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Journal articles on the topic 'Social aspects of Hospitals'
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Riyadi, Agus, and Yunika Indah Wigati. "Model Structure of Islamic Guidance and Counseling in the Healing Process of Inpatients." KONSELI : Jurnal Bimbingan dan Konseling (E-Journal) 6, no. 2 (December 14, 2019): 109–16. http://dx.doi.org/10.24042/kons.v6i2.4697.
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Studies on spiritual guidance services for patients in hospitals have been widely discussed. The result of those studies shows that hospital care must be holistic-comprehensive following WHO standards, which include bio-psycho-socio-spiritual. One of the four components is that the spiritual aspect is non-negotiable because it can support treatment and motivate the patient to heal. This study aims to answer (1) how the medical and spiritual needs of inpatients go to the healing process, (2) how to structure Islamic guidance and counseling models for inpatient healing in hospitals. This study is a qualitative field research. The data were collected through several techniques; observation, interview, and documentation. The results show that the medical and spiritual needs of patients at the hospital become one of the most important factors in the healing process. Therefore, suggested services to inpatients provided by hospitals are not only medical aspects but also psychological supports, as well as social and spiritual aspects. This four-aspect approach is called holistic-comprehensive healing. Thus, it is suggested that the structure of Islamic guidance and counseling models in hospitals are 1) al-Hikmah model, 2) al Mauizhoh al Hasanah model, and 3) Good mujadalah
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Andoh, Benjamin. "Jurisprudential Aspects of the ‘Right’ to Retake Absconders from Mental Hospitals in England and Wales." Medicine, Science and the Law 35, no. 3 (July 1995): 225–30. http://dx.doi.org/10.1177/002580249503500309.
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Statutory authority for retaking absconders from mental hospitals has existed ever since county asylums (the forerunners of mental hospitals) were first built in the nineteenth century. Today under the Mental Health Act, 1983 that ‘right’ can be exercised by the police, mental hospital staff, approved social workers, etc. This article looks at jurisprudential aspects of that ‘right’. It points out that ‘right’ actually means ‘power’ (not ‘privilege’, ‘claim’ or ‘immunity’). In addition it argues that the Mental Health Act, 1983 does only confer a power (rather than impose a duty) to retake absconders from mental hospitals and that there should not be statutory or other imposition of such a duty.
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Xie, Yu, Di Liang, Jiayan Huang, and Jiajie Jin. "Hospital Ownership and Hospital Institutional Change: A Qualitative Study in Guizhou Province, China." International Journal of Environmental Research and Public Health 16, no. 8 (April 24, 2019): 1460. http://dx.doi.org/10.3390/ijerph16081460.
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Objectives: To qualitatively compare the influence of different ownership which is considered as a kind of institutional environment in public hospitals, private hospitals, and mixed-ownership hospitals on hospital governance structure and organizational behavior. Design: Qualitative descriptive study, using semi-structured, in-depth interviews and thematic template analysis, theoretically informed by critical realism. Participants: 27 key informants including national policymakers in charge of the health sector, influential researchers, local administrators responsible for implementing policies, and hospital managers who are experienced in institutional change. Results: Hospital ownership has a significant influence on hospitals in terms of decision-making power allocation, residual ownership allocation, market entry level, accountability, and social functions. These five aspects in hospital organizational structure incentivize hospitals to adapt to the internal and external environment of the hospital organization—such as market environment, governance, and financing arrangements—affect the behavior of the hospital organization, and ultimately affect the efficiency of hospital operation and quality of service. The incentives under the public system are relatively distorted. Private hospitals have poor performance in failing their social functions due to their insufficient development ability. Compared to them, mixed ownership hospitals have a better performance in terms of incentive mechanism and organizational development. Conclusion: Public hospitals should improve the governance environment and decision-making structure, so as to balance their implementation of social functions and achieve favorable organizational development. For private hospitals, in addition to the optimization of the policy environment, attempts should be made to strengthen their supervision. The development of mixed-ownership hospitals should be oriented towards socialized governance.
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Bukalova, Svetlana Vladimirovna. "Wounded in the everyday life of a provincial city during the World War I (on the materials of the Central Black Earth Economic Region)." Genesis: исторические исследования, no. 4 (April 2020): 110–20. http://dx.doi.org/10.25136/2409-868x.2020.4.30715.
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The subject of this research is the multi-aspect impact produced by the system of medical care for the ill and wounded soldiers during the World War I upon the social life of provincial towns that accommodated the military hospitals. The article determines the role of the Central Black Earth Economic Region in treating the wounded; provides information on the number of hospital beds; describes organizational moments of operation of hospitals, as well as the forms of public participation in work of the hospitals. Attention is given to the common and symbolic aspects associated with the figure of a wounded soldier. The study is based on systematization of records on functionality of the medical military facilities in the Central Black Earth Economic Region, making emphasis on the changes and new occurrences in everyday of the city folks caused by establishing and operation of hospitals. The acquires results state that the system of medical care for the wounded during the World War I has become the subject of social consolidation, invoking new forms of charity and active cooperation of various social classes of a provincial city. At the same time, concentration of the wounded was a destabilizing factor of urban life.
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Mueller, Mary-Rose. "Book Review: Beyond caring: hospitals, nurses, and the social organization of ethics." Nursing Ethics 8, no. 1 (January 2001): 83–84. http://dx.doi.org/10.1177/096973300100800112.
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García, I. García, RF Castillo, and ES Santa-Bárbara. "Nursing organizational climates in public and private hospitals." Nursing Ethics 21, no. 4 (October 11, 2013): 437–46. http://dx.doi.org/10.1177/0969733013503680.
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Background: Researchers study climate to gain an understanding of the psychological environment of organizations, especially in healthcare institutions. Climate is considered to be the set of recurring patterns of individual and group behaviour in an organization. There is evidence confirming a relationship between ethical climate within organizations and job satisfaction. Objectives: The aim of this study is to describe organizational climate for nursing personnel in public and private hospitals and to confirm the relationships among the climate variables of such hospitals. Materials and methods: A correlational study was carried out to measure the organizational climate of one public hospital and two private hospitals in Granada. The Work Environment Scale was used for data collection. The Work Environment Scale includes 10 scales, ranging from 0 to 9, which were used to evaluate social, demographic and organizational climate variables. In this study, 386 subjects were surveyed in three hospitals. Results: A total of 87% of the participants were female and 16% were male. Most participants were nurses (65.6%), followed by nursing aides (20%), and technicians (14.4%). The results obtained reflected different patterns of organizational climate formation, based on hospital type (i.e. public or private) within the Spanish context. Most of the dimensions were below the midpoint of the scale. Discussion and conclusions: In conclusion, in public hospitals, there is a greater specialization and the organizational climate is more salient than in the private hospitals. In addition, in the public hospitals, the characteristics of the human resources and their management can have a significant impact on the perception of the climate, which gives greater importance to the organizational climate as decisive of the ethical climate.
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Nanath, Krishnadas. "LifeSpring Hospitals: a social innovation in Indian healthcare." Emerald Emerging Markets Case Studies 1, no. 1 (January 1, 2011): 1–14. http://dx.doi.org/10.1108/20450621111123362.
