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Wyświetlanie 1-8 z 8
Tytuł:
The Maturity Level of Quality Management and Medical Service Improvement by Wielkopolska District Hospitals
Autorzy:
Chojnacka, Małgorzata
Powiązania:
https://bibliotekanauki.pl/articles/16729003.pdf
Data publikacji:
2023
Wydawca:
Uniwersytet Marii Curie-Skłodowskiej. Wydawnictwo Uniwersytetu Marii Curie-Skłodowskiej
Tematy:
the maturity of quality management
health service improvement
hospital development
Opis:
Theoretical background: Quality management and medical service improvement in district hospitals enables to achieve a number of internal and external benefits. It is a long-term process of conscious transformation of the existing state into a desired and accepted one by the concerned stakeholders. The diagnosis of the medical service organizations’ performance is an important aspect in the context of building a hospital of the future which is focused on quality, development and improvement. Purpose of the article: The article reveals the positions of hospital managers (directors) on the current level of the quality management maturity service improvement of the medical facilities they manage. Research methods: A diagnostic survey was conducted using a paper questionnaire. The form was handed in person and filled in the presence of the author. This provided an inducement for analysis and conclusions. The study was performed in 2022. Main findings: The level of implementation of the quality management system (QMS) principles in the surveyed hospital organizations, despite the variability, uncertainty, complexity and ambiguity of the environment, was evaluated at 3.39. This means that the practice of the QMS is widely established, but not in most areas. Therefore, the scope of the principles cannot be considered as complete. The result is different for the assessed maturity of quality excellence in the selected accreditation standards. The surveyed district hospitals evaluated their maturity level at 3.69. Thus, the respondents considered that the maturity level to be close to 70%. They identify the practice as typical (only some exceptions are deviations from it). The surveyed hospitals also have evidence of continuous improvement after at least one year. Another important aspect concerned maturity research in relation to innovation. The surveyed entities determined this parameter at the level of 3.50, which corresponds to approximately 66%. The highest level of maturity achieved the hospitals in the operational skills in conditions of disruption. They assessed the adaptation abilities and taken actions towards sustainable development at the level of 3.82 (72%). These results prove that the district hospitals in the Wielkopolska voivodeship take steps toward excellence, but their level of excellence in 2022 is not full (as it does not apply to 100% of occurrences, and the practice is also not implemented in entire hospitals, without exceptions).
Źródło:
Annales Universitatis Mariae Curie-Skłodowska, sectio H – Oeconomia; 2023, 57, 1; 87-101
0459-9586
2449-8513
Pojawia się w:
Annales Universitatis Mariae Curie-Skłodowska, sectio H – Oeconomia
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Chest injuries based on Medical Rescue Team data
Autorzy:
Szarpak, Łukasz
Madziała, Marcin
Powiązania:
https://bibliotekanauki.pl/articles/1394596.pdf
Data publikacji:
2012
Wydawca:
Index Copernicus International
Tematy:
chest injuries
accident
epidemiology
pre-hospital care
Emergency Medical Service
Opis:
Injuries are the leading cause of death before the age of 40 years, and the third most common incidence of death worldwide after cardiovascular diseases and cancer. The aim of the study was to determine the number and type of chest injuries, based on EMS (Emergency Medical Service) documentation in the district of Otwock, with particular emphasis on patient age and gender at the time of injury. Material and methods. Analysis considered data obtained from medical rescue teams of Otwock County in 2009 concerning chest injuries. Results. The study group comprised 166 cases of chest injuries. Chest injuries were more often diagnosed in male patients. Most accidents occurred in the afternoon (between 1 and 6pm), and in the summer and winter seasons. Motor vehicle accidents and falls from heights were the most common cause of chest injuries, while the largest number of cases involved superficial chest injuries. Conclusions. Chest injuries accounted for 12% of all medical rescue team interventions, due to injuries, most often connected with superficial contusions of the chest wall. Rib fractures are usually caused by blunt chest injuries, most often relating to the V-VIII ribs. Fractures of the I-III ribs are rare and are evidence of a significant injury. Due to the flexibility of the thoracic wall, fractures in children are less common, as compared to the adult population. Most chest injuries occur in the afternoon during increased patient activity.
Źródło:
Polish Journal of Surgery; 2012, 84, 5; 247-252
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Factors determining patient admittance to the observation and consultation areas of the Emergency Department on workdays versus weekends
Autorzy:
Lisowska, Ada
Szwamel, Katarzyna
Kurpas, Donata
Powiązania:
https://bibliotekanauki.pl/articles/551731.pdf
Data publikacji:
2019
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
emergency service
hospital emergency medical services
patient admission
emergency treatment, patients.
