Good Medical Services Research Articles

How Does Spirituality Increase the Happiness of Medical Students?

After completing education, medical students are expected to provide good medical services, so good mental health must be possessed. But in reality psychological problems occur since the time of medical education. This condition resulted in their unhappiness. Spirituality is believed to play a role in increasing happiness, so increasing spirituality will increase happiness. There has been no research on the relationship between spirituality and happiness in medical students, especially in Indonesia. The purpose of this study was to see the relationship of spirituality for individual medical students that has an impact on happiness. The study adopted an analytical observational type with a cross sectional design. The study subjects were randomly selected by sampling a population of 100 medical students at Universitas Sebelas Maret class of 2020-2023. Primary data were taken using spirituality instruments based on DSES to determine the level of spirituality and happiness instruments based on SHS and SWLS to determine the level of happiness. To analyze ordinal relationships, a spearman correlation test is used. The results showed that medical students at Universitas Sebelas Maret had a high level of spirituality, while the level of happiness was in the medium category. The relationship between spirituality and happiness showed significance with a correlation value of r = 0.179; p = 0.037 (p < 0.005) indicates that there is a weak relationship between spirituality and happiness. Many factors affect happiness, the higher the spirituality of medical students, the higher the level of happiness. Keywords: spirituality; happiness; medical students

Assessing the role of socio-economic factors in shaping the temperature-mortality exposure-response relationship in China

Non-optimal temperatures significantly influence public health. However, the role of socio-economic factors in modulating health risks associated with non-optimal temperatures varies geographically and among different populations. Thus, the meteorological, air quality, health data, and socio-economic indicators were obtained from 23 districts in North and 48 districts in East China, respectively. Employing a two-stage meta-analysis, the exposure-response relationship was constructed for temperature against mortality from non-accidental causes, cardiovascular and cerebrovascular diseases, and respiratory illnesses. Furthermore, a non-linear spline regression was applied to assess the impact of socio-economic indicators on the exposure-response relationship and predicted future risks under various Shared Socioeconomic Pathways. The results revealed that the influence of socio-economic factors on the exposure-response curve showed heterogeneity in East China and North China. In North China, the shape of the exposure-response curve changed greatly under different socio-economic levels, while it remained similar in East China. In East China, the relative risk of heat and cold exposure was reduced in regions with high GDP, high levels of public finance, good medical services, and a low proportion of the elderly population. Specifically, the risk of non-accidental deaths due to heat shows a nearly linear negative correlation with per capita GDP in East China, with a decrease of the relative risk by 0.075 for every 10 thousand yuan increase in per capita GDP. Future projections indicate that population aging plays a decisive role in shaping the exposure-response curves. Although economic growth can reduce the risk of heat-related mortality, the combined effect of population aging and economic increase results in steeper exposure-response curves in both hot and cold temperature ranges in the future. In conclusion, although spatial variations in relative risk changes still exist, enhancing the adaptive capacity of populations can mitigate health risks associated with future climate change.

Assessing The Impact of Medical Treatment and Fumigation on The Superinfection of Malaria: A Study of Sensitivity Analysis

Malaria is a disease caused by the parasite Plasmodium, transmitted by the bite of an infected female Anopheles. In general, five species of Plasmodium that can cause malaria. Of the five species, Plasmodium falciparum and Plasmodium vivax are two species of Plasmodium that can allow malaria superinfection in the human body. Typically, the popular intervention for malaria eradication is the use of fumigation to control the vector population and provide good medical services for malaria patients. Here in this article, we formulate a mathematical model based on a host-vector interaction. Our model considering two types of plasmodium in the infection process and the use of medical treatment and fumigation for the eradication program. Our analytical result succeeds in proving the existence of all equilibrium points and how their existence and local stability criteria depend not only on the control reproduction number but also in the invasive reproduction number. This invasive reproduction number represent how one plasmodium can dominate other plasmodium. Our sensitivity analysis shows that fumigation is the most influential parameter in determining all control reproduction numbers. Furthermore, we find that the order in which numerous intervention measures are taken will be very crucial to determine the level of success of our malaria eradication program.