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Subject area Bottom of the Pyramid (BOP); social innovation and business modeling. Study level/applicability Undergraduate and graduate level management/business school students. It can be taught in marketing management and entrepreneurship/innovation courses. Case overview LifeSpring Hospitals Pvt. Ltd is an expanding chain of hospitals that provide high quality health care to lower-income women and children across Andhra Pradesh. It is a 50-50 equity partnership between Hindustan Latex Ltd and the Acumen Fund. LifeSpring has demonstrated exceptional management principles, some of them being the most innovative and attractive ones. The entire focus of LifeSpring is on one particular niche: maternal care. Some argue about its strategy of not adopting diversification, but LifeSpring has proved its point by actually turning out to be a profitable business. The strategy of focusing on one niche has led to reduction in cost in terms of specialized doctors and the range of equipment needed to serve. Adding to the strategic strength of LifeSpring, its operations (management) is perfectly aligned with the organization's vision and quality is achieved via highly standardized procedures for maternal care service. Expected learning outcomes This case will cover two important aspects of BOP and social innovation. MBA students will investigate an innovative business model and apply their analytical skills to analyse the sustainability of the model. Supplementary materials Teaching notes and exercise for class-based discussion.
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Su-Hernández, Lilia, Antonio Abascal-Macías, Francisco Javier Méndez-Bueno, Ramon Paniagua, and Dante Amato. "Epidemiologic and Demographic Aspects of Peritoneal Dialysis in Mexico." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 16, no. 4 (July 1996): 362–65. http://dx.doi.org/10.1177/089686089601600407.
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Objective To assess some epidemiological and demographic aspects of peritoneal dialysis (PD) at the Instituto Mexicano del Seguro Social (IMSS), the major institution of social security in Mexico, that provides health care services for 57% of the Mexican population at the time of the study. Study Design A cross-sectional analysis of data about patients under peritoneal dialysis in 1992. Data Sources A national survey containing demographic data, dialysis modality, type of catheter, peritonitis and death rates, and questions on costs, medical staff, and physical facilities for PD in all of the hospitals of the IMSS. Results All hospitals returned the information re quested. Intermittent peritoneal dialysis (IPD) was performed in 19 hospitals, continuous ambulatory peritoneal dialysis (CAPD) in 11, and both modalities in 90. In 61 hospitals, a special area was designed for PD; in the rest of them, beds from general internal medicine departments were used. All hospitals had a head for the PD programs; overall, teams had 240 physicians and 765 nurses for IPD, and 182 physicians and 313 nurses for CAPD. CAPD prescription was four 2-L bags/day. For IPD, patients were hospitalized once a week and received 28 manually performed exchanges of 2– L bags; the mean time of hospitalization was 2.7 days, and 878 beds were used. The number of patients receiving PD was 7785, with a prevalence of 199.6 per million population. Ofthem, 4011 were on IPD and 3774 on CAPD; 54% of the patients were males. IPD patients’ mean age was 49 ± 17 yr, and that of CAPD patients’ was 42 ± 17 yr (NS). Diabetic nephropathy was the most frequent cause of ESRD (44%). Infection was the most important complication detected. Rates of peritonitis were 0.5/patient/yr on IPD and 0.8/patient/yr on CAPD. Annual mortality rates without stratification for specific causes were 34% in IPD and 17% in CAPD. Mortality rates may have been influenced by malnutrition and cardiovascular complications of diabetes, but specific causes of death were not investigated. All of the PD programs costs were covered by the institution. The cost per patient was not calculated, but IPD is known to be more expensive, due to its higher hospitalization rate. Conclusion In spite of its higher cost and mortality, the institutions still use IPD, notso much on medical basis, but as the only alternative available for patients with adverse environmental, social, educational, and economic conditions for CAPD or HD.
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Atreya, Alok, Rijen Shrestha, Binu Nepal, Samata Nepal, Deepak Shrestha, and Sweta Mahato. "When sexual offence is an unexpected diagnosis – exploration of medical, legal and social aspects in Nepalese scenario." Medico-Legal Journal 88, no. 4 (July 27, 2020): 192–95. http://dx.doi.org/10.1177/0025817220935878.
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In Nepal, following allegations of sexual assault, the survivor is taken by the police to a Government Hospital for medical examination and sample collection. To provide an integrated service to survivors of gender-based violence, a One–Stop Crisis Management Centre (OCMC) is established in many Government Hospitals. However, paediatric survivors of sexual abuse frequently seek initial care at the emergency department, as most present with a medical complaint rather than for sexual abuse. It is therefore important to train emergency physicians with the skills required to identify the features and diagnose a case of sexual assault. We present a case where the diagnosis of sexual assault of a child was an incidental finding and discuss the challenges faced in dealing with such cases in non-OCMC Hospital.
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Somerville, Martha H., Laura Seeff, Daniel Hale, and Daniel J. O'Brien. "Hospitals, Collaboration, and Community Health Improvement." Journal of Law, Medicine & Ethics 43, S1 (2015): 56–59. http://dx.doi.org/10.1111/jlme.12217.
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Medical care in the United States traditionally has focused on the treatment of disease rather than on its prevention. Heart disease, cancer, hypertension, diabetes, and other chronic diseases are the primary drivers of American health care costs; compared to other high-income countries, U.S. health indices are lowest and costs are highest.A “triple aim” — “improving the individual experience of care, improving the health of populations, and reducing the per capita costs of care for populations” — has gained traction, as the social determinants of health (non-genetic, non-clinical factors including health behaviors, social and economic factors, and the physical environment) are recognized as having significant effects on health outcomes.
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Ashari, Muhammad Hasyim, and Yudhi Anggoro. "How is the implementation of green accounting in public hospital?" Journal of Islamic Accounting and Finance Research 3, no. 1 (April 30, 2021): 131–53. http://dx.doi.org/10.21580/jiafr.2021.3.1.7519.
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Purpose - The purpose of this study is to find out the implementation of green accounting in Public Hospitals in Malang and to determine the preferences of Public Hospitals in running their business.Method - This research is a descriptive quantitative study conducted by survey method. The total of population are 40 Public Hospitals in Malang Raya and the sample obtained as respondents are 37 Public Hospitals spread across Malang District, Malang City and Batu City. The sample selection used probability sampling by sending a questionnaire to the entire population. Result - The results showed that the green accounting practices in Public Hospitals in Malang Raya based on financial activities, social activities and environmental activities had been implemented properly and consistently. Public Hospitals with higher types tended to be better and more consistent in applying green accounting than Public Hospitals with lower types (classes).Implication - With the awareness of Public Hospitals in Malang Raya to implement green accounting in the accountability of their business activities, it can have an impact, especially on environmental sustainability and the welfare of the community around the Public Hospital from the impact of the resulting waste.Originality - The concept of green accounting can also be implemented to Public Hospitals as a public entity. On this basis, of course, it is necessary to conduct research on the implementation of green accounting in Public Hospitals as a public entity so that in its operational activities it does not only consider the financial aspects to generate profits, but also considers environmental and social aspects. As a result, its business can have an impact especially on environmental sustainability and the welfare of the community around Public Hospitals from the impact of the waste produced.
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Seidler, Klaus-Peter, Petra Garlipp, Wielant Machleidt, and Horst Haltenhof. "Treatment concepts of day hospitals for general psychiatric patients. Findings from a national survey in Germany." European Psychiatry 21, no. 2 (March 2006): 110–17. http://dx.doi.org/10.1016/j.eurpsy.2005.04.001.
