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Public and Private Hospitals

Public and Private Hospitals

As noted previously, concerns have been expressed in recent years about a rapid increase in hospital administrative staff relative to numbers of beds and treated patients. As noted above, it was not possible to separately identify the wages and salaries of administrative staff in the NHCDC data, because administrative staff are often included in the costs of their relevant work area, such as operating rooms, pathology, and emergency departments. There are also inconsistencies between jurisdictions in how the costs of administrative staff are allocated. There are opportunities for improvements in data to respond to these identified deficiencies. Study participants noted that head-office overheads — such as for centralised procurement of supplies and provision of information-technology services — should also be included in cost comparisons as they are part of the cost of supplying hospital services (for example, Australian Health Insurance Association, sub. 18; Australian Medical Association, sub. 28; Australian Private Hospitals Association, sub. 25). There are currently inconsistencies between jurisdictions/hospitals in the extent to which head-office overheads are reported in the NHCDC, and this is not clearly documented. The Commission understands that the Technical Reference Group for the NHCDC — comprising representatives from the jurisdictions and private hospital groups — has been considering an approach to collect head-office overheads consistently in future cost data collections.
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Difference of head nurses management competencies among public and private hospitals of Lahore

Difference of head nurses management competencies among public and private hospitals of Lahore

Introduction of the study: Nursing Profession is an important part of the health care system, which works for the Wellbeing of health, inhibition of illness, and care of persons who are physically, mentally ill and disable people in all ages (Althabe et al., 2015). According to the Armstrong et al., (2015), the best evidence of nursing care can be assessed by their competencies,. The nursing supervisor plays an important role organizing patient care activities. Objectives: To identify the difference in management competencies among head nurses of Public and Private Hospitals of Lahore. Methodology: Quantitative Cross-sectional descriptive study design was used. The instrument use for the data collection was adopted questioner and convenient sampling technique was used. Conclusion: A descriptive study was done to assess the difference of head nurses’ management competencies among public and private hospital. Lickert scale was uses to assess the head nurses perception of competencies by questioner. The finding of the results are satisfactory because the results shows mostly positive response but indicate there is significant difference between public and private hospital head nurses management competencies in Pakistan.
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Cost of illness for outpatients attending public and private hospitals in Bangladesh

Cost of illness for outpatients attending public and private hospitals in Bangladesh

treatment for illness were higher in the public sector compared to the private sector. Illness causes high indir- ect costs, and it was found that indirect costs comprised more than 90 % of total overall costs in both the public and private hospitals. This issue of very high indirect costs is important in a relatively poor country like Bangladesh. In the public sector, pro-poor policies such as ‘free medication’ , and ‘low registration fees’ are very ineffective in reality to protect households from the financial burdens of illness. These policies cannot pro- tect households from the large indirect costs of illness such as wage losses from long waiting times, the issue of informal payments to achieve better and/or quicker treatment and the low quality of health care services provided. Further policy actions to address these issues is urgently needed to stop and reverse the devastating financial effect of ill health and its treatment on the majority of Bangladesh citizens. Future research effort is needed to focus on equity issues associated with illness. A comprehensive national health insurance scheme should be investigated as a matter of urgency.
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Waste Minimization: A Survey in Iranian Public and Private Hospitals

Waste Minimization: A Survey in Iranian Public and Private Hospitals

Background and Objectives: Hospitals usually generate large amounts of hazardous waste. If not managed properly, hospital waste can pose threats to public safety and damage the environment. Waste minimization is a waste management approach that focuses on reducing the amount and toxicity of hazardous wastes. This study pursues a two-fold purpose: 1) to gain insight into hospital waste minimization performance in Iran using a sample of public and private hospitals , 2) to compare WM performance between public and private hospitals. Methods: Data were collected using a questionnaire, designed based on WHO measures of hospital waste minimization. Ninety individuals from four public and three private hospitals were enrolled in this study using stratified sampling. Data was summarized using descriptive statistical methods. T-test and ANOVA were used to compare the mean values.
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An examination of activity in public and private hospitals in Ireland, 2015  ESRI WP601, October 2018

An examination of activity in public and private hospitals in Ireland, 2015 ESRI WP601, October 2018

