Journal of Health Management最新文献

{"title":"‘Optimising Time for Effective Patient Care’: Work-sampling Analysis","authors":"Vaibhav Gupta, Pushpanjali Krishnappa, Poonam Goel","doi":"10.1177/09720634231217031","DOIUrl":"https://doi.org/10.1177/09720634231217031","url":null,"abstract":"Modern healthcare is increasingly complex with the growing demand of multidisciplinary care and the demand for high efficiency, but also healthcare professionals seem to be confronted with an increasing need for high-quality, timely, patient care. Current study was planned with aim to formulate guidelines for effective utilization of dental healthcare personnel and reduce patient waiting time in a peripheral dental healthcare center. A work sampling study was conducted during April 2014 on seven participating dentist posted and patients visiting at outreach dental healthcare center. A snapshot of clinical and administrative activities was recorded by trained investigator over 48 hours. A 14-item classification system was applied to categorize tasks performed by dental health care personnel (DHCP) into five categories and six categories for patient-related tasks. A total of 2,303 observations documented for dentist and 378 for patients. Documentation activities accounted for 5% and infection control for 3% and idle time for 5%. On an average, 33% of patient’s time was spent in waiting area whereas only 7% while delivering health education. To conclude, work sampling is a feasible method for defining the work experience of DHCP and for measuring the impact of administrative changes imposed to improve education or healthcare delivery.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"76 5","pages":"829 - 833"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191593","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":"Optimisation of an Electronic Call Light System in an Austrian Hospital. Phase I: Current State Analysis","authors":"Michael Klösch, Christoph Klösch, Maria Reiter, Eva Pfeiffer, Christine von Reibnitz","doi":"10.1177/09720634231215144","DOIUrl":"https://doi.org/10.1177/09720634231215144","url":null,"abstract":"Electronic call light systems provide important information and coordination instruments for patient care in the clinical setting. Subjective impressions and impacts on communication and work processes of nursing staff can contribute to a sustainable optimisation of concepts. Studies have not yet been conducted on this topic in Austria. The main objective was to assess subjective attitudes and perceptions as well as emotional reactions of nurses towards an existing call light system. Connections with skill and grade mix should be demonstrated in order to comprehensively record the effects on nursing communication, work processes and financial impact in everyday ward life. For this study a mixed-methods approach was used. The present study was conducted in an Austrian hospital. Nurses for interviews were recruited by using information leaflets. The ward for the open unstructured participant observation was chosen by the nursing director. Inclusion criteria for the interviews refer to the willingness of nurses to participate in the study on a voluntary basis and a good knowledge of German or English. A total of seven short interviews with nurses and 129 observational units were conducted. None of the nurses dropped out. Ward- and staff-related key figures/characteristics were provided by the nursing management. Emotional reactions of nurses and time measurements (distance covered, duration of activity after activation of a call light) were recorded during observations. Subjective impressions were obtained by using structured short interviews. The study took place between June and August 2020. Data analysis of the interviews was carried out by using MAXQDA®. Results of the observations were transferred to excel spreadsheets and analysed in accordance with legal requirements in Austria. Structural, technical, and financial backlogs can be identified from the results. The existing call light system concept has proven to have a negative impact on the quality of care, job satisfaction of nursing staff, and hospital financing. In future, further studies are needed to provide a more detailed analysis of the individual findings. This also implies integrating nursing managers and patients as target groups.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"15 3","pages":"883 - 893"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194917","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":"Future Applications of Artificial Intelligence for the Egyptian Universal Health Insurance System","authors":"Mohamed Imam, Heba Y. Soliman, H. Abdel-Atty","doi":"10.1177/09720634231215139","DOIUrl":"https://doi.org/10.1177/09720634231215139","url":null,"abstract":"Artificial intelligence refers to simulating the human intelligence in machines. As it is present in all aspects of life, it has a great impact on the healthcare systems. In this article, the concept of artificial intelligence and its expected role on healthcare systems are presented. The Egyptian Universal Health Insurance system is presented as a case study.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"15 26","pages":"709 - 714"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196396","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":"Managed Care Models in India: An Investigation on the Ownership and Performance of Health Claims Management","authors":"Shamya Shetty, Debmallya Chatterjee, Yogesh P. Pai","doi":"10.1177/09720634231215388","DOIUrl":"https://doi.org/10.1177/09720634231215388","url":null,"abstract":"Third-party administrators (TPAs), an important member of the managed care model in India, service health insurance claims and intermediate between health insurance companies, service providers and customers. Auditing TPA performance is not a prevalent industry practice because of a lack of regulation. This study explores the rationale behind the trend of insurance companies bringing TPA services in-house and investigates if the performance parameters for TPAs vary based on ownership. Analytical Hierarchy Process (AHP) was used to formulate the hierarchy of performance parameters for the TPA. Assessment of the efficiencies and quality of claims management between internal and external TPAs will enable insurance companies to make more informed decisions on managed healthcare models. Consequently, insurance premiums can be reduced, making health insurance a more viable option and could pave the way towards achieving the objective of universal health coverage. This study’s motivation stems from the possible impact that the performance evaluation of internal and external TPAs has on healthcare delivery, control and costs. The results show that both internal and external TPAs have their own efficiencies and advantages due to their operational models.