Hospital Essay Example for Free

Hospital Essay This report outlines the service delivery process at Al Salam Hospital in Mohandseen focusing on the out-patient clinic along with our evaluation of the service there. We visited the hospital several times and also played the role of patients there. We made reservations and were examined by several doctors (e. g. internal medicine doctor, ear nose and throat, chest and ophthalmology,†¦etc). We also interviewed one of the doctors (cardiology) for the purpose of gaining more information. We made a survey and interviewed some patients to see their evaluation of the service and how it meets their perception. Based on our visits and the interview we made we were able to gain enough information to evaluate the offered service and prepare our report. This report was prepared by Ban Faisal, Mariam Riad, Nancy Mustafa and Mohamed Magdi Al Kady. Process Description at Al Salam Hospital: Al Salam Hospital has 2 buildings, the first one is located on the main street, is the hospital itself, for surgeries, patient hospitalization and it has the blood testing lab and x-rays. The second building which is located on a side street near to the main building is the out-patient clinics. The first step for being examined in one of the hospital’s Out-Patient Clinics, is to select the desired doctor, according to the specialty and available times. The patient can acquire the needed information through the hospital’s website (http://alsalamhospital. org/reservation. asp), through the telephone or through personal inquiry at the hospital. Reservation Details: The patient should then make a reservation. The reservation can be made either through the telephone or by going directly to the clinics’ reception. This depends on the doctor, some doctors allow reservation through the telephone and others only allow reservation to be done directly at the out-patient clinic along with payment. If the patient is making his reservation at the clinic, then he can make it on the same day as the desired time or a few days in advance depending on the availability of appointments. There are several payment categories; the patients who pay normally, the ones who have an insurance that gives them a discount (partial or full) and there are members of unions who usually get a partial discount that varies according to the union. Reservation Process The patients head to the reservation area that is set near the main entrance. There are two windows located one for the normal patients and one for the insured ones. The receptionist begins by asking the patient if this is his/her first visit to the hospital, if it is, the receptionist asks for the patient’s information and a file is created for the patient on the hospital’s computer system. The patient tells the receptionist which doctor and when they want to reserve an appointment. The receptionist then checks on the computer reservation system if there are any available appointments t the desired time and if not he tell the patient the first available appointment. If the desired appointment is available then in the case of the normal patient, the patient pays and gets a receipt. The patient is given a floor number (where the examination room is on) and is asked to head there and is advised to give the receipt to the nurse who is sitting at a desk on this floor. The nurse then takes the receipt and enters the information in a ledger (the day’s list of patients) she has to organize patients and then gives the patient his number (on a first come first served basis). She checks the patient’s ID and goes to the archive to find the patient’s medical record. If this was his first visit, she gets a new blank medical form. The medical records are given to the doctor later. If the patient has an insurance or will get a discount the above process is the same the difference is that at the time of payment, the patient presents his/her insurance card (or union membership card) to the receptionist who then checks if he has a contract and with which insurance company and the amount of discount he will get. The payment is settled according to the discount rate and the receptionist finishes the reservation process and gives the patient three sets of papers to sign along with the normal receipt. The papers are for the insurance company or union (One for the hospital, one for the company and one for the patient). The receptionist keeps one of the signed forms and advises the patients to go to the doctor as previously mentioned. If the doctor cancels his appointments for the day the hospital then calls the patients informing them of this change and gives them another appointment. If the patient has made his appointment in an earlier day, before his appointment he’ll first head to the nurse on the clinic’s floor to give her his papers and take his number. At the time of the appointment, all patients wait in the waiting area for his/her name to be called by the nurse at the desk that already gave him his number on the day’s list of patients. When the doctor arrives the nurse provides him with the list of patients by their order. She also gives him the medical records of all the patients. After the patient’s name is called he goes into the doctor’s office to be examined and describe his/her complaint. The doctor checks the patient’s medical record, if there is any, to get a clearer background about his health. After the examination, the doctor can then give the patient a prescription or orders a few tests to be made, and if needed advises the patient to schedule a follow up consult to check on the progress of the treatment or to check the results of the test. The doctor writes everything down in the medical record (the complaint, diagnosis and recommended treatment), the form is given to the nurse to return to the archive at the end of