Journal of Healthcare Management最新文献

{"title":"Psychological Impact of Covid-19 among Healthcare Workers in Cameroon","authors":"N. Tendongfor, Vanessa Amana Bokagne Therese, Destin Kouam Talla Gilchrist, Vanessa Lambou Fopa, Doreen Christie, Alice Ketchanji, Atiepoh Nganyewo Cynthia, Mandaah Forlemu Vanessa","doi":"10.36959/569/462","DOIUrl":"https://doi.org/10.36959/569/462","url":null,"abstract":"Background: Since December 2019, the world has been experiencing the Covid-19 pandemic which has claimed several thousands of lives worldwide. The healthcare workers are among the population at high risk. Evaluating the psychological impact of the Covid-19 on the mental health of healthcare workers in Cameroon is very crucial to maintain their psychological well-being, and ensure good monitoring and follow up of patients. Methods: This study was an online survey in which electronic questionnaires were made available to healthcare workers through email and social media. The survey involved the risk perception towards Covid-19, psychological distressand the motivation of healthcare workers. The level of psychological distress was measured using the 12-item generalised health questionnaire. Data was analysed in SPSS version 25. Results: A majority of the healthcare workers (99.3%) perceived Covid-19 as a major public health problem with 74.9% feeling unsaved working during the pandemic and 21% feeling as abandoning their job. Psychological distress was moderate in 63% and high in 16% of the Healthcare workers and did not vary with sociodemographic characteristics. Healthcare workers directly involved in the Covid-19 unit had a significantly higher psychological distress score compare to those not directly involved (p = 0.009). The motivation to carry out their duty (74.2%), respect of the hypocrate oath (60.9%) and serving the nation (50.2%) were the main reasons motivating the healthcare workers to keep on performing their duty. Conclusion: Our study highlights that healthcare workers in Cameroon are experiencing moderate to high psychological distress as a result of the Covid-19 pandemic. Therefore there is a need for psychosocial support to mitigate the distress and to ensure their well-being.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"3 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80055521","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}

{"title":"Cutaneous Granuloma Revealing Familial Mercury Intoxication","authors":"Rachdi Imène, Daoud Fatma, Jeridi Mayssam, S. Mehdi, Zoubeidi Hana, Dhaou Besma Ben, A. Zohra, H. Mohamed, B. Fatma","doi":"10.36959/569/461","DOIUrl":"https://doi.org/10.36959/569/461","url":null,"abstract":"Human exposure to mercury is known to lead to major health problems. Mercury toxicity effects multiple organs especially the central nervous system and kidneys. Skin diseases resulting from mercury exposure are various and may reveal intoxications. We report the case of a 60-year-old male who had skin lesions that histologically showed foreign-body reaction with granuloma. The foreign body turned to be mercury. That unveiled paucal symptomatic family intoxication. Blood and urine analysis were run and found heavy metals including mercury surpassing normal range. The source of exposure remained unknown as the patient denied professional exposure or manipulation of inorganic mercury. The family was treated with chelation therapy over seas.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"65 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2020-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83427617","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}

{"title":"The COVID-19 Pandemic and Face Shields: A Review","authors":"F. HaJennifer","doi":"10.36959/569/459","DOIUrl":"https://doi.org/10.36959/569/459","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"56 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2020-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73508231","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}

{"title":"Spontaneous Retinal Pigment Epithelium Rips under Fovea with Preserved Good Visual Acuity Outcome","authors":"Au Sunny Chi Lik, Kostina Li","doi":"10.36959/569/458","DOIUrl":"https://doi.org/10.36959/569/458","url":null,"abstract":"An 80-year-old lady was follow up in retina clinic for right only eye with Pigment Epithelium Detachment (PED). She had a history of left eye occult choroidal neovascularization, developed macula scar and legal blindness years ago despite repeated anti-Vascular Endothelial Growth Factor (anti-VEGF) injection. Upon regular follow-up, her right eye maculadeveloped serous PED centered at fovea, enlarging with time (Figure 1A, Figure 1B, Figure 1C and Figure 1D) throughout 2-years. There was no leakage, nor polyps/abnormal branch vascular network all along on serial Fundus Fluorescein Angiography (FFA) and Indocyanine Green Angiography respectively, thus anti-VEGF injection was never given to her right eye, or photodynamic therapy.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"1 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2020-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79774498","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}