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"34 3","pages":"918 - 926"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189810","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":"Needs Assessment to Inform Service Delivery Redesign in a Local Tertiary Teaching Clinic","authors":"Christopher Cayco, Andrew M Leaver, Alma Labro, A. Bandong, Anna Christina Domingo, Edward Gorgon","doi":"10.1177/09720634231216577","DOIUrl":"https://doi.org/10.1177/09720634231216577","url":null,"abstract":"Aims To examine the extent to which physical therapy at a local tertiary teaching clinic enables best practice and to identify priority areas for service redesign. Methods A retrospective file review of clinical records of patients receiving physical therapy (n = 237) from 2011 to 2015 in Manila, Philippines. Data on clinical diagnosis, interventions, parameters of episode of care, goals and outcome measures were extracted and coded by trained researchers using a standardised form. Results Most patients (n = 229, 97%) had developmental conditions. Active interventions were employed (n = 236, 99%) and self-management plans appeared in 161 (68%) records. The duration of the episode of care was variable (median = 16 months, range = 1–139). Almost all patients (n = 230, 97%) commenced with weekly sessions, with the total number of sessions ranging from 1 to 150 (median = 15). Therapy goals were reported routinely (n = 236, 99%). Objective measures were recorded in 209 (88%) records at baseline and in 136 (57%) records at follow-up. The time point for outcome assessment was inconsistent (range = <1–36 months). Conclusions Service delivery at the clinic requires more robust longitudinal management procedures, streamlined mechanisms for monitoring and better involvement of the family in decision-making. Some elements of existing practice (active, self-management approaches) suggest the adoption of best practice principles. Results contribute to ‘idea generation’ for service redesign.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"24 11","pages":"743 - 748"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191137","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 Between Effective Listening Skills and Job Satisfaction According to Organizational Health as a Mediator Variable among the Employees of Ahvaz Social Security Hospital: A Structural Equation Model","authors":"Maryam Delphi, Farideh Hosseini, Maryam Dastoorpoor, Abdolhossein Nisi","doi":"10.1177/09720634231215130","DOIUrl":"https://doi.org/10.1177/09720634231215130","url":null,"abstract":"The present study was conducted to determine the relationship between effective listening skills and job satisfaction according to the mediatory role of organisational health among the employees of Ahvaz Social Security Hospital. The statistical population of the study consisted of the employees of Ahvaz Social Security Hospital, and the study sample included 230 of this population, who were selected by random sampling. The study tools included the Glenn and Pood Effective Listening Self-inventory, the Hoy and Feldman Organisational Health Scale, and the Minnesota Job Satisfaction Questionnaire (MSQ). The study hypotheses in the proposed conceptual model were tested in AMOS-23 and SPSS-23 using structural equation modelling. Based on the values of Pearson correlation coefficients and (p < .05), a positive and significant relationship between the main variables of the study was confirmed. In the case of model fit, normal chi-square test and other model fit statistics of NFI, RFI, IFI, TLI, and CFI were all close to or higher than 0.9. The main hypothesis of the study was proved by the structural equation modelling model through Amos software and all the fit indices of the model indicated the proper fit of the proposed model.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"92 8","pages":"734 - 742"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192452","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":"Cost-Effectiveness Analysis of Rabies Control Program, 2008–2017: A Systematic Review","authors":"I. Tunas, D. A. Laksemi, Luh Putu, R. Sundari, I. Putu, Eka Widyadharma","doi":"10.1177/09720634231216829","DOIUrl":"https://doi.org/10.1177/09720634231216829","url":null,"abstract":"Rabies is still a public health problem. It is a zoonotic disease caused by a viral infection of the central nervous system. Several efforts have been taken, and one of them is mass vaccination for dogs. This systematic review aims to assess the cost-effectiveness of controlling rabies disease. Three online databases used as the source of this review are PubMed, ProQuest and CINAHL (EBSCO), published between 2008 and 2017. Fourteen articles reviewed based on the eligibility criteria were related to the intervention in preventing and controlling rabies. The articles consist of three randomised controlled trials and six nonrandomised controlled trials, including a pre-test-post-test-controlled design. Moreover, there is a one-time series article, which is an intervention for only one group of samples. Eight articles are directed at the intervention of lifestyles involving increased physical activity, diet and nutrition, with the main purpose to prevent the increase of metabolic syndrome status. Cost-effectiveness estimation is based on the mass vaccination programme for dogs, post-exposure prophylaxis (PEP) administration for humans and the combination of both. The model and variables in cost-effectiveness analysis are widely varied and associated with demography, socio-economics and programmes conducted in the study area.