hospital care Flashcards
main funcitons of a hospital
Clinical help – diagnostic, treatment, rehabilitation
- Consultative help
- Health promotion- advice from doctors on way of life stop smoking etc
- Prophylaxis- screenings
- Social- you can hospilise people for social reasons, e.g a homeless person in the street, or you find an abadoned child
- Qualification
- Economic
. What is the
Bulgarian Law on
Health care
institutions?
-A hospital is a health institution where physicians
supported by other health specialists and auxiliary staff
perform all or some of the following activities:
-Diagnostic and treatment of diseases when the treatment
cannot be done in the outpatient care,
- obstetric care,
- rehabilitation,
- diagnostic and consultation required by another physician
or dentist from other health institutions,
- transplantation of organs, tissues and cells,
- medico-cosmetic services,
- clinical trials of medicines and medical equipment
according to the current country legislation,
- teaching and research activities.
what structures constitute for hospital care
- clincic/departments with beds
- hospital pharmacy
- consulting rooms medical diagnostic and medical technical labs departments without beds
- units for administrative economic and servicing activities
what is the definition of a multiprofile hospital
medical establishment with at leasT TWO MEDICAL SPECIALITIES
what is a specialised medical hospital
a medical establishment with departments or clinics for 1 medical establishment speciality or dental specialty
what’s a university hospital
- selected by council of M e.g st george in plovdiv
- involves clinical training of students
- has a pharmacy
- clinical training of healthcare and medical colleges
- post graduate training
whats a national hospital
- also a university hospital
- deliver highly specialised care for cases that cannot be treated in local or district hospitals
what is a district hospial
- for cases that cannot be solves at a local level
- they are located in district centre
- include almost all medical specialties
what a local hospital (municipality)
- can be multiprofile or specialised
- located in smaller towns usually consisting of several wards of basic specialties
types of medical establishments
- state - such as some univesiry hospitals and other national hospitals - these are governed by the state
- private - local hospitals are owned entirely by the municipalities
who manages hospitals
lead by a manager with executive power
in a public hospital - selection process is done by minister of health or other misinsitres
hospital manager signs a 3 year contract with the hospital owner !
the hospital manager is usually a physician with additional qualification in health care management
ALL HOSPITALS MUST HAVE A NURSING MANAGER (head nurse)
how do hospitals receive funding
mostly through case based payments
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reasons for hospitilization
medical, social, or both
types of hospitliization
planned ( the gp will send the patient with some documents to take to hospital and it will be organised like that, to see what dates they have available ) or emergency
defintiion of hospitlization
the act of taking someone to hospital and keeping them there for the purpose of treatment when the purpose of treatment can not be achieved by non stationary care.
organisation of patient in a hospital
exceptions
need examples
1. by sex - for example women stay with women in a hospital room
2. by severity of disease - you won’t put someone with cancer with someone who’s just broken an arm would be depressing af . or mix terminally ill patient with someone with pneumonia as immunocompromised
3. infectious/non infectious- covid ward
exceptions like paeds, as doesn’t really matter
so if you get an essay on hospital care
1) start with definiton of medical establishment
2) talk about clinical pathway
3) rember this all falls under commecial law and remember that miss said if you want to open a medical establishment you need commercial law
clinical pathway
hospitals receive funding mostly through case based funding (clinical pathway )
a patient can go through clinical pathway but they have to be insured! they still pay the out of pocket payments the rest is free of charge .
if the patient doesnt have insuranvce he has to pay the cost of the whole pathway
if tx is urgent then the patient is taken to the nearest mutirofile hospital or regional hospital
who owns district hospitals
51% state
49% - municipalities of district
types of medical establishments
- HOSPITAL FOR ACTIVE TX
- HOSPITAL FOR FURTHER TX
- REHABBILITIATION hospital - physiotherapy, thalassotherapy
- HOSPITAL FOR FINAL TR
what data is necessary to calculate statistical data for hospital activities
- total number of beds
- total number of patient days
- total number of patients who passed through the facilities
patient obligations
- comply with the rules and regulations of hospital
- hand over clothes and shoes to hospital store at admission
- not taking any medications or undergoing any procedures without the prescription for the physician
- keep a diet recommended by the physician and not serve food brought from outside to other patients in hospital
- patient can stay outside of hospital only with knowledge of doctor and spproval
- visiting hours 2 x day
- respect the rights of other patients in regards to privacy, confidentiality etc and peace
- adehere to no drinking, smoking antisocial behaviour on grounds if they are non compliant this can lead to patient dismissal provindin health is not at great risk
