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1 – 10 of over 88000
Article
Publication date: 30 December 2021

Mohsen Abdoli, Mostafa Zandieh and Sajjad Shokouhyar

This study is carried out in one public and one private health-care centers based on different probabilities of patient’s no-show rate. The present study aims to determine the…

Abstract

Purpose

This study is carried out in one public and one private health-care centers based on different probabilities of patient’s no-show rate. The present study aims to determine the optimal queuing system capacity so that the expected total cost is minimized.

Design/methodology/approach

In this study an M/M/1/K queuing model is used for analytical properties of optimal queuing system capacity and appointment window so that total costs of these cases could be minimized. MATLAB software version R2014a is used to code the model.

Findings

In this paper, the optimal queuing system capacity is determined based on the changes in effective parameters, followed by a sensitivity analysis. Total cost in public center includes the costs of patient waiting time and rejection. However, the total cost in private center includes costs of physician idle time plus costs of public center. At the end, the results for public and private centers are compared to reach a final assessment.

Originality/value

Today, determining the optimal queuing system capacity is one of the most central concerns of outpatient clinics. The large capacity of the queuing system leads to an increase in the patient’s waiting-time cost, and on the other hand, a small queuing system will increase the cost of patient’s rejection. The approach suggested in this paper attempts to deal with this mentioned concern.

Details

Journal of Modelling in Management, vol. 18 no. 2
Type: Research Article
ISSN: 1746-5664

Keywords

Article
Publication date: 22 February 2008

Michael W. Brand, Dave Kerby, Brenda Elledge, Tracey Burton, Dana Coles and Amy Dunn

The aim of this paper is twofold: to delineate the results of the focus groups regarding volunteers and their needs; and to compare the results with pertinent literature regarding…

1643

Abstract

Purpose

The aim of this paper is twofold: to delineate the results of the focus groups regarding volunteers and their needs; and to compare the results with pertinent literature regarding volunteerism to determine whether the motivating factors and needs of volunteers still need to be addressed by public health and other professional practitioners.

Design/methodology/approach

Focus groups were conducted with public health volunteers and content analysis was conducted to identity central themes.

Findings

Several important themes related to motivation and training emerged from the focus groups. These findings are supported by the sociological, psychological, management and administrative literature on volunteerism.

Research limitations/implications

While qualitative, these findings emphasize factors of which public health and emergency management officials need to be cognizant as they prepare, plan and work with volunteers.

Practical implications

In order to retain volunteers' public health and emergency management, volunteer programs need to address the social, interpersonal, and educational desires of volunteers.

Originality/value

The perceptions, values, interests and motivation of public health volunteers were directly elicited in order to identify factors that facilitate volunteer participation in public health and emergency responses.

Details

Disaster Prevention and Management: An International Journal, vol. 17 no. 1
Type: Research Article
ISSN: 0965-3562

Keywords

Article
Publication date: 17 February 2022

Nikolaos Apostolopoulos, Panagiotis Liargovas, Pantelis Sklias, Ilias Makris and Sotiris Apostolopoulos

This paper aims to examine whether private healthcare entrepreneurship can flourish and overcome obstacles in cases of a free-access public health system and periods of strict…

Abstract

Purpose

This paper aims to examine whether private healthcare entrepreneurship can flourish and overcome obstacles in cases of a free-access public health system and periods of strict public policies, such as the COVID-19 pandemic. Moreover, the paper aims to illuminate the wider social role of private healthcare entrepreneurship during the COVID-19 pandemic.

Design/methodology/approach

This paper adopts a qualitative methodological strategy through 12 in-depth semi-structured interviews with the owners of diagnostic centres located in small Greek towns.

Findings

Private healthcare entrepreneurship flourished and played a significantly positive social role in the context of a degraded public health sector, which lacked investments for more than ten years and was further depleted by its recent focus on COVID-19 incidents. This paper reveals that although public policies that aimed to deal with COVID-19 produced serious consequences, business activity adapted to the new circumstances.

Research limitations/implications

Future research can combine the findings of this paper with the views of stakeholders, policymakers and social actors.

Originality/value

This paper's value lies in its efforts to expand our current knowledge regarding the impact of COVID-19 public policies on entrepreneurship.