Opis:
Background. In Poland, as in the world at large, Emergency Departments (EDs) face a formidable problem as they are overloaded with an excessive number of patients. It was decided to investigate whether there are any factors which determine patient admittance rates to the observation and consultation areas of EDs. Objectives. The aim of this study is to determine whether differences in the rates of patient visits to emergency rooms (observation and consultation areas) on workdays and on weekends, are significantly determined by sociodemographic variables, patients’ beliefs and knowledge about the functioning of EDs and primary healthcare facilities (PHFs) or health-related variables. Material and methods. A total of 164 patients from the ED of the University Clinical Hospital in Opole were examined. The diagnostic survey method was employed, using the Satisfaction with Life Scale (SWLS), the Hospital Anxiety and Depression Scale (HADS) and an original questionnaire of the authors’ own design. Results. Neither age (p = 0.059), sex (p = 0.687), marital status (p = 0.585), place of residence (p = 0.423), employment status (p = 0.401), the presence of chronic diseases (p = 0.936) nor a lack of trust in primary care physicians (p = 1.000) determined the ED admittance rates on weekdays versus weekends. People who did not know where to seek medical help at night and on national holidays were more likely to visit the ED on weekends than on weekdays (28.5%; 23% vs 10.98%; 9, p = 0.010). Conclusions. It is difficult to define the characteristics of healthcare service recipients visiting the ED in terms of whether the admittance is a on workday or a weekend day. During each shift, the ED staff should be prepared to receive patients of different sociodemographic backgrounds and health statuses, possessing different levels of knowledge and beliefs about the functioning of EDs and PHFs
Źródło:
Family Medicine & Primary Care Review; 2019, 3; 230-236
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Purchase Documentation as a Source of Information about Insurance Bought by Public Hospitals in Poland
Autorzy:
Piechota, Anna Maria
Powiązania:
https://bibliotekanauki.pl/articles/16729159.pdf
Data publikacji:
2023
Wydawca:
Uniwersytet Marii Curie-Skłodowskiej. Wydawnictwo Uniwersytetu Marii Curie-Skłodowskiej
Tematy:
public hospital
insurance services
purchasing decisions
demand for insurance service
public contracts
Opis:
Theoretical background: By deciding to purchase insurance the entity which does so expresses its demand for money should it suffer adverse consequences of a fortuitous event – that is to say, an event which the entity concerned has identified and whose occurrence it estimated as probable. There are very limited possibilities to learn about the specifics of insurance public hospitals buy. There are also no sources of data that could shed closer light on this, whether coming from the market or gleaned through surveys. As public finance entities, public hospitals are required to follow applicable public procurement laws in purchasing insurance, although that obligation may be waived under certain circumstances. Whatever the procedure hospitals choose to use in their purchases, certain purchase documentation will be generated over its course, which can be a valuable source of detailed information about the coverage bought. Purpose of the article: The main objective of this study is to determine the ways in which public hospitals can buy insurance, what kind of documents are generated in the process, and what scope of information they contain. Research methods: In order to reach the stated objective, a body of literature and legal regulations was analysed, and an empirical study was conducted. The underlying premise in the study was that purchasing procedures followed by public hospitals provide insight into their purchasing decisions, and thereby into the reported demand for insurance. Main findings: The study opened up a way for an assessment of the possibilities and limitations involved in gaining insight into insurance purchasing decisions based on the purchase documentation.
Źródło:
Annales Universitatis Mariae Curie-Skłodowska, sectio H – Oeconomia; 2023, 57, 2; 87-100
0459-9586
2449-8513
Pojawia się w:
Annales Universitatis Mariae Curie-Skłodowska, sectio H – Oeconomia
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Lean thinking strategy in surgical assessment units in English hospitals
Autorzy:
Cooper, R.G.
Mohabeersingh, C.
Powiązania:
https://bibliotekanauki.pl/articles/3223.pdf
Data publikacji:
2008
Wydawca:
Instytut Medycyny Wsi
Tematy:
lean thinking strategy
surgical assessment
England
hospital
gap analysis
mapping
nephro-urology
strategy
National Health Service
Źródło:
Journal of Pre-Clinical and Clinical Research; 2008, 02, 2
1898-2395
Pojawia się w:
Journal of Pre-Clinical and Clinical Research
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Assessment of the health care system functioning in Poland in light of the analysis of the indicators of the hospital emergency department (ED) and primary health care (PHC) – proposals for systemic solutions
Autorzy:
Szwamel, Katarzyna
Kurpas, Donata
Powiązania:
https://bibliotekanauki.pl/articles/552354.pdf
Data publikacji:
2019
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
delivery of health care
comprehensive health care
professional practice gaps
primary health care emergency service
hospital.
