Effects of the Pedernales Earthquake on Ecuador’s Health Care System

2020 ◽  
pp. 1-10
Author(s):  
Ricardo Cañizares Fuentes ◽  
Giaffar Barquet Abi Hanna ◽  
Carlos Santana Véliz ◽  
Miquel Blasco Carlos
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Indicators ◽  
Care Program ◽  
Preventive Action ◽  
Health Care Program ◽  
Service Production ◽  
Physical Infrastructure ◽  
Depth Interviews ◽  
Care System

ABSTRACT Objective: This study analyzes the effects of the Pedernales earthquake (April 2016) on Ecuador’s health care system. Methods: A research was carried out in Chone Canton, which combined documentary, quantitative, and qualitative techniques. Epidemiological and service production information taken from official documents was analyzed systematically. In-depth interviews and surveys were conducted with health care program directors and technicians from the Health Centres of the Ministry of Public Health and the users. Results: Deficiencies in the health care system were already observed in Chone Canton prior to the earthquake mainly due to the lack of doctors, nurses, and hospital beds. According to the interviewees, the health district was not prepared for an emergency like the earthquake. Some buildings fell after the earthquake, and Chone Hospital was disabled. These problems coupled with preventive action failures at the community level led to an increase in diseases after the earthquake. Conclusions: The shortage of personnel and physical infrastructure, weaknesses in primary health care in the Ecuadorian health system, the lack of preparation, and limited availability of information on health indicators were the causes of the sharp increase in pre-existing diseases in the area, and of new epidemic outbreaks after the earthquake.

A Specialized Home Care Team Does Make a Difference

1992 ◽  
Vol 5 (3) ◽  
pp. 38-41
Author(s):  
Dorothy Larson ◽  
Ralph Odegard ◽  
N.E. Brown
Keyword(s):  
Health Care ◽  
Home Care ◽  
Health Care System ◽  
Care Program ◽  
Care Team ◽  
Research Facility ◽  
Teaching And Research ◽  
The Cost ◽  
Care System ◽  
At Home

Results of a study done in a large teaching and research facility in Alberta reveal that a specialized home care team can substantially lower the cost of caring for people who are ventilator dependent. With the assistance of a pulmonary physician, the Respiratory Home Care program has shown excellent results. Patients report that they “feel as safe at home as in the hospital”, and the savings to the health care system are estimated to be about $2,000,000 per year.

Hospital based Home Care Program, for technology depended children. Its benefit for the Health Care System

2019 ◽  
Author(s):  
Elisavet-Anna Chrysochoou ◽  
Fotios Kirvassilis ◽  
Elpis Hatziagorou ◽  
John Tsanakas
Keyword(s):  
Health Care ◽  
Home Care ◽  
Health Care System ◽  
Care Program ◽  
Care System

scholarly journals Evaluation of a Transitional Care Program After Hospitalization for Heart Failure in an Integrated Health Care System

2020 ◽  
Vol 3 (12) ◽  
pp. e2027410
Author(s):  
Aileen Baecker ◽  
Merry Meyers ◽  
Sandra Koyama ◽  
Maria Taitano ◽  
Heather Watson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Health Care System ◽  
Transitional Care ◽  
Care Program ◽  
Integrated Health Care ◽  
Integrated Health ◽  
Integrated Health Care System ◽  
Care System

Blurred Religion in Contemporary Sweden: Health Care Institutions as an Empirical Example

2018 ◽  
Vol 11 (2-3) ◽  
pp. 161-185
Author(s):  
Magdalena Nordin
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Individual Level ◽  
Care Givers ◽  
Religious Issues ◽  
Swedish Health Care ◽  
Depth Interviews ◽  
System Focus ◽  
Empirical Material ◽  
Care System

The aim of the article is to highlight the blurred religious situation in contemporary Sweden on an individual level by studying religious needs and practices among patients in the Swedish health care system. Focus is on how religious issues are handled by the health care givers and how patients wish it would be handled. The empirical material for the article is twenty-seven in-depth interviews with former patients and representatives from the health care chaplaincy. The results of the study show that there can be a need for religion when one is hospitalized, that these patients wish that their religious needs and practices would be respected and facilitated, and that the blurred religious situation in Sweden is prevalent at the hospitals, but the hospitals—being foremost affected by the processes of secularization—have a tendency not to take this into consideration.

