ANALISIS METODE BAYESIAN PADA SISTEM ANTREAN RAWAT JALAN DI RSUP Dr. KARIADI DENGAN DISTRIBUSI SAMPEL POISSON DAN GEOMETRIK

Hospital service facilities cannot be separated from queuing events. Queues are an unavoidable part of life, but they can be minimized with a good system. The purpose of this study was to find out how the queuing system at Dr. Kariadi. Bayesian method is used to combine previous research and this research in order to obtain new information. The sample distribution and prior distribution obtained from previous studies are combined with the sample likelihood function to obtain a posterior distribution. After calculating the posterior distribution, it was found that the queuing model in the outpatient installation at Dr. Kariadi Semarang is (G/G/c): (GD/∞/∞) where each polyclinic has met steady state conditions and the level of busyness is greater than the unemployment rate so that the queuing system at Dr. Kariadi is categorized as good, except in internal medicine poly.

Optimization of spatial distribution of hospitals for better earthquake recovery using GIS and imperialist competition algorithm (case study: Gorgan, Iran)

Purpose The purpose of this study is to optimize the location of hospitals in Gorgan, Iran, to provide desirable services to citizens in the event of an earthquake crisis. Design/methodology/approach This paper, due to target, is practical and developmental, due to doing method is descriptive and analytical and due to information gathering method is documental and surveying. In the present study, the capabilities of genetic algorithms and imperialist competition algorithm in MATLAB environment in combination with GIS capabilities have been used. In fact, cases such as route blocking, network analysis and vulnerability raster have been obtained from GIS-based on current status data, and then the output of this information is entered as non-random heuristic information into genetic algorithms and imperialist competition algorithm in MATLAB environment. Findings After spatial optimization, the hospital service process has become more favorable. Also, the average cost and transfer vector from hospitals to citizens has decreased significantly. By establishing hospitals in the proposed locations, a larger population of citizens can access relief services in less time. Originality/value Spatial optimization of relief centers, including hospitals, is one of the issues that can be of significant importance, especially in the event of an earthquake crisis. The findings of the present study and the originality, efficiency and innovation of the used methods can provide a favorable theoretical framework for the success of earthquake crisis management projects.

A STUDY OF EFFICIENCY MANAGEMENT IN NEW ZEALAND PUBLIC HOSPITAL SERVICES

<p>There is increasing policy interest in ensuring that resources are used efficiently within New Zealand public hospitals which are under increasing constraint. This thesis presents a narrative based on a qualitative analysis of the impact of the regular provision of efficiency management information on manager behaviour and achievements based on a single exploratory case study research of 11 senior service managers in New Zealand’s largest public hospital. How performance information is currently used by service managers is unknown. The research questions seek to understand to what extent managers’ use the information, what behaviours and actions result, if these managers know what they need to learn to improve performance, and what barriers impede their actions. A qualitative research design was used to collect data from hospital service managers over a six month period. A model for a three stage information response was re-developed from existing processes and applied to the service managers who all received the hospital’s routine monthly performance information; while some participants also received specific efficiency related information. In each of the months, the participant’s perceptions of the performance information and the management of service improvement was obtained. The methodological approach is inductive using both observational and ethnographic approaches to collect qualitative data from regular surveys and interviews with participants. The findings appear to show enhanced collaboration in performance improvement discussions by managers who are provided with the specific performance information than is seen in those managers provided with the routine hospital management information. The enhanced collaboration appears to lead to greater improvements in service efficiency. The qualitative data provides a rich supplementary database of the participant managers’ experience of using performance management information, and from applying a formal Thematic Analysis (TA), management themes are identified to define the experience of the hospital service managers in using performance information. The TA provides a deeper understanding of the use of performance information by hospital service managers. The four themes were identified as: (1) direct leadership, (2) operational feedback; (3) performance signal; and (4) management development. These provide contextual meaning to purposeful management response and performance improvement.</p>

