World hospitals and health services : the official journal of the International Hospital Federation最新文献

The Global Trigger Tool (GTT) was developed by the Institute of Healthcare Improvement (IHI), to identify and measure the rate of adverse events over time in a healthcare facility. It is a sampling methodology that utilizes "triggers" in the detection of random adverse events and harms and it also measures the adverse events overtime. The Quality and Patient Safety Group of St. Luke's Medical Center--Global City initiated the implementation of the Global Trigger Tool as a proactive solution using retrospective information gathered to address the growing challenge that adverse events and harms impose in the institution with the ultimate goat of improving patient safety. St. Luke's Medical Center Global City is the first and only hospital in the Philippines to implementand utilize the Global Trigger Tool.

The World Health Organization has acknowledged Patient Safety while receiving hospital care as a serious global public health issue, with patient empowerment and community engagement key to continuously improving safety and quality of care for the best possible clinical and patient outcomes. In Australia, the introduction of ten mandatory National Safety and Quality Health Service Standards in 2011 provided the catalyst for all Australian health facilities to review their systems. Standard 2: Partnering with Consumers required health facilities across Australia to assess commitment to, and capacity for consumer and community engagement and participation. At this time, the Royal Brisbane and Women's Hospital did not have a strategic perspective and understanding, or an organizational structure for engaging with consumers (patients, families, care givers and community members). The concept required a new model to replace the clinician-led model of healthcare historically featured in Australia, with a change in culture and core business. processes to partner with consumers at all levels of the system, from individual patient care through to participating in policy development, health service planning and delivery, and evaluation and measurement processes. The challenge for the hospital was to build a sustainable framework of engagement for a genuine patient-centered model of care informed by best practice, and provide leadership and commitment to developing as an area of excellence in patient engagement and experience. A successful and sustainable framework for consumer and community engagement has been embedded in the hospital, with resultant culture change, achieving accreditation across all core and developmental criteria for the partnering with consumer standards including several Met with Merit ratings.

The exchange of clinical information on patients is a common component in nursing shift changes where professionals have limited time to transfer this information. There is no standardized or structured methodology for transferring information, which requires increased time to complete. Also, during the exchange, some interruptions can disrupt the communication among professionals, which can affect the patient's safety. A descriptive study was developed for five months, the information transfer arrangement among nurses was changed in order to determine which interruption increased the time spent on shift change and, therefore, decreased the safety of pediatric patients. The results obtained on the type of interruption caused us to rethink the organization that includes pediatric patient care.

Available infrastructure, resources, and provided services in low-and middle-income countries differ significantly from high-income countries. In healthcare for example, the uneven distribution of health professionals and lack of human resources are real barriers to equitable access to quality health care and services in most developing countries and particularly in Sub-Saharan Africa. As available resources are lower and infrastructure is les developed many services and tools that have been developed for a high-income context cannot be used or are not sustainably affordable in a low-income environment, which led to the development of tools and services that are affordable and appropriate for this context. This ranges from concepts of blended learning, over tools for distance education and diagnostic to hardware like affordable and robust ultrasound machines and services like mobile payment. Many of these solutions and tools also have a great potential to be utilized in a different context and some of them have been deployed in high-income countries.

Anjo City has two general hospitals. Kosei Hospital, a central medical center for advanced care, and our Yachiyo Hospital for regional care. Recently, Kosei Hospital faced over-capacity problem because of overflow in emergency visits and congested wards due to shortage of post-acute beds. We planned a project to ease the congestion of the central hospital and manage post-acute patients.

China's biggest population size is the foremost intriguing factor in the country's wellness tourism opportunity. Preventative medicine and health prevention is one of the most growing healthcare sectors due to state-of-the-art advanced medical diagnostics and technology. However, wellness tourism in China is still in its infancy, it offers massively new opportunities for the outbound wellness tourism industry. Several reports reveal that environmental assets, including fresh air, clean water and natural features, are considered the most important attributes for the development of wellness tourism for the Chinese. Phuket Island is one of the best tourism destinations with a great reputation for environmental leisure and beach activities. Additionally, advanced medical facilities and specialist physicians at hospital providers in Phuket Island provide the opportunity to serve a proven outcome-based preventative medicine and wellness intervention for clients or patients who are seeking wellness tourism and healthy longevity.

Background: Hospital bed utilization is influenced by various factors which can be divided into patient, physician and administration related. These factors should be seen from the eyes of healthcare providers so that any improvement initiative taken by the administration is matched with the health worker's perception which ultimately affect the hospital efficiency and quality of care.

Aim and objective: To ascertain the factors influencing hospital bed utilization from the perspective of healthcare providers.

Methods: This cross sectional study was conducted in an apex tertiary care public institution in northern region of India. All the resident doctors and nurses in the 18 wards of 7 specialties and 7 super specialties were interviewed using a structured validated self-administered questionnaire.

Results: A total of 279 participants (117 doctors and 162 nurses) were enrolled in the study. The factors significantly influencing bed utilization with regard to doctors are patients (2.34, 0.36), physician (2.47, 0.32), administrative (2.61, 0.29) and with regard to nurses are patient (1.97, 0.40), physician (1.97, 0.46), administrative (2.39, 0.40).

Conclusion: Changing healthcare trends in the recent past (innovations in policy decisions, technological advances, business sustainability aspect, quality initiatives etc.), gave an insight to policy makers (administrators) to consider the perception of healthcare providers (human resource) regarding bed utilization as an important component of healthcare delivery system.

There has been significant improvement in health in Sub-Saharan Africa due to global commitment such as the Millennium Development Goals (MDGs). However, progress has been slow due to the double burden of diseases which is affected by weak health systems. The Sustainable development Goals (SDGs) with one of its targets of Universal Health Coverage ((UHC) emerges as a transformation in fighting health challenges. This article addresses how effective hospital services are as an essential component of achieving SDGs and UHC in Africa. However currently, hospitals in the region are overwhelmed with shortage of staff, limited health infrastructure and poor efficiency. Countries need to establish core hospitals strategy to ensure that people centered services is accessible to all. In addition, the WHO Africa Region foresees an approach of improving health systems including hospital services by: a) Increasing technical investments in the development and creation of national health polices, strategies and plans including hospitals as part of services delivery strategies. b) Providing technical guides and standards c) Implementing essential package of services in primary health care d) Improving information collection on hospital catchment areas. Furthermore, countries will need to increase the capacity of hospitals to train health workers, improve management of hospital operations and efficiency. It is critical for African countries to strengthen all aspects of hospital services which can then position the region in achieving the SDGs and UHC.

Access to essential medicines in low-and middle-income countries is affected by market failures and government failures. This paper review the design and lessons learned from the multi-country Phase I of the Affordable Medicines for Malaria (AMFm), and the political economy of decision making around findings from its independent evaluation. It concludes with reflections on lessons learned, the potential applicability of the private-public approach to other health commodities and countries, and the implications of this experience for evidence-based decisions in global health and development assistance.

This article is about health insurance-related and Third Par!y Administrator services in India. Health Insurance in India is still at an early stage: only about 14% of the entire population has taken out insurance. There is a large chunk of the population without any insurance coverage. Third Party Administrators (TPA's) are intermediary between Insurance companies. Hospitals (Providers) and Insured Parties (Corporate or Individual). Indian Health Insurance is growing at the rate of almost 30% per year. The government of India is launching a lot of schemes to cover the population, especially in rural parts of the country. Current market size is almost Rs 22000 Crores.