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Journal articles on the topic 'Hospital district'

Author: Grafiati

Published: 4 June 2021

Last updated: 30 May 2022

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1

Стовбан Микола Петрович and Стовбан Ірина Василівна. "ОСНОВНІ ХАРАКТЕРИСТИКИ СИСТЕМИ ВЗАЄМОДІЇ МЕДИЧНИХ ЗАКЛАДІВ В МЕЖАХ ОДНОГО ГОСПІТАЛЬНОГО ОКРУГУ." Science Review, no. 3(30) (March 31, 2020): 11–18. http://dx.doi.org/10.31435/rsglobal_sr/31032020/6994.

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The article examines the concept of "hospital district". Broad participation of hospital districts requires the implementation of effective forms of partnership in planning and taking strategic decisions on their development. The hospital districts are created to organize a network of health care institutions in the region, in a way that will provide systematic interaction between members of the hospital district, as well as with providers of other types of care (primary, tertiary (highly specialized) medical care, palliative care and rehabilitation), pharmaceutical services. Boundaries and composition of each district are formed on the basis of criteria of the district, they are established by the Procedure for the creation of hospital districts. The hospital districts are created as "a functional Association of hospitals located in a particular area". Health establishments, which belong to the hospital district, remain in the ownership and subordination of local authorities who are members of the hospital district. To improve secondary healthcare, Hospital Council are created with the aim of coordinating actions, devising ideas the on organization and operation of medical care within a separate hospital district, preparation and confirmation of the prospective development plans of hospital districts for 5 years (taking into account the needs of modernization and resources).

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2

Sellar, P. W. "District general hospital or teaching hospital?" BMJ 318, no. 7182 (February 20, 1999): 2. http://dx.doi.org/10.1136/bmj.318.7182.2.

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3

Sitepu, Robinson, Fitri Maya Puspita, Ide Lestari, Indrawati Indrawati, Evi Yuliza, and Sisca Octarina. "Facility Location Problem of Dynamic Optimal Location of Hospital Emergency Department in Palembang." Science and Technology Indonesia 7, no. 2 (April 19, 2022): 251–56. http://dx.doi.org/10.26554/sti.2022.7.2.251-256.

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The Emergency Department (ED) is one part of a hospital that provides initial treatment for patients who suffer from illness and injury, which can threaten their survival. The importance of integrated care in the ED is one of the keys to successfully treating patients at an advanced level. This becomes complex because the ED works in a team consisting of various multi-disciplinary sciences and limited human resources, facilities, and infrastructure. In the City of Palembang, 23 hospitals have emergency room facilities from 18 Sub-Districts, by using the TOPSIS (Technique for Others Reference by Similarity to Ideal Solution) method to vary the distance (radius) the optimal location of the emergency department is obtained according to the number of hospitals that have emergency room facilities, namely Ilir Timur I District, Ilir Barat I District, Sukarami District, and Plaju District. Based on the formulation of the p-median model and the completion of the TOPSIS method, the order of Districts that have optimal locations from 18 Sub-Districts that have emergency department facilities in the City of Palembang is obtained.

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4

Olukoga, Abiodun, and Geoff Harris. "Costs of district hospitals in South Africa." Journal of Interdisciplinary Economics 16, no. 4 (July 2005): 431–40. http://dx.doi.org/10.1177/02601079x05001600404.

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The district hospitals are an integral part of the district health system (DHS) in South Africa fulfilling several important functions. Using data obtained from relevant published reports. The district hospital costs were allocated using the ‘ingredients approach’ that combined a top-down method and step-down sequence. The costs in the treatment of patients were grouped into six cost centres: buildings, drugs, equipment, materials, personnel and utilities. The unit costs were broadly grouped into two categories using the hospital departments (fixed and variable costs) and input use (direct and indirect costs). More than 30% of the total public expenditure on hospitals in the country was on district hospitals between 1996/97 and 1998/99. They had more beds per population (1.08/1000) than other public hospitals. The bed occupancy rates in these hospitals were generally very low varying between 57% and 75%. The average length of stay (ALOS) was within acceptable range in the hospital except in Osindisweni hospital. Personnel costs were more than 70% and drugs only 3% to 6% of the total costs. McCord hospital was the most expensive using total and unit costs. Harrismith hospital had the lowest total costs and Osindisweni hospital the lowest unit cost. Most of the costs were fixed or direct costs in all the hospitals. There is the need for the adoption of measures to ensure that the hospitals are efficiently run while maintaining access for vulnerable groups.

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Putra, Windhu. "EFFICIENCY OF PUBLIC SERVICES IN HEALTH FIELD POST-REGISTRATION OF REGION IN WEST KALIMANTAN PROVINCE." JURNAL BORNEO AKCAYA 1, no. 1 (June 30, 2014): 1–15. http://dx.doi.org/10.51266/borneoakcaya.v1i1.4.

