Solve Health Problems Research Articles

Characteristics and Correlates of Health Information Literacy Among Patients With Type 2 Diabetes and Metabolic Syndrome: A Cross-Sectional Study.

The purpose of the study was to examine the characteristics and the influential effect of individual and social contextual factors on health information literacy among Chinese patients with type 2 diabetes coexisting with metabolic syndrome. Following convenience sampling, a total of 225 patients with type 2 diabetes coexisting with metabolic syndrome were recruited from a tertiary hospital in a suburban area of Beijing, China. Participants' information was gathered through a set of self-reported questionnaires. Descriptive statistics, normality test, correlational analysis, univariate analysis, multiple linear regression, and logistic regression analysis were adopted to examine the potential factors of personal and social contextual resource related to health information literacy based on the health empowerment theory. The health information literacy in this current sample was limited, with a mean score of 16.83 ± 2.96. Correlational analysis showed that self-management knowledge, attitude, and practice for metabolic syndrome; self-efficacy; health problem-solving; resilience; and chronic illness resources were significantly and positively related to health information literacy. Logistic regression analysis showed that self-management knowledge, health problem-solving, and the chronic illness resources were significantly correlated with health information literacy after controlling covariates. Overall, the health information literacy among Chinese patients with type 2 diabetes coexisting with metabolic syndrome is suboptimal. Study findings demonstrated that personal and social contextual resources factors are significantly related to health information literacy. Health care professionals should consider strategies to enhance people's health information literacy level and promote individuals' health problem-solving, enhance chronic illness resources, and improve self-management knowledge when developing tailored interventions.

Characterization of the Physicochemical and Energetic Properties of Alchornea cordifolia Leaves and Fruits Harvested in three Regions of Côte d'Ivoire

Aims: This study aims to enhance the nutritional value of the leaves and fruits of Alchornea cordifolia by characterizing the physicochemical compounds through their dosage. Study Design: To solve health problems, humans use different methods, including the use of spontaneous wild plants such as Alchornea cordifolia. Place and Duration of Study: This study was carried out at the Agro-valorization laboratory of the Jean Lorougnon Guédé University of Daloa between November 2023 and July 2024. Methodology: The plant material consisted of leaves and fruits of Alchornea cordifolia harvested from three regions. The characterization of the pH and lipid ash, pH, dry matter, carbohydrates, energy values contents was carried out by official analysis methods (Association of Official Analytical Chemists), proteins by the Kjeldahl method, lipids by the Soxhlet method, fibers by the Weende method, and total and reducing sugars were determined using the UV-VIS spectrophotometry method by spectrophotometric use. Results: the samples analysed contain the highest average content of proteins 15.11% for young leaves, 3.7% lipids, 3.9% pH, 58.69% carbohydrates and 261.63 kcal energy value. In terms of dried leaves, 6.02% ash, 91.80% dry matter and 37.83% fibre. Mature leaves record 6.66% total sugars and 3.2% reducing sugars. Conclusion: In conclusion, these leaves, whether young, dried, or mature, offer a variety of essential nutrients that can meet different nutritional needs, ranging from protein and energy intake to digestion and mineral intake.

