Journal of Health Management最新文献

{"title":"The Information on Decision-making in Health: From Predictable to Unpredictable","authors":"Vanessa de Lima e Souza, Maria Manuel Borges","doi":"10.1177/09720634231215393","DOIUrl":"https://doi.org/10.1177/09720634231215393","url":null,"abstract":"This study’s aim is to identify the information needs, sources, seeking behaviour and uses of information by health managers involved with decision-making in public health. An exploratory, qualitative and comparative study was performed to analyse the municipal and state spheres of public health administration in Brazil and the Department of Informatics of the National Health System at the federal level. Nine health managers were interviewed at different hierarchy levels. It was verified that the decision is subsidised by technical, scientific information and appropriation of experiences from different sources. The flow of information is bottom-up, associated with the flow of documents that feed the health information systems. There is a need for predictable and unpredictable information, originating mainly from the press and the Public Ministry. The municipal sphere is better structured to handle information than the state sphere. Unpredictable information needs to interfere with the routine of health management work activities and impact health managers’ decision-making. Information is seldom used in this decision-making process, with the weakness of the health information systems being pointed out as the main cause. The production of information for decision-making needs to be systematised to support decisions, making a synthesis of the different sources of existing information systems.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192050","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":"Adherence to Quality in District Hospitals of Haryana: A Recent Assessment as per Indian Public Health Standards (IPHS)","authors":"Rajesh Kumar Aggarwal, Dalbir Singh","doi":"10.1177/09720634231215161","DOIUrl":"https://doi.org/10.1177/09720634231215161","url":null,"abstract":"The article assesses the quality standards of available health care services as per the Indian Public Health Standards (IPHS) at all the 22 District Hospitals (DHs) in Haryana and also brings out a ranking of districts within the State based on these parameters. A structured schedule was prepared using IPHS norms and guidelines, and data was collected from all the DHs in the State on required components of quality standards. The article uses different statistical tools such as mean, standard deviation, coefficient of variation (CV) for analysis and attempts preparing a composite IPHS Index based on the type and number of services available. It found that the overall mean percentage score of observed quality standards was 66.5% across 22 DHs in Haryana (8 DHs>70%, 11 DHs between 60% and 70% and 3 DHs < 60%). Further, ranking across the State shows DH Panchkula on top with rank one whereas DH Charkhi Dadri appears at last with rank 22 based on the laid IPHS parameters. The article asserts that the observed quality standards are not fully matched with expected quality standards at DHs in Haryana and recommends the need for periodic reviews, perpetual monitoring of these standards and functioning, and emphasises on systemic management of the required IPHS parameters to ensure provisioning of optimal healthcare services at these hospitals.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194411","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 COVID-19 on Dental Care Services and Practices in Jordan","authors":"Mohammad S. Alyahya, Sara R. Assaf, Majdi M Alzoubi, N. Al-sheyab, Ala F. Ashour","doi":"10.1177/09720634231215156","DOIUrl":"https://doi.org/10.1177/09720634231215156","url":null,"abstract":"Dentists and their patients are highly exposed to COVID-19 due to the close contact nature of dental procedures. The primary aim of this study was to investigate the impact of COVID-19 on dental care practices and services in Jordan. A mixed-method design was used; data from dentists (N = 400) were collected using an online survey, and 15 semi-structured telephone interviews were conducted with dentists from public and private sectors. The findings revealed that the COVID-19 pandemic significantly impacted dental care practices and services. The majority of the participants reported a decline in their income and a decline in dental services demand, with a significant increase in costs for this profession. Additionally, this study showed that most participants were in a state of anxiety and fear about contracting the virus and transmitting it to their families while practising their profession that caused a change in their behaviours and attitudes. In conclusion, dental healthcare workers are at greater risk of being infected with COVID-19. There is a need to implement recommended protocols in dental clinics, it is also essential that decision makers develop appropriate interventions and measures to ensure continuity in the provision of dental services during the pandemic.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139187636","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":"Inclusion of Sexual Health Education for the Wellbeing and Dignity of Secondary School Children: An Indian Rural Perspective","authors":"Sangeeta Mehrolia, A. Veena, Subburaj Alagarsamy","doi":"10.1177/09720634231217028","DOIUrl":"https://doi.org/10.1177/09720634231217028","url":null,"abstract":"The study investigates students’ perspectives on incorporating sexual health education into the curriculum of secondary schools in rural Bangalore. Focused on assessing how such education impacts students’ physical and psychological well-being, confidence, and ability to make informed decisions, the research collected data from 981 students across 6th to 10th grades. A structured questionnaire, measured on a five-point Likert scale, explored students’ perceptions of sexual health education and its outcomes. After a meticulous data cleaning process, which included outlier removal, the study utilized a final sample of 900 students. IBM SPSS 25 and AMOS 25 facilitated the statistical analysis. The findings underscore the significant positive effect of sexual health education on students’ confidence levels. It highlights how this form of education aids in maintaining personal hygiene and fosters balanced decision-making skills among students. The study’s results advocate for the implementation of sexual health education in schools, emphasizing its role in enhancing student wellbeing and confidence. Additionally, it contributes to defining the scope and framework of a sexual health education curriculum from the students’ perspective in rural Bangalore schools, aligning educational objectives with the actual needs and perceptions of the student body.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139192719","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":"‘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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}