Biography:

Sarit Rashkovits has completed her PhD from the Technion, Israel Institute of Technology, in the Industrial Engineering and Management faculty. She is a lecturer in the department of health systems management of the academic Yezreel Valley College, for the graduate and undergraduate programs. She has published several papers of research in healthcare management.

Abstract:

Nursing teams are required to provide care in complicated environments while handling challenging workloads. The head nurse’s proactivity may be important for attenuating the negative association between nursing team workload and learning and thus attenuate the negative indirect effect of workload on the quality of care provided by the nursing team. Data were collected by validated questionnaires sample of seventy nursing teams (a total of 598 nurses – 28 nursing team members, and 70 head nurses). The results of a moderated mediation model supported the attenuating role of the head nurse proactivity. First, there was a significant interaction effect between head nurse proactivity and nursing team workload on nursing team learning (B=0.33, p<0.05). When the level of head nurse proactivity was low there was a significant negative effect of team workload on team learning (p< 0.01). However, when the level of head nurse proactivity was high there was no significant effect of team workload on team learning. Second, nursing team learning was significantly related to the quality of care provided by the teams in terms of patient safety promotion (B=0.23, p<0.05), and patient adherence promotion (B=0.35, p<0.01). Last, nursing team workload demonstrated significant negative indirect effects on these two aspects of quality of care provided by the team (patient safety promotion [-0.26, -0.003], and patient treatment adherence promotion [-0.30, -0.06]), when head nurse proactivity was low. However, these indirect effects were not significant when head nurse proactivity was high.

Biography:

Thai Quoc Khanh has completed his Master of Finance from the University of Portsmouth. He has more than 15 years experiences working in public sector in Vietnam.

Abstract:

The English healthcare sector underwent unprecedented budget tightening and system restructuring over the period from 2009 to 2016. Improving the efficiency of the healthcare services, and hospitals in particular, was one of the core objectives of the restructure. Our study assesses the efficiency of foundation trusts in England and identifies factors that influenced the efficiency of these providers. While Data Envelopment Analysis (DEA) is widely used in measuring hospital efficiency, there has been a relative scarcity of contemporary DEA studies conducted on English hospitals. We conducted second-stage analysis by regressing super technical efficiency scores (yielded from DEA) against a range of explanatory variables. We found evidence of a positive significant association with the financial position of the health trusts (that is, as deficit increased efficiency decreased). This finding suggests that while we might expect hospital efficiency could be improved under budget constraint pressure, this expected outcome was not the case (possibly due to inadequate control resources used). In addition, scope (range of services), and the proportion of elderly patients had a negative and statistically significant association; bed occupancy, on the contrary, had a positive statistically significant association on the efficiency of acute trusts. Our results therefore suggest that diseconomies of scope have been realise, and therefore moves to expand the number of services further should be carefully considered. The positive association with occupancy rate suggests that better management of patient flows and resource utilization might improve efficiency.

Biography:

Guilherme Santos Crespo has completed his MBA in Health Business Management from Foundation Pedro Leopoldo/Foundation UNIMED and MBA in Public Health Management from Foundation Fiocruz. He also did Clinic Research Capacitation at PRADI / Hospital Alemão Oswaldo Cruz. He is the Chief of Research and Innovation Sector at EBSERH/HUCAM and the Health Technologies Appraisal’s Coordinator at the same institution. He is an Oncologic Surgeon.

Abstract:

Hospital Universitário Cassiano Antonio Moraes is the main university hospital in the Espírito Santo. It has a total area of 38.777,66 m² where different assistance degrees of service are delivered. It has a public management and uses an enterprise to subcontract human resources to general services and cleaning. In this presentation we focus on the cleaning and general services resource changes we’ve implemented and its results. In late 2017 we’ve reached the cost exclusively with human resources on general services at the amount of R$ 465.616,19 with a total of 138 employees to do the job. We've remapped all the hospital not having significant chances in the size of the area covered by the needs to be cleaned, and re-classified areas in 3 different profiles: critical, semi-critical and non-critical. We've created a score of productivity and aimed in two approaches: reducing need of human resources contracted and productivity enhancement without quality impairment. As we monitored the goals established, we could prove to be able to reduce the need of 23 professionals (16,67% reduction) in the first monitoring wave, with prospection of development in areas where idleness and others productivity indicators showed promise. That focus and diligence in this specific matter saved R$ 73.778,79 per month, with a annual reduction of R$ 885.345,48 of costs without quality impairment.

