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[PMID]:27706069
[Au] Autor:Yang N; Chen S; Hu W; Wu Z; Chao Y
[Ad] Endereço:Faculty of Information Engineering, China University of Geosciences, 388 Lumo Road, Wuhan 430074, China. naigeer@163.com.
[Ti] Título:Spatial Distribution Balance Analysis of Hospitals in Wuhan.
[So] Source:Int J Environ Res Public Health;13(10), 2016 Sep 30.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:The spatial distribution pattern of hospitals in Wuhan indicates a core in the central urban areas and a sparse distribution in the suburbs, particularly at the center of suburbs. This study aims to improve the gravity and Huff models to analyze healthcare accessibility and resources. Results indicate that healthcare accessibility in central urban areas is better than in the suburbs, where it increasingly worsens for the suburbs. A shortage of healthcare resources is observed in large-scale and high-class hospitals in central urban areas, whereas the resources of some hospitals in the suburbs are redundant. This study proposes the multi-criteria evaluation (MCE) analysis model for the location assessment in constructing new hospitals, which can effectively ameliorate healthcare accessibility in suburban areas. This study presents implications for the planning of urban healthcare facilities.
[Mh] Termos MeSH primário: Planejamento Hospitalar
Hospitais Urbanos/estatística & dados numéricos
Hospitais
[Mh] Termos MeSH secundário: China
Cidades
Recursos em Saúde
Acesso aos Serviços de Saúde/estatística & dados numéricos
Hospitais/classificação
Hospitais/estatística & dados numéricos
Análise Espacial
Serviços de Saúde Suburbana/estatística & dados numéricos
Serviços Urbanos de Saúde/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161006
[St] Status:MEDLINE


  2 / 4434 MEDLINE  
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[PMID]:27447336
[Au] Autor:Subhash SS; Baracco G; Miller SL; Eagan A; Radonovich LJ
[Ti] Título:Estimation of Needed Isolation Capacity for an Airborne Influenza Pandemic.
[So] Source:Health Secur;14(4):258-63, 2016 Jul-Aug.
[Is] ISSN:2326-5108
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We estimated the number of isolation beds needed to care for a surge in patients during an airborne-transmissible influenza pandemic. Based on US health system data, the amount of available airborne isolation beds needed for ill patients will be exceeded early in the course of a moderate or severe influenza pandemic, requiring medical facilities to find ways to further expand isolation bed capacity. Rather than building large numbers of permanent airborne infection isolation rooms to increase surge capacity, an investment that would come at great financial cost, it may be more prudent to prepare for wide-scale creation of just-in-time temporary negative-pressure wards.
[Mh] Termos MeSH primário: Planejamento em Desastres
Número de Leitos em Hospital
Influenza Humana/epidemiologia
Pandemias
[Mh] Termos MeSH secundário: Planejamento Hospitalar
Seres Humanos
Influenza Humana/transmissão
Determinação de Necessidades de Cuidados de Saúde
Isolamento de Pacientes/métodos
Capacidade de Resposta ante Emergências
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170607
[Lr] Data última revisão:
170607
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160723
[St] Status:MEDLINE
[do] DOI:10.1089/hs.2016.0015


  3 / 4434 MEDLINE  
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[PMID]:27413827
[Au] Autor:Vockley M
[Ti] Título:Choosing Wisely: Trends and Strategies for Capital Planning and Procurement.
[So] Source:Biomed Instrum Technol;50(4):230-41, 2016 Jul-Aug.
[Is] ISSN:0899-8205
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Gastos de Capital
Tomada de Decisões Gerenciais
Equipamentos e Provisões
Arquitetura Hospitalar
Planejamento Hospitalar
Serviço Hospitalar de Compras/organização & administração
[Mh] Termos MeSH secundário: Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1609
[Cu] Atualização por classe:161020
[Lr] Data última revisão:
161020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160715
[St] Status:MEDLINE
[do] DOI:10.2345/0899-8205-50.4.230


