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Sanchez, Emily, Amy R. Gelfand, Michael D. Perkins, Maia C. Tarnas, Ryan B. Simpson, Jarrod A. McGee e Elena N. Naumova. "Providing Food and Nutrition Services during the COVID-19 Surge at the Javits New York Medical Station". International Journal of Environmental Research and Public Health 18, n.º 14 (12 de julho de 2021): 7430. http://dx.doi.org/10.3390/ijerph18147430.
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Military field hospitals typically provide essential medical care in combat zones. In recent years, the United States (US) Army has deployed these facilities to assist domestic humanitarian emergency and natural disaster response efforts. As part of the nation’s whole-of-government approach to the coronavirus disease (COVID-19) pandemic, directed by the Federal Emergency Management Agency and the Department of Health and Human Services, during New York City’s (NYC) initial surge of COVID-19, from 26 March to 1 May 2020, the US Army erected the Javits New York Medical Station (JNYMS) field hospital to support the city’s overwhelmed healthcare system. The JNYMS tasked a nutrition operations team (NuOp) to provide patient meals and clinical nutrition evaluations to convalescent COVID-19 patients. However, few guidelines were available for conducting emergency nutrition and dietary response efforts prior to the field hospital’s opening. In this case study, we summarize the experiences of the NuOp at the JNYMS field hospital, to disseminate the best practices for future field hospital deployments. We then explain the challenges in service performance, due to information, personnel, supply, and equipment shortages. We conclude by describing the nutrition service protocols that have been implemented to overcome these challenges, including creating a standardized recordkeeping system for patient nutrition information, developing a meal tracking system to forecast meal requirements with food service contractors, and establishing a training and staffing model for military-to-civilian command transition. We highlight the need for a standardized humanitarian emergency nutrition service response framework and propose a Nutrition Response Toolkit for Humanitarian Crises, which offers low-cost, easily adaptable operational protocols for implementation in future field hospital deployments.
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Kuperberg, Karen, Diana Mager e Susan Dello. "Transformation to Room Service Food Delivery In a Pediatric Health Care Facility". Canadian Journal of Dietetic Practice and Research 70, n.º 4 (dezembro de 2009): 200–203. http://dx.doi.org/10.3148/70.4.2009.200.
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Patient food service is an important component in the nutritional management of hospitalized children. The previous meal delivery system at The Hospital for Sick Children in Toronto was a cold-plating re-thermalized system. Issues related to this model included order lead time, the reheating process, menu selection, and service style. Research into other systems led us toward room service, an innovative and flexible mode of meal delivery. Transformation to room service occurred over one year, and included implementation of a new computer system, kitchen renovation, redesign of menus and a new meal delivery system called Meal Train, and changes to human resource allocations. Throughout the transformation, consultations were held with key stakeholders, including the children’s council, the family advisory, the nursing council, and a multidisciplinary committee involving nursing staff, dietitians, patient service aides, infection control personnel, occupational health employees, patient representatives, and food services staff. Now, Meal Train is running smoothly, and meal days and food costs have been reduced. Others considering a project like this must know their clients’ needs and be willing to think outside the box. They should familiarize themselves with current information on systems and equipment, consult with key stakeholders within their organization, and then create the system that will work for them.
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Copca, Narcis, e Constanta Mihaescu-Pintia. "Motivating hospital personnel for excellence in a rough environment". Proceedings of the International Conference on Business Excellence 11, n.º 1 (1 de julho de 2017): 368–80. http://dx.doi.org/10.1515/picbe-2017-0040.
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Abstract Work motivation and satisfaction are core performance factors, of a broad complexity in healthcare. In spite of all economic, political, administrative, regulatory or bureaucratic adversities, there are public Romanian hospitals striving to perform at European level. Medical personnel dissatisfaction, and shortage due to migration are significant challenges for managers. Methodology: the main research question is whether motivation is a key factor in a public Romanian hospital oriented to clinical excellence, reflected by retention of medical staff and their professional satisfaction, and also perceived by their patients. Purpose: to analyze importance and level of job satisfaction of hospital personnel in relation with other motivation components given the rough environment of Romanian public healthcare system, and its reflection on patient satisfaction. The paper is based on two studies: professional satisfaction survey conducted among all 350 employees of the Clinical Hospital “St. Maria” Bucharest accredited for liver transplantation and achieving great clinical performance, based on a 21-questions semi-structured questionnaire. Second, a patient satisfaction survey conducted on a sample of 75 patients randomly selected from all 5 hospital departments, out of an average of approximately 230 patients per week, by applying on discharge day a questionnaire of 30 questions. Results: Great majority of our personnel appreciated as appropriate: their working conditions, communication and relationship with hierarchic boss and with hospital management team. 84.6% of medical and 90.5% of nonmedical personnel declared to be professionally very satisfied and satisfied in this hospital. Patient satisfaction analysis indicated that almost all respondents were informed by medical personnel about their conditions and rights, receiving explanations about treatment; 90% considered care received at a very good quality, except for food; 90.2% of respondents rated as very good the personnel kindness, availability, communication, information and care; 67,2% of patients stated as very satisfied and 23% satisfied with the medical care received, and all respondents would choose this hospital again if needed and even would recommend it to others. Conclusion: Anticipating their needs and motivating hospital personnel to achieve high performance is of great importance for managers and employees, by focusing on people and using appropriate tools even when no direct financial incentives are possible. Professional satisfaction has to be periodically measured, correlated with patient surveys and followed by specific actions for improvement and kept high, thus allowing climbing up to the best hospitals in Bucharest, despite significant challenges within Romanian public healthcare system. Our analysis showed the importance of job motivation and satisfaction in public hospitals, despite the rough environment, and reflection of work satisfaction on employees-patients relationship in terms of availability, communication, providing information and feedback, care, and choice/preference for future services. Thus, our research objectives were fulfilled.
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Begum, Sheuly, Khorshed Ali Miah, Aseesh Kumar Saha, China Rani Mittra e Mst Jannat Ara Ahmed. "Management of dietary services at National Institute of Cancer Research and Hospital (NICRH), Bangladesh". Asian Journal of Medical and Biological Research 6, n.º 3 (17 de outubro de 2020): 548–54. http://dx.doi.org/10.3329/ajmbr.v6i3.49807.
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Patient meals are an integral part of hospital treatment and crucial to aid recovery. A cross-sectional study was conducted to determine the Management of Dietary Services at National Institute of Cancer Research and Hospital. The purpose of this study was to make provision for safe, clean, hygienic and nutritious diet for the indoor patient as per their caloric requirement. This study compiled from 1st January to 31st December 2017 and the sample size was 113(dietary personnel 9 and patients 104) and it was purposive sampling technique. Data were collected through semi-structured questionnaire and observational check-list. Data analysis was done using SPSS software version 20. Satisfaction level was categories in to Satisfied and Dissatisfied. Among the service receiver of this hospital 15.4% were found satisfied with the dietary services. Cleanliness status of kitchen was average. It was highly suggested that the higher number of trained manpower needs to be appointed in future as required. Moreover, a standardize cooking system should be adopted by the authority for improving the quality of cooking food in order to obtain increased patient’s satisfaction.
Asian J. Med. Biol. Res. September 2020, 6(3): 548-554
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King, Heather C., Natalie Spritzer e Nahla Al-Azzeh. "Perceived Knowledge, Skills, and Preparedness for Disaster Management Among Military Health Care Personnel". Military Medicine 184, n.º 9-10 (16 de março de 2019): e548-e554. http://dx.doi.org/10.1093/milmed/usz038.
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Abstract Introduction The Indo-Asia-Pacific region has the highest incidence of natural disasters world-wide. Since 2000, approximately 1.6 billion people in this region have been affected by earthquakes, volcanos, tsunamis, typhoons, cyclones, and large-scale floods. The aftermath of disasters can quickly overwhelm available resources, resulting in loss of basic infrastructure, shelter, health care, food and water, and ultimately, loss of life. Over the last 12 years, US military forces have collaborated with countries throughout the Indo-Asia-Pacific region to enhance disaster preparedness and management during shipboard global health engagement missions. Military health care personnel are integral in this effort and have planned subject-matter expert exchanges, multidisciplinary conferences, courses, and hyper realistic simulated military-to-military training exercises related to disaster preparedness. Military health care providers are essential not only to providing international education and training, but also to ensuring optimal readiness to respond to future disasters in the Indo-Asia-Pacific region and worldwide. The ability to effectively respond to disasters and collaborate with other nations promotes international stability. Yet, few studies have examined disaster preparedness among US military health care personnel. This study aimed to assess knowledge, skills, and preparedness for disaster management among US military health care personnel preparing to deploy on a global health engagement mission. Materials and Methods A descriptive, cross-sectional study utilizing the Disaster Preparedness Evaluation Tool (DPET) examined self-reported perceptions of disaster preparedness among US military health care personnel preparing to deploy on a shipboard global health engagement mission. The DPET assessed perceived knowledge of disaster preparedness, disaster mitigation and response, and disaster recovery. Three hundred Hospital Corpsmen/Medics and officers in the Nurse Corps, Medical Corps, Medical Service Corps, and Dental Corps were invited to participate. One hundred fifty-four surveys were completed (response rate, 51%). Nineteen surveys were excluded from the analysis due to incomplete responses. Participants rated responses to 46 Likert items (scale of 1–6) and responded to 23 descriptive items. The study protocol was approved by the Naval Medical Center San Diego Institutional Review Board, protocol number NMCSD.2017.0061, in compliance with all applicable federal regulations governing the protection of human subject research. Results All item mean scores on each of the three DPET subscales resulted in moderate levels of perceived disaster preparedness among military healthcare personnel (disaster preparedness means ranged from 3.04 to 4.67, disaster response means ranged from 3.76 to 4.29, and disaster recovery means ranged from 3.47 to 4.29). The final regression model had 6 significant variables that predicted DPET scores: previous disaster drills (p = 0.00), experiencing a real disaster (p = 0.002), bioterrorism training (p = 0.02), education level (p = 0.025), years in specialty (p = 0.019), and previous global health engagement missions (p = 0.016), with R2 = 0.39, R2adj = 0.36, F (7, 127) = 12.04. Conclusions Disaster preparedness among military healthcare personnel could be improved to function optimally for future global health engagement missions. This study expands current understandings of disaster preparedness among US military health care providers and identifies ways to improve and enhance training.