In contrast, remarkably similar private in-patient bed day rates are reported in both public and private hospitals for most of the age distribution (see Figure 6). Variation, however, is evident for both sexes at the tails of the distributions. For the very old, higher in-patient bed day rates are observed for private discharges in public hospitals. Contributing to this may be the fact that public hospitals are better equipped to meet the more complex care needs of very elderly patients. Additionally, the disparity in these bed day rates between public and private hospitals at the end of life is more pronounced for males. As noted in Wren et al (5), the disparity in activity rates between sexes for the very old could be associated with higher rates of residential long-term care use by females at the end of life which can act as a substitute for public acute care (18). Women live on average longer than men and are therefore more likely to live alone at older ages, which is a predictor of nursing home admission. For those admitted to a nursing home, care in illness and close to death is likely to be received in the nursing home, whereas for those living at home, hospital admission is more likely.
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Organizational Commitment and Job Satisfaction among Staff Nurses Working at Selected Public and Private Hospitals of Bagalkot

Organizational Commitment and Job Satisfaction among Staff Nurses Working at Selected Public and Private Hospitals of Bagalkot

There was a significant difference between mean organizational commitment scores of staff nurses working in public (70.42±7.8) and private (65.24±11.2) hospitals (Z=2.73, P<0.05). Similarly, there was a significant difference between mean job satisfaction scores of staff nurses working in public (71.66±10.63) and private (65.48±11.43) hospitals (Z=2.74, P<0.05). The results of the present study are inconsistent with the study conducted by Mrayyan MT to identify variables of Jordanian nurses' job satisfaction and retention. Comparisons were performed between three public and two private hospitals in Jordan. The results showed that, Nurses who work in private hospitals were more satisfied and intended to retain their jobs more than nurses in public hospitals. 3
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Women’s preferences and mode of delivery in public and private hospitals: a prospective cohort study

Women’s preferences and mode of delivery in public and private hospitals: a prospective cohort study

Background: Rates of caesarean section have steadily increased in most middle- and high-income countries over the last few decades without medical justification. Maternal request is one of the frequently cited non-medical factors contributing to this trend. The objectives of this study were to assess pregnant women ’ s preferences regarding mode of delivery and to compare actual caesarean section rates in the public and private sectors. Methods: A prospective cohort study was conducted in two public and three private hospitals in Buenos Aires, Argentina. 382 nulliparous pregnant women (183 from the private sector and 199 from the public sector) aged 18 to 35 years, with single pregnancies over 32 weeks of gestational age were enrolled during antenatal care visits between October 2010 and September 2011. We excluded women with pregnancies resulting from assisted fertility, women with known pre-existing major diseases or, with pregnancy complications, or with a medical indication of elective cesarean section. We used two different approaches to assess women ’ s preferences: a survey using a tailored questionnaire, and a discrete choice experiment.
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Uptake of Health Insurance among Patients Attending Public and Private Hospitals in Embu County, Kenya

Uptake of Health Insurance among Patients Attending Public and Private Hospitals in Embu County, Kenya

The study was carried out in Embu County. Embu County is located on the eastern slopes of Mount Kenya and has a population of 543,221people according to 2009 Kenya Demographic and Household Census data. The residents of Embu County consist of business people, those working in various organizations in the towns and rural areas, and the majority being farmers. Embu County is served by seven public hospitals (one level 5 hospital, three level four hospitals and three level three hospitals), and one private hospitals (Tenri hospital).These are the facilities which meet the WHO definition of a hospital as a health care institution that has an organized medical and other professional staff, and inpatient facilities, and deliver medical, nursing and related services 24 hours per day, 7 days per week (WHO, 2017).
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Birth experiences of primiparous Turkish women: public and private hospitals

Birth experiences of primiparous Turkish women: public and private hospitals

We were interested in the findings concerning aspects of supportive care. A majority of the women were able to alter position and be mobile but very few were provided oral nourishment or immediate skin-to-skin contact with their babies. Women in the private hospital group were much more likely to report that support from the midwife and gynecologist and protection of privacy was more than expected. This is, perhaps, not surprising since private hospitals are likely to provide personal supportive care to a patient population that is directly paying for services. However, the greater than expected level of support did not appear to have a direct relationship with a reduction in fear and anxiety in women in the private group. Compared with women in the public hospital group, they more often expressed that their levels of fear and anxiety were greater than expected.
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Comparing public and private hospitals in China: Evidence from Guangdong

