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Journal articles on the topic 'Exempla Health Care Facility'

Author: Grafiati

Published: 4 June 2021

Last updated: 5 February 2022

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1

Ajayi, Anthony Idowu. "Subnational Variation in Facility-based Childbirth in Nigeria: Evidence from 2013 and 2018 Nigeria Demographic Health Surveys." Nigerian Journal of Sociology and Anthropology 19, no. 1 (June 1, 2021): 23–40. http://dx.doi.org/10.36108/njsa/1202.91.0120.

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Background Previous studies have not examined the state-level variations in health facility delivery in Nigeria. Because of the decentralised system, state governments have a huge role in decision-making and policy direction for each state. As such, it is important to disaggregate the data at state level to understand patterns and best performing states that can be exemplars for others. We address this gap by examining the sub-national variations in health facility delivery in Nigeria. Methods Data of 37,928 and 40,567 live births in the 2013 and 2018 Nigeria Demographic and Health surveys (NDHS) respectively were analysed in this study. NDHS employs a multistage sampling and is representative of both the country and each of the 36 states and Federal Capital Territory (FCT). We used descriptive statistics to examine the trend in health facility delivery in Nigerian states and presented the results using maps. Also, we used logistic regression analysis to examine progress in expanding access to health facility delivery across Nigerian states. Results The proportion of births delivered in health facilities increased from 35.8% in 2013 to 39.4% in 2018, representing a 3.6% increment. After adjusting for relevant covariates, women were 17% more likely to deliver in health facilities in 2018 than in 2013 surveys. However, progress in expanding access to health facility delivery was uneven across the country. While the odds of delivering in a health facility significantly increased in 13 of the 36 states and FCT, the odds reduced significantly in seven states and no progress was recorded in 17 states. Conclusion There was a slight improvement in access to health facility delivery in Nigeria between 2013 and 2018. However, progress remains uneven across the states with only 13 states recording some progress. Four states stood out, recording over a three-fold relative increase in odds of health facility deliveries. These states implemented maternal health care policies that not only made services free but also improved infrastructure and human resources for health. Thus, providing examples of what works in improving access to maternal health care services for other states to follow.

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McCay, Elizabeth, Kristin Cleverley, Audrey Danaher, and Naomi Mudachi. "Collaborative partnerships: bridging the knowledge practice gap in client-centred care in mental health." Journal of Mental Health Training, Education and Practice 10, no. 1 (March 9, 2015): 51–60. http://dx.doi.org/10.1108/jmhtep-07-2014-0018.

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Purpose – The purpose of this paper is to describe a partnership, the Ryerson-Centre for Addiction and Mental Health Collaborative for Client-Centred and Family Sensitive Care Collaborative, between an urban university and tertiary care mental health facility to build capacity in using research evidence to support client-centred care. A cornerstone of the partnership was a study exploring the connection between effective interprofessional collaboration and the capacity to provide exemplary client-centred care in mental health. Design/methodology/approach – The Collaborative brings together organizations with shared values and a commitment to client-centred interprofessional care. It is a strategic approach in amplifying opportunities for the uptake of research evidence and knowledge transfer. One of the principal deliverables for the Collaborative was a multi-phased study exploring the relationship between team collaboration and client-centred care. Findings – Research findings identified a significant association between the level of team effectiveness and collaboration and the staffs’ perceived capacity to deliver client-centred care. Client and family member perspectives highlighted the importance of interprofessional team functioning and collaboration. The work of the Collaborative helped narrow the knowledge practice gap through: a research practicum to mentor graduate students; knowledge exchange and dissemination; and working with advanced practice staff to support change within the organization. Originality/value – Inter-organizational relationships, such as the Collaborative, support initiatives that accelerate the use of clinically relevant research and bridge the knowledge practice gap. A university/tertiary care teaching facility partnership represents a promising model for advancing and disseminating evidenced-based knowledge.

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Hawkins-Taylor, Chamika, and Angeline M. Carlson. "Pharmacy Practice in the South Dakota Correctional System." INNOVATIONS in pharmacy 9, no. 4 (November 30, 2018): 6. http://dx.doi.org/10.24926/iip.v9i4.994.

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Pharmacists must be prepared to care for populations where health disparities are greatest and their services can best impact public health needs. Such preparation requires that students have access to practice experiences in underserved environments where pharmacy practice, cultural competence and knowledge of population health are experienced simultaneously. The correctional facility is such a place. The American Society of Health-System Pharmacists recommends that students receive preceptorship opportunities within the correctional system. The occasional collaboration or experiential opportunity, like Kingston’s early model, has occurred between health professional schools and correctional facilities. However, to date, the correctional facility-experiential site remains an untapped opportunity, at least in a complete, coordinated, pharmaceutical care, patient management framework. Consequently, a short research study asked: To what extent is there potential for correctional facilities to serve as experiential practice sites for pharmacy students? The research objective was to identify pharmaceutical practices within South Dakota correctional system and compare those practices to the guidelines established by the Association of American College of Pharmacy’s as optimal for student training. To understand medical and pharmaceutical practices in SDPS, three South Dakota Adult prison facilities were included in the exploratory study. Data was collected through a mixed methods approach designed to obtain perspectives about the SDPS health care system from individuals representing the numerous job levels and roles that exist within the health care continuum. Interviews and a web-based surveys were used to collect data. A review of a 36-page transcript along with 498 freeform survey comments revealed that while exact themes from the Exemplary Practice Framework may not have been evident, related words or synonyms for patient-centered care, informatics, public health, medication therapy management, and quality improvement appeared with great frequency. Article type: Original Research

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Russell, Steven, and Lucy Gilson. "User Fee Policies to Promote Health Service Access for the Poor: A Wolf in Sheep's Clothing?" International Journal of Health Services 27, no. 2 (April 1997): 359–79. http://dx.doi.org/10.2190/yhl2-f0ea-jw1m-dhej.