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AbstractPsychiatric day hospital treatment concepts have to deal with a wide spectrum of mental disorders. We raised the question, if day hospitals can be differentiated concerning their treatment concepts and if so how much this is reflected in their structural and procedural features. In 1999 a survey was initiated concerning structure, concept and method of treatment in psychiatric day hospitals for adults in Germany. Furthermore data concerning rate of utilization, patients' characteristics and aspects of referral and further treatment were ascertained. One hundred and seventy-three (63.4%) of 273-day hospitals contacted took part in the inquiry. The data were interpreted using multivariate as well as non-parametric procedures. The results show that treatment concepts of day hospitals can be specified as three main areas of function (psychotherapy, crisis intervention orientated treatment alternative, rehabilitation) and four therapeutic orientations (psychodynamic social psychiatric, behavioral social psychiatric, psychodynamic, sociotherapeutic). Structural features are predominantly comparable and the differences found concerning the treatment concepts are especially related to patients' characteristics and some procedural features. The conclusion is that the differentiation of day hospital treatment concepts should be taken into consideration in planning psychosocial treatment services as well as in day hospital evaluation research.
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Solstad, Elsa, and Inger Johanne Petterson. "Middle managers’ roles after a hospital merger." Journal of Health Organization and Management 34, no. 1 (December 9, 2019): 85–99. http://dx.doi.org/10.1108/jhom-09-2018-0269.
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Purpose Mergers are important and challenging elements in hospital reforms. The authors study the social aspects of management and the roles of middle managers in the aftermath of a hospital merger. Especially, the purpose of this paper is to investigate how professional staff and middle managers perceive their relationships with top managers several years after the merger. Design/methodology/approach A survey was conducted among the professional staff in two merging hospitals’ units six years after a merger. Based on the main findings from this survey, a follow-up interview study was done with a group of middle managers. Findings The management practices were diagnostic with few interactive or communicative activities. The respondents expressed that mistrust developed between the staff and the top management, and a lack of involvement and interaction lead to decoupled and parallel organizations. Social controls, based on shared norms, had not been developed to create mutual commitment and engagement. Practical implications Policy makers should be aware of the need in profound change processes not only to change the tangible elements, but to take care of changing the less tangible elements such as norms and values. Professionals in hospitals are in powerful positions, and changes in such organizations are dependent on trust-building, bottom-up initiatives and evolutionary pathways. Originality/value The paper addresses the need to understand the dynamics of the social aspect in managing hospitals as knowledge-intensive organizations when comprehensive restructuring processes are taking place over several years.
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Chabrol, Fanny, Lucien Albert, and Valéry Ridde. "40 years after Alma-Ata, is building new hospitals in low-income and lower-middle-income countries beneficial?" BMJ Global Health 3, Suppl 3 (April 2019): e001293. http://dx.doi.org/10.1136/bmjgh-2018-001293.
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Public hospitals in low-income and lower-middle-income countries face acute material and financial constraints, and there is a trend towards building new hospitals to contend with growing population health needs. Three cases of new hospital construction are used to explore issues in relation to their funding, maintenance and sustainability. While hospitals are recognised as a key component of healthcare systems, their role, organisation, funding and other aspects have been largely neglected in health policies and debates since the Alma Ata Declaration. Building new hospitals is politically more attractive for both national decision-makers and donors because they symbolise progress, better services and nation-building. To avoid the ‘white elephant’ syndrome, the deepening of within-country socioeconomic and geographical inequalities (especially urban–rural), and the exacerbation of hospital-centrism, there is an urgent need to investigate in greater depth how these hospitals are integrated into health systems and to discuss their long-term economic, social and environmental sustainability.
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Parlindungan Sigalingging, Brando Harison. "EVALUASI IMPLEMENTASI MANAJEMEN RUMAH SAKIT DALAM RANGKA GREEN HOSPITAL DI WILAYAH BALI." Jurnal Green Growth dan Manajemen Lingkungan 8, no. 2 (March 4, 2020): 90–105. http://dx.doi.org/10.21009/jgg.082.03.
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The increasing number of hospitals has an effect on the environmental damage of apabil not well managed. Environmental damage is a shared responsibility of both the government, the private sector and the public. In Indonesia today there is not even a hospital that already includes a green hospital, but the government prepares by 2020 every hospital is expected to participate in managing well by always considering the health, economic, ecological and social aspects so that the principle of fulfillment of the concept of sustainable development in the field health will be met, and hospitals can play an active role in minimizing the impacts of climate change. This research uses descriptive analysis techniques. From the results of this study states that of the 10 categories of world green hopsital hospitals in Bali still have much to prepare.
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Shortt, S. E. D., and Meri Bukowskyj. "Reconciling Two Solitudes: The Example of Physicians and Managers in Ontario's Hospitals." Healthcare Management Forum 7, no. 1 (April 1994): 5–11. http://dx.doi.org/10.1016/s0840-4704(10)61041-1.
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This paper describes five aspects of the traditional relationship of physicians to hospitals and their administrators which fail to facilitate cost control or quality assurance. Several significant obstacles to changing this relationship are described, including the inertia of tradition, the fallacy of costless care and the chasm between medical and management cultures. It argues that to achieve care which is both cost-efficient and of high quality, physicians and hospital managers must unite to pursue common goals in a well-integrated management structure. Five suggestions for developing an effective new relationship are made, including the adoption of a “social contract” for all hospitals, the integration of physicians into hospital management and quality assurance programs, improved patient-level data collection and obligatory cost-awareness programs for hospital physicians.
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WICCLAIR, MARK R. "Conscientious Refusals by Hospitals and Emergency Contraception." Cambridge Quarterly of Healthcare Ethics 20, no. 1 (January 2011): 130–38. http://dx.doi.org/10.1017/s0963180110000691.
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Hospitals sometimes refuse to provide goods and services or honor patients’ decisions to forgo life-sustaining treatment for reasons that appear to resemble appeals to conscience. For example, based on the Ethical and Religious Directives for Catholic Health Care Services (ERD), Catholic hospitals have refused to forgo medically provided nutrition and hydration (MPNH), and Catholic hospitals have refused to provide emergency contraception (EC) and perform abortions or sterilization procedures. I consider whether it is justified to refuse to offer EC to victims of sexual assault who present at the emergency department (ED). A preliminary question, however, is whether a hospital’s refusal to provide services can be conceptualized as conscience based.
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Filej, Bojana, Boris Miha Kaučič, Boštjan Žvanut, and Mojca Saje. "Holistic treatment of the patient in palliative care – The nurses view." Pielegniarstwo XXI wieku / Nursing in the 21st Century 15, no. 4 (December 1, 2016): 42–47. http://dx.doi.org/10.1515/pielxxiw-2016-0036.
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Abstract Introduction. Man is a unique, unrepeatable whole in space and time and that is why he requires a holistic treatment, taking into account physical, psychological, social and spiritual factors. The balanced factors can ensure human well-being and his quality of life. Integrated treatment is especially important for patients in palliative care, which was the basic starting point of our research. In our research we wanted to establish whether the patients in palliative care are treated holistically from the perspective of the nurses and where are the specific aspects of palliative care (psychological, physical, social and spiritual) more visible - in the hospitals or in the home environment.Material and methods. The questionnaire survey was based on the empirical quantitative methodology; a descriptive causal non-experimental method was used. The number of the included sample was 127 nurses (92 hospital nurses, 35 community nurses). To test the differences between the groups (hospital, community nursing), the single factor analysis of variance was used. All the research participants were ensured anonymity and they had the right to withdraw from the study before or during the questionnaire completion.Results. The physical aspect of the treatment was statistically significantly higher assessed by nurses in a hospital setting (̅χ =3.83; s=1.012; p=0.042). The psychological and spiritual aspects were higher assessed in community nursing setting and social aspect in hospital setting.Conclusions. Our research has highlighted the shortcomings of the holistic approach in palliative care. Nurses need in-depth knowledge and skills as well as practice within each holistic domain to perform quality treatment of palliative patients.