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Brilhante, Dialina, Ana Macedo e Ana Harfouche. "Blood, Esa’s and Costs". Blood 112, n.º 11 (16 de novembro de 2008): 1303. http://dx.doi.org/10.1182/blood.v112.11.1303.1303.
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Abstract Background: The demand for allogeneic blood (packed red blood cells) has been progressively increasing. The introduction of safety measures substantially increased its cost and limited the available supply. Because both supply and demand for blood has not yet reached a plateau, namely in Portugal, the introduction and adoption of treatments that reduce transfusion, such as Erythropoiesis Stimulating Agents (ESA’S) for patients with chemotherapy induced anemia (CIA) is a welcome strategy to manage the hospital blood supply. Recently an advisory panel to the US Food and Drug Administration has recommended that the agency further limit the use of ESA’S, and in Europe, the European Medicines Agency (EMEA) emitted a statement that “cancer patients with a reasonably long life expectancy” should receive blood transfusions rather than take drugs for anemia. With these warnings we are probably going to see an increase in demand for blood. Estimating blood costs is a complex undertaking, surpassing simple versus demand economics, and is not simple or straightforward; the underlying issue is whether hospitals are billing appropriately for blood products and how extensively its value is calculated. The National Health Care System is making a huge effort to control the rising costs associated with the delivery of health services, namely developing a new allocation method for hospitals. Activity-based costing (ABC) is an approach to the management of resources that allows the ‘real’ resource costs and time of a service activity to be estimated. Traditional costing systems often group many costs together as overheads. The Accounting System for Activities in the Hospitals (SCAH) is outlined to evaluate detailed cost elements, understanding cost behaviour, which can facilitate future policy decisions, because policy makers have the opportunity to more fully understand the implications of incremental changes. We applied the SCAH to the Blood Bank of IPOFG Lisbon, in order to evaluate a far more accurate appraisal of the actual cost of the blood. The cost of correcting CIA is an open issue as both ESAS’S and Transfusion may offer symptomatic benefit. In Portugal the price of ESA’S, Erythropoietin alfa decreased almost 50% from 2000–2008, not including the final price, negotiated in each hospital. On the other hand, the price of one unit of packed RBCs continues to rise, and with different values, depending on the methodology used. Purpose: Evaluation of the costs of both alternatives to increase 1g of haemoglobin, in a hemato-oncological hospital, belonging to National Health Service and not for profit. Methods: We analysed the official prices of ESA’S between 2000–2008 published by the Ministry of Health. We used an activity – based approach to more fully account for the cost of blood, than present estimates, derived from the concept of activity-based costing (ABC). We applied this method to the process Chart flows of activities associated with blood collection facility and the others associated to the transfusion service. Results: Prices of Epoeitin - a (1000 UI/5μg) and Darbepoeitin according to National Catalogue Prices 2000 2001 2002 2003 2004 2005 2006 2007 2008 Epoietin-a €11,17 €7,20 €6,73 €6,52 €6,52 €6,12 €6,12 €6,12 €6,12 Darbepoeitin - - - €7,80 €7,00 €6,52 €6,52 €6,12 €6,12 Price of Packed RBC (2007), calculated using ABC methodology % Price (€) Personnel 25,32 90,26 Material to blood collection 6,47 23,07 Equipment 1,03 3,67 Common Costs 5,03 17,92 Reagents 3,69 13,15 Outsourcing 1,83 6,52 Structures 1,01 3,60 Laboratory analysis 15,85 56,50 Transfusion Session 39,77 141,75 Total 100% 356,44 Increment of 1g haemoglobin 1 unit of Packed RBC and transfusion session 30.000 UI EPO-a (fixed dose every week) 150 mg Darbepoeitin (fixed dose every week) €356.44 + €30* €183,6 × 2 = €367,2 * Haemovigilance network €183,6 × 4 = €734,4 The cost of 1 unit of packed RBC is equivalent a two fixed doses of EPO- a and Darbepoitin, respectively (30000 UI and 150 mg). Each hospital can negotiate catalogue adjusted prices for ESA’s, so if we presume that these values can be reduced by half, the price of 1 unit of packed RBC is equivalent to 4 fixed doses of treatment with ESA’s. Conclusions: Once the ability of ESA’s to reduce transfusions requirements has been documented in the literature, the costs of ESA’S and Transfusion might be another factor in determining which approach should be used.
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Edwards, John S. A., Audrey Edwards e Julie A. Salmon. "Food service management in hospitals". International Journal of Contemporary Hospitality Management 12, n.º 4 (julho de 2000): 262–66. http://dx.doi.org/10.1108/09596110010330840.
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Askarian, Mehrdad, Gholamhosein Kabir, Maria Aminbaig, Ziad A. Memish e Peyman Jafari. "Knowledge, Attitudes, and Practices of Food Service Staff Regarding Food Hygiene in Shiraz, Iran". Infection Control & Hospital Epidemiology 25, n.º 1 (janeiro de 2004): 16–20. http://dx.doi.org/10.1086/502285.
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AbstractBackground:The practice of safety measures by the food service staff in hospitals is necessary for the prevention of food-borne outbreaks. Hospitalized patients are more vulnerable to potential hazards, and neglecting these principles can lead to increased morbidity and mortality.Methods:We assessed the knowledge, attitudes, and practices of food service staff regarding food hygiene in government and private hospitals in Shiraz, Iran. Two questionnaires were designed, one for food service staff and the ofher for supervisors. Thirty-one hospitals were approached, and the response rate was 99.5%. Four models were developed regarding knowledge, attitudes, and practices, and a multiple logistic regression analysis was performed. Comparison among the government and private hospitals was done.Results:This study showed that personnel had little knowledge regarding the pathogens that cause food-borne diseases and the correct temperature for the storage of hot or cold ready-to-eat foods. Older personnel had better attitudes and practices. Females practiced safety measures less often than did males. Personnel working in hospitals with fewer than 300 beds also had better practices. Most of the personnel had positive attitudes, but disparity between attitude and practice was noted.Conclusion:There is a dire need for education and increased awareness among food service staff regarding safe food handling practices.
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Ojo, Adebowale I., e Ruth O. Owolabi. "Health Information Management Personnel Service Quality and Patient Satisfaction in Nigerian Tertiary Hospitals". Global Journal of Health Science 9, n.º 10 (12 de agosto de 2017): 25. http://dx.doi.org/10.5539/gjhs.v9n10p25.
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This study assessed the relationship between perceived service quality of health information management personnel and patient satisfaction in selected tertiary hospitals in Nigeria. A cross sectional survey was conducted with 280 patients from three tertiary hospitals in a Nigerian State. A self-administered questionnaire was distributed to outpatients who were literate, willing and attending the clinics for at least a second time. Perceived service quality was measured using a modified version of Service Quality (SERVQUAL) scale. Patient satisfaction was measured on a 4-point Likert-type scale developed by the researchers. Collected data were subjected to statistical analysis using mean, standard deviation and regression analysis. The surveyed patients were moderately satisfied with the services of the health information management personnel. Accordingly, patients’ perception of the health information management personnel service quality was found to be average. In addition, the research has shown that patients’ perception of health information management personnel service quality significantly influence their level of satisfaction in the studied tertiary hospitals (R = .62, F5,274 = 35.95, p = .000). Patient perceptions of service quality determine their overall satisfaction levels with the health information management personnel services. The tangible service quality dimension had more influence on patients’ satisfaction.
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Weisshaupt, Oliver, Gabriela V. Leiblein-Züger e Susanne Hofer. "Process Model for the Food Service in Swiss Hospitals". Journal of Facility Management Education and Research 2, n.º 2 (1 de janeiro de 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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Roja, K., G. D. V. Kusuma e B. Ravi Kumar. "Pragmatic Analysis on Staff Related Issues in Selected Hospitals". International Journal of Business and Management Future 2, n.º 2 (8 de setembro de 2018): 6–12. http://dx.doi.org/10.46281/ijbmf.v2i2.121.
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For the efficient management of an organization, it is pertinent that personnel working in different capacities in the different departments make possible friendly relations. Superiors would remain superiors even if they are influenced by ego. The supervisors acting like a superior and behaving like an officer/administrator, the possibilities of degeneration in the relations can’t be overruled. The service of hospitals based on the staff it is essential for all the personnel irrespective of the rank and position they hold make sincere and honest efforts to accomplish the organizational goals. The present study is an attempt to portray the staff related issues in selected hospitals like GEMS, KIMS, RIMS, GMR.
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Niraula, Tika Prasad, e Santosh Raj Poudel. "Factors Associated with Clients' Satisfaction on Hospital Service Management of Province 1, Eastern Nepal". Nepal Journal of Multidisciplinary Research 2, n.º 2 (8 de novembro de 2019): 7–15. http://dx.doi.org/10.3126/njmr.v2i2.26280.