Experiences of Emergency Nurses in Carrying Out Triage During the Covid-19 Pandemic: A Qualitative Study

The Covid-19 pandemic is one of the biggest challenges to health systems’ ability to continue to provide good medical services. The development of the Covid-19 pandemic has required all hospitals to be able to adapt quickly and precisely to ensure safe services for patients and staff. The emergency department is the main gate for receiving patients with various emergency cases, both positive and negative for Covid-19. During the pandemic, the emergency room has been crowded with patients with symptoms that point to Covid-19. The high number of patients is a stressor and a challenge for the staff. In this case, the triage procedure is key in determining the patient’s emergency condition and the intervention to be carried out. The ideal triage system should be standardized and reliable in its implementation to achieve clinical efficiency in determining treatment. This was a phenomenological qualitative study to explore the experience of emergency room nurses in conducting triage during the Covid-19 pandemic. The study was conducted at the emergency department of the University of Muhammadiyah Malang Hospital with a total of 4 participants. Data collection was carried out by in-depth interviews. The interview process was conducted using an interview guide and a recording device. Based on the results, the following themes were obtained: 1) the triage method used was disaster triage with visual triage; 2) EWS screening of Covid-19 patients; 3) dishonesty of patients and family; 4) triage was not performed in a standardized way because of the condition of the hospital; 5) distancing of patients with Covid-19 from others; and 6) guilt when refusing patients.
 Keywords: triage, nurse, emergency room, pandemic

공공의료기관의 노후화 해결에 관한 비교법적 고찰

Public medical institution means medical institutions established and operated by the state or local governments to provide public health care to the people. Public medical institutions play a role in supplying inexpensive and good quality medical services to the public and supplying medical services to residents or socially disadvantaged people where the medical environment is weak. In addition, in the event of an infectious disease or other disaster, it is in charge of preventing and managing infectious diseases and treating victims affected by the disaster, and plays a role in responding to the crisis systematically at the national level. In particular, public medical institutions play an important role in preventing polarization in the medical field because they generally provide medical services to the public without considering profitability. Public medical institution that play such an important role are having difficulties in solving the aging of public medical institutions due to chronic deficits. In recent years, regional variations in the degree of aging have intensified, resulting in regional imbalances in medical service quality. Therefore, it is necessary to solve this problem by preparing a plan to solve the aging of public medical institutions by attracting private capital. However, under the current Act On Public-Private Partnerships In Infrastructure(2020), only the Private Finance Initiative(PFI) scheme accompanied by construction is used. So, in this scheme, new facilities such as hospital wards must be built or if old facilities exist, new building after full demolition of old one must be made. Therefore, it is necessary to omit the construction stage and introduce an operating Private Finance Initiative(PFI) scheme that allows the private sector to repair the ward, supply and maintain new medical devices, etc. In this motivation, the writer suggests to solve the aging of public medical institutions through comparison with Japan's public-private partnership law so that public safety can be secured from various risks such as COVID-19. Particularly, “The Right to Operate the Public Facility”(公共施設等運営権制度), which is a Japanese operating Private Finance Initiative(PFI) scheme, is reviewed, and the implications and limitations of this system on the Korean Private Finance Initiative(PFI) legislation are discussed.

Analysis of the Effect of Perceptions on The Distribution of Medical Services for BPJS Patients and Organizational Climate on Job Satisfaction of Doctors at Royal Prima Medan Hospital

Job satisfaction among doctors is the main key to getting better health services. Changes in payment methods in the JKN era led to the dissatisfaction of specialists and general practitioners with the medical services received in BPJS patient care. This study analyzes the effect of perceptions about the distribution of medical services for BPJS patients on the job satisfaction of doctors. The research design used in this study was a descriptive analytic non-experimental study with a cross-sectional approach. The study was conducted at the Royal Prima General Hospital located in Medan City from May 2021 to August 2021. The sample in this study was selected using the purposive sampling method so that a sample of 77 people was obtained with the inclusion criteria of having worked for at least 2 years. Data were analyzed using the Chi-Square test and multiple logistic regression. The results showed that the total medical services received by general practitioners per month was 10 million rupiah. Meanwhile, the total number of medical visits and services received by specialist doctors per month is 25 million rupiah. Based on the results of the Chi-Square test, it can be seen that doctors' perceptions of medical services (number of medical services (p = 0.000), timeliness of delivery (p = 0.000), suitability of medical services with performance (p = 0.003), distribution system (p = 0.004), and transparency (p=0.011)) had a significant effect on doctor's job satisfaction. The results of multiple logistic regression test show that the variable with the greatest influence is the number of medical services. The variable number of medical services has a value of Exp(B) = 29,830 (95% CI 3,037-293,034) that means that respondents who state the number of good medical services are 29 times more likely to be satisfied than those who state that the number of medical services is less. Doctor's job satisfaction can be increased by the management's efforts to be more open to doctors regarding doctor's medical services, giving doctors the opportunity to improve their career paths, and conducting periodic evaluations of doctor's satisfaction through questionnaires.