Biography:

Ghobad Moradi is MD, MPH, PhD in Epidemiology. He is Assistant Professor of Epidemiology, Kurdistan University of Medical Sciences, Iran. He is the head of the department of Epidemiology and Biostatistics, School of Medicine as well. He has published more than 71 international papers in reputed journals and has been serving as an editorial board member of reputed journals.

Abstract:

Introduction: Preparation for disasters leads to reduce the damage and timely response to disasters and greatly reduces the amount of damages and injuries. The aim of this study is to investigate the socio-economic inequalities in preparation for disasters.

Methods: This is a cross-sectional study. Sampling in this study was a randomized multistage stratified cluster sampling with equal clusters. A total of 112,667 people were sampled. Data was analyzed in two stages. Socio-economic inequalities were investigated using the methods of Concentration Index and Concentration Curve In the first stage, and the multilevel method was used to identify the role of determinants in the second stage.

Results: Of all participants in the study 2644 (8.93%) had emergency bags at home. Concentration Index was obtained CI=0.07[CI95% (0.05, 0.09)] for emergency bags at home that indicates having an emergency bag is higher in the higher socio-economic groups. The results of multilevel analysis show that there is a relationship between place of residence, gender, occupation, economic class, and the chance of having an emergency bag at home.

Conclusion: Inequality in preparation for disasters was in favour of well-off group and this inequality varies in different provinces. The economic-social class and the level of education, gender, place of residence, and occupation are the factors affecting the prevalence of traffic accidents, and these issues should be considered to reduce inequalities.

Biography:

Abstract:

The present researching Project has the following title: Diagnosis of the Carob syrup production to the European Union Market, Sancor Village District Chulucanas 2017. Th is report had been made considering the high consume demand of organic food on the European Union Market correlatively with the gradual productive quality standardization and increasement of Carob syrup on the national and international market. Considering that this product has a lot of nutritional properties, it represents a great opportunity to export this as a natural restorative which slows down European physical aging.

In order to achieve this goal, the present product needs to be produce under optimal conditions which comprehend the innocuity principles, productive standardization, the high technology equipment, consumer trends, Key Performance Indicator System for each productive step and the adaptation of the Peruvian Technic Norm to the European alimentary regulations.

The results report that the Carob syrup production of Sancor Village is done under unhealthy conditions with antiquate equipment, slow efficiency.

The presence of high levels of acrylamide (carcinogenic substance with genotoxic potential) that It prevents it from being constituted as a product of export quality. Likewise the study showed that the Peruvian technical standard establishes that the Algarrobina is nutritious for the Human consumption based on a simple bromatologic analysis; Against the Swedisch Standard Norm 161618 This is void due to the Algarrobina sent to laboratories in the European Union showed levels of acrylamide well above the permissible maximum limit (4mg-50mg per kg), The present productive process has a lot of contingencies that consequently make Carob Syrup as a non-optimal product for the European Innocuity and therefore non-exportable.

Biography:

Abstract:

The present researching Project has the following title: Diagnosis of the Carob syrup production to the European Union Market, Sancor Village District Chulucanas 2017. Th is report had been made considering the high consume demand of organic food on the European Union Market correlatively with the gradual productive quality standardization and increasement of Carob syrup on the national and international market. Considering that this product has a lot of nutritional properties, it represents a great opportunity to export this as a natural restorative which slows down European physical aging.