scholarly journals School nurses’ contribution to schoolchildren’s future health

Medicina ◽  
2009 ◽  
Vol 45 (9) ◽  
pp. 724
Author(s):  
Elvyra Grinienė ◽  
Neringa Liutaitė
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Indicators ◽  
Daily Basis ◽  
Health Problems ◽  
School Nurses ◽  
School Nursing ◽  
Future Health ◽  
Educational Approach ◽  
Care System

In the changing contemporary society, certain demands for health care system become evident. In recent years, declining health indicators of Lithuanian schoolchildren prompt to analyze the situation of schoolchildren’s health care: whether health care at schools is sufficient and effective and how school nurses deal with schoolchildren’s health problems on a daily basis. Objective. To analyze how school nursing specialists work at school and what problems they encounter while providing health care to schoolchildren. Material and methods. A total of 202 school nurses from five main Lithuanian cities participated in the survey in 2005. More than three-fourths (77.7%) of the respondents had been working at school for more than 10 years. For the survey, an original closed questionnaire, consisting of 28 questions, was used. Results. The survey showed that most of school nurses were approached by schoolchildren with the following health problems: visual impairment, anomalous posture, and scoliosis. More than three-fourths (75.5%) of the school nurses noted that schoolchildren’s health was getting worse over the last five years. School nurses usually provide care to 11–30 schoolchildren per day. Most of their time is spent on schoolchildren’s health check-ups, health education, and documentation. The school nurses noted that the efficiency of health care system at school was reduced by a number of problems, including poor working conditions, the lack of medical equipment, inadequate computer systems. Therefore, the cooperation among nurses, school administration, and parents must be substantially improved. Conclusions. The competence of school nurses should be maintained through an educational approach by developing their qualification, as well as through a social approach by improving their cooperation with school community and parents.

“Pain Is What the Patient Says It Is”: Nurse–Patient Communication, Information Seeking, and Pain Management

2016 ◽  
Vol 34 (10) ◽  
pp. 966-976 ◽  
Author(s):  
Laura E. Miller ◽  
Scott A. Eldredge ◽  
Elizabeth D. Dalton
Keyword(s):  
Health Care ◽  
Pain Management ◽  
Patient Outcomes ◽  
Health Care System ◽  
Information Seeking ◽  
Patient Communication ◽  
Communicative Context ◽  
Depth Interviews ◽  
Scholarly Attention ◽  
Care System

Nurse–patient conversations about pain management are complex. Given recent increases in prescription pain pill abuse, such interactions merit scholarly attention. In-depth interviews with 21 nurses were conducted to explicitly explore nurses’ information seeking about pain. The participants in this study gathered pain information from patients through a variety of means and reported facing challenges and dilemmas when communicating with patients about pain management and medicinal preferences. These results have important implications for nurses, patient outcomes, and the broader health-care system and imply that continued educational and intervention efforts are essential in this complicated communicative context.

scholarly journals Feasibility of a Telemedicine Urgent Care Program to Address Patient Complaints on First Contact

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Amy D. Lu ◽  
Myla Junge ◽  
Jonathan Garber ◽  
Anna K. Abramson ◽  
Mary A. Whooley ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Health Care System ◽  
Care Program ◽  
Urgent Care ◽  
Care Utilization ◽  
Telephone Advice ◽  
Va Health Care System ◽  
First Contact ◽  
Care System

Many health systems employ nurse telephone advice services to facilitate remote triage of patients to appropriate level of care. However, the effectiveness of these programs to reduce ED and subsequent health care utilization remains to be demonstrated. We describe a novel virtual urgent care program implemented within a Veterans Affairs (VA) health care system that interfaces with a nurse telephone advice line and leverages telemedicine tools to rapidly address and resolve nonemergent conditions. During a 4-month pilot period, 104 unique patients received care through the program, and over 85% of patients achieved timely resolution for their urgent complaints on first contact with the health care system. Demonstrating feasibility for such a program has potential implications for the optimization of remote triage and urgent care services to improve health care utilization and outcomes.

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