Details

Journal of Entrepreneurship and Public Policy, vol. 11 no. 1
Type: Research Article
ISSN: 2045-2101

Keywords

Article
Publication date: 1 June 2003

Dongwoon Han and Heejin Lee

The public health sector in South Korea introduced district health information systems (DHIS) in health centres in the early 1990s. DHIS aimed to help health centres to provide…

1843

Abstract

The public health sector in South Korea introduced district health information systems (DHIS) in health centres in the early 1990s. DHIS aimed to help health centres to provide comprehensive health care services and to achieve effective and efficient management of their works. District health information systems are still being implemented in health centres. Information generated and collected through the systems is to be used by local authorities to plan and manage health services in their areas, and further by the central government to make a health plan and health policy at the national level. However, the adoption and implementation of DHIS by health centres does not meet the initial anticipation. Moreover, reasons for that have not been explored yet. This paper presents the development of DHIS for health centres in Korea, evaluates the project focusing on impacts and problems found in implementing the systems, and provides lessons and recommendations for establishing a nationwide health information network.

Details

Logistics Information Management, vol. 16 no. 3/4
Type: Research Article
ISSN: 0957-6053

Keywords

Article
Publication date: 1 August 2023

Pragyan Monalisa Sahoo and Himanshu Sekhar Rout

This paper aims to analyze the status of infrastructure, workforce and basic amenities at public health-care facilities in rural India and draw a comparison with its urban…

Abstract

Purpose

This paper aims to analyze the status of infrastructure, workforce and basic amenities at public health-care facilities in rural India and draw a comparison with its urban counterparts.

Design/methodology/approach

Rural Health Statistics data and National Sample Survey Office Report for the period 2019–10 were used to analyze lower-level public health facilities, namely, subcenters, primary health centers and community health centers (CHCs). Selected tracer indicators under World Health Organization’s (WHO) Service Availability and Readiness Assessment (SARA) mechanism such as health center density, core health workforce density and basic amenities were used to carry out the analysis. The extent of facility coverage was measured using the National Rural Health Mission (NRHM) guidelines and the proportion of facilities satisfying the Indian Public Health Standards (IPHS) was measured to assess the service provision quality in rural public health-care facilities.

Findings

Results indicated that the density of public health centers is higher in rural areas than in urban areas. Almost all public health-care facilities lack basic amenities in rural areas. Working positions for health specialists in CHCs barely meet the total requirement. Almost all of the public health facilities functioning in rural areas do not meet the IPHS norms.

Originality/value

To the best of the authors’ knowledge, the present paper is the first initiative to assess the status of rural public health-care facilities on the national level using WHO’s SARA indicators as well as NRHM and IPHS guidelines. The study is significant in terms of policy input for achieving universal health coverage in India.

Details

Facilities , vol. 41 no. 13/14
Type: Research Article
ISSN: 0263-2772

Keywords

Article
Publication date: 1 April 1999

Andoni Arcelay, Elena Sánchez, Luis Hernández, Gabriel Inclán, Maite Bacigalupe, Jon Letona, Rosa María González and Ana Elisabeth Martínez‐Conde

The Basque Country Public Health Service has moved in the last years from considering quality as an attribute of patient care to thinking that all management can be subject to…

1516

Abstract

The Basque Country Public Health Service has moved in the last years from considering quality as an attribute of patient care to thinking that all management can be subject to improvement. Consequently, its general management team has promoted and supported a self‐assessment experience of all their centres by means of the European Quality Model. This strategy has been facilitated by the Basque Country Government, which has strongly encouraged total quality management in companies, and has created the Basque Foundation for Quality Promotion, a key institution in this whole process. A total of 26 centres of the Public Health Service concluded a self‐assessment process. As the main result of this, different improvement areas were detected, and various necessary actions were implemented in the centres assessed. Advantages, troubles and future work lines to extend and improve the use of the EFQM model in the health sector are discussed.

Details

International Journal of Health Care Quality Assurance, vol. 12 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 1 March 2007

Umit Alsac

Health sector is one of the most important sectors when the size of spending and the number of people and organizations involved are considered. An important characteristic of…

Abstract

Health sector is one of the most important sectors when the size of spending and the number of people and organizations involved are considered. An important characteristic of this sector is the dominance of governments as health care providers and/or financers. This fact has important procurement policy implications. This paper gives a detailed overview of the health sector in Turkey and issues surrounding public procurement in this sector. It presents a model for implementation of eprocurement in Turkey’s public health sector, a discussion about the extent to which e-procurement can solve prevailing problems and suggestions to improve procurement in this sector.