the day. The number of consults may vary depending on the ability of the doctor to pin point the patient’s illness and the treatments effectiveness. The doctor also has a document where he keeps information about all the patients that he has seen on that day. If tests are required then the hospital offers the lab as a complimentary service to the out-patient clinic. There are two labs one in the outpatient clinic building and one in the hospitals main building. The first step to get the tests done is for the patient to take the papers with the prescribed tests to be registered in the hospitals computer system which is located on the ground floor. The patient will then get a paper which s/he will then take to the nurses sitting at a window located immediately next to the lab, they will take the paper and then tell the patient to go into the lab to be tested. The patient will then be told when his results will be ready to be picked up. The patient can reserve for a consult the same way s/he reserve for a regular examination. Go to Appendices 1 2 for more illustration about the service delivery process at the out-patient clinics. Evaluation and Analysis of Al Salam Hospital’s Service: Service concept and characteristics: Service Concept  The hospital should be able to offer all things a patient can need: out-patient clinics for examinations, emergency rooms, intensive care units, x-rays and labs, .. etc The employees should feel that they are saving lives not just having a normal job. The community should treat the hospital as a crucial facility that they need to help and do what they can to help it operate. The treatment should be as efficient and professional as possible and make the patients feel safe and secure so that they would receive their regular treatments there and recommend it to their families and friends. The design of the hospital takes into consideration the devices needed, emergency rooms, moving large objects as beds in corridors and elevators. The interior design is suited to a hospital and allocation of rooms and floors takes into account the psychology of patients (i. e. departments with a high death rate like intensive care units and cancer patients should be located away from newly born babies and incubators). The hospital is marketed based on the names of the doctors working there and how successful they are in treatment. Target Market Segment:  AL Salam Hospital is a private hospital focusing on average and above average-income families. This market is not usually price-sensitive when it comes to healthcare services. This community needs a professional hygienic hospital which they trust to be able to go to for regular examinations, consultations, tests and emergencies The most important segment is of those of the older generation because they usually get sick more. However, it is important that the hospital builds it ties of trust with the customers throughout their whole life. Distinctive Characteristics of the Service at Al-Salam: Simultaneity: It is the fact that services are created and consumed at the same time at the hospital, the patient enters the room, the doctor examines the patient (the customer) and the patient receives this service simultaneously. For example if a patient comes to the hospital and is diagnosed as having a very low blood pressure the doctor will hook the patient to a salt solution IV which will raise the patient’s blood pressure. Perishability:  The service is perishable which means it cannot be stored. If the patient doesn’t come at the reserved time, a lost opportunity has occurred at that time. An hour without patients during a doctor’s shift can be considered as a lost opportunity and the money that the hospital was supposed to make at that time will never be compensated. Faced with variable demand and time-perishable capacity to provide the service, the managers of the hospital used the following techniques: * smoothed demand by using reservations or appointments Allowed patients to wait. * Accepted more patients than the time capacity. Intangibility: Services are ideas and concepts, not products. The patient experiences the service that the doctor offers; he doesnt touch it or see it. The intangible nature of services presents a problem for customers. When buying a product, the customer is able to see it, feel it, and test its performance before purchase. But for a service, things are di fferent. The doctor tried to overcome this intangibility feature through making the intangible tangible; trying to stop the pain that the customer feels. He did this through examination and then medication. Another way through which the hospital overcame this intangibility feature was the reliance on reputation and word-of-mouth. Al Salam hospital is very well-known by its good reputation and its customers who are really satisfied with the service delivery system. This two features encourages people to guarantee that when they go to this hospital, they will be satisfied even though it’s not a product that they can really see and touch. Heterogeneity: The combination of the intangible nature of services and the customer as a participant in the service delivery system results in a variation of the service being offered from one customer to customer next at the same doctor, lets take a dentist for instance, each customer might have a different kind of pain and thus, needs a unique method of treatment. On a larger scale each customer needs a certain doctor based on his/her illness. Al Salam hospital offers a variety of doctors with different specializations. Also, there is a cafeteria for patients; that provides a variety of food and drinks to satisfy as much patients as possible. There is cooked food, biscuits, cheese, sandwiches†¦etc. And as for the drinks there were many kinds of them such as: juice, tea, coffee†¦etc.

