Asia-Pacific Journal of Health Management (ACHSM)
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Practice Brief: Academic Research Supports Translation Pathways for Clinical Impact in Structured Journal Clubs: - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textAcademic research plays a pivotal role in creating and sustaining pathways for clinical impact. Over nine years, a series of collaborative research projects informed the translation pathway for structured journal clubs within a tertiary health service. This pathway included conceptualisation, implementation, sustainability and spread of research evidence into practice within the innovative journal club initiative. This brief identifies four key stages of the pathway, summarising the contribution of research to support ongoing practice transformation
How To Attract, Retain and Grow the Aboriginal and Torres Strait Islander Health Workforce in Australia: A self-determined approach: - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textRacism in the healthcare system results in harm experienced by Aboriginal and Torres Strait Islander Peoples. Countering racism and achieving culturally safe healthcare will not be possible without self-determination, meaning Aboriginal and Torres Strait Islander voices must drive the design and delivery of services and policy. The Australian Health Practitioner Regulation Agency (Ahpra) facilitated a webinar series that brought together Indigenous health sector leaders to discuss factors affecting the Aboriginal and Torres Strait Islander health workforce and identify policy actions needed to support positive change. Four key areas – Accept, Educate, Support, and Invest – were identified through the series, providing a roadmap for both Indigenous and non-Indigenous health system stakeholders to grow an accessible and sustainable Aboriginal and Torres Strait Islander health workforce
Enhancing Impact for Key Leadership Domains
No full textSignificant operational and functional action domains require health, aged and social care leaders and managers’ expertise and responsibilities. Contemporary strategic; development and operational activities involving patient/client centred care; strategic vision articulation and alignment; financial performance; workforce management; effective communications; informatics challenges; enabling strong and positive organisational cultures as well as managing conflict and resistance to change are required and need to deeply focused on the context of clinical and social health care....
Managing Patient Flow Across an Acute Tertiary Care Hospital Through A Centralised Coordination Hub: Technological and Cultural Change – A Case Study
No full textAim: 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.
Approach: 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.
Context: 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.
Main 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.
Conclusions: 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
COVID-19 Vaccine Hesitancy and Social Media Use: A lesson learnt from pandemic
No full textObjective: This study aims to assess the level of COVID-19 vaccine hesitancy among Vietnamese adults and examine the relationship between social media use and vaccine hesitancy.
Methods: A cross-sectional study was conducted from July 26 to August 10, 2021, using an online survey of 702 Vietnamese adults. The Oxford COVID-19 vaccine hesitancy scale was used to measure vaccine hesitancy. A linear regression model was used to analyze the factors associated with vaccine hesitancy.
Results: Our study found that 15.1% of respondents were hesitant about receiving the COVID-19 vaccine, with an average hesitancy score of 9.52±2.66. Students and the unemployed had higher levels of hesitancy (B=0.58; 95%CI=0.02-1.15; p=0.043 and B=1.59; 95%CI=0.41-2.76, p=0.008, respectively. Hesitancy was also significantly associated with receiving positive information from social media (Facebook, Zalo) (B=-0.31; 95%CI=0.5 to -0.12; p=0.001) and trust in social media information (B=-0.45; 95%CI=-0.72 to -0.19; p=0.001).
Conclusion: The results of this study highlight the need for targeted interventions to address vaccine hesitancy among Vietnamese people, particularly in the context of the shortage of vaccines and low public trust in 2021 and its practical evidence for future preparation in emerging pandemics
Evaluating Boil Water Advisory Policies and Practices: Health Outcomes in Hong Kong
No full textBoiling water (BW) is a common global practice, especially in Asia, for ensuring safe drinking water, though it does not remove chemical contaminants. The World Health Organisation recommends BW as an emergency measure against microbial contamination. In Hong Kong, the Water Supplies Department ensures water quality through strict regulations and extensive monitoring. Comparisons with Norway and Canada reveal effective practices such as water safety planning and risk-based advisories. Norway mandates water safety planning and uses messaging notifications for water advisories, ensuring high compliance, while Canada issues site-specific BW advisories based on risk assessments. Hong Kong faces unique challenges, such as a warm climate and complex building infrastructure, which impact water quality. Many buildings lack proper maintenance, leading to potential health risks and necessitating regular maintenance. Health management, public health education and expert guidance are essential for promoting efficient practices and ensuring safe drinking water
Clustering Countries of the World Based on the Trend of the COVID-19 Incidence: An application of shape-based k-means algorithm
No full textBackground: the urban Health Commission of Wuhan City, China, issued an emergency notice due to an incidence of viral pneumonia of unknown cause in December 2019. The World Health Organization officially named it the 2019 novel coronavirus. Since the course of the disease is not the same in the countries and regions of the world, and the study of this diversity is an important source of information for policymakers and researchers. The current study aims to cluster selected countries of the world based on its incidence and it was done according to the trajectories shape.