ОЦЕНКА ИНСТИТУТА КУРАТОРСТВА В МЕДИЦИНСКОМ ВУЗЕ: СОЦИОЛОГИЧЕСКИЙ АНАЛИЗ

A sociological study was conducted among the 1st and 2nd year students of the general medicine and pediatric faculties of the Northern State Medical University in order to assess the quality of the curatorship institute at the medical university. The total number of respondents was 296. The average age was 18 (18; 19) years, of which 72,0% (n=213) were girls and 28,0% (n=83) were boys. Almost all students know their curator (98,0%), 54.7% noted that they meet with their curator once a month. At the pediatric faculty, curators interact more often with their groups. When questions arise, 67,6% of students have the opportunity to communicate with the curator by phone, almost half (56,4%) are in touch with the curator on social networks. The majority of respondents (69,9%) do not focus on the age and experience of the curator. Events organized by the curators: tea drinking (33,1%), conversations (52,7%), trips to the theater, cinema, bowling (25,0%), trips to recreation centers (5,4%), other events (museums, exhibitions, conferences, skating rink, trainings) – in 16,9%; 15,5% of students answered that the curators did not hold any joint events. 44,6% of students would like to attach a curator to the group for all 6 years of study. The average score for evaluating the effectiveness of the curator's work was 6,6 (4; 8) points. Among the important functions performed by the curator, the following were noted: to help resolve conflict situations in the group (78,4%), to be an intermediary between students and teachers of departments (74,0%), to help with studies (41,2%), in solving household issues (13,9%), to organize leisure (14,2%), to help solve health problems (5,4%).

Fostering citizen-engaged HIV implementation science.

Successful implementation of evidence-based practices depends on contextual factors like stakeholder engagement, the socio-political environment, resource availability, and stakeholders' felt needs and preferences. Nevertheless, inequities in implementation exist and undermine efforts to address HIV in marginalized key populations. Implementation science shows promise in addressing such inequities in the HIV response, but can be limited without meaningful engagement from citizens or communities. We define the concept of a citizen-engaged HIV implementation science as one that involves citizens and communities deeply in HIV implementation science activities. In this commentary, we discuss how citizen science approaches can be leveraged to spur equity in HIV implementation science. Drawing on three areas previously defined by Geng and colleagues that serve to drive impactful implementation science in the HIV response, we discuss how citizens can be engaged when considering "whose perspectives?", "what questions are being asked?" and "how are questions asked?". With respect to "whose perspectives?" a citizen-engaged HIV implementation science would leverage participatory methods and tools, such as co-creation, co-production and crowdsourcing approaches, to engage the public in identifying challenges, solve health problems and implement solutions. In terms of "what questions are being asked?", we discuss how efforts are being made to synthesize citizen or community-led approaches with existing implementation science frameworks and approaches. This also means that we ensure communities have a say in interrogating and deconstructing such frameworks and adapting them to local contexts through participatory approaches. Finally, when considering "how are questions asked?", we argue for the development and adoption of broad, guiding principles and frameworks that account for dynamic contexts to promote citizen-engaged research in HIV implementation science. This also means avoiding narrow definitions that limit the creativity, innovation and ground-up wisdom of local citizens. By involving communities and citizens in the development and growth of HIV implementation science, we can ensure that our implementation approaches remain equitable and committed to bridging divides and ending AIDS as a public health threat. Ultimately, efforts should be made to foster a citizen- and community-engaged HIV implementation science to spur equity in our global HIV response.

Influencing Factor on School-Age Children’s Holistic Health Care Who Using Online Media by Working-Age Parents in Northeast Thailand

Background. Thailand tends to have more access to online media. In 2020, the northeastern region had the highest usage rate. Especially school-age children have the highest usage rate. If misused for a long time, the consequences can adversely affect health in many aspects. Their parents should closely supervise and monitor them for this health problem. However, parents have limitations in caring because they have to work a lot. The aim was to study factors that influence working-age parents in holistic health care (HHC) of school-age children using online media in northeast Thailand. Materials and Methods. This research was a descriptive study, with a sample of parent amount 222. The questionnaire performed an item-objective congruence (IOC) = 0.60–1.00, the content validity index (CVI) = 0.90, and the Cronbach’s alpha coefficient was 0.93. The data collected then include the characteristics, use of online media, health problems, and health care. Finally, data were analyzed using descriptive statistics, frequency, percentage, standard deviation, and multiple regressions. Result. The results of the study are factors that influenced HHC with statistical significance (p≤.001) including the child’s gender, the child’s age, the child’s class, the type of internet, activities, the device, and the device owner. In addition, it was holistic health problems of school-age children such as physical, emotional, social, and intellectual. Importantly, these could explain the variation for HHC of 21.2% (adjusted R2 = 0.212), and the standard error in the model estimation was 25.06 (SEE = 25.06). Conclusion. Factors that influence school-age children’s health care are beneficial to preventing and solving health problems by using online media. Parents or health care professionals can use it as a guide to develop more effective health care strategies and policies. Ultimately, it will help to promote better health for children in an ever-changing digital world.