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Satisfaction is both the internal happiness and sadness which is the major result of the correlation between the desires and expectations of people and also the services received. The direct relation is with the health services provided to the people which are effectively used where the fulfillment of patient is always kept on the list of high priority. This satisfaction of people directly links with the major factors like healthy communication with the staffs of hospitals like doctors, nurses and other personnel, nature of quality services and other facilities provided by the hospital. The study of this is the descriptive and huge study which is currently carried out in province 1 of the eastern Nepal in 10 hospitals in different locations. Based on the random sampling, the hospitals were selected from the province 1 which resulted in 18 government hospitals and 40 private hospitals which are running currently. Among the 18 government hospitals, 6 government hospitals and 40 private hospitals, 4 private hospitals were chosen at random using the simple random sampling method. Client’s perspective and service provider’s perspective are the two perspectives which is the result of both the qualitative and the quantitative analysis. The results of both bivariate and multivariate analysis for the statistical significance of quantitative data have been presented which mainly focuses on the group discussion of it that is also reported. A survey was conducted which mainly involved the patients. The majority of patients were satisfied with the number of doctors available and the result of the diagnosis which ranged from 70.88% to 92.5% of the participants. However, there were patients; almost 30% who were not satisfied for longer period to visit doctors, 26.4% of clients were dissatisfied for the approach of doctors specialist in time.
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Banik, Shovon, Md Golam Rubby, Kala Chand Debnath, Farzana Tamanna Ummey Shaon, Farhana Parveen Tanaya e Chidananda Banik Tuni. "Human Resource Management in Selected District Hospitals of Bangladesh- A Cross Sectional Study". Update Dental College Journal 7, n.º 2 (1 de abril de 2018): 28–32. http://dx.doi.org/10.3329/updcj.v7i2.36210.
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Human resource management (HRM) is fundamental of any organization because of its utility. A cross-sectional was conducted from January to December, 2016 in two district hospitals named Gen- eral Hospital, Munshiganj and 100 Bedded District Hospital, Narsingdi with the objective to assess the status of HRM. Purposively 144 hospital staffs were selected and interviewed by using semi-struc- tured questionnaire and record review. The collected data were processed and analyzed meticulously with the help of SPSS (Version 21) software on the basis of different variables. The study revealed that the mean age was 36.6 ± 1.8 years, 71.5 % were clinical and nursing personnel, other category of respondents were support services and other personnel (22.2%), administrative personnel (6.3 %).Most (96.5 %) of the respondents were recruited by Government, after recruitment 52.1% hospital staffs mentioned scope of training facilities either work-based or instruction based exists in workplace, 63.9 % needed to be trained, 80.6% wished further career plan. Working environment found friendly by 39.6 % hospital staffs, where as average found by 50.0%. The recommendations for further improvement of HRM of their workplace was to increase training facilities by 31.9%, other recommen- dations were to increase manpower, improvement of monitoring and supervision. From this study some effort in the training, increase of manpower , performance appraisal can ensure better quality of service at district hospitals.Update Dent. Coll. j: 2017; 7 (2): 28-32
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Siegel, Gilbert B. "Outsourcing Personnel Functions". Public Personnel Management 29, n.º 2 (junho de 2000): 225–36. http://dx.doi.org/10.1177/009102600002900205.
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One of the more recent “hot button” issues in our field is that of outsourcing all or some human resource (HR) functions whether by fee for service or contract. Advocates from the field of Public Choice Economics assume and, in many cases, economically substantiate the case for privatization of governmental functions.1 Even though these economists demonstrate an underlying anti-government bias, their basic argument with supply of government services is “that agencies should compete to provide citizens with goods and services instead of acting like monopolies under the influence of organized pressure groups.”2 Responsiveness to the needs of individual citizens (or to governmental units to be served by staff agencies, for that matter) is best obtained by competing within markets, with the result of economic choices by clientele between competing services. From this market environment economies in resource allocation and efficiency and effectiveness in operations are said to result. Public Choice Economists would also include simulation of market forces by introducing competition, possibly within the same department, governmental jurisdiction, or between other public, profit or nonprofit providers.3 This essay departs from an article by Robert J. Agresta.4 He argues for an extension of the Public Choice approach from one of “citizen-customers being empowered to select freely among providers of a service—whether it is schools or health care (with vouchers) or groceries (with food stamps)—and have control over the resources needed to acquire the service…”,5 to the same market relationship between central administrative (staff or auxiliary staff) agencies and the line units to which they provide services. While Agresta writes of building choice into any line-staff relationships, this article is concerned with HR service supply alternatives and alternative modes for their delivery.
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Pohjosenperä, Timo, Päivi Kekkonen, Saara Pekkarinen e Jari Juga. "Service modularity in managing healthcare logistics". International Journal of Logistics Management 30, n.º 1 (11 de fevereiro de 2019): 174–94. http://dx.doi.org/10.1108/ijlm-12-2017-0338.
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PurposeThe purpose of this paper is to examine how modularity is used for enabling value creation in managing healthcare logistics services.Design/methodology/approachMaterial logistics of four different kinds of hospitals is examined through a qualitative case study. The theoretical framework builds on the literature on healthcare logistics, service modularity and value creation.FindingsThe case hospitals have developed their material logistics independently from others when looking at the modularity of offerings, processes and organisations. Services, such as assortment management, shelving and developing an information platform, have been performed in-house partly by the care personnel, but steps towards modularised and standardised solutions are now being taken in the case hospitals, including ideas about outsourcing some of the services.Research limitations/implicationsThis paper proposes seven modularity components for healthcare logistics management: segmentation, categorisation and unitisation of offerings, differentiation and decoupling of processes, and centralisation and specialisation of organisations. Thus, this study clarifies the three-dimensional concept of modularity as a cognitive frame for managing logistics services with heterogeneous customer needs in a rapidly changing healthcare environment.Practical implicationsModularity offers a tool for developing logistics services inside the hospital and increases possibilities to consider also external logistics service providers.Social implicationsManaging healthcare logistics services through modularity has potential social implications in developing healthcare processes and changing the usage of health services. On a wider scale, modularity is helping healthcare systems reaching their goals in terms of service quality and cost.Originality/valueThis paper shows the context-specific antecedents of service modularity and the usage of modular thinking in managing healthcare logistics.
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Kolasa, Kathryn M. "Creating and Sustaining a Healthy Food Environment in Hospitals Contracting With a Food Service Management Company". Nutrition Today 53, n.º 1 (2018): 5–12. http://dx.doi.org/10.1097/nt.0000000000000258.
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Ahsan, HM Nazmul, Md Ridwanur Rahman, Robed Amin e Enamul Hoque Chowdhury. "Knowledge of Snake Bite Management among Health Service Providers at a Rural Community of Bangladesh". Journal of Current and Advance Medical Research 4, n.º 1 (5 de abril de 2018): 17–22. http://dx.doi.org/10.3329/jcamr.v4i1.36170.
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Background: Snake bile is a very common incidence among the rural people.Objective: This study was aimed to assess the pattern of snakebite in rural community through community engagement.Methodology: It uses the methodological triangulation qualitative and quantitative approach as well as a case study design in analyzing data, whereby the exploratory-descriptive design is followed. The findings from survey study on snake bite have been elicited from face to face interview with 243 number of medical professionals/health service providers consisting of 113 number of MBBS doctors, 86 number of nurses and 46 number of other health practitioners. The study area consisted of 5 zilla sadar hospitals and 15 upazilla health complexes. We purposively select the 243 sample(Doctors, Nurses, Paramedics ,Others) from the selected districts and its consisting random upazillas from the govt. sector hospitals keeping in mind gender balance (Male -Female) as a primary total target population. So in total, 5division and itsconsisting random upazilas hospital including union health complex hospital personnel will be interviewed throughout mention areas of Bangladesh. Result: Most of the health professionals (93.8%) stated that the existence of facilities in their respective hospitals is not adequate to manage the treatment of snake bite victims. Of the total number of medical personnel - around 30.0% of the health professionals had the opportunity to manage snake bite in their respective span of service (50.4% of MBBS docs + 11.6% of nurses + 11.4% of other practitioners).The findings show that majority of 87.6% of doctors, 85.0% of nurses and 95.5% of other practitioners mentioned rainy season as the most prevalent time for occurrence of snake bite in rural areas of Bangladesh. As for whether all snake bites are poisonous- around 17.0% of doctors followed by 18.6% of nurses and 16.0% of other practitioners are found to have wrong notion about mentioning that all snake bites are poisonous but in reality this is not true.Conclusion: There is insufficient knowledge, skill and experience of how to treat snake bite victims. Journal of Current and Advance Medical Research 2017;4(1):17-22
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LAHOU, E., L. JACXSENS, J. DAELMAN, F. VAN LANDEGHEM e M. UYTTENDAELE. "Microbiological Performance of a Food Safety Management System in a Food Service Operation". Journal of Food Protection 75, n.º 4 (1 de abril de 2012): 706–16. http://dx.doi.org/10.4315/0362-028x.jfp-11-260.
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The microbiological performance of a food safety management system in a food service operation was measured using a microbiological assessment scheme as a vertical sampling plan throughout the production process, from raw materials to final product. The assessment scheme can give insight into the microbiological contamination and the variability of a production process and pinpoint bottlenecks in the food safety management system. Three production processes were evaluated: a high-risk sandwich production process (involving raw meat preparation), a medium-risk hot meal production process (starting from undercooked raw materials), and a low-risk hot meal production process (reheating in a bag). Microbial quality parameters, hygiene indicators, and relevant pathogens (Listeria monocytogenes, Salmonella, Bacillus cereus, and Escherichia coli O157) were in accordance with legal criteria and/or microbiological guidelines, suggesting that the food safety management system was effective. High levels of total aerobic bacteria (>3.9 log CFU/50 cm2) were noted occasionally on gloves of food handlers and on food contact surfaces, especially in high contamination areas (e.g., during handling of raw material, preparation room). Core control activities such as hand hygiene of personnel and cleaning and disinfection (especially in highly contaminated areas) were considered points of attention. The present sampling plan was used to produce an overall microbiological profile (snapshot) to validate the food safety management system in place.
