hospital care

Question 1

main funcitons of a hospital

Answer 1

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

Question 2

. What is the
Bulgarian Law on
Health care
institutions?

Answer 2

-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.

Question 3

what structures constitute for hospital care

Answer 3

1. clincic/departments with beds
2. hospital pharmacy
3. consulting rooms medical diagnostic and medical technical labs departments without beds
4. units for administrative economic and servicing activities

Question 4

what is the definition of a multiprofile hospital

Answer 4

medical establishment with at leasT TWO MEDICAL SPECIALITIES

Question 5

what is a specialised medical hospital

Answer 5

a medical establishment with departments or clinics for 1 medical establishment speciality or dental specialty

Question 6

what’s a university hospital

Answer 6

1. selected by council of M e.g st george in plovdiv
2. involves clinical training of students
3. has a pharmacy
4. clinical training of healthcare and medical colleges
5. post graduate training

Question 7

whats a national hospital

Answer 7

1. also a university hospital
2. deliver highly specialised care for cases that cannot be treated in local or district hospitals

Question 8

what is a district hospial

Answer 8

1. for cases that cannot be solves at a local level
2. they are located in district centre
3. include almost all medical specialties

Question 9

what a local hospital (municipality)

Answer 9

1. can be multiprofile or specialised
2. located in smaller towns usually consisting of several wards of basic specialties

Question 10

types of medical establishments

Answer 10

1. state - such as some univesiry hospitals and other national hospitals - these are governed by the state
2. private - local hospitals are owned entirely by the municipalities

Question 11

who manages hospitals

Answer 11

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)

Question 12

how do hospitals receive funding

Answer 12

mostly through case based payments

Question 13

t

Question 14

reasons for hospitilization

Answer 14

medical, social, or both

Question 15

types of hospitliization

Answer 15

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

Question 16

defintiion of hospitlization

Answer 16

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.

Question 17

organisation of patient in a hospital

exceptions

Answer 17

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

Question 18

so if you get an essay on hospital care

Answer 18

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

Question 19

clinical pathway

Answer 19

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

Question 20

who owns district hospitals

Answer 20

51% state
49% - municipalities of district

Question 21

types of medical establishments

Answer 21

1. HOSPITAL FOR ACTIVE TX
2. HOSPITAL FOR FURTHER TX
3. REHABBILITIATION hospital - physiotherapy, thalassotherapy
4. HOSPITAL FOR FINAL TR

Question 22

what data is necessary to calculate statistical data for hospital activities

Answer 22

1. total number of beds
2. total number of patient days
3. total number of patients who passed through the facilities

Question 23

patient obligations

Answer 23

1. comply with the rules and regulations of hospital
2. hand over clothes and shoes to hospital store at admission
3. not taking any medications or undergoing any procedures without the prescription for the physician
4. keep a diet recommended by the physician and not serve food brought from outside to other patients in hospital
5. patient can stay outside of hospital only with knowledge of doctor and spproval
6. visiting hours 2 x day
7. respect the rights of other patients in regards to privacy, confidentiality etc and peace
8. 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