Asia-Pacific Journal of Health Management (ACHSM)
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Growing Employment And Managers In Australian Health Services: 2006-2021
No full textIntroduction: This research is a continuation of the authors past contributions on this important subject, that has included the first comprehensive analysis of the composition and characteristics of health service managers in Australia, in terms of their service, qualifications and other important attributes.
Objectives: This article contains an analysis of the number and characteristics of health service managers in relation to health services provided in Australia in 2006 compared with that of 2021.
Design: Design of the analyses follows specifications set by the authors for tabulations prepared by the Australian Bureau of Statistics (ABS) from the censuses of population conducted by ABS in 2006 and 2021. The analysis of health service managers in terms of growth in numbers and change in their characteristics will be reviewed.
Findings: A substantial increase was found in the number of health service managers in relation to the population and people employed. Also, there have been considerable changes in the characteristics and qualifications of health service managers during the 15-year period. The study also reported on the nature of the changes in hospitals and medical and other health services, and the surge in the number of managers in medical and other services, that in 2021 outnumbered those in hospitals.
Implications: The findings are relevant to policy development aimed at improving the health status of the population. There were implications as well to the planning of health services, training of their labour force and related educational resources. An agenda is also put forward for additional research in view of its findings
Geographic Inequalities in the Distribution of Dentists: A scoping review
No full textBackground: Equity in health refers to ensuring that individuals have timely and sufficient access to healthcare services when needed. Human resources are a vital component of healthcare organizations, and they play a crucial role in improving people's access to services. Dentists, in particular, are essential healthcare professionals as oral and dental health significantly impacts overall societal health. This study aims to investigate the key factors contributing to the inequality in the distribution of dentists.
Methods: A scoping review was conducted, systematically searching three databases—Scopus, PubMed, and WOS—using relevant keywords until January, 2023. A total of 565 preliminary results were screened, and 447 titles and abstracts were reviewed. Ultimately, 23 full-text articles were included in the analysis. Qualitative content analysis and thematic network were used to synthesize the extracted data.
Results: Thematic analysis of the evidence yielded four main themes that contribute to inequality in the distribution of dentists: the development of the inequality situation, methods for analyzing inequality, causes of inequality, and potential solutions to address inequality.
Conclusion: Policymakers should gain an understanding of the determinants that contribute to inequality and how these factors manifest in their respective countries. Policymakers can work towards achieving a more equitable distribution of dentists by directing resources towards policies and measures that improve access to oral and dental services. This will ultimately enhance overall societal access to oral healthcare services
Transferable Skills And Graduate Attributes: Analysis of health services management students’ reflections on an industry-based placement
No full textPurpose: Work Integrated Learning (WIL) supports learners to acquire transferable skills and graduate attributes for employability through placements in settings aligned with their future profession. The purpose of this paper is to explore, student reflections on the attainment of transferable skills and university graduate attributes on health service management (HSM) work integrated learning placements in one Australian University.
Design/methodology/approach: The study used data collected from e-portfolios from two cohorts of students who completed placements in the health industry. Structured e-portfolios recorded student reflections, these were analysed both quantitatively and qualitatively. To analyse the reflections, content analysis and mapping of narratives to transferable skills and University graduate attributes was used to evidence their attainment by learners on placement.
Findings: The data demonstrated that students attained transferable skills and university attributes and reflected upon them in their e-portfolios. However, not all transferable skills and attributes were evidenced in student portfolios. Ethical thoughts and actions, respect and capability with First Peoples, citizenship and social responsibility, negotiation and conflict resolution, research and organizational membership were not comprehensively demonstrated. Reflective skills and learning how to reflect could be further emphasised and practiced within the curricula.
The outcomes of the study can be used to strengthen the focus of reflective e-portfolios, inform the development of HSM curricula and support academics teaching in WIL programs to further clarify expectations on reflection.