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Bertan, Serkan. "Restaurant rankings factors in gastronomy tourism". Tourism 68, n.º 1 (2020): 34–42. http://dx.doi.org/10.37741/t.68.1.3.
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Factors that affect rankings of restaurants are not clearly known despite the importance of these businesses in promoting the cuisine and local foods within the scope of gastronomy tourism. Restaurants need to be rated in order to encourage and award restaurants as well as to help consumers. The aim of this study is to reveal the factors that affect restaurant ranking. With this purpose, content analysis was conducted on data gathered through document reviews and interviews. The results of the content analysis revealed 5 themes: ranking according to food and beverage, ingredients, personnel, atmosphere and service. The most important theme in the ranking of restaurants within the scope of gastronomy tourism was revealed to be food and beverage. Food and beverage was followed by ingredients, personnel, atmosphere and service respectively as the most emphasized factors. If they want to succeed in gastronomy tourism by fulfilling certain standards, to receive the attention they deserve and to become a gastronomic reference, restaurants need to place importance on the themes of food and beverage, ingredients, personnel, atmosphere and service
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Ikediashi, Dubem I., Stephen O. Ogunlana e Isaac A. Odesola. "Service quality and user satisfaction of outsourced facilities management (FM) services in Nigeria’s public hospitals". Built Environment Project and Asset Management 5, n.º 4 (7 de setembro de 2015): 363–79. http://dx.doi.org/10.1108/bepam-03-2014-0024.
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Purpose – The purpose of this paper is to explore the concepts of satisfaction and service quality of outsourced facilities management (FM) services. Design/methodology/approach – An empirical survey of 208 stakeholders in Nigeria’s hospitals was used to first, assess the level of satisfaction of users of outsourced FM services and second, validate a conceptual model using the structural equation modelling (SEM) methodology. Findings – Findings show that the three top services are cleaning (6.17), security (6.01) and landscape maintenance (5.73) while the least rated service is the plant maintenance and their personnel. The result also indicates that all six hypotheses were supported by the service quality satisfaction model structural equation model, meaning that quality attributes depicted by the outsourced FM services is antecedent to overall satisfaction. Specifically, “security services to overall satisfaction” received the highest path loading of 0.88, and was closely followed by “cleaning services to overall satisfaction” with a loading of 0.82. “Plant maintenance services to overall satisfaction” was however supported even though it had a very low path coefficient of 0.38. Originality/value – The study establishes a causal relationship between antecedents of satisfaction and service quality within the context of Nigeria’s public hospitals and provided insight into outsourced services that received high level of satisfaction among stakeholders unique from previous studies.
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Bas, Murat, Mehtap Akçil Temel, Azmi Safak Ersun e Gökhan Kivanç. "Prerequisite Programs and Food Hygiene in Hospitals: Food Safety Knowledge and Practices of Food Service Staff in Ankara, Turkey". Infection Control & Hospital Epidemiology 26, n.º 4 (abril de 2005): 420–24. http://dx.doi.org/10.1086/502562.
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AbstractOur objective was to determine food safety practices related to prerequisite program implementation in hospital food services in Turkey. Staff often lack basic food hygiene knowledge. Problems of implementing HACCP and prerequisite programs in hospitals include lack of food hygiene management training, lack of financial resources, and inadequate equipment and environment.
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CHONG, YUKYEONG, NAN UNKLESBAY e RICHARD DOWDY. "Clinical Nutrition and Foodservice Personnel in Teaching Hospitals have Different Perceptions of Total Quality Management Performance". Journal of the American Dietetic Association 100, n.º 9 (setembro de 2000): 1044–49. http://dx.doi.org/10.1016/s0002-8223(00)00305-9.
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Amankwah, Oti, Weng-Wai Choong e Abdul Hakim Mohammed. "Modelling the influence of healthcare facilities management service quality on patients satisfaction". Journal of Facilities Management 17, n.º 3 (1 de julho de 2019): 267–83. http://dx.doi.org/10.1108/jfm-08-2018-0053.
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Purpose Facilities management (FM) professionals state that adopting FM will positively support core service delivery and ensure customer satisfaction. Evidences of such claim are important as it will enhance the rationale for institutionalising prudent FM service quality in hospitals in Ghana. This paper aims to assess the mediating effect of healthcare FM service quality on patients’ satisfaction and overall healthcare delivery. Design/methodology/approach This is a cross-sectional study involving adult patients at the Physician outpatient departments and Polyclinics of Komfo Anokye, Tamale and Cape Coast Teaching hospitals in Ghana. A questionnaire survey using a well-structured five-point likert scale based on the SERVQUAL dimensions and Healthcare core service dimensions rooted in the FM framework was used to collect data from 660 patients. Smart PLS was used to analyse the data of 622 valid questionnaires. Findings The study results revealed that FM service quality mediates the relationship between patients’ satisfaction and three of the constructs under core healthcare delivery. That is, (the quality of healthcare delivery, the quality of healthcare personnel and the adequacy of healthcare resources) – surprisingly, the fourth construct (the quality of administration process) was not supported. Originality/value There is no or at best very limited studies on the contribution of healthcare FM on patients satisfaction of core healthcare delivery in Ghana. Therefore, this study will enrich and contribute to knowledge in healthcare FM in general and that of a developing African country in particular.
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Cebeci, Hakan. "HASTANELERDE İŞ KAZALARI VE ÇALIŞAN GÜVENLİĞİ: KARABÜK ŞEHİR MERKEZİ ÖRNEĞİ". Business & Management Studies: An International Journal 1, n.º 1 (26 de dezembro de 2013): 62. http://dx.doi.org/10.15295/bmij.v1i1.17.
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In health sector, health care workers are exposed to a lot of work accidents as a source of the feature of the service. A set of legal arrangements have been made on the subject by the Ministry of Health is working basically assuring the safety of these arrangements, hospitals, hospital management, employee safety committee and a number of employees responsibilities. Evaluation of the work-related accidents which the health care workers are exposed to and safety issues related to working in health care workers and to contribute to the process of searching for solutions, applications, reviews of health care workers and detection of exposure to work-related accidents are important to employee safety. Virtue of this importance, the aim of our research, which threaten the security of working in hospitals and to identify the most common work-related accidents, accidents at work in the formation of this, according to the Service Quality Standards which essentially based on to provide patient and employee safety and to include all the health institutions in the country, hospital management, employee safety committee and responsibilities of employees and so on which provide employees the opportunity to evaluate separately by sections that determine the development of open spaces. Health personnel working in hospitals in the city center of Karabuk scope of the research carried out and the data obtained from questionnaires were applied to various analyzes.Research of health personnel as a result of a work accident rate is quite high exposure, the culture of event notification which does not occur in hospitals, hospitals for the purposes of employee safety committees are activelycommitted to the fore the results. In addition, the participants 'management' obligations relating to employee safety assessment in which the assessment is unfavorable compared.
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Cebeci, Hakan. "HASTANELERDE İŞ KAZALARI VE ÇALIŞAN GÜVENLİĞİ: KARABÜK ŞEHİR MERKEZİ ÖRNEĞİ WORK-RELATED ACCIDENTS AND EMPLOYEE SAFETY IN THE HOSPITALS: AN APPLICATION AT KARABUK CITY CENTRE". Business & Management Studies: An International Journal 1, n.º 1 (26 de dezembro de 2013): 62. http://dx.doi.org/10.15295/bmij.v1i1.18.
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In health sector, health care workers are exposed to a lot of work accidents as a source of the feature of the service. A set of legal arrangements have been made on the subject by the Ministry of Health is working basically assuring the safety of these arrangements, hospitals, hospital management, employee safety committee and a number of employees responsibilities. Evaluation of the work-related accidents which the health care workers are exposed to and safety issues related to working in health care workers and to contribute to the process of searching for solutions, applications, reviews of health care workers and detection of exposure to work-related accidents are important to employee safety. Virtue of this importance, the aim of our research, which threaten the security of working in hospitals and to identify the most common work-related accidents, accidents at work in the formation of this, according to the Service Quality Standards which essentially based on to provide patient and employee safety and to include all the health institutions in the country, hospital management, employee safety committee and responsibilities of employees and so on which provide employees the opportunity to evaluate separately by sections that determine the development of open spaces. Health personnel working in hospitals in the city center of Karabuk scope of the research carried out and the data obtained from questionnaires were applied to various analyzes.Research of health personnel as a result of a work accident rate is quite high exposure, the culture of event notification which does not occur in hospitals, hospitals for the purposes of employee safety committees are activelycommitted to the fore the results. In addition, the participants 'management' obligations relating to employee safety assessment in which the assessment is unfavorable compared.
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Swain, Swapnarag, e Nirmal Chandra Kar. "Hospital service quality as antecedent of patient satisfaction – a conceptual framework". International Journal of Pharmaceutical and Healthcare Marketing 12, n.º 3 (3 de setembro de 2018): 251–69. http://dx.doi.org/10.1108/ijphm-06-2016-0028.
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Purpose The purpose of this paper is to explore dimensions of perceived service quality in hospitals and to develop a conceptual framework showing relationship between hospital service quality, patient satisfaction and their behavioural intention. Design/methodology/approach This paper is based on extensive review of existing literature on hospital service quality, patient satisfaction and behavioural intention. Critical analysis of these literature studies has resulted in determining and defining the dimensions of perceived service quality and establishing relationship between hospital service quality, patient satisfaction and behavioural intention. Findings This study has identified six major areas through which patients perceive quality of service in hospitals. These six areas are technical quality, procedural quality, infrastructural quality, interactional quality, personnel quality, social support quality. Further 20 dimensions of hospital service quality are identified under these 6 major areas. These are clinical procedure, quality of outcome, admission, discharge, waiting time, patient safety, billing and price, follow-up, ambience, availability of resources, accessibility, food, staff attitude, personalised attention, information availability, staff competency, trustworthiness, staff diversity, hospital image and social responsibility. The conceptual framework proposes direct relationship between service quality, patient satisfaction and behavioural intention. Originality/value Though many studies have been conducted on hospital service quality, none of them has been able to project all the possible dimensions to measure the same. The “6-Q framework” developed by this study explores all the possible dimensions of perceived service quality in hospitals.