Opis:
has dramatically increased. The number of visits to EDs can be an important indicator of the quality of primary health care. Objectives. To analyse: 1) the frequency of admissions to EDs, 2) the type and number of medical procedures performed in EDs, and 3) the type and number of services provided by PHC in the Kedzierzyn-Kozle district. Material and methods. A retrospective analysis of the statistical data regarding services provided by PHC in the Kedzierzyn-Kozle district within the National Health Fund (NHF) and data from the hospital emergency department in Kedzierzyn-Kozle (Opole Province, Poland). Results. The results showed an annual increase in the number of hospitalisations (13,815 – 2012, 14,192 – 2013, 15,123 – 2014) and the number of medical procedures performed in the ED (mainly those from I–III categories), as well as the low rate of admission from the ED to ICU (Department of Anaesthesiology and Intensive Care). There was an increase in the overall number of consultations given by a primary health care doctor and the total number of healthcare services provided at night and during holidays. Conclusions. Reducing the number of non-urgent visits to EDs can be achieved by making efforts to meet the needs of patients at the level of primary health care, in particular through better coordination of services provided by EDs and PHC and better motivation of primary care doctors to perform the role of gatekeeper to the health care system
Źródło:
Family Medicine & Primary Care Review; 2019, 2; 164-173
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Medical and Sanitary Practice in Lida County (Nowogródek Province) at the Time of the Second Rzeczpospolita (1919–1939)
Opieka medyczno-sanitarna w powiecie lidzkim województwa nowogródzkiego Drugiej Rzeczypospolitej (lata 1919–1939)
Autorzy:
Valchuk, E.A.
Powiązania:
https://bibliotekanauki.pl/articles/530447.pdf
Data publikacji:
2014
Wydawca:
Polskie Towarzystwo Historii Filozofii i Medycyny
Tematy:
medical and sanitary practice
morbidity
county health care service
state epidemic hospitals
health centres
hospital sick-funds
pharmaceutical business
opieka medyczno-sanitarna
częstotliwość występowania chorób
powiatowa służba zdrowia
państwowe szpitale epidemiczne
ośrodki zdrowia
kasy chorych
apteki
Opis:
The characteristics of medical and sanitary practice and its development during the inter-war period (1919–1939), the role of the state in the fight against infectious and social diseases, the characteristics and the evaluation of the activity of the newly organised Epidemic Hospitals, Health Centres, Hospital Sick-Funds and other institutions providing anti-epidemic measures and health care protection are presented using the example of one area in the eastern provinces of the Second Rzeczpospolita.
Artykuł na przykładzie konkretnego regionu województw wschodnich Drugiej Rzeczypospolitej charakteryzuje rozwój i stan opieki medyczno-sanitarnej w dwudziestoleciu międzywojennym (lata 1919–1939), pokazuje rolę państwa w zwalczaniu chorób zakaźnych i społecznych, opisuje i ocenia działalność nowo powstałych szpitali epidemicznych, ośrodków zdrowia, kas chorych i innych form i ich rolę w zapewnieniu ochrony epidemiologicznej oraz zdrowia obywateli.
Źródło:
Archiwum Historii i Filozofii Medycyny; 2014, 77; 9-15
0860-1844
Pojawia się w:
Archiwum Historii i Filozofii Medycyny
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Emergency medical services intervention in a specialised hospital
Interwencja zespołu wyjazdowego ratownictwa medycznego w szpitalu jednoprofilowym
Autorzy:
Sobas, Magdalena
Powiązania:
https://bibliotekanauki.pl/articles/443234.pdf
Data publikacji:
2016
Wydawca:
Wyższa Szkoła Humanitas
Tematy:
Emergency Medical Services System
tasks of medical assistance
specialised hospital,
emergency medical service unit
state of urgent health threat
healthcare
System Ratownictwa Medycznego
medyczne czynności ratunkowe
szpital jednoprofilowy,
Pogotowie Ratunkowe
stan nagłego zagrożenia zdrowotnego
ochrona zdrowia
Opis:
The text concentrates on a human right to life and health defined in the Constitution of the Republic of Poland with regard to the issue of legal admissibility of the Emergency Medical Service units’ intervention in a specialised facility in a situation when a hospitalised patient is in a state of urgent health threat. This paper also addresses the subject of shaping and organising the Emergency Medical Service System, as well as a medical transport of a patient and financing of health benefits. Furthermore, it points to the necessity of clarifying and regulating the solutions relating to the possibility of providing medical assistance by the system’s units in specialised hospitals, so that the undertaken tasks of medical assistance are quick, many times even instantaneous, rational and most importantly effective.
Tekst poświęcony jest prawu człowieka do życia i zdrowia określonemu w Konstytucji RP w odniesieniu do problematyki prawnej dopuszczalności interwencji jednostek Systemu Państwowe Ratownictwo Medyczne w placówce jednoprofilowej w sytuacji, gdy przebywający tam, hospitalizowany pacjent, znajduje się w stanie nagłego zagrożenia zdrowotnego. Poniższe opracowanie podejmuje również tematykę kształtowania i organizacji Systemu Państwowe Ratownictwo Medyczne, a także transportu sanitarnego pacjenta oraz finansowania świadczeń zdrowotnych. Wskazuje również na konieczność doprecyzowania i uregulowania rozwiązań dotyczących możliwości niesienia pomocy przez jednostki systemu w szpitalach jednoprofilowych, by podejmowane działania ratownicze były szybkie, niejednokrotnie nawet natychmiastowe, racjonalne, a przede wszystkim efektywne.
Źródło:
Roczniki Administracji i Prawa; 2016, 16/1; 253-270
1644-9126
Pojawia się w:
Roczniki Administracji i Prawa
Dostawca treści:
Biblioteka Nauki
Artykuł
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