Health Care Supply for Cataract in Austrian Public and Private Hospitals

2007 ◽  
Vol 17 (4) ◽  
pp. 557-564 ◽  
Author(s):  
V. Barbieri ◽  
E. Schmid ◽  
H. Ulmer ◽  
K.P. Pfeiffer
Keyword(s):  
Health Care ◽  
Cataract Surgery ◽  
Health Care Services ◽  
Hospital Data ◽  
Regional Variability ◽  
Private Hospitals ◽  
Public And Private ◽  
Significant Difference ◽  
Health Care Supply ◽  
Public And Private Hospitals

Purpose This study aims to explain spatial variability or cataract and cataract surgery in Austria. The effect of the availability of health care services on spatial variation is investigated. Methods A retrospective study, using routine hospital data from all Austrian public and private hospitals. Calculation of age- and gender-standardized hospitalization ratios (SHR) for all 121 Austrian districts. Poisson regression for age-specific relative risks was performed. Results The authors found high regional variability between districts and significant differences in the hospitalization rates of cataract disease and extraction between men and women. There was a significant correlation between standardized hospitalization ratios for districts and the availability of hospitals with departments of ophthalmology. There was a significant difference in length of stay for patients with cataract surgery between public and private hospitals. Conclusions Use of routine hospital data in geographic analysis allows large regional studies on health care supply for cataract surgery. Differences in the supply by hospitals between districts depend on the availability of hospitals with departments of ophthalmology. The overall demand for cataract surgery in Austria finds its proper supply in many Austrian regions, but needs further development.

scholarly journals PERANAN SERVICE QUALITY TERHADAP PATIENT REVISIT INTENTION MELALUI PATIENT SATISFACTION PADA RUMAH SAKIT UMUM DAN RUMAH SAKIT SWASTA TIPE B

2008 ◽  
Vol 1 (1) ◽  
pp. 49
Author(s):  
Febry Adhiana
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Health Care Professionals ◽  
Public Hospitals ◽  
Human Beings ◽  
Private Hospitals ◽  
Public And Private ◽  
Revisit Intention ◽  
Public And Private Hospitals

<p>Backg of nd: the increasing of awareness in health care by Indonesian people especially in Jakart Healthcare that health care professionals are highly dependent on each other to provide and coordi ate services of high value for human beings. Patients usually prefer to go to private hospitals hoping tc receive high service quality. But in fact, public hospitals have a good quality service also becau e ft is supported by the government.<br />Object ve to compare service quality, patient satisfaction and patient revisit intention of public and privatE hospitals.<br />Resea h design: this research applies to public and private hospitals in Jakarta and questionnaires were s read away to 97 respondents or patients from some public and private hospitals in Jakarta by usi g purpose sampling.<br />Findin s: There are no differences between private and public hospitals in service quality, patient satisf Um and patient revisit intention. Finally the implications of the results are highlighted for health :are managers.</p>

scholarly journals RELUCTANCE TO SERVE IN RURAL AREAS: DOCTORS' PERSPECTIVE

1970 ◽  
Vol 7 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Tamkeen Nishat Jaffry ◽  
Samiha Mirza ◽  
Shehla Farheen ◽  
Sadaf Khalid
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Cross Sectional ◽  
Public And Private ◽  
Care Services ◽  
Rural And Remote Areas ◽  
Public And Private Hospitals

Background: Pakistan's health care system has been adversely affected by the non-availability of doctors in its rural and remote areas. It is the high time to realize that the improvement in the standard of health care services can be achieved with willingness and dedication of doctors to work in these areas which is only possible by providing them with suitable working environment. Methods: This was a descriptive cross-sectional study conducted on 200 doctors working in public and private hospitals/clinics of Islamabad, Pakistan. Data was collected through a questionnaire and processed in SPSS software version 16. Results: 200 doctors comprising of 113 males and 87 females were recruited for the study. The mean age was 30 years (0.65 SD). Majority (86.5 %) of the doctors were of the view; that indeed it was the non-availability of doctors at rural health care centres for poor health services in such areas. 83.9 % agreed that basic facilities were lacking in rural areas. Regarding transportation, 74.5 % had the opinion that these facilities were inadequate in rural areas. Nevertheless, 84.5 % agreed that by improving the basic facilities of life, working conditions could be improved. However, 72.5 % supported the idea of extra hard area grant to improve doctors' motivation towards serving rural areas. Conclusion: Doctors were reluctant to serve in rural areas because of the difficulties affecting their social, professional and family life. By developing the infra-structure of health centres and by providing some special incentives to the serving doctors, this issue can be resolved to a considerable extent.

