Search results for "Healthcare services"

[A composite indicator for maternity hospital classification].

2018

OBJECTIVES: to propose a composite indicator for maternity hospital classification. DESIGN: descriptive analysis of maternity hospitals through a composite indicator and analysis of its association with infant readmissions within 30 days from the childbirth. SETTING AND PARTICIPANTS: 56 maternity units in Sicily, accounting for 44.436 newborns in 2014. MAIN OUTCOME MEASURES: infant readmission rates within 30 days from the childbirth. RESULTS: low-level hospitals show higher infant readmission rates (odds ratio: 1.3) which may be seen as a signal of inappropriateness of maternity care. CONCLUSIONS: the proposed indicator allows for a classification of maternity hospitals taking into account…

Meet–Test–Treat for HCV management: patients’ and clinicians’ preferences in hospital and drug addiction services in Italy

2022

Abstract Background It has been estimated that the incidence of chronic hepatitis C virus (HCV) will not decline over the next 10 years despite the improved efficacy of antiviral therapy because most patients remain undiagnosed and/or untreated. This study aimed to investigate the opinion of relevant target populations on the practicability, effectiveness and best modalities of the test-and-treat approach in the fight against HCV in Italy. Methods A survey was delivered to patients with HCV from the general population, patients from drug addiction services, hospital physicians and healthcare providers for drug addiction services. Results For both hospital clinicians and SerD HCPs, tolerabil…

CONFLICT DYNAMICS IN HEALTHCARE SERVICES: AN EXPERIMENTAL STUDY USING THE SYSTEM DYNAMICS METHODOLOGY

Σκοπός Η μελέτη αυτή χρησιμοποιεί τη συστημική προσέγγιση για να διερευνήσει τη δυναμική της μάθησης και του αρνητικού συναισθήματος στις συγκρούσεις μεταξύ εργαζομένων στο χώρο της υγείας. Η δυναμική μας υπόθεση ήταν ότι η αλληλεπίδραση μεταξύ των επιπέδων σύγκρουσης, πληροφορίας/μάθησης και αρνητικών συναισθημάτων που συσσωρεύονται στο χώρο εργασίας ως παραπροϊόντα της σύγκρουσης προκαλούν ενδογενώς την διακύμανση (ταλαντώσεις) των επιπέδων σύγκρουσης. Υλικό-Μέθοδος Πραγματοποιήθηκε αρχικά μια συστηματική ανασκόπηση της βιβλιογραφίας και εντοπίσθηκαν 2 προβληματικά πρότυπα εξέλιξης των εργασιακών συγκρούσεων με την πάροδο του χρόνου (Group Disintegration, Groupthink) και ένα "επιθυμητό" π…

Effectiveness of Healthcare Coordination in Patients with Chronic Respiratory Diseases

2018

Coordination of healthcare effectively prevents exacerbations and reduces the number of hospitalizations, emergency visits, and the mortality rate in patients with chronic respiratory diseases. The purpose of this study was to determine clinical effectiveness of ambulatory healthcare coordination in chronic respiratory patients and its effect on the level of healthcare services as an indicator of direct medical costs. We conducted a retrospective health record survey, using an online database of 550 patients with chronic respiratory diseases. There were decreases in breathing rate, heart rate, and the number of cigarettes smoked per day, and forced vital capacity (FVC) and forced expired vo…

Norwegian municipal rehabilitation services in transition

2018

Background: Intending to meet increased demands of health care services due to the demographic change with an increasing elderly population, Norwegian municipalities along with many other western countries over the last couple of years have increased responsibility for providing rehabilitation services. The services include integrated homebased rehabilitation and institution- based rehabilitation services. The purpose of this study: How have workforces from the primary healthcare services experienced an increased responsibility for somatic rehabilitation? Methods: The study was based on qualitative research methods. We conducted five focus-group interviews with 25 participants with professi…

Social Media's Impact on Healthcare Services

2015

Abstract Taking into account the changes in recent years (the increased access to internet, the existence of affordable mobile devices and the ease of communication due to the growth of social media) it seems natural to investigate social media's impact on healthcare services. Furthermore, studies conducted worldwide show their benefits, both in terms of the patient, as well as the healthcare providers’. However, Romania's healthcare system faces serious problems on basic aspects. Thus, using secondary data, this paper aims to present the existing concerns about the impact of social media on healthcare services and to discuss to what extent they are applicable also in Romania.

In Which Type of Healthcare Do Patients Show Greater Loyalty? (Public Sector Management vs. Public-Private Partnership)

2018

Introduction: The present study analyses the patients behavior in a setting with different management types: public sector management and public-private partnership. More specifically, the objective is to establish in which healthcare type (hospitalization, ambulatory surgery, emergencies, outpatients consultation) do the patients show a loyal behavior when they are in different management scenarios. Material and methods: A descriptive analysis based on secondary data collected from an internal database of the Conselleria de Sanidad of the Valencian Community in Spain, a scenario with two different healthcare management types (public sector management and public-private partnership) was con…

Effects of Home-Based Physical Exercise on Days at Home and Cost-Effectiveness in Pre-Frail and Frail Persons: Randomized Controlled Trial.

2021

Objectives: Frailty increases the risks of hospitalization, institutionalization, and death. Our objective was to study the effects of home-based physical exercise on the number of days spent at home among pre frail and frail persons, versus usual care. In addition, utilization and costs of health care and social services, cost-effectiveness, and health-related quality-of-life (HRQoL) were explored. Design: Randomized controlled trial, with year-long supervised exercise for 60 minutes twice a week versus usual care. Follow-up for 24 months after randomization. Setting and Participants: A sample of 299 home-dwelling persons in South Karelia, Finland. Main inclusion criteria: >65 years, meeti…

HEALTHCARE QUALITY - A MANAGERIAL APPROACH

2014

Healthcare quality has been defined in different ways, depending on the dimension that the authors had in mind. Furthermore, if initially healthcare quality was defined and assessed from the specialists’ and researchers’ point of view, nowadays the importance of patient and the public opinion preferences and perspective has been recognized. Thus, the first step in assessing the quality of these services involves defining what is meant by "quality". Along these lines, this paper presents the results of a qualitative research, conducted on a sample of 16 managers, quality managers and CEOs of several clinics and hospitals, both public and private (for-profit), from Bucharest.