Asia Pacific Journal of Health Management最新文献

{"title":"Gap Analysis of Providing Primary Health Care in Comprehensive Rural Health Centers of Iran","authors":"Fereshteh Fani, Ghahraman Mahmoudi, Mohammad-Ali Jahani, J. Yazdani-charati","doi":"10.24083/apjhm.v18i3.2545","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2545","url":null,"abstract":"Background: The lack of primary health care (PHC) assessment will lead to the lack of knowledge of the final client's needs and to deviation from the mission of the health system. This study was conducted to compare the understanding and experience of PHC providers and recipients regarding the principles of PHC in Iran. \u0000Methods: This cross-sectional descriptive-analytical study was conducted on Comprehensive Rural Health Centers (CRHCs) in 2022. The research population consisted of health service providers and recipients in rural areas. A Primary Care Assessment Tool (PCAT) was used. 410 child/ adolescent and 402 adult PCAT were completed by stratified cluster sampling method and 413 service providers were randomly selected. This questionnaire had 6 core domains and 3 ancillary domains. After collection and entering the Excel; data were analyzed by inferential statistics tests including Independent T-test and one-way ANOVA, by SPSS26 and STATA16 at the significant level of P>0.05. \u0000Results: Except for the Cultural Competence and Services Available domains, in the rest of the domains, there was not the same understanding between the service provider and recipient regarding PHC services. Also. child/adolescent PHC recipients had the same understanding as adult PHC recipients in the domains of Cultural Competence, Family Centeredness, Information System, Ongoing Care, and Access. But a significant difference was between the two groups in other domains, Primary Care Score, and Primary Care Expanded scores (P >0.05). \u0000Conclusions: For the common understanding between all three compared groups, cultural competence was the strongest component, and coordination-referral system, services provided, and community orientation were the weakest components. To fill this gap, increasing the health literacy of service recipients, real needs assessment, and providing services based on the needs of the community, reforming the processes of the referral system, and the commitment of the government to implement the processes seem necessary.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"357 18","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966726","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}

{"title":"Welcome to the final issue of the College’s Asia Pacific Journal of Health Management for 2023","authors":"Neale Fong","doi":"10.24083/apjhm.v18i3.3247","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.3247","url":null,"abstract":"As the year draws to a close for many of us it is often a time of reflection and thanks. We are a privileged workforce in healthcare as we get to not only apply our training in scientific and technical capabilities, but the compassionate care that our patients and their families need in times of ill-health.\u0000For some this year will have brought many challenges, both professional and personal, and I hope that as you reflect you will take time to acknowledge your resilience in the face of these challenges. 2024 is going to be another massive year for all of us in healthcare, and I relish the opportunity of interacting with many of you throughout the coming year. Finally, special thanks to Prof Mark Avery our editor and Yaping Liu who helps put this journal together so professionally.\u0000I wish you and your loved ones a safe and happy Festive Season.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"62 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999041","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}

{"title":"Leading for Sustainable Health Systems","authors":"Mark Avery","doi":"10.24083/apjhm.v18i3.3269","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.3269","url":null,"abstract":"A sustainable health system is a cornerstone of any developing society, ensuring the well-being of its citizens and fostering economic development and growth. Emerging healthcare sustainability involves multifaceted aspects of what constitutes a sustainable health system, addressing key components such as accessibility, affordability, quality of care, preventive measures, and the role of technology. \u0000Leaders play are pivotal in healthcare sustainability, yet their impact can be diluted. While some leaders champion innovative practices and resource optimisation, there is need to address systemic issues. Authentic and effective governance, adequate financial stewardship, and strategic foresight affects sustainable healthcare models. Leaders need to beyond significant short-term gains, emphasising long-term ecological and economic viability. Collaboration, transparency, and a commitment to evidence-based policies are essential. Without visionary leadership, healthcare sustainability remains elusive and fragmented, perpetuating challenges that compromise the well-being of both the system and its beneficiaries. We have the systems that we have built and we will get the systems that we build.....","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"44 44","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138995781","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}

{"title":"Australian Health Services Management Courses: A discussion on syllabus","authors":"Margaret Yen, Judith Anderson","doi":"10.24083/apjhm.v18i3.1985","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.1985","url":null,"abstract":"Objective: The aim of this research was to understand core knowledge areas offered by Masters courses in health services management in Australian universities.\u0000Design: A Google search identified relevant Masters’ degrees in health services management. Course syllabus was then extracted from each university’s website. Common core subjects were then collated and compared.\u0000Setting: Data for this study was collected from Australian university websites.Main outcome measures: Findings were compared with those presented in a similar study conducted in 2013. Interpretation was also informed by an appraisal of key issues that characterise the current context of health care in Australia.\u0000Results: Masters’ degrees in health services management were offered by 18 universities. Common core subjects included management, evaluation, evidence, health system, governance, law and human resource management. A comparison with an earlier study conducted by Ritchie and Yen [1] found an increase in the following subjects: health system, quality management, health economics, policy and research, and a decrease in health information, epidemiology and resourcing. New knowledge areas included leadership, planning and project management, change management, and strategy.\u0000Conclusions: This paper presents a discussion on knowledge areas that comprise syllabus in masters level health services management education nationally. Key findings revealed differences between courses and the responsiveness of core syllabus to the current health care environment. The emergence of leadership, planning and project management was unsurprising while an absence of subjects that gave explicit reference to First Nations peoples was a notable finding.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"86 6","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138999544","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}