{"title":"Prevalence of Diabetic Keto Acidosis and Associated Factors among Newly Diagnosed Patients with Type One Diabetic Mellitus at Dilla University Referral Hospital, September 9th/2017 – May 30th/2019: South Ethiopia; Crossectional Study","authors":"E. Alem, Girma Zeleke, Mandefreo Baharu, H. Amare","doi":"10.36959/569/457","DOIUrl":"https://doi.org/10.36959/569/457","url":null,"abstract":"Background: Diabetic Ketoacidosis (DKA) is one of the most serious acute complications of Diabetes Mellitus (DM) and the leading cause of morbidity and mortality in young adults with type 1 diabetes. The mortality rate for DKA ranges from 2 to 5% in developed countries and 6 to 24% in developing countries. Even though many DKA patients were seen in emergency unit of Ethiopian hospitals and health centers, little is known about precipitating factors and clinical-laboratory features of DKA among Ethiopian patients and information is scant to promote better health service to prevent mortality due to DKA. So the aim of this study is to assess the prevalence and associated risk factors of DKA in newly diagnosed Type 1 Diabetic patients in Dilla University Referral Hospital (DURH) from September 9th/2017-May 30th/2019. Method: Quantitative institutional based study was conducted among 421 newly diagnosed type one diabetic patients. Data was double entered from the paper-based abstraction sheet into Epi info version 7 and exported to SPSS version 20 for analysis. A descriptive analysis was performed. Bivariate and multivariate logistic analysis was done to identify factors associated with the magnitude of Keto acidosis. Variables with p-value less than 0.05 were declared as having significant association between factors and dependent variable. Result: The magnitude of Diabetic Keto Acidosis (DKA) in newly diagnosed patients with type one diabetic Mellitus (T1DM) was found to be 38%. The significant predictors of Diabetic Keto Acidosis (DKA) among newly diagnosed patients with type one diabetic Mellitus (T1DM) were young age of the adult, family history of diabetes and infection prior to onset of Diabetic Keto Acidosis (DKA). Conclusion: The overall magnitude of Diabetic Keto Acidosis (DKA) in adults with newly diagnosed type 1 diabetes is high. In particular, adults between 18-25 years of age have a high risk of Diabetic Keto Acidosis (DKA) at onset of diabetes mellitus. Young Age, first degree relatives with Diabetic Mellitus (DM) and infection prior to Diabetic Keto Acidosis (DKA) are found to be the significant explanatory variable of Diabetic Keto Acidosis (DKA) in primary onset of T1DM.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"18 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84895856","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}

{"title":"PRACTITIONER APPLICATION: Process Improvement in Patient Pathways: A Case Study Applying Accelerated Longitudinal Design With Decomposition Method.","authors":"R. Chandran","doi":"10.1097/JHM-D-19-00194","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00194","url":null,"abstract":"428 Volume 64, Number 6 • November/December 2019 (Eds.), Health operations management: Patient flow logistics in health care. New York, NY: Routledge. Wijeysundera, H. C., Wang, X., Tomlinson, G., Ko, D. T., & Krahn, M. D. (2012). Techniques for estimating health care costs with censored data: An overview for the health services researcher. ClinicoEconomics and Outcomes Research, 4, 145–155. Yabroff, K. R., Warren, J. L., Knopf, K., Davis, W. W., & Brown, M. L. (2005). Estimating patient time costs associated with colorectal cancer care. Medical Care, 43(7), 640–648. Young, T. A. (2005). Estimating mean total costs in the presence of censoring: A comparative assessment of methods. PharmacoEconomics, 23(12), 1229–1242. Zevalkink, J., & Berghout, C. C. (2006). Expanding the evidence base for the cost-effectiveness of long-term psychoanalytic treatment. Journal of the American Psychoanalytic Association, 54(4), 1313–1319. Zweifel, P., Breyer, F., & Kifmann, M. (2009). Health economics. Heidelberg, Germany: Springer Nature.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48727233","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}

