scholarly journals Better Life Index and Health Care Quality Indicators, Two New Instruments to Evaluate the Healthcare System

2018 ◽  
Vol 13 (2) ◽  
pp. 29
Author(s):  
Paolo Pietro Biancone ◽  
Silvana Secinaro ◽  
Valerio Brescia
Keyword(s):  
Health Care Quality ◽  
Well Being ◽  
Care Quality ◽  
P Value ◽  
Local Health ◽  
Better Life Index ◽  
Long Time ◽  
Health Care Quality Indicators ◽  
New Instruments

Local health companies have been trying to report quantitative and qualitative information through social reporting tools for a long time. The OECD has been questioning for quite some time how to evaluate satisfaction and quality by not considering the economic aspect alone in the quest for satisfying the needs of the citizen. The aim of the work is to evaluate how the compound indicator of well-being perceived by the population and the composite indicator of the quality of health services can be used to define health policies considering the incidence of other variables. In the analysis, it is therefore assessed how much the two indicators are related and linked to other variables that need to be considered and how independent indicators are used without further evaluations to target policies. The data are updated to October 18, 2017. All statistical analyses were performed using STATA V.13 (Stata Corp, College Station, Texas, USA, 2013) and p value <0.05 was considered significant for all analyses. The sample is made up of 35 OECD countries.

scholarly journals Komunitas Masyarakat Dan Perawatan Kesehatan Dalam Peningkatan Kualitas Hidup

2020 ◽  
Vol 10 (1) ◽  
pp. 11-24
Author(s):  
Agustinus Hermino
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Quality ◽  
Health Sector ◽  
Well Being ◽  
Individual Variability ◽  
Care Quality ◽  
Global Era ◽  
The Impact

Latar belakang: Seiring dengan perkembangan jaman, dalam beberapa tahun terakhir ini banyak perhatian yang difokuskan pada eksplorasi dampak penyakit fisik dan mental pada kualitas hidup seseorang baik secara individu maupun masyarakat secara keseluruhan. Sifat subyektif dari 'kualitas hidup' individu, merupakan konsep yang dinamis untuk diukur dan didefinisikan, tetapi bahwa secara umum dapat dipandang sebagai konsep multidimensi yang menekankan pada persepsi diri dari keadaan pikiran seseorang saat iniTujuan: penulisan ini bertujuan untuk memberikan pemahaman tentang peran masyarakat dalam memahani pentingnya kesehatan di era global ditinjau dari perspektif akademis. Pada sektor kesehatan pemahaman kesehatan menjadi sangat pentingnya karena akan menunjukkan pada kualitas hidup seseorang, tetapi hal ini tidak cukup secara individu karena diperlukan pemahaman secara menyeluruh terhadap masyarakat tentang makna kesehatan dan perawatan kesehatan.Metode: penulisan ilmiah ini adalah dengan melakukan analisa akademis dari dari berbagai sumber rujukan relevan sehingga menemukan makna teoritis baru dalam rangka menjawab tantangan yang terjadi di masyarakat.Hasil: Berdasarkan berbagai sumber rujukan yang ada, dapat disimpulkan bahwa kesehatan merupakan gaya hidup yang bertujuan untuk mencapai kesejahteraan fisik, emosional, intelektual, spiritual, dan lingkungan. Penggunaan langkah-langkah kesehatan dapat meningkatkan stamina, energi, dan harga diri, kemudian meningkatkan kualitas hidup. Dengan demikian maka konsep kesehatan memungkinkan adanya variabilitas individu. Kesehatan dapat dianggap sebagai keseimbangan aspek fisik, emosional, psikologis, sosial dan spiritual dari kehidupan seseorang. Kata kunci: masyarakat, perawatan kesehatan, kualitas hidup Society Community and Health Care in Improving Quality of LifeAbstract Background: Along with the development of the era, in recent years there has been a lot of attention focused on exploring the impact of physical and mental illness on the quality of life of a person both individually and as a whole. The subjective nature of an individual's 'quality of life' is a dynamic concept to measure and define, but that in general can be seen as a multidimensional concept that emphasizes self-perception of one's current state of mindAim: purpose of this study is to provide an understanding the role of community in understanding the importance of health in the global era from an academic perspective. In the health sector understanding of health is very important because it will show the quality of life of a person, but this is not enough individually because a comprehensive understanding of the meaning of health and health care is needed. Method: The method of scientific writing is to carry out academic analysis from various relevant reference sources, and find new theoretical meanings in order to answer the challenges that occur in society. Keyword: Community, Society,Health Care, Quality oflife Resullt : Based on various academic reference, it can be concluded that health is a lifestyle that aims to achieve physical, emotional, intellectual, spiritual, and environmental well-being. The use of health measures can increase stamina, energy, and self-esteem, then improve the quality of life. Thus the concept of health allows for individual variability. Health can be considered as a balance of physical, emotional, psychological, social and spiritual aspects of one's life. Keywords: community, health care, quality of life 