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An international survey of health service user fee and exemption policies in 26 low- and middle-income countries assessed whether user fee policies were supported by measures that protect the poor. In particular, it explored whether governments were introducing a package of supportive measures to promote service improvements that benefit disadvantaged groups and tackle differential ability to pay through an effective series of exemptions. The results show that many countries lack policies that promote access for disadvantaged groups within user fee systems and quality improvements such as revenue retention at the health care facility and expenditure guidelines for local managers. More significant policy failures were identified for exemptions: 27 percent of countries had no policy to exempt the poor; in contrast, health workers were exempted in 50 percent of countries. Even when an official policy to exempt the poor existed, there were numerous informational, administrative, economic, and political constraints to effective implementation of these exemptions. The authors argue that user fee policy should be developed more cautiously and in a more informed environment. Fees are likely to exacerbate existing inequities in health care financing unless exemptions policy can effectively reach those unable to pay.

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Baral, Sushila, Sony Pandey, Rajesh kumar Yadav, and Sudarshan Subedi. "Moral Hazard on Free Health Care Services:A Study from Consumer's Side." Journal of Health and Allied Sciences 10, no. 2 (July 1, 2020): 1–5. http://dx.doi.org/10.37107/jhas.114.

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Free Health Service is a priority program and a boon to all citizens mostly for the poor and marginalized groups. It is a timely and exemplary program of government but some people have deviation in their normal behaviour as services have been provided free. A descriptive cross-sectional approach was done to assess moral hazard on free health care services by consumers. An interview schedule was used to collect quantitative data and in depth interview with health workers for qualitative data in selected eleven health facilities. The study showed the prevalence of moral hazards of free health care services by the consumers. Two-third (65%) respondents had medicines at home. Around one-third (33%) of respondent had self demanded for the medicines. Two-third (67.6%) doesn't seek for health services during health problems. One-fourth (23.6%) had poster at home for non IEC purpose. Age, education level, travelling time to health facility, occupation, and satisfaction towards services were significantly associated with availability of medicines at home. Age, education level, health workers behaviour were significantly associated with self demand of medicines. Peoples are misutilizing the services as, government bear the burden of cost. There was deviation in the normal behaviour of the peoples due to no registration fees and free drugs availability. Many people like to take medicines and have a notion that there is a pills for every ill as a result they self demand for the medicines and mostly don’t consume full dose which can develop drug resistance. Visit to health facilities to collect medicines at home have increase unnecessary burden to health facilities and also increase in morbidity status. The result can inform developing proper policy and safety measures to drop off moral hazard on free health care services.

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Paul, Prabasaj, Rachel Slayton, Alexander Kallen, Maroya Walters, and John Jernigan. "Optimizing Sentinel Surveillance to Target Containment of Emerging Multidrug-Resistant Organisms in Regional Networks." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s336—s337. http://dx.doi.org/10.1017/ice.2020.945.

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Background: Successful containment of regional outbreaks of emerging multidrug-resistant organisms (MDROs) relies on early outbreak detection. However, deploying regional containment is resource intensive; understanding the distribution of different types of outbreaks might aid in further classifying types of responses. Objective: We used a stochastic model of disease transmission in a region where healthcare facilities are linked by patient sharing to explore optimal strategies for early outbreak detection. Methods: We simulated the introduction and spread of Candida auris in a region using a lumped-parameter stochastic adaptation of a previously described deterministic model (Clin Infect Dis 2019 Mar 28. doi:10.1093/cid/ciz248). Stochasticity was incorporated to capture early-stage behavior of outbreaks with greater accuracy than was possible with a deterministic model. The model includes the real patient sharing network among healthcare facilities in an exemplary US state, using hospital claims data and the minimum data set from the CMS for 2015. Disease progression rates for C. auris were estimated from surveillance data and the literature. Each simulated outbreak was initiated with an importation to a Dartmouth Atlas of Health Care hospital referral region. To estimate the potential burden, we quantified the “facility-time” period during which infectious patients presented a risk of subsequent transmission within each healthcare facility. Results: Of the 28,000 simulated outbreaks initiated with an importation to the community, 2,534 resulted in patients entering the healthcare facility network. Among those, 2,480 (98%) initiated a short outbreak that died out or quickly attenuated within 2 years without additional intervention. In the simulations, if containment responses were initiated for each of those short outbreaks, facility time at risk decreased by only 3%. If containment responses were initiated for the 54 (2%) outbreaks lasting 2 years or longer, facility time at risk decreased by 79%. Sentinel surveillance through point-prevalence surveys (PPSs) at the 23 skilled-nursing facilities caring for ventilated patients (vSNF) in the network detected 50 (93%) of the 54 longer outbreaks (median, 235 days to detection). Quarterly PPSs at the 23 largest acute-care hospitals (ie, most discharges) detected 48 longer outbreaks (89%), but the time to detection was longer (median, 716 days to detection). Quarterly PPSs also identified 76 short-term outbreaks (in comparison to only 14 via vSNF PPS) that self-terminated without intervention. Conclusions: A vSNF-based sentinel surveillance system likely provides better information for guiding regional intervention for the containment of emerging MDROs than a similarly sized acute-care hospital–based system.Funding: NoneDisclosures: None

