International Journal of Health Governance最新文献_第2页

Effective health systems facing pandemic crisis: lessons from COVID-19 in Europe for next emergencies 面对大流行病危机的有效卫生系统：欧洲 COVID-19 为下一次紧急情况提供的经验教训

IF 1.3

International Journal of Health Governance Pub Date : 2024-06-05 DOI: 10.1108/ijhg-02-2024-0013

Mario Coccia, Igor Benati

{"title":"Effective health systems facing pandemic crisis: lessons from COVID-19 in Europe for next emergencies","authors":"Mario Coccia, Igor Benati","doi":"10.1108/ijhg-02-2024-0013","DOIUrl":"https://doi.org/10.1108/ijhg-02-2024-0013","url":null,"abstract":"PurposeThe investigation goal is the analysis of the relation between healthcare expenditures and other resources, and COVID-19 fatality rates among European countries to design effective health policies for crisis management.Design/methodology/approachResearch methodology is based on descriptive statistics and various parametric methods, also including a linear model of regression to analyze basic relationships of variables under study.FindingsResults show that a lower COVID-19 fatality rate is associated with higher levels of health expenditure (% GDP), of healthcare expenditure per capita, health expenditure in preventive care (% GDP), hospitals per million inhabitants, physicians, nurses, hospital beds and curative acute care beds per 1,000 inhabitants. Regression analysis shows that a 1% increase in healthcare expenditures per capita of countries, it reduces the level of COVID-19 fatality rate by 0.74%. In fact, many countries in Eastern Europe with low healthcare expenditures per capita in 2019 (e.g., Bulgaria, Romania, Hungary, Poland, Latvia, Slovakia, Lithuania, etc.), they have experienced high COVID-19 fatality rates. Instead, a lot of countries in Western Europe, with high healthcare expenditures per capita, such as Germany, Denmark, Austria, and the Netherlands, they had resilient health systems to face pandemic crisis and lower COVID-19 fatality rates.Practical implicationsThese findings suggest strategies of systematic and continuous investments in healthcare, medical technologies, and ICT infrastructures to support effective health policy of crisis management in countries to face future pandemic crisis and other emergencies in society.Originality/valueThe explanation of critical role of high health expenditure (% GDP) and healthcare expenditure per capita to support robust health systems that bolster the resilience in nations to face health emergencies and worldwide crises.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141265473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editorial: Governance of emerging health-related technologies 社论：新兴健康相关技术的管理

IF 1.3

International Journal of Health Governance Pub Date : 2024-04-23 DOI: 10.1108/ijhg-03-2024-161

I. Ibragimova, H. Phagava

引用次数: 0

Performance measurement of factors affecting consumer experience in healthcare services using fuzzy and grey techniques 利用模糊和灰色技术对影响消费者医疗服务体验的因素进行绩效衡量

IF 1.3

International Journal of Health Governance Pub Date : 2024-04-12 DOI: 10.1108/ijhg-08-2023-0082

