Customer-oriented optimization of healthcare facilities staff is considered

2021 ◽  
pp. 6-14
Author(s):  
Oksana Mulesa ◽  
Vitaliy Snytyuk
Keyword(s):  
Customer Orientation ◽  
Health Care Facilities ◽  
Medical Services ◽  
Personnel Policy ◽  
Healthcare Facilities ◽  
Personnel Decisions ◽  
Medical Institutions ◽  
Care Facilities ◽  
Current Characteristics ◽  
Multicriteria Optimization Problem

The problem of developing information technology for customer-oriented optimization of healthcare facilities staff is considered. It is determined that the key tasks in the development of personnel decisions in the formation of personnel policy in medical institutions are assessing such current characteristics of staff as to regulatory and actual workload and the task of forecasting needs for medical services in future periods. To effectively perform such a forecast, it is proposed to consistently solve clustering, identification, and forecasting problems. A mathematical model of the multicriteria optimization problem for the formation of many variants of solutions for the formation of personnel policy in health care facilities is built. The model of search of optimum distribution of services between employees of establishment in the form of a problem of integer linear programming is executed. Production rules have been developed to analyze the results of solving the formulated problem. A model for developing variants of decisions on changes in the staff of a medical institution to ensure the completeness of medical services is proposed. To assess the effectiveness of the options made, the customer orientation index is used, which is calculated by the principles of egalitarianism. Experimental verification of the developed models and methods is performed.

scholarly journals Recommendations for improving the hospital’s marketing policy

2020 ◽  
Vol 1 (2) ◽  
pp. 91-99
Author(s):  
Yuriy Yula ◽  
Olexandr Pushko ◽  
Maksym Palienko
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Facilities ◽  
Medical Services ◽  
Scientific Discussion ◽  
Marketing Policy ◽  
Medical Institutions ◽  
Care Facilities ◽  
The Government

This article summarizes the arguments and counterarguments within the scientific discussion on improving the marketing policy of the clinic. The purpose of the study is to improve the marketing policy of the clinic. The urgency of solving the scientific problem lies in need to promote medical services, where marketing activities contribute to establishing relations between providers and consumers of medical services. The authors noted that patients have a low level of awareness in medical services, making it difficult to understand the market of medical services. In turn, public and municipal health care facilities have a passive marketing policy that is not competitive enough with private health care facilities. In most cases, state and municipal medical institutions do not use marketing tools to acquaint consumers with the list of available services, do not inform consumers about the expansion of medical services and the benefits of their medical institution. The object of the study was selected health care management. According to the results of empirical analysis of ways to improve the marketing policy of the clinic, it is established that the reform of the medical sector of Ukraine intensifies the processes of competition in the market. The marketing system of Ukrainian health care has no concept of medical care. Instead of that, there is a market element as medical service or health care service provided to the patient by a health care institution or an individual registered according to the law and possessing the medical business license. Besides, the medical services are paid for by the customer, such as patients, various organizations, local authorities, and the government. Thus, public medical institutions faced the need to fight (particularly with private medical institutions) for the consumer and state funding for the package of primary medical services. The study empirically confirms and theoretically proves the existence of competition between private and public medical institutions in the market of medical services. The results of this study can help improve the marketing policy of public and municipal clinics.

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

scholarly journals A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

2021 ◽  
Vol 18 (6) ◽  
pp. 2953
Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People With Disabilities ◽  
Health Care Facilities ◽  
Internal Space ◽  
Major Barrier ◽  
Healthcare Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.