scholarly journals SARS-COV-2 Seroprevalence among Health Care Workers in Private and Public Hospitals in Tehran, Iran

2021 ◽  
Author(s):  
Maryam Darvishian ◽  
Maryam Sharafkhah ◽  
Zahra Mohammadi ◽  
Khosro Sadeghniiat-haghighi ◽  
Alireza Abdollahi ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Test Performance ◽  
Elisa Test ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Care Workers ◽  
Private And Public ◽  
Public And Private Hospitals

Abstract BackgroundEstimating the prevalence of SARS-COV-2 antibody seropositivity among health care workers (HCWs) is crucial. In this study the seroprevalence of anti-SARS-COV-2 antibodies among HCWs of five hospitals of Tehran-Iran with high COVID-9 patient’s referrals was assessed.MethodsHCWs from public and private hospitals were included and were asked questions on their demographic characteristics, medical history, hospital role and usage of personal protective equipment (PPE). Seroprevalence was estimated on the basis of ELISA test results (IgG and IgM antibodies in blood samples) and adjusted for test performance.ResultsAmong the 2065 participants, 88.4% and 11.6% HCWs were recruited from the public and private hospitals, respectively. The overall test-performance adjusted seroprevalence estimate among HCWs was 22.6 (95% CI 20.2-25.1) and it was higher in private hospitals (37.0%; 95% CI 28.6-46.2) than public hospitals (20.7%; 95% CI 18.2-23.3). PPE usage was significantly higher among HCWs of public versus private hospitals (66.5% vs. 20.0%). Test-adjusted seroprevalence estimates were highest among assistant nurses and nurses, and lowest among janitor/superintendent categories. ConclusionsSeroprevalence of SARS-COV-2 among HCWs depends on hospital type, hospital department, and hospital role. The PPE usage was especially suboptimal among HCWs in private hospitals. Continued effort in access to adequate PPE is warranted.

Contingency framework for understanding quality in public and private hospitals of India

2019 ◽  
Vol 14 (1) ◽  
pp. 137-158
Author(s):  
Geeta Marmat ◽  
Pooja Jain
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Situational Factors ◽  
Future Research ◽  
Private Hospitals ◽  
Public And Private ◽  
System Perspective ◽  
Content Type ◽  
Public And Private Hospitals ◽  
Contingency Framework

Purpose Health-care delivery organizations (hospitals) constitute a complex adaptive system; hence, a contingency perspective is imperative to guide the design of customized approaches to quality management in different health-care settings. Accordingly, this paper aims to propose a contingency framework to advance the understanding of the relationship between situational factors and effectiveness of quality approaches in health-care organizations (HCOs), such as hospitals in India. Design/methodology/approach Related literature was reviewed to identify existing research and theories related to quality and quality approaches, situational factors of the HCOs (hospitals) and some existing logical evidence on public and private hospitals in India. Then a contingencies framework for quality and quality approaches was conceptualized. Findings This paper proposes contingent determinants arise out of conceptualization of the HCOs (hospitals) from different system perspective such as rational system, natural system, open system and integrative system; uncertainty because of physicians’ behaviour, nurses’ approach and a dual line of authority; and the task environment such as patients, competition and economic pressure. These determinants represent situational constructs to the quality enhancement of any attempt at quality approaches. While these determinants have an influence on the quality and quality approaches of the HCOs (hospital), it is imperative to build any quality improvement strategy to work effectively, i.e., quality approach is dependent on determinants of the contingencies of the hospital’s environment, be it external or internal. Propositions for future research are also incorporated. Research limitations/implications This paper proposes a conceptual model as well as research propositions that need to be validated and confirmed empirically. It advances the research and theory related to quality and quality approaches in a health-care setting. It can enable policymakers, hospital managers to analyze and gauge the appropriateness of quality approaches in a given context before implementing them and could help to improve the introverted quality approaches and quality dimensions currently followed in HCOs (hospitals). Originality/value Contingency framework is a new approach for research on the effectiveness of quality approaches in hospitals. The fundamental idea behind this framework is that effectiveness of quality approaches can be understood best by examining its contingent determinants. Thus, it has the capacity to contribute to the efforts of government and policymakers to make the quality of care affordable to all in India. Essentially, we examine the contexts and variables that determine the effectiveness of quality approaches.

scholarly journals Public and private hospitals – different opportunities for nurses (Bulgaria, Pleven, 2016-2018)

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Grancharova ◽  
S t Dulgerova ◽  
S Aleksandrova-Yankulovska
Keyword(s):  
Health Care ◽  
Lifelong Learning ◽  
Statistical Significance ◽  
Age Distribution ◽  
Public Hospitals ◽  
High Quality ◽  
Quality Health Care ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals