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This study aimed to see differences in the level of efficiency of health services between the district / city after the expansion area, which further meremuskan model of cooperation between regions in order to optimize efficiency. The study was conducted in 9 districts consisting of 4 district parent regions, namely; Pontianak district, Sambas district, Sanggau, Sintang. 5 autonomous regions and districts, namely; Singkawang City, Bengkayang District, Landak District, Sekadau District, Melawi District. By using analysis tools Data Envelopment Analysis (DEA) to compute efficiency at every hospital in the region and regional division, indicating differences in the level of efficiency of the hospital results in conditions before and after the expansion area, where levels of efficiency after the expansion is lower than that before the separation. Through the cluster model approach (Model Clusters) will improve the efficiency of hospital after separation, that is by revitalizing the efficiency based on the mobility of the Human Resources (HR) between regions.

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6

Pampiglione, Julian, John Parsons, Virginia Bolton, and Stuart Campbell. "GIFT IN A DISTRICT HOSPITAL." Lancet 329, no. 8523 (January 1987): 50. http://dx.doi.org/10.1016/s0140-6736(87)90750-1.

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7

Rice, Linda J. "Anaesthesia at the District Hospital." Anesthesia & Analgesia 68, no. 3 (March 1989): 429. http://dx.doi.org/10.1213/00000539-198903000-00070.

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8

Alnjadat , Ismail, Obeidat , Moh’d, El-Sukkar , Wisam, Al-Swalgh , Mahmoud, Abu Naja , Balal, and Albadainh , Alaa. "Testicular Torsion : District Hospital Experience." Journal of the Royal Medical Services 27, no. 2 (August 2020): 66–71. http://dx.doi.org/10.12816/0055812.

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9

Poudel, SK, S. Subedi, S. Khadka, S. Timilsina, S. Sharma, SK Roy, S. Gaire, et al. "District Health Service Management." Journal of Gandaki Medical College-Nepal 12, no. 1 (February 5, 2019): 75–78. http://dx.doi.org/10.3126/jgmcn.v12i1.22623.

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District Health System Management is a comprehensive study of the health system of the district as a unit of national health system. The report of District Health System Management has been prepared as per the MBBS 4th year (Third phase) curriculum of Tribhuvan University (TU), Institute of Medicine (IOM), Nepal after the field placement of our group in Gorkha and Kaski districts. We prepared regional health directorate profile, regional tuberculosis center profile, district profile, district health profile of Kaski, hospital profile of Western Regional Hospital, Kaski, and critical analysis on human resources of the Aampipal hospital. We prepared five year plan on ICU services of Gorkha District Hospital and conducted epidemiological study on COPD in WRH, Pokhara. The techniques used in this study were observation, interviews, interactions, participation, secondary data retrieval, analysis and presentation using specific tools and guidelines devised for the same. The field practice proved to be a milestone in enabling the students to develop aptitude in the fields of management, administration and communication in different health set-ups of the country. It is in fact once-in-a lifetime opportunity for the medical students to imbibe the practicality of management skills at various levels.

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10

Worrall, Matthew. "VTE Prevention in a District General Hospital." Bulletin of the Royal College of Surgeons of England 93, no. 6 (June 1, 2011): 196–97. http://dx.doi.org/10.1308/147363511x576056.

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It is now well over 20 years since the evidence of excess hospital deaths due to venous thromboembolism (VTE) was fully established. The steps to prevention through prophylaxis are relatively simple but it remains frustratingly out of reach for hospitals to apply them with consistency. The Bulletin visited Salisbury NHS Foundation Trust, which has managed dramatically to improve through standardisation and audit of VTE risk assessment.

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11

Yunita, Arda, and Wiku Bakti Bawono Adisasmito. "Hospital Readiness for Covid 19 Pandemic in Bekasi District Hospital." Jurnal Kesehatan Masyarakat Indonesia 17, no. 1 (March 30, 2022): 18. http://dx.doi.org/10.26714/jkmi.17.1.2022.18-24.

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Background: In the beginning of Covid-19 pandemic, most of hospitals were unplanned to handle this pandemic. The purpose of this study’s are to analyze the hospital readiness to cope with pandemic circumstances by evaluating hospital strategies as well as action which implement by the hospital. Methods: The study employs a method approach that includes both mix quantitative and qualitative methods. Quantitative design use main data while score and percentage as an outcome of response from checklist based on WHO Rapid Hospital Readiness as a quantitative study supported with qualitative study by in-depth interview utilize response from 12 different components on the checklist. Measurement of Hospital Readiness was carried out in Bekasi District Hospital and responses were obtained three times within seven months duration. Results: The results are as follows, first period as a baseline data in December 2020, the average score assessed is 69%, second period were taken on April 2021 average score slightly improve to 81% and the last period in July 2021 result increased to 90%. In the last period among other component, Component 10 have the lowest percentages (60%). By accomplishing the strategy for each period and continuously evaluated, the score or percentage by assessment of surge capacity readiness due to the Covid-19 pandemic has increased in Bekasi District Hospital, indicating the hospital is more ready to deal with surge capacity, and hospital perseverance is good enough. Conclusion: The checklist of the hospital readiness can be used as a baseline and a tool for hospital and health facilities evaluation.