scholarly journals Instrumento norteador para auditoria clínica de protocolos

2021 ◽  
Vol 21 (82) ◽  
Author(s):  
Vitória Régia Dias dos Santos Cavalcante ◽  
Tatiane Santos Da Silva ◽  
Patrícia Gabriela Santana Alvestor ◽  
Sara Diniz Rubinsztejn Azevedo ◽  
Crystiane Aline Alves De Souza ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Audit Quality ◽  
Clinical Audit ◽  
Sao Paulo ◽  
Care Quality ◽  
São Paulo ◽  
Common Structure ◽  
Health Care Quality Indicators

A auditoria clínica envolve um processo de verificação das práticas preconizadas e o cuidado prestado nas instituições de saúde implicando na qualidade do atendimento, neste contexto o trabalho tem como objetivo elaborar um protótipo, avaliar aplicabilidade e oportunidades de melhoria de um instrumento norteador para análise da eficácia da implantação de protocolos. Realizado em hospital pediátrico de ensino de grande porte entre abril e setembro de 2020, no município de São Paulo, através de levantamento bibliográfico e de protocolos institucionais, interações com profissionais da Instituição e um teste-piloto. O instrumento em sua versão validada foi baseado na estrutura comum de seis protocolos, constando de seis critérios correspondentes ao objetivo, abrangência, fluxo de atendimento, condutas adotadas, registros em prontuário e indicadores sendo as informações classificadas em conforme, parcialmente e não conforme. No processo de validação verificou a necessidade de instrumento específico para cada protocolo auditado. O instrumento elaborado atendeu ao objetivo proposto de nortear a prática de auditoria dentro do hospital e demonstrou conseguir em conjunto com específico agregar valor ao atendimento apontando possíveis melhorias.Palavras-chave: Auditoria Clínica; Qualidade da Assistência à Saúde; Indicadores de Qualidade em Assistência à Saúde; Protocolos Clínicos ABSTRACTGuiding instrument for clinical audit of protocolsThe clinical audit involves a process of verifying the recommended practices and the are provided in health institutions, implying in the quality of care, in this context the work aims to develop a prototype, evaluate applicability and opportunities for improvement of a guiding instrument for analyzing the effectiveness the implementation of protocols. Held in a large teaching pediatric hospital between April and September 2020, in the city of São Paulo, through a bibliographic survey and institutional protocols, interactions with professionals of the Institution and a pilot test. The instrument in its validated version was based on the common structure of six protocols, consisting of six criteria corresponding to the objective, scope, service flow, conduct adopted, medical records and indicators being classified as conforming, partially and non-conforming. In the validation process, he verified the need for a specific instrument for each audited protocol. The instrument developed met the proposed objective to guide the audit practice within the hospital and obtain the set with the specific value of adding possible improvements to care.Keywords: Clinical Audit; Quality of Health Care; Quality Indicators, Health Care; Clinical Protocols

Moving specialist care into the community: An initial evaluation

2008 ◽  
Vol 13 (4) ◽  
pp. 233-239 ◽  
Author(s):  
Bonnie Sibbald ◽  
Susan Pickard ◽  
Hugh McLeod ◽  
David Reeves ◽  
Nicola Mead ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Care Quality ◽  
Service Providers ◽  
Care Quality ◽  
Local Health ◽  
Hospital Services ◽  
Specialist Care ◽  
Significant Difference ◽  
Patient Reported