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Tanbeer, Syed K., and Edward R. Sykes. "MyHealthPortal – A web-based e-Healthcare web portal for out-of-hospital patient care." DIGITAL HEALTH 7 (January 2021): 205520762198919. http://dx.doi.org/10.1177/2055207621989194.

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Current e-Health portal platforms provide support for patients only if they have previously registered and received service from a healthcare facility (e.g., hospital, healthcare clinic, etc.). These portals are usually connected to a central EMR/EHR system linked to a central system. Furthermore, these portals are restrictive in that they are only accessible by these patients at the exclusion of parents, relatives and others that participate in providing care to the patient. Further complications include the increasing demand from our healthcare systems for patients to receive more off-site, non-primary, in-homecare, and/or specialized healthcare services at home (e.g., therapy, nursing, personal support, etc.). Lastly, an increasing number of people would like to have more autonomy over their health in terms of increased access to their own medical records and the services they receive. In this work, we addressed these limitations by creating MyHealthPortal – a patient portal aimed at non-primary care, in-homecare, and/or special healthcare for patients. MyHealthPortal can assist homecare and clinic-based healthcare services along with the benefits of existing portals (e.g., online appointment scheduling, monitoring, and information sharing). MyHealthPortal is secure, robust, flexible and user-friendly. We developed it in partnership with our industry partner, Closing the Gap Healthcare. Closing the Gap is a prominent homecare and clinic-based healthcare service provider that became the first homecare agency to score 100% on standards from accreditation Canada and was awarded the exemplary standing. In this paper we present MyHealthPortal, the architectural framework that we designed and developed to support the system, and the results of a usability study conducted from real field studies. Our system was tested in a variety of conditions and achieved SUS usability scores of 92.5% (high).

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Taylor, Kimberly A., Deborah McQuilkin, and Ronda G. Hughes. "Medical Scribe Impact on Patient and Provider Experience." Military Medicine 184, no. 9-10 (February 27, 2019): 388–93. http://dx.doi.org/10.1093/milmed/usz030.

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Abstract Introduction The electronic health record (EHR) has created additional administrative burdens on providers to perform data entry while trying to engage with the patient during the health care visit. Providers have become frustrated and distracted with the documentation requirements which further hindered connectivity, and communication with the patient. The utilization of medical scribes in the outpatient clinical setting was a strategy shown to enhance patient and provider interaction, decrease clinician’s administrative tasks, and promote satisfaction among providers and patients. This was an innovative quality improvement pilot project to improve the patient and provider experience using scribes in an outpatient setting. Materials and Methods Two providers, to include one Family Medicine doctor and one Internal Medicine physician, and four hospital corpsmen participated in this pilot project. The four hospital corpsmen received a 2-week training of the fundamentals of the EHR and their role as scribes prior to the start of the project. Two corpsmen were designated for each provider and worked with their provider throughout the 12-week project period. The two primary aspects evaluated during the implementation of the scribes were the patient experience, and provider experience. Navy Medicine and the University of South Carolina Institutional Review Boards (IRB) considered this project exempt from full IRB review. Results The experience questionnaire results indicated a slight mean decrease, but did not negatively impact patient satisfaction or overall patient experience. The local Medical Treatment Facility patient satisfaction, obtained through the Interactive Customer Evaluation, and the Joint Outpatient Experience Survey, indicated that there was no decrease in patient satisfaction or overall experience during the project period. The providers’ experience improved with an average 50% decrease in time spent after hours documenting in the EHR, enhanced engagement with patient, staff, and ancillary team members, and improved work life balance. Additional findings of improved clinic efficiencies, completion of notes for both providers and positive qualitative comments from the scribes were identified. Conclusion In multiple settings, documentation requirements burden providers. The consideration of scribes could foster work life balance, retention, and wellness. The patient and provider experience was strengthened through the utilization of medical scribes, so future research centered on the provider and patient experience could be beneficial to organizations. Further study of the scribe’s experience, especially considering the positive comments from the hospital corpsmen that participated as scribes during the project, could provide beneficial outcomes. Navy Medicine is advancing every opportunity to strengthen clinical and operational readiness, health and partnerships to provide the highest quality care and promote wellness for our patients. This type of quality improvement initiative could positively support readiness, quality and wellness for our organization, providers, and patients.