Methods: the data set analyzed, included new cases of COVID-19(per million people) in 13 countries of the world, which were published on the World Health website from March, 2020, to October, 2021 monthly then analyzed by the k-means clustering method using Fréchet distance and R software V4.0.5. in addition, clustercrit and kmlshape packages were utilized for trajectory clustering.
Result: Research results show that, 13 countries of the world were classified into 2 clusters with high and low incidence. The cluster with high incidence included 8(62%) countries. The 2 cluster exhibits the highest outlier in COVID-19 incidence. In the analyzed nations, United States and Brazil exhibited the highest incidence rate in clusters 1 and 2, respectively.
Conclusion: The present findings showed that there are 2 patterns in the epidemic of COVID-19. The first pattern includes severe fluctuations and the next pattern includes low fluctuations. The results revealed that the method used in this article has the potential to understand incidence trends regardless of the time of disease onset. Since the Covid-19 infection process experiences fluctuations over time that vary based on when the pandemic began in each country, it's essential to analyze the similarity and shape of infection trends collectively, independent of their starting points
Missed Nursing Care in the New Era after Pandemic COVID-19: A cross-sectional study from nurses' perspective
No full textBackground: The important role of being a nurse is giving a safe nursing care comprehensively and without missed caring left behind. In recent years, missed nursing care become the most significant causes of morbidity and mortality of the patient in the health services, particularly at the hospital.
Purpose: Identify and analyse the most frequent missed nursing care and its risk factors gave by the nurse at the hospital.
Methods: One hundred fifty (150) nurses who worked at inpatient COVID-19 room, Public Hospital in Jakarta, Indonesia. Participants were selected by random and proportional sampling by determine nurses’ number in each room helped by head nurse. The inclusion criteria of the sample are nurses who have experience working in the COVID-19 room and are willing to be research respondents. Head nurse leadership questionnaire was modified from the Practice Environment Scale of the Nursing Work Index with Cronbach's alpha 0.759 and Missed nursing care questionnaire with Cronbach's alpha 0.828.
Results: As results show that there is relationship between education (p=0,05), leadership (p=0,05), and management function (p=0,005) with missed nursing care. Using SEM analysis, increasing 1 times of leadership factor and its function will decreasing 0,145 times missed nursing care factor. While increasing 1 times of management function factor will decreasing 0,298 times missed nursing care.
Conclusion: There is a significant relationship between leadership of manager, function management, and the occurrence of missed nursing care. Continuing formal education and maintaining competences of the nurses is one of how to give a comprehensive nursing care without missed. In other hand, as a nurse managers asked to become a role model for their staffs at work. Moreover, a nurse managers should participate and involve in management function such as planning, organizing, structuring, managing equipment, adjusting working environment, manpower assignment, guiding staff and providing feedback
From Clinician to Commissioner: - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textThe need to develop a workforce who can deliver on the purpose of enhancing equity of access to primary care has been identified by one of the 31 Primary Health Networks (PHN) established by the Australian Government in 2015.
Over almost a decade, Hunter New England and Central Coast PHN has been undertaking assessments of its organisational capability to commission primary care services for the local community. The outcome of these assessments and of a training needs analysis for team members engaged in commissioning has lead to the development of a training program which is growing in sophistication.
This has lead to the development of a Primary Care Commissioning Development Centre, which coordinates education and training for PHN teams, service providers and primary care clinicians in many aspects of the commissioning of primary care
The Impact of Marketing Mix and Patient Experience on Public Patient Loyalty in Hospitals: Satisfaction as an intervening variable
No full textBackground: In maintaining patient loyalty, one of the marketing strategies that can be carried out is the use of Marketing Mix. Marketing Mix can improve the perceived quality of patient discernment, namely the patient assessment of a service. If the patient's perception on the quality of services provided by the hospital is good, then the patient's experience on the hospital will be positive. This condition can increase patient satisfaction which continues in the formation of patient's loyalty. This study aims to analyze the effect of Marketing Mix and patient's experience through satisfaction on patient loyalty.
Methods:This study is a quantitative study using an observational approach with a cross-sectional study design. The sample in this study was 358 general patients at Stella Maris Hospital, Makassar, Indonesia using total or purposive sampling. The instrument used in data collection is a questionnaire that has been tested for validity and reliability. Multivariate data analysis used path analysis.
Results: There was direct effect of Marketing Mix (β=2.218, p=0.027) and indirect effect through satisfaction (β=2.417, p=0.016) on loyalty. There was no direct effect of patient's experience (β=0.398, p=0.691). However, the indirect effect was very significant through satisfaction (β=10.651, p<0.001). In addition, there was also direct effect of satisfaction on loyalty (β=5.161, p<0.001).
Conclusion: There is a direct effect of the Marketing Mix on patient loyalty. Patient satisfaction is a significant intervening factor for both the Marketing Mix and the patient's experience, which in turn affects patient loyalty