Suchergebnisse

The aim of this review paper is to illustrate the areas of interest and the thinking of Hungarian hospital managers by providing a summary of the relevant Hungarian health care controlling literature and to give an introduction of potential research directions. The paper summarizes the "public discourse" and thinking on controlling, and simultaneously highlights the priorities of health care as well. The main range of interest are the financing problems and their solutions, as well as other kind of uncertainty arising from the continuous changes in roles and measures. In the early ninties some health care institutions started to apply controlling systems as a result of the introduction of performance-based financing and often published articles about it up to 2004. In 2015, a project created to enhance the operational efficiency of the health care system restarted controlling thinking: unified management measures required for hospitals may induce the development of the controlling data service, more accurate reporting, management attention, and experience sharing.

"Separate Beds is the shocking story of Canada's system of segregated health care. Operated by the same bureaucracy that was expanding health care opportunities for most Canadians, the "Indian Hospitals" were underfunded, understaffed, overcrowded, and rife with coercion and medical experimentation. Established to keep the Aboriginal tuberculosis population isolated, they became a means of ensuring that other Canadians need not share access to modern hospitals with Aboriginal patients. Tracing the history of the system from its fragmentary origins to its gradual collapse, Maureen K. Lux describes the arbitrary and contradictory policies that governed the "Indian Hospitals," the experiences of patients and staff, and the vital grassroots activism that pressed the federal government to acknowledge its treaty obligations. A disturbing look at the dark side of the liberal welfare state, Separate Beds reveals a history of racism and negligence in health care for Canada's First Nations that should never be forgotten."--

Intro -- Contents -- Foreword by Eva L. Frazer, MD -- Preface -- Introduction. Climbing the Ladder, Chasing the Dream: Homer G. Phillips Hospital -- Chapter One. The Mysterious Life and Death of Homer Garland Phillips, 1878-1931 -- Chapter Two. "Old and Combustible and Altogether Unsafe": City Hospital #2, 1919-1937 -- Chapter Three. "A Notable Advance in Negro Hospitalization": Homer G. Phillips Hospital, 1937-1940 -- Chapter Four. The Diaspora: Coming to Homer G. Phillips Hospital -- Chapter Five. "A Special Time and Place": The Ville -- Chapter Six. "A First-Class Place": The War and Washington University, 1940-1950 -- Chapter Seven. Cheating the Grim Reaper: Surgery at Homer G. Phillips Hospital -- Chapter Eight. "Killer Phillips": The Hectic Emergency Department -- Chapter Nine. "First Rate... in Every Respect": 1950-1960 -- Chapter Ten. Loving the Children: Obstetrics, Gynecology, and Pediatrics -- Chapter Eleven. "Future Nurses Club": Nursing Life at Homer G. Phillips Hospital -- Chapter Twelve. The Final Era: The Long Path to Closing, 1960-1979 -- Chapter Thirteen. "Unbelievable": August 17, 1979 -- Acknowledgments -- Notes -- Bibliography -- Index.

Abstract Background Childhood cancer becomes a public health problem in developing countries which aggravates the burden of childhood mortality by infectious diseases and malnutrition. In poor countries, the death rate for most pediatric cancers is almost 100 %. This study attempts to determine the magnitude, patterns and trends of pediatric malignancies in the study area which is important in re-evaluating existing services and in improving facilities and patient care. Methods A retrospective study of 3 year period were carried out among all children aged below 15 years old admitted into the pediatric wards of Gondar University Hospital, Northwest Ethiopia. The charts of all children aged below 15 years old admitted in the pediatric wards due to cancer were reviewed by using the data collection format. Data were entered and analyzed using SPSS version 20 statistical package. Result A total of 71 cancer cases were diagnosed and admitted to the pediatrics ward during the study period. More than two-third of the study subjects 50 (70.4 %) were males. The mean age of study subjects was 7 ± 4 year where majority 26 (36.6 %) of the study subjects were ≥10 years. Of all, 43 (60.6 %) were hematological malignancy followed by Wilms tumor 13 (18.3 %), Neuroblastoma 5 (7 %), Rhabdomyosarcoma 3 (4.2 %), Brain tumor 3 (4.2 %), Hepatoblastoma 2 (2.8 %). More than two-third of cases were found to be concomitantly malnourished being stunted, wasted and under weight. Nearly half of patients had not received chemotherapy and majority of those started chemotherapy did not complete all the treatment cycles. Shortage and absence of safe and affordable chemotherapy drugs were the major reasons for therapy interruption. Conclusion The study shows increasing childhood cancer cases over the years. Hematological malignancy takes the leading prevalence followed by Wilms tumor and Neuroblastoma. The majority of cases were also discharged without any clinical change that had the only death option. Therefore, the government and the hospital should give emphasis to establish cancer therapy centers and insure accessibility and affordability of chemotherapy drugs.

Frontmatter --Contents --Plates --Preface --Acknowledgments --Introduction --PART ONE Getting Going --Chapter One Gordon Murray --Chapter Two Uncle Bill --Chapter Three "Bigelow's Boys" --Chapter Four Hypothermia Discovered --Chapter Five The First Operations --Chapter Six Homes --Chapter Seven The Pacemaker --PART TWO Full Speed Ahead --Chapter Eight Bypass --Chapter Nine Moving On --Chapter Ten The Pacemaker Clinic --Chapter Eleven Ron Baird --Chapter Twelve The Damaged Heart --Chapter Thirteen Valves --Chapter Fourteen Training --Chapter Fifteen Research --PART THREE The Team --Chapter Sixteen Cardiologists --Chapter Seventeen Nurses --Chapter Eighteen Perfusionists --Chapter Nineteen Anesthetists --PART FOUR Today --Chapter Twenty Tirone David --Chapter Twenty-One Vivek Rao --Chapter Twenty-Two The Peter Munk Cardiac Centre --Chapter Twenty-Three The Next Gen --Chapter Twenty-Four Conclusion --Appendix I: The Local, Regional, National, and International Impact of Residents and Fellows Who Trained and Studied at the Toronto General Hospital --Appendix II: TGH Cardiac Surgeons Who Have Been Honoured by Awards and Elective Leadership Positions for Their Outstanding Contributions to Heart and Healthcare --Appendix III: Leadership Other than Awards --Notes --Index