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Dos Santos Ribeiro, Eduarda, Elianara Kelly Vieira da Silva, Letícia de Albuquerque Jatobá, Wanneska Nogueira Andrade, and Lays Nogueira Miranda. "Qualidade de vida no trabalho de enfermeiros de instituições hospitalares da rede pública." Enfermería Global 20, no. 3 (July 2, 2021): 461–501. http://dx.doi.org/10.6018/eglobal.456911.
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Objetivo: Analizar la Calidad de Vida en el Trabajo (CVT) de enfermeras en hospitales públicos. Método: Estudio cuantitativo descriptivo transversal, realizado en dos hospitales públicos ubicados en la ciudad de Maceió / AL, de febrero a abril de 2020, donde 78 enfermeros respondieron dos cuestionarios auto-cumplimentados, el primero de ellos sociodemográfico y otro cuestionario estructurado relacionado con la evaluación CVT (TQWL-42). Los datos se analizaron mediante estadística descriptiva. Resultados: Predominó el sexo femenino (93,6%), carga total de trabajo de 60 horas o más (56,4%), turnos de mañana, tarde y noche (41%), tipo de contrato público (74,4%), el aspecto de significación de la tarea tuvo un promedio positivo (4,34) y el aspecto de servicios de salud y asistencia social tuvo un promedio negativo (2,35). El ámbito psicológico / conductual predominó con una media de (3,69) y, según la representación gráfica de la muestra según el TQWL-42, el aspecto de significación de la tarea obtuvo un resultado satisfactorio (83,49). Conclusiones: El CVT de los enfermeros fue evaluado como ni positivo ni negativo, requiriendo la ampliación de nuevos estudios sobre la importancia de los aspectos, para resolver los problemas en cuestión. Objective: To analyze the Quality of Life at Work (QWL) of nurses in public hospitals. Method: Quantitative descriptive cross-sectional study, carried out in public hospitals located in the city of Maceió / AL, from February to April 2020, from where 78 nurses answered the self-fulfilled questionnaires, the first sociodemographic and other structured questionnaire related to it evaluation QLW (TQWL-42). The data were analyzed by means of descriptive statistics. Results: Female sex predominated (93.6%), total workload of 60 hours or more (56.4%), working hours, afternoon and night (41%), type of public contract (74.4%), the aspect of significance of the positive attitude (4.34) and the aspect of health services and social assistance as negative (2.35). The psychological / behavioral scope predominated with a mean of (3.69) and, according to the graphical representation of the subject according to the TQWL-42, the aspect of significance of the task obtained a satisfactory result (83.49). Conclusion: The QLT of the sick was evaluated as positive in negative, requiring the expansion of new studies on the importance of aspects, to solve the problems in question. Objetivo: Analisar a Qualidade de Vida no Trabalho (QVT) dos enfermeiros de instituições hospitalares da rede pública. Método: Estudo quantitativo descritivo de corte transversal, realizado em dois hospitais públicos localizados no município de Maceió/AL, no período de fevereiro a abril de 2020, onde 78 enfermeiros responderam dois questionários de autopreenchimento, sendo o primeiro um questionário sociodemográfico e outro questionário estruturado relacionados à avaliação da QVT (TQWL-42). Os dados foram analisados por meio de estatística descritiva. Resultados: Predominou o sexo feminino (93,6%), carga horária total de 60h ou mais (56,4%), turnos de trabalho matutino, vespertino e noturno (41%), tipo de contrato concursado (74,4%), o aspecto significância da tarefa apresentou média positiva (4,34) e o aspecto serviço de saúde e assistência social apresentou média negativa (2,35). Prevaleceu a esfera psicológico/comportamental com a média de (3,69) e, segundo a representação gráfica da amostra de acordo com o TQWL-42, o aspecto significância da tarefa obteve resultado satisfatório (83,49). Conclusão: A QVT dos enfermeiros foi avaliada como nem positiva, nem negativa, sendo necessário a ampliação de novos estudos sobre a importância dos aspectos, a fim de solucionar as problemáticas em questão.
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Pascuci, Lucilane, Victor Meyer, Eros Eloy Nogueira, and Luiza Tatiana Forte. "Humanization in a Hospital." Journal of Health Management 19, no. 2 (May 15, 2017): 224–43. http://dx.doi.org/10.1177/0972063417699668.
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Concern with humanization in hospitals has been an increasingly common feature in debates related to healthcare, public policies and hospital management. However, in most Brazilian hospitals, humanization has not gone beyond the stage of ‘politically correct’ discourse and has not resulted in substantive changes in organizational behaviour. These changes mean a greater challenge especially in hospital organizations, as these are renowned for their complexity, pluralism and knowledge-based work. From an ethnographic experience guided by intervention in the implementation of a humanization programme at a hospital, we analyzed the resulting cultural change, highlighting the obstacles that were encountered and the main actions taken to overcome them. The results of this initiative reveals important lessons: (i) it represents an organizational commitment to the continuous improvement of health services by focusing on one of the most critical elements: human beings; (ii) to implement the initiative, it was necessary to develop social actions such as relationships with the government, market and society; (iii) it was necessary to hold a scientific, albeit incipient, debate concerning the role and relevance of clinical psychology in hospitals. Results were grouped as individual, social and organizational dimensions reflecting substantive aspects of the change process in complex setting.
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Memet, Asep Saifudin, Ahmad Hidayat Sutawidjaya, Sugiyono Sugiyono, and Havidz Aima. "The Model of Green HRM in Improving Service Quality With OCBE and Organizational Commitment as Mediation In the Hospital of State-Owned Enterprises (Conceptual Framework)." Business and Entrepreneurial Review 20, no. 2 (November 16, 2020): 171. http://dx.doi.org/10.25105/ber.v20i2.8153.
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<p>Hospitals today are not only socially managed but also as a health service business that considers aspects of service quality and environmental issues. Therefore, hospital human resources must be handled with Green Human Resources Management so that the quality of services becomes better not only from the business, social aspects but also from the environmental aspects. The role of Organizational Civilization Behavior for the Environment (OCBE) and Organizational Commitment is considered important as mediation. For this reason, this research will examine the Green HRM model in improving Service Quality with OCBE and Organizational Commitment as mediation in the Hospital of State-Owned Enterprises. This study answers the research gap of Green HRM research at the organizational level with more specific outcomes. This research also focused on Green HRM in hospital organizations to see its influence on service quality through OCBE and OC, which were rarely examined before. The application of the concept of Healthcare Service Quality (HEALTHQUAL) in the SQ Variable is also to support or deny the conceptual framework for which there is no empirical study when done in hospitals in Indonesia. Through the hypothesis of the research conducted can be in the form of a FrameWork concept as a basis for further research.</p>
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Kumar, Vinay, Bhupendra Singh, Priti Singh, and Sunila Rathee. "Expressed Emotion and Social Support in Rehospitalized Psychiatric Patients." Indian Journal of Psychiatric Social Work 9, no. 2 (July 9, 2018): 91. http://dx.doi.org/10.29120/ijpsw.2018.v9.i2.56.