Marriage in Babbit by Sinclair Lewis :: Lewis Babbitt Essays

Marriage in Babbit by Sinclair Lewis In the novel Babbitt, Sinclair Lewis touches upon various issues that characterize American society. Marriage was one of these various issues that Lewis focused on. In the story, George Babbitt was married and his best friend, Paul Riesling, was married. They both seemed uneasy about their marriages and were not pleased with their situations. George always seemed to care less for Myra, "she was as sexless as an anemic nun... no one, save [except] Tinka, was all interested in her or entirely aware that she was alive" (Lewis 7). Paul also truly disliked his wife Zilla, "why I want to kill her", " (i)f I only could [divorce her]! If she'd just give me the chance!" (Lewis 58-59). This lack of feeling for their wives is what Lewis focused on in the rest of the story. Lewis brings about conflict between these two characters and their wives. He brings about the idea of infidelity between the two married couples. The dissatisfaction for their wives leads George and Paul to lust for other women. Lewis is making the point that when men are dissatisfied with their women, they go and try to find others to satisfy their "hunger". George dreamt of a fairy girl that he could run off with and escape from his friends and most of all, his wife (Lewis 2-3). Babbitt also had two affairs on which Lewis indirectly, with class points out. Babbitt and his buddies in Maine, picked up a prostitute in which some devious behavior took place. This behavior "was never known to his family, nor to anyone in Zenith... (i)t was not officially recognized even by himself". His chief affair was with a widow, Tanis Judique. He had even spent the night with her, but he later dumped her to be free. Paul on the other hand only had one affair. He had an affair with a lady named May Arnold that he had been writing, who lived in Chicago. This affair with May was Paul's infidelity to his nagging wife Zilla. By describing these instances of men cheating, Lewis revealed to his readers what was not commonly portrayed about American culture. Marriage in Babbit by Sinclair Lewis :: Lewis Babbitt Essays Marriage in Babbit by Sinclair Lewis In the novel Babbitt, Sinclair Lewis touches upon various issues that characterize American society. Marriage was one of these various issues that Lewis focused on. In the story, George Babbitt was married and his best friend, Paul Riesling, was married. They both seemed uneasy about their marriages and were not pleased with their situations. George always seemed to care less for Myra, "she was as sexless as an anemic nun... no one, save [except] Tinka, was all interested in her or entirely aware that she was alive" (Lewis 7). Paul also truly disliked his wife Zilla, "why I want to kill her", " (i)f I only could [divorce her]! If she'd just give me the chance!" (Lewis 58-59). This lack of feeling for their wives is what Lewis focused on in the rest of the story. Lewis brings about conflict between these two characters and their wives. He brings about the idea of infidelity between the two married couples. The dissatisfaction for their wives leads George and Paul to lust for other women. Lewis is making the point that when men are dissatisfied with their women, they go and try to find others to satisfy their "hunger". George dreamt of a fairy girl that he could run off with and escape from his friends and most of all, his wife (Lewis 2-3). Babbitt also had two affairs on which Lewis indirectly, with class points out. Babbitt and his buddies in Maine, picked up a prostitute in which some devious behavior took place. This behavior "was never known to his family, nor to anyone in Zenith... (i)t was not officially recognized even by himself". His chief affair was with a widow, Tanis Judique. He had even spent the night with her, but he later dumped her to be free. Paul on the other hand only had one affair. He had an affair with a lady named May Arnold that he had been writing, who lived in Chicago. This affair with May was Paul's infidelity to his nagging wife Zilla. By describing these instances of men cheating, Lewis revealed to his readers what was not commonly portrayed about American culture.

Chinese history Essay

250 Word Essay One of the most important aspects of ancient Chinese history is the formation of the Silk Road, a trade route which spanned two continents and put China on the map as one of the most important import/export countries in the ancient world. It’s beginnings were smaller in scale as it only encompassed the Chinese Empire itself but it became apparent, after Zhang Qian made contact with Central Asian tribes, that the expansion the trade route would benefit both China and other Asian nations. It continued to expand under the Han dynasty and into Roman times (Beauty).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One of the most important reasons for its formation as a major trade route was fear of marauding gangs that were eager to obtain the many goods that Chinese merchants filled their caravans with: silk, gemstones, incense, spices, and blue and white porcelain were just some fo the cargo traveled along the Silk Road. The Chinese army was even beefed up in order to protect this special route that helped to keep China’s economy booming. It’s reach expanded throughout China and Asia and eventually commerce was developed between the Roman Empire and China (Newton).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The long-term impact of the Silk Road on Chinese culture and history were that it literally brought a strong economy to China, and brought the goods and customs of other cultures into its borders. The traders, including Zhang Qian in 138 B.C.E., were able to learn economic, military, and geographical information that would help in the roads expansion and with Chinese military success. The Silk Road was so important to the culture of both the Eastern and Western world because during Roman times, even the lower socioeconomic classes depended upon the goods that were imported from China on the Silk Road, and even the religion of Buddhism was spread by way of the Silk Road. Its impact on the world was huge and its impact on Chinese culture even more prominent (Newton). Works Cited â€Å"The Silk Road.† Beauty, the Land of China. ThinkQuest. 19 Jan. 2007 . â€Å"The Silk Road.† Newton Public Schools. 19 Jan. 2007 .       100 Word Assignment  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   One of the most surprising aspects of my research about the Silk Road was the vast expanse of space which is encompassed. It’s amazing how far the caravans had to travel and how large they were. From all accounts the Silk Road was dangerous to those traveling it because of the terrain and yet it was such an integral part of Chinese history and lasted for many years, even expanding. The images of the Silk Road that I could find reminded me the regal images of Chinese royalty, for some reason. It’s as if everyone is perceived as being clothed in silk from head to toe, even the camels! I definitely see how difficult the trip must have been because of the limited means of transportation that the merchants had access to, and how they could easily become victims of a raid for their goods. I also thought that it was interesting that Buddhism itself was virtually spread by way of the Silk Road. I was surprised to see that the Silk Road is being revitalized for tourism purposes and that there are many tour groups that specialize in trips just along the route that used to be traveled by Chinese merchants in ancient times.

