scholarly journals Research on Geriatric Care for Equalizing the Topological Layout of Health Care Infrastructure Networks

2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Rui Liu ◽  
Miao Du ◽  
Jun Shen ◽  
Xiaolan Wang ◽  
Ying Jiang
Keyword(s):  
Health Care ◽  
Public Service ◽  
Elderly Care ◽  
Care Facility ◽  
Social Equity ◽  
Spatial Layout ◽  
Service Facility ◽  
Depth Analysis ◽  
Care Facilities ◽  
Health Care Infrastructure

In this paper, through the study of elderly care, the method of equalizing the topological layout of the health care infrastructure network is used for in-depth analysis. With the evaluation method of senior care facility fairness as the research base theory, the analysis and evaluation of senior care facilities are carried out from two aspects of supply and demand fairness and spatial fairness, and the problems and shortcomings of senior care facilities in terms of facility scale, spatial layout, service level, and policy management are summarized. This paper analyses the contradictory points of the nonequitable layout of urban senior care facilities, to propose planning suggestions and optimization measures for the planning of the senior care service facility system. It discusses the problems in the spatial layout of senior care facilities from the perspective of social equity, focuses on the needs of urban disadvantaged groups, promotes the equalization of public services, and provides the theoretical basis and technical support for the planning policy of urban public service facilities. The study fully combines the theory of urban planning disciplines with geographic information system technology, mathematical and statistical technology, and network data acquisition technology to establish the evaluation of the spatial layout of senior care facilities based on social equity framework, to contribute to the planning of similar urban public service facilities. It comes to make an integrated consideration of the supply content and scope of basic public service facilities and check the gaps, which is conducive to improving the scientific and intensive nature of public resource input according to local conditions and more speed and provides some reference to the method of public service facility allocation.

A Web-Based Interactive Map to Promote Health-Care Facility Flood Preparedness

2021 ◽  
pp. 1-4
Author(s):  
Elena Grossman ◽  
Michelle Hathaway ◽  
Amber Khan ◽  
Apostolis Sambanis ◽  
Samuel Dorevitch
Keyword(s):  
Health Care ◽  
Emergency Preparedness ◽  
Online Survey ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Term Care ◽  
Web Based ◽  
Care Facilities ◽  
Interactive Map

Abstract Objectives: Little is known about how flood risk of health-care facilities (HCFs) is evaluated by emergency preparedness professionals and HCFs administrators. This study assessed knowledge of emergency preparedness and HCF management professionals regarding locations of floodplains in relation to HCFs. A Web-based interactive map of floodplains and HCF was developed and users of the map were asked to evaluate it. Methods: An online survey was completed by administrators of HCFs and public health emergency preparedness professionals in Illinois, before and after an interactive online map of floodplains and HCFs was provided. Results: Forty Illinois HCFs located in floodplains were identified, including 12 long-term care facilities. Preparedness professionals have limited knowledge of whether local HCFs were in floodplains, and few reported availability of geographic information system (GIS) resources at baseline. Respondents intended to use the interactive map for planning and stakeholder communications. Conclusions: Given that HCFs are located in floodplains, this first assessment of using interactive maps of floodplains and HCFs may promote a shift to reliable data sources of floodplain locations in relation to HCFs. Similar approaches may be useful in other settings.

scholarly journals (A3) Health Care Facilities Affected by the Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s2
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Sector ◽  
Health Care Facilities ◽  
Cold Chain ◽  
Care Services ◽  
Biomedical Equipment ◽  
Care Facilities ◽  
Health Care Infrastructure ◽  
The Impact

