جستجوی مقالات مرتبط با کلیدواژه « public hospital » در نشریات گروه « پزشکی »

The challenges of mothers residing at hospital while their ill babies are admitted to a neonatal care unit are understudied and poorly documented. Unfavorable living arrangements and tension betweenmothers and staff can disrupt theirwell-being and create feelings of helplessness. This study explored how mothers experienced having to stay at a lodging residence of a public hospital while their newborns were admitted to a neonatal care unit.

Methods & Materials: 

This qualitative content analysis study was conducted through face-to-face, in-depth interviews betweenMarch 2021 – April 2021. Data were gathered from13motherswho lodged at a public hospital for at least twoweeks,were able to speak Sesotho, English, and/or Afrikaans, and were above 18 years of age. Data were analyzed using Tesch's eight steps in the coding process.

Data analysis resulted in five categories, each with subcategories. The main categories are "Lodging environment", "Emotional experiences", "Nursing care of babies", "Interaction with staff", and "Participant perspectives". Participants' ages ranged between 23 and 37 years. Three participants had a spouse while the other ten were unmarried and were single parents.

Themotherswere not optimistic about their lodging experiences, the nursing care of their newborns, and their interaction with healthcare professionals. Hence, they require intervention to alleviate conditions that cause unnecessary stress and anxiety. Health professionals and hospitalmanagersmust accommodate the needs of mothers who have no choice but to reside at the hospitalwhen their newborns are admitted for extended periods.

Health literacy and cyberchondria are effective for pregnant women to make the right health decisions for themselves and their babies. The purpose of this study is to investigate the correlation between e-health literacy, cyberchondria, and the factors influencing them in pregnant women. The cross-sectional study was conducted on a population of pregnant women who were admitted to two public hospitals located in Samsun. A questionnaire form consisting of 3 sections was used as a data collection tool in the study.  Pregnancy information form, e-health literacy scale and cyberchondria scale. The study involved analysing 400 questionnaire forms. Data were analyzed by the frequency test, One Way ANOVA, correlation analysis and multiple regression. The study participants had a mean age of 28.53 ± 6.53. Among them, 60.3% were aged 19-29, 37.3% had an associate degree, 45.3% were pregnant for the first time, and 38.3% were in their second trimester. The mean pregnancy was 1.81 ± 10.63. In the study group, the mean e-health literacy was 3.27 ± 0.99, and the mean cyberchondria was 30.29 ± 9.78. The study found a statistically significant difference in e-health literacy and cyberchondria based on age, educational status, gestational week, and number of pregnancies. Additionally, there was a statistically significant positive relationship between health literacy and cyberchondria severity. The results of the study showed that the level of e-health literacy and cyberchondria of pregnant women was moderate, and that e-health literacy, age and education level would affect cyberchondria. Therefore, this problem can be prevented by providing digital health practices, e-health literacy and safe internet use training to pregnant women in health institutions and the media.

Pregnancy and childbirth are periods of great joy and delicate, interesting, and exciting aspects of women’s life. The study investigates whether sleep quality components will predict health-related quality of life (HRQOL) domains among primigravidas.

The study employed descriptive research design. 768 primigravidas, attending antenatal care in nine purposively-selected government hospitals in Ibadan, Nigeria, which fulfilled the inclusion criteria participated in the study. A questionnaire consisting of demographic information of primigravidas, World Health Organization Quality of Life-BREF (WHOQOL-BREF), and Pittsburgh Sleep Quality Index (PSQI) with reliability coefficient of 0.89 and 0.85, respectively, were used to collect data. Six hypotheses were tested using multiple regression analysis (MRA) and analysis of variance (ANOVA).

Sleep quality components had a statistical, joint influence on HRQOL domains (physical health domain, F = 4.526, P < 0.01; psychological domain, F = 2.931, P < 0.05; and environment domain, F = 2.788, P < 0.05) of primigravidas in Ibadan. In addition, domains of HRQOL were significantly influenced by primigravidas’ marital status (F = 3.591, P < 0.05).

Effective management of sleep quality components during pregnancy can improve HRQOL domains of primigravidas. Researchers recommended that antenatal care lectures for primigravidas should be reinforced with emphasis on the sleep quality and its influence on their HRQOL domains for better wellness of the primigravidas.

The health systems around the world are facing significant pressure to control the costs and improve the health services delivered. A method to address this challenge is to express the potential savings and inefficiencies of hospitals. The hospitals should provide health care services with the acceptable quality and minimum cost. For this purpose, managers should have accurate information about the cost of the services they provide.

