The cost and efficiency of public and private health care facilities in Ogun state, Nigeria

1993 ◽  
Vol 2 (1) ◽  
pp. 31-42 ◽  
Author(s):  
Annemarie Wouters
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
Private Health Care ◽  
Public And Private ◽  
Ogun State ◽  
Care Facilities ◽  
The Cost

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.

scholarly journals Determinan Pemilihan Tempat Persalinan di Puskesmas Tapin Utara

2020 ◽  
Vol 10 (1) ◽  
pp. 200-211
Author(s):  
Lisda Handayani ◽  
Elvine Ivana Kabuhung ◽  
Yunita Afriani
Keyword(s):  
Public Health ◽  
Health Care ◽  
Targeted Delivery ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Chi Square ◽  
Cross Sectional ◽  
Cost Factor ◽  
Care Facilities ◽  
The Cost

Latar Belakang : Salah satu indikator persalinan bersih dan aman adalah pertolongan ditolong tenaga kesehatan di fasilitas kesehatan (faskes). Standar Pelayanan Minimal (SPM) bidang kesehatan tahun 2016 menyatakan target persalinan sesuai standar adalah 100%, sedangkan data Puskesmas tapin Utara menyebutkan persalinan di faskes sebesar 56,8% dan non faskes Sebanyak 43,2%. Dari data yang didapat disimpulkan bahwa persalinan di wilayah puskesmas Tapin Utara belum mencapai target SPM bidang kesehatan. Tujuan : Menganalisis determinan pemilihan tempat persalinan oleh ibu bersalin diwilayah puskesmas Tapin Utara.Metode : Penelitian Kuantitatif dengan pendekatan cross sectional. Pengambilan sampel  dengan tekhnik total sampling sebanyak 62 ibu bersalin selama januari 2017. Analisis bivariat digunakan Uji chi square dan analisis multivariat regresi lostik bergandaHasil : Gambaran pemilihan tempat persalinan oleh ibu bersalin diwilayah puskesmas tapin utara adalah ibu bersalin di faskes (43,5%) dan non faskes (56,5%). Determinan pemilihan tempat persalinan adalah budaya (p=0,000), Pemeriksaan Kehamilan (p=0,001), pengetahuan(p=0,000), dan Biaya persalinan (p=0,001), sedang yang bukan merupakan determinan pemilihan tempat persalinan adalah pendapatan (p=0,154), akses ibu ke faskes (p=0,207) dan dukungan keluarga (p=0,439). Determinan paling dominan adalah biaya persalinan (p=0,008, OR=11,712).Simpulan : Determinan pemilihan tempat persalinan di wilayah puskesmas tapin utara adalah budaya, pemeriksaan kehamilan, pengetahuan dan biaya sedangkan yang bukan determinan adalah pendapatan, akses ke faskes dan dukungan keluarga. Determinan paling dominan adalah biaya persalinan.Kata kunci : Tempat Persalinan, Budaya, Pemeriksaan Kehamilan, Pengetahuan, Pendapatan, Biaya Persalinan, Akses ibu ke Faskes dan dukungan keluarga.                                                  Abstract:Background : Maternal mortality rate still high because delivery is not at health facilities. Information of north tapin central public health said there had been 470 delivery and while non health facilities about 43,2 % .For which figures obtained concludea that delivery in district tapin not reached target public health years 2016 who was targeted delivery service at health facilities appropriate standard 100 % service. Objective : analysis determinant factors relating to the selection of the place of birth in the puskesmas Tapin utara.Methods : Quantitative research by approach cross sectional . Sampling used total sampling about 62 delivered in january 2017 .The stastik used is chi square and regression lostik simple.Result : there are 43,5 % mother who has deivery  at health care  facilities, while the non health care  facilities are 56.5 %. Correlation factors of  cultural deals namely p = 0,000 value , the anc p = 0,001 value , p value knowledge = 0,000 , delivery fees p = 0,001 value , p income = 0,154 value , mother access to health care facilities p = 0,315 value , and support the family p = 0,411 value .Value the ordi highest of the results of the test stastik safinat logistic regression simple namely the cost factor of 11,712 childbirth.Conclusion : The result of 7 factor in some 4 factors that there are dealing with the selection namely the delivery: cultural factors , a pregnancy , knowledge , and the delivery fee .The cost factor a factor most dominant dealing with the selection the delivery Keywords : The delivery , culture , pregnancy, knowledge , income , the delivery fee , access health care, support by family

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