Asia Pacific Journal of Health Management最新文献_第2页

Communication Factors, Dispositions, Resources, And Bureaucratic Structure Have An Effect On The Implementation Of Close Contact Tracing Of COVID-19 In Banjar Regency, With Policy As A Moderating Variable 以政策为调节变量，沟通因素、处置、资源和官僚结构对 Banjar 地区实施 COVID-19 密切接触者追踪的影响

IF 0.6

Asia Pacific Journal of Health Management Pub Date : 2023-12-03 DOI: 10.24083/apjhm.v18i3.2675

Dicky Andiarsa, Juhairiyah Juhairiyah, R. Adhani, Taufik Arbain, Syamsul Arifin, Ardik Lahdimawan, Agung Dwi Laksono

{"title":"Communication Factors, Dispositions, Resources, And Bureaucratic Structure Have An Effect On The Implementation Of Close Contact Tracing Of COVID-19 In Banjar Regency, With Policy As A Moderating Variable","authors":"Dicky Andiarsa, Juhairiyah Juhairiyah, R. Adhani, Taufik Arbain, Syamsul Arifin, Ardik Lahdimawan, Agung Dwi Laksono","doi":"10.24083/apjhm.v18i3.2675","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2675","url":null,"abstract":"Background: various regions of Indonesia have unfulfilled close contact tracing for COVID-19 as prevention and control, including Banjar Regency which is part of the contributors to the low goal. The four factors influenced are communication, disposition, resource, and bureaucratic structure of tracer as implementing actors of close contact tracing, but other factors can strengthen or weaken policy implementation. This study aims to analyse the factors. \u0000Methods: Quantitative study used a cross-sectional approach with the moderator variable is the policy context. The independent variables are communication, disposition, resource, and bureaucratic structure. The dependent variable is the implementation of close contact tracing of COVID-19. The instrument is a questionnaire with a sample of 119 respondents that were taken with Proportional random sampling. Data analysis used SPSS 26 application with moderated regression analysis (MRA). \u0000Results: The four factors together communication, disposition, resource, and bureaucratic structure affected the implementation of close contact tracing of COVID-19 by 51.8% and the other variables were not observed in this study. The effect increased to 55.7% after introducing the policy context variable. In the partial variable test, there is no effect on the resource, but after the interaction of the moderator variable in the policy context, there is a significant p-value of 0.036 on the resource variable. \u0000Conclusions: Communication, disposition, resource, and bureaucratic structure simultaneously on tracers in the implementation of close contact tracing of COVID-19 in Banjar Regency increased with a policy context variable as a moderator variable. The policy context variable can increase the effect of the resource factor as a pure moderator.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"100 26","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138605888","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

Prioritizing the Precursors of Patients’ Experience in Indian Corporate Hospitals: Application of hybrid RIDIT-GRA approach 优先考虑印度企业医院患者体验的先决条件：混合 RIDIT-GRA 方法的应用

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Asia Pacific Journal of Health Management Pub Date : 2023-12-03 DOI: 10.24083/apjhm.v18i3.2375

Shubham Senapati, R. Panda

{"title":"Prioritizing the Precursors of Patients’ Experience in Indian Corporate Hospitals: Application of hybrid RIDIT-GRA approach","authors":"Shubham Senapati, R. Panda","doi":"10.24083/apjhm.v18i3.2375","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2375","url":null,"abstract":"Objective: This study aims to identify, understand, and prioritize the influence of distinct patient experience (PX) antecedents that have substantial evidence in shaping the patients’ preferences and experiences in Indian corporate hospitals. The study is expected to assist healthcare managers in the personalization and alignment of clinical services with consumer expectations and demands.\u0000Design/ Methodology: A cross-sectional study was conducted across eight corporate hospitals to collect 220 patient data samples. A recent measurement model, titled ‘Patient Experience Questionnaire’, was adopted to harness pre-validated PX factors and related items. Further, two independent prioritization techniques, Relative to an Identified distribution (RIDIT) analysis and Grey Relational Analysis (GRA), were executed to render item precedence of the precursors of PX.\u0000Results: Through RIDIT, items belonging to factors 'doctor services' and 'nursing services' secured favorable performance ratings, whereas items under 'information' and 'next-of-kin' obtained comparatively less favorable responses. There was evidence of minimal deviations when the results were verified through GRA, but the ranks obtained in both the independent techniques (RIDIT & GRA) revealed a robust correlation of 99.5%. Moreover, the applicability of two independent prioritization techniques enhances the rigor and reliability of findings. \u0000Conclusions: Although the respondents were mostly satisfied with their care providers, an effective provider-patient communication was not evident in the care system. Patients seemed to be overly dependent on their physicians and showed limited intention to participate in a collaborative process. Lack of patient-centric culture, deficit infrastructure, excessive workload on healthcare providers, and restricted translation of patient-centric concepts into practice deterred organizations from fully benefiting from patients' involvement in clinical facets.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"39 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138605273","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

