A descriptive study of tuberculosis case finding in private health care facilities in a South Indian district

2014 ◽  
Vol 18 (12) ◽  
pp. 1455-1458 ◽  
Author(s):  
V. K. Chadha ◽  
P. Praseeja ◽  
J. Gupta ◽  
J. Ahmed ◽  
M. A. Sharada ◽  
...  
Keyword(s):  
Health Care ◽  
Descriptive Study ◽  
Case Finding ◽  
Health Care Facilities ◽  
Private Health Care ◽  
Tuberculosis Case ◽  
South Indian ◽  
Care Facilities

scholarly journals Descriptive Study of Physiotherapy Services Used in the South Kalimantan Region in 2020

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Maulida Wijaya Putri
Keyword(s):  
Health Care ◽  
Health Services ◽  
Descriptive Study ◽  
Health Care Facilities ◽  
Health Centers ◽  
The South ◽  
Care Facilities ◽  
Descriptive Approach ◽  
Almost All ◽  
Therapy Manual

Health services, including physiotherapy services, are carried out in almost all health care facilities such as clinics, health centers, and hospitals. Physiotherapy services are one form of health services needed by the community. In order to provide physiotherapy services, physiotherapists can provide various types of modalities or physiotherapy services in the form of electro therapy, actino therapy, hydro therapy, manual therapy or exercise therapy. Almost all health care facilities in South Kalimantan have physiotherapy services, but there is no data on the number and types of physiotherapy services used by health care facilities in the South Kalimantan region. This study aims to determine the types of physiotherapy services that are widely used by health care facilities in South Kalimantan. This study uses a descriptive approach. Based on the results of the study, it was found that 35 respondents (67.3%) used electrotherapy very often and 30 respondents (57.7%) used actino therapy very often. These two types of physiotherapy services are the most widely used by health care facilities in the South Kalimantan region in 2020

scholarly journals Baseline Study for Improving Diagnostic Stewardship at Secondary Health Care Facilities in Nigeria

2021 ◽  
Author(s):  
Abiodun Egwuenu ◽  
Adaora Ejikeme ◽  
Sara Tomczyk ◽  
Anja Von-Laer ◽  
Olaniyi Ayobami ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Control ◽  
Blood Culture ◽  
Online Survey ◽  
Case Finding ◽  
Blood Cultures ◽  
Health Care Facilities ◽  
Suspected Sepsis ◽  
Care Facilities ◽  
Secondary Health Care

Abstract BackgroundBlood culture diagnostics are a critical tool for sepsis management and antimicrobial resistance (AMR) surveillance. A baseline study was conducted to assess existing sepsis case finding, blood culture diagnostics and antimicrobial susceptibility testing (AST) at secondary health care facilities to inform the development of diagnostic stewardship improvement strategies in Nigeria.MethodsA cross-sectional online survey was conducted among 25 public secondary health care facilities in Abuja, FCT and Lagos State in Nigeria to evaluate the capacity for pathogen identification and AST. Following this, data were prospectively extracted on all patients with suspected sepsis from electronic medical records at two facilities in Abuja from October 2020 to May 2021 to further assess practices concerning sepsis case-finding, clinical examination findings, samples requested, and laboratory test results. Data were descriptively analysed, and a multivariate logistic regression analysis was conducted to determine factors associated with blood culture requests among suspected sepsis patients.ResultsIn the online survey, 32% (8/25) of facilities reported performing routine blood cultures. Only one had access to a clinical microbiologist, and 28% (7/25) and 4% (1/25) used standard bacterial organisms for quality control of media and quality control strains for AST, respectively. At the two facilities where data abstraction was performed, 7.1% (2924/41066) of patients were found to have suspected sepsis. A majority of the suspected sepsis patients came from the paediatrics department and were outpatients, and the median age was two years. Most did not have vital signs and major foci of infection documented. Blood cultures were only requested for 2.7% (80/2924) of patients, of which twelve were positive for bacteria, mainly Staphylococcus aureus. No clinical breakpoints were used for AST. Inpatients (adjusted odds ratio [aOR]:7.5, 95% CI:4.6 – 12.3) and patients from the urban health care facility (aOR:16.9, 95% CI:8.1 – 41.4) were significantly more likely to have a blood culture requested.ConclusionLow blood culture utilisation remains a key challenge in Nigeria. This has implications for patient care. AMR surveillance and antibiotics use. Diagnostic stewardship strategies should focus on improving access to clinical microbiology expertise, practical guidance on sepsis case finding and improving blood culture utilisation and diagnostics.