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12

Stovban, M. P., V. M. Mikhalchuk, O. K. Tolstanov, and Z. V. Gbur. "Hospital Districts: Modern Issues of Activity." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 5, no. 5 (November 1, 2020): 229–35. http://dx.doi.org/10.26693/jmbs05.05.229.

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The article examines the state of development of hospital districts. According to the results of the research, the urgency of solving the issue of improving the regulatory framework governing the activities of hospital districts was determined. Today, health care is the most pressing issue at the global level and affects the whole society, and the issue of ensuring the right to health care for everyone is enshrined at different levels: internationally, it is declared in the WHO statute; also reflected in the regulatory framework of regional organizations, the constitution of the European Union, enshrined in the national constitutions of all countries. Ukraine is currently in the active stage of reforming the health system and its acute issue in the context of decentralization reform is the formation and operation of hospital districts, the logic of which is based on the territorial availability of quality health care. Given the social significance of hospital districts, the topic of problems of their activities and the development of solutions for their leveling is in demand. Ukraine today has one of the most inefficient hospital systems in the world, the problems of which are the lack of a hospital planning system and the practice of cooperation between local communities and the authorities that represent them. Therefore, an important part of medical reform in terms of reforming and streamlining the network of health care facilities was the approval of the Procedure for the establishment of hospital districts. The study examined the foreign experience of organizing hospital districts, in particular the district of Roth (Bavaria, Germany). A study of the definition of "hospital districts" and identified its main characteristics: the association of health care facilities; providing secondary medical care; clear definition of territory and consumers of services. The mechanism of functioning of the hospital district is considered, its tasks are defined. The principles of work of the main governing body of the hospital district - the hospital council, which is an advisory body and includes representatives of state bodies, local governments, enterprises, institutions and organizations. The purpose and powers of the hospital council are determined. Hospital districts that should operate in the regions of the country are considered. Conclusion. We revealed the main problems in the activity of hospital districts: inconsistency and lack of sufficient regulatory framework on the issue of the process of creating hospital districts; lack of methodological recommendations in the formation of hospital districts on the list of functions of a multidisciplinary hospital and the types of its departments that should operate within it; lack of attention to the assessment of regional features during the formation of hospital districts; unresolved personnel problem; unresolved issues of public access to medical services. We also suggested the ways to solve them

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13

Bchir, Abdallah. "[Hospital morbidity in an urban district in Tunisia]." Eastern Mediterranean Health Journal 4, no. 1 (January 15, 1998): 94–99. http://dx.doi.org/10.26719/1998.4.1.94.

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In the health region of Monastir, Tunisia, there is a register of admissions to all public hospitals. Those relating to patients resident in Ksar Hellal District during the year 1995 were identified [N = 1983 admissions to hospital]. This made it possible to establish the population-based pattern of hospital morbidities. The annual hospitalization rate is 6.1%;the rate for patients aged ‘ 65 years is estimated at 13.1%. Chronic diseases are responsible for 31.5% of admissions to hospital and are predominantly diabetes and asthma. The morbidity pattern reflects a phenomenon of epidemiological transition and calls for the strengthening of ambulatory care and development of specific services likely to reduce the need for hospitalization

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14

Bchir, A. "[The birth register as an evaluation tool of maternal and child health activities at district level]." Eastern Mediterranean Health Journal 2, no. 3 (September 2, 2021): 418–24. http://dx.doi.org/10.26719/1996.2.3.418.

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Relevant epidemiological data are essential to improving management of maternal and child health services at district level. In public maternity hospitals of the health region of Monastir, Tunisia, a perinatal register has been established recording information related to pregnancy, childbirth and the condition of the newborn. During 1994, 7750 deliveries were registered, of which 46% took place in the university teaching hospital. Use of peripheral maternity hospitals varies according to the resources of the hospital;the university teaching hospital is highly attractive, especially for women from neighbouring districts. These findings raise the problem of the cost-effectiveness and relevance of opening new health facilities, particularly in times of economic crisis in the health care system

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15

Pulungan, Muhammad Rusli. "NASOPHARYNGEAL CARCINOMA IN PANYABUNGAN DISTRICT HOSPITAL." INTERNATIONAL JOURNAL OF NASOPHARYNGEAL CARCINOMA (IJNPC) 2, no. 02 (June 20, 2020): 38–39. http://dx.doi.org/10.32734/ijnpc.v2i02.3932.