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Pedati, Caitlin, Madison Sullivan, Margaret Drake, Alison Keyser, Tom Safranek, and Maureen Tierney. "An Assessment of 2016 National Healthcare Safety Network (NHSN) and National Electronic Disease Surveillance System (NEDSS) Clostridium difficile Infections (CDI) in Nebraska." Open Forum Infectious Diseases 4, suppl_1 (2017): S399. http://dx.doi.org/10.1093/ofid/ofx163.995.

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Abstract Background In 2016 all acute care hospitals, inpatient rehab facilities, and PPS-exempt cancer facilities in Nebraska were required to report laboratory identified (LabID) Clostridium difficile infections (CDIs) to the National Healthcare Safety Network (NHSN). Test results indicating CDIs must be reported to the Nebraska Department of Health and Human Services (NDHHS) via the National Electronic Disease Surveillance System (NEDSS). NHSN and NEDSS represent unique sources of CDI reports in Nebraska. Methods The NHSN Nebraska database was queried for CDIs reported in 2016. All lab tests indicating a CDI in 2016 were extracted from NEDSS. These extracts were analyzed to assess descriptive epidemiologic variables and compared for differences. Results In 2016 there were 1,546 CDI LabID events reported to NHSN Nebraska from 28 facilities. There were 249 outpatient CDIs and 1,297 inpatient CDIs. Infections were further characterized as community-onset (N = 773), community-onset, healthcare facility associated (N = 206), and hospital onset (N = 567). An average of 128 CDIs were reported per month (range: 111–155). In 2016 there were 2,177 lab results indicating a CDI reported to NEDSS among Nebraska residents from 42 facilities. Patient ages ranged from 4 months to 104 years (mean = 58 years). An average of 181 CDIs were reported per month (range: 151–218). Comparison of the two data sources found 781 reports among 591 unique patients at 11 facilities that were made to NHSN and were not in NEDSS. Additionally, there were 1,092 reports from 931 unique patients at 12 facilities that were made to NEDSS and should have been made to NHSN but were not. There were 9 shared facilities that accounted for the majority of these discrepancies. Conclusion NHSN and NEDSS represent two unique data sources that allow for a more comprehensive assessment of CDIs. The number and type of facility that report to each system is slightly different but there is some overlap. Therefore, this comparison allows for detection of a greater number of reports overall and also provides an opportunity for data validation. This assessment identified discrepancies in reporting among 9 facilities that can be targeted for further collaborative efforts to improve CDI reporting and management in Nebraska. Disclosures All authors: No reported disclosures.

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Winchip, Susan. "Dementia Health Care Facility Design." Journal of Interior Design 16, no. 2 (September 1990): 39–46. http://dx.doi.org/10.1111/j.1939-1668.1990.tb00053.x.

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Keyt, John. "Long Term Health Care Facility Selection." Journal of Hospital Marketing 3, no. 1 (May 12, 1989): 111–21. http://dx.doi.org/10.1300/j043v03n01_10.

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Shemwell, Donald. "Congregate Care Facility Selection." Health Marketing Quarterly 14, no. 4 (May 13, 1997): 109–20. http://dx.doi.org/10.1300/j026v14n04_08.

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Nelson, Mary Linnea, and Debra Kay Olson. "Health Care Worker Incidents Reported in a Rural Health Care Facility." AAOHN Journal 44, no. 3 (March 1996): 115–22. http://dx.doi.org/10.1177/216507999604400302.

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About eight million workers, or 6.4% of the total United States work force, are employed by the health care industry. Frequency of injury has continued to rise from 6 per 100 full time workers in 1980 to over 10 in 1992 (US Department of Labor, 1994). This descriptive, retrospective study characterizes host, agent, and environmental variables for 120 incidents reported in 1990 at a rural nursing home and acute care hospital with 290 employees. Incident is defined as an event that results in injury or has the potential to result in an injury. Based on an estimate of full time equivalents (190.4 FTE) calculated at 9 months, the incident rate per 100 FTEs was 63 for this facility. Injury was reported in 114 incidents, resulting in an overall injury rate per 100 FTEs of 59.9. Sprains and strains were the most frequently reported nature of injury followed by cuts, lacerations, and punctures. Female and male workers reported similar proportions of incidents. At midyear, 85% of the employee population was female, 15% male. Females represented 83.3% of the subjects reporting incidents; males represented 16.7%. These data from a small rural facility differ from many of the findings on the injury experience of health care workers reported in the literature.

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Anwar, Muhammad Idrees. "The hidden sharks of clinical practice." Health Professions Educator Journal 2, no. 2 (June 30, 2019): 7–8. http://dx.doi.org/10.53708/hpej.v2i2.236.

