Hospital Topics最新文献_第5页

Strategic Levers in Medical Tourism: Resource Orchestration and Profitability Mediation. 医疗旅游的战略杠杆：资源协调和盈利调解。

Hospital Topics Pub Date : 2026-03-22 DOI: 10.1080/00185868.2026.2643641

Kamakshi Mehta, Naresh Kedia

{"title":"Strategic Levers in Medical Tourism: Resource Orchestration and Profitability Mediation.","authors":"Kamakshi Mehta, Naresh Kedia","doi":"10.1080/00185868.2026.2643641","DOIUrl":"https://doi.org/10.1080/00185868.2026.2643641","url":null,"abstract":"Objective: This study examines the strategic levers that support profitability of hospitals the growing fields of medical tourism focussing on competitiveness factors and their possible interactions to achieve and sustain favorable financial performance.Materials and methods: Grounded on Resource-Based View theory, this study surveyed 300 stakeholders of medical tourism, and utilized SmartPLS structural equation modeling to analyze ten factors on hospital profitability along with the mediating mechanisms.Results: Hospital profitability variation explained by the model 86.2% Refined Delivery was the predominant strategy (t = 37.83, p < 0.001), and included service standardization, quality accreditation, and patient experience management. Brand & Marketing played the role of a secondary lever with indirect results. The two mediating pathways were largely influenced by clinical expertise, cost competitiveness, human resource development, and socio-political stability.Conclusion: Hospital profitability in medical tourism will be due to purposeful bundling, not random advantages Builders should emphasize integrated service delivery capabilities while striking the right brand positioning to match operational excellence. This tactical arrangement strategy helps hospitals transform basic resources into long-lasting competitive advantages and improved profit margins in international markets for healthcare.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying At-Risk Population for Varicella Zoster and Rubella Virus Infection Among Healthcare Workers Providing Care to Antenatal Women and Newborns: A Serosurvey from a Resource Constrained Setting. 在为产前妇女和新生儿提供护理的卫生保健工作者中确定水痘、带状疱疹和风疹病毒感染的高危人群：一项来自资源受限环境的血清调查

Hospital Topics Pub Date : 2026-03-17 DOI: 10.1080/00185868.2026.2640625

Ravneet Kaur, Aashima Arora, G R V Prasad, Amol N Patil, Shiv Sajan Saini, Mini P Singh, Mahesh Devnani

{"title":"Identifying At-Risk Population for Varicella Zoster and Rubella Virus Infection Among Healthcare Workers Providing Care to Antenatal Women and Newborns: A Serosurvey from a Resource Constrained Setting.","authors":"Ravneet Kaur, Aashima Arora, G R V Prasad, Amol N Patil, Shiv Sajan Saini, Mini P Singh, Mahesh Devnani","doi":"10.1080/00185868.2026.2640625","DOIUrl":"https://doi.org/10.1080/00185868.2026.2640625","url":null,"abstract":"A study was conducted to assess seroprevalence against varicella zoster virus(VZV) and rubella virus among health care workers providing care to antenatal patients and newborn babies. A cross-sectional study enrolled healthcare workers(HCWs) working in the departments of Obstetrics and Gynecology and Pediatrics, collecting sociodemographic details along with a request for 3 mL blood samples. Serum titers of IgG antibodies against VZV and rubella were measured by ELISA(Enzyme-Linked Immunosorbent Assay). Two-hundred HCW participants were enrolled in the study. The average age of the study participants was 31.25 ± 8 years. Among 200 HCW participants 163(81.5%) were positive, 28(14%) negative, and 01(0.5%) participant had a borderline status for VZV. Similarly, 179(89.5%) were positive, 19(9.5%) negative, and 02(1%) participants were of borderline status for Rubella. Study observed a statistically significant impact of past active VZV infection, as indicated by 92.1% antibody positivity among HCWs(p = 0.000012). However, serological status against VZV and rubella were not observed to be associated with age(p = 0.18 and 0.28), gender(p = 0.75 & 0.28), profession type(p = 0.39 and 0.74), professional experience in years(p = 0.43 and 0.9), marital status(p = 0.09 and 0.6), parity(p = 0.25 and 0.9), vaccination in the past(p = 0.12), awareness about Infection during pregnancy(0.5 and 0.57) respectively. Present study offered free vaccination to seronegative healthcare workers(HCWs) and also collected information on the reasons for their refusal to get vaccinated. Pre-employment vaccination and infection history are essential to prevent complications for oneself and to contain the spread of VZV and rubella infections in hospitals that provide care to pregnant women and their newborns.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring Determinants of Quality and Patient Safety Culture Among Healthcare Providers. 探索医疗保健提供者中质量和患者安全文化的决定因素。