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Abstract Introduction: Nasopharyngeal carcinoma is the most common malignancy found in the head and neck area. Non-specific initial symptoms and hidden locations often make it difficult to diagnose early nasopharyngeal carcinoma. The limitations of tools and human resources in the district are a problem in enforcing and finding patients with nasopharyngeal carcinoma in this situation. Objective: The purpose of this study is to observe the prevalence of nasopharyngeal carcinoma in Departement of Otorhinolaryngology-Head and Neck Surgery Panyabungan District Hospital. Method: This study collecting data from medical record of Nasopharyngeal carcinoma (NPC) at Panyabungan District Hospital. Result: The distribution of NPC patients during January-December 2018 there were 10 patients. NPC base on gender male 50% and female 50%. NPC based on age groups in 46-55 years is 40%, 56-65 years old is 20% and 16-25 years, 26-35 years, 36-45 years, and 66-75 years each of 10%. NPC patients based of clinical appearance is limadenophaty colli is 100%, epistaxis 80%, Nasal congesty 70%.ear fulness 40% and diplopia 30%. NPC based on histophatologycal types is WHO type I 10%, WHO type II 50% and WHO type III 40%. Conclusion: Nasopharyngeal carcinoma is a malignant tumor originating from the nasopharyngeal epithelium. The patient NPC were diagnosed at an advanced stage. All of patients showed enlargement of neck limph nodes and some showed diplopia.

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16

Read, G. "Radiotherapy in a district general hospital." Clinical Oncology 6, no. 6 (January 1994): 349–51. http://dx.doi.org/10.1016/s0936-6555(05)80182-7.

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17

Penn, C. R. H. "Radiotherapy in a district general hospital." Clinical Oncology 7, no. 3 (January 1995): 207. http://dx.doi.org/10.1016/s0936-6555(05)80528-x.

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18

Newman, B. "Cardiopulmonary resuscitation in district general hospital." Anaesthesia 42, no. 3 (March 1987): 314–15. http://dx.doi.org/10.1111/j.1365-2044.1987.tb03049.x.

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19

Wilkinson, Kathy. "Surgical Care at the District Hospital." Pediatric Anesthesia 14, no. 4 (April 2004): 369. http://dx.doi.org/10.1046/j.1460-9592.2003.01256.x.

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20

Donaldson, I. "Tinnitus clinic in a district hospital." Journal of Laryngology & Otology 101, no. 6 (June 1987): 548–51. http://dx.doi.org/10.1017/s002221510010221x.

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21

Wells, Meher D., and R. D. Yande. "Vertigo in a district NHS hospital." Journal of Laryngology & Otology 101, no. 12 (December 1987): 1235–41. http://dx.doi.org/10.1017/s0022215100103585.

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22

Prakash, A., and P. M. Holt. "Electrophysiology in a district general hospital." Heart 73, no. 1 (January 1, 1995): 76–81. http://dx.doi.org/10.1136/hrt.73.1.76.

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23

Maddocks, W. T. Astrid, and Peter D. Maddocks. "Rehabilitation in a district general hospital." Psychiatric Bulletin 16, no. 7 (July 1992): 431–32. http://dx.doi.org/10.1192/pb.16.7.431.

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The Psychiatric Unit at Wexham Park Hospital has served a population of 230,000 with no entry to long-stay beds since 1972. There have been between 45 and 60 available beds for all types of mental illness except dementia. Various group homes and unstaffed halfway houses have been started, but the accumulation of more disabled patients showed the need for both a staffed group home, and rehabilitation to fit them for it. There was no separate ward or building in the hospital which could be used, and so rehabilitation had to be arranged on an acute ward. The staffed group home has a lower staff-patient ratio than a hospital hostel.

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24

Farid, B. T. "Absconders from a district general hospital." Psychiatric Bulletin 15, no. 12 (December 1991): 736–37. http://dx.doi.org/10.1192/pb.15.12.736.

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The patient absconding without leave (AWOL) produces considerable anxiety to staff, relatives and the public, and involves a great deal of staff time in notification, search and enquiry to the detriment of the care of other patients. Incidents of AWOL are potentially dangerous and all efforts to predict these incidents and to deal with them appropriately should be made.

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25

Chiphangwi, John. "Antenatal Care in a District Hospital." Tropical Doctor 17, no. 3 (July 1987): 124–27. http://dx.doi.org/10.1177/004947558701700311.

