International Journal of Health Planning and Management最新文献

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COVID-19 Pandemic in a Brazilian Afro-Derived Community (Quilombo) 巴西非裔社区(Quilombo)的COVID-19大流行。
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-12-17 DOI: 10.1002/hpm.3888
Joenilton Oliveira Bonfim, Carlos Darwin Gomes da Silveira, Barbara Vidigal Braga, Tacio Nobrega Borges, Fábio Ferreira Amorim, Ana Maria Costa
{"title":"COVID-19 Pandemic in a Brazilian Afro-Derived Community (Quilombo)","authors":"Joenilton Oliveira Bonfim,&nbsp;Carlos Darwin Gomes da Silveira,&nbsp;Barbara Vidigal Braga,&nbsp;Tacio Nobrega Borges,&nbsp;Fábio Ferreira Amorim,&nbsp;Ana Maria Costa","doi":"10.1002/hpm.3888","DOIUrl":"10.1002/hpm.3888","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The COVID-19 pandemic has highlighted the significance of comprehending social vulnerability as a pivotal element in public health. This study investigated the perceptions and practices of a Brazilian Afro-derived community (<i>quilombo</i>), descendants of enslaved Africans, regarding COVID-19.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted in July 2021 by administering a survey to an adult representative from each household in a Brazilian <i>quilombola</i> community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 188 interviewed individuals, 45.2% reported that they did not feel adequately informed by healthcare professionals. The study found high adherence to preventive measures (wearing masks, using alcohol-based gel sanitiser, leaving home only when necessary and COVID-19 vaccination). Only 6.9% reported a household member contracting COVID-19, with only one case requiring hospitalisation and no deaths. Higher education was associated with an increased diagnosis of COVID-19 in their household (OR: 37.058, 95% CI: 4.053–338.837, <i>p</i> = 0.001), while feeling well or very well informed by television/radio was associated with a reduced diagnosis (OR: 0.223, 95% CI: 0.057–0.878, <i>p</i> = 0.032). Being married was associated with increased adherence to all prevention measures (OR: 4.598, 95% CI: 1.481–14.27, <i>p</i> = 0.008), whereas internet use as a source of information was independently associated with a reduced chance of adherence (OR: 0.240; 95% CI: 0.080–0.722, <i>p</i> = 0.011).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite many individuals reporting a lack of information from healthcare professionals about the pandemic, substantial adherence to protective measures was observed. Our findings highlight the critical importance of preventive measures during the pandemic, especially for vulnerable populations with limited access to healthcare services, and underscore the need for effective communication strategies to combat misinformation, particularly on social media platforms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"405-415"},"PeriodicalIF":1.9,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Dramatic Rise in the Number of Women Who Smoke in Iran: A Need for Developing and Implementing Policies and Procedures 伊朗吸烟妇女人数急剧上升:制定和实施政策与程序的必要性》。
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-12-15 DOI: 10.1002/hpm.3886
Fawzieh Ghammari
{"title":"A Dramatic Rise in the Number of Women Who Smoke in Iran: A Need for Developing and Implementing Policies and Procedures","authors":"Fawzieh Ghammari","doi":"10.1002/hpm.3886","DOIUrl":"10.1002/hpm.3886","url":null,"abstract":"","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"522-524"},"PeriodicalIF":1.9,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Urgent Struggle for Health Justice in Gaza: A Crisis of Human Rights and Inequity 在加沙争取卫生正义的紧急斗争:人权和不平等危机。
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-12-11 DOI: 10.1002/hpm.3882
Wesam Mansour, Sally Theobald, Fouad M. Fouad, Kyu Kyu Than, Amuda Baba, Joanna Raven
{"title":"The Urgent Struggle for Health Justice in Gaza: A Crisis of Human Rights and Inequity","authors":"Wesam Mansour,&nbsp;Sally Theobald,&nbsp;Fouad M. Fouad,&nbsp;Kyu Kyu Than,&nbsp;Amuda Baba,&nbsp;Joanna Raven","doi":"10.1002/hpm.3882","DOIUrl":"10.1002/hpm.3882","url":null,"abstract":"&lt;p&gt;In Gaza, health justice is a matter of life and death. The ongoing war has torn apart the already fragile health system, leaving behind not only death, despair, distress, damaged infrastructure, but also severe moral crisis. Sadly, Gaza's health system has faced decades of deliberate neglect, blockade-induced shortages, and repeated damage due to armed-conflict [&lt;span&gt;1&lt;/span&gt;]. Amidst the ongoing war, the international community remains stuck in a cycle of rhetoric, while Gazans struggle to navigate a shattered health system with many healthcare workers, killed or traumatised, injured and often displaced [&lt;span&gt;2&lt;/span&gt;]. Gazans are not only fighting illness but also confronting systemic injustices that disrupt their basic right to health.