Detection And Management of Lower Body Deformity And Ulceration Extremity In People With A Lived Experience of Diabetes 糖尿病患者下肢畸形和溃疡的检测与管理

IF 0.6

Asia Pacific Journal of Health Management Pub Date : 2023-12-02 DOI: 10.24083/apjhm.v18i3.2435

Chinmaya Mahapatra, Awanish Kumar

{"title":"Detection And Management of Lower Body Deformity And Ulceration Extremity In People With A Lived Experience of Diabetes","authors":"Chinmaya Mahapatra, Awanish Kumar","doi":"10.24083/apjhm.v18i3.2435","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2435","url":null,"abstract":"Background: Diabetes is a silent killer, wherein prolonged poor glucose control could lead to acute diabetic ulcers that are responsible for foot ulcers in the lower body extremities. A diabetic foot is a skin sore formed as a result of skin tissue breaking down and exposing the tissue layers underneath. Chronic conditions of the disease lead to amputation of the limb which is a lifelong disability as well as morbidity.\u0000Objective: We have compiled an interesting and informative review on diabetic foot ulceration. Topics and subtopics discussed in the article have scientific relevance for the readers of health management journals.\u0000Main Outcome and Results: The cascade of events that lead to ulceration is responsible for degrading vascular changes in nerve fibers, resulting in poor motor neuropathy in the lower extremities. Therefore, detection of diabetic foot and ulceration in the early stage is crucial for proper disease management. Various tools in this regard have been used to detect and monitor diabetic foot occurrence apart from a conventional assessment such as the severity of the infection, infection of the skin, extent or size of the ulcer, depth of tissue infection, and loss of sensation from various parts of the lower body. Furthermore, recent advancement in medical technology has also given some critical diagnostic tools EMG (Electromyography), NCV (Nerve Conduction Velocity), PPG (Photoplethysmography), and SSEP (Somatosensory Evoked Potential).\u0000Conclusion: The review discusses various complications related to people with a lived experience of diabetic foot ulcers and some advanced tools to diagnose them. Furthermore, a conclusive discussion on a holistic view of diabetic foot diagnosis methods and available treatments has been summarized which could be more explored for better detection/management of the disease.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"4 6","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138606885","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 Effect of Leader-Member Exchange On Job Craftıng in Nursıng: The medıatıng role of psychologıcal safety 领导与成员之间的交流对护理工作技能的影响：心理安全的医疗作用

IF 0.6

Asia Pacific Journal of Health Management Pub Date : 2023-12-01 DOI: 10.24083/apjhm.v18i3.2519

Eren Akman, Emre İşci̇

{"title":"The Effect of Leader-Member Exchange On Job Craftıng in Nursıng: The medıatıng role of psychologıcal safety","authors":"Eren Akman, Emre İşci̇","doi":"10.24083/apjhm.v18i3.2519","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2519","url":null,"abstract":"Background: Nurses are expected to make prompt and accurate decisions, have high crisis management skills, and exhibit proactive behaviors due to the nature of their service. Nevertheless, this situation is thought to be affected by the directors' approach and the working environment's structure. Therefore, this study aims to determine the mediating role of psychological safety in the effect of leader-member exchange on job crafting. Methods: This study is a descriptive cross-sectional study. The study was conducted with 782 nurses in Istanbul, Turkey. Structural equation modeling was used in the study. AMOS software was used for model analysis, and SPSS software was used for descriptive statistics and correlation analysis. Results: The results indicate that the effects of leader-member exchange on job crafting (β = .541, p < .05) and psychological safety (β = .430, p < .05) are statistically significant. Moreover, the effect of psychological safety on job crafting is statistically significant (β = .453, p < .05). Based on the path analysis, it was determined that psychological safety has a mediating role in the relationship between leader-member exchange and job crafting (Confidence Interval; LB=0.059, UB=0.172). Conclusion: This study revealed that psychological safety is a mechanism that contributes to the explanation of the relationship between leader-member exchange and job crafting. The findings will create ideas for directors to provide a healthier working environment. This situation is predicted to bring more positive results for employees and patients.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"161 4‐5","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138625984","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