Comparing public and private hospitals in China: Evidence from Guangdong

We find that government-owned hospitals continue to dominate the highest levels of tertiary hospital care and remain the primary provider of outpatient traditional Chinese medicine services. Private hospitals are more likely to be specialty hospitals, and private for-profit hos- pitals aggressively cater to the surgical outpatient market, attracting a clientele in that area disproportionate to their size. Among general-acute hospitals, private hospi- tals appear to be scaled-down versions of their govern- ment-owned counterparts along most dimensions, from staffing and equipment to patient volumes and outcomes. Consistent with previous literature [19,20], we find that hospitals have responded to the incentives implicit in China’s fee-for-service payment system. For example, across all ownership forms, hospitals hire about one pharmacist for every four or five physicians (Table 1). Hospitals in China earn 40 to 50 percent of their reven- ues from drug sales [21], and the 2009 reform plan explicitly calls for reducing this reliance on pharmaceu- tical sales revenue.
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AN EMPIRICAL STUDY OF QUEUING ANALYSIS OF PUBLIC AND PRIVATE HOSPITALS OF SOUTHERN RAJASTHAN

AN EMPIRICAL STUDY OF QUEUING ANALYSIS OF PUBLIC AND PRIVATE HOSPITALS OF SOUTHERN RAJASTHAN

The present study is confined to study the applicability of waiting line model in health care sector with special reference to the hospitals of two districts of southern Rajasthan, India. These two districts are Udaipur, Banswara. As respondent two major elements of health care system that is doctors and patients were selected because one side is service provider and one side demands for service.

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INVESTIGATING THE PATIENT SATISFACTION WITHIN ROMANIAN PUBLIC AND PRIVATE HOSPITALS

INVESTIGATING THE PATIENT SATISFACTION WITHIN ROMANIAN PUBLIC AND PRIVATE HOSPITALS

- Another interesting aspect refers to empathy. This has the smallest score for both expectations and perceptions in both private and public medical services. An explanation of the low score regarding the expectations of this dimension could be the way in which it has been perceived in the course of time. The empathy here refers to the involvement, dedication, care, capacity of offering/giving attention to each customer/patient individually.

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Performance of Australian public and private hospitals

Performance of Australian public and private hospitals

quality indicator Table 7.10: Hypothesis null test for cost efficiency model excess adverse event 172 rates as quality indicator Table 7.11: Summary of cost inefficiency for hospital pee[r]

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PEOPLE PERCEPTION REGARDING HOSPITALS (With Reference to Public and Private Hospitals in Ongole City)

PEOPLE PERCEPTION REGARDING HOSPITALS (With Reference to Public and Private Hospitals in Ongole City)

Health is a state subject. Central government’s intervention to assist the state government is needed in the areas of control and eradication of major communicable & non- communicable diseases, policy formulation, international health, medical & Para-medical education along with regulatory measures, drug control and prevention of food adulteration, besides activities concerning the containment of population growth including safe motherhood, child survival and immunization Program. The government also reduced the import duty on medical equipment’s and technology, thus opening up the sector. The rise of literacy rate, higher levels of income and increasing awareness through deep penetration of media channels, contributed to greater attention being paid to health. Government Hospitals have low cost of treatment and Private Hospitals have high cost of treatment. Private Hospitals have healthier environment than Government Hospitals. Private Hospitals show more quality of service than Government Hospitals.
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People-centeredness in health system reform. Public perceptions of private and public hospitals in South Africa

People-centeredness in health system reform. Public perceptions of private and public hospitals in South Africa

FGDs were run between March and November 2011 in Johannes- burg, at venues and times convenient for participants. Discussions were facilitated in English (with white participants), and Sesotho and English (with black participants). Sessions took between 90- 120 minutes and were audio-recorded and immediately translated and transcribed verbatim. Translation was confirmed with trusted Sesotho-speakers to get consensus on the choice of terminology. A topic guide was used to facilitate discussion around percep- tions of public and private hospitals and whether participants would use these services in the future. Key points of discussion included quality of care, cleanliness, patient satisfaction, staff attitudes, the extent to which views were shared within the group, the origins of participants’ perceptions, and recommendations for improving the state of public hospitals.
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<p>The obstacles to diabetes self-management education and support from healthcare professionals&rsquo; perspectives: a nationwide survey</p>