In order to achieve this goal, the present product needs to be produce under optimal conditions which comprehend the innocuity principles, productive standardization, the high technology equipment, consumer trends, Key Performance Indicator System for each productive step and the adaptation of the Peruvian Technic Norm to the European alimentary regulations.

The results report that the Carob syrup production of Sancor Village is done under unhealthy conditions with antiquate equipment, slow efficiency.

The presence of high levels of acrylamide (carcinogenic substance with genotoxic potential) that It prevents it from being constituted as a product of export quality. Likewise the study showed that the Peruvian technical standard establishes that the Algarrobina is nutritious for the Human consumption based on a simple bromatologic analysis; Against the Swedisch Standard Norm 161618 This is void due to the Algarrobina sent to laboratories in the European Union showed levels of acrylamide well above the permissible maximum limit (4mg-50mg per kg), The present productive process has a lot of contingencies that consequently make Carob Syrup as a non-optimal product for the European Innocuity and therefore non-exportable.

Biography:

Sarit Rashkovits has completed her PhD from the Technion, Israel Institute of Technology, in the Industrial Engineering and Management faculty. She is a lecturer in the department of health systems management of the academic Yezreel Valley College, for the graduate and undergraduate programs. She has published several papers of research in healthcare management.

Abstract:

This study investigates the moderating role of the need to act against the norms in the link between proactive personality and students' Occupational Self- Efficacy (OSE). Women who choose a male dominant occupation or men who choose a female dominant occupation face a situation that actually requires acting against the existing norms. Hence, a three way interaction effect of proactivity, by gender, by gender occupational-dominancy on OSE was tested with a sample of 70 students in a male dominant occupation (information systems), and 127 students in a female dominant occupation (nursing). The results supported this three way interaction model: The effect of proactivity on OSE was significantly stronger for women than for men among the information systems students but not among the nursing students (see fi gure1) Furthermore, additional analysis indicated that there was no significant gender difference in the association between proactivity and OSE among the nursing Muslim students (who do not perceive nursing as feminine), but this association was significantly stronger for men than for women among the other nursing students (see figure2) Hence, the results show that the need to act against the norms moderated the proactive personality – OSE link.

Biography:

Do Yeun Kim been graduated from EWHA Womens University as a Medical Doctor, with the specialties regarding hematology and medical oncology of Internal Medicine. Later on she obtained her PhD from Medical College of EWHA Womens University and MPH from Graduate School of Public Health Yonsei University. She started working at the Dongguk Universith Ilsan Hospital and has continued her clinical practice and research at that institution, up to now.

Abstract:

Purpose: This study was conducted to investigate the current operation of a multidisciplinary team (MDT) to cancer patients and to facilitate to better cancer care in Korea.

Materials and Methods: Questionnaire dealing with meeting frequency, pattern of care, impacting factors to inactivate or facilitate of MDT, and responder’s opinion was given to a director of medical oncologist departments of university hospitals. The questionnaire was then sent via online from Korean Association of Clinical Oncology (KACO).

Result: A total of 32 of 91 individuals (35.2%) who were sent the survey completed. Among them, 62.5% (20/32) replied their institutions operate MDT, while all responders thought that MDT is necessary clinical practice to cancer patients. Sixty percent of institutions which operate MDT, the meeting frequency was below twice/a week and the major cancer type by decision via MDT was head and neck cancer (60%;12/20), breast cancer (55%;11/20), and colorectal cancer (55%;11/20). Responder’s view toward the appropriateness for operating MDT of each institution was partially positive (65%;13/20). The major reasons of not showing attention to MDT were difficulty for scheduling time between multidisciplinary specialists at the same time, absence for any authority among specialists, and too much allocated time to MDT. While, top three suggestions for activation of MDT were respect for practice authority among different specialty, positive recognition for MDT, and raising the current cost of reimbursement.

Conclusions: Our finding showed that more effective health care policy should be applied to incorporate multidisciplinary team to clinical practice for better cancer care in Korea.