Shubham Senapati, R. Panda

{"title":"Performance measurement of factors affecting consumer experience in healthcare services using fuzzy and grey techniques","authors":"Shubham Senapati, R. Panda","doi":"10.1108/ijhg-08-2023-0082","DOIUrl":"https://doi.org/10.1108/ijhg-08-2023-0082","url":null,"abstract":"PurposeThe importance of consumer experience in service industries, particularly healthcare, is widely acknowledged as it captures the intricacies of quality management. In tandem with the emerging research trends that evaluate service excellence through user experience, this study renders a performance analysis of the dimensions of consumer experience that individually or collectively shape healthcare consumers’ perceptions of service quality.Design/methodology/approachA cross-sectional study was conducted across 13 mid-tier corporate hospitals to collect data from 438 patients. The data was processed through factor analysis in SPSS to confirm sample adequacy and factor extractability. Further, two independent multi-criteria decision-making (MCDM) tools, Fuzzy Technique for Order Performance by Similarity to Ideal Solution (F-TOPSIS) and Grey Relational Analysis (GRA), were executed to render performance analysis of identified factors.FindingsUsing F-TOPSIS, factors such as “information” and “hospital environment” received higher performance ratings, while items related to “communication with doctors” and “humanistic care” received lower rankings. Minor yet anticipated deviations were observed while verifying performance scores using GRA. Nonetheless, both outcomes exhibited a strong correlation coefficient of 97.14%, confirming analytical consistency.Originality/valueHitherto, such usages of hybrid MCDM techniques have rarely been executed to convey a clear understanding of consumers’ experiences in healthcare services. Moreover, the findings provide a clear insight into consumers’ key response areas, which can further be translated to maximize consumer gratification, thus assisting healthcare managers in improving service performance and clinical decision-making.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140710284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing interprofessional and integrated care in providing sexual and reproductive health services to adolescents at primary healthcare level in Nigeria 评估尼日利亚在初级保健层面为青少年提供性健康和生殖健康服务的跨专业综合护理情况

IF 1.3

International Journal of Health Governance Pub Date : 2024-04-09 DOI: 10.1108/ijhg-11-2023-0117

Prince Agwu, I. Agu, N. Ezumah, C. Mbachu, Obinna Onwujekwe

{"title":"Assessing interprofessional and integrated care in providing sexual and reproductive health services to adolescents at primary healthcare level in Nigeria","authors":"Prince Agwu, I. Agu, N. Ezumah, C. Mbachu, Obinna Onwujekwe","doi":"10.1108/ijhg-11-2023-0117","DOIUrl":"https://doi.org/10.1108/ijhg-11-2023-0117","url":null,"abstract":"PurposeSexual and reproductive health (SRH) interventions demand diverse services, encompassing medical, social and psychological care to ensure the overall wellbeing of service users. In the absence of multidisciplinary response to SRH interventions, service users could be deprived of crucial SRH services, which could undermine their safety and wellbeing. Based on this knowledge, our study was designed to map the interprofessional space in primary healthcare (PHC) facilities in Ebonyi State, Nigeria that deliver SRH services.Design/methodology/approachInterviews with 20 health workers and group discussions with 72 young people aged 15–24 years provided the data for the study. We analyzed data deductively, focusing on the assessments of the presence or absence of specific professionals that are typically expected to provide different aspects of SRH services.FindingsWe found conspicuous absence of laboratory diagnostic, social care, psycho-cognitive and some medical services expected of primary care. These absences necessitated unnecessary referrals, encouraged breaches in confidentiality, undermined social care and justice, increased cost of care and discouraged young clients from utilizing SRH services provided in PHCs. Our study, therefore, emphasizes the need for integrated care in the delivery of SRH services, which would involve relevant diverse professionals contributing their expertise toward comprehensive care for SRH service users.Originality/valueThe study provides human resource insights toward strengthening primary healthcare in Nigeria vis-à-vis efficient delivery of SRH services to guarantee the health security of service users.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140721549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A higher education snapshot of nutrition degree programs in Iraq: implications for public health and nutrition practice 伊拉克高等教育营养学位课程简况：对公共卫生和营养实践的影响

IF 1.3

International Journal of Health Governance Pub Date : 2024-02-19 DOI: 10.1108/ijhg-09-2023-0093

Elizabeth Dodge, F. Almoayad, Miral Mansour, Amrita Sidhu, Anusha Sajja, Nada Benajiba, Basil H. Aboul-Enein