Health Affliction and Medical Service of Tea Plantation Women Workers in Sri Lanka: An Anthropological Study Based on Alton Estate-2021

This research Studies “Health affliction and medical service of tea plantation women workers in Sri Lanka: An anthropological study based on Alton – 2021” This study focused on women workers in the tea plantation. This study problem highlights general health conditions of the women workers. The plantation management provides not quality of the medical specialties for the tea estate. Thereby most of the women workers are facing challenges to get proper medical services. Women workers more contributed for the economic sector in the Sri Lanka. Therefore the government should protect them. According to this study use primary and secondary data collection method, in short time; to selected sample size 12 from tea estate of Alton in Horana plantation. Women workers and health issues research relating women workers are suffering from fever, cough, cold, stomach pain, weakness, eye pain, headache, skin diseases, chest pain, asthma, breathing trouble, Hand pain , leg pain and Pregnancy. This study argues why they cannot get in correct way of the government medical service in the tea plantation. According to this issues, what are the problem are overcome. And provide good medical service and treatment for women worker in the tea plantation. Manage the situation to develop the hill country community. This is the way to research in this area. As well as I suggested some of the idea and commons in this problem. 12 samples were selected from a simple resource among the people belonging to 660 families living in study area and numerical and characteristic data on the conditions of the study area were read. This study concern research place situation to choice to use qualitative research method and used sample random sampling method to observed and read to get many idea and knowledge relevant the research problem to done this research. This research mainly focused what are different between nation and plantation medical service system. This research should be given the important for hill country community people. They are structurally different for other Sri Lankan community people. They are not receiving Sri Lanka welfare schemes in equally. According to this study provides a critical analysis and suggestions.

Rule-Based Expert System for Assist Physician to Diagnosis of Malaria: XPerMal

Nowadays, common diseases like malaria, typhoid and cholera become more dangerous problems for people living in this world. The objective is how it can avoid the queue of patients in hospital. In this article, the author has proposed a model of expert systems using the knowledge of physician and other health professionals. The rule based expert system XPerMal useful for patients infected with common diseases and this system will give an answer as similar to a doctor or medical expert and also this system is very useful in rural areas where we have young medical experts or have no medical expert. The reasoning strategy is a key element in many medical tasks. It is well known that developing countries face a shortage of medical expertise in the medical sciences. Patients also find a huge queue in hospitals. Because of this, they are unable to provide good medical services to their inhabitants. The knowledge is acquired from literature review and human experts in the specific field and is used as a basis for analysis, diagnosis and decision-making. Knowledge is represented by an integrated formalism that combines rules and facts.

Extent of patients' satisfaction in the external services department of Al-Iman General Hospital: مدى رضا المرضى في قسم الخدمات الخارجية بمستشفى الإيمان العام بالرياض

The study aimed to identify the extent of patient satisfaction in the external services section of the General Eman Hospital, and the problem of the study is summarized in the following question, which is the extent of the patients ’satisfaction in the external services section of the general faith hospital from the viewpoint of auditors of the general faith hospital in Riyadh, and the study has significance as the study is a step to identify On the level of quality of medical services aimed at patient satisfaction in the External Services Department of Al-Iman General Hospital. Likewise, this study came to know the level of quality of services provided to patients in the external services department of Al-Iman General Hospital in order to put it and put officials in the picture of the matter, and the study identified hypotheses and there are no statistically significant differences at the level of significance (5 = 0.05) towards the level of patient satisfaction, and the quality Actual services in the External Services Department of Al-Iman General Hospital, depending on gender, age and educational qualification. The descriptive analytical approach was used to achieve the goals of the study, and the questionnaire was used as a tool to collect data, and the study community consisted of auditors of Al Iman General Hospital in Riyadh, and the study sample consisted of (110) male and female auditors from Al Iman Hospital, and a set of statistical methods were used to process the study data By using the SPSS program. In light of this, a number of results were reached, the most important of which are: Health care services, such as the dimensions of service quality, tangibility: (tangible physical aspects), response, safety, and sympathy for patients, to satisfy patients in the external services department of Iman Hospital, have a significant and positive impact on patient satisfaction. Likewise, the degree of satisfaction was satisfactory with regard to the dimensions of quality of service, tangibility: (tangible physical aspects), response, safety, and sympathy for patients, to satisfy patients in the external services department of Iman Hospital. In light of the results, the study recommends the following: - Doctors and nurses should pay attention to the auditors, pay attention to the problems and inquiries of patients, and urge to provide services on time without delay, to meet the requests of patients immediately. - The hospital administration should work on everything that improves the level of satisfaction of the auditors with the provision of modern devices that contribute to providing good medical services, attention to the problems and inquiries of patients, attention to the cleanliness of hospital facilities and the development of medical guidelines, and provide waiting places for auditors.

