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

Managing Patient Flow Across an Acute Tertiary Care Hospital Through A Centralised Coordination Hub: Technological and Cultural Change – A Case Study 通过中央协调枢纽管理急诊三级医院的病人流：技术与文化变革--案例研究

Asia Pacific Journal of Health Management Pub Date : 2024-03-03 DOI: 10.24083/apjhm.v19i1.417

Rachael Smithson, Tracey Doherty, Andrew Fisher

{"title":"Managing Patient Flow Across an Acute Tertiary Care Hospital Through A Centralised Coordination Hub: Technological and Cultural Change – A Case Study","authors":"Rachael Smithson, Tracey Doherty, Andrew Fisher","doi":"10.24083/apjhm.v19i1.417","DOIUrl":"https://doi.org/10.24083/apjhm.v19i1.417","url":null,"abstract":"Aim: A centralised Coordination Hub was implemented at a large tertiary health service in Queensland, Australia to address problems associated with a fragmented, reactive and manual approach to patient flow.\u0000Approach: The Hub was developed through challenging traditional ways of working, breaking down divisional silos, and developing technological enablers to manage patient flow as a whole-system issue. The Hub is a centralised space within the health service, where staff involved in patient flow are co-located and provided with real-time visibility of end-to-end data.\u0000Context: This case study describes the implementation and early operation of the Hub, outlining the critical design features and some of the early challenges and how they are being addressed.\u0000Main findings: This approach was designed to manage patient flow as a whole-system issue – co-locating staff, providing them with visibility of real time data, and accountability for decision-making to address flow blockages.\u0000Conclusions: Greater visibility of data and co-location of staff is not sufficient to manage long-standing patient flow challenges. This must be accompanied by appropriate accountability and authority to ensure that those who see and understand emergent flow issues are equipped with the authority to act and respond.","PeriodicalId":505648,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"78 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Blockchain-Based Electronic Health Records: Revolutionizing healthcare in Malaysia 基于区块链的电子健康记录：马来西亚医疗保健的变革

Asia Pacific Journal of Health Management Pub Date : 2024-03-03 DOI: 10.24083/apjhm.v19i1.2621

F. A. Hira, Haliyana Khalid, Alam Md Moshiul

{"title":"Blockchain-Based Electronic Health Records: Revolutionizing healthcare in Malaysia","authors":"F. A. Hira, Haliyana Khalid, Alam Md Moshiul","doi":"10.24083/apjhm.v19i1.2621","DOIUrl":"https://doi.org/10.24083/apjhm.v19i1.2621","url":null,"abstract":"Introduction: Despite the government's continuous efforts since the 1990s, the public healthcare sector of Malaysia still faces issues related to system deployment and technology adoption. As a result, the nationwide health information exchange remains as not fully established, hampering the Malaysian aspirations of health service provision for citizens. The government long to establish health information exchange, enabling blockchain technology-based applications. This paper aims to review the government's digitalization initiatives and describe the provision of blockchain Electronic Health Records for healthcare services in Malaysia.\u0000Methodology: A review of the scholarly databases Scopus, Web of Science, and Google Scholar, along with the grey literature from the Malaysian government, was conducted. In addition, health-related government websites have been searched for information until the end of March 2023.\u0000Results: There were 55 documents yielded from the database, and a grey literature search was retained for content analysis.\u0000Discussion: The major barrier that could push back governments' efforts is user resistance, particularly from medical professionals. Besides, Regulatory reform is needed to facilitate blockchain provision for healthcare data management. Technical issues directly associated with the system and vendor are worth addressing. \u0000Conclusion: Malaysia has a progressive vision towards healthcare digitalization aimed at 2030. To be able to successfully achieve this target then it is essential to implement appropriate strategies. User readiness assessment calls for research, while system-related issues regarding; hardware, software, and vendor needs to be properly planned. Patients' ownership of medical data is to be allowed by law. Currently this information strictly belongs to hospitals and health partitioners therefore data management is physician centric.","PeriodicalId":505648,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"70 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Infective Versus Non-Infective Respiratory Illness Admissions: Comparative cost analysis in a tertiary hospital in Malaysia 感染性与非感染性呼吸道疾病入院：马来西亚一家三级医院的成本比较分析

Asia Pacific Journal of Health Management Pub Date : 2024-03-03 DOI: 10.24083/apjhm.v19i1.3069

Kiran Ganesh Balakrishnan, M. A. Abdul Manaf, Mohd Rohaizat Hassan, K. I. Musa, Azizul Rahman Mohamad Jamil