Gender Differential In Symptoms, Morbidity, And Case Fatality Rate In The COVID-19 Pandemic In India 印度 COVID-19 大流行病在症状、发病率和病死率方面的性别差异

IF 0.6

Asia Pacific Journal of Health Management Pub Date : 2023-12-01 DOI: 10.24083/apjhm.v18i3.1227

Shubham Ranjan, Anupreet Kaur, R. Thakur

{"title":"Gender Differential In Symptoms, Morbidity, And Case Fatality Rate In The COVID-19 Pandemic In India","authors":"Shubham Ranjan, Anupreet Kaur, R. Thakur","doi":"10.24083/apjhm.v18i3.1227","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.1227","url":null,"abstract":"Background: The COVID-19 epidemic has taken a considerable toll worldwide and has harmed both male and female health. Statistics revealed that fewer females were directly affected than males; however, the latter may be more affected by the consequences. Some studies at the global level have suggested gender as the key determining factor in COVID-19, but there is a lack of such studies in developing countries like India. In light of the situation, this study has analyzed the gender-wise pattern of symptoms, morbidity, multimorbidity, and mortality due to COVID-19 in Karnataka, India.\u0000Methods: We used patient-level raw data from COVID19-India application programming interface (API) from 09th March to 05th September 2020. We have used descriptive statistics such as frequency, percentage distribution, and latent class analysis (LCA) to carry out this analysis.\u0000Findings: The study comprised 78,983 COVID-19 patients who were 63.6% males and 36.4 % females. Out of the total patients, 10.1% were reported as deceased, of which 68.4% were males and 31.6% were females. We found that all three symptoms (cough, breathlessness, and fever) were higher among males than females in the case of disease symptoms. Males had a higher risk of severe infection and mortality in general. In comparison, females suffered from comorbidities like diabetes and hypertension were at higher risk of mortality due to COVID-19 than their male counterparts. The latent class analysis also revealed that females had a more significant proportion of two or more symptoms, whereas males had more than two comorbidities.\u0000Interpretation: Given the differences in lethality between the two genders, we believe that our study has found the root causes of the gender differentials in the COVID-19 pandemic. Furthermore, our research mapped gender differences in various aspects of COVID-19, which will help policymakers find suitable interventions to reduce the burden.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" 32","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138614388","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

Emergency Department Nurses’ Clinical Competence and Its Related Factors: A cross-sectional study 急诊科护士的临床能力及其相关因素：横断面研究

IF 0.6

Asia Pacific Journal of Health Management Pub Date : 2023-12-01 DOI: 10.24083/apjhm.v18i3.2195

Fatemeh Jalalian, S. M. Hosseininejad, Seyed Hossein Montazer, Ali Hesamzadeh

{"title":"Emergency Department Nurses’ Clinical Competence and Its Related Factors: A cross-sectional study","authors":"Fatemeh Jalalian, S. M. Hosseininejad, Seyed Hossein Montazer, Ali Hesamzadeh","doi":"10.24083/apjhm.v18i3.2195","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2195","url":null,"abstract":"Objectives: This study aimed to assess perceived clinical competence levels of emergency department nurses in Iran and to identify association with the demographic variables.\u0000Methods: In this cross-sectional study, all 131 employed nurses from emergency departments of four educational hospitals were included in the study using a census method. Data collection tools included a demographic information form and the “Nurse Competence Scale”. Data were analyzed using descriptive and analytical statistics.\u0000Results: The mean age of the nurses was 32.41± 6.35 years. 14 nurses were male and 117 nurses were female, the average work experience of the nurses was 8.48±5.98 years. The mean score of nurses' clinical competence score of the nurses was 68.68 ± 3.24 out of 100, which was a “good level”. Among the subscales of clinical competence, the highest mean score was related to “managing situation” and lowest to “ensuring quality”. There was no statistically significant difference of clinical competence by gender, age, and academic degree. However, the level of clinical competence differed significantly depending on work experience.\u0000Conclusions: The emergency department nurses at Mazandaran University of Medical Sciences, Iran, reported a good level of clinical competence across all categories. Hospital managers’ awareness of the level clinical competence of emergency department nurses helps them design educational programs and effective training session to improve the quality of nursing services. Moreover, it is necessary to upgrade nursing education programs at all levels of nursing education in to improve graduating nurses’ clinical competences.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" 43","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138618570","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 Effect of Psychological Empowerment on Job Satisfaction: Regulatory role of generations X and Y 心理授权对工作满意度的影响：X 代和 Y 代的调节作用

