World hospitals and health services: the official journal of the International Hospital Federation (World Hosp Health Serv)

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ISSN 1029-0540

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Established 20 years ago with a single dialysis center assisting only 20 patients with 6 hemodialysis machines, Medicare has grown leaps and bounds to assist thousands of poor patients to obtain a highly subsidized rate for quality treatment. Millions of ringgit raised via various fundraising projects and events have been well utilized to serve the growing number of kidney patients in Malaysia who simply cannot bear the exorbitant cost of treatment. Staying true to its mission, Medicare extends its assistance to needy kidney patients and their families, who indirectly have become part of the Medicare family.
    World hospitals and health services: the official journal of the International Hospital Federation 08/2015; 51(1):26-30.
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    ABSTRACT: Improving health care quality in a resource constraint environment in an emerging economy that is in a hard-to-reach geographic terrain can become a challenge especially when it has to follow the international standard which AKHS, P envisions to implement across the nation in all of its health facilities. Healthcare of the nation is a responsibility which is shouldered by both the government and the private sector. Private-sector, however, remains under pressure as its resource size is limited and it remains subject to stringent regulation and quality control requirements regardless of whether it is in the remotest corner of the country where proper land routes are either lacking or not safe. This article shares the unique experience of AKHS, P in achieving ISO 9001:2008 International Quality Management System Certification. Particularly at one of the "world's highest valleys -situated at Gilgit Baltistan at an altitude of 13,083 ft. above sea level in Northern Pakistan. The experience was unique in terms of demonstrating and recording how a quality management system can be implemented in one of the most difficult to reach areas where compliance to international quality standards was previously unthinkable.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2015; 51(1):32-5.
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    ABSTRACT: Operating simultaneously like a repair shop, prison, and hotel, hospitals are prone to seven common pitfalls in customer service. Patient care is often fragmented, inscrutable, inflexible, insensitive, reactive, myopic, and unsafe. Hospitals are vying to be more high-tech, rather than high-touch even though staff engagement with patients rather than facilities and equipment strongly influence patient satisfaction. Unless processes, policies, and people are made customer-centered, the high quality of the hospital's human and hardware resources will not translate into high patient satisfaction and patient loyalty.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2015; 51(1):7-10.
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    ABSTRACT: Employees work attitudes are key determinants to organizational performance. This article proposes a model integrating servant leadership, prosocial motivation, and corporate social responsibility (CSR) in order to explain a mechanism through which prosocial motivation plays a central role in enhanding physicians' work attitudes. A cross sectional survey from a sample of physicians indicates that (1) prosocial motivation can be shaped from servant leadership when physicians perceive high value fit with their supervisors, (2) prosocial motivation improves physicians' job satisfaction. Its effects is strengthened when physicians perceive high CSR, and (3) job satisfaction improves organizational commitment. The results provide meaningful insights that a triple synergy of prosocial orientation among physicians, supervisors and organization enhances physicians' work attitudes.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2015; 51(1):12-21.
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    ABSTRACT: Facilitating patient-focused, cost-effective care throughout the continuum is a challenge that requires creativity of healthcare administrators. At BLK Super Specialty Hospital, a Guest Relationship Executive (GRE) and Patient Care Coordinator (PCC) role was developed to improve communication and linkage among clinical and non-clinical departments. Management also innovated various other processes which needed improvement for facilitating the improvement of services provided to the patients. Empowering PCC and GRE to take the initiative, make decisions and take actions to prevent and resolve service issues has elevated service levels and lead to an enhanced patient experience.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2015; 51(1):22-5.