IntroductionOn February 27, 2010, a 8,8 MW earthquake struck the central and southern coast of Chile, that was followed by a tsunami that destroyed some cities such as Constitution, Ilaco, Talcahuando and Dichato. The national authorities reported 512 dead and 81,444 homes were affected. It was the one of the five most powerful earthquakes in the human modern history. The most affected regions were Maule (VII) and Bio (VIII).ResultsThe impact of the quake in the health sector was enormous especially on the health care infrastructure. The preliminary evaluations showed that 18 hospitals were out of service due severe structural and no-structural damages, interruption of the provision of water or because they were at risk to landslides. Another 31 hospitals had moderate damage. The Ministry of Health lost 4249 beds including 297 (7%) in critical care units. Twenty-two percent of the total number of beds and thirty-nine surgical facilities available in the affected regions were lost in a few minutes due to quake. At least eight hospitals should be reconstructed and other hospitals will need complex repair.ConclusionThe effect of the earthquake was significant on hospital services. It included damages to the infrastructure and the loss of furniture and biomedical equipment. The interruption of the cold chain caused loss of vaccines. National and foreign field hospitals, temporary facilities and the strengthening of the primary health care facilities had been important to assure the continuation of health care services. *Based on information from PAHO – Chile.

Assessing continuum of trauma care for road accident victim in Jodhpur, Rajasthan

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Rustagi ◽  
P Raghav ◽  
N Dutt ◽  
A Sinha ◽  
M S Rodha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Trauma Care ◽  
Road Traffic ◽  
Care Facility ◽  
Road Accident ◽  
Health Care Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Abstract Background Road traffic injuries (RTIs) are a major public health problem, requiring concerted efforts both for their prevention and a reduction of their consequences. The present study was designed to assess the existing process of pre-hospital trauma care administered to road accident victims in a fast urbanizing city of Jodhpur, Rajasthan Methods A cross-sectional study was designed from 1st November 2018 to 30th June 2019. All cases who were admitted to tertiary level trauma care facility in the study period were reviewed and were analyzed for type of injuries suffered, prehospital care services availed and the time duration that elapsed before patient arrived at tertiary health facility. Geographic information system was used to identify clustering of accident hot spots in the Jodhpur district. Results A total of 137 patients or their caregivers were interviewed during the study period. A large proportion of patients 57(41.6%) were unconscious in post-crash phase. Private taxis contributed to maximum patient transfer (75.9%) and only 12.4% were transported through ambulance. Almost three fourth (78.1%) of patients received some form of pre-hospital care within 30 minutes of accident. About one third patients (35.7%) reached the trauma facility directly after the accident while majority (64.9%) were referred from other health facilities Conclusions Pre-hospital trauma care for road traffic accident victims is available in golden hour for majority of victims in Jodhpur district. Victims from rural area and tourists form a sizeable proportion of accident victims brought to trauma care facility. The primary health care facilities play a pivotal role in managing victims as first point of care. Future research is thus warranted to explicitly examine the role of health professionals at primary health care facilities in administering pre-hospital trauma care. Key messages The primary health care facilities play a pivotal role in managing victims as first point of care. In areas with evolving trauma systems, pre-hospital trauma care strengthening requires capacity building of all level of health professionals.

Examination of Practicability of Communication Robot-Assisted Activity Program for Elderly People

2011 ◽  
Vol 23 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Masayoshi Kanoh ◽  
◽  
Yukio Oida ◽  
Yu Nomura ◽  
Atsushi Araki ◽  
...  
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Care Facility ◽  
Health Care Facility ◽  
The Elderly ◽  
Health Care Facilities ◽  
Robot Assisted ◽  
Care Facilities