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Asia Pacific Journal of Health Management Pub Date : 2023-12-01 DOI: 10.24083/apjhm.v18i3.2143

Pınar Erdoğan, İlknur Çevik Tekin

{"title":"The Effect of Psychological Empowerment on Job Satisfaction: Regulatory role of generations X and Y","authors":"Pınar Erdoğan, İlknur Çevik Tekin","doi":"10.24083/apjhm.v18i3.2143","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2143","url":null,"abstract":"The objective of this study is to determine the moderator role of generation gap in the effect of psychological empowerment perception on job satisfaction. The population (N: 200) and sample (n=136) of the study consists of health professionals working in the Karaman Provincial Health Directorate, Türkiye. In the research data were collected with a questionnaire technique and the hypotheses were tested through the SPSS Macro Process program. The significance of the regulatory role (statistically) was calculated by the bootstrap test. As a result of the analyzes made, it was found that the moderator effect of psychological empowerment perception on job satisfaction differed between the X and Y generations.\u0000While the effect of the psychological empowerment perceptions of the X Generation employees on job satisfaction did not show a statistically significant difference, this effect was found to be statistically significant in the Y Generation employees. It has been found that generations have a moderator effect on the effect of psychological empowerment perceptions of health workers on job satisfaction (X and Y).","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" 17","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612331","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 Analysis of Maternal Characteristics and Regulation of Antenatal Care on Pregnancy Risk Status Based on The Independent Family Health Evaluation (IFHE) 基于独立家庭健康评估（IFHE）的产妇特征和产前护理对妊娠风险状况的影响分析

IF 0.6

Asia Pacific Journal of Health Management Pub Date : 2023-11-30 DOI: 10.24083/apjhm.v18i3.2381

Diyan Indriyani, E. Yunitasari, Ferry Efendi, Asmuji Asmuji, Sri Wahyuni Adriyani

{"title":"The Analysis of Maternal Characteristics and Regulation of Antenatal Care on Pregnancy Risk Status Based on The Independent Family Health Evaluation (IFHE)","authors":"Diyan Indriyani, E. Yunitasari, Ferry Efendi, Asmuji Asmuji, Sri Wahyuni Adriyani","doi":"10.24083/apjhm.v18i3.2381","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2381","url":null,"abstract":"Background: High-risk pregnancy is a serious problem and needs to be detected early. Pregnant women with risk categories have a direct impact on the fetus. This study aimed to analyze maternal characteristics and the consistency of antenatal care visits in relation to the pregnancy risk status of pregnant women using the Independent Family Health Evaluation (IFHE) Methods: This study used a cross-sectional study with a correlational design. The sample was the third-trimester pregnant women who have a maternal and child health record booklet, with a total sample of 128 respondents. The instrument used was a questionnaire adopted from the identification of family health in the IFHE application system. Data analysis was carried out using multiple logistics regression. Results: The results showed that age (p = 0.004), height (p = 0.027), number of pregnancies (p = 0.0001), history of pregnancy (p = 0.0001), history of childbirth (p = 0.001), having children under 2 years of age (p = 0.001), pregnancy complications (p = 0.0001), and history of regular antenatal care (p = 0.0001) had a significant effect on pregnancy risk status. While history of tetanus toxoid immunization showed no relationship with pregnancy risk (p = 0.332). The final modelling of multiple logistic regression showed that the influential variables were age, the number of pregnancies and consistency of antenatal care. The number of pregnancies was the variable that had the strongest influence on pregnancy risk status (OR= 40.192). Conclusion: This research contributes valuable insights into the factors influencing pregnancy risk, providing a foundation for more effective antenatal care and ultimately better health for expectant mothers and their infants. Healthcare providers can use this information to identify pregnant women at higher risk and implement targeted interventions, thereby improving maternal and fetal outcomes.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"61 20","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196541","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

Cost Analysis of Physical Therapy Clinic In Thailand: The impact of the COVID-19 outbreak 泰国理疗诊所的成本分析：COVID-19 爆发的影响

IF 0.6

Asia Pacific Journal of Health Management Pub Date : 2023-11-30 DOI: 10.24083/apjhm.v18i3.2297

