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匹配条件： “health service planning” ，找到相关结果约1000条。
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A regula？？o pública da saúde no Estado brasileiro: uma revis？o
Santos, Fausto Pereira dos;Merhy, Emerson Elias;
Interface - Comunica？？o, Saúde, Educa？？o , 2006, DOI: 10.1590/S1414-32832006000100003
Abstract: aiming at analyzing the public regulation of the health care system in brazil, this essay concerns the area of healthcare management and policies. taking regulation to mean the capacity to intervene in the offer of services, changing or orienting their execution, the paper discusses its historical evolution, its determinants, the different regulation strategies used, their objectives, the actors involved, and, in particular, the instruments created by the government, one of the actors. the study is based on a review of the subject, debating conceptual issues and the tools used in the regulatory process in the healthcare field, its reach and limitations.
Avalia？？o dos servi？os de urgência e emergência da rede hospitalar de referência no Nordeste Brasileiro
Dubeux, Luciana Santos;Freese, Eduardo;Reis, Yluska Almeida Coelho dos;
Cadernos de Saúde Pública , 2010, DOI: 10.1590/S0102-311X2010000800005
Abstract: this article evaluates the degree of implementation of ten urgent and emergency hospital services comprising the macro and micro-regional referral system in pernambuco state, northeast brazil. the study analyzes criteria related to structure (physical and organizational, and material and human resources) and process (routine and referral/counter-referral activities), classifying the hospitals as satisfactory, acceptable, and deficient. the majority of the hospitals were classified as deficient, including all the micro-regional units and one macro-regional referral unit. macro-regional units show better performance in the work process, while implementation of the structural dimension is better in the micro-regional hospitals. the results highlight the priority of upgrading these hospitals by strengthening decentralized human resources and technology policies, oriented towards the improvement of work processes in keeping with the state's regional contexts.
Maximising access to thrombectomy services for stroke in England: A modelling study
Anthony G Rudd,Gary A Ford,Ken Stein,Kerry Pearn,Martin James,Michael Allen,Peter McMeekin,Phil White
- , 2019, DOI: 10.1177/2396987318785421
Abstract: Both intravenous thrombolysis (IVT) and intra-arterial endovascular thrombectomy (ET) improve the outcome of patients with acute ischaemic stroke, with endovascular thrombectomy being an option for those patients with large vessel occlusions. We sought to understand how organisation of services affects time to treatment for both intravenous thrombolysis and endovascular thrombectomy. A multi-objective optimisation approach was used to explore the relationship between the number of intravenous thrombolysis and endovascular thrombectomy centres and times to treatment. The analysis is based on 238,887 emergency stroke admissions in England over 3 years (2013–2015). Providing hyper-acute care only in comprehensive stroke centres (CSC, providing both intravenous thrombolysis and endovascular thrombectomy, and performing >150 endovascular thrombectomy per year, maximum 40 centres) in England would lead to 15% of patients being more than 45 min away from care, and would create centres with up to 4300 stroke admissions/year. Mixing hyper-acute stroke units (providing intravenous thrombolysis only) with comprehensive stroke centres speeds time to intravenous thrombolysis and mitigates admission numbers to comprehensive stroke centres, but at the expense of increasing time to endovascular thrombectomy. With 24 comprehensive stroke centres and all remaining current acute stroke units as hyper-acute stroke units, redirecting patients directly to attend a comprehensive stroke centre by accepting a small delay (15-min maximum) in intravenous thrombolysis reduces time to endovascular thrombectomy: 25% of all patients would be redirected from hyper-acute stroke units to a comprehensive stroke centre, with an average delay in intravenous thrombolysis of 8 min, and an average improvement in time to endovascular thrombectomy of 80 min. The balance of comprehensive stroke centre:hyper-acute stroke unit admissions would change from 24:76 to 49:51. Planning of hyper-acute stroke services is best achieved when considering all forms of acute care and ambulance protocol together. Times to treatment need to be considered alongside manageable and sustainable admission numbers