Hospital Topics Pub Date : 2026-03-12 DOI: 10.1080/00185868.2026.2640626

Roshan Bhaladhare, Parag Rishipathak

{"title":"Exploring Determinants of Quality and Patient Safety Culture Among Healthcare Providers.","authors":"Roshan Bhaladhare, Parag Rishipathak","doi":"10.1080/00185868.2026.2640626","DOIUrl":"https://doi.org/10.1080/00185868.2026.2640626","url":null,"abstract":"Background: Patient safety culture (PSC) is a cornerstone of healthcare quality. Assessing PSC helps identify organizational strengths and gaps to guide safety improvements.Objective: To explore determinants of patient safety culture among healthcare providers in a tertiary care hospital in India and compare findings with global benchmarks.Methods: A cross-sectional descriptive study was conducted among 554 healthcare providers using the AHRQ Hospital Survey on Patient Safety Culture (HSOPSC). Data were analyzed to determine composite scores across safety culture dimensions and compared with international datasets.Results: Teamwork within units (82%) and organizational learning (76%) emerged as strengths, while staffing (48%) and non-punitive response to errors (45%) scored lowest. Compared with global data, the hospital performed better in teamwork but lagged behind in staffing adequacy and communication during transitions.Conclusion: The study highlights both strengths and challenges in PSC. Enhancing staffing, fostering a just culture for error reporting, and improving communication are key priorities. Findings provide a foundation for leadership-driven interventions aligned with global patient safety standards.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Social Are Hospital-Based Listed Companies in Indonesia? 印尼医院类上市公司的社交性如何？

Hospital Topics Pub Date : 2026-03-02 DOI: 10.1080/00185868.2026.2629377

Dodik Siswantoro

{"title":"How Social Are Hospital-Based Listed Companies in Indonesia?","authors":"Dodik Siswantoro","doi":"10.1080/00185868.2026.2629377","DOIUrl":"https://doi.org/10.1080/00185868.2026.2629377","url":null,"abstract":"Purpose: This paper aims to analyze the social aspects of publicly listed hospital companies in Indonesia. Many hospitals in Indonesia are operated under corporate ownership and have conducted Initial Public Offerings (IPOs) to obtain capital for expanding healthcare services across regions. At the same time, these hospitals participate in social programs by serving patients under the national health insurance scheme (BPJS - Badan Penyelenggara Jaminan Sosial or the Social Health Insurance Administration Body). The government also involved private hospital to service BPJS patients.Design/methodology/approach: The research method of the paper is qualitative with a descriptive secondary-data analysis. Financial statements, annual reports and related websites would be analyzed further. A total of eight hospitals were analyzed.Findings: The result shows that some hospitals rely on revenue from social activities (BPJS). The negative effect is that payment from BPJS took time, so it is the hospital's dominant account receivable. The hospital should manage the accounts overdue from BPJS well.Originality/value: This may be the first paper to study hospitals that are publicly listed companies focusing on profit while also engaging in social activities (social insurance).","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Knowledge and the Factors Affecting Knowledge Among Patients on Oral Anticoagulation Therapy. 患者口服抗凝治疗知识及其影响因素的评价。

Hospital Topics Pub Date : 2026-02-18 DOI: 10.1080/00185868.2026.2629376

Janet Prameela Dsouza, Jyothi Chakrabarty, Padmakumar Ramachandran, Baby Satheesh Nayak, Vasudeva Guddattu, Judith Angelitta Noronha, Elsa Sanatombi Devi