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Laing, R. O., and C. H. Todd. "Postgraduate district hospital training in Zambia." Lancet 341, no. 8850 (April 1993): 966. http://dx.doi.org/10.1016/0140-6736(93)91261-j.

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27

van der Windt, Cees, and Harjinder S. Chana. "Cataract surgery at district hospital level." International Ophthalmology 17, no. 5 (October 1993): 265–68. http://dx.doi.org/10.1007/bf01007794.

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28

Peters, R. H. J., J. J. Rasker, J. W. G. Jacobs, R. L. Prevo, and R. P. Karthaus. "Bacterial arthritis in a district hospital." Clinical Rheumatology 11, no. 3 (September 1992): 351–55. http://dx.doi.org/10.1007/bf02207192.

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29

Rashleigh, E., M. Lee, and R. Kallam. "Two-week waits in a District General Hospital - Burden and cost in a District General Hospital." International Journal of Surgery 36 (November 2016): S58. http://dx.doi.org/10.1016/j.ijsu.2016.08.139.

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30

Tripathi, Chandramauli, Dinesh Pendharkar, and Bhure Singh Saitya. "Satisfaction survey from an innovative cancer care delivery model (Pendharkar model), creating access at scale: An outcome research." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e18002-e18002. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e18002.

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e18002 Background: With the aim of empowering alternate oncology workforce, to resolve the issue of access, a unique cancer care delivery model (Pendharkar model) was launched in 4 states of India, spread across 125 districts with population coverage of around 210 million. The model has established nodal cancer units in every government run district hospital and created a point of contact for cancer- a physician-medical officer. Hundreds of patients have been seen by these hospital in last four years. The aim of this analysis was to survey the patient population attending and their satisfaction level. Methods: An elaborate survey was conducted amongst patients coming to district hospital. It sought information on satisfaction, choices. The written responses were sought, and data analysed. Results: Overall.186 patients were surveyed. Nearly 62 % of the patients had visited hospital multiple times before. Referral pattern showed that about 7 % of the patients were referred by other patients who were treated here, 62 % of the patients were referred by other medical professional, including nearby cancer hospitals and specialists. More than half of the patients (54.1) had taken cancer treatment outside district hospital, at some point of time. On question of comparison of service 65 % felt services to be better in government run setup, the time to start of therapy was much faster (74%).The time given by the doctor to the patient was satisfactory, highly appreciated by 97% of the respondents. Ease of accessibility of the staff was positively accepted by 100 %. All were happy with the level of communication by the doctors and nursing staff. Chemotherapy experience was better in district hospital set up for 58 % of the patients. More than 95% rated nursing services of high quality and all were happy with the behaviour of nurses. 80% were interested in continuing chemotherapy in same government hospital. Majority said that they are happy with their decision of taking chemotherapy in district hospital and would definitely refer other patients here. Conclusions: The survey strongly favours the model of empowerment of alternate oncology workforce in government run district hospital, and achieves high level of satisfaction amongst cancer patients.

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Hine, Christine, Victorine A. Wood, Stephen Taylor, and Mark Charny. "Do Community Hospitals Reduce the Use of District General Hospital Inpatient beds?" Journal of the Royal Society of Medicine 89, no. 12 (December 1996): 681–87. http://dx.doi.org/10.1177/014107689608901207.

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Community hospitals have been supported by the general public and by professionals as one means of increasing choice between local, low technology, care and high technology care at the district general hospital. However, there is no information on the impact of community hospitals on district general hospital use subsequent to NHS and community care reforms. Examination of routinely gathered activity data in the Bath Health District revealed that availability of community hospital beds was associated with reduced use of central inpatient services in the city of Bath. The reduction was most apparent for medical and geriatric beds. Decrease in the use of surgical beds was small. However, total inpatient bed use (including central and community hospital beds) was higher in the population with access to community hospital beds. We conclude that community hospitals offer one option for accessible health care and, as such, merit systematic evaluation of costs and benefits. This study presents some evidence that savings could be achieved through improved efficiency.

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Karim, Kahlan, Simon Robinson, and Simon Barnes. "Wastage of intramedullary nails in a district hospital, hospital/2011." International Journal of Surgery 11, no. 8 (October 2013): 661. http://dx.doi.org/10.1016/j.ijsu.2013.06.399.

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33

Masotti, Luca, Sandro Filippi, Serenella Acciai, Maria Teresa Mechi, Sandra Gori, Annalisa Mannucci, Anna Maria Bellizzi, et al. "Epidemiology of intracerebral haemorrhage in Livorno district." Reviews in Health Care 2, no. 1S (June 10, 2011): 5. http://dx.doi.org/10.7175/rhc.4321s5-13.