Stroke in neurological services in Italy
Fabrizio Antonio De Falco,Maurizio A. Leone,Ettore Beghi
Neurology International , 2009, DOI: 10.4081/ni.2009.e8
Abstract: o assess the stroke workload of Italian neurological services and to correlate it with indicators of each hospital’s emergency setting. A semi-structured questionnaire was sent to the 220 neurology units (NU) located in hospitals with an emergency room (ER) (155 responders, 71%). Stroke was the most common discharge diagnosis (29%) (273 patients/year/NU on average) and condition requiring consultation in ER (28%). A stroke unit was available in 28% of NU, bedside monitors in 45%, a 24 hour/day and 7 day/week (24/7) CT scan in 90%, a 24/7-MRI in 32%, a 24/7 on-duty neurologist in 36%. The stroke workload was correlated only with the number of ER consultations per year, and marginally to the presence of stroke units and the number of monitored beds in the univariate, but not in the multivariate analysis. The stroke workload in Italian NU is very high, but is largely unrelated to their structural and functional characteristics, in contrast with the international indications requiring several essential criteria for the best hospital management of all stroke patients.
Optimizing outage utilization for substations and transformers
McGrail, Tony
- , 2018,
Abstract: Sa？etak Outage planning is a critical consideration companies cannot spare to neglect. Identifying which assets need attention and by taking preventative measures to monitor the condition of your key assets, teams can proactively plan for maintenance work and have insights into critical problem areas before they cause system failure. This article will review partial discharge/electromagnetic interference in-service surveys, how to identify risks to your assets (like transformers) and share best practices to plan for your outages, ensuring both your asset’s longevity and network health
Equipes de referência: arranjo institucional para potencializar a colabora？？o entre disciplinas e profiss？es
Furtado, Juarez Pereira;
Interface - Comunica？？o, Saúde, Educa？？o , 2007, DOI: 10.1590/S1414-32832007000200005
Abstract: the need to increase collaboration between disciplines and professions is often stressed in different texts and suggested as a possible solution to the many impasses and issues that teams working in health and education programs and services face. however, the discussion on disciplinary and professional interaction has failed to advance in relation to what was introduced in brazil in the 70s. on the other hand, the brasilian health system (sus) needs proposals that actually make the integration of knowledge and practice viable in the field of services. this article critiques the dominant notion of interdisciplinary and inter-professional collaboration and suggests that services be organized based on reference teams as a way to encourage and increase collaboration between disciplines and professions.
Improving the Patient Discharge Planning Process through Knowledge Management by Using the Internet of Things  [PDF]
Nitya Ahilandam Kamalanathan, Alan Eardley, Caroline Chibelushi, Tim Collins
Advances in Internet of Things (AIT) , 2013, DOI: 10.4236/ait.2013.32A003
Abstract:

The UK National Health Service (NHS) is faced with problems of managing patient discharge and preventing the problems that result from it such as frequent readmissions, delayed discharge, long waiting lists, bed blocking and other such consequences. The problem is exacerbated by the growth in size, complexity and the number of chronic diseases in the NHS. In addition, there is an increase in demand for high quality care, processes and planning. Effective Discharge Planning (DP) requires practitioners to have appropriate, patient personalised and updated knowledge in order to be able to make informed and holistic decisions about a patients’ discharge. This paper examines the role of Knowledge Management (KM) in both sharing knowledge and using tacit knowledge to create appropriate patient discharge pathways. The paper details the factors resulting in inadequate DP, and demonstrates the use of Internet of Things (IoT) and Machine2Machine (M2M) as candidate technologies and possible solutions which can help reduce the problem. The use of devices that a patient can take home and devices which are perused in the hospital generate information, which can serve useful when presented to the right person at the right time, thus harvesting knowledge. The knowledge when fed back can support practitioners in making holistic decisions with regards to a patients’ discharge.