An Assessment of Health Needs in Selected Nigeria Villages

1985 ◽  
Vol 6 (2) ◽  
pp. 161-169 ◽  
Author(s):  
Collins O. Airhihenbuwa
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Cost Of Care ◽  
Health Care Facilities ◽  
High Morbidity ◽  
Community Members ◽  
Care Needs ◽  
Medical Institutions ◽  
Poor Access ◽  
Care Facilities

Two hundred and fifty five heads of households in Iyekuselu District, Bendel State Nigeria, were interviewed. Fifteen villages were randomly selected from the 107 villages that make up the district. There is high morbidity of infectious diseases identified in the study. Limited number of medical professionals and medical institutions present problems of availability of services. This is compounded by high cost of medical services and poor access to health care facilities. The self-perceived health care needs of the heads of households are disease prevention, availability of health services, improved accessibility to health care facilities and reduced cost of care. There is a strong need for health education programs in these villages. This should be attempted with the cooperation of community members, so as to attain the goal of promoting health and preventing diseases.

scholarly journals Delayed access to treatment and frequency of acute respiratory infection as risk factors of severe pneumonia among children aged 12-59 months in Denpasar, Bali

2017 ◽  
Vol 5 (1) ◽  
pp. 61
Author(s):  
Dewa Ayu Ketut Sri Abadi ◽  
Dewa Nyoman Wirawan ◽  
Anak Agung Sagung Sawitri ◽  
I Gusti Ayu Trisna Windiani
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Access To Health Care ◽  
Respiratory Infections ◽  
Severe Pneumonia ◽  
Health Care Facilities ◽  
First Episode ◽  
Access To Treatment ◽  
Healthcare Facilities ◽  
Care Facilities

Background and purpose: Period prevalence of pneumonia among children in Indonesia increased from 2.1 in 2007 to 2.7 per 1000 children in 2013. The highest incidence was found among children aged 12-23 months. This study aims to examine association between delayed access to health care facilities and severity of children pneumonia.Methods: A case control study was conducted in Denpasar City. A total of 132 children were recruited to participate in this study, consisted of 44 cases and 88 controls. Cases were selected from 161 children with severe pneumonia who registered at Pulmonology Department of Sanglah General Hospital between January 2015 to April 2016. Controls were selected from 261 children aged 12-59 months with mild pneumonia who visited out-patient service at all community health centres in Denpasar City between January 2015 and April 2016. Cases and controls were matched by sex. Data were collected by interview with the parents in their houses. Data were analysed using multivariate analysis with logistic regression.Results: Risk factors associated to severity of pneumonia among children aged 12-59 months were delayed access to treatment for more than three days (AOR=2.15;95%CI: 1.39-3.32), non-health care facilities at first episode of illness (AOR=4.02; 95%CI: 1.53-10.61) and frequent episodes of respiratory infections (>4 times) over the last 6 months (AOR=5.45; 95%CI: 2.13-13.96).Conclusion: Delayed access to treatment, did not access healthcare facilities at first episode of illness, and high frequency of acute respiratory infections are risk factors of severe pneumonia among children.

scholarly journals TUMPAH TINDIH DALAM PROSES PERIZINAN KLINIK PRATAMA DI DINAS PENANAMAN MODAL DAN PELAYANAN TERPADU SATU PINTU KOTA PADANG

2018 ◽  
Vol 1 (2) ◽  
pp. 148-156
Author(s):  
Delfina Gusman ◽  
Marryo Borry WD
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Facilities ◽  
Medical Services ◽  
Individual Health ◽  
Specialist Services ◽  
Care Facilities ◽  
Individual Health Services ◽  
Basic Medical

Clinics are health care facilities that provide individual health services that provide basic medical and / or specialist services. Primary Clinic is a clinic that provides basic medical services both general and special. To establish primary clinics until they can operate through a series of licensing processes, namely the Hinder Ordonnantie (HO) Permit, Clinical Establishment Permit (IMK) and Clinical Operational Permit (IOK). The results of the process are overlapping or suggesting requirements that make the process ineffective and inefficient

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 Hubungan Pengetahuan dan Sikap Ibu Postpartum tentang Persalinan di Fasyankes dengan Pemilihan Pertolongan Persalinan

2018 ◽  
Vol 18 (3) ◽  
pp. 522
Author(s):  
Ratu Kusuma
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Center ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Public Health Center ◽  
The Public ◽  
Care Facilities ◽  
Postpartum Mothers ◽  
Selection Of