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    ABSTRACT: Fast Track surgery is designed to optimize time in low-complexity procedures, thus improving efficiency in care provision, and preserving patient safety. Before and after intervention study in a surgical setting, with failure mode and effects analysis, identification and prioritization of improvement opportunities, process measurement before the intervention, improvement implementation, practical application, process measurement after the intervention, and surgical time comparisons. With the Fast Track program, 19% of the operating room capacity available was freed per day; before surgical FastTrack implementation, 50% of the procedures started 23 minutes behind schedule. After the Fast Track program was implemented, procedures start 5 minutes ahead of schedule. Anesthesia induction time was reduced by 50%, and skin-to-skin surgical time dropped by 28%. The number of surgical procedures performed in the day increased by 33-50%. There were noincidents or adverse events. Fast Track surgery is a useful strategy for improving operating room efficiency and reducing surgical time. Procedures start on time, with increased timely care, patient and practitioner satisfaction, and lower service costs.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2015; 51(1):40-3.
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    ABSTRACT: Strategic planning is a process. One way to think of strategic planning is to envision its development and design as a framework that will help your hospital navigate through internal and external changing environments over time. Although the process of strategic planning can feel daunting, following a simple formula involving five steps using the mnemonic B.E.G.I.N. (Begin, Evaluate, Goals & Objectives, Integration, and Next steps) will help the planning process feel more manageable, and lead you to greater success.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2015; 51(1):4-6.
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    ABSTRACT: The healthcare built environment has effects on patient's wellbeing. These effects are even heavier on sensitive patient such as psychiatric ones. Therefore the environment design can be a key factor in promoting the patients' well-being and the care process. This paper investigates how this vision is influencing the design of psychiatric facilities in the Italian context, known for its radical innovation of mental health services due to Law 180 (1978). The article identifies the current built environment issues of the psychiatric ward, the design indications available and the possible future actions to meet the needs of users and to improve wellbeing and care process.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2015; 51(1):36-9.
  • World hospitals and health services: the official journal of the International Hospital Federation 01/2015; 51(1):3.
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    ABSTRACT: UNICANCER, recognizing the role played by patients in their own management, set up a unique initiative in France in November 2011: the patient expectations observatory, which is designed to reorient and improve the quality of care provided by comprehensive cancer centers of the UNICANCER group based on a better knowledge and understanding of patient perceptions and preferences. An innovative internet-based participative consultation recorded and prioritized patient expectations. Patient management improvement actions in cancer centres were then generalized to equitably satisfy the identified patient expectations. By using patient expectations concerning organization of health care, cancer cancers therefore provide an example of the new modalities of patient participation in health care institutions, in line with the changes proposed by public authorities.
    World hospitals and health services: the official journal of the International Hospital Federation 03/2014; 26(2):183-7.
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    ABSTRACT: Quality in health care is important as it is directly linked with patient safety. Quality as we know is driven either by regulation or by market demand. Regulation in most developing countries has not been effective, as there is shortage of health care providers and governments have to be flexible. In such circumstances, quality has taken a back seat. Accreditation symbolizes the framework for quality governance of a hospital and is based on optimum standards. Not only is India establishing numerous state of the art hospitals, but they are also experiencing an increase in demand for quality as well as medical tourism. India launched its own accreditation system in 2006, conforming to standards accredited by ISQua. This article shows the journey to accreditation in India and describes the problems encountered by hospitals as well as the benefits it has generated for the industry and patients.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):9-12.
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    ABSTRACT: Teamwork and communication failures are leading causes of patient safety incidents in health care. Though health care providers must work in teams, they are not well-trained in teamwork and communication skills. Health care faces the problems of differences in communication styles, communication failures and poor teamwork. There is enough evidence in the literature to show that communication failure is detrimental to patient safety. It is estimated that 80% of serious medical errors worldwide take place because of miscommunication between medical providers. NUH recognizes that effective communication and teamwork are essential in the delivery of high quality safe patient care, especially in a complex organization. NUH is a good example, where there is a rich mix of nationalities and races, in staff and in patients, and there is a rapidly expanding care environment. NUH had to overcome these challenges by adopting a multi-pronged approach. The trials and tribulations of NUH in this journey were worthwhile as the patient safety climate survey scores improved over the years.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):19-22.