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BACKGROUND: Intracranial haemorrhage represents the most feared stroke subtype. AIM: To evaluate the burden of intracranial haemorrhage in Tuscany hospitals with special reference to Livorno district. MATERIALS AND METHODS: Data of patients discharged in 2009 from Tuscan and Livorno hospitals with codes ICD-9-CM related to any type of spontaneous intracranial haemorrhage were selected and analyzed. RESULTS: 3,472 patients were discharged from Tuscan hospitals with these diagnoses. Overall mortality was 24.3%. 50% of patients were admitted in Internal Medicine wards. Incidence of intracranial haemorrhage and intracerebral haemorrhage (ICH) in population of Livorno district was 64 and 45/100,000 inhabitants/year with related mortality of 36.5% and 39.4%respectively. Intra-hospital mortality of patients admitted in Livorno hospitals for intracranial haemorrhage were 36.7%. 40% of deaths occurred in the first 48 hours. 69.6% of intracranial haemorrhage were ICHs, 16.8% subaracnoideal. Intra-hospital mortality, admissions for intracranial haemorrhage in respect of total admissions and mortality for intracranial haemorrhage in respect to total mortality increased in the last decade. 23% of patients with intracranial haemorrhage and 16% of patients with ICH underwent to surgical procedures. ICHs related to antithrombotic treatment significantly increased in the last years. Mortality in patients on antithrombotic drugs was three times over compared to that in patients not undergone these drugs (43.7% vs 12.8%, p < 0.01). CONCLUSION: There is an increasing trend in frequency, mortality and hospital burden of intracranial haemorrhage and ICH. Efforts aimed at reducing the burden and consequences of this devasting disease are warranted.

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Masotti, Luca, Sandro Filippi, Serenella Acciai, Maria Teresa Mechi, Sandra Gori, Annalisa Mannucci, Anna Maria Bellizzi, et al. "Epidemiology of intracerebral haemorrhage in Livorno district." Reviews in Health Care 2, no. 1S (June 10, 2011): 5–13. http://dx.doi.org/10.7175/rhc.v2i1s.43.

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BACKGROUND: Intracranial haemorrhage represents the most feared stroke subtype. AIM: To evaluate the burden of intracranial haemorrhage in Tuscany hospitals with special reference to Livorno district. MATERIALS AND METHODS: Data of patients discharged in 2009 from Tuscan and Livorno hospitals with codes ICD-9-CM related to any type of spontaneous intracranial haemorrhage were selected and analyzed. RESULTS: 3,472 patients were discharged from Tuscan hospitals with these diagnoses. Overall mortality was 24.3%. 50% of patients were admitted in Internal Medicine wards. Incidence of intracranial haemorrhage and intracerebral haemorrhage (ICH) in population of Livorno district was 64 and 45/100,000 inhabitants/year with related mortality of 36.5% and 39.4%respectively. Intra-hospital mortality of patients admitted in Livorno hospitals for intracranial haemorrhage were 36.7%. 40% of deaths occurred in the first 48 hours. 69.6% of intracranial haemorrhage were ICHs, 16.8% subaracnoideal. Intra-hospital mortality, admissions for intracranial haemorrhage in respect of total admissions and mortality for intracranial haemorrhage in respect to total mortality increased in the last decade. 23% of patients with intracranial haemorrhage and 16% of patients with ICH underwent to surgical procedures. ICHs related to antithrombotic treatment significantly increased in the last years. Mortality in patients on antithrombotic drugs was three times over compared to that in patients not undergone these drugs (43.7% vs 12.8%, p < 0.01). CONCLUSION: There is an increasing trend in frequency, mortality and hospital burden of intracranial haemorrhage and ICH. Efforts aimed at reducing the burden and consequences of this devasting disease are warranted.

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35

Hague, Ashley Clare. "Recent Developments in Health Law: Civil Procedure: First Circuit Holds it Unreasonable to Hale Hospitals into Foreign Forums Simply for Accepting Out-of-State Patients — Harlow v. Children's Hospital." Journal of Law, Medicine & Ethics 34, no. 2 (2006): 467–69. http://dx.doi.org/10.1111/j.1748-720x.2006.00054.x.

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The United States Court of Appeals for the First Circuit recently upheld a United States District Court for the District of Maine Judge's decision to dismiss a Maine plaintiff's medical malpractice claim against a Massachusetts hospital defendant for want of personal jurisdiction over the hospital. The Court of Appeals found it unreasonable to hale hospitals into an out-of-state court merely because they accept out-of-state patients.Plaintiff Danielle Harlow is a Maine resident who suffered a stroke at the age of six while undergoing a medical procedure at Children's Hospital of Boston, Massachusetts (“Children's Hospital”). The stroke, allegedly caused by the Hospital's negligence, led to brain damage resulting in partial paralysis and cognitive and behavioral impairments. The procedure was supposed to treat Harlow's rapid heartbeat, a condition related to her Wolff-Parkinson-White Syndrome. Harlow's pediatrician in Maine recommended that she visit Children's Hospital in Boston to treat her arrhythmia.

