Internal Medicine

Welcome to the next stage of the Project HEAL Delphi Study. This stage is a build-up on the initial stage. You would therefore see a repetition in some of the questions. You are to determine if the resources listed should be present in a Level 1, 2, 3, or 4 Health facility. If a particular item must be present in all the levels, you can select all the levels for that item.

The total scores will be used to develop a checklist, which hospitals can independently administer, to determine their level of health care provision based on specific specializations and overscore. These can then inform the emergency care services, referral facilities, health workers and the general public on which facility provides which level of care.

Be assured that your response is confidential. Only aggregated results would be seen by the Delphi group.

You can save your progress and continue later. When you click the “Save” button, select “skip create account” and enter your email address. A link would be sent to you  to continue from where you left off.

Level 1 Internal Medicine Hospital Facility

Can be an academic/public/private facility located in an urban, suburban or rural area. The facility should be able to provide sub-specialty services including cardiology, neurology, endocrinology, oncology, nephrology and haematology. There should be a 24-hour service in all major specialties. Total care, beginning from prevention through to rehabilitation, including research and education should be available. The center should serve as a referral point in the region or section of the country.

 Level 2 Internal Medicine Hospital Facility

Can be an academic/public/private facility located in an urban, suburban or rural area. The facility should be able to provide a 24-hour medical cover for physician specialist care. Not all sub-specialties may be present, and the facility may therefore be unable to provide comprehensive care to complex medical conditions. Educational outreach, research and prevention programmes may however be possible.

Level 3 Internal Medicine Hospital Facility

Can be an academic/public/private facility located in an urban, suburban or rural area. The facility is staffed by medical officers and there is a physician Specialist available on a 24-hour call. The facility provides prompt assessment, resuscitation and stabilization, and where necessary, arranges for possible transfer to a facility that provides definitive medical care. The facility is able to establish early transfer systems for medical patients beyond its capabilities.

 

Level 4 Internal Medicine Hospital Facility

Can be an academic/public/private facility located in an urban, suburban or rural area. The facility is a minimally equipped facility staffed by Physician Assistants and Nurses only and runs mostly outpatient clinics with no overnight admissions or surgeries. They can however provide basic first aid care for common medical conditions.

HOSPITAL ORGANIZATION

SUBSPECIALTIES IN THE DEPARTMENT OF INTERNAL MEDICINE

PERSONNEL

 

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

The following are a list of Medical resuscitative equipment. Please select which of them you deem necessary/important for each level of hospital/facility care.

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

Please select which of the listed items you deem necessary/important for each level of hospital/facility care.

P.S.

Level 1 describes the highest level hospital/facility and level 4 describes the lowest Hospital/facility

The following are a list of Medical test and capabilities. Please select which of them you deem necessary/important for each level of hospital/facility care.

Kindly review the description of the Health facility level and give your edits/comments