Originality: This paper is of interest to Universities aiming to equip graduates with transferable skills and the attributes to thrive in complex and rapidly changing work environments. The study identified further research opportunities that could inform the design and content of e-portfolios to demonstrate the skills attained on placement
Development Of A Resource Management Curriculum For Intermediate Care In A Community In Health Region 1 (Thailand)
No full textObjective: This action research aimed to develop a resource management curriculum for intermediate care in a community in Health Region 1.
Material and Methods Research: The study involved 80 IMC administrators, 13 experts, 260 IMC nurses, and 155 individuals who completed the training. Data were collected using various methods, including surveys, interviews, and questionnaires. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed using content analysis.
Results: The findings revealed several key points. First, the IMC management model was primarily based on local administrative organization guidelines, with issues identified in personnel knowledge, human resources, budget, and equipment. Second, the curriculum, consisting of 27 lessons and 35 hours, was developed and validated by experts and the Thailand Nursing and Midwifery Council. Third, participants showed a significant improvement in test scores after training, with a mean score increase from 23.12% to 40.75%, and expressed high satisfaction with the training (x̄ = 4.42, SD = .447). Finally, clinical data from the National Health Security Office indicated that 50.24% of IMC patients experienced improved ADL after the training, reflecting the curriculum's effectiveness.
Conclusion: The study suggests that policies should be formulated to make the curriculum a key task for local administrative organizations. The curriculum should be used as an indicator for personnel management at all levels, with continuous monitoring and evaluation to ensure its effectiveness. The findings underscore the importance of comprehensive training that covers all areas and personnel levels, with regular reviews and updates to maintain high standards of care
Health Trends and Its Implications during the COVID-19 Pandemic in Central Visayas, Philippines
No full textThe effects of the Covid-19 pandemic have underscored for the Philippines, in particular, and all countries in general, the importance of a resilient health care system to be able to manage health emergencies and disasters. The study aimed to do a situational analysis of the health sector during the COVID-19 pandemic in the Central Visayas, Philippines. The study collected data from national government agencies in the Philippines. The article identifies gaps in the health care system which may have affected not only COVID-19 outcomes but other health indicators which was highlighted due to the pandemic. The study provides health managers and policymakers information that could be used to promote reforms in the health sector to be able to manage future pandemics and health emergencies both in local and national levels
Leveraging Partnerships for Microcredential Design in Digital Health: Key success factors : - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textAim: This paper describes the collaborative approaches used to design microcredentials in digital health and cybersecurity. The project was initiated to design and deliver educational products to address specific skills shortages and align outcomes with Australian and International skills and professional competency frameworks.
Approach: The co-design process was guided by a proven model for educational design, involving interdisciplinary teams and emphasising rapid prototyping to ensure industry relevance and on time delivery. Partnerships with industry and professional associations were built to develop and deploy the microcredentials within a six-month timeframe.
Main Findings and Conclusion: Key success factors included trust, mutual respect, and effective communication among partners. The co-design process highlighted the benefits of collaboration, the importance of alignment with competency frameworks, and the lessons learned in creating educational products that satisfy learner, academic and industry needs. The paper concludes that co-designing microcredentials with industry and professional associations is an effective approach to delivering educational products that address workforce skills and professional knowledge gaps
The Effect of Work Motivation and Job Involvement to Improve Organizational Commitment at Hasanuddin University Hospital, Indonesia
No full textBackground: Employees who have high work motivation and good job involvement can increase organizational employee commitment. This involves high levels of giving support, direction of goals, and involvement in optimizing themselves in carrying out tasks. This study aims to analyze the effect of work motivation and job involvement on nurse’s organizational commitment at the Hasanuddin University Hospital, Makassar, Indonesia in 2022.
Methods: Quantitative research has been completed using an observational study with a cross sectional study design. The sample used in this study involved 172 nurses at Hasanuddin University Hospital. The instrument used in this study was a questionnaire that has been tested for validity and reliability. Data analysis using Chi-Square test and Path Analysis was undertaken.
Results: Study findings showed that there is an effect of work motivation on nurses' organizational commitment (p<0.001), work motivation on job involvement (p<0.001), job involvement on organizational commitment (p=0.003), and there is no effect of work motivation on organizational commitment through job involvement (p=0.051).