Raoyrin Chanavirut, S. Nakmareong, Ponlapat Yonglitthipagon, Pisamai Malila, W. Kamruecha

{"title":"Cost Analysis of Physical Therapy Clinic In Thailand: The impact of the COVID-19 outbreak","authors":"Raoyrin Chanavirut, S. Nakmareong, Ponlapat Yonglitthipagon, Pisamai Malila, W. Kamruecha","doi":"10.24083/apjhm.v18i3.2297","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2297","url":null,"abstract":"Objective: The aim of the study was to identify the financial burden and compare the unit costs that Coronavirus disease 2019 (COVID-19) imposed on a physical therapy clinic that are one of the primary forms of healthcare facilities in Thailand.Design and Setting: The study was a retrospective study conducted at the physical therapy clinic, Khon Kaen University Community Outreach Center (KKUCOMOC) in Thailand. To assess the impact of the outbreak, the service unit was divided into two units: physical therapy (PT) and Thai massage (TM), and the annual report for the 2019-2021 fiscal year was analyzed as representative of before and during an outbreak. The study tool was the Handbook of Unit Cost Analysis from the Office of the Permanent Secretary. Revenue, expenses, and the number of patient visits were all gathered. The data was then analyzed and summarized using Microsoft Excel programs, and descriptive statistics were presented. Results: The COVID-19 pandemic not only reduced the number of patient visits but also the revenue. During the pandemic, the percentage of expense to the facility’s revenue increased in both units. Labor, material, and capital costs were the major cost components, with labor costs accounting for the majority of direct costs. The first emerged in the 2020 fiscal year, resulting in an increase in PT's and TM's unit costs of 26.66% ($US10.24 to $US12.97) and 22.69% ($US6.92 to $US8.49), respectively. Following that, it continued to rise in both units throughout the subsequent fiscal year. As a result, at the end of the study, the unit costs of PT and TM were $US13.95 and $US9.22 respectively. Conclusions: The COVID-19 pandemic reduced the number of patient visits and revenue. Furthermore, it raised the unit cost of PT and TM to $US13.95 and $US9.22 respectively.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"177 ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139204520","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

Improving the quality and sustainability of home-based acute care models using virtual care technology 利用虚拟护理技术提高家庭急症护理模式的质量和可持续性

IF 0.6

Asia Pacific Journal of Health Management Pub Date : 2023-11-30 DOI: 10.24083/apjhm.v18i3.2785

James Brown, Judi Cavanagh, Brian Dorricott, Vickie Irving, Cathie LaRiviere

{"title":"Improving the quality and sustainability of home-based acute care models using virtual care technology","authors":"James Brown, Judi Cavanagh, Brian Dorricott, Vickie Irving, Cathie LaRiviere","doi":"10.24083/apjhm.v18i3.2785","DOIUrl":"https://doi.org/10.24083/apjhm.v18i3.2785","url":null,"abstract":"Importance COVID-19 has facilitated the rise of a new service model that combines HITH service provision with technology to create ‘virtual hospitals’, but evidence on the impact of this new model in terms of cost and clinical outcomes, compared to usual Hospital in the Home (HITH) care, is currently lacking. Objective To assess the clinical and financial impacts of virtual care technology on Hospital in the Home models of care. Design Quasi-experimental study comparing outcomes of a control group receiving ‘usual’ home-based acute care and a virtual care cohort using remote monitoring technology while also receiving usual Hospital in the Home (HITH) care. Main Outcomes and Measures Readmissions within 28 days, unplanned emergency department (ED) presentations, transfers-in to facility-based hospital beds, and average length of stay. Results During the study period, 151 adult and 26 paediatric patients utilised virtual care technology for the majority, or all, of their home-based acute care. Use of such technology was associated with a statistically significant reduction in risk of hospital readmission within 28 days—from 43% to 21%. The risk of hospital readmission within 28 days for the same diagnosis-related group (DRG) dropped from 18% to 4%, and the length of stay for the top three DRGs by volume decreased from a mean of 7.2 days to 4.0 days, saving an average of $3,698 per admission. Use of technology was also associated with reduced rates of unplanned ED presentations and transfers-in to traditional hospital beds compared to usual care for adults. Conclusions Our findings confirm there are clinical and economic benefits associated with embedding virtual care technology in Hospital in the Home (HITH) service models that warrant consideration in health systems facing capacity constraints and rising costs.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"12 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139205425","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