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Rugol, L. V. "SCIENTIFIC SUBSTANTIATION OF POLYCLINIC STRUCTURE AT THE CENTRAL DISTRICT HOSPITAL." Social Aspects of Population Health 67, no. 5 (2021): 4. http://dx.doi.org/10.21045/2071-5021-2021-67-5-4.

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Significance. The existing personnel imbalance in health care, including the number of medical staff and occupied positions in the central district hospitals (CDH) of the constituent entities of the Russian Federation and structural units of these hospitals, makes it difficult to improve availability and quality of primary health care (PHC). Development and implementation of the standard CDH models with the standard staffing table, on the basis of which it is possible to form the optimal structure of the central district hospital with the optimal staffing table based on the justified need for human resources, will contribute to improving quality and availability of primary health care at the municipal level. Purpose of the study: to significantly substantiate the regular number of medical personnel of the central district hospital with differently sized catchment areas. Material and methods: Forms of the federal statistical observation (FSN) No. 30 in the pilot territories in three constituent entities of the Russian Federation in the three different federal districts, procedures for care delivery by specialty. Analytical and statistical methods. Results. Actually, a doctor position should be included in the CRH staffing table if the standards allow for the full-time position. Certain health specialties allow for part-time positions if the outpatient and inpatient positions of the specialists can be combined into one full-time position, or part-time positions in the related specialties in the polyclinic with due regard to the population demand. Results. The structure of the CDH polyclinic and the list of full-time medical positions considerably differ depending on the size of the attached population. The adequate number of specialty doctors is ensured by the CDH work organization, distribution of specialists across separate subdivisions that are part of the CDH structure, and the use of telehealth technologies.

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Fraser, R. M., and Rosemary Healy. "Psychogeriatric Liaison: A Service to a District General Hospital." Bulletin of the Royal College of Psychiatrists 10, no. 11 (November 1986): 312–14. http://dx.doi.org/10.1192/pb.10.11.312.

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Liaison psychiatry has been an influential element in hospital psychiatric practice for over a decade now. It is concerned with the ‘diagnosis, treatment, study, and prevention of psychiatric disorders among patients in non-psychiatric health care institutions, especially in general hospitals’. This paper describes and evaluates a project in which the principles of liaison psychiatry were incorporated into a psychogeriatric service.

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Stovban, Mykola P., Vasyl M. Mykhalchuk, Alexander K. Tolstanov, and Vira V. Maglona. "INTERACTION LINKS OF HEALTHCARE INSTITUTIONS WITHIN ONE HOSPITAL DISTRICT." Wiadomości Lekarskie 74, no. 3 (2021): 756–60. http://dx.doi.org/10.36740/wlek202103236.

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The aim: Theoretical substantiation and determination of the main characteristics of the interaction links of medical institutions within one hospital district in the conditions of aggravation of the epidemiological situation in Ukraine on the analysis basis of the legislative base and elaboration of literary sources. Materials and methods: In the work is used a range of methods: content analysis, bibliosemantic, systematic approach, analysis of products of activity. Conclusions: The authors propose a doctrinal definition of the term “hospital district”. The key problems of the domestic healthcare sector in the context of a pandemic have also been identified. The author points out that in order to successfully reform the health care system and the effective interaction of hospitals in one hospital district, it is necessary to pay attention to funding sources and proper legal regulation, as without the latter any initiatives will have no legal force and will be ignored. health care may be ineffective.

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39

Stroke Conference, Malaysian. "MSC 2021 Virtual E-Abstract." Journal Of Cardiovascular, Neurovascular & Stroke 3, no. 3 (September 30, 2021): 8–14. http://dx.doi.org/10.32896/cvns.v3n3.8-14.

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1. Hiccups: An Atypical Presentation Of Lateral Medullary Syndrome2. Ouch, We Be Burnin’ Ya: A Case Report On Central Poststroke Pain Syndrome - Dejerine-Roussy Syndrome.3. Stroke Severity, Onset-to-Door Time, Door-to-Needle Time Comparison : Pre & During COVID19 Era In A District Hospital.4. Intravenous Thrombolysis In Acute Stroke In Stroke Ready Hospitals Without Neurologists: Beneficial Effects In Nihss And Mrs Improvements.5. Acute Inspiratory Stridor As An Unusual Presentation Of Brainstem Stroke.6. Overview Of Ischemic Stroke Management Following Stroke Code Activation Pathway At District Hospital.7. Onset To Treatment Time of Ischaemic Stroke Thrombolysis And Functional Outcome In A District Hospital.