&lt;/p&gt;&lt;p&gt;This war in Gaza shows a critical link between human rights violations and health inequities, as civilians endure dire conditions marked by displacement and severe shortages of basic needs. Over 1.7 million Gazans have been displaced, with essential infrastructure like water, sanitation, and healthcare systematically destroyed [&lt;span&gt;2, 3&lt;/span&gt;]. The United Nations has warned that this damage creates severe violations of humanitarian law, making Gaza “the world's biggest graveyard” with the scale and intensity of violence [&lt;span&gt;3&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Health justice in Gaza goes beyond access to healthcare, involving breaking up the institutional and political forces that systematically deprive people of their most basic human rights. In this context, health planning and management, if approached with urgency, inclusivity, and political will, can offer more than just an opportunity to rebuild the health system [&lt;span&gt;4&lt;/span&gt;]. Health planning and management can offer a pathway to empower people—communities and health workers - suffering the persistent burden of war and injustice.&lt;/p&gt;&lt;p&gt;Health justice is fundamentally about ensuring that everyone, regardless of their circumstances, has access to the healthcare they need to live a full, healthy life [&lt;span&gt;5&lt;/span&gt;]. However, this right is severely threatened in Gaza, as health itself is under attack.&lt;/p&gt;&lt;p&gt;The blockade imposed on Gaza by Israel since 2007, coupled with periodic escalations of violence, has created a state of constant emergency. Since October 2023, the situation has become catastrophic. Health facilities have been bombed and health workers attacked. Hospitals, overwhelmed with casualties and damaged infrastructure, struggle to function and operations are taking place without anaesthesia (Médecins Sans Frontières) [&lt;span&gt;6&lt;/span&gt;]. More than half of Gaza's hospitals have either been partially or completely destroyed [&lt;span&gt;2&lt;/span&gt;]. Health workers are either fleeing or being killed, resulting in a massive shortage of health staff [&lt;span&gt;2&lt;/span&gt;]. Essential supplies of food, water, electricity, and medicine are blocked, creating a massive humanitarian crisis which will have long lasting impacts. This situation hinders the ability of civilia","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"297-299"},"PeriodicalIF":1.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3882","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Living in the Minds of Others: How Pudor and Social Judgements Affect Women's Cervical Cancer Screening Uptake in Mozambique? 生活在他人的思想中:普度和社会判断如何影响莫桑比克妇女宫颈癌筛查的吸收?
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-12-10 DOI: 10.1002/hpm.3881
Gefra Fulane, Maria Major, Cesaltina Lorenzoni
{"title":"Living in the Minds of Others: How Pudor and Social Judgements Affect Women's Cervical Cancer Screening Uptake in Mozambique?","authors":"Gefra Fulane,&nbsp;Maria Major,&nbsp;Cesaltina Lorenzoni","doi":"10.1002/hpm.3881","DOIUrl":"10.1002/hpm.3881","url":null,"abstract":"<div>\u0000 \u0000 <p>Mozambique introduced its cervical cancer screening programme in 2009, but only 3.5% of the target women participate in screening annually. While previous research has focused on provision and access to service, and women's cognitive barriers to screening, this study explores the emotional factors, particularly <i>pudor</i>, that affect women's acceptance of screening. Using an institutional work perspective, we conducted an explanatory case study involving documental analysis and primary data collection through semi-structured interviews, focus group discussions, direct observations, and informal conversations with 121 participants, including women, health professionals, and family members from Xai-Xai in Southern Mozambique. Our findings reveal that <i>pudor</i>, an emotion tied to a deep-seated sense of reserve rooted in patriarchal culture and masculine dominance, plays a significant role in limiting women's motivation to participate in screening. This emotion, shaped by social and cultural norms around privacy, intimacy, and sexuality, leads women to view cervical cancer screening as culturally unacceptable, often responding with attitudes emphasising modesty and avoidance. These findings underscore the importance of addressing emotional factors in health care strategies and considering the sociocultural context that influences health behaviours.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"381-390"},"PeriodicalIF":1.9,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Learning Health System Principles to Embed Patient Experience Data in Primary Care: A Qualitative Investigation 使用学习卫生系统原则嵌入初级保健患者体验数据:一项定性调查。