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‘The doctors of tomorrow will be applying knowledge and deploying skills which are at present unforeseen’. This was written by General Medical Council , UK in “Tomorrow’s Doctor” 1993,(General Medical Council, 1993), but this still holds true. We as health care providers strive to provide the best of care to our patients and perhaps doing a good job. You may object to this “perhaps “as obviously at a glance the health care appears optimal. But we do not know that underneath this poise and calm sea are deadly sharks that gulp and bite our results. Statistically speaking, there is one in eleven million risks of being bitten by a shark. In comparison, the risk of patient death occurring due to a preventable medical accident, while receiving health care, is estimated to be one in three hundred. It is obvious that you are safer in diving in the ocean than receiving treatment at a health care facility. Yet it is preventable. This preventable medical accident is the hidden shark of our clinical practice that bites our results without us even knowing about it. Hippocrates defined patient safety as primum no nocere, or “First, do no harm.” Yet we discovered it quite recently. A television program by the name of ” Deep Sleep “ aired in April 1983 first shocked the public that six thousand patients die due to anesthesia-related deaths. In 1983, the Harvard Medical School and the British Royal Society of Medicine jointly sponsored a symposium on anesthesia, deaths, and injuries. They also agreed to share statistics and to conduct studies for all anesthesia accidents. In 1984, the American Society of Anesthesiologists (ASA) had established the Anesthesia Patient Safety Foundation (APSF). The foundation marked the first use of the term “patient safety” in the name of a professional reviewing organization. The Australian Patient Safety Foundation was founded in 1989 for anesthesia error monitoring. Both organizations were soon expanded, as the magnitude of the medical error crisis became known. The studies expanded to all specialties, areas, and actual impact was measured. It is now estimated that that healthcare errors impact one in every ten patients around the world, the World Health Organization calls patient safety an endemic concern. Alarming, isn’t it? Yes, it is quite an alarming situation and it is the time that we all must blow the whistle to this global as well as regional problem. We are at a very initial stage where most of us are not even aware of its serious concerns. The waters are infested with sharks, and we must know and learn how to tackle them. The errors typically include surgical, diagnostic, medication, devices and equipment, and systems failures, infections, falls, and healthcare technology. Wrong or missed diagnosis and side effects of drugs are more common. No area of health care delivery is exempt, but they occur more so in an emergency room and outpatient clinic. (Bari, Khan, & Rathore, 2016) Errors are classified as two types: 1. Errors of omission occur because of actions not taken. Examples are not putting a strap to a patient. 2. Errors of the commission occur because of the wrong action taken. Examples include administering a medication to which a patient has a known allergy. You must be wondering why I chose this in a medical education journal. First and foremost, it is one of the serious international health concerns in the current era. Globally, almost a million patients die each year along with the cost associated with medication errors of about $42 billion USD annually. Secondly, the key to the solution lies with medical educationists. By now, you must be wondering how medical educationists could solve the predicament. Well! The solution lies in developing skills like communication, organization, teamwork, leadership, and decision-making. Not just the skills but also patient safety attitudes have to be adapted along with developing a “safety culture” at the workplace (Ayub & Khan, 2018). Our doctors of future and health care centers will only be safe if the safety is taught and assessed, at every level of learning and teaching. The culture of patient safety is created by identifying errors, developing systems based on newer technologies to recognize and correct errors. A broad range of safety culture properties can be organized into multiple subcultures like leadership, teamwork, evidence-based patient care, communication, learning from errors, identifying systems errors, and providing patient-centered care. Currently, the issue is remotely addressed in learning and teaching at both graduate and postgraduate levels. It is imperative that medical educationist should play their role by not only learning but also teaching all the necessary skills required to develop a safe environment for patients. The waters are full of sharks, and we must take protective measures. Stay safe References Ayub, A., & Khan, R. A. 2018. Learning to cure with care: Awareness of faculty and medical students about students’ roles related to patient safety. J. Pak. Med. Assoc., 68(9). Bari, A., Khan, R. A., & Rathore, A. W. 2016. Medical errors; causes, consequences, emotional response and resulting behavioral change. Pakistan J. Med. Sci., 32(3) doi:10.12669/ pjms.323.9701. General Medical Council, U.K. (1993). Tomorrow’s doctors: Recommendations on undergraduate medical education. London.

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Clayton, Judith. "Sterilization Technology for the Health Care Facility." AORN Journal 68, no. 1 (July 1998): 108. http://dx.doi.org/10.1016/s0001-2092(06)62724-5.

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Bagga, R., S. Gopalan, D. Malhotra, and V. Jain. "Direct maternal deaths and health care facility." International Journal of Gynecology & Obstetrics 70 (2000): D34—D35. http://dx.doi.org/10.1016/s0020-7292(00)82617-x.

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Gale, Stephen C., Adam M. Shiroff, Colleen M. Donovan, Stancie C. Rhodes, John S. Rhodes, and Vicente H. Gracias. "Medical Management at the Health Care Facility." Annals of Emergency Medicine 69, no. 1 (January 2017): S36—S45. http://dx.doi.org/10.1016/j.annemergmed.2016.09.009.

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Gu, Wei, Xin Wang, and S. Elizabeth McGregor. "Optimization of preventive health care facility locations." International Journal of Health Geographics 9, no. 1 (2010): 17. http://dx.doi.org/10.1186/1476-072x-9-17.

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Castle, N. "Family satisfaction with nursing facility care." International Journal for Quality in Health Care 16, no. 6 (December 1, 2004): 483–89. http://dx.doi.org/10.1093/intqhc/mzh078.

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Sinaiko, Anna D., Karen E. Joynt, and Meredith B. Rosenthal. "Association Between Viewing Health Care Price Information and Choice of Health Care Facility." JAMA Internal Medicine 176, no. 12 (December 1, 2016): 1868. http://dx.doi.org/10.1001/jamainternmed.2016.6622.