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[PMID]:27318457
[Au] Autor:Ugalde-Espiñeira J; Bilbao-Aguirregomezcorta J; Sanjuan-López AZ; Floristán-Imízcoz C; Elorduy-Otazua L; Viciola-García M
[Ad] Endereço:Jon Ugalde Espiñeira, Servicio de Medicina Interna, Hospital San Eloy. Organización Sanitaria Integrada Barakaldo-Sestao. Avda Antonio Miranda, nº 5. 48902. Barakaldo, Spain. j.ugalde.espineira@osakidetza.eus.
[Ti] Título:[A program for optimizing the use of antimicrobials (PROA): experience in a regional hospital].
[Ti] Título:Programa de optimización del uso de antimicrobianos (PROA). Experiencia en un hospital secundario..
[So] Source:Rev Esp Quimioter;29(4):183-9, 2016 Aug.
[Is] ISSN:1988-9518
[Cp] País de publicação:Spain
[La] Idioma:spa
[Ab] Resumo:OBJECTIVE: Programs for optimizing the use of antibiotics (PROA) or antimicrobial stewardship programs are multidisciplinary programs developed in response to the increase of antibiotic resistant bacteria, the objective of which are to improve clinical results, to minimize adverse events and to reduce costs associated with the use of antimicrobials. The implementation of a PROA program in a 128-bed general hospital and the results obtained at 6 months are here reported. METHODS: An intervention quasi-experimental study with historical control group was designed with the objective of assessing the impact of a PROA program with a non-restrictive intervention model to help prescription, with a direct and bidirectional intervention. The basis of the program is an optimization audit of the use of antimicrobials with not imposed personalized recommendations and the use of information technologies applied to this setting. The impact on the pharmaceutical consumption and costs, cost per process, mean hospital stay, percentage of readmissions to the hospital are described. RESULTS: A total of 307 audits were performed. In 65.8% of cases, treatment was discontinued between the 7th and the 10th day. The main reasons of treatment discontinuation were completeness of treatment (43.6%) and lack of indication (14.7%). The reduction of pharmaceutical expenditure was 8.59% (P = 0.049) and 5.61% of the consumption in DDD/100 stays (P=0.180). The costs by processes in general surgery showed a 3.14% decrease (p=0.000). CONCLUSIONS: The results obtained support the efficiency of these programs in small size hospitals with limited resources.
[Mh] Termos MeSH primário: Anti-Infecciosos/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Antibacterianos/uso terapêutico
Anti-Infecciosos/economia
Prescrições de Medicamentos/economia
Prescrições de Medicamentos/normas
Uso de Medicamentos
Feminino
Planejamento Hospitalar
Seres Humanos
Prescrição Inadequada/prevenção & controle
Masculino
Auditoria Médica
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Anti-Infective Agents)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170327
[Lr] Data última revisão:
170327
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160620
[St] Status:MEDLINE


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[PMID]:27249614
[Au] Autor:Tao ZQ; Shi AM
[Ad] Endereço:School of Public Health, Nanjing Medical University, Nanjing, China. sam@njmu.edu.cn.
[Ti] Título:Application of Boston matrix combined with SWOT analysis on operational development and evaluations of hospital development.
[So] Source:Eur Rev Med Pharmacol Sci;20(10):2131-9, 2016 May.
[Is] ISSN:2284-0729
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:The aim of this study is to explore the application of Boston matrix combined with SWOT analysis on operational development and evaluations of hospital departments. We selected 73 clinical and medical technology departments of our hospital from 2011 to 2013, and evaluated our hospital by Boston matrix combined with SWOT analysis according to the volume of services, medical quality, work efficiency, patients' evaluations, development capacity, operational capability, economic benefits, comprehensive evaluation of hospital achievement, innovation ability of hospital, influence of hospital, human resources of hospital, health insurance costs, etc. It was found that among clinical departments, there were 11 in Stars (22.4%), 17 in cash cow (34.7%), 15 in question marks (31.2%), 6 Dogs (12.2%), 16 in the youth stage of life cycle assessment (27.6%), 14 in the prime stage (24.1%), 12 in the stationary stage (20.7%), 9 in the aristocracy stage (15.5%) and 7 in the recession stage (12.1%). Among medical technology departments, there were 5 in Stars (20.8%), 1 in Cash cow (4.2%), 10 in question marks (41.6%), 8 Dogs (29.1%), 9 in the youth stage of life cycle assessment (37.5%), 4 in the prime stage (16.7%), 4 in the stable stage (16.7%), 1 in the aristocracy stage (4.2%) and 6 in the recession stage (25%). In conclusion, Boston matrix combined with SWOT analysis is suitable for operational development and comprehensive evaluations of hospital development, and it plays an important role in providing hospitals with development strategies.
[Mh] Termos MeSH primário: Planejamento Hospitalar
Hospitais
[Mh] Termos MeSH secundário: Custos e Análise de Custo
Departamentos Hospitalares
Planejamento Hospitalar/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160602
[St] Status:MEDLINE