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-12-09 DOI: 10.1002/hpm.3880
Louise A. Ellis, Georgia Fisher, Kate Churruca, Maree Saba, Tanja Schroeder, Janani Mahadeva, Sanjyot Vagholkar, Mark Yang Lee, Reema Harrison, Simon Willcock, Jeffrey Braithwaite
{"title":"Using Learning Health System Principles to Embed Patient Experience Data in Primary Care: A Qualitative Investigation","authors":"Louise A. Ellis,&nbsp;Georgia Fisher,&nbsp;Kate Churruca,&nbsp;Maree Saba,&nbsp;Tanja Schroeder,&nbsp;Janani Mahadeva,&nbsp;Sanjyot Vagholkar,&nbsp;Mark Yang Lee,&nbsp;Reema Harrison,&nbsp;Simon Willcock,&nbsp;Jeffrey Braithwaite","doi":"10.1002/hpm.3880","DOIUrl":"10.1002/hpm.3880","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Though an important component of high-quality healthcare, the routine collection of patient experience data is limited in primary care, as is the evidence for how this data is being used for quality improvement. This study used a learning health system (LHS) framework to describe how a university-affiliated community general practice is integrating patient experience data into service and quality improvement efforts, and to identify barriers and facilitators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A co-designed qualitative case study was conducted with academic researchers and staff from a university-affiliated general practice in Australia. Semi-structured interviews were conducted in April 2024 with practice staff, and transcripts were deductively coded according to a five-domain learning health systems framework, and with additional codes capturing barriers and facilitators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighteen (53%) practice staff were interviewed, including general practitioners (<i>n</i> = 11), a practice nurse (<i>n</i> = 1), and administrative staff (<i>n</i> = 6). Participants identified multiple methods through which the practice captured the patient experience that spanned all domains of the LHS framework. However, there was less evidence of a coherent quality improvement strategy being employed, with associated barriers identified around staff workloads, training, and existing government funding policies. Key facilitators to the use of patient experience data included: membership of a larger health organisation and university; key dedicated administrative and clinical roles; and effective leadership, governance structures and policies to support continuous learning and drive service improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study presents a case example of how patient experience data is being integrated into general practice and identifies key barriers and facilitators to initiating and translating this data for continuous healthcare improvement. By mapping the use of patient experience data to a LHS framework, this study shows how LHS principles can be applied to primary care to facilitate the capture and use of patient experience data on an ongoing basis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"368-380"},"PeriodicalIF":1.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142801515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Building a More Resilient, Inclusive Public Health Infrastructure: Insights From Chicago's Community-Based COVID-19 Corps 建设更具弹性和包容性的公共卫生基础设施:来自芝加哥社区COVID-19团队的见解。
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-12-01 DOI: 10.1002/hpm.3877
Jeni Hebert-Beirne, Sage Kim, Linda Forst, Guddi Kapadia, Alexis Grant, Alisa Velonis, Mark Dworkin, Maggie Acosta, Kim Jay, Diana Ghebenei, Caesar Thompson, Emily Stiehl
