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

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.

Author(s):  
Wang ◽  
Nie

There is evidence of a strong correlation between inequality in health care access and disparities in chronic health conditions. Equal access to health care is an important indicator for overall population health, and the urban road network has a significant influence on the spatial distribution of urban service facilities. In this study, the network kernel density estimation was applied to detect the hot spots of health care service along the road network of Shenzhen, and we further explored the influences of population and road density on the aggregate intensity distributions at the community level, using spatial stratified heterogeneity analyses. Then, we measured the spatial clustering patterns of health care facilities in each of the ten districts of Shenzhen using the network K-function, and the interrelationships between health care facilities and hypertension patients. The results can be used to examine the reasonability of the existing health care system, which would be valuable for developing more effective prevention, control, and treatment of chronic health conditions. Further research should consider the influence of nonspatial factors on health care service access.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Md. Shahed Mahmud ◽  
Reshma Pervin Lima ◽  
Md. Mahbubar Rahman ◽  
Shafiqur Rahman

Purpose Poor quality of services in the health-care sector of the developing countries like Bangladesh forces affluent patients to seek advanced medical treatment from abroad. The purpose of this study is to explore the outbound medical tourists’ satisfaction and loyalty on the basis of the quality of the health-care service provided by foreign medical institutions. Design/methodology/approach The medical tourists from Bangladesh who have got medical services from Indian medical institutions were taken as a sample by applying a purposive sampling technique. For the measurement of outbound medical tourists’ satisfaction, the dimensions of the HEALTHQUAL model were adopted. A self-administrated questionnaire was the major tool for collecting data from the respondents. Using partial least square-structural equation model multivariate statistical technique and with the aid of SmartPLS software, primary data collected from 218 final respondents were analyzed. Findings The findings of this study reveal that four dimensions of the HEALTHQUAL model, namely, empathy, tangibility, efficiency, and safety have a significant positive impact on building medical tourists’ overall satisfaction, and then the overall satisfaction also has a positive level of significance on building loyalty towards foreign medical service providers. Practical implications The findings of this study can be a helpful instrument for the developing countries to rethink and reshuffle their own existing health-care system for providing quality medical services and at the same time, the medical tourists importing countries to sharpen their existing service quality as well as to attract more medical tourists in the future. Originality/value A handful of research has been carried out, especially focused on health-care service quality measurement and the relationship of health-care service quality with satisfaction and loyalty from the perspective of developing countries outbound medical tourists. Thus, this research work will give a flavor to think of health-care service quality in a different dimension.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!


1985 ◽  
Vol 6 (2) ◽  
pp. 161-169 ◽  
Author(s):  
Collins O. Airhihenbuwa

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.


2018 ◽  
Vol 1 (2) ◽  
pp. 148-156
Author(s):  
Delfina Gusman ◽  
Marryo Borry WD

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


2021 ◽  
pp. 29-32
Author(s):  
Iryna Bulakh

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.


2020 ◽  
pp. 46-57
Author(s):  
Г.В. РЯБЫКИНА ◽  
Н.А. ВИШНЯКОВА ◽  
Я.С. СМИРНОВА ◽  
Е.Ш. КОЖЕМЯКИНА ◽  
А.В. СОБОЛЕВ ◽  
...  

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.


2020 ◽  
Author(s):  
Linda Huibers ◽  
Anders H Carlsen ◽  
Grete Moth ◽  
Helle C Christensen ◽  
Ingunn S Riddervold ◽  
...  

Abstract Background Patients in need of acute health care do not always contact the most suitable health care service provider. Contacting out-of-hours primary care for an urgent problem may delay care, whereas contacting emergency medical services for a non-urgent problem could ultimately affect patient safety. More insight into patient motives for contacting a specific health care provider may help optimise patient flows. This study aims to explore patient motives for contacting out-of-hours primary care and the emergency medical services in Denmark.Methods We conducted a cross-sectional observational study by sending a questionnaire to patients contacting out-of-hours primary care and emergency medical services, both of which can be directly contacted by patients, in two of five Danish regions in 2015. As we aimed to focus on the first access point, the emergency department was not included. The questionnaire included items on patient characteristics, health problem and 26 pre-defined motives. Descriptive analyses of patient characteristics and motives were conducted, stratified by the two health care service providers. Factors associated with contacting each of the two service providers were explored in a modified Poisson regression analysis, and adjusted risk ratios were calculated.Results Three key motives for contacting the two service providers were identified: ‘unpleasant symptoms’, ‘perceived need for prompt action’ and ‘perceived most suitable health care provider’. Other important motives were ‘need arose outside office hours’ and ‘wanted to talk to a physician’ (out-of-hours primary care) and ‘expected need for ambulance’ and ‘worried’ (emergency medical services). Higher probability of contacting the emergency medical services versus out-of-hours primary care was seen for most motives relating to own assessment and expectations, previous experience and knowledge, and own needs and wishes. Lower probability was seen for most motives relating to perceived barriers and benefits.Conclusions Patient motives for contacting the two health care service providers were partly overlapping. The study contributes with new knowledge on the complex decision-making process of patients in need of acute health care. This knowledge could help optimise existing health care services, such as patient safety and the service level, without increasing health care costs.


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