Levonorgestrel as part of menopausal hormone therapy: effects and clinical possibilities

Female hypogonadism, as a result of natural or induced shutdown of ovarian function, is a multifaceted problem. A variety of clinical manifestations motivates women to consult doctors of various specialties and solve health problems without focusing on the underlying cause. The financial and economic component of the problem due to a violation of the quality of life of women and a sharp decrease in their ability to work requires the inclusion of the most effective method of treatment. There are a number of MHT regimens and combinations that allow differentiated selection of the drug, taking into account the woman’s health status and her concomitant diseases. The range of biological effects and risks depends on the type and dose of the hormonal drug, duration of use, route of administration, and time of initiation of MHT. As a component of MHT, bioidentical estrogens and gestagens are used, different in their vector of influence, pharmacodynamic and pharmacokinetic profile. The article is devoted to cyclic biphasic MHT using a combination of 17β-estradiol (2 mg) and levonorgestrel (0.15 mg). The experience of using the drug will be presented in the form of a review and our own clinical cases from everyday medical practice.

Selected nursing diagnoses and interventions in patients with COVID-19 hospitalized during pandemic

Introduction. In March 2020, the WHO announced global pandemic due to the outbreak of coronavirus disease (COVID-19) caused by the SARS-CoV-2 virus. COVID-19 is considered as a highly infectious disease, with a considerable mortality rate, especially among older people with concomitant diseases (heart failure, pulmonary diseases, arterial hypertension, diabetes). The pathogen affects mainly the respiratory system, and may also lead to acute respiratory distress syndrome, sepsis. In a severe state of health of a patient nurses make many nursing diagnoses, based on which they plan and implement nursing interventions to limit the risk of complications/death. Objective. The aim of the study was presentation of selected nursing diagnoses and interventions in patients hospitalized due to COVID-19 during the period of pandemic. Materials and Method. Nursing diagnoses and nursing interventions associated with these diagnoses were analyzed among patients hospitalized due to COVID-19 during pandemic, based on practical experiences in Poland. Results. The COVID-19 pandemic was a new challenge for nurses in inpatient health care to provide patients with attentive care in a severe health condition. The efforts of nurses had to be focused on solving many care problems in the bio-psycho-social sphere in order to limit the risk of complications/death. The implementation of nursing interventions had to proceed smoothly, with consideration of the provision of secure environment of patient care and personal protection. Conclusions. The symptoms of COVID-19 are frequently multisystemic and are related with the risk of complications/death. The presented nursing diagnoses and interventions in patients ill with COVID-19 disease are an example of the provision of high quality care of patients infected with SARS-CoV-2 virus. Nursing care of a patient with COVID-19 should be characterized by the subjective approach to the patient in accordance with the holistic concept of solving health problems in the bio-psycho-social sphere.

Immunomodulatory and anti-inflammatory activities of hydro-ethanolic extract of Securidaca longipedunculata Fresen leaves