Details

Journal of Public Procurement, vol. 7 no. 3
Type: Research Article
ISSN: 1535-0118

Book part
Publication date: 23 January 2023

Kristina W. Kintziger and Jennifer A. Horney

Little attention has been given to the mental and physical health impacts of COVID-19 on the academic public health workforce. Academic public health is an important support

Abstract

Little attention has been given to the mental and physical health impacts of COVID-19 on the academic public health workforce. Academic public health is an important support mechanism for public health practice, providing expertise and workforce training, conducting research, disseminating evidence-based scientific information to both public health and lay audiences, and serving as a supplementary workforce when additional resources are needed. These roles become more important during a public health emergency, particularly during a prolonged public health crisis like the COVID-19 pandemic. As a result of the COVID-19 response, the roles of academic public health have expanded to include developing and implementing contact tracing, surveillance, testing, and vaccination programs for universities and their surrounding communities, all while continuing to prepare students and support the public health practice workforce in their ongoing efforts. As in other responder groups, this has resulted in significant mental health effects and burnout among public health academicians. The authors suggest important steps that can be taken to improve the resilience of the academic public health workforce and to support their contributions during prolonged public health emergencies.

Details

COVID-19, Frontline Responders and Mental Health: A Playbook for Delivering Resilient Public Health Systems Post-Pandemic
Type: Book
ISBN: 978-1-80262-115-0

Keywords

Book part
Publication date: 30 May 2022

Seela Aladuwaka, Barbara Wejnert, Ram Alagan and Manoj Mishra

The COVID-19 pandemic has impacted every community across the globe, but the global COVID-19 data show that the United States remains the most affected country where well over…

Abstract

The COVID-19 pandemic has impacted every community across the globe, but the global COVID-19 data show that the United States remains the most affected country where well over 666,000 people died, and approximately 40 million citizens became ill due to the virus' spread by mid-2021 (CDC, 2021). It is also noteworthy that extreme racial disparities in rates of COVID-19 cases and deaths are high in the United States, specifically among African American population. This situation is particularly evident among African American population in Alabama's Black Belt. Subsequently, COVID-19, racial disparities, and health inequalities have become central to the national and regional conversation. This chapter examines the associations between COVID-19, social determinants of health, and the systematic health disparity in African American population in Alabama's Black Belt region using Geographic Information Systems and the concept of uneven spatial development. Understanding the relationship between COVID-19 and these disparities within a spatial context vital to developing pathways to overcome the pandemic's effects and combat the systemic discrimination in this region. The derived policy recommendation could apply to other regions experiencing social inequality and health disparity.

Details

Systemic Inequality, Sustainability and COVID-19
Type: Book
ISBN: 978-1-80117-733-7

Keywords

Article
Publication date: 25 January 2011

Ritu Narang

This paper aims to measure the perception of patients towards quality of services in public health care centres in rural India.

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Abstract

Purpose

This paper aims to measure the perception of patients towards quality of services in public health care centres in rural India.

Design/methodology/approach

A 23‐item scale that tested well for reliability and construct validity was employed for the study. Mixed sampling technique was employed to select the sample. A total of 500 respondents from Eastern, Western and Central regions of Uttar Pradesh were surveyed.

Findings

The survey instrument had an overall Cronbach's alpha value of 0.96 and was able to discern differences across various socio‐demographic characteristics of the respondents. The opinions of the respondents towards health care quality were not very favourable. Negative scores were obtained on items, “availability of adequate medical equipments” and “availability of doctors for women”. Education, gender and income were found to be significantly associated with user perception.

Research limitations/implications

The current study was limited to measuring the perceived quality of health care services in public centres only. Moreover, as the study was confined to the state of Uttar Pradesh so caution has to be exercised in making generalisations for the entire nation.

Practical implications

Valuable insights into the quality of services at public health care centres in rural India have been provided by the study.

Originality/value

Knowledge about the patients' perception towards health care quality is one of the most important steps towards introducing reforms in the health care sector. Identification of areas that require immediate improvement in public health care centres provides valuable guidance to the policy makers who can devise suitable strategies to make these centres more sensitive and responsible to the needs of the rural population. This can lead to restoration of faith in public health care centres and subsequently their increased consumption.

Details

Clinical Governance: An International Journal, vol. 16 no. 1
Type: Research Article
ISSN: 1477-7274

Keywords

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