We have developed a Robot Assisted Activity (RAA) program for recreational use in health care facilities for elderly people. The RAA program has been evaluated in such a facility to assess its usefulness. The program applies a standard classroom model, starting with homeroom and including lessons in the Japanese language, music, gymnastics, arithmetic, and other subjects. At the end of the program, there is a graduation ceremony. We use a video camera to record each scene. Each behavior and utterance of the participants is then analyzed. In addition, immediately upon completion of the RAA program, specialists conduct a Focus Group Interview (FGI) in which they collect comments, opinions, and requests from the participants. Ten elderly people participate in the program, two men and eight women (81.0±3.7 years old). All are residents at a health care facility in Aichi Prefecture, Japan. TheMMSE (MiniMental State Examination) score indicating the level of dementia is 24.1±3.0 points. Two participants are judged to be in a moderate stage of cognitive decline (21 points or less), six are in a mild stage (22-26 points), and the remaining two are normal. On the Geriatric Depression Scale (GDS), in which a score of 13.3±4.2 points indicates a state of depression, seven participants are judged to be depressive (11 points or more). The results of our study show that all participants have a favorable impression of the robot and nearly all have a positive opinion of the RAA program. This suggests that the program can be used for emotional and recreational therapy at health care facilities for the elderly. However, in spite of the overall success of the RAA program, we seldom observe interaction between participants and the robot.

scholarly journals ANALYSIS OF TOURIST TRAVEL PATTERNS TOWARD HEALTH CARE FACILITIES

2018 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Nida Hanifah ◽  
Marta Nilasari Catur Pujianingsih ◽  
Dea Handika Pratiwi ◽  
Linta Alfi Fahmi ◽  
Fathurohim Anhari ◽  
...  
Keyword(s):  
Health Care ◽  
Network Analysis ◽  
Health Service ◽  
Health Sector ◽  
Route Planning ◽  
Health Care Facilities ◽  
Travel Patterns ◽  
Service Facility ◽  
Healthcare Facilities ◽  
Care Facilities

One of the sectors that are closely related and reasonably determining for the growth and development of the tourism sector is the health sector. The aim of this research  was to a) know the affordability of health care facilities from tourism Prambanan and Plaosan Temple,  b) to know the travel patterns of tourists headed for healthcare facilities. This research uses qualitative descriptive method by using data collection observation techniques, documentation, and data analysis using network analysis. The network analysis method that used is the closest facility. The results of this research show that a) the affordability of the nearest health service facility from the Plaosan Temple object is Kebondalem Lor Puskesmas which is traveled by 1.7 km distance and takes about 4 minutes from the location of Plaosan Temple, while the closest health service facility from the Prambanan Temple is Prambanan Puskesmas which is taken with distance of 5.3 km and travel time 14 minutes from location of Prambanan Temple. to be known travelers can use private vehicles at tourism Plaosan Temple, because the attractions have a radius of 1.7 km. While on the tourist object of tourism Prambanan Temple can not use private vehicle because the mileage exceeds 3 km, and b) The travel pattern of tourists to health care facilities is categorized good, because the tourists can access health services with the nearest route and adequate facilities. Keywords: Travel Patterns, Health Facilities, Network Analysis   ReferencesAnwar, A. (2010). Introduction to Health Administration.Jakarta: Binarupa Aksara.Groenou, M. V., & Tilburg, T. V. (1975). Network Anaysis. Vrije Universitet, Amsterdam, The Netherland.Kuntarto, A., & Purwanto, T. H. (2012). Use of Geographic Information Network Analysis System for Route Planning Tourists in Sleman. Journal of The Earth Indonesia of Vol 1 Number 2, 141.Laksono, A. D., & dkk. (2016). The accessibility of health service in Indonesia. Yogyakarta: KANISIUS PT.Law number. 36 Year 2009 About HealthLaw number. 47 Year 2016 About Health Facilities.Moeleong, L. (2002). Qualitative Research Methods. Bandung: Teens Rosdakarya.Muta'ali, L. (2013). Regional and City Spatial Planning (Tinjauan Normatif-Teknis). Yogyakarta: Badan Penerbit Fakultas Geografi (BPFG) Gadjah Mada University.Narsid, S. (1988). Development Geography. Jakarta: Space.O.Z, T. (1997). Transport Planning and Modeling. Bandung: Institut Teknologi Bandung.  

scholarly journals Is a higher altitude associated with shorter survival among at-risk neonates?