Competência profissional e assistência em anticoncep？？o
Moura,Escolástica Rejane Ferreira; Silva,Raimunda Magalh？es da;
Revista de Saúde Pública , 2005, DOI: 10.1590/S0034-89102005000500015
Abstract: objective: to evaluate the technical competence of professionals carrying out activities related to contraceptive care. methods: evaluative research in the field of health was conducted in eight districts of the state of ceara from july to september 2003. data was collected by means of interviews with 29 nurses working in the family health care program within these districts and 50 people being attended by this program. observations of the family health care units were a complementary source of data within this study. results: the majority of nurses had received some form of training regarding contraception and the technical norms regulating their use. however, professional barriers were reported by the nurses and others were identified by lay persons being attended by the program, that indicate the need to provide better training for professionals engaged in this area of care. the nurses recognized they had deficits in information and communication skills as well as technical deficits in dealing with contraception. conclusions: there are gaps in professional competence with regard to contraceptive care that, when associated to the lack of systematization of team work, generates distortions in the quality of care. team work was characterized by the lack of definition of team members' specific attributions and tasks.
Interrelación de la epidemiología con la economía de salud
Lambert Matos,Ramón;
Revista Cubana de Higiene y Epidemiolog？-a , 1996,
Abstract: the experience attained in health planning an epidemiological bases is described. these aspects have been approached in cuba by epidemiologists and specialists from other medical disciplines at the first and second workshops of epidemiology and the family physician, where there have been formulated the guidelines of work, organization and health planning that were concretely expressed in the main document about the objectives, purposes and guidelines (opg) of cuban public health for 200. it is also analyzed the economic link inthe three areas of the opg, and it is made a descriptive and cross-sectional study of the fundamental health indicators in the country and in the province 3 years after their introduction, as well as of the costs by affections in these three areas. it was observed that the non communicable chronic diseases generated higher costs and that 6 of them decreased morkedly at the end of 1993. the hospitalization services showed a descending trend at the national and provincial level. the hospital ambulatory activity was reduced due to a significant improvement of the assistence given at the ambulatory institutions of primary health care.
Community Participation on Health and Family Planning Programs in Bangladesh: The Role of Education and Knowledge on HFP for Plummeting Pharmaceutical Costing
M.A. Kabir,M.N. Huq,Abul Quasem Al-Amin,Gazi Mahabubul Alam
International Journal of Pharmacology , 2012,
Abstract: Old fashioned Community Participation (CP) in Healthcare and Family Planning Programs (HFPPs) requires a number of revisions in order to confront the challenges of 21st century. Fundamentally operating any large project likewise HFPPs requires a mammoth budget. It is thus important to have some financial gains and savings for a state from the relevant areas by introducing a newer project. Evidences assert that HFPPs consumes a higher endowment without reducing the pharmaceutical cost in the respective area. Thus, in such situations, state faces financial constraints by introducing supplementary or a parallel projects. Considering this issue as research problem, this study was conducted in Bangladesh to understand the impact of community participation on HFPPs. An analytical justification is used to discover the factors that are causing the problems for existing HFPPs. Observation also notes that HFPPs fails in plummeting pharmaceutical service costing in the respective area. It rather works as marketing tool for pharmaceutical business. Additional findings indicate that socio-economic condition, basic knowledge and fundamental awareness are essential in receiving the extended benefit. In addition to these, integration of CP and HFPPs may overcome the problems of the gap between demand and available resources for meeting the extensive healthcare that a country needs. However, it is also somehow constrained because of inadequate education and knowledge in the respective area of the rural population who are the key dependents on HFPPs. Therefore, we emphasize both on the redesigning of existing HFPPs and education attainment for the long term benefits. Our study is witness to support extensive CP in existing HFPPs and advocate why current system needs to be redesigned including the plummeting pharmaceutical service costing in the way forward for Bangladesh.
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