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[PMID]:27215879
[Au] Autor:Kepner EB; Spencer R
[Ad] Endereço:Joint Task Force National Capital Region Medical, Bethesda, Maryland.
[Ti] Título:Planning Staff and Space Capacity Requirements during Wartime.
[So] Source:US Army Med Dep J;(2-16):124-7, 2016 Apr-Sep.
[Is] ISSN:1946-1968
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Determining staff and space requirements for military medical centers can be challenging. Changing patient populations change the caseload requirements. Deployment and assignment rotations change the experience and education of clinicians and support staff, thereby changing the caseload capacity of a facility. During wartime, planning becomes increasingly more complex. What will the patient mix and caseload volume be by location? What type of clinicians will be available and when? How many beds are needed at each facility to meet caseload demand and match clinician supply? As soon as these factors are known, operations are likely to change and planning factors quickly become inaccurate. Soon, more beds or staff are needed in certain locations to meet caseload demand while other locations retain underutilized staff, waiting for additional caseload fluctuations. This type of complexity challenges the best commanders. As in so many other industries, supply and demand principles apply to military health, but very little is stable about military health capacity planning. Planning analysts build complex statistical forecasting models to predict caseload based on historical patterns. These capacity planning techniques work best in stable repeatable processes where caseload and staffing resources remain constant over a long period of time. Variability must be simplified to predict complex operations. This is counterintuitive to the majority of capacity planners who believe more data drives better answers. When the best predictor of future needs is not historical patterns, traditional capacity planning does not work. Rather, simplified estimation techniques coupled with frequent calibration adjustments to account for environmental changes will create the most accurate and most useful capacity planning and management system. The method presented in this article outlines the capacity planning approach used to actively manage hospital staff and space during Operations Iraqi Freedom and Enduring Freedom.
[Mh] Termos MeSH primário: Planejamento de Instituições de Saúde/métodos
Recursos em Saúde/provisão & distribuição
Planejamento Hospitalar/organização & administração
Corpo Clínico Hospitalar/provisão & distribuição
[Mh] Termos MeSH secundário: Planejamento de Instituições de Saúde/organização & administração
Seres Humanos
Determinação de Necessidades de Cuidados de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170503
[Lr] Data última revisão:
170503
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160525
[St] Status:MEDLINE


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[PMID]:26883669
[Au] Autor:Pelster M; Hagemann V; Laporte Uribe F
[Ad] Endereço:Institute of Banking, Finance, and Accounting, Leuphana University of Lueneburg, Scharnhorststr. 1, 21335, Lüneburg, Germany. pelster@leuphana.de.
[Ti] Título:Key Aspects of a Sustainable Health Insurance System in Germany.
[So] Source:Appl Health Econ Health Policy;14(3):293-312, 2016 Jun.
[Is] ISSN:1179-1896
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The main goals of health-care systems are to improve the health of the population they serve, respond to people's legitimate expectations, and offer fair financing. As a result, the health system in Germany is subject to continuous adaption as well as public and political discussions about its design. OBJECTIVE: This paper analyzes the key challenges for the German health-care system and the underlying factors driving these challenges. We aim to identify possible solutions to put the German health-care system in a better position to face these challenges. METHODS: We utilize a broad array of methods to answer these questions, including a review of the published and grey literature on health-care planning in Germany, semi-structured interviews with stakeholders in the system, and an online questionnaire. RESULTS: We find that the most urgent (and manageable) aspects that merit attention are holistic hospital planning, initiatives to increase (administrative) innovation in the health-care system, incentives to increase prevention, and approaches to increase analytical quality assurance. CONCLUSION: We found that hospital planning, innovation, quality control, and prevention, are considered to be the topics most in need of attention in the German health system.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Assistência à Saúde/normas
Seguro Saúde/normas
Qualidade da Assistência à Saúde/normas
Cobertura Universal/normas
[Mh] Termos MeSH secundário: Adulto
Assistência à Saúde/economia
Assistência à Saúde/organização & administração
Feminino
Alemanha
Planejamento Hospitalar/normas
Seres Humanos
Seguro Saúde/economia
Seguro Saúde/organização & administração
Internet
Entrevistas como Assunto
Masculino
Determinação de Necessidades de Cuidados de Saúde
Política
Avaliação de Programas e Projetos de Saúde/economia
Qualidade da Assistência à Saúde/economia
Serviços de Saúde Rural/normas
Inquéritos e Questionários
Cobertura Universal/economia
Cobertura Universal/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160218
[St] Status:MEDLINE
[do] DOI:10.1007/s40258-016-0223-8