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    ABSTRACT: In 2014, the Dutch Association of Hospitals (Nederlandse Vereniging van Ziekenhuizen, NVZ) launched the "Quality Window" at general hospitals across the Netherlands. The Quality Window is an online platform for patients which shares a hospital's current and previous scores on ten quality indicators, from patient experience to employee satisfaction. The Quality Window therefore responds to the growing demand for information and transparency when it comes to hospital care and performance. Not only can patients access helpful information about a hospital's quality through the Quality Window, they can also compare results with other hospitals, the national average, and more. Many hospitals also take the opportunity to expand on how indicators work in practice and the actions being taken towards improvement. The Quality Window was developed with the help of hospitals and patients. Over the coming years it will be expanded to university hospitals across the country. General hospitals will also begin developing Quality Windows for specific patient groups, such as cancer patients.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(3):26-8.
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    ABSTRACT: Outpatient care for patients with chronic illnesses in Germany (e.g., stroke patients) is currently fragmented, with little interconnectivity among the different care providers. After being cared for in a highly structured inpatient environment, patients are often discharged alone with limited supportive care at home. With the goal of accompanying patients on their way back to autonomous mobility and social participation, rehaVital members developed an integrated care model. In this model, patients' perspectives and needs are recognized as central determinants in their post-discharge care. Further key features include structured interconnectivity among the various care providers with transparent treatment goals and progress demonstrated by quality indicators.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(4):6-9.
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    ABSTRACT: Safety is a crucial aspect in any medical treatment. The awareness that patients can play an essential role in the prevention of errors and adverse events has increased over the last decade, connected to the movement for patient empowerment. Patients are no longer "objects" and "victims" of a treatment, but are alert observers and partners and become an active "last barrier" for the prevention of errors. This new role is challenging: for the patient as it requires action in a vulnerable period of dependence and the courage to intervene at the right moment; and for the caregivers who are facing a patient who is critical and dares to speak-up.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(3):20-2.
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    ABSTRACT: This study focuses on the associations between subjective well-being and mental health. In addition, gender differences are evaluated. The research was conducted as a cross-sectional online survey using a standardized questionnaire to assess physicians' mental health and well-being. Results have shown moderate scores for mental health and well-being in physicians. In general, male physicians perceive a better well-being and higher mental health score than female physicians. Well-being and mental health should be improved to increase physicians' work ability and subsequently, the quality of treatment and patient satisfaction. Mental health prevention should be more widely implemented in hospitals, and its awareness and early treatment should be encouraged. Mental health interventions might include modifying physicians' daily work schedules, providing curricula on mental health and offering training on the awareness of distress and well-being.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(4):17-22.
  • World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):3.
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    ABSTRACT: By 2020, the population of Ulaanbaatar will reach 1,522,400 inhabitants. In addition, estimates show that relative to 2010, there will be 13.1% more outpatient registrations and 11.6% more inpatients by 2020. This study, conducted by descriptive design based on demographic and morbidity data, analyzes whether current health care facilities meet the demands and needs of the Ulaanbaatar population. It also assesses health care needs and accessibilty in Ulaanbaatar by 2020. Both data analysis and qualitative interviews with different sub-groups of the population reveal the neccesity to both reorganize primary level health care facilities and adjust resources in accordance with changing morbidity patterns.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):27-30.
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    ABSTRACT: The people who work in health care organizations are committed to providing the best care possible to their patients. In the contemporary health care environment this is a very difficult commitment to keep. Health care has never been more complicated or demanding of the people who work in the industry. This article describes two different but complimentary methods for improving the quality and safety of health care. Accreditation provides a foundation for creating systems of care across many types of health care organizations. High reliability inspires people and organizations to strive for the highest levels of performance. Together, these methods give people working in health care an opportunity to fulfil their commitment to their patients.
    World hospitals and health services: the official journal of the International Hospital Federation 01/2014; 50(1):13-5.