healthcare facilities

医疗保健设施
  • 文章类型: Journal Article
    苏丹医疗保健提供者(HCP)经历的工作场所暴力已经风靡一时,在国外驾驶许多HCP。全球范围内,HCP已将工作场所暴力视为其临床工作不可或缺的现象,导致事件漏报。本研究回顾了原因并探讨了该现象的解决方案。搜索策略是使用包括PubMed在内的互联网资源进行的,Embase,谷歌学者,还有Cochrane.对苏丹的引用仅限于公共医疗机构中的HCP。对针对HCP的工作场所暴力的全球状况进行了描述性分析。考虑到苏丹的情况,对未来的干预措施进行了审查和讨论。结果显示了“大流行”现象的性质。工作场所暴力导致医疗保健系统的质量和效率下降,从而影响有效的医疗保健服务。结论是,需要整合多种方法的干预措施,以规避现有的多因素情况。需要对普遍存在的暴力和有罪不罚现象采取法定行动。需要工作场所组织程序来解决患者的需求,这些需求压倒了稀缺资源。HCP培训机构建议采取强有力的教育措施,媒体,和其他利益相关者,以改善医患关系。
    Workplace violence experienced by healthcare providers (HCPs) in Sudan has gone viral, driving many HCPs outside the country. Globally, HCPs have accepted workplace violence as a phenomenon integral to their clinical work, causing an underreporting of incidents. This study reviews the causes and explores solutions for the phenomenon. Search strategies were conducted using internet sources including PubMed, Embase, Google Scholar, and Cochrane. References to Sudan were limited to HCPs in public healthcare facilities. A descriptive analysis was conducted on the global status of workplace violence toward HCPs. Future interventions were examined and discussed considering Sudan\'s circumstances. Results showed the \"pandemic\" nature of the phenomenon. Workplace violence contributes to the deterioration of the quality and efficiency of the healthcare system with consequences for effective healthcare delivery. It is concluded that a multiapproach intervention needs to be integrated to circumvent the standing multifactorial situation. Statutory actions are needed towards the widespread violence and impunity. Workplace organizational procedures are needed to address the patient\'s needs that overwhelm scarce resources. Robust educational efforts are recommended by HCP training bodies, the media, and other stakeholders to improve the doctor/patient relationship.
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  • 文章类型: Journal Article
    获得医疗设施是当代城市城市发展的重要衡量标准。政府经常预算巨额资金来满足民众的医疗保健需求,然而,忽视了满足女性特有的要求。本文评估了密度,空间分布,和医疗机构的服务,以确定特定于妇女的护理要求,以及如何满足他们的需求。分析解决了研究问题:哪些策略将改善妇女获得医疗保健并满足其医疗保健要求?方法包括在北京月坛地区进行的案例研究,实地调查,映射,和问卷调查。该调查于2021年11月和2022年1月进行,涉及月坛地区的462名女性居民。结果表明:(I)尽管设施总数符合世卫组织建议的标准,医疗保健设施的空间分布不平衡;(ii)妇女的医疗保健包括身心健康。优化医疗设施的可及性可以对妇女的健康和福祉产生积极影响。结论包括有关获得医疗机构妇女医疗保健要求之间关系的见解,以及提出改善医疗设施的策略,重点是建立一个公平和富有同情心的社会。
    Access to healthcare facilities is an essential measure of the urban development of contemporary cities. Governments often budget huge sums to fulfill the healthcare demands of the population, however neglect to address requirements specific to women. This paper assesses the density, spatial distribution, and services of healthcare facilities to identify care requirements specific to women, and how their needs are-or could be-met. The analysis addresses the research question: What strategies will improve women\'s access to healthcare and satisfy their healthcare requirements? Methods include a case study in the Yuetan Area of Beijing, field investigation, mapping, and questionnaires. The survey was carried out in November 2021 and January 2022 and involved 462 women residents in the Yuetan Area. Results indicate: (i) that, despite the total number of facilities meeting the standards recommended by the WHO, the spatial distribution of healthcare facilities is imbalanced; (ii) women\'s healthcare encompasses both physical and psychological health. Optimizing accessibility to healthcare facilities can positively impact women\'s health and well-being. Conclusions include insights regarding the relationship between access to healthcare facilities women\'s healthcare requirements, as well as proposing strategies for improved healthcare facilities with a focus on an equitable and sympathetic society.