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Stroke Conference, Malaysian. "MSC 2021 Virtual E-Abstract." Journal Of Cardiovascular, Neurovascular & Stroke 3, no. 3 (September 30, 2021): 8–14. http://dx.doi.org/10.32896/cvns.v3n3.8-14.

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1. Hiccups: An Atypical Presentation Of Lateral Medullary Syndrome2. Ouch, We Be Burnin’ Ya: A Case Report On Central Poststroke Pain Syndrome - Dejerine-Roussy Syndrome.3. Stroke Severity, Onset-to-Door Time, Door-to-Needle Time Comparison : Pre & During COVID19 Era In A District Hospital.4. Intravenous Thrombolysis In Acute Stroke In Stroke Ready Hospitals Without Neurologists: Beneficial Effects In Nihss And Mrs Improvements.5. Acute Inspiratory Stridor As An Unusual Presentation Of Brainstem Stroke.6. Overview Of Ischemic Stroke Management Following Stroke Code Activation Pathway At District Hospital.7. Onset To Treatment Time of Ischaemic Stroke Thrombolysis And Functional Outcome In A District Hospital.

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Rahman, Atiq ur, Muhammad Imran, Zarmeena Yasmeen, and Muzammil Irshad. "The Impact of the COVID-19 Pandemic on the Utilization of Outdoor Services at Secondary Care Hospitals of Punjab, Pakistan." International Journal of Frontier Sciences 4, no. 2 (July 4, 2020): 72–74. http://dx.doi.org/10.37978/tijfs.v4i2.255.

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Objective: The objective of the study was to assess the effects of COVID-19 and lockdown on OPD services. Materials and Methods: A cross-sectional study was conducted at District Headquarter Hospital (DHQ) and Tehsil Headquarter (THQ) Hospitals of District Layyah. The data was collected from one DHQ hospital and six THQ hospitals. The OPD data of three years (the years 2018 to 2020) was extracted from District Health Information System (DHIS). Trends of outpatients’ flow during months of March and April of three years were taken. The data were analyzed using SPSS version 24. RESULTS: The COVID-19 pandemic was declared by World Health Organization (WHO) on March 11, 2020, and all countries started lockdown nationwide which imposed a major impact on all areas of life. Fear of coronavirus spread and lockdown resulted in significant reduction in number of patients at outdoor services. In our study, we analyzed outdoor services of seven hospitals of district Layyah - one DHQ hospital and six THQ hospitals. Conclusion: Fear of coronavirus spread and lockdown resulted in significant reduction in number of patients at outdoor services.

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Ghosh, Sukanya, and Jude Edward. "Hypercalcaemia management in a district general hospital." Clinical Medicine 20, Suppl 2 (March 2020): s27. http://dx.doi.org/10.7861/clinmed.20-2-s27.

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Hanks, Kerry-ann, Angeles Espeso, and Charlie Hall. "Skin excisions in a district general hospital." International Journal of Surgery 11, no. 8 (October 2013): 633. http://dx.doi.org/10.1016/j.ijsu.2013.06.248.

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Morgan, J. L., H. N. Khan, and M. M. Lambertz. "Oesophageal stenting in a district general hospital." Surgeon 7, no. 4 (August 2009): 203–5. http://dx.doi.org/10.1016/s1479-666x(09)80085-1.

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Hulton, N. R., E. S. Kiff, and T. D. Brogan. "Surgical sepsis at a district general hospital." Journal of Hospital Infection 6, no. 2 (June 1985): 140–46. http://dx.doi.org/10.1016/s0195-6701(85)80090-6.

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46

Ellis, Chris. "Sikanjalo district hospital Procedural medicine teaching unit." South African Family Practice 60, no. 4 (August 28, 2018): 64. http://dx.doi.org/10.4102/safp.v60i4.4895.

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Guerreiro, Inês. "GIST- Retrospective analysis of a district hospital." Annals of Oncology 28 (June 2017): iii69. http://dx.doi.org/10.1093/annonc/mdx261.185.

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LUSCOMBE, F. E., L. WALLACE, J. WILLIAMS, and D. P. G. GRIFFITHS. "A District General Hospital pain management programme." Anaesthesia 50, no. 2 (February 1995): 114–17. http://dx.doi.org/10.1111/j.1365-2044.1995.tb15091.x.

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Winn, William R., and Larry Kellett. "Kaweah Delta District Hospital Sleep Disorders Center." Journal of Clinical Neurophysiology 9, no. 1 (January 1992): 156. http://dx.doi.org/10.1097/00004691-199201000-00022.

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50

Said, E. M. "Capsule endoscopy in a district general hospital." BMJ 337, jul22 3 (July 22, 2008): a905. http://dx.doi.org/10.1136/bmj.a905.

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