Asia Pacific Journal of Health Management最新文献

{"title":"Blockchain-Based Healthcare Monitoring System Using Patient Electronic Health Record","authors":"Sonal Jain, Arya Kumar, Prabha Kiran, S.Si.T Kartini","doi":"10.24083/apjhm.v18i2.2397","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2397","url":null,"abstract":"The majority of hospitals and other healthcare institutions have made the switch from paper-based techniques to something that is known as electronic health records, or EHRs. This change was made possible by technological advancements. Various parties need to exchange the data records they keep on one another, and users need to be allowed to exercise control over who has access to the information they have on file. The Electronic Health Record (EHR) system is beset by issues relating to managing problems, challenges with trust, and data protection. Data stored on blockchains are immutable, private, and accessible only by their intended users. Blockchain technology's use has also led to managing a system with the potential to provide decentralized data storage. In this research, we determine whether it is appropriate to deploy blockchain technology in EHR and explore its potential uses in the efficient leadership of the COVID-19 pandemic.
","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072583","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":"An Effective Health Care System through Health Technology Assessment and Evidence Based Payment System in India","authors":"Arya Kumar, Rajni Mathur, T Shirmila, Rahul More, Ravindra Kaikini, Kuldeep Bhalerao","doi":"10.24083/apjhm.v18i2.2403","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2403","url":null,"abstract":"The purpose of this research is to discuss the significance of health care insurance compensation for obtaining comprehensive medical treatment in India. Through a systematic review survey focusing on the keywords like out-of-pocket, Health Technology Assessment and Health care system was conducted by using the searches from Google Scholar, Science Direct, PubMed and ProQuest Database, it is observed that India ranks among the greatest out-of-pocket (OOP) healthcare expenditures in the globe. This seems to be notwithstanding the deployment of several public health plans and the provision of a significant variety of both private and public health coverage schemes. Decrease in the treatment quality across many healthcare institutions of government is a key cause causing the typical Indian individual to constantly rely on medical services provided by private firms, heading up OOP expenses. Among the most significant problems in implementing universal health care (UHC) in India is a poor acceptance of insurance products and awareness between many Indians. The burden of large OOP expenditures on people might be lessened by increasing medical insurance acceptance, which may be accomplished by enhancing India's medical claims system.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136072584","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":"Relationship Between Workplace Incivility, Employee Performance And Employee Engagement In Healthcare Institutions","authors":"Sakshee Singh, Indra Meghrajani, Garima Vijh, Jain Prabhu Thomas, Sagar Mohite","doi":"10.24083/apjhm.v18i2.2409","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2409","url":null,"abstract":"Workplace incivility is a well-known problem that affects every firm and its environment. Employee engagement may result in physical and mental suffering, impacting how well people perform. The study aims to ascertain the relationship between employee engagement, employee performance, and workplace incivility. For this, scales of the investigated variables were used to build a well-structured questionnaire. The survey questionnaire was sent out to workers and employees of Health Care Institutions. There were 212 valid responses in total. SEM, or structural equation modelling, was utilized to establish relationships. The study's findings rejected hypotheses H1 and H2 showing workplace incivility (WPI) has a detrimental effect on employee engagement (EENG) at ( β= - 0.34, P >.05) and employee performance (EP) at (β = -0.27, P >.05). While adopting the hypothesis H3, employee engagement had a favourable impact on the performance of employees at (β = 0.36 P 0.05).","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135204806","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":"Examining Challenges In The Adoption of Big Data In Health Care Institutions And Its Impact On Patients Satisfaction: An empirical study in Delhi, India","authors":"A. Sao, Neetu Sharma, Sakshee Singh, Bharati Vishwas Yelikar, Anoop Bhardwaj","doi":"10.24083/apjhm.v18i2.2407","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2407","url":null,"abstract":"The study aims to investigate the obstacles and factors influencing the adoption of big data in healthcare organizations, and its subsequent impact on patient satisfaction. Big data in healthcare refers to the collecting, analysis, and use of clinical data from patients that is too massive or complex to be grasped by standard data processing methods. Adopting big data in health care will enable manages to render services to patient and customer satisfaction. However, in the health care sector, firms must overcome several hurdles and problems by adopting new technology. A detailed literature review was undertaken to examine many obstacles associated with the use of Big Data. A well-structured questionnaire was prepared in Likert scale to find the elements that influence big data adoption and its impact on patient satisfaction. To evaluate factors, exploratory factor analysis using SPSS 21 was performed, and Structural Equation Modelling (SEM) was performed to assess key significant factors that impact patient satisfaction. The data was gathered from employees associated with the hospitals. The survey received responses from 212 participants. Following the analysis of the data, it was found that five challenging factors influences big data adoption. These are data integration, data understanding, technology and infrastructure, lack of expert and regulation barrier. These factors explained 70.36% of variance. Whereas, SEM analysis indicated that both data integration, data understanding and lack of expertise significantly affect big data adoption Furthermore, big data adoption in hospitals will help in improving patient satisfaction.