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  • 文章类型: Journal Article
    全球COVID-19大流行导致数十万人死亡,并在世界各地造成了灾难性的经济和健康危机。交通运输,制造业,商业和人民运动几乎停止,石油和天然气价格大幅下跌。大流行对埃塞俄比亚等撒哈拉以南国家的影响,已经在许多经济和社会福利问题中挣扎,比世界上其他富裕国家更明显。在埃塞俄比亚,一般能源使用率为44%,医疗设施仅为10%左右。因此,对COVID-19大流行的反应是具有挑战性的,由于信息共享等活动,与健康中心的沟通,诊断和医疗需要电力接入。本文旨在评估大流行期间和大流行后对能源获取计划的影响。论文分析了,埃塞俄比亚当前COVID-19疫情的现状,卫生设施的能源获取情况,以及COVID-19对大流行期间和后时期能源获取的影响。与埃塞俄比亚普遍能源获取计划有关的数据,评估了能源获取对医疗服务的影响和大流行的影响.分析表明,COVID-19大流行对埃塞俄比亚医疗机构和整个普遍能源获取计划的影响是巨大的,为了将全球影响降至最低,我们确定并紧急建议采取短期和长期政策应对措施。此外,使用由太阳能电池板和电池存储系统组成的微电网为医疗保健设施供电,可能是快速有效应对大流行挑战的一种经济高效且可持续的解决方案。
    The global COVID-19 pandemic causes hundreds of thousands of deaths and has created a catastrophic economic and health crisis around the World. Transportation, manufacturing industries, business and people\'s movement came to almost a halt and sharp oil and gas prices reduction were observed. The impact of the pandemic for sub-Saharan countries like Ethiopia, which was already struggling with many economic and social welfare problems, is more evident than in other wealthy nations around the World. In Ethiopia, the general energy access rate is 44% and in healthcare facilities is only about 10%. Therefore, the response for the COVID-19 pandemic is challenging, since activities such as information sharing, communication with health centers, diagnosis and medical treatment require electricity access. This paper aims to assess the impact of the pandemic on energy access plans during and post-pandemic. The paper analyzed, the status of the current COVID-19 outbreak in Ethiopia, the energy access situation in health facilities, and the impacts of COVID-19 on energy access during and post-pandemic periods. Data related to the universal energy access plan of Ethiopia, the impact of energy access on healthcare services and the impact of the pandemic were reviewed for the assessment. The analysis indicates that the impact of the COVID-19 pandemic in Ethiopian healthcare facilities and on the overall universal energy access plan is immense and to minimize the global impact short and long-term policy responses are identified and urgently recommended. Furthermore, powering healthcare facilities with microgrids composed of solar panels and battery storage systems could be one cost-effective and sustainable solution for the speedy and effective response of the pandemic challenges.
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  • 文章类型: Case Reports
    Civil liability represents one of the main responsibilities for healthcare facilities; it is the legal responsibility of paying money for damage to a person\'s health. Even though this responsibility plays a key role in the economic sustainability of healthcare facilities, the literature does not enough investigate this responsibility in regional health services. The paper aims to define the evolution of compensation models for health civil liability adopted by regional health services. Through a longitudinal case study, the paper investigates the compensation model by a leading regional health service. The finding highlights the evolution of the compensation model for health civil liability adopted by a leading Regional Health Service from 1990 to 2021. It describes a transition from an insurance model to a mixed model based on self-coverage up to a set economic level, an insurance policy with self-insurance retention and deductible for all claims. The research contributes to the literature and practice throughout the definition of a compensation model for damages based on self-insurance of regional health service and insurance policies. The research promotes a compensation model used by a leading regional health service.