Introduction: The use of Securidaca longipedunculata for solving health problems related to immunological disorders is long-standing. The immunomodulatory activity associated with the anti-inflammatory effect of S. longipedunculata has not yet been elucidated by scientific research. The aim of our study is to show that the leaves of S. longipedunculata can solve problems related to immunodeficiency and inflammation. Methods: The phytochemical compounds of the plant were carried out by solubility tests. The anti-inflammatory activity of the plant was evaluated by the chicken egg albumin denaturation inhibition, membrane stabilization, and C-reactive protein (CRP) tests. The 2,2-diphenyl1-picrylhydrazyl, total antioxidant capacity, and inhibition of lipoperoxidation tests were performed to evaluate the antioxidant activity of the plant. Immunosuppression was induced in rats by cyclophosphamide. The immunomodulatory activity of S. longipedunculata was studied by blood count. The lactate dehydrogenase (LDH) titration showed the effect of S. longipedunculata on the energy balance. Results: The extract contained polyphenols, flavonoids, and tannins. The tests of albumin denaturation inhibition, membrane stabilisation, CRP, total antioxidant capacity, and 2,2-diphenyl-1-picrylhydrazyl revealed that the extract had anti-inflammatory and antioxidant effects. The blood count results revealed that the extract non-significantly increased the number of leukocytes except in the case of neutrophils and monocytes at a dose of 400 mg/kg (P<0.05). The extract also restored the energy balance in the rats according to the LDH results. Conclusion: This study reveals that the hydro-ethanolic extract of S. longipedunculata leaves has potential immunostimulant and anti-inflammatory effects.

Penerapan Terapi Minum Teh Hijau Dalam Mengontrol Tekanan Darah Pada Penderita Hipertensi Pada Keluarga Ibu A di Kelurahan Bambu Apus RT 14 RW 03 Kecamatan Cipayung Jakarta Timur

Hypertension is a condition in which blood pressure rises chronically (long term) and has the potential to cause extreme illness or death to the individual. Individuals who are diagnosed as suffering from hypertension if there is an indication that the systolic blood pressure is greater than 140 mmHg and the diastolic blood pressure is less than 90, which is more, if treatment is not carried out intensively and treatment can also be carried out early, can have a high risk of causing degenerative disease, namely retinopathy. , thickening of the heart wall, kidney damage, coronary heart disease, rupture of blood vessels, stroke, can also result in sudden death. The family has an important role in efforts to improve health and reduce the risk of disease in society because the family is the smallest unit in society, the role of the family is very important in every aspect of family health care, for this reason the family plays a role in determining the type of care needed by the family. Family nurses have a role, namely helping families to solve health problems by increasing the family's ability to carry out health care functions and tasks. Based on data, one effort to lower blood pressure is by giving green tea (Camelia sinensis). Tea has the main properties that come from the polyphenols contained in it.

Interprofessional Collaboration on Drug Administration to Clients with Diabetes Mellitus at Bali Hospital: A Case Study

Background: Errors in health services in Indonesia are caused by poor communication in implementing interprofessional collaboration with a percentage of 70-80%. This causes medical errors, namely with the percentage distribution of 11% drug administration errors, 46% inappropriate drug use and 54% drug prescribing errors. The purpose of this scientific work is to analyze interprofessional collaboration on drug administration to clients with diabetes mellitus. Method: The method used in this study is observation and measurement tools to evaluate interprofessional collaboration using a checklist Self-rating score for Interprofessional Collaboration in Clinical Practice. Results: The results obtained are that the application of interprofessional collaboration has not been carried out optimally due to a lack of communication clinical pathway as a guide in carrying out clinical actions, and no health workers have attended IPC (Inter-Professional Collaboration) implementation training.Good communication during the interprofessional collaboration process can solve health problems and improve patient safety. In addition to optimizing the implementation of interprofessional collaboration by holding integrated training to enhance good cooperative relations between professions. Conclusion: Therefore, there is a need for evaluation by services in hospitals regarding interprofessional collaboration as an effort to reduce the risk of errors in administering drugs to patients and improve the quality of health services in hospitals.

A County-Level Case Study of Early Psychosis in the Context of a Hybrid Juvenile Competency Restoration and Mental Health Problem-Solving Court and Linkage to Coordinated Specialty Care Services.