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Brazzeal, Bradley. "Library Use by Extension Service and Experiment Station Personnel". Journal of Agricultural & Food Information 8, n.º 3 (julho de 2007): 33–41. http://dx.doi.org/10.1300/j108v08n03_04.
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Bonfanti, Angelo. "Customers’ needs and expectations on servicescape surveillance management". TQM Journal 28, n.º 6 (10 de outubro de 2016): 887–906. http://dx.doi.org/10.1108/tqm-05-2015-0067.
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Purpose The purpose of this paper is to identify customers’ needs and expectations regarding servicescape surveillance management (SSM) in order to suggest to service managers how they can carefully design a service environment to ensure a high level of security while concurrently enhancing the customer service experience. Design/methodology/approach Given that this study is explorative in nature, it is based on a specific method of qualitative data collection: focus group interviews. Three focus group sessions were organised with 24 Italian customers of retail stores, hotels and hospitals. The multi-expectation model proposed by Parasuraman, Berry and Zeithaml, which distinguishes between what customers consider acceptable (adequate service level) and what they hope to receive (desired service level), was chosen as the reference framework to investigate customers’ needs and expectations from SSM. Findings Servicescape surveillance must be compatible with customer satisfaction. Customers are acceptably satisfied when servicescape surveillance offers them feelings of physical safety, psychological security, economic security and the right to privacy. They desire that surveillance also allows them to live a positive service experience in sensorial, psychological, social and temporal terms. However, customers’ expectations of adequate and desired service levels are different in terms of the presence, quantity and visibility of surveillance in the three service areas examined. Interestingly, customers expect to find more visible surveillance measures inside retail stores rather than in hotels and hospitals, but they prefer to receive invisible surveillance in the servicescape. Practical implications Service managers should consider surveillance not as a cost or a tool for detecting and punishing inappropriate or criminal behaviour, but rather, as an opportunity for enhancing the customer service experience. They can invest in servicescape design elements, technological surveillance solutions and continuous training of security personnel to meet their customers’ adequate and desired service levels. Originality/value This study provides two major contributions. From the theoretical viewpoint, it extends knowledge of the hitherto under-researched area of SSM by identifying customers’ needs and expectations of surveillance and the customer service experience, which are topics usually examined separately in the literature. In terms of managerial implications, it provides store/hotel/hospital managers with recommendations on how to design a servicescape that is both secure and pleasant.
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Aditia e Budi Waluyo. "AGENSIFIKASI (AGENCIFICATION) DAN EFIENSI: ANALANALISIS PADA BADAN LAYANAN UMUM RUMAH SAKIT". INFO ARTHA 1 (24 de julho de 2017): 1–23. http://dx.doi.org/10.31092/jia.v1i1.108.
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Agencification is a kind of public service reform aimed to achieving good governance. Agencification on several public agencies in Indonesia is conducted through the implementation of Financial Management Pattern on Public Service Agency. This model emphasizes the application of financial flexibility, the principles of productivity, effiency, and effectiveness. In health sector, the government has required the implementation of Financial Management Pattern Public Service Agency for government hospitals.The purpose of this study is to measure the efficiency of the selected Hospitals, which implement Public Service Agency, based on the hospital classification and identify input variavbles that significantly affect the efficiency of the Hospitals. This study describes a through and deep understanding around the calculation and analysis of the efficiency of the central Hospitals. This study uses a quantitative approuch to obtain evidence related to the measurement of Hospitals efficiency. Data and information obtained through observation and study of documentation. Furthermore, the data were statistically analyzed using Data Envelopment Analysis models.The analysis showed that for General Hospital, 9 of 17 instituctions are efficient in relative and 8 institutions are inefficient relative to the other. Meanwhile, for Special Hospital, 10 of 17 institutions are efficient in relative and 7 instutions are infficient relative to the other. Input variables that significantly influence the efficiency of the Hospitals are considered the number of beds (with coefficient 114.6217), the number of doctors (with coefficient -55.52), and the number of health workers other than doctors (with coefficient -1.849583). While the other two input variables, namely the number of non-health personnel and operating expenses do not significantly affect the efficiency of the Hospitals.
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Prado-Prado, J. Carlos, Jesús García-Arca, Arturo J. Fernández-González e Mar Mosteiro-Añón. "Increasing Competitiveness through the Implementation of Lean Management in Healthcare". International Journal of Environmental Research and Public Health 17, n.º 14 (10 de julho de 2020): 4981. http://dx.doi.org/10.3390/ijerph17144981.
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The main aim of this paper was two-fold: first, to design a participative methodology that facilitates lean management implementation in healthcare by adopting the action research approach; second, to illustrate the usefulness of this methodology by applying it to the sleep unit of a public hospital in Spain. This methodology proposes the implementation of lean management in its broadest sense: adopting both lean principles and some of its practical tools or practices in order to achieve competitive advantage. The complete service value chain was considered when introducing changes through lean management implementation. This implementation involved training and involving staff in the project (personnel pillar), detecting and analysing “waste” in value chain processes (processes pillar) and establishing control and measurement mechanisms in line with objectives (key performance indicators pillar) and putting in place improvement actions to achieve these objectives. The application of this methodology brought about an improvement in the management of patient flow in terms of effectiveness, efficiency and quality but also an internal transformation towards lean culture.
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Fuentes, Ramón, Roberto Ferrándiz-Gomis e Begoña Fuster-Garcia. "Efficiency of acute public hospitals in the region of Murcia, Spain". Journal of Comparative Effectiveness Research 8, n.º 11 (agosto de 2019): 929–46. http://dx.doi.org/10.2217/cer-2018-0150.
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Aim: To evaluate the level of efficiency of public acute hospitals situated in the region of Murcia (Spain). Materials & methods: Data from nine acute general hospitals of Murcia’s Health Service (SMS by its Spanish acronym) were analyzed over the 2012–2014 period. The data were extracted from the In-patient Health Establishment Statistics of the Ministry of Health, Social Services and Equality, from the National Health Service (SNS) portal and the SMS portal. To this end, the data envelopment analysis (DEA)-window method was used, since this extension of the basic DEA model allows to compare the efficiency of a small number of units over different years and analyze changes in efficiency over time. In addition, the model was complemented by smooth bootstrapping and a superefficiency analysis to improve the quality of the data interpretation. Four inputs were used (number of beds, number of operating rooms, personnel costs and operating costs), two undesirable outputs (average stay and rate of return) and three desirable outputs (weighted discharges, emergencies and surgical interventions). Results: The average level of inefficiency was 1.58% over the study period, with a good evolution between 2012 (3.53%) and 2014 (0.20%). This improvement was also reflected in the number of efficient hospitals that rose from two in 2012 to eight in 2014. Moreover, the slack levels detected were small. Conclusion: The management of the public hospitals analyzed was favorable, both regarding average level of efficiency and the number of hospitals qualified as efficient. However, the analysis revealed several ways to increase efficiency by reducing specific inputs and nondesirable outputs (mainly operating and personnel costs as well as average length of stay) while increasing desirable outputs (mostly the number of surgical interventions). To finish, specific policy measures are suggested to improve the performance of these hospitals.
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Lin, Chih-Lung, James K. C. Chen e Han-Hsi Ho. "BIM for Smart Hospital Management during COVID-19 Using MCDM". Sustainability 13, n.º 11 (31 de maio de 2021): 6181. http://dx.doi.org/10.3390/su13116181.
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In context of the recent COVID-19 pandemic, smart hospitals’ contributions to pre-medical, remote diagnosis, and social distancing has been further vetted. Smart hospital management evolves with new technology and knowledge management, which needs an evaluation system to prioritize its associated criteria and sub-criteria. The global effect of the COVID-19 pandemic further necessitates a comprehensive research of smart hospital management. This paper will utilize Analytical Hierarchy Process (AHP) within Multiple Criteria Decision Making (MCDM) to establish a smart hospital evaluation system with evaluation criteria and sub-criteria, which were then further prioritized and mapped to BIM-related alternatives to inform asset information management (AIM) practices. This context of this study included the expert opinions of six professionals in the smart hospital field and collected 113 responses from hospital-related personnel. The results indicated that functionalities connected to end users are critical, in particular IoT’s Network Core Functionalities, AI’s Deep Learning and CPS’s Special Network Technologies. Furthermore, BIM’s capability to contribute to the lifecycle management of assets can relate and contribute to the asset-intensive physical criteria of smart hospitals, in particular IoT, service technology innovations and their sub-criteria.
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Lee, Jounghee, e Sohyun Park. "Management of Sodium-reduced Meals at Worksite Cafeterias: Perceptions, Practices, Barriers, and Needs among Food Service Personnel". Osong Public Health and Research Perspectives 7, n.º 2 (abril de 2016): 119–26. http://dx.doi.org/10.1016/j.phrp.2015.12.011.
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Diez-Garcia, Rosa Wanda, Camila Cremonezi JAPUR e Maria Angélica Tavares Medeiros. "Food and nutritional care quality indicators in hospital". Journal of Hospital Administration 2, n.º 3 (11 de abril de 2013): 132. http://dx.doi.org/10.5430/jha.v2n3p132.