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Background: The phenomenon of hospital readmission of the psychiatric patient has been a matter of concern ever since the concepts of deinstitutionalization and community care of these patients have been emphasized. There are pieces of evidence from the literature that the readmission rate has been increasing substantially. The role of psychiatric hospitals has shifted dramatically. Inpatient programs are now focused on acute stabilization, leaving most treatment to community based providers. Aim: Aim of the study is to assess the psychosocial aspects of re-hospitalization of psychiatric patients namely Bipolar Affective Disorder and Schizophrenia and difference between both the groups. Methods: On the basis of purposive sampling 100 re-hospitalized (50 Bipolar Affective Disorder and 50 Schizophrenia) patients were taken from inpatient IMH, Rohtak. The socio-demographic data sheet was filled-up for assessment of socio-cultural aspects, social support questionnaire was administered for the assessment of the level of social support and attitude questionnaire was applied on the caregivers for assessment of the level expressed emotion.  Results: Most of the re-hospitalized Schizophrenia patients face a high level of expressed emotion and poor social support in comparison to Bipolar Affective Disorder patients. Conclusion: Finding of the study illustrate that high expressed emotion and poor social support are associated with rehospitalization.
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Nasim, Sidrah, Sana Bilal, and Mehjabeen Qureshi. "Psycho-social aspects of infertility-a review of current trends." Professional Medical Journal 26, no. 09 (September 10, 2019): 1537–41. http://dx.doi.org/10.29309/tpmj/2019.26.09.4019.
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Background: To determine the social and psychological effects of infertility along with the effect of education and spouse support on bearing of social pressures and hopefulness about future. Study Design: Cross sectional descriptive study. Setting: Infertility clinics of Public sector and private sector hospitals. Period: Three months from January to March 2017. Material & Methods: A total of 90 couples were selected using consecutive sampling technique. Questionnaire included the education and occupation of husband and wife, monthly income, years of marriage, cause of infertility, expenditure on treatment, first response to infertility, reaction of spouse and in-laws, effect of infertility on social life, and associated psychological problems. Data was entered and analyzed using SPSS version 20. Results: In 13% of cases the problem was in husband, 41% in wife, and in rest of cases it was un-explained. In 57.8% couples, situation was stressful for both, in 35.5% couples it was more for wives. The response towards infertility was sadness 69%, guilt 12% followed by loneliness 10%. Majority (82%) of spouse were supportive. 32% couples experienced too much pressure.60% couples were hopeful, 22% depressed and 18% neutral about future. Spouse support increases from 67% in illiterate to 95% in highly educated. Social pressures were less where there was strong spouse support. Conclusion: Infertility not only increases social pressures and affect the social life of couple but can pose danger to psychological health as well. These adverse effects are lessened in couples with better education and strong spouse support.
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Kukov, Yuriy, and Rumyana Yaneva. "DYNAMICS OF EXPENDITURE ON THE ACTIVITY OF MUNICIPAL MULTIPROFILE HOSPITALS." Health, physical culture and sports 20, no. 4 (November 3, 2020): 54–61. http://dx.doi.org/10.14258/zosh(2020)4.08.
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In the context of a social market economy, one of the aspects of managing the economyof a health establishment is the analysis of its costs — from the point of view of production and saleof the product of the institution.The problem of efficient use of available resources and optimization of financial results ofhospitals due to their chronic lack of financial resources is currently relevant.One of the leading characteristics of a social market economy is that it connects the creativeforces of the free market with the protective measures of social legislation.The purpose of this study is to analyze the dynamics of the costs for the activity of the hospitalsof Municipal multi-profile hospitals for active treatment of the public health system in the Republicof Bulgaria in the conditions of social market economy.Municipal hospitals are the only sustainable healthcare facilities with significant capacity toprovide affordable healthcare.
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Krasuska, Marta, Robin Williams, Aziz Sheikh, Bryony Dean Franklin, Catherine Heeney, Wendy Lane, Hajar Mozaffar, et al. "Technological Capabilities to Assess Digital Excellence in Hospitals in High Performing Health Care Systems: International eDelphi Exercise." Journal of Medical Internet Research 22, no. 8 (August 18, 2020): e17022. http://dx.doi.org/10.2196/17022.
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Background Hospitals worldwide are developing ambitious digital transformation programs as part of broader efforts to create digitally advanced health care systems. However, there is as yet no consensus on how best to characterize and assess digital excellence in hospitals. Objective Our aim was to develop an international agreement on a defined set of technological capabilities to assess digital excellence in hospitals. Methods We conducted a two-stage international modified electronic Delphi (eDelphi) consensus-building exercise, which included a qualitative analysis of free-text responses. In total, 31 international health informatics experts participated, representing clinical, academic, public, and vendor organizations. Results We identified 35 technological capabilities that indicate digital excellence in hospitals. These are divided into two categories: (a) capabilities within a hospital (n=20) and (b) capabilities enabling communication with other parts of the health and social care system, and with patients and carers (n=15). The analysis of free-text responses pointed to the importance of nontechnological aspects of digitally enabled change, including social and organizational factors. Examples included an institutional culture characterized by a willingness to transform established ways of working and openness to risk-taking. The availability of a range of skills within digitization teams, including technological, project management and business expertise, and availability of resources to support hospital staff, were also highlighted. Conclusions We have identified a set of criteria for assessing digital excellence in hospitals. Our findings highlight the need to broaden the focus from technical functionalities to wider digital transformation capabilities.
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Ruddick, William. "Transforming Homes and Hospitals." Hastings Center Report 24, no. 5 (September 1994): S11. http://dx.doi.org/10.2307/3563508.
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Putri, Anggreany Haryani. "EFEKTIVITAS PENGELOLAAN LIMBAH MEDIS RUMAH SAKIT TERHADAP DAMPAK LINGKUNGAN HIDUP." KRTHA BHAYANGKARA 12, no. 1 (June 18, 2018): 78–90. http://dx.doi.org/10.31599/krtha.v12i1.31.
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The hospital is where the health services are operated and maintained with the utmost regard for the building and environmental hygiene aspect both physically, waste, liquid waste, clean water and insect/pest animals.Akantetapi to create the hygiene in hospitals is an attempt which is quite difficult and complex nature of the dealing with various aspects of, among others, culture/society behaviors, habits, environmental conditions, social and technological. Hospital waste is any waste generated by the activities of the hospital and other supporting activities.Hospital waste, in particular the infectious medical waste that has not been in the manage well will be catastrophic for the environment.Many hospitals have yet to manage infectious wastes according procedural should be.Not rare cases medical and non medical waste mixed giving rise to the problem of medical waste. Hospital waste processing can be done in various ways, by giving priority to sterilization, namely in the form of a reduction in volume, the use of sterilization must return with the first, recycling and processing.The most important thing in the processing of waste is the separation of waste, waste storage, handling of waste and waste disposal must be in accordance with the provisions of the regulations.So as not to give a negative impact to the environment.
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Emmons, Karen M., and Lois Biener. "The Impact of Organizational Characteristics on Smoking Policy Restrictions in Midwestern Hospitals." American Journal of Health Promotion 8, no. 1 (September 1993): 43–49. http://dx.doi.org/10.4278/0890-1171-8.1.43.
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Purpose. The relationship between hospitals' organizational characteristics and adoption of restrictive smoking policies was examined. Design. Self-administered questionnaires and telephone interviews were conducted prior to and following the target date for policy implementation. Setting. The Director of Regional Medical Services of a community network of hospitals requested in the summer of 1989 that the 57 member hospitals voluntarily implement a policy prohibiting all smoking in hospital buildings as of January 1, 1990. Subjects. Subjects were the 49 hospital CEOs (86%) who provided data at both time points. Intervention. The Director of Regional Medical Services made a personal request of the CEO during a routine visit at each hospital. Measures. Measures included structural aspects of the hospitals (e.g., number of employees, number of beds, presence of chemical dependency and psychiatric units); orientation toward employee health; support for smoking restrictions among various groups; and extent of CEO authority to set smoking policy. Results. Fifty-one percent of hospitals increased the restrictiveness of their smoking policy; 35% adopted a complete indoor smoking ban. Stepwise multiple regression analysis demonstrated that adoption of additional smoking restrictions was related to CEOs' and perceived board of directors' support of smoking restrictions, absence of a chemical dependency unit, and experience of financial difficulties in the previous two years. Conclusions. It is important to educate top decision makers as to the necessity of restrictive smoking policies. Barriers to smoking restrictions in organizations with chemical dependency units deserve particular attention from health promotion practitioners and researchers.