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"6 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68995586","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":"Physicians’ Antibiotics Prescribing Patterns for Common Diseases and Knowledge on Antimicrobial Resistance: A descriptive cross-sectional study","authors":"Rabeya Sultana, Ibrahim Arafat Mohim, Mona Rahim, Munira Rahim, M. S. Islam","doi":"10.24083/apjhm.v18i2.1979","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.1979","url":null,"abstract":"Purpose: This study was conducted to assess the Knowledge, Attitude, and Practice (KAP) of patients or their caregivers, and prescribers of antibiotics toward antimicrobial resistance in Bangladesh.\u0000Method: This was a mixed-method research study. Data were collected from pre-determined study areas using a sample survey of 583 respondents, 11 Focus Group Discussions (FGDs), 11 Key-Informant Interviews (KIIs), and 11 In-depth Interviews (IDIs). A scale of 11 points was used to measure attitudes.\u0000Results: About 59% of the respondents (patients or carers) were between 1 to 20 years old. The difference of age of patients by sex was found statistically significant at .001 level. About 25.7% of the respondents visited an MBBS doctor and 8.1% visited a BDS dentist, and 66.2% went to traditional healers and the pharmacy. Men take more antibiotics for treatment purposes compared to their female counterparts. The difference between men and women, with regard to the treatment of common diseases, was found to be statistically significant.  Usually, new graduate doctors and traditional healers prescribe antibiotics of longer duration. The duration of prescriptions for antibiotics and type of the physician was found statistically significant. Physicians prescribed common antibiotics for upper respiratory tract infections (26%), cold and fever (21%), diarrhea (12%), STDs (9%), HTN (8%), UTIs (7.5%), diabetes (5%), and lower respiratory infections (4%). Cephalosporin (31.4%), macrolides (27.6%), quinolones (17.8%), metronidazole (13%), and penicillin (10.10%) were used. About 65.8% of the caregivers did not have any knowledge about antimicrobial resistance and the negative effects of the overuse of antibiotics.\u0000Conclusion: The majority of the respondents had poor knowledge of antimicrobial resistance and the negative effects of the overuse of antibiotics. A community-based awareness program was found important to create awareness of antimicrobial resistance and the negative effects of the overuse of antibiotics.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68995069","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":"Impact of the COVID-19 Pandemic on Blood Transfusion Service: A case study from Kolkata, India","authors":"Kriti Karmakar, P. Ray","doi":"10.24083/apjhm.v18i2.2137","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2137","url":null,"abstract":"Background: The emergence of coronavirus disease (COVID-19) has posed a significant threat to public health all over the world and it has been a difficult challenge for blood banks in India to cope with the situation. In this study, the effect of the COVID-19 pandemic on the blood transfusion service of India has been assessed. \u0000Method: The present study is conducted in a stand-alone community blood bank situated in the city of Kolkata, India. A comparative evaluation of supply, demand, and utilization of blood components by analysing pre-pandemic and post-pandemic data from 2017 to 2020 has been presented.\u0000Result: As no blood donation camp could be organized due to the country-wide lockdown along with restrictions in mobility and large gatherings during the initial period after the outbreak of the pandemic, a significant reduction of 80.35% in blood collection was observed. The demand for the Packed Red Blood Cell was decreased by 75% due to the postponement of elective surgeries and non-urgent clinical interventions. Blood utilization patterns also changed as 40% of the Packed Red Blood Cell was issued to thalassemia patients during this period. \u0000Conclusion: Based on the evaluation of blood bank performance under pre-pandemic and post-pandemic conditions, recommendations such as spreading public awareness, maintaining sufficient safety stock, proper training of blood banking staff, communicating with nearby hospitals, donors, and medical professionals have been identified to be helpful to mitigate the adverse effects of extreme situations such as a pandemic.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46017865","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":"Understanding Workplace Spirituality in Health Care Systems: Practice and challenges","authors":"Harshit Soni, Chitra Soni, Brijesh Singh","doi":"10.24083/apjhm.v18i2.1701","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.1701","url":null,"abstract":"Purpose of the Study: The purpose of this paper is to make an enquiry into work place spirituality in health care systems. Based on a theoretical study of spirituality and its growing importance in health care systems; workplace spirituality is discussed with doctors and elements of spirituality which are applied in treating patients are identified. The study has also explored the individual level and system level challenges while practicing spirituality through the identified elements in the health care systems.\u0000Methodology adopted: This is an inductive form of research which involved enquiry into the existing literature of spirituality and further records the focused discussions of doctors for capturing the idea of spirituality in health care systems, identification of elements of spirituality and implementation challenges of spiritual elements in health care systems.\u0000Findings:  The idea of spirituality in healthcare systems includes the trust and belief in supreme power, peace of mind, spiritual care and identifying spirituality as an asset. Gratitude and prayers, counseling, inclusion of the yogic techniques and investment of self in the work are identified as elements of spirituality in healthcare systems. Analysis of data also implied challenges in implementation of spirituality in health care systems.\u0000Practical implications: The findings of the study have identified the elements of spirituality in health care systems not addressed in the previous research. The present study suggests to consider the emotional labor and stress of the doctors developed in the treatment process as the role of doctors is crucial in maintaining the integral health of patients. The implementation challenges of spiritual practices in health care systems are also discussed.