An important and unresolved question in the context of the implementation of coordinated specialty care (CSC) for early psychosis in the United States is the extent to which youth and young adults from marginalized backgrounds are able to equitably access CSC services. In this brief report, we describe pathways between a county hybrid juvenile competency restoration and mental health problem-solving court ('Court'), serving youth with high rates of psychosis and multiple risk factors for poor long-term outcomes, and local CSC services. We found that the Court was overall successful in linking youth with psychosis to care, but in the majority of cases this was not CSC programming more specifically. Drawing on Court and CSC records as well as family interviews, we report on factors contributing to low linkage to CSC, including family-side barriers (lack of transportation, preference for lower intensity / lower demand services) and provider-side barriers, including eligibility criteria such as duration of psychosis, that ultimately exclude otherwise eligible Court-involved youth.

Medicinal plants for gallstones: A cross-sectional survey of Moroccan patients

BackgroundGallstone is an expensive and very common gastrointestinal disorder affecting 10–20 % of the adult population. The traditional use of medicinal plants in Morocco is an ancestral and common practice to solve health problems, including gallstone disease. Our study aimed to identify the medicinal plants used by patients suffering from gallstones. MethodsA cross-sectional survey was conducted on the use of medicinal plants for the treatment of gallstones in the visceral surgery department, University Hospital Center Ibn Rochd of Casablanca, Morocco. Face to face interviews were carried out with 128 hospitalized patients using a closed-ended questionnaire. ResultsPatients with gallstones underlined the use of 35 species belonging to 21 botanical families. The most frequently used plant was Citrus limon, followed by Petroselinum sativum, Herniaria hirsuta and Olea Europea, belonging respectively to Rutaceae, Apiaceae, Caryophyllaceae and Oleaceae. The respondents used different parts of plants; seeds, aerial parts, fruits and leaves. The most commonly preparations were decoction, infusion and powder form. More than two-thirds of the patients were overweight or obese, regularly consume soft drinks and drink little water a day. ConclusionThe pharmacological effect of the inventoried plants and their active ingredients are consistent with their use in the traditional Moroccan pharmacopoeia to treat and to prevent gallstones. These plant species could be a potential avenue for the discovery of an alternative treatment; however, further chemical and pharmacological investigations are needed.

The Positive Deviance Approach On The Incidence Of Malaria In Endemic Areas; Literature Review

Background: This literature review study is motivated by the empirical phenomenon of malaria incidence which is becoming more serious from time to time. The incidence of malaria has a social impact in the form of public unrest due to the fast course of the disease and can cause death in a short time, as well as an economic impact, namely an increase in the state budget for the treatment of malaria. Purpose: This literature is intended to identify and describe evidence related to the positive deviation (PD) malaria control model as a new strategy in accelerating malaria reduction. Theoritical Framework: This research was conducted using a theoretical framework collected from various sources using the Lawrence Behavior Theory approach. In this theory it is explained that there are 3 main things that influence behavior and behavior change, namely predisposing factors, enabling and reinforcing factors. These three factors influence the potential knowledge, attitudes and practices of malaria control in endemic areas. In practice, a communication model is applied, including behavioral intention through a three-burner approach Methods: The literature review method was conducted using the 2015 Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines by searching comprehensive peer-reviewed articles from three computerized bibliographic databases: Scopus, PubMed, and EBSCO. Strengthening the reporting of observational studies in Epidemiology (STROBE) checklist used as a guide to assess the quality of the studies reviewed. Findings: The results of the review articles are in the form of Positive Deviance (PD) approach method of solving health problems, especially malaria and assisting the government in malaria control programs in people living in endemic areas. Practical Implication: Through this positive deviance approach method, the community is encouraged to identify, recognize, and know things related to the causes of malaria, malaria transmission, and steps to prevent malaria in the community.