Objectives: To assess the likely impact on patients and local health economies of shifting specialist care from hospitals to the community in 30 demonstration sites in England. Methods: The evaluation comprised: interviews with service providers at 30 sites, supplemented by interviews with commissioners, GPs and hospital doctors at 12 sites; economic case studies in six sites; and patient surveys at 30 sites plus at nine conventional outpatient services. Outcomes comprised: staff views of service organization and development, impact on primary and secondary care, and benefits for patients; cost per consultation and cost per patient in new services compared to estimates of the price of services if undertaken by hospitals; patients’ views of waiting time, access, quality (technical and interpersonal), coordination and satisfaction. Results: New services required high initial investment in staff, premises and equipment, and the support of hospital consultants. Most new services were added to existing hospital services so expanded capacity. Patient reported waiting times (6.7 versus 10.1 weeks; p = 0.001); technical quality of care (96.2 versus 94.5; p < 0.001), overall satisfaction (88.2 versus 85.4; p = 0.04); and access (72.2 versus 65.8; p = 0.001) were significantly better for new compared to conventional services but there was no significant difference in coordination or interpersonal quality of care. Some service providers expressed concerns about service quality. New services dealt with less complex conditions and undercut the price tariff applied to hospitals thus providing a cost saving to commissioners. There was some concern that expansion of new services might destabilize hospitals. Conclusions: Moving specialist care into the community can improve patient access, particularly when new services are added to existing hospital services. Wider impacts on health care quality, capacity and cost merit closer scrutiny before rollout.

scholarly journals Quality of care and adherence to antiretroviral drugs in specialized HIV services in Pernambuco/Brazil, 2017-2018

2021 ◽  
Vol 45 (131) ◽  
pp. 1088-1100
Author(s):  
Danielle Chianca de Andrade Moraes ◽  
Juliana da Rocha Cabral ◽  
Regina Célia de Oliveira ◽  
Vanessa Alves de Souza
Keyword(s):  
Health Care ◽  
Medication Adherence ◽  
Health Care Quality ◽  
Statistical Tests ◽  
Quality Standard ◽  
Antiretroviral Drugs ◽  
Care Quality ◽  
P Value ◽  
Cross Sectional

ABSTRACT The aim of this study was to evaluate health care quality and medication adherence in people living with human immunodeficiency virus in specialized care services. This is a cross-sectional, evaluative study, with a quantitative approach, carried out in ten services in Pernambuco. Two instruments were validated and analyzed by statistical tests were used and 306 adults and their service managers participated. The quality standard was equivalent for most indicators. Only in the countryside, the indicators referring to the availability of antiretroviral drugs and care in the absence of medication were associated with low adherence (p-value=0.033 and p-value=0.011), the latter being a predictor for low adherence. Services with insufficient quality standards showed a 19% higher occurrence of low medication adherence. 81% of users had low adherence to antiretroviral drugs. There is a deficiency in adherence to antiretroviral drugs, and those assisted in services in the countryside have more complicating factors related to the quality of health care for satisfactory adherence.

scholarly journals HUBUNGAN PENERAPAN MANAJEMEN PUSKESMAS DAN KOMITMEN KERJA PETUGAS DENGAN MUTU PELAYANAN PENGOBATAN DI POLI UMUM PUSKESMAS KABUPATEN BANGKALAN (Studi di Puskesmas Se-Kabupaten Bangkalan)

2016 ◽  
Vol 2 (02) ◽  
Author(s):  
Shobirin .
Keyword(s):  
Health Services ◽  
Health Center ◽  
Health Care Quality ◽  
Public Health Problem ◽  
Care Quality ◽  
Health Centers ◽  
P Value ◽  
Analysis Tool ◽  
Application Service

Health care quality problems in health centers is growing into a serious public health problem . The low quality of puskesmas is often a complaint from the public . The demands of today's society will be quality health services is increasing. a strong commitment to be willing to devote all its capabilities for the benefit of health centers in improving the quality of health services. This research is analytic survey research with cross sectional approach with quantitative approach . Data collection at once at a time (point time approach) . The total sample of 105 doctors and nurses at the health center of Bangkalan Public Poli . To test the relationship pattern researchers used an analysis tool of logistic regression chi square test with SPSS version 16 . The results showed that: 1) with a p value of 0.001 No Relationship Management Application Service Quality Medical health center, 2) with p value 0.000 Labour Relations Officers Commitment to Quality Medical Care. Employees who have work commitments to be more responsible in providing the best service qualityKeywords : Application management clinic, working Commitment , Quality of Service

scholarly journals A scoping review of registry captured indicators for evaluating quality of critical care in ICU

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Issrah Jawad ◽  
Sumayyah Rashan ◽  
Chathurani Sigera ◽  
Jorge Salluh ◽  
Arjen M. Dondorp ◽  
...  
Keyword(s):  
Critical Care ◽  
Scoping Review ◽  
Health Care Quality ◽  
Grey Literature ◽  
Healthcare Providers ◽  
Evidence Base ◽  
Patient Reported Outcome ◽  
Care Quality ◽  
Patient Reported