{"title":"Evaluation of Knowledge and the Factors Affecting Knowledge Among Patients on Oral Anticoagulation Therapy.","authors":"Janet Prameela Dsouza, Jyothi Chakrabarty, Padmakumar Ramachandran, Baby Satheesh Nayak, Vasudeva Guddattu, Judith Angelitta Noronha, Elsa Sanatombi Devi","doi":"10.1080/00185868.2026.2629376","DOIUrl":"https://doi.org/10.1080/00185868.2026.2629376","url":null,"abstract":"Introduction: Vitamin K antagonists (VKAs) are recommended to prevent thrombotic events, particularly in atrial fibrillation and after prosthetic valve replacement. Given that the therapeutic range of oral anticoagulants is narrow, therapy can be challenging. Dosing is also affected by certain factors that may increase the risk of bleeding. Knowledge gaps in oral anticoagulation therapy are linked to reduced effectiveness and safety of treatment. However, limited data are available on this issue in the urban and rural settings of southern Karnataka, India. Hence, the present study aims to measure knowledge about oral anticoagulation therapy and investigate the factors affecting knowledge among these patients.Methods: A cross-sectional survey design was used. Three hundred twenty patients who were receiving VKAs participated in this study. Data were collected using the anticoagulation knowledge questionnaire.Results: Most of the patients had poor knowledge about oral anticoagulation therapy. They had the highest level of knowledge about laboratory monitoring. Knowledge about diet and drug interactions and adverse drug reactions was significantly lower. Medication management knowledge was found to be moderate. There was a significant association between knowledge and age, education level, place of residence, prior informative sessions about therapy, and duration of use. Significantly, higher education levels, attending prior informative sessions, and longer treatment periods were linked to better knowledge. There was no association between occupation and knowledge.Conclusion: The results emphasize the need for targeted education on oral anticoagulation, with knowledge assessment as the first step to guide interventions that prevent complications and improve quality of life.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hospital Reliance on Inpatient Rehabilitation-Related Specialty Care Revenue. 医院对住院康复相关专业护理收入的依赖。

Hospital Topics Pub Date : 2026-02-13 DOI: 10.1080/00185868.2026.2629379

Cassandra R Henson, Dan Friesner

{"title":"Hospital Reliance on Inpatient Rehabilitation-Related Specialty Care Revenue.","authors":"Cassandra R Henson, Dan Friesner","doi":"10.1080/00185868.2026.2629379","DOIUrl":"https://doi.org/10.1080/00185868.2026.2629379","url":null,"abstract":"Many hospitals operate on thin financial margins. Minor changes in market conditions, government regulations, or insurance reimbursement often place hospitals in a precarious financial position. One strategy to ensure sustained financial viability is to adapt the mix of services offered to patients. Hospitals offering services for which insurers reimburse more generously garner additional revenue to cover expenses and/or generate profit. Certain types of specialty inpatient services have been alleged to potentially generate greater reimbursement. This study empirically assesses whether general, acute care hospitals respond to external forces by increasing their reliance on revenues derived from specialty care services. Tobit analysis is applied to data drawn from the American Hospital Association Annual Survey of Hospitals to assess whether hospitals with specific market, operating, institutional characteristics, or past financial conditions display a significantly greater proportion of total (gross) revenues derived from inpatient psychiatric and inpatient rehabilitation care services. The results suggest that a hospital's profit/tax status, past financial positions, past operating conditions, and geographic location all significantly impact a hospital's reliance on inpatient psychiatric and rehabilitation services.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Demographics of Health Professionals in the Province of Alicante. Analysis for Human Resource Planning, 2025-2032. 阿利坎特省卫生专业人员的人口统计。人力资源规划分析，2025-2032。