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[PMID]:26311514
[Au] Autor:King MA; Dorfman MV; Einav S; Niven AS; Kissoon N; Grissom CK
[Ad] Endereço:1Harborview Medical Center and Seattle Children's,Seattle,Washington.
[Ti] Título:Evacuation of Intensive Care Units During Disaster: Learning From the Hurricane Sandy Experience.
[So] Source:Disaster Med Public Health Prep;10(1):20-7, 2016 Feb.
[Is] ISSN:1938-744X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Data on best practices for evacuating an intensive care unit (ICU) during a disaster are limited. The impact of Hurricane Sandy on New York City area hospitals provided a unique opportunity to learn from the experience of ICU providers about their preparedness, perspective, roles, and activities. METHODS: We conducted a cross-sectional survey of nurses, respiratory therapists, and physicians who played direct roles during the Hurricane Sandy ICU evacuations. RESULTS: Sixty-eight health care professionals from 4 evacuating hospitals completed surveys (35% ICU nurses, 21% respiratory therapists, 25% physicians-in-training, and 13% attending physicians). Only 21% had participated in an ICU evacuation drill in the past 2 years and 28% had prior training or real-life experience. Processes were inconsistent for patient prioritization, tracking, transport medications, and transport care. Respondents identified communication (43%) as the key barrier to effective evacuation. The equipment considered most helpful included flashlights (24%), transport sleds (21%), and oxygen tanks and respiratory therapy supplies (19%). An evacuation wish list included walkie-talkies/phones (26%), lighting/electricity (18%), flashlights (10%), and portable ventilators and suction (16%). CONCLUSIONS: ICU providers who evacuated critically ill patients during Hurricane Sandy had little prior knowledge of evacuation processes or vertical evacuation experience. The weakest links in the patient evacuation process were communication and the availability of practical tools. Incorporating ICU providers into hospital evacuation planning and training, developing standard evacuation communication processes and tools, and collecting a uniform dataset among all evacuating hospitals could better inform critical care evacuation in the future.
[Mh] Termos MeSH primário: Tempestades Ciclônicas
Planejamento em Desastres/métodos
Unidades de Terapia Intensiva/organização & administração
Aprendizagem
Transferência de Pacientes/métodos
[Mh] Termos MeSH secundário: Estudos Transversais
Abrigo de Emergência/organização & administração
Planejamento Hospitalar/métodos
Seres Humanos
Liderança
Cidade de Nova Iorque
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150828
[St] Status:MEDLINE
[do] DOI:10.1017/dmp.2015.94


  9 / 4434 MEDLINE  
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[PMID]:26882748
[Au] Autor:Branch DM
[Ti] Título:Transitioning to a BIM platform.
[So] Source:Health Facil Manage;28(9):48-51, 2015 Sep.
[Is] ISSN:0899-6210
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Planejamento Hospitalar
Serviço Hospitalar de Engenharia e Manutenção/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Técnicas de Planejamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:160217
[Lr] Data última revisão:
160217
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160218
[St] Status:MEDLINE


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[PMID]:26882746
[Au] Autor:Lorenzi N
[Ti] Título:Achieving stable power.
[So] Source:Health Facil Manage;28(9):41-4, 2015 Sep.
[Is] ISSN:0899-6210
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Planejamento em Desastres
Fontes de Energia Elétrica
Planejamento Hospitalar
Serviço Hospitalar de Engenharia e Manutenção
[Mh] Termos MeSH secundário: Arquitetura Hospitalar
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:160217
[Lr] Data última revisão:
160217
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:160218
[St] Status:MEDLINE



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