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Hospital malnutrition and increased prevalence of hospitalized patients with chronic diseases require hospital improvements in nutritional care quality. This study describes the construction of indicators to assess the quality of hospital food and nutritional care. We obtained a data bank containing information about 37 hospitals as well as their Hospital Food and Nutrition Service (HFNS) applying a questionnaire to the HFNS coordinators of each institution. We collected data about the activities of the clinical dietitians and administrative dietitian, meal production and management, and characteristics of the hospital diet. We grouped the obtained data into two corpora of actions, designated Nutritional Care Quality (NCQ) and Food Service Quality (FSQ). Each corpora comprised four indicators. The NCQ indicators included inpatient dietary coverage actions, evaluation and monitoring of nutritional status actions, actions on integration of nutritional assistance activities within the team, and actions supporting diet therapy. The FSQ indicators comprised mediation actions with users and other hospital sectors, autonomy and management control actions, meal production and qualification actions, and staff qualification actions. Systematizing the NCQ and FSQ indicators is important to support the Food and Nutritional Care Quality in Hospitals (FNCQH).
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Matthias, Olga, e Steve Brown. "Implementing operations strategy through Lean processes within health care". International Journal of Operations & Production Management 36, n.º 11 (7 de novembro de 2016): 1435–57. http://dx.doi.org/10.1108/ijopm-04-2015-0194.
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Purpose The purpose of this paper is to investigate how operations strategy and Lean concepts can be applied within a healthcare organisation and the degree to which both Lean and operations strategy are understood by senior-level National Health Service (NHS) personnel, based on the process of ongoing longitudinal cases studies. Further interviews and data analysis will examine actual performance of Lean capabilities within the NHS. Design/methodology/approach For this explanatory multiple-case study project the authors collected data through semi-structured interviews with executives in the NHS to understand how operations strategies are developed in the NHS and implemented in NHS hospitals. The unit of analysis is the hospital. Multiple (22) interviews took place over 12 months with senior-level personnel responsible for implementing change via operations strategy goals, and incorporating Lean initiatives. In addition, to triangulate data, the authors examined healthcare reports and strategy policy documents from each case hospital. This forms stage 1 of a longitudinal study which will examine the actual performance of Lean within the NHS hospitals across a range of operations parameters and explore links between such capabilities and the role and importance of operations strategy in more detail. Findings The findings lead to the conclusion that operations strategies were not fully developed within the hospitals. In addition, the ongoing data capture shows that “Best practice” was not being disseminated across the NHS, for either patient experience or organisational effectiveness and the role of operations strategy was not fully clear other than as a rather vague “umbrella” term. Despite Lean’s attraction for healthcare at a micro-level, significant operational and cultural hurdles must be overcome for the full strategic benefits of Lean to be realised. A much more holistic approach in providing a full service for the whole of the patient journey is needed. Research limitations/implications The sample provides an initial snapshot. A larger number of hospitals and/or further longitudinal research will be needed to deepen understanding of embedding strategic change to improve overall performance. Practical implications Tackling cultural performance and operational issues at a macro-level could help healthcare providers reconcile the perceived conflicting goals of improving patient care (i.e. service delivery) whilst simultaneously reducing costs. The role of explicit operations strategies could be pivotal in designing and implementing such change. Originality/value This research builds on and extends the work of Toussaint and Berry (2013), Seddon and O’Donovan (2010) and Carlborg and Kowalkowski (2013). The authors highlight how some of the apparent contradictions in the requirements of the various stakeholders create operational and strategic tensions. The authors highlight the multi-faceted nature of design and delivery of a multi-touchpoint service within the complexity of a large healthcare provider.
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Qu, Yan. "Research on Marketing Website Construction - A Case Study in Hospital". Advanced Materials Research 998-999 (julho de 2014): 1207–10. http://dx.doi.org/10.4028/www.scientific.net/amr.998-999.1207.
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Construction of hospital information has greatly improved in recent years, but there exist many problems in the website construction, which can not satisfy the information needs of both doctors and patients and future demands of market competition. From the perspective of practice, this article introduce WEB2.0 concept and its main application in hospital information construction, which oriented to general health workers and hospital management personnel to improve the service quality and doctor-patient relationship, improve the effect of website promotion, bring more benefits to hospital, and improve modern management level of Chinese hospital. It is the inevitable way to improve the modernization management of hospitals.
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Balde, Ousmane, Ibrahima S. Balde, Ibrahima Sylla, Fatoumata B. Diallo, Alhassane II Sow e Sidi M. Haidara. "Implementation of active management of the third period of childbirth for the prevention of immediate post-partum bleeding in four regional maternity hospitals of Conakry, Guinea". International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, n.º 9 (27 de agosto de 2020): 3563. http://dx.doi.org/10.18203/2320-1770.ijrcog20203828.
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Background: The objective of this study was to determine the frequency, skills level of health care service providers; to identify complications and difficulties related to the implementation of AMTPC/GATPA.Methods: It was about prospective study, descriptive of 6 months (1st March to 31st August 2014) carried out in the maternity hospitals of Faranah, Kindia, Mamou and Nzérékoré. It concerned the parturient women who had recently given birth and the personnel that carried out AMTPC/GATPA in these hospitals.Results: During the study period of 1,254 out of 1,305 births had benefited of AMTPC/GATPA, a frequency of 96.1%. The midwives were the most represented personnel in the implementation of GATPA (44.1%). In 46.4% of the cases, the health care service providers acquired this competence from the initial training. The release was obtained in the first trial in 64.9% cases. The duration of implementation of GATPA was less than 5 minutes in 72.6% cases. The different stages were respected in 91.5% cases. Complications were dominated by retention of placental fragments (10.2%). Lack of oxytocin was the main difficulty (36.6%).Conclusions: The sustainability of this achievement would depend on the systematic and correct implementation of AMTPC/GATPA at all childbirth attendants and the effective management of oxytocin.
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Maher, Ali, Mohammad Monfared e Mehrnoosh Jafari. "The relationship between safety management and patient safety culture in Cancer Treatment Centers". Asian Pacific Journal of Environment and Cancer 2, n.º 1 (24 de abril de 2019): 11–16. http://dx.doi.org/10.31557/apjec.2019.2.1.11-16.
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Introduction: Enhancement of patient safety represents a principle objective followed by any health system, and it is necessary to consistently monitor the patient safety culture among nurses. Adopted by health service providers, the patient safety culture is described as the acceptance and maintenance of the patient safety as a common priority and value across the organization, or representation of the common patient safety-related values, beliefs, perceptions, and attitudes among the staff at centers providing health services, as expressed in their behaviors. Given the importance of this topic, the present research investigates the state of safety management in the relationship between safety management and patient safety culture in Cancer Treatment Centers, so as to study the patient safety culture among the personnel at the hospitals.
Methods: The present research plan is an applied study following a descriptive aim via a correlational methodology. Validity of the questionnaires used in this research was confirmed based on opinions of five experts, with the reliability of the results among the observers confirmed by a Cronbach’s alpha of 0.86. The statistical population included three training hospitals in the city of Kermanshah, where different departments such as management, operating rooms, nurses, and the committee of safety and incidents were investigated during 2017-2018.
Results: Based on the findings of the present research, significant direct relationships were observed between the patient safety culture and safety management variables (e.g., operating room standards assessment, the committee of safety and incidents, hospitalization wards assessment, hospital accreditation score, hospital structure, and hospital organization), and an inverse relationship was obtained between the hospital occupancy rate and the patient safety culture.
Conclusion: Determination of safety policies by the management, keeping the personnel well-trained, and continuous reports by the personnel tend to enhance the level of safety across a hospital, thereby adding to the safety culture and productivity of the hospital while reducing potential safety risks. Accordingly, in order to enhance patient safety, it is necessary to adequately invest on the assessment of the safety culture.
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Fleisher, M., e M. K. Schwartz. "Strategies of organization and service for the critical-care laboratory". Clinical Chemistry 36, n.º 8 (1 de agosto de 1990): 1557–61. http://dx.doi.org/10.1093/clinchem/36.8.1557.
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Abstract Critical-care medicine requires rapidity of treatment decisions and clinical management. To meet the objectives of critical-care medicine, the critical-care laboratory must consider four major aspects of laboratory organization in addition to analytical responsibilities: specimen collection and delivery, training of technologists, selection of reliable instrumentation, and efficient data dissemination. One must also consider the advantages and disadvantages of centralization vs decentralization, the influence of such a laboratory on patient care and personnel needs, and the space required for optimal operation. Centralization may lead to workflow interruption and increased turnaround time (TAT); decentralization requires redundancy of instrumentation and staff but may shorten TAT. Minimal TAT is the hallmark of efficient laboratory service. We surveyed 55 laboratories in 33 hospitals and found that virtually all hospitals with 200 or more beds had a critical-care laboratory operating as a satellite of the main laboratory. We present data on actual TAT, although these were available in only eight of the 15 routine laboratories that provided emergency service and in eight of the 40 critical-care laboratories. In meeting the challenges of an increasing workload, a reduced clinical laboratory work force, and the need to reduce TAT, changes in traditional laboratory practice are mandatory. An increased reliance on whole-blood analysis, for example, should eliminate delays associated with sample preparation, reduce the potential hazards associated with centrifugation, and eliminate excess specimen handling.
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Paromita, Progga, Hasina Akhter Chowdhury, Cinderella Akbar Mayaboti, Shagoofa Rakhshanda, A. K. M. Fazlur Rahman, Md Rizwanul Karim e Saidur Rahman Mashreky. "Assessing service availability and readiness to manage Chronic Respiratory Diseases (CRDs) in Bangladesh". PLOS ONE 16, n.º 3 (4 de março de 2021): e0247700. http://dx.doi.org/10.1371/journal.pone.0247700.