Hospital Topics Pub Date : 2026-01-20 DOI: 10.1080/00185868.2026.2616481

Nuria Ramírez Perea, Domingo Luis Orozco-Beltrán, Jorge Crespo Bañón

引用次数: 0

Dementia and Delayed Hospital Discharges: Assessing the Post-Discharge Care Gap for Older Adults in Canada. 痴呆和延迟出院：评估加拿大老年人出院后护理差距

Hospital Topics Pub Date : 2026-01-14 DOI: 10.1080/00185868.2026.2616484

Kisalaya Basu

{"title":"Dementia and Delayed Hospital Discharges: Assessing the Post-Discharge Care Gap for Older Adults in Canada.","authors":"Kisalaya Basu","doi":"10.1080/00185868.2026.2616484","DOIUrl":"https://doi.org/10.1080/00185868.2026.2616484","url":null,"abstract":"In Canada, hospitalized patients aged 65 and older with dementia as a primary diagnosis often face delayed discharges due to limited access to long-term care (LTC) facilities and homecare services. This study compares patients aged 65 and older with dementia as the primary diagnosis to those with 16 broad categories of other primary diagnoses-excluding dementia-related conditions where applicable-across three key outcomes: (1) the likelihood of experiencing a delayed discharge, (2) the length of delay among those who experienced one, and (3) among delayed discharge patients, the likelihood of being discharged to one of three destinations-homecare, long-term care with 24-h nurse care (LTC-24), or other post-acute residential care (PARC), including rehabilitation, complex continuing care, group living, or supportive housing. Using 2023-24 data from the Discharge Abstract Database (DAD), this study applies logistic, negative binomial, and multinomial logit models. After adjusting for other factors, patients with primary diagnoses other than dementia were about 35% to 95% less likely to experience a delayed discharge, and when delays occurred, their expected duration was roughly 32% to 65% shorter. All estimates were statistically significant at the 1% level. Among patients who experienced delays, those with other primary diagnoses were also less likely to be discharged to homecare, PARC, or LTC-24 rather than home. These findings highlight the urgent need to expand access to specialized, affordable post-discharge care for patients with dementia, as their complex needs strain hospital capacity.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing Shortages in Nursing with Male Representation: A Literature Review. 以男性代表解决护理人员短缺问题：文献综述。

Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-10-06 DOI: 10.1080/00185868.2024.2410340

Reece Davis, Thomas Shaw

引用次数: 0

A Study on Quality Assurance and Utilization of Equipment in the Radiology Department of a Tertiary Care Teaching Hospital. 关于一家三级教学医院放射科设备质量保证和使用情况的研究。

Hospital Topics Pub Date : 2026-01-01 Epub Date: 2024-09-18 DOI: 10.1080/00185868.2024.2402791

P Arathi, Anup Naha, Siva Kumar, Usha Rani

{"title":"A Study on Quality Assurance and Utilization of Equipment in the Radiology Department of a Tertiary Care Teaching Hospital.","authors":"P Arathi, Anup Naha, Siva Kumar, Usha Rani","doi":"10.1080/00185868.2024.2402791","DOIUrl":"10.1080/00185868.2024.2402791","url":null,"abstract":"Utilizing resources to reduce costs and increase income while ensuring patient safety necessitates rigorous planning. The study aims to assess ergonomics, equipment utilization, outpatient satisfaction, and quality assurance in the Radiology Department. Four hundred outpatients, 39 radiographers, and 40 postgraduate students participated in a cross-sectional mixed-methods study that included surveys and interviews. The results were obtained using descriptive statistics, a utilization rate, and a Chi-square test with a 95% confidence interval. Three hundred eighty-two patients, or 95.5%, were satisfied with the overall service quality. Quality and explanation of the process by a radiographer 76.8%, patient knowledge of procedures 76.8%, privacy level 79%, and affordability of treatment 91.8% leading to 95.5% patient satisfaction and 87% were willing to recommend the facility to family and friends. Although there was a high percentage correlation with clinical diagnosis (81%), re-doing 43 (1%), reporting a mistake 30 (23.4%), or both might affect patient safety standards. Quality control, patient safety, and equipment utilization are all inextricably linked. Even minor changes in quality can influence utilization rates and patient safety.","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":" ","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0