RÉSUMÉ
Background: Current study was undertaken to analyze Ayushman Bharat claims settled during the initial two years of launch of the scheme in an empaneled, public hospital in northern India. Objective was descriptive analysis of 4844 settled claims in terms of demographic characteristics of beneficiaries, procedures and packages availed by them in an empaneled public hospital during the initial two years of the launch of the scheme. Methods: A cross-sectional records study of 4844 settled claims was conducted in a public, empanelled 1015 bedded tertiary care multi-specialty hospital of north India. Anonymized data was collected from the transaction management module of AB-PMJAY scheme and hospitalization record of patients retrieved from medical records department. Results: The study revealed that around 4844 claims were settled during the initial two years (December 2018 to December 2020). Highest number of claims (43.33%) were availed under general medicine category. Chemotherapy packages availed under medical oncology were 37.45% of all claims. Interventional cardiology packages were the costliest. Conclusions: The study provides an insight into the frequency of various claims, their costs, disease/procedural burden of beneficiary patients of AB-PMJAY. It will provide policy feedback and help in future planning and implementation of the scheme.
RÉSUMÉ
Background: Self-assessment of fire safety provides valuable insights for framing a robust fire safety program for hospitals by identifying gaps and taking corrective measures. The study was performed to (i) critically analyse fire incidents which occurred in the hospital and (ii) assess fire safety program of the hospital. Methods: A critical analysis of 3 fire incidents which occurred in hospital was performed. Further review of records regarding all fire incident reports was performed for last 4.5 years and analysed for cause, site, timing, triggering factor and firefighting. For the second objective, fire safety mechanisms in hospital were compared with national accreditation board of hospital checklist and national building code 2016 part 4 “fire and life safety” guideline. Results: It was found that a total of 44 incidents of fire occurred over a period of four and a half years from January 2019 to July 2023, of which 42 were minor, confined fires while two were major and non confined fires. Electrical cause was found in 48.84% of fire incidents, 37% occurred in external areas, 41% in the morning shift hours and in 51.16% incidents clean agent was used for extinguishing the fire. In 93.18% incidents, trained hospital security extinguished the fire. Average reporting time was 1.23 minutes and mean time taken to act and extinguish the fire completely was 10 minutes. Conclusions: Critical analysis of fire safety using records of fire incidents and comparison with guidelines helps hospitals in self assessment of their fire safety plans and guides in filling lacunae.
RÉSUMÉ
BACKGROUND: An assessment of cancer incidence in population is required for prevention, early diagnosis, treatment and resource allocation. This will also guide in the formation of facilities for diagnosis, treatment, rehabilitation and follow‑up for these patients. The demographic trend of cancer will help to identify common types and etiological factors. Efforts at clinical, research and administrative levels are needed to overcome this problem. SETTINGS AND DESIGN: Present retro prospective study was conducted in regional cancer center of a tertiary care hospital. MATERIALS AND METHODS: After permission from ethics committee, a retro prospective study of 1 year duration was undertaken to study the profile of cancer patients and to compare it with other cancer registries in India. STATISTICAL ANALYSIS: Pearson’s Chi‑square test and simple linear regression were used. Statistical Package for the Social Sciences version‑16 (University of Bristol information services (www.bristol.ac.uk/is/ learning/resources) was used. RESULTS: The overall incidence of cancer in Kashmir is on the increase and common sites of cancer are esophagus and gastroesophageal (GE) junction, lung, stomach, colorectal, lymphomas, skin, laryngopharynx, acute leukemias, prostate and brain in males.In females common sites are breast, esophagus and GE junction, ovary, colorectal, stomach, lung, gallbladder, lymphomas, acute leukemias and brain. CONCLUSION: Cancers of esophagus, stomach and lungs have a high incidence both in men and women in Kashmir. Future studies on sources and types of environmental pollution and exposures in relation to these cancers may improve our understanding of risk factors held responsible for causation of these malignancies in this region. This will help in the allocation of available resources for prevention and treatment strategies.