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Introduction Chronic Respiratory Diseases (CRDs) are some of the most prevailing non-communicable diseases (NCDs) worldwide and cause three times higher morbidity and mortality in low- and middle-income countries (LMIC) than in developed nations. In Bangladesh, there is a dearth of data about the quality of CRD management in health facilities. This study aims to describe CRD service availability and readiness at all tiers of health facilities using the World Health Organization’s (WHO) Service Availability and Readiness Assessment (SARA) tool. Methods A cross-sectional study was conducted from December 2017 to June 2018 in a total of 262 health facilities in Bangladesh using the WHO SARA Standard Tool. Surveys were conducted with facility management personnel by trained data collectors using REDCap software. Descriptive statistics for the availability of CRD services were calculated. Composite scores for facility readiness (Readiness Index ‘RI’) were created which included four domains: staff and guideline, basic equipment, diagnostic capacity, and essential medicines. RI was calculated for each domain as the mean score of items expressed as a percentage. Indices were compared to a cutoff of70% which means that a facility index above 70% is considered ‘ready’ to manage CRDs at that level. Data analysis was conducted using SPSS Vr 21.0. Results It was found, tertiary hospitals were the only hospitals that surpassed the readiness index cutoff of 70%, indicating that they had adequate capacity and were ready to manage CRDs (RI 78.3%). The mean readiness scores for the other hospital tiers in descending order were District Hospitals (DH): 40.6%, Upazila Health Complexes (UHC): 33.3% and Private NGOs: 39.5%). Conclusion Only tertiary care hospitals, constituting 3.1% of sampled health facilities, were found ready to manage CRD. Inadequate and unequal supplies of medicine as well as a lack of trained staff, guidelines on the diagnosis and treatment of CRDs, equipment, and diagnostic facilities contributed to low readiness index scores in all other tiers of health facilities.
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Ogushi, Y., Y. Okada, M. Kimura, I. Kumamoto, Y. Sekita e Y. Haruki. "Status and Perspective of Hospital Information Systems in Japan". Methods of Information in Medicine 38, n.º 03 (1999): 200–206. http://dx.doi.org/10.1055/s-0038-1634185.
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AbstractQuestionnaire surveys were sent to hospital managers, designed to shape the policy for future hospital information systems in Japan. The answers show that many hospitals use dedicated management systems, especially for patient registration and accounting, and personnel, food control, pharmacy and financial departments. In many hospitals, order-entry systems for laboratory tests and prescriptions are well developed. Half of the hospitals have patient databases used for inquiries of basic patient information, history of outpatient care and hospital care. The most obvious benefit is the reduction of office work, due to effective hospital information system. Many hospital managers want to use the following sub systems in the future for automatic payment, waiting time display, patient records search, automatic prescription verification, drug side-effect monitoring, and graphical display of patient record data.
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Sintia, Faradila, Susilawati . e Fathmawati . "Gambaran Higiene Sanitasi Pengelolaan Makanan di Rumah Sakit ABC Kabupaten Kubu Raya Kalimantan Barat". Jurnal Sehat Mandiri 15, n.º 1 (12 de junho de 2020): 33–40. http://dx.doi.org/10.33761/jsm.v15i1.203.
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Hospital is a health service institution that conducts complete individual health services, which include inpatient, outpatient, and emergency services. Hospitals should minimize the source of diseases caused by food, especially for patients who are hospitalized, therefore hospitals must meet the hygiene requirements for food management. This study aims to describe the implementation of food management sanitation hygiene at ABC Hospital Kubu Raya Regency. This was a descriptive study by observing the components of food management sanitation hygiene at ABC Hospital. Data were collected using a checklist. The analysis was done by comparing the results obtained with the assessment component based on the some Minister of Health regulations. The results of this study indicate that some components of food management must be improved in order to ensure the safety and health of users. Further research needs to develop an instrument for assessing food-management sanitation hygiene in a hospital.
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Souliotis, Andreas, Katerina Giazitzi e George Boskou. "A tool to benchmark the food safety management systems in Greece". Benchmarking: An International Journal 25, n.º 8 (29 de novembro de 2018): 3206–24. http://dx.doi.org/10.1108/bij-02-2017-0028.
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Purpose The purpose of this paper is to develop and implement methods to benchmark the food safety and hygiene of different companies, regardless the management systems applied. Design/methodology/approach The data were collected using a balanced questionnaire which was based on the fishbone model of Ishikawa. The questionnaire includes general questions about the company and 25 questions about personnel, machinery, materials, methods and environment. It was applied to 202 food industries, 42 food retail businesses and 49 food service companies. The data were collected from interviews of industry people related to food safety and from audits of business facilities. The benchmarking methods were descriptive statistics, radar charts, cluster analysis and association rules. Findings The radar charts were used to benchmark food companies on safety and hygiene. Food companies can be evaluated with this benchmarking tool with a balanced score of maximum 100 points. Originality/value This benchmarking tool could be useful for food control authorities, clusters of companies and certification bodies.
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Kavosi, Sahra, Fatemeh Setoodehzadeh, Erfan Kharazmi, Mohammad Khammarnia e Ramin Ravangard. "Propensity of the managers to outsource hospital services in Shiraz, Iran". South East Asia Journal of Public Health 4, n.º 1 (2 de fevereiro de 2015): 59–62. http://dx.doi.org/10.3329/seajph.v4i1.21843.
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Contracting out of health services to the private sectors has been the subject of extensive debate and discussion among health personnel and policymakers. Outsourcing is now considered as a useful management tool for health care managers in the public sector. Outsourcing increases efficiency and service quality, reduces costs, focuses on core processes, improves skills, enhances the overall competitive advantages of the organization, and creates effective occupations in the private sector. The present study aimed to determine the present status of outsourcing hospital services (i.e. radiology, laboratory, nursing, and nutrition) to the private sectors and the propensity of the managers to outsourcing services in six hospitals affiliated to Shiraz University of Medical Sciences, Iran. The study was conducted in six hospitals of Shiraz, Iran in 2012. The study population included all hospitals managers and the sample size was 24. The findings of the study revealed that nutrition, radiology and laboratory services were being outsourced by the hospitals to the private sectors. None of the hospitals outsourced the nursing services. Nutrition service was outsourced by five of the six hospitals, and radiology and laboratory services were outsourced by only one hospital. The highest propensity for outsourcing services among the studied hospital managers were nutrition (87%) followed by laboratory (73.9%), radiology (62.2%) and nursing services (43.3%). Hospital managers and health policy makers should pay more attention to the characteristics of services, besides considering the costs, while outsourcing the services. An effective national policy should be developed to engage the private sectors to improve public health by outsourcing health services.DOI: http://dx.doi.org/10.3329/seajph.v4i1.21843 South East Asia Journal of Public Health Vol.4(1) 2014: 59-62
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Türkmen, Sultan, e Filiz Hisar. "Determination of administrative proficiencies of head nurses in Turkısh Hospitals". Journal of Human Sciences 13, n.º 2 (1 de agosto de 2016): 3204. http://dx.doi.org/10.14687/jhs.v13i2.3706.
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Background: The head nurses are the ones who are responsible for operating care units and managing the nurses in the unit. They are required to have the administrative skills needed to perform these dutiesAim: This study was carried out with the aim of determining the administrative proficiency of head nurses.Methods: The study population comprised head nurses, including nursing instructors working in public and university hospitals in Turkey. The sample included 511 head nurses who were selected within the seven geographical regions of Turkey by simple random sampling. The data gathered in the study, demographic information forms, and the Head Nurse Proficiency Rating Scale were assessed with the t-test in number, percent, and independent groups, one-way analysis of variance, and Tukey Tests.Results: In this study the proficiency level of the head nurses working in Turkey was examined. It was found that they were most proficient in the management of general units and least proficient in care management; but insufficient in planning the future assignment/ career of their employees of subgroups of scala. When considering the factors associated with competencies of the service head nurse; significant statistical differences between all personal characteristics (except professional experience, former training for executive competency and the willing for execution training and competency) and competency were established (p< 0.05).Conclusion: In the light of these results it is suggested that programmes should be provided by schools of nursing, hospitals, the Ministry of Health and occupational nursing organizations for developing proficiency behaviours consisting of care management and personnel management.
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Proskuryakova, Mariya E. "“They Are Obsessed with Scurvy and Typhus”: Diseases and Treatment of Military Personnel in Vyborg and Kexholm (1710s - 1740)". Vestnik NSU. Series: History and Philology 20, n.º 1 (2021): 57–70. http://dx.doi.org/10.25205/1818-7919-2021-20-1-57-70.
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The article analyses the problem of implementing legislation on medical care in the army during the reign of Peter the Great and Anna Ioannovna. The Admiralty Regulations of 1722 and the General Regulations on Hospitals of 1735 announced meticulously prescribed standards for taking care of patients in military hospitals, as well as the number, qualifications and duties of medical personnel in those centers. According to scholars, both documents represent bright examples of the authorities’ faith in the possibility of resolving of crisis in the work of any institution by detailed regulation of all aspects of its activities. However, a research on conditions of service of army employees and state of military health care implies a study based on local material and functioning of certain hospitals. The author focuses on the history of medical institutions in fortresses located on the Russian-Swedish border. The study was carried out on the basis of reports received in St. Petersburg from the border fortresses and devoted to the number of sick employees in the Vyborg and Kexholm garrisons, their diseases and providing them medical care. It is revealed that the military infirmaries have been opened in Vyborg and Kexholm in the early 1720s. And the number and qualifications of the medical personnel met the requirements of the state legislation. Nevertheless, the employees of the local garrisons suffered the same hardships as military men in other north-western fortresses (St. Petersburg, Kronstadt, Riga). This is indicated by the spread of diseases typical for the northern regions and poorly victualled communities, limited in access to proper food and clean sources of water (scurvy, typhus, digestive disorders). Along with that, the region had its own specifics: despite the harsh climate, work on fortifications was carried out from early Spring. Therefore, the soldiers were often hospitalised due to frostbite and colds. From the number of employees sent to the hospital for treatment 66 % died within six months. The most vulnerable group were employees of the first and second years of service under the age of 30. However, the situation in the fortresses did not become critical and epidemics were avoided.
