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Submitted: 04 March 2010 Modified: 04 March 2010

Herdin Record #: R03-BPSU-03041009030253

Level of Effectiveness of Health Care Delivery System in Selected Hospitals in Bataan.

Researchers

NameRole
1norma r. pantaleon Author

Publication Information

1.
Publication Type:
Thesis/Dissertations
Specialization:
nursing
Publication Date:

Objectives

This study investigated how person and hospital-related factors influence the level of effectiveness of health care delivery system at Bataan General Hospital (BGH), St. Joseph Hospital (SJH) Bataan Doctors' Hospital (BDH) in the city of Balanga and Orani District Hospital (ODH) in Orani during calendar year 2007 perceived by the nurses.
Specifically, this study sought answers to the following questions: how may the respondents be described in terms of age, gender, civil status, educational qualification, fringe benefits being received and schedule of duties; how may the selected hospitals be described in terms of type of hospital, availability of facilities and equipments, hospital environment, organizational structure and nurse-patient ratio; how may the level of effectiveness of the health care delivery system of selected hospitals be described in terms of promotion of health, curative aspect, prevention of illness and restoration of health; is there any relationship between profile of the respondents and the level of effectiveness of health care delivery of selected hospitals and is there any relationship between hospital-related factors and the level of effectiveness of health care delivery of selected hospitals?

Abstract

The respondents of the study were composed of 44 staff nurses from BGH, 38 staff nurses From both BDH, 36 from SJH, and 12 staff nurses from ODH working at the said hospitals who were selected using the simple stratified sampling technique.
Moreover, the respondent's profile which include age, gender, civil status, educational qualification, fringe benefits being received and schedule of duties were taken into consideration. Hospital profile which includes type of hospital, availability and adequacy of facilities and equipments, hospital environment, organizational structure and nurse-patient ratio were also assessed.
Furthermore, the level of effectiveness of the health care delivery system of the selected hospitals in terms of promotion of health, curative aspect, prevention of illness and restoration of health were determined.
The data gathered were tabulated, analyzed and interpreted using appropriate statistical tools like frequency, percentage and mean, Pearson's Product Moment Coefficient of Correlation and Coefficient of Determination and t-test relationship.
In light with the foregoing findings, the following conclusions are hereby drawn: majority of the respondents are only bachelor's degree holder. A very small portion of the nurse-respondents have pursued their post-graduate studies; among hospital-related factors, the adequacy and availability of facilities and equipments received the lowest significant effectiveness rating which means there are still problems on medical facilities that must be addresses properly and immediately; there is a significant relationship the level of effectiveness of health care delivery system of selected hospitals along promotion of health, curative aspect, prevention of illness, restoration of health and level of effectiveness of health care delivery system; there is a significant relationship between the profile of the nurses and the level of effectiveness of health care delivery system; and there is a significant relationship between the type of hospital, adequacy and availability of facilities and equipments, hospital environment and organizational structure and the level of effectiveness of health care delivery system.
The following recommendations are hereby forwarded: the hospital administration must spearhead programs to accelerate the educational qualifications of their personnel. This can be done by providing scholarship grants to its staff nurses or by providing them valuable and relevant in-service trainings and seminars to update them with latest issues and innovations significant with their work; adequacy and availability of facilities and equipments are hindered more often than not by insufficient funds or budget. With this standing problem, not controlled by the hospital, the latter must establish linkages with non-government organizations which can be virtual donors of medical facilities and equipments; the hospital must modify and periodically assessed their programs under the prevention of illness. A committee to oversee such activities must be created to ensure valuable formulation and undertaking of programs under prevention of illness. The hospital must checked the following area of responsibilities pertinent to the prevention of illness: ward's class among patients which tackles various issues regarding illnesses and how to prevent it, ideal bed-capacity and congestion of patients occupying a particular ward is not observed, effective waste disposal program for various medical instruments that have been used and ready for disposal, intended rooms for communicable diseases where patients carrying such kind of illness are held, proper sanitation and cleanliness on its environment; the profile of the nurses which includes their age, gender, civil status, educational qualification, fringe benefits being received and schedule of duties must be empowered in such a way that it will help in advancing the level of effectiveness of the health care delivery system. To empower them, is to expose them to various related and relevant seminars and trainings that will improve and develop their attitude, skills and knowledge and will likewise motivate them to perform better. The hospital must also provide positive rewards to nurses whom perform better and excel more in the field; and the hospital administration must give preferential attention in continuously providing a healthy and safe hospital environment with special consideration on its wastes and garbage which must be properly disposed to avoid hazard to the patients' health as well as those of the employees. Likewise, the hospital must maintain an ideal and effective organizational structure which are periodically assess using standard performance evaluation tools among its employees to ensure that each and every structures are performing very well and in accordance to their respective duties and obligations.


Physical Location

LocationCall NumberAvailable FormatAvailability
bataan peninsula state university Abstract