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253413
Author(s):  
Iván Dueñas-Espín ◽  
Luciana Armijos-Acurio ◽  
Estefanía Espín ◽  
Fernando Espinosa-Herrera ◽  
Ruth Jimbo ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Survival Analysis ◽  
Health Outcomes ◽  
Survival Time ◽  
Proportional Hazards ◽  
Care Facility ◽  
Cox Proportional Hazards ◽  
Health Care Facilities ◽  
Care Facilities

Introduction We hypothesize that high altitudes could have an adverse effect on neonatal health outcomes, especially among at-risk neonates. The current study aims to assess the association between higher altitudes on survival time among at-risk neonates. Methods Retrospective survival analysis. Setting: Ecuadorian neonates who died at ≤28 days of life. Patients: We analyzed the nationwide dataset of neonatal deaths from the Surveillance System of Neonatal Mortality of the Ministry of Public Health of Ecuador, registered from 126 public and private health care facilities, between January 2014 to September 2017. Main outcome measures: We retrospectively reviewed 3016 patients. We performed a survival analysis by setting the survival time in days as the primary outcome and fixed and mixed-effects Cox proportional hazards models to estimate hazard ratios (HR) for each altitude stratum of each one of the health care facilities in which those neonates were attended, adjusting by individual variables (i.e., birth weight, gestational age at birth, Apgar scale at 5 minutes, and comorbidities); and contextual variables (i.e., administrative planning areas, type of health care facility, and level of care). Results Altitudes of health care facilities ranging from 80 to <2500 m, 2500 to <2750m, and ≥2750 m were associated respectively with 20% (95% CI: 1% to 44%), 32% (95% CI:<1% to 79%) and 37% (95% CI: 8% to 75%) increased HR; compared with altitudes at <80 m. Conclusion Higher altitudes are independently associated with shorter survival time, as measured by days among at-risk neonates. Altitude should be considered when assessing the risk of having negative health outcomes during neonatal period.

scholarly journals NEED FOR DRUG PRICE CONTROL IN INDIA

2018 ◽  
Vol 1 (4) ◽  
pp. 12-18
Author(s):  
Sachin K. R. Parasiya ◽  
V. Balamuralidhara ◽  
Pramod Kumar T.M ◽  
A.J. Dave ◽  
R. Gujarati ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Essential Medicine ◽  
Care Facility ◽  
Price Control ◽  
Health Care Facilities ◽  
Pharmaceutical Pricing ◽  
Price Variation ◽  
Care Facilities ◽  
Care System

India is one of the developing countries. A substantial proportion of population of this country is largely exposed to the drug market whose purchasing power is extremely low. Around 42% population of this country lives under the National poverty line ($1.25 per day).  Vital issue concerning them is to access the health care facility at an affordable cost. Medicine is a part of health care cost and it costs to around 70% to 80% of total cost. Thus, cost of medicine is a governing factor of health care system especially when it comes to price control of health care facilities. To bring down the cost of health care facilities, government spends money for health care facilities. A comparative expenditure made by state government is depicted in this article. NPPA (National Pharmaceutical Pricing Authority) is the Indian pharmaceutical pricing regulating authority and it achieves its objectives by implementing the DPCO (Drug Pricing control order). In spite of existence of the DPCO, drastic price variation is observed between the products of same API (Active Pharmaceutical Ingredient) and several factors are responsible for the same. To overcome the stated problem and monopolistic trade practice by patent holder/brand manufacturer, TRIPS (Trade Related Intellectual Properties Rights) provides Compulsory Licenses which has its unique role to play in affordability of medicines. Essential medicine is a basic requirement of health care system to serve their customers and hence an effective and overt price control on drugs is the need of present. This study will thus try to justify the need to bring NLEM (National List of Essential Medicine) under DPCO.