{"title":"Lean Management and U.S. Public Hospital Performance: Results From a National Survey.","authors":"Justine Po, T. Rundall, S. Shortell, J. Blodgett","doi":"10.1097/JHM-D-18-00163","DOIUrl":"https://doi.org/10.1097/JHM-D-18-00163","url":null,"abstract":"EXECUTIVE SUMMARY\u0000Many public hospitals have adopted Lean management methodology, but little is known about the extent of Lean adoption or the relationship between Lean adoption and hospital performance. Using data from the 2017 National Survey of Lean/Transformational Performance Improvement in Hospitals, linked with data from the American Hospital Association 2015 Annual Hospital Survey and 2015 Centers for Medicare & Medicaid Services data on hospital performance, we compare public hospitals with nonprofit and for-profit hospitals on the rate of Lean adoption and the extent of Lean implementation. We also assess the associations between Lean adoption by the end of 2014 and measures of public hospital financial performance, patient outcomes, and patient satisfaction measured in 2015.Among the 288 public hospitals that responded to the survey, 54.2% reported that they had adopted Lean. The average length of time of Lean implementation was 4.58 years. The mean number of units in which Lean was implemented was 11.9 out of 29 possible hospital units, with the emergency department (ED) being the unit in which Lean was most frequently implemented. The most common Lean practices used were daily huddles, plan-do-study-act cycles, visual management, and use of standard work. Lean adoption by 2014 was significantly associated in the direction predicted with earnings before interest, taxes, depreciation, and amortization margin (b = .042, p < .020) and percentage of patients leaving the ED without being seen (b = -0.610, p < .068). No significant associations were found between Lean adoption and patient outcomes or patient satisfaction.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-18-00163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43821123","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}

{"title":"ABSTRACTS FROM THE FORUM ON ADVANCES IN HEALTHCARE MANAGEMENT RESEARCH","authors":"","doi":"10.1097/jhm-d-19-00192","DOIUrl":"https://doi.org/10.1097/jhm-d-19-00192","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/jhm-d-19-00192","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47031500","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}

{"title":"PRACTITIONER APPLICATION: Patient Engagement Functionalities in U.S. Hospitals: Is Early Adoption Associated With Financial Performance?","authors":"Peter V Huynh","doi":"10.1097/JHM-D-19-00197","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00197","url":null,"abstract":"396 Volume 64, Number 6 • November/December 2019 JHM-D-19-00197 Senge, P. (1990). The fifth discipline: The art & practice of the learning organization. New York, NY: Doubleday Currency. Teece, D., & Pisano, G. (1994). The dynamic capabilities of firms: An introduction. Industrial and Corporate Change, 3(3), 537–556. Teece, D. J., Pisano, G., & Shuen, A. (1997). Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 509–533. Toscos, T., Daley, C., Heral, L., Doshi, R., Chen, Y. C., Eckert, G. J., ... Mirro, M. J. (2016). Impact of electronic personal health record use on engagement and intermediate health outcomes among cardiac patients: A quasiexperimental study. Journal of the American Medical Informatics Association, 23(1), 119–128. doi: 10.1093/jamia/ocv164 Walker, D. M., Sieck, C. J., Menser, T., Huerta, T. R., & Scheck McAlearney, A. (2017). Information technology to support patient engagement: Where do we stand and where can we go? Journal of the American Medical Informatics Association, 24(6), 1088–1094. doi: 10.1093/jamia/ocx043 Weingart, S. N., Rind, D., Tofias, Z., & Sands, D. Z. (2006). Who uses the patient internet portal? The PatientSite experience. Journal of the American Medical Informatics Association, 13(1), 91–95. Wernerfelt, B. (1984). A resource-based view of the firm. Strategic Management Journal, 5(2), 171–180. Zeger, S. L., & Liang, K. Y. (1986). Longitudinal data analysis for discrete and continuous outcomes. Biometrics, 42(1), 121–130.","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47008235","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}

{"title":"PRACTITIONER APPLICATION: Can Organizational Leaders Sustain Compassionate, Patient-Centered Care and Mitigate Burnout?","authors":"John Campbell","doi":"10.1097/JHM-D-19-00196","DOIUrl":"https://doi.org/10.1097/JHM-D-19-00196","url":null,"abstract":"","PeriodicalId":51633,"journal":{"name":"Journal of Healthcare Management","volume":"64 6 1","pages":"413-414"},"PeriodicalIF":1.8,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/JHM-D-19-00196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61781610","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}