Conclusion: Work motivation and job involvement directly affect the organizational commitment of nurses. It is recommended to the hospital to pay attention to work motivation and the involvement of nurses in their work in order to maintain commitment while developing direction and goals, hospital services, quality and future careers
Impact of Leadership Style on Employee Performance And Job Satisfaction Among Jordanian Physiotherapists
No full textLeadership philosophies are essential organizational practices, especially when it comes to promoting and enhancing worker collaboration and job satisfaction. This study aims to ascertain and explore the relationship between job satisfaction and job performance among Jordanian physiotherapists and transformational leadership. Additionally, looks at whether job satisfaction and organizational citizenship behaviours operate as a mediator in the link between transformational leadership and worker performance. This study's design involves a quantitative correlation analysis conducted on a conveniently chosen sample of Jordanian physiotherapists from different healthcare facilities to examine the relationship between their performance level and leadership practices, specifically transformational leadership style, as well as any potential mediating role that organizational citizenship behaviours and job satisfaction may have on that relationship. Additionally, an online questionnaire for 123 physiotherapists in a different facility is used to study the proposed relation connecting transformational leadership style and therapist satisfaction level.
Data were acquired about performance, job satisfaction, and organizational citizenship behaviours of therapists as well as their opinions of the leadership styles exhibited by the facility leaders. Organizational citizenship behaviours (OCB) and job satisfaction (JS) fully mediated the relationship between transformational leadership and physiotherapy performance; as a result, the impact of transformational leadership style (TLS) on performance was indirect since the direct influence wasn’t statistically significant. Additionally, TLS has a positive and substantial impact on job satisfaction and organizational citizenship behaviours by regression analysis; likewise, OCB and JS have a positive significant effect on performance (p-value <.001). Transformational leadership and performance among Jordanian physiotherapists are not significant directly but are significant indirectly by the mediator (OCB and JS). Because it impacts worker job satisfaction, the standard of healthcare services provided, and the patient experience in this organization, it encourages the development of transformational leadership abilities in healthcare facilities and ongoing training for leaders in this area
Person-Centred Hepatitis C Virus Treatment In Community Settings
No full textThe World Health Organization (WHO) has set a target to eliminate the Hepatitis C virus (HCV) as a public health threat by 2030. To achieve this, HCV treatment needs to be accessible through primary health care providers in community settings. In Australia, general practitioners and nurse practitioners can prescribe nearly free direct-acting antiviral (DAA) medication. However, there are still many barriers to the provision of HCV treatment in community settings. Considering the characteristics of HCV infection, people with HCV, and the Australian primary health system, person-centred HCV treatment is suggested to improve treatment uptake and adherence. Although the provision of person-centred HCV treatment in community settings is emphasised, the characteristics of these models are not well described. This short report describes the characteristics of person-centred HCV treatment in community settings to inform policy and practices in supporting HCV elimination. The characteristics were developed based on the analysis of findings of studies conducted by the author using person-centred care framework. The studies included a mixed methods systematic literature review, a Delphi study, and a mixed methods case study on a community-based model of care for treating HCV
Developing an Innovation Culture Measurement Construct for Healthcare Organizations
No full textObjective: To develop an innovation culture measurement model specific to healthcare, by amending the original scale items of the Dobni innovation culture construct and model developed in 2008.
Design: The project performed exploratory factor analysis from data collected on surveys, using redesigned scale items from the original Dobni innovation culture measurement.
Setting: Managers and administrators from a Provincial Health Services Authority in Canada.
Results: An exploratory factor analysis was performed on the 43 scale items used in the survey. The scale items were reduced to 31 and loaded on to new factors creating an Innovation Culture Measurement Model specific to healthcare.
Conclusion: Although exploratory, the new model and scale items provide a foundation for researchers to advance innovation culture measurement in healthcare. Academically, measuring innovation culture has created a rich research stream, but to date has not exclusively focused on healthcare. Pragmatically, measuring innovation culture provides healthcare leaders and policy setters a benchmark to assess internally over a period of time or towards other entities