scholarly journals Towards Climate Resilient and Environmentally Sustainable Health Care Facilities

2020 ◽  
Vol 17 (23) ◽  
pp. 8849
Author(s):  
Carlos Corvalan ◽  
Elena Villalobos Prats ◽  
Aderita Sena ◽  
Diarmid Campbell-Lendrum ◽  
Josh Karliner ◽  
...  
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Health Coverage ◽  
Environmentally Sustainable ◽  
Use Of Resources ◽  
Care Facilities ◽  
Sustainable Health ◽  
Health Care Waste

The aim of building climate resilient and environmentally sustainable health care facilities is: (a) to enhance their capacity to protect and improve the health of their target communities in an unstable and changing climate; and (b) to empower them to optimize the use of resources and minimize the release of pollutants and waste into the environment. Such health care facilities contribute to high quality of care and accessibility of services and, by helping reduce facility costs, also ensure better affordability. They are an important component of universal health coverage. Action is needed in at least four areas which are fundamental requirements for providing safe and quality care: having adequate numbers of skilled human resources, with decent working conditions, empowered and informed to respond to these environmental challenges; sustainable and safe management of water, sanitation and health care waste; sustainable energy services; and appropriate infrastructure and technologies, including all the operations that allow for the efficient functioning of a health care facility. Importantly, this work contributes to promoting actions to ensure that health care facilities are constantly and increasingly strengthened and continue to be efficient and responsive to improve health and contribute to reducing inequities and vulnerability within their local settings. To this end, we propose a framework to respond to these challenges.

Kajian Kebijakan Jaminan Kesehatan Masyarakat

2010 ◽  
Vol 13 (2) ◽  
pp. 98-104
Author(s):  
Imami Nur Rachmawati
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Public Service ◽  
Living Environment ◽  
Health Care Facilities ◽  
The State ◽  
Human Right ◽  
Care Facilities ◽  
Community Health Insurance ◽  
Good Living

AbstrakKesehatan adalah hak asasi manusia. Sesuai dengan Pancasila dan amanat UUD 1945 yaitu pasal 28H ayat (1) yang mengatakan bahwa setiap orang berhak hidup sejahtera lahir dan batin, bertempat tinggal, dan mendapatkan lingkungan hidup yang baik dan sehat serta berhak memperoleh pelayanan kesehatan dan pasal 34 ayat (1) yang mengatakan bahwa Negara mengembangkan sistem jaminan sosial bagi seluruh rakyat dan memberdayakan masyarakat yang lemah dan tidak mampu sesuai dengan martabat kemanusiaan dan ayat (2) yang menetapkan bahwa Negara bertanggung jawab atas penyediaan fasilitas pelayanan kesehatan dan fasilitas pelayanan umum yang layak, maka sudah merupakan kewajiban negara untuk menjamin kesehatan warganya. Berbagai program telah dikembangkan oleh Negara termasuk Jaminan Kesehatan Masyarakat (Jamkesmas). Akan tetapi pada pelaksanaannya, Jamkesmas ini masih banyak menemui kendala. Makalah ini akan menjabarkan informasi terkait dengan pelaksanaan program Jamkesmas dan memberikan berbagai pemecahan masalah tersebut. AbstractHealth is a human right. In accordance with Pancasila and 1945 Constitution, namely Article 28H paragraph (1) which says that every person is entitled to live in prosperity and spiritual, living, and earn a good living environment and healthy and receive medical care and article 34 paragraph (1) the said that the State develop a system of social security for all citizens and to empower the weak and unable to human dignity and in accordance with paragraph (2) which provides that the State is responsible for the provision of health care facilities and public service facilities are decent, then it is the obligation of the state to ensure the health of its citizens. Various programs have been developed by the State including Community Health Insurance (Jamkesmas). However, in practice, this is still a lot of obstacles. This paper will describe the information related to the implementation of the program Jamkesmas and provide a variety of problem solving.

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