{"title":"Performance of Primary Health Centres, Provider’s Perspective of Wellbeing, and Patient’s Assessment of the Centres Using a New Tool in Bangalore, India: An empirical study","authors":"Rajeshwari Bangalore Sathyananda, A. D. de Rijk, U. Manjunath, Anja Krumeich, Onno Van Schayck,","doi":"10.24083/apjhm.v18i3.2223","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2223","url":null,"abstract":"Background: Primary healthcare in India comprises health promotion and preventive health interventions at the population level, which are rendered at dedicated centres called Primary Healthcare Centres (PHCs). The performance of PHCs is vital for overall improvement in the general health of the population, specifically in a low- and middle-income country like India. It is unknown how performance at the centre level is related to performance at the provider and patient levels. The aim of this study is to explore patterns in the performance of three PHCs with a low, medium and the high number of babies delivered. \u0000Methodology: Primary and secondary data from the three selected PHCs were collected. Two questionnaire studies were done: one on the well-being of providers (Quality of Life and Engagement), and another on PHC performance as assessed by patients using the newly developed tool ‘Questionnaire for Patient’s Perspective on Performance of Primary Healthcare Centres’. The data from the centre, provider and patient levels were compared across the three centres using ANOVA tests. \u0000Results: The new tool had high internal consistency at Cronbach’s alpha score of 0.938. It was found that the PHC with the least delivery had significantly higher PHC performance in comparison with high and medium-delivery PHCs (p<0.000). \u0000Conclusion: The PHC performance assessment from multiple perspectives offers a realistic insight into the centres, which is valid even though agreement on the various perspectives could not be obtained. The new Q4PHC is a reliable instrument to assess PHC performance from the patient’s perspective.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"43 16","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139007178","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}

{"title":"Public-Private Partnership in Healthcare is a Necessity in Difficult Times: A case study","authors":"Nadarajah Ramesh, Ainsley M. Robinson, Md Rafiqul Islam","doi":"10.24083/apjhm.v18i3.2819","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2819","url":null,"abstract":"Healthcare delivery is a risky enterprise for both public and private systems which may face adversity in a volatile, uncertain, complex, and ambiguous world. There has been a global emergence of Public-Private Partnership (PPP) hospitals to enhance delivery of sustainable healthcare, although its existence in developing countries remains limited. Risk management strongly influences PPP success; few PPP hospitals were able to meet contractually specified quality and performance requirements, creating debate regarding merits of the PPP model. Conversely, we present a case study of the first PPP hospital operated by not-for-profit organisation in New South Wales, Australia, to successfully complete the contract period. A Continuous Quality and Performance Improvement Framework was applied at five stages of organisational growth during the contract term. This case study demonstrates adaptive leadership and just organisational culture are equally important in providing high quality healthcare services to the community. We show the future potential of PPP model for service delivery as a third option to pure public or private sector hospitals, even in the post COVID-19 era when there is likelihood of financial instability in many settings.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"616 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138982895","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}

{"title":"A Survey of the Side Effects of Pfizer/BioNTech COVID-19 Vaccine among Vaccinated Adults in Iraq","authors":"Abubakir Saleh, N. Shabila","doi":"10.24083/apjhm.v18i3.2145","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2145","url":null,"abstract":"Background: Pfizer-BioNTech vaccine was one of the first vaccines developed for COVID-19 to be used in Iraq. While the benefits of the vaccine outweigh the risks, potential side effects remain major concerns for people and can increase vaccine hesitancy despite usually being short-lasting and mild. This study aimed to evaluate the side effects of Pfizer-BioNTech vaccination among vaccinated adults in Erbil city, Iraq.\u0000Methods: A cross-sectional study was carried out with a convenience sample of 401 subjects who received the Pfizer vaccine in nine public healthcare centres in Erbil, Iraq, on February 20th, 2022, and April 17th 2022. Data was collected through interviews with the patients using a questionnaire designed by the researchers; a p-value ≤ 0.05 was considered statistically significant.\u0000Results: The prevalence of side effects was 84.4%. Among participants who experienced side effects, the most common was pain at the injection site (93.1% for the first dose and 88% for the second dose). For the first dose, the onset of side effects on the vaccination day (day zero) was reported by 78.9% of those experiencing side effects, and the duration was one day for 45.4% of participants. Severity was rated as mild by 54.3%, and similar results were found for the second dose. Analgesics were used following the first dose by 47% of participants, which resulted in good relief for 96.6% of patients using them, and similar results were found for the second dose.\u0000Conclusions: Most participants who received the Pfizer-BioNTech vaccine experienced side effects, the most common of which was pain at the injection site, which was reported for both the first and second doses.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"69 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594552","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}