Assessing caregiving burden among primary caregivers in a medical intensive care unit setup: Cross-sectional study.

Objective:Caregiver burden in caring patients in intensive care unit (ICU) settings are stressful and challenging place. Caregivers also play very important role in doctor–patient relationship. In India, there is a skewed trend in doctor–patient relationship. Without addressing caregiver's psychological issues, we may not able to deliver good medical services. “Caregiver burden in primary caregivers of patients admitted to medical ICU (MICU) was measured.Methodology:Its cross-section observational study. We collected the information from total of 100 caregivers whose patient got admitted to MICU. We took only one caregiver. We administered socio-demographic data, Zarit Caregiver Burden Interview (ZBI) for assessing burden in caregivers.Results:The mean age of the caregivers was 38 years with 66% males were being primary caregivers and mean age of education was 8.61 years. The mean duration of patient stay in hospital was 4.67 days with range of 4–18 days. Mean duration of illness in patient was 466 days with range of 4 days to 10 years. Mean score caregivers burden as per ZBI was 5.10 with range of 0–25. Thirty-five percentage of caregiver were felt caregiving was the burden. Correlation analysis shows ZBI negative relationship with caregivers' age and education and patients total duration of illness. There was a positive co-relationship with the duration of ICU admission.Conclusion:Higher burden was observed in caregivers and caregivers felt more burden if patients stays longer duration in ICU. More research is needed in this area.

The Effect of the Private Health Insurances and Health Financing on the Population Health in the European Countries

This empirical study addresses the role of economic and institutional determinants on population health, estimated by life expectancy and accessibility to good quality medical services. Several national health systems are described descriptively and analytically. The practical application considers 30 European countries for which data on all necessary variables are available. The data are provided by international institutions such as the World Bank, Insurance Europe, Global Health Security and national institutions from the sampled countries. The results of the OLS cross-country regressions clearly demonstrate the positive role of health financing and the decentralization of the national health system. Instead, the role of private health insurance remains debatable, as does its complementarity or substitutability in relation to public funding. Based on the main results, recommendations are formulated regarding possible adjustments for an increased efficiency of the medical system and possible future research directions, especially regarding the role of the financing structure and the type of decentralization of the medical services.

Developing an app to interpret chest X-rays to support the diagnosis of respiratory pathology with artificial intelligence

In this paper we present our work to improve access to diagnosis in remote areas where good quality medical services may be lacking. We develop new Machine Learning methodologies for deployment onto mobile devices to help the early diagnosis of a number of life-threatening conditions using X-ray images. By using the latest developments in fast and portable Artificial Intelligence environments, we develop a smartphone app using an Artificial Neural Network to assist physicians in their diagnostic.

Identification of Ethical and Medicolegal Problems in the Care of Patients in the Intensive Care Unit

Intensive care is an important part of a hospital that serves patients with critical illness conditions and requires continuous medical supervision and support. The complexity of the problems related to intensive care results in ethical and medicolegal problems. Some of the ethical and medicolegal problems identified can be in the form of priority problems for patients entering and leaving the intensive care room, facility limitations, treatment is useless, terminal state, directive advances, do not resuscitate, brain stem death, euthanasia, and micro-ethical problems that arise directly during patient care which can cause a bad experience for patients and reduce the quality of service. Problem solving can be done by applying clinical ethics, basic principles of bioethics and medicolegal as well as effective communication. Doctors who work in intensive care installations must have the ability to determine patient priorities, be able to communicate well with patients and / or their families, and be able to provide end-of-life care based on basic principles of bioethics. This capability will lead to good and complete medical services.

Age-Dependent Risks of Incidence and Mortality of COVID-19 in Hubei Province and Other Parts of China.

The new coronavirus SARS-CoV-2 pandemic of early 2020 poses an enormous challenge to global public health. Coronavirus Disease 2019 (COVID-19) caused by the virus has spread rapidly throughout the world, taking thousands of lives in just over 2 months. It is critical to refine the incidence and mortality risks of COVID-19 for the effective management of the general public and patients during the outbreak. In this report, we investigate the incidence and mortality risks of the infection by analyzing the age composition of 5,319 infected patients, 76 fatal cases, and 1,144,648 individuals of the general public in China. Our results show a relatively low incidence risk for young people but a very high mortality risk for seniors. Notably, mortality risk could be as high as 0.48 for people older than 80 years. Furthermore, our study suggests that a good medical service can effectively reduce the mortality rate of the viral infection to 1% or less.

