ABSTRACT
Objective. To evaluate technical efficiency and potential presence of scale and scope economies in Mexican private medical units (PMU) that will improve management decisions. Materials and methods. We used data envelopment analysis methods with inputs and outputs for 2 105 Mexican PMU published in 2010 by the Instituto Nacional de Estadística y Geografía from the "Estadística de Unidades Médicas Privadas con Servicio de Hospitalización (PEC-6-20-A)" questionnaire. Results. The application of the models used in the paper found that there is a marginal presence of economies of scale and scope in Mexican PMU. Conclusions. PMU in Mexico must focus to deliver their services on a diversified structure to achieve technical efficiency.
Objetivo. Evaluar la eficiencia técnica y la presencia de potenciales economías de escala y alcance en unidades médicas privadas (UMP) mexicanas, de forma que sea posible establecer planes para la mejora de su gestión. Material y métodos. Se utilizó el método de Análisis Envolvente de Datos con información de insumos y productos para 2 105 UMP del año 2010 publicada por el Instituto Nacional de Estadística y Geografía a través del cuestionario denominado "Estadística de Unidades Médicas Privadas con Servicio de Hospitalización (PEC-6-20-A)". Resultados. La aplicación de los modelos encuentra una presencia marginal de economías de escala y alcance en las UMP mexicanas. Conclusiones. La operación de las UMP en México debe enfocarse a prestar servicios bajo un modelo diversificado para alcanzar mejores niveles de eficiencia técnica.
Subject(s)
Aged , Female , Humans , Male , Middle Aged , Atrial Natriuretic Factor/blood , Nerve Tissue Proteins/blood , Ventricular Dysfunction, Left/diagnosis , Biomarkers/blood , Cardiac Catheterization , Cross-Sectional Studies , Peptide Fragments/blood , Predictive Value of Tests , Protein Precursors/bloodABSTRACT
Objective To know about the pre-deployment training curriculum of PLA peacekeeping medical units. Methods Methods including questionnaire survey, spot investigation and seminars were used to collect the information of pre-deployment training curriculum from 260 peacekeepers (from 5 military area commands) and 14 international students from Second Military Medical University; their attitudes toward the curriculums were also collected. Microsoft Excel software, SPSS18.0 and Likert statistical method were used to process the collected data. Results The 9 most popular courses included related knowledge, laws and regulations, and principles of battlefield wound first-aid, etc; the most recognized courses included oral English, related knowledge, and laws and regulations; and courses like water and electricity support had a comparatively lower recognition level. Conclusion More efforts should be made on constructing modularized courses, practicing individualying training, intensifying language training and developing novel teaching mode pre-deployment training curriculums for PLA peacekeeping medical unit.
ABSTRACT
Objective To analyze the organization and management of pre-deployment training of peacekeeping medical units of PLA, so as to put forward suggestions for improvement. Methods Literature review, seminar(four sessions), and questionnaire survey were used in this study. A total of 260 questionnaires were sent out and 231 effective ones were collected, with an effective rate of 88.85%. The management mode, management regulation, training period, training site and standardization of training were investigated and analyzed. Results The PLA peacekeeping medical units needed a more standard organization and management system, a unified training period (now it ranging from 30 to 90 days), a better training condition, and standardized operation for pre-deployment training. Conclusion A more specific organization and management system is needed for pre-deployment training of PLA peacekeeping medical units. We should establish a training base for PLA peacekeeping troop and unified health service training should be practiced.
ABSTRACT
Objective To understand the status quo of pre-deployment training for PLA peacekeeping medical unit and to propose suggestion for improvement. Methods Questionnaire survey, spot investigation and seminars were used in this study. The participants included those who had attended the pre-deployment training for PLA peacekeeping medical unit from five military area commands, namely, Shenyang, Beijing, Lanzhou, Chengdu, and Jinan, and the international military medical students in Second Military Medical Universitiy. Microsoft Excel and SPSS 21.0 were used for data processing and analysis. Results PLA commands of different levels all attached great importance to peacekeeping health service, and the candidates for peacekeeping were of high quality, but their English communication ability needed improvement. Pre-deployment training was carried out by different units themselves, with poor training facilities, lack of experienced teachers, text books, and scientific test evaluation system. Conclusion More attention is needed on English communication training for PLA peacekeeping medical unit. A training base for PLA peacekeeping mission should be established, and the training should be carried out by a third party in a standard and intensive manner.
ABSTRACT
Se presenta una metodología para evaluar la calidad de los servicios que ortogan las instituciones de salud, con base en los procedimientos realizados y experiencias del Sector. Dicha metodología, propuesta por el Grupo Básico de Evaluación, permitirá integrar el diagnóstico situacional operativo de las unidades de atención médica, así como facilitar la identificación de los problemas en la prestación de los servicios y la elaboración de alternativas de solución, que contribuye de esta manera a lograr una adecuada atención, con mayor calidad y eficiencia en beneficio de los pacientes usuarios. Su ámbito de aplicación es prácticamente en todos los niveles jerárquicos, desde el nivel de departamento o servicio hasta el nivel macro sectorial, debiendo ejecutarse en forma permanente, sistemática y continua
A methodology for evaluating the quality of services rendered by the health institutions is presented. This methodology, proposed by the Basic Evaluation Group of the Health Sector, includes an operational diagnosis of the health care units, allowing the identification of service-rendering problems, this faciliting the elaboration of alternative solutions in the patient's best interests. It can be applied at all levels of the institutional hierarchy, from service and department levels to the macro dimension of health care. In order to obtain its best results, the methodology must be utilized sistematically and continuously.