This is a cross-sectional retrospective study  carried out based on the data of financial year of 2017-2018. In this study, the cost structure of Shafa Hospital was analyzed and its unit cost of the final activity centers was calculated using top-down approach.

The total cost of the hospital in the studied period was US$ 29752539.1. The highest and lowest cost share was related to human resources and energy consumption (64.33% and 0.48%, respectively). The human resources, medicines, and consumables account for over 96% of the cost of the final clinical activity centers. The unit cost of the final activity centers varies so that among admission wards the unit cost of ICU is the highest (US$372.45) and the daily bed cost in the neurology ward is the lowest (US$118.9).

Clarification of the hospital cost structure can provide a comprehensive analysis of hospital costs for decision making and policy making. The unit cost of the final activity centers also provides insights into the hospital cost management planning.

The investment decision can be affected by changing levels of uncertainty and risk. The main objective of this research was to identify, characterize, and quantify the parameters which are essential in evaluation hospital construction projects and provide useful modeling techniques to give the best investment decisions for investors in Iran’s health‑care projects investment.

The methodology of this study was employing discounted cash flow (DCF) and real option valuation to investigate the feasibility investment in the public hospital construction project. The Islamshahr, Mashhad, and Fardis hospitals were included in the analysis. Economic indices of DCF methods were internal rate of return (IRR) and net present value.

The economic evaluation of the Black–Scholes model was almost as same as the binomial tree model, but there was a significant difference between the real options model and traditional methods. According to the traditional methods, the profitability with IRR for Islamshahr, Mashhad, and Fardis hospital projects was 35%, 43%, and 26%, respectively. Black–Scholes model showed profitability only for Islamshahr and Mashhad hospitals, and there was no adequate profitability for investors of Fardis Hospital project during the study.

The methods derived from the real options valuation could provide a more flexible and reliable indices for investors in dynamic and high revolution economic conditions. On the other hand, dynamic economic evaluation models can be applied to correctly evaluate the projects because of Iran’s health revolution and its health plans.

Selecting variables is a fundamental step in evaluating comparative efficiency because the results of measuring efficiency depend on the used variables.

The aim of this study is to provide a comprehensive set of input and output variables for measuring efficiency with an emphasis on application in general hospitals in Iran.

This study comprised a literature review followed by a Delphi survey process. After extracting the variables from the literature review in order to reach consensus on them and identify the native variables, the researchers used the Delphi technique in three rounds. Thirty Iranian hospital managers, in Alborz, Saveh, Qazvin, Qom, and Hamadan universities, participated in this study. For analysis, the interquartile range (IQR) and median were used. IQR was used to assess the agreement of Delphi panel members.

After literature review, nine indicators were identified as input variables and 11 indicators were identified as output variables. After the proposed changes by Delphi members, 24 input variables and 24 output variables were identified to measure hospital efficacy. Finally, ten variables were selected as inputs and ten variables were selected as outputs to measure the performance of public hospitals in Iran by using the consensus of the members in the Delphi panel.

This study proposes a framework for selecting the most appropriate variables for measuring the hospital efficiency with an emphasis on nonparametric methods. Choosing variables to measure hospital efficiency requires infrastructure such as an intelligent information system.

Given the importance of developing mother-friendly hospitals (MFHs) in order to promote normal delivery and respect mothers’ rights, the present study was conducted to evauate the implementation of MFH steps in the hospitals of Qazvin, Iran.

This cross-sectional study was conducted in all Qazvin hospitals (five public and four private hospitals) in Iran in 2017. The standard MFH checklist was used for data collection. The checklist included 10 steps and 110 items related to the places, equipments, facilities, records, hospital statistical data. MFH checklist was completed through observation, assessment of medical records and interview with 210 clients and staff. Expected level of MFH was considered at 80% in all steps. The data were analyzed by SPSS software (version 24).

Two hospitals obtained accepted scores at all steps. However, the achievement rates in steps 1 (i.e., current perinatal care), 3 (i.e., emergency services), 5 (i.e., preparation of labor classes), 7 (i.e., avoiding unnecessary care), 9 (i.e., trained doula), and 10 (neonate-friendly hospital) were 88.43%, 90.90%, 87.14%, 80.25%, 84.16%, and 100%, which were higher than the expected level (80%). In other steps, especially in step 8 (i.e., physiological delivery), the reported rate was very low (39.86%).