Analisis Pemberdayaan Masyarakat Di Bidang Kesehatan Masyarakat Desa Sirnabaya Kecamatan Rajadesa Jawa Barat

Introduction: The results of the study in Sirnabaya Village have problems with stunting and non-communicable diseases (Hypertension and Diabetes Mellitus) and waste management. Based on the results of the ranking of community problems, there are problems regarding readiness to improve health management: knowledge of mothers who have toddlers, Ineffective health management: adolescent reproductive health, readiness to increase community coping: increased knowledge of tasks in family development stages in the community, readiness to improve community health management of couples of childbearing age.
 Objective: The purpose of this service was community empowerment in Sirnabaya aims to improve health status.
 Method: community empowertment used is the method of counseling or lectures and demonstrations or practice.
 Result: The results are to train children's motor skills, and increase knowledge about adolescent health, couples of childbearing age, families, and the elderly. The results of knowledge on the average increase, especially in the elderly.
 Conclusion empowering the Sirnabaya community is to increase the knowledge and skills of cadres in solving health problems to improve the health of the community.

노인 장기요양기관 이용자의 일상스트레스가 삶의 질에 미치는 영향

The purpose of this study was to investigate the impact of daily stress on the quality of life of users of long-term care facilities for the elderly from October 2021 to April 2022, surveying and analyzing a total of 374 elderly care facilities in Seoul, Gyeonggi, and Chungcheong, and the results of the study are as follows. As for the impact of daily stress on quality of life, it can be seen that physical satisfaction decreases as health problems (=-.320) and economic problems (=-.287) increase. It can be seen that psychological satisfaction decreases as economic problems (=-.277) and health problems (=-.215) increase. It can be seen that social satisfaction decreases as family problems (=-.328) and health problems (=-.166) increase. In terms of satisfaction with the indoor living environment, it can be seen that the higher the economic problems (=-.160) and family problems (=-.146), the lower the satisfaction. In terms of satisfaction with the outdoor living environment, it can be seen that the higher the family problems (=-.194) and economic problems (=-.149), the lower the satisfaction. In this study, it was found that family problems affect social satisfaction, indoor and outdoor satisfaction, and economic problems affect physical satisfaction, psychological satisfaction, and indoor living environment satisfaction in order. Health problems affect physical satisfaction, psychological satisfaction, and social satisfaction, so efforts are needed to solve health problems. Therefore, in order to improve the quality of life of the elderly who use long-term care institutions, efforts to improve family relationships and opportunities for social participation can be expanded so that the elderly are not isolated or alienated.

Riga Native Johann Christian Weltzien (1767–1829), Author of a Book on “Мedical Рolice”

On the basis of the archival materials, first identified by the authors, and the published historical sources that have not yet come to the attention of historians of science, this article reconstructs the biography of Johann Christian Weltzien (1767–1829), doctor of medicine and surgery. In 1785, Weltzien became a court physician. In 1799, in the retinue of Grand Duke Konstantin Pavlovich, he participated in Italian and Swiss military campaigns. After that, Weltzien was assigned to the Сourt of Grand Duke Konstantin Pavlovich of Russia and stayed at his court until 1810. He started his charitable activities in the Medico-Philanthropic Committee. From May 1810 to the middle of 1825, Weltzien was a physician at the Imperial Page Corps. It turned out that around the same time, in 1804–1825, he was a member of the Medical Council. Furthermore, as there were two medical councils under two ministries at the time, in 1811–1822, he was a member of both. Since 1825, Weltzien lived on his estate in Somel, now Vaiatu Manor in Estonia, and died in St. Petersburg. Weltzien’s work as a provincial physician prompted him to write a book on medical police, which was published in 1785. It has been established that this remained his only book on the topic. The article shows that Weltzien became one of the first ideologists of state care for public health in the Russian Empire. Weltzien’s ideas, expressed over 200 years ago, regarding the state having mechanisms to impact public health and the importance of not excluding it from solving health problems have not lost their significance even today.