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Cokes, Carolyn, Anne Marie France, Vasudha Reddy, Heather Hanson, Lillian Lee, Laura Kornstein, Faina Stavinsky e Sharon Balter. "Serving High-Risk Foods in a High-Risk Setting: Survey of Hospital Food Service Practices after an Outbreak of Listeriosis in a Hospital". Infection Control & Hospital Epidemiology 32, n.º 4 (abril de 2011): 380–86. http://dx.doi.org/10.1086/658943.
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Background and Objectives.Prepared ready-to-eat salads and ready-to-eat delicatessen-style meats present a high risk for Listeria contamination. Because no foodborne illness risk management guidelines exist specifically for US hospitals, a survey of New York City (NYC) hospitals was conducted to characterize policies and practices after a listeriosis outbreak occurred in a NYC hospital.Methods.From August through October 2008, a listeriosis outbreak in a NYC hospital was investigated. From February through April 2009, NYC's 61 acute-care hospitals were asked to participate in a telephone survey regarding food safety practices and policies, specifically service of high-risk foods to patients at increased risk for listeriosis.Results.Five patients with medical conditions that put them at high risk for listeriosis had laboratory-confirmed Listeria monocytogenes infection. The Listeria outbreak strain was isolated from tuna salad prepared in the hospital. Fifty-four (89%) of 61 hospitals responded to the survey. Overall, 81% of respondents reported serving ready-to-eat deli meats to patients, and 100% reported serving prepared ready-to-eat salads. Pregnant women, patients receiving immunosuppressive drugs, and patients undergoing chemotherapy were served ready-to-eat deli meats at 77%, 59%, and 49% of hospitals, respectively, and were served prepared ready-to-eat salads at 94%, 89%, and 73% of hospitals, respectively. Only 4 (25%) of 16 respondents reported having a policy that ready-to-eat deli meats must be heated until steaming hot before serving.Conclusions.Despite the potential for severe outcomes of Listeria infection among hospitalized patients, the majority of NYC hospitals had no food preparation policies to minimize risk. Hospitals should implement policies to avoid serving high-risk foods to patients at risk for listeriosis.
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Mekhantieva, Lyudmila Evgenievna, Mariya Yurievna Leshcheva e Nataliya Vadimovna Gabbasova. "The formation of the sanitary service in the Voronezh region in the XVIII–XIX centuries". Sanitarnyj vrač (Sanitary Doctor), n.º 2 (1 de fevereiro de 2021): 72–80. http://dx.doi.org/10.33920/med-08-2102-08.
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The aim of the work was to study the history of the formation of the sanitary service in the Voronezh region in the XVIII–XIX centuries. The material of the research was archival materials of the State Archives of the Voronezh Region, the Voronezh Regional Universal Scientific Library named after I.S. Nikitin. The article presents the main historical stages in the development of the sanitary and epidemiological service of the period of the 18th — 19th centuries. Brief information about the first doctors on the territory of the Voronezh province, the raging epidemics of scurvy, typhus, and plague is presented. The most terrible disease that the population of the Voronezh province faced in the first quarter of the 18th century was the plague. Anti-epidemic measures to combat the plague included the establishment of strong outposts and quarantines on the roads, the burning of houses with belongings, horses and cattle, the delay of couriers and the reception of letters through fire with their three times rewriting, the death penalty if the above measures were violated. In the 18th century, the first hospital for the civilian population was opened in the Voronezh region. Medical institutions were poor, poorly equipped, there was an acute shortage of personnel and medical supplies. In 1797, medical boards were organized in the provincial cities, consisting of an inspector, an obstetrician and an operator. The general supervision of hospitals, keeping records of infectious diseases, monitoring the quality of food, conducting forensic medical examinations, and examining patients was entrusted to the council. In the 19th century, cholera became widespread among the population. To prevent the incidence of smallpox, vaccination of the population was carried out since 1802. At the beginning of the 19th century, the replenishment of medical personnel in the Voronezh province was due to midwives. The situation with medical personnel changed only towards the end of the 19th century. The end of the century is characterized by a significant increase in socially significant infectious diseases, especially tuberculosis, syphilis.
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Acilo, Jerwin E., e Esmen M. Cabal. "Canteen Management in Public Secondary High Schools of Zone Ii, Division of Zambales". International Journal of Management and Humanities 5, n.º 11 (30 de julho de 2021): 8–19. http://dx.doi.org/10.35940/ijmh.k1345.0751121.
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The study was conducted to assess the School Canteen Management in Public Secondary High Schools of Zone II, Division of Zambales for the SY 2018-2019.The research utilized descriptive research design and questionnaire as the main instrument in gathering data supplemented by unstructured interviews from one hundred forty two students and one hundred seventeen faculty, parents and canteen operators who were randomly selected. The researcher found out that most of the teachers, parents and canteen owners are adults; female and married. Their monthly family income is meager. Generally they finished high school but majority of them have their BS degree with masteral units and doctorate degree. They belong to Roman Catholics as to their religious affiliation. The canteen owners and teachers have a enough number of experience in the operation of canteen. The student-respondent is generally male, a teenager in Grade 11 and have small amount of money for school daily allowance. The canteen operators and students assessed that on permit and clearance, personnel and staff, price and commodities, food security and standards, quality and quantity of food served, kinds of service render to the customer, transparency and accountability, sharing and proceeds and reports and documentation are evident. There is significant difference on the perceptions of the teachers, parents and canteen operators towards school canteen management as to the evidence of permit and clearance, canteen personnel and staff, quality and quantity of food served, kinds of services rendered to the customers, transparency and accountability when they are group as to type of canteen they operate, age and years on the operation of the canteen and their highest education attainment; significant to age , length of years and type of canteen operation towards price and commodities; however there is a significant difference on their perceptions when they are grouped as to their highest educational attainment and type of canteen operation towards sharing and proceeds; and significant to highest educational attainment, length of years in the canteen operation and type of canteen operation towards report and documentation. There is significant difference on the perception of the teachers, parents, and canteen operators when grouped according to sex on the assessment towards dimension of canteen management as to permit and clearance, personnel and staff, price and commodities, food security and standards, quality and quantity of food served, kinds of service render to the customer, transparency and accountability. There is a significant difference in the perceptions of the teachers, parents and canteen operators towards the evidence in the permit and clearance and food security standard when grouped according to the type of canteen There is a significant difference in the perceptions of teachers, parents and canteen operators towards management evidences in canteen personnel and staff, price and commodities, quality and quantity of food served, kind of services rendered, transparency and accountability and sharing of proceeds when respondents were grouped according to length of years in operation and type of canteen operation with the inclusion of highest educational attainment towards the parameter of sharing proceeds. There is moderate relationship between the perceptions toward management evidences on price and commodities and the quality and quantity of food served as assessed by teacher, parent and canteen operator and student respondents. Based on salient findings and conclusions arrived, the researcher offers the following recommendations that the school heads should prepare a workable and viable long range master plan on canteen operations and personnel functions; the conduct a regular check-up or ocular visits on school canteens particularly on the kitchen area to assure sanitation and cleanliness in food handling is strongly encouraged; that the school officials should be ready to entertain and provide immediate action on complaints against mishandling of food and other concerns related to canteen operation; to provide discounts, combo meals at cheaper price; that the personnel incharge in cooking should look for organic alternatives of seasoning rather than the use so much amount of glutamate monosodium which affects health and safety condition of the students; that the canteen operators/school management should provide continuous training for crews and staff particularly those newly hired to assure safety on food handling and preparation and finally, future researchers may conduct a similar or parallel study with in-depth and wider in scope so as to validate the findings obtained in the study.
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Engin, Melih, e Fatih Gürses. "Adoption of Hospital Information Systems in Public Hospitals in Turkey: An Analysis with the Unified Theory of Acceptance and Use of Technology Model". International Journal of Innovation and Technology Management 16, n.º 06 (outubro de 2019): 1950043. http://dx.doi.org/10.1142/s0219877019500433.
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Information and communication technologies (ICTs) has become a tool which cannot be ignored in terms of public administrations, which provides advantage to the administrations as far as they can be adapted. The use of ICTs become widespread in the health sector as it is in all other sectors. In hospitals, hospital information systems (HIS) are used to keep records of patients and hospitals securely, to improve appointment, in-hospital management, decision support and workflow processes. Therefore, HISs are also used to increase efficiency and productivity, to reduce error rates, to increase service quality, to reduce service costs and to realize the specific purposes such as ensuring patient satisfaction. It is necessary that the end users should adopt HISs to obtain the expected benefits and to implement HIS successfully in public hospitals. The adoption of a technology product is also a sociological phenomenon at the same time. In this regard, the issue of adoption in the relevant literature is addressed in the context of a wide variety of models and many variables. This study is also a study of technology adoption. The subject of the study is the adoption of HISs in public hospitals in Turkey. In this context. The study aimed to determine the factors affecting the adoption of HISs by the personnel working in public hospitals in Turkey, in accordance with the Unified Theory of Acceptance and Use of Technology (UTAUT) model in the literature on technology adoption. In the study, the universe of the study consisted of the personnels (physicians, nurses, health officers, medical secretaries] which were working in public hospitals in the Bursa and Balıkesir Metropolitan Municipalities at the time of the study. According to the results of the study, performance expectancy, effort expectancy and social influence variables have positive and significant effects on the behavioral intention of hospital staff for using of HISs. In addition, facilitating conditions and behavioral intention variables have a positive and significant effect on usage behavior. On the other hand, it was found that gender has a moderator effect on the relationship between performance expectancy, effort expectancy and behavioral intention. Experience has a moderator effect on the relationship between the social influence and the behavioral intention while age has a moderator effect on the relationship between facilitating conditions and use behavior.