{"title":"Infective Versus Non-Infective Respiratory Illness Admissions: Comparative cost analysis in a tertiary hospital in Malaysia","authors":"Kiran Ganesh Balakrishnan, M. A. Abdul Manaf, Mohd Rohaizat Hassan, K. I. Musa, Azizul Rahman Mohamad Jamil","doi":"10.24083/apjhm.v19i1.3069","DOIUrl":"https://doi.org/10.24083/apjhm.v19i1.3069","url":null,"abstract":"Background: Severe Acute Respiratory Infection (SARI) that is mainly caused by the Influenza virus, poses a significant public health threat, demanding timely detection and preventive measures. This study assesses the financial implications of managing two distinct respiratory conditions: SARI and Acute Exacerbation of Bronchial Asthma (AEBA).\u0000Method: Data were collected for 100 patients, with 50 cases of SARI and 50 cases of AEBA, admitted to Hospital Canselor Tuanku Muhriz (HCTM) from July to December 2022. Cost analysis was conducted from a provider perspective, considering factors such as building, asset, emolument, overhead, utility, medication, consumables, and laboratory and imaging expenses.\u0000Results: The study revealed that the average total cost of treating SARI patients was RM 1,587.11 ($US334.80), significantly higher (30.7%) than AEBA patients at RM 1,214.41 ($US256.18).This was mainly due to the acute and severe nature of SARI, requiring more intensive medical interventions, potentially leading to complications and greater strain on healthcare resources. The study highlighted the economic challenges posed by SARI, provided valuable insights for resource allocation and public health planning. The study's limitations include retrospective data collection and potential underestimation of actual costs due to top-down costing methodology.\u0000Conclusion: SARI, especially in the elderly population, leads to substantial healthcare costs and economic impact. Effective preventive measures, such as vaccination, are crucial in reducing the burden of influenza-related illnesses. Health financing plays a vital role in addressing communicable diseases and ensuring the well-being of the population.","PeriodicalId":505648,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"101 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimation of Pro-Inflammatory Markers In Night Shift Healthcare Workers And Identify Risk Factors Associated With It 估算夜班医护人员的促炎标记物并确定相关风险因素

Asia Pacific Journal of Health Management Pub Date : 2024-03-03 DOI: 10.24083/apjhm.v19i1.2599

Jyotirmayee Bahinipati, Baibhav Agrawal, RajLaxmi Sarangi, RG Asutosh Mohapatra, Mona Pathak, Srikrushna Mahapatra, S. R. Mohapatra

{"title":"Estimation of Pro-Inflammatory Markers In Night Shift Healthcare Workers And Identify Risk Factors Associated With It","authors":"Jyotirmayee Bahinipati, Baibhav Agrawal, RajLaxmi Sarangi, RG Asutosh Mohapatra, Mona Pathak, Srikrushna Mahapatra, S. R. Mohapatra","doi":"10.24083/apjhm.v19i1.2599","DOIUrl":"https://doi.org/10.24083/apjhm.v19i1.2599","url":null,"abstract":"Shift labor, with hours outside of the regular diurnal work cycle, is used to facilitate round-the-clock emergency healthcare services. This impacts the circadian rhythm, which can potentially activate the pro-inflammatory responses of the immune system. This study aimed to find out the levels of pro-inflammatory markers in night shift healthcare workers and find risk factors associated with their increase.\u0000303 participants (doctors, nurses, technicians, health care aids) were recruited with 169 participants nightshift and 134 dayshift workers. Pro-inflammatory markers Highly Sensitive C-Reactive Protein (hsCRP) and Total Leukocyte Count (TLC)] were estimated. Factors were compared by t test, Wilcoxon Rank Sum test and Chi square test. Risk factors for hsCRP elevation were identified by logistic regression analysis.\u0000Pro-inflammatory markers like hsCRP and TLC were significantly increased in night shift health workers in comparison to the day shift workers (hsCRP 0.30± 0.33 mg/dl vs 0.10± 0.09 mg/dl, TLC 8181.06± 1181.53 /cu mm vs 7473.80± 1018.81 /cu mm) respectively. Multivariate logistic regression analysis showed night shift work (OR 48.20 95% CI (4.99-465.61), age (OR 1.13 95% CI (1.01-1.26)) and BMI (OR 1.18 95% CI (1.06-1.32)) as independent predictors of elevated hsCRP after adjusting for other risk factors. Hence, night-shift work is an independent risk factor for a rise in pro-inflammatory markers. These findings might aid health care workers and policymakers strategize methods to tackle the challenges through providing support programs, counselling sessions to avoid ailments and deliver health services in a better way.","PeriodicalId":505648,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"21 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0