Research on the Causes and Countermeasures of the Current Situation of Chinese University Students' Mental Health

Through an in-depth study of the mental health problems of Chinese college students, its existence, manifestations and effects were analyzed. The study found that academic pressure, employment pressure and family factors are the main causes of mental health problems among Chinese college students. To solve these problems, three countermeasures are proposed: to carry out mental health education and publicity, to establish a mental health support system, and to provide psychological counselling and treatment services. Finally, the outlook of mental health problem solving among Chinese college students is examined, and future trends, challenges and development strategies are discussed. This study will provide useful reference for the solution of college students' mental health problems.

Analysis of complementarities between nanomedicine and phytodrugs for the treatment of malarial infection.

The use of nanocarriers in medicine, so-called nanomedicine, is one of the most innovative strategies for targeting drugs at the action site and increasing their activity index and effectiveness. Phytomedicine is the oldest traditional method used to treat human diseases and solve health problems. The recent literature on the treatment of malaria infections using nanodelivery systems and phytodrugs or supplements has been analyzed. For the first time, in the present review, a careful look at the considerable potential of nanomedicine in promoting phytotherapeutic efficacy was done, and its key role in addressing a translation through a significant reduction of the current burden of malaria in many parts of the world has been underlined.

Interprofessional Collaboration on Drug Administration to Clients with Diabetes Mellitus at Bali Hospital: A Case Study

Background: Errors in health services in Indonesia are caused by poor communication in implementing interprofessional collaboration with a percentage of 70-80%. This causes medical errors, namely with the percentage distribution of 11% drug administration errors, 46% inappropriate drug use and 54% drug prescribing errors.The purpose of this scientific work is to analyze interprofessional collaboration on drug administration to clients with diabetes mellitus.
 Method: The method used in this study is observation and measurement tools to evaluate interprofessional collaboration using a checklistSelf-rating score for Interprofessional Collaboration in Clinical Practice.
 Results: The results obtained are that the application of interprofessional collaboration has not been carried out optimally due to a lack of communication clinical pathway as a guide in carrying out clinical actions, and no health workers have attended IPC (Inter-Professional Collaboration) implementation training.Good communication during the interprofessional collaboration process can solve health problems and improve patient safety. In addition to optimizing the implementation of interprofessional collaboration by holding integrated training to enhance good cooperative relations between professions.
 Conclusion: Therefore, there is a need for evaluation by services in hospitals regarding interprofessional collaboration as an effort to reduce the risk of errors in administering drugs to patients and improve the quality of health services in hospitals.

The Role of the Intellectual Potential of Employees in Creating the Goodwill of a Teaching Hospital

Hospitals are medical entities providing health services to patients. The dominant share of labour costs in the cost structure of the healthcare entity is evidence of the critical role of employees in a hospital's activities. Specialized medical staff provide medical services and educate future medical staff, while also conducting clinical trials and supporting the development of medical technologies. The article aims to recognize the impact of the intellectual potential of employees on creating goodwill in a teaching hospital. The inference was made based on the financial data available on hospital employees' income and labour costs as factors in the development of the goodwill of a teaching hospital. The following research questions were posed: whether the existing legal regulations regarding the financing of the activities of teaching hospitals in Poland, including the costs of medical staff, are conducive to the creation and development of goodwill of teaching hospitals; whether the ratio of the value of operating revenues to labour costs can be considered as a determinant of the increase in the goodwill of a teaching hospital. The research was conducted based on reporting data for 2018 - 2019 involving selected teaching hospitals as the basic units associating high-class medical specialists. The research was empirical and based on quantitative and qualitative data. The analyses were of an expert nature, from the perspective of a statutory auditor and a long-term researcher of the problems of the functioning of medical entities - hospitals. The preliminary findings indicate that the intellectual capital of teaching hospitals is crucial in creating and developing the goodwill measured by the ratio of the value of operating revenues to labour costs. The considerations undertaken in the article are an essential voice in recognizing the conditions for developing hospitals as entities with intellectual capital that is helpful in solving health problems on an international scale. The article is a continuation of the author's research on the development of intellectual capital of employees of teaching hospitals in Poland.