Safe childbirth is childbirth that helped by health personnel in health care facilities. Coverage of childbirth in health care facilities in Jambi province did not reach strategic plan target yet (77.00%), achievement (63.03%), Jambi city (93.86%) and the public health center did not reach target province yet (90%) that is the public health center Talang Bakung (79.00%) and Pal Merah II (78.00%). This study aimed to determine the correlation of knowledge and postpartum mothers attitude about childbirth in health care facilities with a selection of helping in childbirth at the public health center Talang Bakung. This is an analytic descriptive research; with total populations were 32 postpartum mothers, it used total sampling technique. Instrument test was conducted at the public health center Pal Merah II toward 10 postpartum mothers; an instrument used demographic data instrument, knowledge instrument, attitude instrument, and selection of helping in childbirth instrument, with fisher exact test and contingency coefficient. The findings indicated that there is no significant correlation between knowledge and attitudes of childbirth in healthcare facilities with a selection of helping in childbirth with each score p is (p=0.444 p=1.000), contingency coefficient (p=0.399, p=1.000). It is concluded that knowledge and attitude of the postpartum mother about childbirth in healthcare facilities did not affect in a selection of childbirth place chosen by the mother. For the next researcher to research about childbirth in healthcare facilities with the different method.

scholarly journals Formation of the architectural space of health care facilities based on landscape design

2021 ◽  
pp. 29-32
Author(s):  
Iryna Bulakh
Keyword(s):  
Health Care ◽  
Soviet Union ◽  
Large Scale ◽  
Health Care Facilities ◽  
Urban Context ◽  
Urban Network ◽  
The Soviet Union ◽  
Medical Institutions ◽  
Care Facilities ◽  
The Right

Architecture is gradually changing along with the development of society, its changing perceptions of beauty, strength, usefulness, as well as the growing need for comfort, aesthetics, the ideal environment. For a long time, the architecture of health care facilities was perceived and, accordingly, mechanically designed exclusively as a kind of technically necessary shell to ensure the treatment of the impersonal mass of the population. This approach was due to the acute and rapid need for a quantitative supply of medical institutions to a large number of people in large areas. This is what happened in the last century in the post-Soviet countries - standard projects of medical institutions were "cloned" everywhere, which were integrated into the urban environment by huge industrial-panel arrays without regional, cultural and aesthetic connection with "genius loci" and urban context. Do we have the right to condemn this large-scale approach that prevailed in the twentieth century? No. At one time, he made it possible to resolve the important issues of providing medical care to the majority of the population of the Soviet Union. Thanks to the massive and economic industrial design and construction approach, Ukraine has received an extensive urban network of various health care facilities, which continue to perform their functions, accepting the harsh challenges and trials of global pandemics and epidemics. The main problem is that with the acquisition of sovereignty in Ukraine began protracted political-oligarchic clan "internecine wars", which for decades froze attention to improving, modernizing, updating and developing the architecture of health care facilities. A significant part of Ukrainian hospitals is in a condition that not only does not meet sanitary and other requirements, but even threatens the health and lives of patients and staff. But it is not customary to talk about it. The Soviet mentality, enshrined in our subconscious, forces everyone in their place to report on the order, on compliance, on the implementation of plans. Despite the long-standing disregard for the problems and issues of compliance of domestic medical architecture with world standards, the powerful and once the world's best "machine" continued to perform its functions, inertially moving down from its pedestal. But today, in 2021, we are frantically approaching the foot of the new "rock", which embodies all the latest advances in health care and which the world's leading countries have gradually, step by step, overcome with long-term state plan for the development of medicine and with periodic reforms in the medical field.

scholarly journals The diagnostics of the atrial fibrillation by the telecommuting ECG methods by the means of the primary health-care facilities

2020 ◽  
pp. 46-57
Author(s):  
Г.В. РЯБЫКИНА ◽  
Н.А. ВИШНЯКОВА ◽  
Я.С. СМИРНОВА ◽  
Е.Ш. КОЖЕМЯКИНА ◽  
А.В. СОБОЛЕВ ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
District Hospital ◽  
Health Care Facilities ◽  
Primary Health ◽  
Medical Institutions ◽  
Care Facilities ◽  
Central District ◽  
Medical Analysis ◽  
Primary Health Care Facilities