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47173238","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":"Cultural And Social Barrier in Community Physiotherapy Practice: Ethics in the Indian context","authors":"Abishek J R, H. S, Anbu Priya M","doi":"10.24083/apjhm.v18i2.2063","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2063","url":null,"abstract":"Background: Ethics becomes inevitable in the physiotherapy profession as it is concerned with professionalism and patient outcomes by avoiding patient-therapist conflicts and helps avoiding medical negligence.\u0000Objctive: This study aims to explore the impedance faced by the community physiotherapist in implementing the code of ethics.\u0000Methodology: A structured interview-based questionnaire was framed to assess the perception of ethics, role of ethics and the barriers faced in implementing ethical guidelines by community physiotherapist during their practice.\u0000Results: Ethics is important as it dignifies the profession and gains the confidences of the patient and helps in developing a good rapport with the patient. The most important barriers faced by the physiotherapist in abiding by the code of ethics were the unawareness among the patient and their cultural belief alongside with lack of inter-sectorial harmony.\u0000Conclusion: This study concludes that educating the patients and creating an inter-sectoral harmony will be most effective in breaking the barriers in ethical implementation in practice.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46819729","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":"Participation In Online Health Communities: Decoding the antecedents and outcomes","authors":"Shveta Kalra, Chhavi Taneja, Neha Singhal","doi":"10.24083/apjhm.v18i2.1387","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.1387","url":null,"abstract":"A significant number (49 %) of Indian users tend to rely on digital media to either access health-related information or use the internet as a precursor to visit a doctor [20]. According to a report by Raheja [48], \"The Internet of Things” (IoT) connection has the potential to change the malfunctioning medical system into a comprehensive, effective, and individualised system. This will allow for a more proactive approach to wellness and overall health, reducing medical expenses through these inclusive practices. Online health communities in India demonstrate significant clout to transform the healthcare industry by empowering patients. They offer a platform to all key stakeholders, that are, the healthcare professionals, patients and even the caregivers alike, to come forth, share their experiences and develop remedies for various issues faced by the healthcare industry.\u0000This paper examines the antecedents involved in the empowerment of patients in Online Health Communities (OHCs) and the outcomes of this in the form of participant compliance. The research additionally examines the moderating impact of certain factors such as the patients’ e-health literacy and health locus of control (HLOC) and the physicians’ paternalism, in examining the relationship between patient empowerment and compliance.\u0000The findings of the research propose a construct or a theoretical model for the numerous factors and moderators associated with the patient’s participation in online health communities. The social support available to patients leads to more empowered patients, ultimately resulting in higher Patient compliance. Further, this patient empowerment, which comprises of sense of autonomy, competence and self-efficacy makes people more compliant. The theoretical construct between patient empowerment and patient compliance, is further moderated by the patients’ e-health literacy and health locus of control (HLOC) and the physicians’ paternalism.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42988100","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":"Out-of-Pocket Expenditure in Hypertension Related Care in India: Estimates from National Sample Survey 2017-18","authors":"S. Rajasulochana, P. S, Saravanan E, Mathan Kumar, Jeyanthi E, Anurag Gola, S. Kar","doi":"10.24083/apjhm.v18i2.1763","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.1763","url":null,"abstract":"Background: Studies estimating treatment cost associated with hypertension care in the Indian context are limited and show considerable variations.\u0000Objective: To estimate the extent of out-of-pocket expenditure (OOPE) for hypertension care at the population level and its financial impact on households in India.\u0000Methods: We analysed the data of the 75th round of the of NSSO survey (India) on the social consumption of health care conducted in 2017-18.  OOPE was assessed after deducting the amount reimbursed by insurance from the total medical expenditure per episode of hypertension-related hospitalisation and outpatient visit during the survey period. OOPE for hypertension care was considered catastrophic if exceeding 10% of the household’s monthly per capita expenditure. The determinants of catastrophic health expenditures were examined using a multivariate logistic regression analysis.  \u0000Results:  A total of 1,351 and 6,379 individuals reported hypertension-related hospitalization and outpatient care, respectively, in the survey. The overall hypertension-related hospitalization rate was 54 per 100,000 persons.  OOPE associated with hypertension-related hospitalisation were on an average INR 3,491 (SD 6,176) and INR 24,565 (SD 37,343) in public hospitals and private hospitals, respectively. The OOPE for hypertension related to outpatient visit was INR 277 (SD 571) in public facilities but was in the range of INR 457 (SD 556) – INR 695 (SD 1,431) based on the type of private hospitals/clinics. OOPE on medicines constituted on an average 43% (95% CI: 32-52%) and 66% (95% CI: 54-64%) of public sector hospitalisation and outpatient care respectively. The risk of catastrophic expenditure due to hypertension care was 41% among the poorest households.\u0000Conclusion: Direct expenses on drugs and diagnostic tests contribute significantly to OOPE. The on-going public health efforts towards controlling hypertension need to ensure better access to essential hypertensive drugs and diagnostic tests in public facilities.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44059404","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}