{"title":"Building a More Resilient, Inclusive Public Health Infrastructure: Insights From Chicago's Community-Based COVID-19 Corps","authors":"Jeni Hebert-Beirne,&nbsp;Sage Kim,&nbsp;Linda Forst,&nbsp;Guddi Kapadia,&nbsp;Alexis Grant,&nbsp;Alisa Velonis,&nbsp;Mark Dworkin,&nbsp;Maggie Acosta,&nbsp;Kim Jay,&nbsp;Diana Ghebenei,&nbsp;Caesar Thompson,&nbsp;Emily Stiehl","doi":"10.1002/hpm.3877","DOIUrl":"10.1002/hpm.3877","url":null,"abstract":"<p>Emergency events such as natural disasters, pandemics, and other health disasters have a predictably disproportionate impact on vulnerable populations and the COVID-19 pandemic was not an exception. To respond to potentially catastrophic consequences of COVID-19 and to build an infrastructure for a more inclusive recovery, in June 2020, the Chicago Department of Public Health partnered with a state university school of public health, a community college that prepares students for healthcare occupations, a research institute at a private university, a public health institute affiliated with a hospital system, and a workforce development organisation. The team formed the Chicago COVID-19 Contact Tracing Corps (ChiTracing). Centring the expertise of grassroots community-based organisations (CBOs), ChiTracing partnered with 31 CBOs operating in the highest hardship community areas. These CBOs hired and trained over 500 community members, who had a history of unemployment, as neighbourhood-level public health ambassadors and contact tracers, known as the ChiTracing Corps members. Informed by a shared theory of change, we brought three strategies to this work<b>: investing in a new public health infrastructure</b> by centring trusted CBOs and people with lived experience of systems of oppression as part of the public health system, <b>increasing awareness and knowledge</b> of public health and available resources for the most vulnerable, <b>and fostering relationships and power building</b> among diverse collaborators. In this paper, we highlight lessons learnt and share insights on how future efforts can bring collaborative, inclusive approaches to public health workforce development.</p>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"499-506"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3877","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges and Insights Gained During the Implementation of Population-Based Birth Defect (BD) Surveillance in a Tribal District of Maharashtra, India 在印度马哈拉施特拉邦一个部落地区实施基于人口的出生缺陷 (BD) 监测期间遇到的挑战和获得的启示。
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-11-27 DOI: 10.1002/hpm.3875
Suchitra Surve, Priyanka Gawai, Ragini Kulkarni, Neha Salvi, Sanjay Bodade, Shahina Begum, Dayanand Suryavanshi, Milind Chavan, Ujwal Pachalkar, Pradeep Pagi, Sanjay Chauhan
{"title":"Challenges and Insights Gained During the Implementation of Population-Based Birth Defect (BD) Surveillance in a Tribal District of Maharashtra, India","authors":"Suchitra Surve,&nbsp;Priyanka Gawai,&nbsp;Ragini Kulkarni,&nbsp;Neha Salvi,&nbsp;Sanjay Bodade,&nbsp;Shahina Begum,&nbsp;Dayanand Suryavanshi,&nbsp;Milind Chavan,&nbsp;Ujwal Pachalkar,&nbsp;Pradeep Pagi,&nbsp;Sanjay Chauhan","doi":"10.1002/hpm.3875","DOIUrl":"10.1002/hpm.3875","url":null,"abstract":"<div>\u0000 \u0000 <p>Birth Defects (BDs) are a significant contributor to childhood mortality worldwide, yet BD surveillance and management in Low and Middle-Income Countries (LMICs) like India remain under-prioritised. This article presents findings from a population-based BD surveillance conducted in the Palghar district, Maharashtra, India, aimed at identifying challenges and solutions in the implementation of BD surveillance. The data on BDs was collected between April 2021 and March 2023 from 38 Primary Health Centres (PHCs), nine Rural Hospitals (RH) and three Sub-district Hospitals (SDH) from seven tribal blocks of Palghar district. A total of 402 BDs were identified during the study period through facility and community-based approaches. Certain challenges were encountered at different levels of surveillance including underreporting by healthcare workers (ASHAs), non-functional District Early Intervention Centres (DEICs), a non-operational web portal for data entry and parenteral barriers attributing to screening, referral and management of BDs. Measures were taken to overcome these challenges comprising refresher training for ASHAs, the creation of communication channels and the distribution of educational materials. These initiatives encouraged and significantly improved the reporting of Visible BDs (VBDs) through ASHAs and programs (Rashtriya Bal Swasthya Karyakram) at the end of the reporting period. This study highlights that addressing these system shortcomings could be effectively achieved through intersectoral coordination and the involvement of Health Care Workers (HCWs) aligning with programme objectives. It further underscores the need for improved infrastructure and training to enhance BD surveillance effectiveness in South Asian countries, especially in tribal regions.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"510-515"},"PeriodicalIF":1.9,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142740535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trust as Foundation: Can Nigeria's New Health Workforce Policy Stem the Migration Tide? 信任是基础:尼日利亚新的卫生工作者政策能否遏制移民潮?
