ◽  
Sang Gyu Ju ◽  
...  

Author(s):  
Xizi Zhang ◽  
Dr William P. Wall ◽  
Dr Kate Hughes

This paper examines the customer experience of a medical tourism alliance project between a Chinese private hospital and a Thai medical center. The purpose is to evaluate the perceived value of this strategic project from the perspective ofthe patients. Qualitative data were collected through a series of interviews with Chinese patients while they were in Thailand receiving medical treatment. Additional interviews collected data from informed experts involved in the memorandum of understanding (MOU); to gain their perspective on the alliance’s success. Secondary data wassourcedfrom reports available from the hospital, medical center, business media, and scholarly publications to supplement the primary information. This paper explores the voice of the customer as an indicator of post-project success.


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