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Hartungi, Rusdy, and Liben Jiang. "Investigation of Power Quality in Health Care Facility." Renewable Energy and Power Quality Journal 1, no. 08 (April 2010): 996–1004. http://dx.doi.org/10.24084/repqj08.555.

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Imai, Atsuko, Shogo Yasuda, Yasuhiko Matsushima, Nori Nakanishi, Masahiro Tanaka, and Takayoshi Kawazoe. "Investigation of Meals in Health Care Service Facility." Nihon Hotetsu Shika Gakkai Zasshi 49, no. 3 (2005): 469–77. http://dx.doi.org/10.2186/jjps.49.469.

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Wick, Jeannette Y. "Oral Health in the Long-Term Care Facility." Consultant Pharmacist 25, no. 4 (April 1, 2010): 214–24. http://dx.doi.org/10.4140/tcp.n.2010.214.

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Hick, John L., Paul Penn, Dan Hanfling, Mark A. Lappe, Dan O'Laughlin, and Jonathan L. Burstein. "Establishing and training health care facility decontamination teams." Annals of Emergency Medicine 42, no. 3 (September 2003): 381–90. http://dx.doi.org/10.1016/s0196-0644(03)00442-6.

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Hick, John L., Dan Hanfling, Jonathan L. Burstein, Joseph Markham, Anthony G. Macintyre, and Joseph A. Barbera. "Protective equipment for health care facility decontamination personnel." Annals of Emergency Medicine 42, no. 3 (September 2003): 370–80. http://dx.doi.org/10.1016/s0196-0644(03)00447-5.

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Russo, Gerard, Alejandro N. Herrin, and Melahi C. Pons. "Household Health Care Facility Utilization in the Philippines." Asia Pacific Journal of Public Health 9, no. 1 (January 1997): 6–12. http://dx.doi.org/10.1177/101053959700900102.

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This paper presents probit estimates of household utilization of health care facilities in the Philippines. Using household data from the 1987 National Health Survey and supply data from the Department of Health, separate probit equations are estimated for each of the four major types of facilities in the Philippines: Public hospitals, private hospitals, major rural health units and barangay (village) health stations. The probability that a household will utilize services from these facilities is estimated as a function of socioeconomic, demographic and supply variables. The results indicate substantial differences in utilization patterns by income class. Households in the highest income quartile are approximately twice as likely (0.451 versus 0.236) to utilize private hospital services vis-à-vis households in the lowest income quartile, ceteris paribus. The results also indicate substantial substitution between public and private. services. An increase in the availability of private hospital beds significantly reduces the probability that a household will utilize government facilities.

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Buckley, R., and L. I. Kaplan. "VA Facility Upgrades Continuity of Mental Health Care." MD Conference Express 14, no. 44 (January 1, 2015): 14–15. http://dx.doi.org/10.1177/155989771444011.

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Harutyunyan, Tsovinar, Anahit Demirchyan, Michael Thompson, and Varduhi Petrosyan. "Primary health care facility performance assessment in Armenia." Leadership in Health Services 23, no. 2 (May 4, 2010): 141–55. http://dx.doi.org/10.1108/17511871011040724.

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PurposeThe purpose of this study is to focus on the performance of select facilities in Lori and Shirak provinces in Armenia in Spring 2008. This is in response to the deterioration of the primary healthcare sector in Armenia.Design/methodology/approachThe performance assessment focused on the status of several performance indicators, both current and as recalled for 2006. The interviewer‐administered questionnaire addressed access to care, provider relations with community and clients, environment, management, and primary and secondary prevention at the facilities. For each domain, a summative score that ranged from 0 to 3 was computed and a mean score for each facility derived.FindingsThe project has had significant positive impact on facilities' performance. Access to care scores increased from 2.0 in 2006 to 2.5 in 2008; provider relations with community improved from 1.1 to 1.4; environment scores improved from 1.3 to 1.9, facility management improved from 1.4 to 1.7; and prevention efforts increased from 1.3 to 1.9. The overall mean facility score increased from 1.4 to 1.8. Although the scores for small rural clinics increased, their scores were lower than the scores for other facility types.Originality/valueIn the chronic absence of administrative surveillance data, this paper provides valuable information on the status of primary healthcare services in Armenian provinces. It demonstrates the value of interviewer‐administered performance assessments in obtaining data across project sites when internal monitoring of progress is unavailable.

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Inaba, Kenji, Alexander L. Eastman, Lenworth M. Jacobs, and Kenneth L. Mattox. "Active-Shooter Response at a Health Care Facility." New England Journal of Medicine 379, no. 6 (August 9, 2018): 583–86. http://dx.doi.org/10.1056/nejmms1800582.

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Jacob, Julie A. "CMS Updates Health Care Facility Fire Safety Regulations." JAMA 315, no. 24 (June 28, 2016): 2655. http://dx.doi.org/10.1001/jama.2016.7898.

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Wheeler, Jaime, and Elizabeth Hinton. "Effectiveness of telehealth on correctional facility health care." JBI Database of Systematic Reviews and Implementation Reports 15, no. 5 (May 2017): 1256–64. http://dx.doi.org/10.11124/jbisrir-2016-002969.