Abstract Background Excess morbidity and mortality following critical illness is increasingly attributed to potentially avoidable complications occurring as a result of complex ICU management (Berenholtz et al., J Crit Care 17:1-2, 2002; De Vos et al., J Crit Care 22:267-74, 2007; Zimmerman J Crit Care 1:12-5, 2002). Routine measurement of quality indicators (QIs) through an Electronic Health Record (EHR) or registries are increasingly used to benchmark care and evaluate improvement interventions. However, existing indicators of quality for intensive care are derived almost exclusively from relatively narrow subsets of ICU patients from high-income healthcare systems. The aim of this scoping review is to systematically review the literature on QIs for evaluating critical care, identify QIs, map their definitions, evidence base, and describe the variances in measurement, and both the reported advantages and challenges of implementation. Method We searched MEDLINE, EMBASE, CINAHL, and the Cochrane libraries from the earliest available date through to January 2019. To increase the sensitivity of the search, grey literature and reference lists were reviewed. Minimum inclusion criteria were a description of one or more QIs designed to evaluate care for patients in ICU captured through a registry platform or EHR adapted for quality of care surveillance. Results The search identified 4780 citations. Review of abstracts led to retrieval of 276 full-text articles, of which 123 articles were accepted. Fifty-one unique QIs in ICU were classified using the three components of health care quality proposed by the High Quality Health Systems (HQSS) framework. Adverse events including hospital acquired infections (13.7%), hospital processes (54.9%), and outcomes (31.4%) were the most common QIs identified. Patient reported outcome QIs accounted for less than 6%. Barriers to the implementation of QIs were described in 35.7% of articles and divided into operational barriers (51%) and acceptability barriers (49%). Conclusions Despite the complexity and risk associated with ICU care, there are only a small number of operational indicators used. Future selection of QIs would benefit from a stakeholder-driven approach, whereby the values of patients and communities and the priorities for actionable improvement as perceived by healthcare providers are prioritized and include greater focus on measuring discriminable processes of care.

Medical technology: A systematic review on medical devices utilized for epilepsy prediction and management

2021 ◽  
Vol 19 ◽  
Author(s):  
Jen Sze Ong ◽  
Shuet Nee Wong ◽  
Alina Arulsamy ◽  
Jessica L. Watterson ◽  
Mohd. Farooq Shaikh
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Medical Devices ◽  
Epileptic Seizures ◽  
Well Being ◽  
Sudden Unexpected Death ◽  
Unexpected Death ◽  
Long Time ◽  
Wearable Medical

: Epilepsy is a devastating neurological disorder that affects nearly 70 million people worldwide. Epilepsy causes uncontrollable, unprovoked and unpredictable seizures that reduces the quality of life of those afflicted, with 1-9 epileptic patient deaths per 1000 patient occurring annually due to sudden unexpected death in epilepsy (SUDEP). Predicting the onset of seizures and managing them may help patients from harming themselves and may improve their well-being. For a long time, electroencephalography (EEG) devices have been the mainstay for seizure detection and monitoring. This systematic review aimed to elucidate and critically evaluate the latest advancements of medical devices, besides EEG, that have been proposed for the management and prediction of epileptic seizures. A literature search was performed on three databases; PubMed, Scopus and EMBASE. Following title/abstract screening by two independent reviewers, 27 articles were selected for critical analysis in this review. These articles revealed ambulatory, non-invasive and wearable medical devices such as the in-ear EEG devices, the accelerometer-based devices and the subcutaneous implanted EEG devices might be more acceptable than traditional EEG systems. In addition, extracerebral signal-based devices may be more efficient than EEG-based systems, especially when combined with an intervention trigger. Although further studies may still be required to improve and validate these proposed systems before commercialization, these findings may give hope to epileptic patients, particularly those with refractory epilepsy, to predict and manage their seizures. The use of medical devices for epilepsy may improve patients' independence and quality of life and possibly prevent sudden unexpected death in epilepsy (SUDEP).

scholarly journals Quality indicators of dental health care in Serbia

2019 ◽  
Vol 66 (1) ◽  
pp. 36-42
Author(s):  
Svetlana Jovanović ◽  
Maja Milošević ◽  
Irena Aleksić-Hajduković ◽  
Jelena Mandić
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health System ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Care Quality ◽  
System Quality ◽  
Quality Health Care ◽  
Quality Health