A STUDY OF EFFICIENCY MANAGEMENT IN NEW ZEALAND PUBLIC HOSPITAL SERVICES

<p>There is increasing policy interest in ensuring that resources are used efficiently within New Zealand public hospitals which are under increasing constraint. This thesis presents a narrative based on a qualitative analysis of the impact of the regular provision of efficiency management information on manager behaviour and achievements based on a single exploratory case study research of 11 senior service managers in New Zealand’s largest public hospital. How performance information is currently used by service managers is unknown. The research questions seek to understand to what extent managers’ use the information, what behaviours and actions result, if these managers know what they need to learn to improve performance, and what barriers impede their actions. A qualitative research design was used to collect data from hospital service managers over a six month period. A model for a three stage information response was re-developed from existing processes and applied to the service managers who all received the hospital’s routine monthly performance information; while some participants also received specific efficiency related information. In each of the months, the participant’s perceptions of the performance information and the management of service improvement was obtained. The methodological approach is inductive using both observational and ethnographic approaches to collect qualitative data from regular surveys and interviews with participants. The findings appear to show enhanced collaboration in performance improvement discussions by managers who are provided with the specific performance information than is seen in those managers provided with the routine hospital management information. The enhanced collaboration appears to lead to greater improvements in service efficiency. The qualitative data provides a rich supplementary database of the participant managers’ experience of using performance management information, and from applying a formal Thematic Analysis (TA), management themes are identified to define the experience of the hospital service managers in using performance information. The TA provides a deeper understanding of the use of performance information by hospital service managers. The four themes were identified as: (1) direct leadership, (2) operational feedback; (3) performance signal; and (4) management development. These provide contextual meaning to purposeful management response and performance improvement.</p>

Study on Services of Chattogram Maa-O-Shishu Hospital

Background: Hospital services are the amenities provided by a hospital both for the patients and the workforces. Periodical assessment of hospital service quality discovers the demands and needs thus ensuring the development of the institution. The aim of the study to find out the problems regarding hospital services and its solution. Materials and methods: This observational study was conducted among the health personnel of Chattogram Maa-O-Shishu Hospital from 01 July to 30 August 2019 and 01 January to 29 February 2020. Purposive sampling technique was followed to collect data from 100 randomly selected samples. They were interviewed with pretested questionnaire and data were managed manually. Results: Different findings were drawn. These are: Lack of work dedication, responsibility, loyalty and internal co-operation among the staff (60%). Lack of manpower including doctors, nursing staff, cleaners and few recruitments are not so experienced as to fulfill the demands of their duty (56%). The number of beds is less compared to the number of patients who need them e.g. ICU, CCU, NICU, Paediatric ICU Adult medicine ward, etc. Hence patients are referred outside (46%). Patient visiting hours and number of visitors not properly maintained. Visitors make noise, take food on patient’s bed and sometime physically assault employees when they are asked to obey rules (40%). However, overall job satisfaction of the respondents was 78%. Conclusion: Ascertaining the issues regarding the improvement of hospital services is mandatory. Quick detection and early solution would gain confidence by employees and beneficiary which would ultimately boost up the reputation of the hospital. Chatt Maa Shi Hosp Med Coll J; Vol.20 (2); July 2021; Page 41-44

Social Media as a Tool for Consumer Engagement in Hospital Quality Improvement and Service Design: Barriers and Enablers for Implementation

Background: Social media can be used to engage consumers in hospital service design and quality improvement (QI) activities, however its uptake may be limited by a lack of guidance to support implementation. This article presents the perceived barriers and enablers in using social media for consumer engagement derived from an interview study with public hospital stakeholders. Method: Semi-structured interviews with 26 Australian hospital service providers and consumer representatives. Data were analysed using a deductive content analysis method. Results: Data were collected between October 2019 and April 2020. Facebook was the platform most commonly used for consumer engagement activities. Barriers and enablers to social media-based consumer engagement were identified. The barrier themes were 1) fears and concerns; 2) lack of skills and resources for social media engagement; 3) lack of organisational processes and support; and 4) problems with social media platforms and the changing social media landscape. The enabler themes were: 1) hospitals facilitating access and use; 2) making discussions safe; 3) cultivating a social media community; and 4) building on success. Conclusion: Using social media to facilitate consumer engagement in hospital service design and QI activities is feasible and acceptable to service providers and consumers. Hospitals and their executives can create a supportive environment for social media-based engagement activities through developing clear governance systems and providing training and support to all users. Consumers need to be involved in co-designing social media-based activities and determining which forms of engagement are accessible and acceptable. For some consumers and service providers, barriers such as a lack of resources and distrust of social media companies might mean that social media-based engagement will be less acceptable for them. Because of this it is important that hospitals provide complementary methods of engagement (e.g., face-to-face) alongside social media-based methods.