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Parveen, Zahida, Seema Gupta, Dinesh Kumar, and Shahid Hussain. "Drug utilization pattern using WHO prescribing, patient care and health facility indicators in a primary and secondary health care facility." National Journal of Physiology, Pharmacy and Pharmacology 6, no. 3 (2016): 182. http://dx.doi.org/10.5455/njppp.2016.6.23122015108.

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Aydin, Gökhan, and Bilge Karamehmet. "Factors affecting health tourism and international health-care facility choice." International Journal of Pharmaceutical and Healthcare Marketing 11, no. 1 (April 3, 2017): 16–36. http://dx.doi.org/10.1108/ijphm-05-2015-0018.

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Purpose Health-care tourism has become a major industry in the past decade. Following the increasing activity in health-care tourism, the decision-making process of consumers in choosing an international health-care facility has become increasingly important to the related parties. The present study aims to offer a holistic model of international health-care facility choice that incorporates the important dimensions by assessing the growth drivers and the alternative factors proposed in the literature and by validating them via a survey study. Design/methodology/approach The factors deemed important in the existing literature were used as the basis of a study in Turkey. In total, 65 structured interviews were conducted with health-care professionals and international health tourists to understand the perspective of the two important parties that affect policymaking. Findings The findings of the study support the significance of the majority of the variables proposed as important factors affecting international health-care facility choice. Research limitations/implications The study was carried out in four large hospital chains in Turkey; however, this creates a limitation in scope and may have limited representativeness of the overall market. The model has yet to be tested on a larger scale. Practical implications There are significant differences in the opinions of professionals and international health-care tourists in terms of choice criteria. This indicates problems with health professionals’ understanding of the consumer decision process. Originality/value The study provides a model that can be used to gain insights on the consumer decision process and also provides the policymakers and stakeholders of the international health-care industry with a sound theoretical foundation to build further studies upon. Only a limited number of studies was carried out in Turkey that focus on international health-care tourism, and the present study will fill a substantial research gap.

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Hick, John L., Dan Hanfling, Jonathan L. Burstein, Craig DeAtley, Donna Barbisch, Gregory M. Bogdan, and Stephen Cantrill. "Health care facility and community strategies for patient care surge capacity." Annals of Emergency Medicine 44, no. 3 (September 2004): 253–61. http://dx.doi.org/10.1016/j.annemergmed.2004.04.011.

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Ong, Chong Yau, Lian Leng Low, Elena bte Mohd Ayob, and Jong-Chie Claudia Tien. "Adapting a community health facility into an acute care facility during a pandemic." Journal of Hospital Management and Health Policy 4 (December 2020): 40. http://dx.doi.org/10.21037/jhmhp-20-109.

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Nangia, Sushma. "Facility based newborn care - NNF's Role." Journal of Neonatology 23, no. 3 (September 2009): 227–33. http://dx.doi.org/10.1177/0973217920090308.

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BELLINGAN, M., and I. C. WISEMAN. "Pharmacist intervention in an elderly care facility." International Journal of Pharmacy Practice 4, no. 1 (March 1996): 25–29. http://dx.doi.org/10.1111/j.2042-7174.1996.tb00835.x.

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Shukla, Vinita, Monika Agarwal, M. Z. Idris, Naim Ahmed, and Pratibha Gupta. "Utilization of public health care facilities in Lucknow district." International Journal Of Community Medicine And Public Health 5, no. 5 (April 24, 2018): 1835. http://dx.doi.org/10.18203/2394-6040.ijcmph20181685.

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Background: Health has been declared a fundamental human right. Governments all over the world are striving to expand and improve their health care services. Though there is scarcity of health care resources in India, yet utilization of the Govt. Health care facilities reveal that their outreach was not only poor but even where they are within the reach of population they remained under utilization. In view of the facts stated above this study was planned to assess the extent of utilization of available health facility, the purpose of visit to health care facility and the reasons for non-utilization of public health care facility.Methods: Sample of 1024 was drawn from rural and urban population of Lucknow district. Cross sectional study was conducted in one-year period using the stratified multistage sampling. Data was analyzed using the stata software version -8 for windows.Results: Most of the respondents in rural (73.66%) and in urban (87.44%) visited the health facility for treatment of illnesses. Majority 55.28% in rural and 67.15% in urban area visited private health facility. The most common reason for non-utilization of public health facility in rural respondents (63.5%) was the long distance to health facility and for urban respondents it was long waiting time (56.46%).Conclusions: Most of the people prefer private health care facilities over public. The two most common reasons were long distance and long waiting time. These issues can be dealt by mobile clinics and strengthening the already existing health centres etc.

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FRIEDMAN, MARY M. "Contracted Facility-Based Hospice Care." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 20, no. 11 (November 2002): 748–50. http://dx.doi.org/10.1097/00004045-200211000-00019.

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Bista, Bihungam, D. Rai, RA Sagtani, and SS Budhathoki. "Utilization pattern of health care services at a peripheral health care facility of Nepal." Health Renaissance 13, no. 2 (June 20, 2017): 160–63. http://dx.doi.org/10.3126/hren.v13i2.17566.