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"86 6","pages":"966 - 973"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194916","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 Effect of Complaint-based Patient Education on Inappropriate Use of the Emergency Department: Experiences of an Academic Centre in Turkey and Literature Review","authors":"Hasan Idil, Gökçe Yenice, O. Atilla","doi":"10.1177/09720634231215138","DOIUrl":"https://doi.org/10.1177/09720634231215138","url":null,"abstract":"Inappropriate use of the emergency department (ED) is a major problem worldwide. The lack of health care knowledge of the patients is an important factor in this respect. As a method to increase the health care information of patients who presented to the ED of an urban tertiary care hospital for non-urgent reasons, a training programme was implemented throughout 2017. For this purpose, the most frequent complaints of inappropriate use of ED were identified and educational leaflets were prepared regarding them. Through these leaflets, it was aimed to inform the patients about what they could do on their own for their mild complaints and in which situations they should seek treatment from ED, primary health care units, or outpatient clinics. In order to measure the effectiveness of this complaint-based patient education, as pre- and post-training, the inappropriate usage rates of ED for 2016 and 2018 were compared. Between 1 January 2017 and 31 December 2017, the rate of inappropriate use of ED was 43.9% (79,612 out of 181,216). Patients were informed about the urgency of their complaints through educational leaflets prepared. After the complaint-based patient education conducted throughout 2017, a significant decrease was observed in the rate of inappropriate use of the ED in post-training period in 2018 compared to before training in 2016 (OR 1.49; p < .001, 95% CI [1.47 1.51]). As a result, it can be said that structured and focused information programmes should be implemented for the patients presenting to the ED with non-urgent complaints. An effective complaint-based patient education can reduce the inappropriate use of ED.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"7 8","pages":"927 - 931"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139188883","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 Impact of Workplace Bullying on Health Care Quality, Safety and Work Productivity in Jordan: A Systematic Review","authors":"Muwafaq Mohammad Al-Momani, Suhair Hussni Al-Ghabeesh, Haya Qattom","doi":"10.1177/09720634231195168","DOIUrl":"https://doi.org/10.1177/09720634231195168","url":null,"abstract":"Bullying among nurses and other health care professionals with low health quality has become a major global concern. Nurses were also recognised as people who are close to patients and can play an important role to manage work bullying through providing effective training and education programs.This systematic review was developed and aimed to identify and clarify concepts and provide an overview of the available evidence on workplace bullying (WPB) among nurses as part of health care delivery system. Systematic review of all types of studies involving nurses published between 2009 and 2020 and approached health-related databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Psychology and Behavioural Sciences (PsychINFO), MEDLINE, and Education Resource Information Centre (ERIC). The review used focused keywords: WPB, health care quality, safety, interpersonal conflict, work productivity and nursing. Forty-three studies met the review criteria and five main themes were discovered including the prevalence of WPB among nurses worldwide, prevalence of WPB among nurses in the Arab region, perpetrators of WPB, influence of bullying on productivity, and individual–organisational characteristics and bullying. Growing evidence provided a negative relationship between WPB, safety and productivity suggesting further research on how bullying is prevalent and what solutions would manage this problem, particularly in Jordan.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"16 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135272410","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":"What Motivates Students to Physical Activity: Development and Validation of the Students Physical Activity Motivation Scale","authors":"Awadhesh Kumar Shirotriya, Lalit Sharma, Amrendra Pandey","doi":"10.1177/09720634231196942","DOIUrl":"https://doi.org/10.1177/09720634231196942","url":null,"abstract":"In India, physical inactivity in children and youth is a public health concern, and it is unfortunate to see that most Indian children do not accomplish prescribed levels of physical activity. We strongly believe that the availability of a physical activity motivation instrument specific to the Indian population can significantly promote physical activities in India. This study aimed to develop the student’s physical activity motivation scale (SPAMS). The convenience sampling method was used to collect data from 622 participants from 5 states and 1 union territory of India. A multi-stage approach using exploratory and confirmatory factor analysis was computed to develop and validate its psychometric properties in two different samples (EFA-311 and CFA-311). Factor analysis revealed three distinct factors underlying physical activity motivation: skill development, appearance and positive health. Based on the findings, it can be concluded that SPAMS meets the concept and external validity criteria and that it is suitable for theoretical and practical applications.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136113050","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}