Asia-Pacific Journal of Health Management (ACHSM)
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Success Factors of Telemedicine Startup In Vietnam: The roadmap to transform healthcare customer behavior
No full textIntroduction & Objective: Telemedicine has become a breakthrough solution for improving access to health care services. In Vietnam, telemedicine is a key national program developed by the Ministry of Health and the government. However, the implementation process encountered many challenges, and the number of successful businesses in this field is still limited. This study integrated the technology acceptance model and the extended valance framework to develop an efficient behavioral model for investigating the relationship between trust in provider, perceived ease of use, perceived benefit, and perceived risk on usage intention.
Methods: The proposed framework was verified through in-depth interviews with three experts in the Vietnamese health technology market and was tested by 246 participants via a web-based survey.
Results: Generally, the findings showed that perceived ease of use and perceived benefit positively and significantly affected usage intention, whereas perceived risk negatively and significantly influenced usage intention. Trust in the provider positively and significantly influenced usage intention and perceived benefit, but negatively influenced perceived risk (β = -0.677, p = 0.000). Perceived ease of use significantly and positively affected perceived benefit, whereas the effect of perceived ease of use on perceived risk was not statistically significant (p = 0.128).
Conclusion: The proposed hypothetical model offers empirical insights for healthcare professionals, service providers, and authorities. Moreover, it can serve as a theoretical basis for future researc
Mental Illness - An Illness to Well-Being Towards Children: Reference to socio-political violence in literature
No full textThis research paper explores the adverse impact of socio-political turmoil that has long been in existence in Assam society on the psyche of children with reference to Aruni Kashyap's The House with a Thousand Stories.
This research aims to identify and understand the various psychological issues that children are subject to in a society when it is afflicted with socio-political turmoil and its consequent violence unleashed on people due to the armed struggle of the ULFA and the repressive administration of the state. The objectives of this research are (i) to study the characterization of Mamoni and Mridul, (ii) to understand and analyse the impact of socio-political turmoil on the psyche of children with reference to the above-chosen characters, (iii) to explore the connectivity between the narrative and the author’s political inclination in the novel, and (iv) to understand how objectively the historical incidents were reflected in the novel. The research is carried out by studying the chosen primary source against the pragmatic concepts of psychologists, journalists, social activists, and significant historical facts that appeared in reliable data sources such as journals, web studies, newspapers, and other publications. In conclusion, this research sheds light on the profound psychological repercussions experienced by children in Assam society amidst socio-political turmoil, as exemplified in Aruni Kashyap's "The House with a Thousand Stories." By delving into the characters of Mamoni and Mridul, analyzing the intricate interplay between narrative and political inclinations, and objectively examining historical incidents reflected in the novel, this study not only enhances our comprehension of the multifaceted impact on the psyche of children but also contributes valuable insights for policymakers, educators, and communities striving to address and mitigate the enduring consequences of such tumultuous environments on the younger generation
An Analysis of Service Experience And Perceived Value Influence on Patient’s Satisification At Regional Public Hospitals In South Sulawesi Province
No full textBackground: The service experience and perceived value that occurs in every interaction between patient and service provider will influence the patient’s satisfaction. This study aims to analyze the effect of service experience and perceived value on patient’s satisfaction at Regional Public Hospitals in South Sulawesi, Indonesia.
Methods: The method used in this study was cross sectional by distributing questionnaires to 270 outpatients and 266 inpatients as respondents. Sampling was carried out by using proportional stratified random sampling technique from each participating hospital. Data were analyzed using multiple linear regression tests.
Results: The results showed that service experience had an effect on patient’s satisfaction in inpatient care [β=0.598, t=3.163; p=0.002] and in outpatient care [β=0.13, t=2.89; p=0.004]. Perceived value had an effect on patient’s satisfaction in inpatient care [β=0.323, t=1.709; p=0.04] and in outpatient care [β=0.108, t=2.391; p=0.017].