Резюме Цель исследования. Изучить частоту выявления фибрилляции предсердий (ФП) в первичном звене здравоохранения. Материал и методы. На базе лечебно9профилактических учреждений Мытищинской центральной районной больницы (ЦРБ) Московской области и Урюпинской ЦРБ Волгоградской области применяли дистанционные методы регистрации электрокардиографии (ЭКГ) в одном (ДЭКГ91) и 12 (ДЭКГ912) отведениях. В 12 лечебно9профилактических учреждениях (ЛПУ) Мытищинской городской клинической больни9 цы устройством CardioQVARK с одноканальной записью ЭКГ обследованы 2357 пациентов, обратившихся в ЛПУ в основном по поводу сердечно9сосудистых заболеваний. В Урюпинской ЦРБ был проведен врачебный анализ 18 564 ЭКГ, зарегистрированных в 12 отведени9 ях телемедицинской системой Easy ECG при проведении медицинских осмотров и диспансеризации населения в 4 ЛПУ. Результаты. Частота выявления ФП в Урюпинском районе, по данным врачебного анализа ДЭКГ912, составила 310 (1,7%) случаев на 18 564 зарегистрированных ЭКГ обследованных лиц, в основном при диспансеризации. В Мытищинском районе при проведении съемки ДЭКГ91 устройством CardioQVARK у пациентов с различными (преимущественно сердечно9сосудистыми) заболеваниями автоматически диагностировано 79 случаев ФП, что составило 3,35% обследованных. Впервые ФП выявлена у 91 человека: у 26 — методом ДЭКГ91, у 65 — методом ДЭКГ912. Из лиц с впервые выявленной ФП 21 человек считал себя практически здоровым. Заключение. В исследовании показаны возможности дистанционного метода регистрации и автоматического анализа ДЭКГ91 в сопостав9 лении с результатами врачебного анализа ДЭКГ912 в выявлении ФП на уровне врача первого контакта. Информативность автоматизиро9 ванного анализа одного (первого) отведения ЭКГ устройством CardioQVARK не уступает врачебному анализу ЭКГ912. Различия в частоте выявления ФП обусловлены различным контингентом обследованных лиц. Summary Aim. Тo explore the prevalence of atrial fibrillation (AF) in the primary health care facilities. Material and methods: on the basis of medical institutions of the Mytishy City Clinical Hospital of the Moscow Region and Uryupinsk Central District Hospital of the Volgograd Region, methods of remote 19channel ECG recording (DECG91) and 12 leads ECG (DECG912) were used. In 12 medical institutions of Mytishchy City Clinical Hospital, CardioQVARK device with a single9channel ECG recording examined 2357 patients who applied to medical institutions mainly for cardiovascular diseases. A medical analysis of 18 564 ECGs recorded in 12 leads by the Easy ECG telecommuting system during medical examinations and dispanserisation of the population in four medical institutions was performed in the Uryupinsk Central District Hospital. Results: the prevalence of AF in the Uryupinsk district according to the medical analysis of DECG>12 data was 310 cases per 18564 recorded ECGs, that is AF was diagnosed in 1.7% of patients mainly during the dispanserisation of the citizens. In the Mytischy district when conducting a DECG>1 examination with the CardioQVARK device in patients with various (mainly cardiovascular) diseases 79 cases of AF were automatically diagnosed, which amounted to 3.35% of the examined persons. For the first time, AF was detected in 91 persons: in 26 — by the DECG>1 method, in 65 — by the DECG>12 method. Of those with newly diagnosed AF, 21 persons considered themselves healthy. Conclusion: the study shows the capabilities of the method of remote registration and automatic analysis of DECG>1 in comparison with the results of a medical analysis of DECG>12 in detecting AF at the primary health care level. The informational content of the automatic analysis of 1>channel (lead I) ECG by the CardioQVARK device is not inferior to the medical analysis of the ECG>12. The differences in the frequency of occurrence of AF are imposed on the different contingent of the examined individuals.

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