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Leeman, Cavin P., John C. Fletcher, Edward M. Spencer, and Sigrid Fry-Revere. "Quality Control for Hospitals' Clinical Ethics Services: Proposed Standards." Cambridge Quarterly of Healthcare Ethics 6, no. 3 (1997): 257–68. http://dx.doi.org/10.1017/s0963180100007933.
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Hospital ethics committees have become widespread over the last 25 years, stimulated by the Quinlan decision of the New Jersey Supreme Court, the report of a President's Commission, and most recently by the Joint Commission on Accreditation of Health Care Organizations (JCAHO), which now man dates that each hospital seeking accreditation have a functioning process for the consideration of ethical issues in patient care. Laws and regulations in several states require that hospitals establish ethics committees, and some states stipulate that certain types of cases and disputes be taken to such committees. At least one state grants legal immunity to those who implement recommendations of an ethics committee.
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Weisshaupt, Oliver, Gabriela V. Leiblein-Züger, and Susanne Hofer. "Process Model for the Food Service in Swiss Hospitals." Journal of Facility Management Education and Research 2, no. 2 (January 1, 2018): 74–82. http://dx.doi.org/10.22361/jfmer/00072.
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ABSTRACT Background Since the introduction of Swiss Diagnosis Related Groups in 2012, a Swiss hospital's core business requires Facility Management that provides more transparent, effective and efficient services. In that respect, the new remuneration system has caused a growing interest in processes. Food provision is of high importance since it is one of the costliest support services and is a critical image factor of a hospital. Purpose The purpose of this research was to analyse the food service processes in Facility Management in hospitals through the lenses of social, economic and ecological sustainability as well as hygiene and safety, and to identify which issues arise from each viewpoint for the respective sub-processes. Methodology A two-fold qualitative case study design was applied, based on the reference model theory Process Model for Non-Medical Support Services in Hospitals. First, based on focus groups, the process model was developed. Second, the model was validated by input from interviews with Facility Management professionals. Results Each sub-process requires the consideration of individual factors from the perspectives of sustainability, hygiene and safety. Similarly, various overarching factors were identified, such as the production method that impact not only a single sub-process, but also play a role in the whole catering process. Additionally, it became evident that food provision in hospitals is particularly affected by the conflicting priorities of cost-effectiveness and sustainability. Conclusion The outcome of this work is a model that allows a holistic process analysis of catering activities in hospitals since it takes into account social, economic and ecological sustainability, as well as both hygiene and safety aspects for the individual sub-processes. This research gives guidance to facility managers who strive for process optimisation to guarantee efficient and effective food provision in hospitals. Unique Value to the Body of Facility Management Knowledge This work applies established catering sub-processes in hospitals to the context of sustainability, hygiene and safety. The proposed model caters to the increasing interest in processes in healthcare in Switzerland and can presumably be applied to hospitals of other countries.
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Andoh, Benjamin. "The Evolution of the Role of the Police with Special Reference to Social Support and the Mental Health Statutes." Medicine, Science and the Law 38, no. 4 (October 1998): 347–53. http://dx.doi.org/10.1177/002580249803800412.
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The role of the police at their formation centred around law enforcement (crime detection and apprehension of criminals) and crime prevention in order to maintain the peace. That role has been changing to keep pace with socio-economic developments. Thus, it has expanded to include the provision of social support. However, law enforcement, crime prevention and provision of social support often overlap. Also, though some studies have shown that much police time is spent on non-crime-fighting activities, other studies have found that lower-rank officers in general see their main role as fighting crime. That apart, the police have always had a role to play under the various mental health statutes: referring mentally disordered people to hospital, retaking absconders from mental hospitals, escorting patients from hospital or prison to court and vice versa, which are all tasks classifiable as provision of social support. Because of the complexity of his work today, the policeman may be described as an ‘all-purpose public servant’.
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Lesage, Alain D. "Evaluating the closure or downsizing of psychiatric hospitals: social or clinical event?" Epidemiologia e Psichiatria Sociale 9, no. 3 (September 2000): 163–70. http://dx.doi.org/10.1017/s1121189x00007855.
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SummaryObjectives – The evaluation matrix recently proposed by Tansella and Thornicroft suggests that the field of social and epidemiological psychiatry has focussed more on the individual/patient level of mental health care services than the system level. Moreover, phenomena such as deinstitutionalisation have been examined more as clinical events than as social ones. The aims here are to deepen our understanding of deinstitutionalisation, particularly as regards the downsizing/closure and role of psychiatric hospitals. Methods – I begin by reviewing the manifest and latent functions of psychiatric hospitals. This is followed by a discussion of how these functions must be met by any comprehensive community-oriented system of mental health care for severely mentally ill patients. Also, in order to reframe the downsizing/closure of psychiatric hospitals as a social event for the field of social psychiatry and psychiatric epidemiology, I posit that the process of deinstitutionalisation is driven today by the same forces that were present at the outset of the movement. Results – I review four recent series of studies addressing primarily the outcomes, but also other aspects, of the downsizing/closure of psychiatric hospitals, with a view to illustrating the methods used, the results obtained and the blind angles missed in this research. Conclusions – Lessons are drawn on how to fill certain vacant cells of the matrix.
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Kaczor, Dariusz. "Dyscyplinowanie społeczne w szpitalach elbląskich w XVII w.Dyscyplinowanie społeczne w szpitalach elbląskich w XVII w." Studia Historica Gedanensia 11 (2020): 189–214. http://dx.doi.org/10.4467/23916001hg.20.010.13616.
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Social disciplining in Elbing hospitals in the 17th century The article undertakes the problematics of rules and range of social disciplining and forming a proper model of behaviour attempted by the city authorities in the instance of urban hospitals in Elbing (Elbląg) of the 17th century. The following ordinances for the 17th century Elblag hospitals have been analysed in that respect: St. Elisabeth’s from 1617, 1625 and 1651, the Holy Spirit’s from 1631 and 1651 (including the project from around the half of the 17th century), Corpus Christi’s from 1651 and St. George’s from 1657, as well as the ordinance of an orphanage established at St Elisabeth hospital (Kinder‑Haus) from 1698 and two memorial statements of the Hospital Office (Spital‑Amt) dated around the half of the 17th century containing postulates referring to the necessity of introducing changes in the current hospital ordinances. In effect, various forms of disciplining as well as mechanisms of maintaining social control have been discussed, which comprise the following aspects: 1. forming religious attitudes conforming with the spirit of Lutheran orthodoxy (doctrinal assumptions, religious education basics); 2. disciplining through compulsory religious practices; 3. disciplining through social hierarchy consolidation (prayers in the intention of the City Council, respect for principal authorities, ban on cursing on the authorities or reprimanding alms, complaining about hospital food); 4. disciplining through enforced work; 5. disciplining abnormal moral behaviour (drunkenness, fornication, theft, fraud, gambling); 6. controlling verbal, symbolic or physical aggression; 7. time rationing (strictly normalised day schedules) and space rationing (ban on leaving the hospital, maintaining cleanness in the occupied quarters); 8. shaping expected features of character (godliness, obedience, the ability of coexisting in a group); 9. disciplining verbal behaviour (ban on swearing, making noise, gossiping, disturbing religious practices by talking) and behavioural patterns (ban on dancing and binges). Also, the system of penalty sanctions issued by hospital authorities against people breaking the ordinance rules has been analysed; moreover, an attempt to reconstruct the hierarchy of social harmfulness of misdemeanours depending on the type of penalties has been undertaken.