ENHANCING EFFICIENCY AND SECURITY: A G-CLOUD-BASED FRAMEWORK FOR GOVERNMENT HEALTHCARE SERVICES

With the advancement of technology and the confinements of the good old medical services framework, an unplanned structure for social insurance is needed. We've witnessed a growing interest in and preference for cloud-based software development in the human services sector to manage and meet existing and future demands in social insurance administrations. We propose a cloud-based framework for medical services that is adaptable, safe, efficient, practical, and protected. For the administration EHR framework, we've presented a safe and effective structure in which fine-grained access control is commonly controlled by multi-authority ciphertext property-based encryption (CP-ABE), close by many levels of information structure to permit access control arrangements. Egovernment distributed computing is a major advantage for Saudi Arabia's top officials, who will be able to grow up their social insurance sector through the proposed framework.

Remote Medical Monitoring System in Wireless Sensor Networks

In order to solve the problem of monitoring remote medical care to identify good medical services, a medical service recommendation system based on privacy-preserved reputation scoring is designed. This system enables medical service users to get a reputation score of a Medical Service Provider before engaging in any services. The experiment results show that the proposed scheme is significantly more efficient in batch verification of digital signatures, making it a suitable practical solution to Mobile Health Care applications, while the third solution shows that the system is able to provide reputation scores as well as recommendation while preserving privacy as desired.

Xueqing Yu: a driving force in Chinese nephrology

Born to farming parents in China's Jiangxi Province, Xueqing Yu was among the first generation of his family to benefit from a university education. “I lived in the countryside and saw how difficult it was for people to have a good medical service”, he recalls. The idea of joining the struggle to improve health care was sown and, in due course, he became a physician: an academic whose career has taken him to the pinnacle of nephrology, his chosen specialty. Now Professor of Medicine and Director of Sun Yat-sen University's Institute of Nephrology in Guangzhou he's also the current President of the Chinese Society of Nephrology.

Review of drug information provided to patients from the viewpoint of hospital pharmacists

Risks for patients and consumers can be minimized depending on how they are provided appropriate drug information. Therefore, from the viewpoint of hospital pharmacists, I would like to report on how information should be provided in order to minimize patient risk. For example, there is an ongoing opinion that the provision of easy-to-understand drug information to patients and consumers "does not appear necessary". The reasons for this include the following: Because the level of understanding varies greatly among patients, it is difficult to define what "easy-to-understand" information entails; rather, it may cause misunderstanding. These problems occur repeatedly if they are resolved by individual institutions. Therefore, it is essential to standardize the drug information provided to patients, that is, to establish a system to transmit drug information to patients and consumers. Regardless of whether the development of a hospital information system is in progress or not, it can be said that the development of such information systems is gradually spreading outside of hospitals and the situation is changing. From the viewpoint of patients, medical services are not limited to those from hospitals. Patient-centered collaboration between hospitals/clinics and pharmacies (but not the collaboration between hospital pharmacists and community pharmacists (why not?)) can provide good medical services only if patient information is shared. It is essential to establish a system for providing a drug guide for patients, in order to have patients understand drug information. The preparation of Drug Information for Patients would provide health care specialists a communication tool that helps minimize patient risk.

Delegation yes, substitution no!

The aging of society leads on the one hand to increasing case numbers and on the other hand to a reduction in the number of physicians available for patient treatment. The delegation and substitution of medical duties as a tried and tested method is increasingly being recommended in order to compensate for the lack of physicians. The Berufsverband der Deutschen Urologen (BDU, Professional Association of German Urologists) supports the guiding principle of the Bundesärztekammer (Federal Medical Council) of "delegation yes, substitution no" and rejects a substitution of medical duties by non-medical academic health personnel. Against the background of the demographic changes, the increasing need for treatment and the current deficiency of junior physicians, a more extensive inclusion of well-qualified and experienced non-medical personnel by the delegation of medically responsible duties (medical scope of practice) can be an appropriate measure to maintain a good medical service in practices, hospitals and nursing homes.

Reflection on medicare work during military training for college students

Medicare work runs throughout the whole process of military training and directly affects the quality of military training. Good preparation, medical service and preventive health care work were done to reduce the injury rate during military training from recognizing significances, char- acteristics, rules and methods of medicare. Additional health-related military programs, targeted tech- nical and tactical training and optimization and integration of teachers are effective ways to expand the military direction, improve and enrich the content o military training. Key words: University; Students＇ military training; Medicare