{"title":"A higher education snapshot of nutrition degree programs in Iraq: implications for public health and nutrition practice","authors":"Elizabeth Dodge, F. Almoayad, Miral Mansour, Amrita Sidhu, Anusha Sajja, Nada Benajiba, Basil H. Aboul-Enein","doi":"10.1108/ijhg-09-2023-0093","DOIUrl":"https://doi.org/10.1108/ijhg-09-2023-0093","url":null,"abstract":"PurposeBurdened by undernutrition, micronutrient deficiencies and overweight and obesity as a consequence of both internal conflict and the global nutrition transition, Iraq is in need of adequate public health nutrition education to mitigate nutrition-related outcomes and risks. To address nutrition-related health outcomes, trained nutrition professionals are warranted. This paper examines current nutrition-affiliated programs offered across post-secondary institutions in Iraq.Design/methodology/approachAn electronic review of universities and colleges’ websites, department webpages and academic programs’ homepages and resources of all the private and public universities in Iraq was conducted to find programs related to nutrition, nutrition sciences and dietetics.FindingsAll identified programs belonged to the governmental sector, were administered and financed by the Iraqi Government and were under the purview of the Iraqi Ministry of Higher Education. The review highlighted a predominant focus on food sciences in agricultural departments rather than public health or clinical nutrition. Advanced education in topics such as human metabolism, medical nutrition therapy and public health nutrition are required to adequately address over- and undernutrition in Iraq.Originality/valueThe current state of public health and nutrition-related postsecondary education in Iraq warrants an increased emphasis on clinical and public health nutrition education. Despite a commendable focus on food science studies, the country’s ongoing challenges with obesity, nutrition-related noncommunicable diseases and conflict-associated food insecurity signal an urgent need for balancing this focus with grounding in postsecondary training in public health nutrition.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139959271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Theory-practice gap of capitation payment in the Indonesian national health insurance: toward universal health coverage 印尼国家医疗保险中按人头付费的理论与实践差距：实现全民医保

IF 1.3

International Journal of Health Governance Pub Date : 2024-02-08 DOI: 10.1108/ijhg-08-2023-0081

Nuzulul Kusuma Putri, F. Purwaningrum, H. Thabrany, Eva Husnul Khotimah

{"title":"Theory-practice gap of capitation payment in the Indonesian national health insurance: toward universal health coverage","authors":"Nuzulul Kusuma Putri, F. Purwaningrum, H. Thabrany, Eva Husnul Khotimah","doi":"10.1108/ijhg-08-2023-0081","DOIUrl":"https://doi.org/10.1108/ijhg-08-2023-0081","url":null,"abstract":"PurposeThis study aims to present a comprehensive integrative review of capitation payment for primary healthcare (PHC) in the Indonesian national health insurance (Jaminan Kesehatan Nasional,JKN).Design/methodology/approachWhittemore and Knafl’s integrative review method is used within this review and analysis framework. Multiple types of academic literature were included in this review, including all studies related to capitation payment in the JKN from 2014 until 2022.FindingsThis review found that several practices of capitation payments in the JKN in Indonesia deviate from basic economic concept of capitation. It does not yet incentivize PHC to create a competitive environment in attracting members and it does not incentivize health promotion and prevention. Moreover, the capitation model uses the same scope of primary care services for all PHC throughout the country – which in fact has disparities in providing 155 medical conditions as required competencies for PHC. The authors recommend that the JKN apply bottom-up costing and pricing methods to set market prices of capitation rates.Originality/valueThis is the first study that reviews theory-practice gap of the capitation payment model using an integrative review that covers academic literature, journal articles and regulations in Indonesia.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139793561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Theory-practice gap of capitation payment in the Indonesian national health insurance: toward universal health coverage 印尼国家医疗保险中按人头付费的理论与实践差距：实现全民医保

IF 1.3

International Journal of Health Governance Pub Date : 2024-02-08 DOI: 10.1108/ijhg-08-2023-0081