{"title":"Coronavirus-Related Health Literacy: A cross-sectional study during the COVID-19 infodemic in a developing country","authors":"Sana Zandkarimi, Maryam Kazerani, Mahdieh Mottaghi, M. Kazerani, Sara Jambarsang","doi":"10.24083/apjhm.v18i3.2167","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2167","url":null,"abstract":"Health literacy is the ability to obtain, read, understand, and use healthcare information to make appropriate health decisions and follow instructions for treatment. With the onset of Covid-19 disease, the public needs to have access to new and accurate information. The present study investigated the Coronavirus-related health literacy in Covid-19 patients referred to a teaching hospital in a developing country and its relationship with demographic variables.\u0000Method: This survey research is a descriptive-analytical type. The research instrument includes LS-COVID-Q22). Patients with Covid-19 were referred to the hospital from December 5, 2020 to July 5, 2021.The samples were selected using a sample size determination formula of 190 people. Statistical analysis was performed with SPSS software version 26.\u0000Results: The overall average score of health literacy related to coronavirus in patients with Covid-19 at Imam Reza teaching hospital in is 84.31 which is the desired level. Among the dimensions of health literacy, the highest score belonged to “Understanding health information” and the lowest score belonged to “Evaluate health information”. “Age” as a demographic factor, is the only factor that has been associated with health literacy related to the coronavirus.\u0000Conclusion: Although the level of Coronavirus-related health literacy is favorable in this study, the participants in this study were mostly patients who were able to answer the research questions, were not hospitalized, had a sufficient level of literacy to understand the questionnaire questions, and most of them were medical staff who were familiar with the components of health literacy. However, considering that health literacy training related to coronavirus has an effective role in disease prevention and control, therefore, creating and promoting the necessary platform for teaching the components of health literacy , especially  for elders is recommended by trustees and policymakers. Lack of proper evaluation of information sources leads to improper health practice.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"35 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138597271","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}

{"title":"The Relationship of Social Capital With Job Satisfaction And The Quality of Nursing Care In Critical Care Nurses","authors":"M. H. Heidari Gorji, Fatemeh Naderifar, Ali Hesamzadeh, Nouraldin Moosavinasab, Ali Morad Heidari Gorji","doi":"10.24083/apjhm.v18i3.2203","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2203","url":null,"abstract":"Introduction and Objective: Social capital is an important factor influencing job satisfaction and the quality of nursing care provided by nurses. This study aimed to examine the relationship between social capital, job satisfaction, and quality of nursing care among critical care nurses working in critical care wards (CCWs).\u0000Methods: A descriptive-analytical study was carried out in 2018, on nurses working in the critical care wards (CCWs) of Mazandarn University hospitals located in Sari, Iran. The study included 195 participants who completed a demographic questionnaire, Nahapiet and Ghoshal's Social Capital Questionnaire, Spector's Job Satisfaction Survey, and the Quality Patient Care Scale. The collected data were analyzed using both descriptive (Percentages, means, and standard deviations) and analytical statistics (Analysis of variance, Pearson's correlation coefficient and Univariate regression analysis).\u0000Results: The study's findings demonstrated a significant and positive correlation between social capital and both job satisfaction (p=0.001) and the quality of nursing care (p=0.001). Social capital was identified as an independent variable that accounts for 20% of the changes in job satisfaction and 41% of the changes in the quality of nursing care.\u0000Conclusion: This study highlights the importance of social capital in promoting job satisfaction and improving the quality of nursing care among CCW nurses. The findings demonstrate that social capital is a key factor that can significantly impact the quality of care provided to patients. Therefore, nursing managers must recognize the value of social capital and take active steps to promote it within their organizations.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"19 5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601975","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}

{"title":"Knowledge Level of Nurses about Hospital Triage: A systematic review study","authors":"A. Goudarzian, Majid Ghorbanzadeh","doi":"10.24083/apjhm.v18i3.2555","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2555","url":null,"abstract":"Objective: Triage prioritizes patient care based on the severity of the injury and aims to facilitate the best possible recovery for the majority of individuals within the shortest possible timeframe. This concept holds paramount importance in the realm of emergency care. The objective of this study was to assess the knowledge level of triage nurses working in hospitals.\u0000Methods: This systematic review study encompassed an extensive analysis of relevant literature, drawing from international databases such as PubMed, Scopus, Web of Knowledge, and Google Scholar, as well as Iranian databases including SID, Magiran. The search spanned the period from 1980 to 2023.\u0000Results: In the present study, 22 articles were selected for data extraction. Across all these articles, it was consistently observed that the knowledge level of the nurses ranged from low to moderate. Furthermore, two interventional studies reported a notable increase in knowledge levels among nurses following training.\u0000Conclusion: Based on the findings from multiple studies, it is evident that the knowledge level of triage nurses generally falls within the low to moderate range. Consequently, it is advisable to conduct further studies in a similar vein and implement necessary actions to address this issue.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"49 7","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602217","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}