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Tsiamis, Costas, Georgia Vrioni, Effie Poulakou-Rebelakou, Vasiliki Gennimata, Mariana А. Murdjeva, and Athanasios Tsakris. "Medical and Social Aspects of Syphilis in the Balkans from the mid-19th Century to the Interwar." Folia Medica 58, no. 1 (March 1, 2016): 5–11. http://dx.doi.org/10.1515/folmed-2016-0001.
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Abstract The current study presents some aspects of syphilis in the Balkan Peninsula from the 19th century until the Interwar. Ever since the birth of modern Balkan States (Greece, Bulgaria, Turkey and Serbia), urbanization, poverty and the frequent wars have been considered the major factors conducive to the spread of syphilis. The measures against sex work and sexually transmitted diseases (STDs) were taken in two aspects, one medical and the other legislative. In this period, numerous hospitals for venereal diseases were established in the Balkan countries. In line with the international diagnostic approach and therapeutic standards, laboratory examinations in these Balkan hospitals included spirochete examination, Wassermann reaction, precipitation reaction and cerebrospinal fluid examination. Despite the strict legislation and the adoption of relevant laws against illegal sex work, public health services were unable to curb the spread of syphilis. Medical and social factors such as poverty, citizen’s ignorance of STDs, misguided medical perceptions, lack of sanitary control of prostitution and epidemiological studies, are highlighted in this study. These factors were the major causes that helped syphilis spread in the Balkan countries during the 19th and early 20th century. The value of these aspects as a historic paradigm is diachronic. Failure to comply with the laws and the dysfunction of public services during periods of war or socioeconomic crises are both factors facilitating the spread of STDs.
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Ramsay, Maureen. "Casemix funding of hospitals: Ethical objections." Health Care Analysis 4, no. 3 (September 1996): 194–96. http://dx.doi.org/10.1007/bf02252879.
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Ramsay, Maureen. "Casemix Funding of Hospitals: Ethical Objections." Health Care Analysis 4, no. 3 (August 1996): 194–96. http://dx.doi.org/10.1002/(sici)1099-1042(199608)4:3<194::aid-hca183>3.0.co;2-l.
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Grounds, Adrian T., Marie T. Quayle, Jennifer France, Timothy Brett, Murray Cox, and John R. Hamilton. "A Unit for ‘Psychopathic Disorder’ Patients in Broadmoor Hospital." Medicine, Science and the Law 27, no. 1 (January 1987): 21–31. http://dx.doi.org/10.1177/002580248702700105.
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Although the number of ‘psychopathic disorder’ patients admitted to special hospitals has declined over the last decade, a small number of such offenders continues to be admitted from the courts under hospital orders. One ward in Broadmoor hospital which admits young male patients in this category is described. An approach which integrates psychodynamic, behavioural and cognitive principles, and which attempts to understand patients' personality difficulties and offences in terms of their emotional and cognitive development, is adopted as a useful framework for formulating treatment needs and objectives. Within the ward setting a variety of psychological treatments are offered. However, the social environment within the hospital limits opportunities for realistic assessment and rehabilitation.
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Creixans-Tenas, Judit, Dolores Gallardo-Vázquez, and Núria Arimany-Serrat. "Social Responsibility, Communication and Financial Data of Hospitals: A Structural Modelling Approach in a Sustainability Scope." Sustainability 12, no. 12 (June 14, 2020): 4857. http://dx.doi.org/10.3390/su12124857.
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Health is one of the fundamental pillars of public management and should be one of the main objectives of any society that pursues true progress and well-being for its citizens. In recent years, the public health system has been seeking collaborative synergies with the private health system to achieve efficient functioning at the levels of care demand, waiting lists and financial pressure. For this reason, private entities in the hospital field must be analysed through the application of information systems comprised of financial and non-financial indicators. In this organizational context, economic and financial data, communication, and social responsibility are essential to correctly manage the performance of hospital companies. Drawing on stakeholder and dynamic capabilities theories, we have defined a conceptual model that proposes that a greater predisposition to social responsibility actions by hospitals could explain communication practices and economic and financial results. Thus, the main objective of this study is to determine the possible relationship between three important aspects in the management of hospital companies: social responsibility, communication, and economic and financial results. Partial least square technique was applied to estimate a structural equation model to analyse a sample of 122 hospitals operating in Spain. This paper also analyses how communication mediates the relationship between social responsibility and economic and financial results. The main results empirically validate a model that links and predicts the social responsibility actions undertaken by these companies, which are directly related to the business communication that is carried out and the economic and financial results. Related to the implications, managers could adopt strategies once they know that they will contribute to improve their relationships with stakeholders and shareholders.
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Awasthi, Purnima, Ramesh C. Mishra, and S. K. Singh. "Health-promoting Lifestyle, Illness Control Beliefs and Well-being of the Obese Diabetic Women." Psychology and Developing Societies 30, no. 2 (July 15, 2018): 175–98. http://dx.doi.org/10.1177/0971333618783395.
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The study examines the role of health-promoting lifestyle and illness control beliefs in well-being of obese diabetic women. Measures of illness control belief, health-promoting lifestyle and obesity-related well-being were given to 100 obese diabetic women selected from outdoors of hospitals in Varanasi. Analysis revealed patients’ stronger belief in ‘doctor-control’ and ‘supernatural-control’ than ‘self-control’ of the disease. Nutrition, interpersonal relations, physical activity and stress management were given more importance in health promotion than spiritual growth-related practices. Belief in ‘self-control’ and ‘doctor-control’ of disease was negatively correlated with ‘psychosocial discomfort’, ‘physical discomfort’ and ‘psychosocial impact’ aspects of obesity, whereas ‘supernatural-control’ showed positive relationship with all aspects. All components of ‘health-promoting lifestyle’ were negatively correlated with ‘physical discomfort’, ‘psychosocial discomfort’ and ‘psychosocial impact’ aspects of obesity. Multiple regression analysis brought out ‘self-control’, ‘supernatural-control’, ‘health responsibility’, ‘physical activity’ and ‘stress management’ as significant predictors of ‘well-being’ of the obese diabetic women.
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Caffrey, Arden, Carolyn Pointer, David Steward, and Sameer Vohra. "The Role of Community Health Needs Assessments in Medicalizing Poverty." Journal of Law, Medicine & Ethics 46, no. 3 (2018): 615–21. http://dx.doi.org/10.1177/1073110518804212.
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The Patient Protection and Affordable Care Act (ACA), passed in 2010, is considered by many to be the most significant healthcare overhaul since the 1960s, but part of its promise — improvement of population health through requirements for non-profit hospitals to provide “community benefit” — has not been met. This paper examines the history of community benefit legislation, how community benefit dollars are allocated, and innovative practices by a few hospitals and communities that are addressing primarily non-medical factors that influence health such as social disadvantage, attitudes, beliefs, risk exposure, and social inequalities.