Summary Health care has witnessed considerable progresses toward quality improvement over the past two decades. More precisely, there have been global efforts aimed to improve this aspect of health care along with experts and decision-makers reaching the consensus that quality is one of the most significant dimensions and features of health system. Quality health care implies highly efficient resource use in order to meet patient’s needs in terms of prevention and treatment. Quality health care is provided in a safe way while meeting patients’ expectations and avoiding unnecessary losses. The mission of continuous improvement in quality of care is to achieve safe and reliable health care through mutual efforts of all the key supporters of health system to protect patients’ interests. A systematic approach to measuring the process of care through quality indicators (QIs) poses the greatest challenge to continuous quality improvement in health care. Quality indicators are quantitative indicators used for monitoring and evaluating quality of patient care and treatment, continuous professional development (CPD), maintaining waiting lists, patients and staff satisfaction, and patient safety.

scholarly journals Analysis of Implementation of EWSS (Early Warning Score Systems) Against AvLos (Average Length of Stay) and the Trust of Patients in Inpatient Installation at Jombang General Hospital

2020 ◽  
Vol 3 (2) ◽  
pp. 348-356
Author(s):  
Sutikno Sutikno ◽  
Sandu Siyoto ◽  
Byba Melda Suhita
Keyword(s):  
Quality Of Service ◽  
Early Detection ◽  
Early Warning ◽  
Health Care Quality ◽  
Early Warning Systems ◽  
Care Quality ◽  
Early Warning Score ◽  
Warning Systems ◽  
General Hospitals

Hospitals are required to always improve the quality of service provided to patients. These challenges have forced the hospital to develop its ability to manifest in various aspects of health care quality responsible. One of them by applying the assessment and early detection in patients kegawatan as well as the critical state of activation becomes very important. Quick and proper response to a nurse against the worsening conditions of patients giving a great impact to the quality of the quality of service provided. The purpose of this research is to analyze the implementation of Early Warning systems (EWSS) Score against AvLOS and trust patients in Inpatient installation at Jombang General Hospitals. The research design was analytic observational with a quantitative approach. Research variables i.e. implementation of EWSS as independent variables. AvLos and trust patients as the dependent variable. The population of this entire research nurses in Inpatient installation at Jombang General Hospitals as much as 135 nurses, patients and families of patients who are being treated in Inpatient installation at Jombang General Hospitals Jombang. Samples taken with the cluster random sampling technique as much as 101 respondents. Data is collected with instruments ceklist and processed in coding, editing, tabulating and scoring as well as tested with logistics regression test. Logistic regression results indicate that partially and simultaneously show that the value of p values < 0.05 so that there were the implementation of Early Warning systems (EWSS) Score against AvLOS and trust of the patient, and the simultaneous influence of 83.2%. The existence of implementation of EWSS in patients with good then early detection and response officers can be done in a proper and effective against the condition and the healing of patients and can shorten the day care patients, so that it can affect the confidence and trust family and patient in receiving health services in the hospital

scholarly journals PENGARUH MODAL USAHA DAN LAMA MELAUT, TERHADAP HARGA JUAL IKAN PADA PASAR TRADISIONAL SANGGENG MANOKWARI

2019 ◽  
Vol 2 (2) ◽  
pp. 407
Author(s):  
Sarce Babra Awom
Keyword(s):  
Venture Capital ◽  
Market Price ◽  
Primary Data ◽  
P Value ◽  
Selling Price ◽  
Time Work ◽  
Long Time ◽  
The Government ◽  
Collection Methods

The purpose of this study was to measure the effect of venture capital (X1)  and the long time at sea /time work hours (X2) for the offer price of fish (Y) in the tradisional sanggeng market manokwari, with 73 respondents chosen randomly and consisted of sellers and buyers in the sanggeng market. Data  collection  methods are done through interviews,  (primary data)  with a questionnaire and then  carried out  a questionnaire  test  and test the quality of the data, and then analyzed uiple linear regression. The result of research simultan eously or statistically partial variables X1 (venture capital) and variable X2 (long sea)  significantly influence the higt selling price of fish (variable y) in the manokwari sanggeng market  because the value of p. Value (0,000)<(0.05) sig (5%.) so it can be concluded that when fish traders increase capital by 1% the price of fish in the market rises by 13,5% and also when a long time to go to sea increases 1 day than the price of fish increases by  33.900,00. The government needs to control high (expensive) fish prices in the market by activating an inflation control team that continues to monitor the market price (specifically) of the fisheries sector.

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