In order to obtain the MFH certificate in Qazvin hospitals, it was required to improve the access to specialized midwifery services, employing trained staff to respect clients, and using pharmacological and non-pharmacological methods for labor pain relief to increase the rate of physiological birth.

Iranian public hospitals have been excessively changing during the healthcare reform since 2014. This study aimed to examine the technical efficiency of public hospitals during before and after the implementation of Health Sector Evolution Plan (HSEP) and to determine whether, and how, efficiency is affected by various factors.

Forty-two public hospitals were selected in Tehran, Iran, from 2012 to 2016. Data envelopment analysis was employed to estimate the technical and scale efficiency sample hospitals. Tobit regression was used to relate the technical efficiency scores to seven explanatory variables in 2016, the last year.

Overall, 24 (57.1%), 26 (61.9%), 26 (61.9%), 24 (57.1%) and 21 (50%) of the 42 sample hospitals ran inefficiently in 2012 to 2016, with average technical efficiency of 0.859, 0.836, 0.845, 0.905 and 0.934, respectively. The average pure technical efficiency in sample hospitals increased from 0.860 in 2010 (before the HSEP) to 0.944 in 2012 (after the HSEP). Tobit regression showed that average length of stay had a negative impact on technical efficiency of hospitals. In addition, bed occupancy rate, ratio of beds to nurses and ratio of nurses to physicians assumed a positive sign with technical efficiency.

Despite government support, public hospitals operated relatively inefficien. Managers can enhance technical efficiency by increasing bed occupancy rate through shortening the average length of stay, proportioning the number of doctors, nurses, and beds along with service quality assurance.

Evaluation is a key process to improve the organization. The maintenance and improvement of the health is the priority of the people of each country these days. Ensuring the provision of appropriate services requires the evaluation of the health system performance. European Foundation for Quality Management (EFQM) model is a self-assessment model and allocates more for health and care organizations and almost evaluates an organization in all structural and functional aspects. This study was conducted with to the aim of evaluating the performance of a public hospital in Tabriz according to the model of Europe Foundation for Quality Management. This study was a cross - sectional study in 2015 in a public hospital in Tabriz. Data collection tools had been standard questionnaire of Europe Foundation Model for Quality Management. Data was gathered through standard and prestigious questionnaire of Europe Foundation Model for Quality Management which consisted of 90 questions, same in the field of nine criteria. After visiting the hospital by experts, meeting was hold among them and proceeded to consult and complete the questionnaire. The data was reported by descriptive tests and software of EXCELL was used for data analysis. The mean score of performance evaluation in terms of leadership was 73.6 points out of 100 points, in terms of policy and strategy, 46.8 points out of 80, in terms of human resources 54.1 out of 90 points, in terms of strategies and policy 41.9 points out of total 90 points, in terms of processes 59.8 points out of 140 points, 66 points out of 200 in terms of customer results, in terms of human resources results 23.76 points out of a total of 90 points, 40.2 points out of a total of 60 points, in terms of society results and in terms of key performance the result was 71.35 points out of 150 points . The average total score of 477 points out of 1000 points was performance evaluation. The results of the report are 47.75%. Finally, the results showed that the hospital had relatively appropriate status. The findings showed the need for more attention to human resources and customer results. Enhancing employee's satisfaction factors to increase their satisfaction and efficiency, identifying foreign customers, categorizing and measuring different needs of patients in order to response and upgrade the system of addressing the complaints through the reform the processes are those cases that are proposed to improve the organization and increase compliance with organizational excellence model

Patient satisfaction is one of important indicators of quality of service measurement. This study aimed at measuring patient satisfaction and factors which influence it in hospitals in Shahroud. In this cross-sectional study, 800 patients selected through random sampling were studied in public and private hospitals in 2018. The collected data were entered into SPSS 16 and analyzed using t-test and chi-square. The level of significance in all tests is 0.05. Most of the inpatients were women and married people. The average score of satisfaction in the public hospitals affiliated to the University was 22.45 ± 6.02 and in the private sector, it was 21.56 ± 5, which is deemed moderate. Patients were the most dissatisfied with the daily change of patient dresses and bed covers (38.3%), hospital food quality (35.3%), room facilities (31.1%), and were the most satisfied with nursing behaviors (87.7%). Chi-square test showed a significant relationship between the type of hospital (P = 0.002), patients’ age (P = 0.037), education (P = 0.013), and residence (P = 0.012) with their satisfaction. Patients' satisfaction was moderate. Paying more attention to the domains such as daily change of clothes and bed covers, the quality of hospital food, and facilities of the patient's room can play a role in improving the satisfaction of patients.