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Background: In Nepal, basic health care services at the grass root level are delivered by Subhealth Posts (SHPs) and Health Posts (HPs). The basic aim of these institutions is to deliver essential health care services. In accordance of the Alma Ata declaration on primary health care (PHC) Government of Nepal (GoN) adopted free health care policy on 2006 A.D. to make basic health care services accessible, affordable and available. Thus, SHPs and HPs offer free of cost services to every Nepali citizen. The current study was conducted with the aim of finding utilization pattern of health care services in a peripheral level institution of Sunsari District.Methods: A descriptive study was carried out in Panchkanaya, a sub- health post of Sunsari district utilizing both qualitative and quantitative methods. Data was collected through face to face structured interviews with fifty patients and an in depth interview with in charge of the sub health post. Furthermore, secondary data from records of Health Management Information System (HMIS) of Nepal were also utilized.Results: Out of total patients, most of them were female (67.4%) and majority of patients were from higher age group (>50years).Most of the patients were involved with agriculture as their occupation. Regarding accessibility of health services, most of the respondents could reach sub- health post via walking within 15 minutes. Fifty percent of the patients were satisfied with services provided by the sub-health post. From qualitative aspect, health careservices were under utilized by the people from the northern side of VDC due to inappropriate location of the health post.Conclusion: Health care services were easily accessible although only fifty percent of patients were satisfied by the services.Health Renaissance 2015;13(2): 160-163

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Jain, Rahi, and Bakul Rao. "Health care facility vulnerability in developing nations: strengthening health care policy-making and implementation." Journal of Public Health 26, no. 6 (March 27, 2018): 653–62. http://dx.doi.org/10.1007/s10389-018-0911-y.

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Shemwell, Donald J., and Ugur Yavas. "Congregate care facility selection: A conjoint approach." Health Marketing Quarterly 14, no. 4 (April 1997): 109–20. http://dx.doi.org/10.1080/07359689709511136.

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Baker, Terrance L., Jack V. Greiner, Elizabeth Maxwell-Schmidt, P. Henri Lamothe, and Modesta Vesonder. "Guidelines for Frontline Health Care Staff Safety for COVID-19." Journal of Primary Care & Community Health 11 (January 2020): 215013272093804. http://dx.doi.org/10.1177/2150132720938046.

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This document establishes safety guidelines for physicians, nurses, and allied health care and facility staff who may be exposed to patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a health care facility. SARS-CoV-2 infection is highly contagious and places health care workers at risk for infection resulting in coronavirus disease (COVID-19). Physicians, nurses, and allied health care and facility staff in all frontline environments must be provided and utilize necessary personal protective equipment (PPE). It is important that health care staff adopt a universal set of guidelines in which to conduct themselves in order to minimize infection with the SARS-CoV-2 contagion. The establishment of these guidelines is necessary in this viral pandemic since such directives can create a standard of safety that is universally accepted. These guidelines establish a framework to provide consistency among health care facilities and staff from the time the staff member arrives at the health care facility until they return home. These guidelines provide a practical description of the minimum necessary protection for physicians, nurses, and allied health care and facility staff against SARS-CoV-2 infection.

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Riter, Robert N. "The hospital-based long-term-care facility." Health Care Manager 6, no. 4 (July 1988): 58–62. http://dx.doi.org/10.1097/00126450-198807000-00008.

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Lesho, Emil P., Daniel J. Schissel, and Mark D. Harris. "Vaccinating health care workers against smallpox in an isolated primary care facility." American Journal of Medicine 115, no. 7 (November 2003): 570–72. http://dx.doi.org/10.1016/s0002-9343(03)00473-x.

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Shohet, Igal M., and Sarel Lavy. "Facility maintenance and management: a health care case study." International Journal of Strategic Property Management 21, no. 2 (April 3, 2017): 170–82. http://dx.doi.org/10.3846/1648715x.2016.1258374.

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AMMARI, Fauzy, Keiichi OGAWA, and Toshihiko MIYAGI. "Spatial Interaction Model in Health-Care Facility Location-Allocation." INFRASTRUCTURE PLANNING REVIEW 17 (2000): 219–28. http://dx.doi.org/10.2208/journalip.17.219.

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Childers, Ashley Kay, Gurucharann Visagamurthy, and Kevin Taaffe. "Prioritizing Patients for Evacuation from a Health-Care Facility." Transportation Research Record: Journal of the Transportation Research Board 2137, no. 1 (January 2009): 38–45. http://dx.doi.org/10.3141/2137-05.

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Rekha, R. Shanmathi, Shayesta Wajid, Nisha Radhakrishnan, and Samson Mathew. "Accessibility Analysis of Health care facility using Geospatial Techniques." Transportation Research Procedia 27 (2017): 1163–70. http://dx.doi.org/10.1016/j.trpro.2017.12.078.

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50

Akin, J. S., and P. Hutchinson. "Health-care Facility Choice and the Phenomenon of Bypassing." Health Policy and Planning 14, no. 2 (January 1, 1999): 135–51. http://dx.doi.org/10.1093/heapol/14.2.135.

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