Nuzulul Kusuma Putri, F. Purwaningrum, H. Thabrany, Eva Husnul Khotimah

{"title":"Theory-practice gap of capitation payment in the Indonesian national health insurance: toward universal health coverage","authors":"Nuzulul Kusuma Putri, F. Purwaningrum, H. Thabrany, Eva Husnul Khotimah","doi":"10.1108/ijhg-08-2023-0081","DOIUrl":"https://doi.org/10.1108/ijhg-08-2023-0081","url":null,"abstract":"PurposeThis study aims to present a comprehensive integrative review of capitation payment for primary healthcare (PHC) in the Indonesian national health insurance (Jaminan Kesehatan Nasional,JKN).Design/methodology/approachWhittemore and Knafl’s integrative review method is used within this review and analysis framework. Multiple types of academic literature were included in this review, including all studies related to capitation payment in the JKN from 2014 until 2022.FindingsThis review found that several practices of capitation payments in the JKN in Indonesia deviate from basic economic concept of capitation. It does not yet incentivize PHC to create a competitive environment in attracting members and it does not incentivize health promotion and prevention. Moreover, the capitation model uses the same scope of primary care services for all PHC throughout the country – which in fact has disparities in providing 155 medical conditions as required competencies for PHC. The authors recommend that the JKN apply bottom-up costing and pricing methods to set market prices of capitation rates.Originality/valueThis is the first study that reviews theory-practice gap of the capitation payment model using an integrative review that covers academic literature, journal articles and regulations in Indonesia.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139853219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The response of regional general hospitals in Indonesia to COVID-19 印度尼西亚地区综合医院对 COVID-19 的反应

IF 1.3

International Journal of Health Governance Pub Date : 2024-01-05 DOI: 10.1108/ijhg-03-2023-0033

Hartaty Hartaty, Wiwiek Dianawati

{"title":"The response of regional general hospitals in Indonesia to COVID-19","authors":"Hartaty Hartaty, Wiwiek Dianawati","doi":"10.1108/ijhg-03-2023-0033","DOIUrl":"https://doi.org/10.1108/ijhg-03-2023-0033","url":null,"abstract":"PurposeThis study aims to determine the influence of the role of hospital leaders, the COVID-19 budget and health service facilities at regional general hospitals (RSUDs) to Indonesia on hospital responses in overcoming the COVID-19 pandemic, moderated by hospital class level.Design/methodology/approachThis research was designed as quantitative research using partial least square-structural equation modeling (PLS-SEM) to test hypotheses.FindingsUsing a sample of 185 RSUDs, it was found that the role of hospital leaders, the COVID-19 budget and health service facilities in RSUDs had a positive and significant effect on the hospital's response to the COVID-19 pandemic. The findings show that the role of hospital leaders, in this case, the RSUD director, is essential in improving health services during the COVID-19 pandemic. The COVID-19 budget and health service facilities at RSUD can run effectively during the COVID-19 pandemic if the RSUD director issues appropriate policies during the COVID-19 pandemic crisis.Originality/valueThis study is the first to determine the influence of hospital leaders, the health budget for COVID-19 and hospital health service facilities simultaneously on the hospital's response to the COVID-19 pandemic. This study also provides empirical evidence regarding the idea of stewardship theory, which suggests the role of leaders in supervising organizations to achieve organizational goals effectively in times of crisis.","PeriodicalId":42859,"journal":{"name":"International Journal of Health Governance","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139383486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IJHG review 28.4 IJHG 审查 28.4

IF 1.3

International Journal of Health Governance Pub Date : 2023-12-12 DOI: 10.1108/ijhg-12-2023-160

F. M. MacVane Phipps

引用次数: 0

Editorial: Time to treat the climate and nature crisis as one indivisible global health emergency 社论：是时候将气候和自然危机作为一个不可分割的全球紧急卫生事件来处理了

IF 1.3

International Journal of Health Governance Pub Date : 2023-12-12 DOI: 10.1108/ijhg-12-2023-159

C. Zielinski, K. Abbasi, P. Ali, V. Barbour, T. Benfield, K. Bibbins-Domingo, S. Hancocks, R. Horton, L. Laybourn-Langton, R. Mash, P. Sahni, W. Sharief, P. Yonga

引用次数: 0