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  • 文章类型: Journal Article
    在COVID-19大流行期间,全球的医疗设施因需要为冠状病毒患者提供服务的数量而不堪重负。同样,美国也经历了医疗资源的短缺,这导致整个医疗系统的效率降低。为了从运输的角度评估这一点,了解在城市和农村地区有多大程度上可提供带重症监护病房(ICU)床位的医疗设施至关重要.因此,本研究旨在评估COVID-19患者进入佛罗里达州医疗机构的空间可及性.为此,使用了两种方法:两步浮动集水区(2SFCA)和增强两步浮动集水区(E2SFCA)。这些方法用于识别整个状态中的高和低访问区域。此外,一个度量,即可达性比率差异(ARD),是为了评估模型之间的空间访问差异而开发的。结果显示,与其他地区相比,佛罗里达州西北部和南部的许多地区的交通通道较低。佛罗里达州中部的居民(例如,坦帕和奥兰多城市)的可访问性最高,因为它们的访问率较高。我们还观察到,由于集水区内人口的“平等访问”假设,2SFCA方法高估了ICU病床数量较少的地区的可访问性。这项研究的结果可以为公共卫生领域的州官员和决策者提供有价值的见解和信息。
    During the COVID-19 pandemic, healthcare facilities worldwide have been overwhelmed by the amount of coronavirus patients needed to be served. Similarly, the U.S. also experienced a shortage of healthcare resources, which led to a reduction in the efficiency of the whole healthcare system. In order to evaluate this from a transportation perspective, it is critical to understand the extent to which healthcare facilities with intensive care unit (ICU) beds are available in both urban and rural areas. As such, this study aims to assess the spatial accessibility of COVID-19 patients to healthcare facilities in the State of Florida. For this purpose, two methods were used: the two-step floating catchment area (2SFCA) and the enhanced two-step floating catchment area (E2SFCA). These methods were applied to identify the high and low access areas in the entire state. Furthermore, a metric, namely the Accessibility Ratio Difference (ARD), was developed to evaluate the spatial access difference between the models. Results revealed that many areas in the northwest and southern Florida have lower access compared to other locations. The residents in central Florida (e.g., Tampa and Orlando cities) had the highest level of accessibility given their higher access ratios. We also observed that the 2SFCA method overestimates the accessibility in the areas with a lower number of ICU beds due to the \"equal access\" assumption of the population within the catchment area. The findings of this study can provide valuable insights and information for state officials and decision makers in the field of public health.
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  • 文章类型: Journal Article
    This study investigates how patients and medical staff assess the physical environments of two recently built hospitals in Sulaimani City to understand the extent to which indoor environmental factors influence the creation of an optimal healing environment.
    A contemporary healing environment may be recognized by the quality of an indoor environment in positively influencing patients\' psychological comfort and supporting their recovery.
    Post-occupancy evaluations were conducted in Shar General Hospital and Faruk Medical City wards. A 43-item questionnaire was distributed to 312 patients, doctors, and nurses to gather their perspectives. In total, 175 valid questionnaires were retrieved.
    The results show that the quality of the indoor environments met patients\' psychological needs and expectations, and as a result, they were generally satisfied with the indoor healing environments. The findings from the patient and medical staff surveys suggest three essential factors in creating a healing environment, which are (1) Interior appearance, (2) Privacy, and (3) Comfort and control. Significant negative correlations of some demographic characteristics, such as educational attainment and age, with patient satisfaction were observed.
    This study shows that exploring patients\' and medical staff\'s experiences can reveal factors that positively influence patients\' satisfaction levels, which may vary depending on their sociocultural perspectives and personal characteristics. Additionally, the findings emphasize the role of the tested factors in increasing patients\' satisfaction levels, optimizing healing environments, and informing design decisions.
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  • 文章类型: Journal Article
    BACKGROUND: A hospital-associated outbreak of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) was reported. We aimed to assess the effectiveness of infection control measures among healthcare workers (HCWs) who were exposed to a MERS patient and/or his body fluids in our institute.
    METHODS: A descriptive study was conducted among HCWs who worked with a MERS patient in Bamrasnaradura Infectious Diseases Institute, Thailand, between 18 June and 3 July 2015. Contacts were defined as HCWs who worked in the patient\'s room or with the patient\'s body fluids. Serum samples from all contacts were collected within 14 days of last contact and one month later. Paired sera were tested for detection of MERS-CoV antibodies by using an indirect ELISA.
    RESULTS: Thirty-eight (88.4 %) of 43 identified contacts consented to enroll. The mean (SD) age was 38.1 (11.1) years, and 79 % were females. The median (IQR) cumulative duration of work of HCWs in the patient\'s room was 35 (20-165) minutes. The median (IQR) cumulative duration of work of HCWs with the patient\'s blood or body fluids in laboratory was 67.5 (43.7-117.5) minutes. All contacts reported 100 % compliance with hand hygiene, using N95 respirator, performing respirator fit test, wearing gown, gloves, eye protection, and cap during their entire working period. All serum specimens of contacts tested for MERS-CoV antibodies were negative.
    CONCLUSIONS: We provide evidence of effective infection control practices against MERS-CoV transmission in a healthcare facility. Strict infection control precautions can protect HCWs. The optimal infection control measures for MERS-CoV should be further evaluated.
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