scholarly journals КРІ model impact on employee motivation and competitiveness of private healthcare facilities

2021 ◽  
Vol 2 (2) ◽  
pp. 31-42
Author(s):  
Stanislav Kotenko ◽  
Iana Kobushko ◽  
Iryna Heiets ◽  
Oleksandr Rusanov
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Care Quality ◽  
Health Care Facilities ◽  
Private Health Care ◽  
Healthcare Facilities ◽  
Private Healthcare ◽  
Care Facilities ◽  
Private Medicine ◽  
Health And Economic Development

The Constitution of Ukraine stipulates that an individual, his/her life, and health are the highest state social values. The authors highlighted that the health care system is the basis of social policy, national security, public health, and economic development. The current reformation of medical and legal reforms in Ukraine are fully covered by health legislation. In the context of these laws, the government promotes the development of private, communal, and state healthcare facilities. The authors noted that private medicine is snowballing in Ukraine, but the competitiveness of private health care facilities is insufficient in state medical reform. The study emphasized the absence of appropriate tools and mechanisms to motivate staff in private healthcare facilities. Based on the findings, the authors proposed introducing a set of evaluation indicators combined into a single integrated system – key performance indicators (KPIs), which would be the basis for calculating the bonus payroll. In turn, this system of material incentives should encourage medical staff to work effectively, be active, and initiative. The mechanism for developing a set of KPIs should be approved at the administration of the private health care facility. At the same time, medical workers of all levels must participate in KPIs elaborating. The indicators of medical care quality could be further used to improve healthcare, differentiated work assessment of medical staff, and healthcare facility in general, in accreditation and certification of private health care facilities. In the study, the authors formed and analyzed groups of indicators for different categories of the medical staff of private medical institutions. The obtained results showed that different bonus rates are needed to motivate employees at various levels to create an additional incentive to build a medical career. Thus, it could be argued that private healthcare facilities should develop motivation policy and strategy, revise system and forms of remuneration, improve the mechanism of motivation and incentives, focus on increasing competitiveness indicators in private medicine.

Rama V. Baru. Private Health Care in India: Social Characteristics and Trends. New Delhi: Sage Publications, 1998. Hardback. Indian Rs 295.00. 184 pages.

1998 ◽  
Vol 37 (3) ◽  
pp. 299-300
Author(s):  
Samina Nazli
Keyword(s):  
Health Care ◽  
Public Expenditure ◽  
Developed Countries ◽  
Health Care Facilities ◽  
The Other ◽  
Social Characteristics ◽  
New Delhi ◽  
Private Health Care ◽  
Human Right ◽  
Care Facilities

The provision of health care has been recognised as a fundamental human right. Consequently, developed countries incur heavy expenditures in the provision of health care facilities to their citizens. For example, Canada’s public expenditure on health as a percentage of Gross Domestic Product (GDP) is 6.9 percent, Norway’s is 6.6 percent, the USA’s is 6.5 percent, and Japan’s is 5.6 percent. On the other end of the scale are the developing countries such as Niger, which spends 1.6 percent of its GDP on health, Mozambique 1 percent, Haiti 1.3 percent, and Senegal 1.2 percent. In South Asia, Pakistan spends 0.8 percent and India 0.7 percent of their GDP, respectively, on health provision.

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