Abstract Background The freedom of private initiative is one of the basic principles of Bulgarian health reform. Since 2000 to 2018 the private hospitals increased over 6 times and hospital beds - over 40 times. The total number of nurses decreased by 3%. Nurses/physicians ratio dropped to 1.03:1. Private hospitals with better facilities and higher payment attract great proportion of nursing graduates. Public hospitals cannot compete and often fall in financial crisis and lack of human resources. We aimed to analyse the opportunities, motivating and demotivating factors for nurses in public and private hospital settings for lifelong learning (LLL). Methods The study included a sample of 573 nurses (448 in public and 125 in private hospitals). By anonymous self-administered questionnaire we collected and compared information about opportunities, motivation and obstacles for LLL in different hospital settings using parametric and non-parametric tests (t-test, chi-square) and correlation coefficients (Phi, Kramer, contingency coefficient). The accepted level of statistical significance was p &lt; 0.05. Data processing was performed by IBM SPSS v.24. Results Great discrepancy was found in age distribution: in private hospitals 52,8% were below 40 years while in public hospitals 69,2% - over 40 years (p &lt; 0.001). Significant differences were observed in motivation for LLL: in public hospitals 46.4% ranked “better payment” compared to 36.8% in private hospitals; “career development” took 31.2% in private hospitals and 24.1% in public hospitals (p &lt; 0.05). Financial problems were the biggest obstacle in public hospitals (49,8%) and substantially lower (33.6%) in private hospitals (p &lt; 0.01). Prevailing form of LLL in public hospitals was on-site training. Conclusions Our results underlined the significant differences in nursing profile, opportunities and motivation for LLL in public and private hospitals. Public hospitals do not provide equal prerequisites for nurses' professional development. Key messages Lifelong learning is irreversible prerequisite for provision of high quality and safety health care. Nurses in public and private hospitals should have equal opportunities to participate in LLL. Public hospitals need substantial investments to provide better opportunities and to attract younger nursing generations able to respond to increasing requirements for high quality health care.

Urbanization and New Jobs Creation in Healthcare Services in India

2018 ◽  
pp. 198-218 ◽  
Author(s):  
Anita Medhekar ◽  
Farooq Haq
Keyword(s):  
Urban Poor ◽  
Health Care Services ◽  
Medical Tourism ◽  
Job Creation ◽  
Healthcare Services ◽  
Future Research ◽  
Private Hospitals ◽  
Public And Private ◽  
Care Services ◽  
Public And Private Hospitals

Urbanization in developing countries of Asia, Africa, and India is growing at an unprecedented rate. For the last three decades, urbanization has led to migration and concentration of population in urban cities and put pressure on public infrastructure, health, education, and transportation due to population growth. This has caused disparities between the elite and urban-poor in India in terms of shortage of human resources in the public health system, new job creation in the healthcare sector and medical tourism in India in particular and Asian economies engaged in global medical travel business of catering to local and foreign patients. The main contribution of this chapter is to critically discuss the opportunities and challenges faced by public and private hospitals for new job creation in healthcare, due to urbanization and emergence of corporate private hospitals that export health care services in India, followed by policy implications, future research directions, and conclusion.

scholarly journals Hospital Pharmacological Treatment of Acute Myocardial Infarction with st Supra: Sus x Private

2021 ◽  
Vol 04 (16) ◽  
pp. 01-05
Author(s):  
Jussiely Oliveira
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Drug Therapy ◽  
Ace Inhibitors ◽  
Pooled Analysis ◽  
Prospective Analysis ◽  
Private Hospitals ◽  
Public And Private ◽  
Significant Difference ◽  
Public And Private Hospitals

Objectives: To compare the adequacy of drug therapy in STEMI in public and private hospitals. Methods: Prospective analysis of 471 patients admitted with STEMI in public and private hospitals in the state of Sergipe. Results: Clopidogrel usage fee (91% vs 36% ; p < 0.001 ) and ACE inhibitors (66% vs 22 %; p < 0.001 ) was higher among SUS patients, however, use of ticagrelor (61% vs 1% ; p < 0.001 ) and BRA II (24% vs 9 %, p = 0.002 ) was higher among those treated in the private sector. In the pooled analysis, SUS patients received more IECA and/or BRA II than those with indication an absolute for its use (76% vs 30%; p < 0.001). Conclusions: A significant difference was observed in the use of ACE inhibitors and/or ARBs among patients in both groups, a higher rate of use of these drugs was showed amongst SUS patients.

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