<p>The obstacles to diabetes self-management education and support from healthcare professionals&rsquo; perspectives: a nationwide survey</p>

The DEs at both the public and private hospitals reported that nearly 75% of patients with diabetes received diabetes education, but that the larger hospitals tended to have a lower percentage of patients receiving diabetes education (Table 1). Diabetes education was provided to patients with newly diagnosed diabetes, uncontrolled diabetes, diabetes complications, and other individual problems. Of the hospi- tal types, the private hospitals tended to have a lower gly- cemic control threshold for the provision of diabetes education, and they tended to prefer individual to group diabetes education classes. Although the diabetes education sessions provided by the public hospitals were shorter in duration, the public hospitals conducted more sessions per year than the private hospitals. Interestingly, only 30% of the DEs at the public and private hospitals reported that the diabetes education was successful. In contrast, the large majority (nearly 70%) stated that the results of the diabetes education programs were either uncertain or no evaluations were performed. However, because the success of diabetes education was assessed by DEs from each hospital, the
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Designing a Public-Private Partnership Model for Public Hospitals in Iran

Designing a Public-Private Partnership Model for Public Hospitals in Iran

Methods: A comparative study of PPP implementation in seven pioneer countries revealed 53 elements potentially influencing development of PPP. Using rigorous expert opinion seeking, these elements were refined and adapted with respect to the Iranian context. Based on this information a 38-item questionnaire was designed. The questionnaire was distributed among 220 experts from different health domains, including clinicians of public and private hospitals and policy makers, executives, and authorized advisors from the Ministry of Health and Medical Education (MOHME) and various medical universities. The collected data were analyzed using exploratory factors analysis in order to identify factors influencing PPP development. The robustness of the identified factors was further explored by confirmatory factor analysis (CFA).
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Risk Factors for Developmental Dysplasia of the Hip in Newborns from Celaya, Guanajuato, Mexico: A Cross Sectional Study

Risk Factors for Developmental Dysplasia of the Hip in Newborns from Celaya, Guanajuato, Mexico: A Cross Sectional Study

This was a community-based study of infants born in public and private hospitals in Celaya, Mexico, and the procedures were in Laboratory of Lifestyle of Division of Health Sciences and Engineering (DHSE), Campus Celaya Salvatierra (CCS), University of Guanajuato. It was began in June 2014 and conclude in February 2014. 2.4 Universe

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Patient Satisfaction with Health Care Services in Albania

Patient Satisfaction with Health Care Services in Albania

For the third hypothesis that tests if there are significant differences in the evaluation of gap “perception – expectations”, of the dimensions of service quality between public and private hospitals, Leven Test shows that two groups of patients are not homogenous to assess GAP values because Sig. = 0.000 <0.005. That is why the analysis continue with means comparison test where for t( 4.432) and df = 35.0786 while corresponding value of Sig. (2-tailed) = 0.000 <0.05 meaning that between these two groups there are statistically significant differences evaluation of gap “perception – expectations”, between hospitals that is why H 0 is rejected. In addition when referring to the mean values
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A comparative study on service quality of private and government hospitals with special reference to erode

A comparative study on service quality of private and government hospitals with special reference to erode

Healthcare sector of a country needs special attentions from the government as quality of healthcare provides hope and relief to the patients and their dependents. It also helps to maintain a healthy human capital that contributes in the development of the country. Now quality has become an icon for customers while availing any services or buying a product and it is also a strategic advantage for the organizations to gain success and remain competitive in the market by delivering superior quality of services or products based on customer requirements. The objective of this study is to compare the quality of health care services delivered by the public and private hospitals to gain patient satisfaction in Tamilnadu. For this purpose ‘SERVQUAL’ instrument was used to measure the patient’s perception about service quality delivered by these hospitals. Five service quality dimensions; empathy, tangibles, assurance, timeliness and assurance were used in order to measure the patient’s perceptions about the service quality of public and private hospitals located in the city Erode. Due to the nature of this study only those respondents were included in the study having perceptions about both the hospitals. Therefore, 300questionnaires were selected for this study. Results showed that private hospitals are delivering better quality of services to their patients as compared to public hospitals.
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