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-11-24 DOI: 10.1002/hpm.3879
Ayotunde Giwa
{"title":"Trust as Foundation: Can Nigeria's New Health Workforce Policy Stem the Migration Tide?","authors":"Ayotunde Giwa","doi":"10.1002/hpm.3879","DOIUrl":"10.1002/hpm.3879","url":null,"abstract":"<div>\u0000 \u0000 <p>Nigeria's 2024 National Policy on Health Workforce Migration confronts a fundamental challenge: rebuilding trust between healthcare workers and government. Using Mayer, Davis, and Schoorman's organizational trust framework, this analysis explores how trust shapes healthcare workers' migration decisions. Drawing from comparative African experiences and implementation evidence, this paper argues that without addressing core issues of trust through demonstrated policy implementation, sustained commitment to workforce welfare, and competitive compensation, even well-designed retention policies will struggle to retain Nigeria's health workers.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"494-498"},"PeriodicalIF":1.9,"publicationDate":"2024-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managers’ Experience of the Response of the Health System to the Covid-19 Pandemic for Inpatient Geriatric Care: Lessons About Organisation and Resilience 医疗系统应对 Covid-19 大流行对老年住院护理的管理经验:关于组织和应变能力的经验教训。
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-11-22 DOI: 10.1002/hpm.3878
Håkan Uvhagen, Sara Tolf, Karin Solberg Carlsson, John Øvretveit, Maria Flink, Vibeke Sparring
{"title":"Managers’ Experience of the Response of the Health System to the Covid-19 Pandemic for Inpatient Geriatric Care: Lessons About Organisation and Resilience","authors":"Håkan Uvhagen,&nbsp;Sara Tolf,&nbsp;Karin Solberg Carlsson,&nbsp;John Øvretveit,&nbsp;Maria Flink,&nbsp;Vibeke Sparring","doi":"10.1002/hpm.3878","DOIUrl":"10.1002/hpm.3878","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Effective management of crises is a major challenge for healthcare organisations and their managers. Research suggests that to respond to evolving and unpredictable crises, such as the Covid-19 pandemic, an organisation needs the capability to continually adapt to the changing situation using relevant knowledge. However, there are few empirical studies using an organisational resilience perspective to understand how a health system responds to this type of crisis. This study aimed to describe managers' perspectives on what influenced the response to the Covid-19 pandemic in the Region Stockholm healthcare system for older people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data collection was conducted through in-depth semi-structured interviews with assistant managers (<i>n</i> = 3) and managers of inpatient geriatric services outside of acute care hospitals (<i>n</i> = 8), managers of three acute care hospitals (<i>n</i> = 3); and the crisis management team for geriatric services (<i>n</i> = 3). Data was analysed using qualitative content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Crisis management of geriatric care in the Stockholm healthcare system during the Covid-19 pandemic's first 15 months was influenced by a combination of service specific aspects, ‘Internal flexible responses’, collaborative aspects, ‘Coordination within the system’, and governance aspects ‘Adaptive steering’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study contributes to empirical knowledge about organisational resilience. Managers' responses are facilitated when the governance allow them more flexibility in their internal responses and enable their cross-organisational collaboration. A coordinating function across healthcare services is an important enabler in a crisis when the function has well-established, trustful prior collaborations with the services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"358-367"},"PeriodicalIF":1.9,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3878","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the Role of Patient Engagement in Organisational Performance: Empirical Evidence From Patient and Family Advisory Councils 探索患者参与在组织绩效中的作用:病人和家属咨询委员会的经验证据》。
IF 1.9 4区 医学
International Journal of Health Planning and Management Pub Date : 2024-11-19 DOI: 10.1002/hpm.3873
Jinyoung Cha, Jaeyoung Jang, Keon-Hyung Lee
{"title":"Exploring the Role of Patient Engagement in Organisational Performance: Empirical Evidence From Patient and Family Advisory Councils","authors":"Jinyoung Cha,&nbsp;Jaeyoung Jang,&nbsp;Keon-Hyung Lee","doi":"10.1002/hpm.3873","DOIUrl":"10.1002/hpm.3873","url":null,"abstract":"<div>\u0000 \u0000 <p>Over the past two decades, patient-centred care has gained global prominence, emphasising collaboration among patients, families, caregivers, and healthcare professionals to improve healthcare delivery. Recognising the foundational role of patient participation in enhancing clinical outcomes, healthcare organisations increasingly integrate patient inputs and resources into their management strategies. Patient and family advisory councils represent a primary form of collective patient engagement at the organisational level. Patient and family advisory councils actively engage in all levels of the hospital system to enhance quality improvement and meet the demands of patients. Despite recognised importance, empirical evidence regarding their roles as strategic resources and impact on hospital performance remains unexplored. Incorporating patient engagement into the social resource-based view, this study addresses how comprehensive strategic resources are associated with a hospital's quality of care and patient satisfaction outcomes. Utilising hospital-level data from 2018 to 2020, a cross-sectional time-series ordered logit analysis examines the quality of care and patient satisfaction models. The findings reveal that patient engagement, physical resources, and human capital are positively associated with hospital quality of care and patient satisfaction. In contrast, a social resource—a minority population—is negatively associated with hospital outcomes. This study contributes theoretical and practical implications. It synthesises patient engagement into the Social Resource-Based approach and provides consistent empirical evidence. In addition, it suggests evidence for practitioners to develop and manage patient engagement as a strategic resource.</p>\u0000 </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"40 2","pages":"346-357"},"PeriodicalIF":1.9,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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