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Anderson, Jeremy, David Dayson, Walter Wills, Chris Gooch, Olga Margolius, Catherine O'Driscoll, and Julian Leff. "The TAPS Project. 13: Clinical and Social Outcomes of Long-Stay Psychiatric Patients After One Year in the Community." British Journal of Psychiatry 162, S19 (April 1993): 45–56. http://dx.doi.org/10.1192/s0007125000292258.
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The first prospective, controlled study of a large, long-stay, in-patient population as their hospital services were reprovided in the community is reported. Two-hundred-and-seventy-eight patients were matched individually with similar patients who remained in hospital. Clinical and social outcomes over a one-year follow-up are presented for the first three years of the reprovision process. Compared with matches, the leavers at follow-up had more diverse social networks that contained a higher proportion of contacts named as friends. The care facilities in the community allowed more opportunities for patient autonomy than the hospitals across all aspects of the environments measured. At follow-up, more leavers than matches wanted to remain in their current placement, while fewer leavers than matches said there was nothing they liked about their current placement. More leavers than matches found their medication helpful.
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Mineva, Darina. "THE SOCIAL NATURE OF QUALITY." Knowledge International Journal 30, no. 6 (March 20, 2019): 1735–39. http://dx.doi.org/10.35120/kij30061735m.
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The article examines aspects of the quality of products and services, defines its social character and the factors that determine it. Three factors form the social character of the quality of products and services: the needs of society and individuals; market relations; the insurance of consumers against risks (health insurance and insurance).The question of the difference between consumer value and utility value and value and value is fundamental to determining the social quality of the quality. User value and utility are the two aspects of quality. Your quality is in the product or service. Consumer value is a property and value is a public property. It reflects the public nature of the work of the commodities producers through the exchange of the market. The basis of this exchange is the merciful value of the commodity.The social nature of the quality of products and services is "the commitment of producers to the needs of society and the individual", irrespective of the type of production. The social aspect is at the heart of all other aspects. Therefore, when assessing the quality of a hospital, we are actually evaluating not so much the organization itself but its commitment to the health of society.
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Fahy, Thomas A., Donald Bermingham, and John Dunn. "Police Admissions to Psychiatric Hospitals: A Challenge to Community Psychiatry?" Medicine, Science and the Law 27, no. 4 (October 1987): 263–68. http://dx.doi.org/10.1177/002580248702700405.
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Compulsory police admissions from an urban and a rural catchment area with admission rates higher than the national average were studied. A comparison was made with a group of patients admitted involuntarily following assessment by a doctor and a social worker. Police admissions differed in several ways from the comparison group and it is suggested that they were less likely to benefit from hospitalization. Taking into account the likelihood of an increase in the number of contacts between the police and the mentally ill, a number of alterations in the assessment procedure are suggested.
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Lopes, Catia, Annibal Scavarda, Mauricio de Carvalho, Guilherme Vaccaro, and André Korzenowski. "Analysis of Sustainability in Hospital Laundry: The Social, Environmental, and Economic (Cost) Risks." Resources 8, no. 1 (February 13, 2019): 37. http://dx.doi.org/10.3390/resources8010037.
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Personal and physical injuries are two of the most relevant costs to hospitals. Hospital laundries are sources of these costs due to the physical and health risks present in the clothes and the activities performed. Energy and environmental risk and infrastructure issues also incur operational costs to these organizations and to the health system. This research analyzes the social, environmental, and economic risk in the hospital laundry process, through a multiple-case-study design. Data collection methods include interviews regarding three hospital laundry services in Brazil. The processes of these laundry services have a high consumption of resources (water and energy) and a substantial generation of solid and liquid wastes. Cost reduction actions include pooled laundry services and material substitution. There are also social and environmental risks, the most frequent being ergonomic, biological, and chemical hazards, and injures from sharp devices inadequately disposed. Hospital laundries need more sustainable operations, not only in the infrastructure, but also mostly in the awareness of leaders and teams about the importance of their engagements to resource management and waste reduction in laundry. It is opportune to convince professionals and users about changing habits that do not prioritize sustainability, especially its social and environmental aspects.
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Holm, Søren, and Soren Holm. "Private Hospitals in Public Health Systems." Hastings Center Report 19, no. 5 (September 1989): 16. http://dx.doi.org/10.2307/3562636.
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Palmer, George. "Casemix funding of hospitals: Objectives and objections." Health Care Analysis 4, no. 3 (September 1996): 185–93. http://dx.doi.org/10.1007/bf02252878.
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Palmer, George. "Casemix Funding of Hospitals: Objectives and Objections." Health Care Analysis 4, no. 3 (August 1996): 185–93. http://dx.doi.org/10.1002/(sici)1099-1042(199608)4:3<185::aid-hca182>3.0.co;2-m.
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Thompson, Dennis F. "Hospital Ethics." Cambridge Quarterly of Healthcare Ethics 1, no. 3 (1992): 203–10. http://dx.doi.org/10.1017/s0963180100000384.
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Hospital ethics, familiar enough in practice but surprisingly neglected in the literature, deals with the ethical problems that arise distinctively or typically in hospitals. More precisely, it consists of the ethical principles that shouldgovern 1) the conduct of healthcare professionals and other staff in their capacities as members of the hospital as an institution, and 2) the conduct of the hospital itself as an institution. It is a species of institutional ethics, which focuses on the ethical problems created or significantly shaped by the institutional setting in which they occur.
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Matthew, Dayna Bowen. "Next Steps in Health Reform: Hospitals, Medicaid Expansion, and Racial Equity." Journal of Law, Medicine & Ethics 46, no. 4 (2018): 906–12. http://dx.doi.org/10.1177/1073110518821988.
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The confluence of racial unrest and Medicaid expansion in Virginia should inspire a national reimagining of how health care can contribute to health equity. Hospitals in particular can leverage their role as economic drivers in communities to equalize health and social outcomes for all. The urgent need for innovative opioid intervention presents a fertile proving ground for new ways that hospitals can act to reduce the impact of racial inequity. Inspired by the role hospitals played to achieve desegregation during the Civil Rights era, this essay proposes an integrated approach to use Medicaid expansion to advance health and racial healing in America.
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Eijkelenboom, AnneMarie, Marco A. Ortiz, and Philomena M. Bluyssen. "Preferences for Indoor Environmental and Social Comfort of Outpatient Staff during the COVID-19 Pandemic, an Explanatory Study." International Journal of Environmental Research and Public Health 18, no. 14 (July 9, 2021): 7353. http://dx.doi.org/10.3390/ijerph18147353.
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While the pressure on hospital workers keeps growing, they are generally more dissatisfied with their comfort than other occupants in hospitals or offices. To better understand the comfort of outpatient workers in hospitals, clusters for preferences and perceptions of the indoor environmental quality (IEQ) and social comfort were identified in a previous study before the outbreak of the coronavirus disease 2019 (COVID-19) pandemic. This qualitative study explains the outpatient workers’ main preferences for comfort during the COVID-19 pandemic. Semi-structured interviews and photo-elicitation were used. Contextual changes due to the COVID-19 pandemic were included. The questions in the interviews were based on the characteristics of the profiles, corresponding with the clusters. The data were analyzed with content analysis according to the steps defined by Gioia. Seventeen outpatient workers who had been part of the previous study participated. For some outpatient workers differentiation of preferences was illogical due to interrelations and equal importance of the comfort aspects. The main changes in perceptions of comfort due to the pandemic were worries about the indoor air quality and impoverished interaction. Because the occupants’ preferences for comfort can change over time, it was suggested that further development of occupant profiles needs to accommodate changes.