Search results for "Public hospital"
showing 10 items of 15 documents
A translational approach to design effective intervention tools for informal caregivers of dependent cancer patients.
2019
OBJECTIVES: Caregivers of terminal patients often report a higher prevalence of unmet needs than cancer survivors. However, very few interventions have been carried out to support caregivers of patients in advanced stages, and, in most cases, they have not been rigorously designed and evaluated. The ultimate aim of this research was to obtain specific information about the sociodemographic characteristics, the different types of care provided, the symptoms due to burdens, the impact of caring on the quality of life, and the unmet needs of informal caregivers of dependent patients with cancer. This is to design effective intervention programs that can be implemented from the hospital setting…
THE PUBLIC HOSPITAL AS A SYSTEM: FINANCING POLICIES AND THEIR LONG-TERM IMPACT ON THE HEALTH SERVICES PROVIDED
Σκοπός: Οι νέες πολιτικές χρηματοδότησης που υιοθετήθηκαν κατά την περίοδο της οικονομικής ύφεσης συνέβαλαν αναμφισβήτητα στη μείωση των δαπανών του νοσοκομείου, αλλά φαίνεται να είχαν αρνητικό αντίκτυπο για τους ασθενείς και τους εργαζομένους των νοσοκομείων (Economou, Kaitelidou, Karanikolos, & Maresso, 2017; Keramidou & Triantafyllopoulos, 2018; Mitropoulos, Vasileiou, & Mitropoulos, 2018; OECD & European Observatory on Health Systems and Policies, 2019). Η παρούσα ποιοτική μελέτη χρησιμοποιεί τη μέθοδο των δυναμικών συστημάτων (system dynamics) για να αναλύσει και να εξηγήσει τα μακροπρόθεσμα αποτελέσματα των πολιτικών αυτών. Υλικό-Μέθοδος: Δημιουργήθηκε ένα ποιοτικό μον…
Overcoming traditional Performance Management in Public Healthcare Institutions: The need for a DPM Approach
Donabedian (1988) was the scientific father of the notion that Performance Measurement (PM) of hospital outputs leads to improved quality of healthcare services, setting the foundations of how hospital quality is still today defined, considered and measured using three different kinds of measures: structure, process and outcome measures. Nonetheless, a growing part of literature during the last two decades has started doubting those favourable outcomes of PM on hospital quality (De Vos, et al., 2009; Nolan & Berwick, 2006; Werner et al., 2008a, 2008b; Werner & Bradlow, 2006; Wright & Hershman, 2014) while other research shows that ineffective PM systems are not just useless but …
Management of ulcerative colitis in a real-life setting: An Italian multicenter, prospective, observational AIGO study
2019
Abstract Background No data are available on the variability in the clinical management of ulcerative colitis (UC) patients by Italian gastroenterologists. Therefore, improving the standards of UC care as provided by the National Welfare Clinical Path (PDTA), in accordance with the European Crohn’s and Colitis Organization (ECCO) guidelines for UC, is not easy. Aims To assess the management of UC by Italian gastroenterologists in a real-life setting taking into account its variability. Methods This prospective, cross-sectional, observational study included IBD-specialized gastroenterologists (GSIBDs) and general gastroenterologists (GGs) working in Italian public hospital units. Consecutive…
Ecological momentary assessment for chronic pain in fibromyalgia using a smartphone: A randomized crossover study
2013
Background Daily diaries are a useful way of measuring fluctuations in pain-related symptoms. However, traditional diaries do not assure the gathering of data in real time, not solving the problem of retrospective assessment. Ecological momentary assessment (EMA) by means of electronic diaries helps to improve repeated assessment. However, it is important to test its feasibility in specific populations in order to reach a wider number of people who could benefit from these procedures. Methods The present study compares the compliance and acceptability of an electronic diary running on a smartphone using a crossover design for a sample with a specific pain condition, fibromyalgia and low fam…
Leadership Effectiveness in Healthcare Settings: A Systematic Review and Meta-Analysis of Cross-Sectional and Before-After Studies
2022
To work efficiently in healthcare organizations and optimize resources, team members should agree with their leader’s decisions critically. However, nowadays, little evidence is available in the literature. This systematic review and meta-analysis has assessed the effectiveness of leadership interventions in improving healthcare outcomes such as performance and guidelines adherence. Overall, the search strategies retrieved 3,155 records, and 21 of them were included in the meta-analysis. Two databases were used for manuscript research: PubMed and Scopus. On 16th December 2019 the researchers searched for articles published in the English language from 2015 to 2019. Considering the study des…
Wykorzystanie zasobowej teorii organizacji w zarządzaniu szpitalami publicznymi
2017
Podejście zasobowe do organizacji (Resource-based View - RBV) zostało spopularyzowane na początku lat 90. ubiegłego stulecia. Jednocześnie w dalszym ciągu obserwuje się proces kształtowania zasobowej teorii organizacji (Resource- -based Theory - RBT). Rosnąca konkurencja wśród podmiotów ochrony zdrowia stanowi przesłankę do wykorzystania założeń RBT w zarządzaniu nimi. Placówki te stają przed koniecznością ciągłej adaptacji do pojawiających się wyzwań, co wydaje się szczególnie trudne dla szpitali publicznych. Ich sukces zależy od posiadania odpowiednich zasobów, kluczowych kompetencji, dynamicznych zdolności, umiejętności uczenia się oraz przewidywania przyszłości, w odpowiedni sposób się …
Carpal tunnel release surgery: small-area variation and impact of ambulatory surgery in the autonomous region of Valencia, Spain
2013
Objective: This study aimed to analyze variability in rates of carpal tunnel release surgery among the healthcare areas of the autonomous region of Valencia, and to evaluate the contribution of ambulatory surgery and referrals to private hospitals to the variability found. Methods: We carried out a cross-sectional, population-based study, describing the rates of carpal tunnel release surgery, standardized by age and sex, among areas in the region of Valencia in 2006. The observed variation was then analyzed using small-area analysis methods. Data from hospital admissions, referrals to private hospitals, population statistics and hospital resources were used to construct standardized rates, …
Le cadre de sante entre logiques d'utilité économique et logiques de soins hospitaliers
2010
The public hospital first line manager has to organize the activity of his care unit on the basis of arbitrations between two systems of logic that come more and more frequently in conflict: - The market logic / the public hospital logic - The care process logic / the patient's path logic - The function logic / the professional logic - The managerial logic / the logic "bureaucratic"
Psychosocial and occupational risk perception among health care workers: a Moroccan multicenter study.
2015
Background International studies on occupational risks in public hospitals are infrequent and only few researchers have focused on psychosocial stress in Moroccan Health Care Workers (HCWs). The aim of this study was to present and analyze Moroccan HCWs occupational risk perception. Across nine public hospitals from three Moroccan regions (northern, central and southern), a 49 item French questionnaire with 4 occupational risks subscales, was distributed to 4746 HCWs. This questionnaire was based on the Job Content Questionnaire. Psychosocial job demand, job decision latitude and social support scores analysis were used to isolate high strain jobs. Occupational risks and high strain percept…