Influence Of Charles Robert Darwin - Free Essay Example

Sample details Pages: 3 Words: 824 Downloads: 7 Date added: 2019/08/02 Category People Essay Level High school Tags: Charles Darwin Essay Did you like this example? Darwin’s life was filled with the fascination of science and developed an interest in rocks, fossils animals and plants. With this interest he became close friends with geologist Adams Sedgwick and botanist John Henslow, and that’s what started his voyage.   Darwin’s research created a big controversy with his theories of evolution and natural selection. Darwin is definitely important in the scientific community,   with his knowledge and discoveries, he became known as one of the greatest scientist/philosophers of his time. Charles Robert Darwin was born on February 12, 1809, in Shrewsbury, England, the fourth child of Robert and Susannah Darwin. His father was a successful doctor, as well as his grandfather, Erasmus Darwin, who had a great influence on Charless theories. His mother, who was the daughter of the famous pottery maker Josiah Wedgwood, died when Charles was eight. When Charles was young, he entered Shrewsbury School where he was not a very good student. In 1825 Darwin went to Edinburgh University in Scotland to study medicine, but he decided not to pursue that lifestyle because realized he was unable to even watch an operation being performed. In 1828 he entered Christs College, Cambridge, England, to become a minister, he eventually quit that idea as well. He attended John Stevens Henslows course in botany, and started a collection of beetles. Soon after he received his bachelors degree in 1831. Don’t waste time! Our writers will create an original "Influence Of Charles Robert Darwin" essay for you Create order Darwin became close friends with two Cambridge professors, geologist Adam Sedgwick and botanist John Henslow. An around-the-world sailing trip on the ship HMS Beagle was being arranged by the Royal Navy. Robert Fitzroy, captain of the Beagle, asked Professor John Henslow to recommend Charles Darwin to tag along as a naturalist for the journey. During that five-year journey, from December 27, 1831 to October 2, 1836,   he visited Brazil, Argentina, Tierra del Fuego, Chile, and the Galapagos islands. Darwin collected many data, and specimens, his greatest discoveries were on the Galà ¡pagos islands. As a result of Darwin’s finding he theorized that new species arise naturally, by a process of evolution, rather than been created by God. Darwin at first believed that the adaptations of species, such as the hinges of the bivalve shell, and the wings and plumes on seeds dispersed by air, were compelling evidence that a god had created each species for its intended place in the economy of nature, but all that changed when he visited the islands. Darwin observed many finches in the Galapagos islands, and he noticed that each finch species had a different type of beak, depending on the food available on its island. With this information he concluded that several birds from one species of finch had probably been blown by storm and separated to each of the islands from one island or from the mainland. When they were seperated, the finches had to adapt to their new environments and food sources, with time they gradually evolved into different species. This is where his theory of ev olution came from. Darwin believed that the world was not ready for his theories, he knew that there would be a lot of protest. What finally caused Darwin to publish his book was a letter from English naturalist Alfred Wallace, who knew that Darwin was interested in evolution. It took Darwin 20 years to finally publish his book, the â€Å"On the Origins of Species†,   on 24 November 1859. Throughout Darwin career, he was awarded many awards such as the Royal Medal in 1853 , which is given to those for the most important contributions to the natural knowledge, The Wallaston Medal in 1859, it is the highest award that is granted award given by the Geological Society of London , and The Copley Medal in 1853, which is given to those for outstanding achievements in the research in any of the branches of science. Towards the ending of his life, Darwin got ill and died at Down House on April 19, 1882, at age 73 due to heart failure. He was buried at Westminster Abbey, London, next to Isaac Newton. The Darwinian theory of evolution caused massive controversy among the outside world, and is still criticized by many religious groups as it contradicts the biblical creation story, and disproves claims about the truth of the Bible. Even with the initial refusal by philosophers, the role of contingency and chance in natural processes is acknowledged in most places. Many philosophers deny the existence of universal laws in biology and suggest that all regularities be stated in probabilistic terms, as nearly all so-called biological laws have exceptions. Philosopher Karl Popper’s theory of falsification would not be able to be applied in these cases. Darwin was not only a great philosopher, and a great scientist, but he was the most influential biologist in history. Darwin’s research was a great influence in the scientific community, along with naturalist Alfred Russel Wallace, Darwin laid the cornerstone of thought that gave scientific evidence revealing the possibility that all species of life came from common ancestors by a process of natural selection.