Conclusion: Service experience and perceived value impact patient satisfaction
Developing A Framework for The Indian Pharmaceutical Supply Chain Risks Assessment through FMEA Approach
No full textIn the last years, specifically post Covid-19, pharmaceutical industry has gained a significant place in the healthcare domain. Pharmaceutical companies are the important players in the supply chain of drugs. With increasing competition, growing population and changing complexities of type of diseases, the need of pharmaceutical products has swelled over time, making the sector prone to supply chain risks. The purpose of this paper is to identify and access various risks in the pharmaceutical supply chain in the context of India. To attend this objective, a case of a major pharmaceutical company had been considered. Failure Mode and Effect Analysis (FMEA) has been used to identify and further prioritize these risks. Further Pareto analysis, also called as 80/20 rule, is conducted to identify the risks that are vital. The "80/20" rule suggested prioritizing 17 from 35 potential causes. Second level Pareto analysis identified 6 risk elements out of these 17 elements as most critical. Root cause assessment on these six risks is done through Five Why technique. The results of this study exhibited that Inventory Planning Issues, Labour Issues, Insufficient Storage Space, Raw Material Availability Issues, Inappropriate Forecasting, Communication Issues were the most critical issues in the pharmaceutical supply chain. The major cause to the eruption of these risks is improper Sales and Operations Planning (S&OP). This study suggests that the managers of the pharmaceutical supply chain should first understand the various risks in the supply chain that can disrupt the function. Further through prioritization of risks, the losses or the delays in the supply chain can be reduced
Neglected Voices: Uncovering the hidden consequences of air pollution on rural schoolchildren's health in Northern Thailand
No full textAir pollution is a pressing global concern, with its consequences disproportionately impacting individuals in developing nations. This disparity in impact is especially pronounced among vulnerable groups, including women, children, and the elderly. This paper’s primary objective is to illuminate the often-neglected ramifications of air pollution on the well-being of rural schoolchildren in Northern Thailand. Despite their heightened susceptibility, this demographic remains marginalized in discussions concerning air quality. The study aims to underscore the significance of recognizing the schoolchildren’s heightened vulnerability to the adverse health effects stemming from air pollution, which is exacerbated by their critical developmental stage. The ensuing discussion comprehensively delves into the detrimental effects of pollution on the overall welfare and health of schoolchildren, thus accentuating the compounded socioeconomic disparities. By acknowledging and addressing the specific vulnerabilities of this demographic, policymakers and stakeholders can devise targeted interventions to safeguard their health and foster sustainable development
Determinants of Nursing Performance in Sandi Karsa Hospital, Makassar City, Indonesia
No full textNursing performance is an aspect that demonstrates the fulfillment of a nurse's duties and responsibilities. This study aimed to analyze the determinants of nurse performance in Sandi Karsa Hospital Makassar City. This is a quantitative research using a cross-sectional study design. The sample consisted of 93 nurses collected through exhaustive sampling method. Data collection was performed using questionnaire instruments and analyzed using chi-squared and multiple linear regression tests. The results showed that there was a relationship between skills (p=0.024), compensation (p=0.005), workload (p<0.001), job design (p=0.020) and knowledge (p<0.001) with the performance of nurses in performing nursing care. Meanwhile, there was no relationship between attitude and performance of nurses (p=1.000). Workload had the most influence on nurses’ performance (B=2.729; SE=0.743; Exp(B)=15.322; p<0.001). This study concludes that some factors are associated with nurses' performance, with workload being the most determining factor
Development of A Heart Health Attitude Scale for Adults in Turkey: A scale development study
No full textBackground: Examining adults' attitudes toward heart health can be effective in identifying and preventing cardiovascular disease risk, educating, and treating individuals.
Aim: This study was designed to develop a valid and reliable measurement tool for assessing adult individuals' attitudes toward heart health.
Methods: The sample for this methodological study consisted of 445 patients admitted to two university hospitals in the provinces of Eskişehir and Kocaeli for cardiological disorders. The research data were collected using a Personal Information Form and Adult Heart Health Attitude Scale (AHHAS). For the validity and reliability of the scale, test-retest analysis, content validity analysis, and item analyses were used, and exploratory and confirmatory factor analyses were performed, and structural equation modeling was used for internal consistency and construct validity.
Results: Based on expert opinion, the content validity index of the scale was calculated as 0.86. In the exploratory factor analysis, the Kaiser-Meyer-Olkin (KMO) coefficient was 0.643, and Bartlett’s Test of Significance was χ²=953.841, p<0.001. As a result of the factor analysis, the number of items was reduced from 45 to 28. The item-total correlation coefficients ranged from 0.430 to 0.864, leading to a 6-factor scale with 29 items, explaining 54.4% of the total variance. The factor loadings of the items ranged between 0.453 and 0.851, and Cronbach’s alpha value was between 0.446 and 0.718 for the sub-factors, and 0.834 for the total scale.
Conclusion: As a result of the analyses, it was determined that AHHAS is a valid and reliable scale that can be used for the Turkish adult population. Healthcare providers can use AHHAS to determine adults’ attitudes toward heart health
Enhancing Wellbeing in Emergency Department Allied Health Care Coordinators: A Multifaceted Intervention Approach: - ACHSM Asia-Pacific Health Leadership Congress in Brisbane 2024
No full textThis practice note outlines a structured, team-based intervention to address clinician burnout within a metropolitan Care Coordination team within one health organisation. This twelve-month project (April 2023–2024) was implemented in collaboration with Safer Care Victoria (SCV), utilising the Institute of Healthcare Improvement’s (IHI) Joy in Work (JIW) framework aiming to improve clinician wellbeing and burnout.
Strategies included a wellbeing survey adapted from the Mini Z survey, What Matters to You (WMTY) clinician interviews, and the impact-effort matrix prioritisation tool. This approach targeted burnout drivers and establish a sustainable framework for employee support by emphasising feedback, high-impact interventions, and resilience through collaboration.
Targeted interventions like reviewing orientation documents, team learning sessions, and updating clinical resources led to a decrease in the team’s mean Mini Z, scores of perceived burnout. Challenges during implementation highlighted the need for a toolkit to support this project in other settings where knowledge of quality improvement methodology may be limited. The initiative established a potential replicable model for addressing burnout, though its broader effectiveness remains under evaluation
Artificial Intelligence And Service Flexibility In Healthcare: Exploring the Nexus
No full textArtificial Intelligence (AI) has the potential to revolutionize healthcare by enabling the development of more personalized, efficient, and effective medical services. One aspect of AI competence in healthcare that has received significant attention is the ability to respond rapidly to the patients' dynamic needs while injecting more flexibility into the system. This research explores the nexus between AI and service flexibility in healthcare. The qualitative study was carried out to examine the flexibility perspectives of AI-enabled service deliveries in healthcare. The findings contribute to a nuanced understanding of the facets of service flexibility in healthcare that AI could enable. The results would guide better coordination and management of care and the ability to make more informed decisions about treatment options. The nexus between AI and service flexibility in healthcare would sketch the new paradigms of patient value creation and evidence-based practices, which is an immediate need of healthcare organizations across the globe
Quiet Pandemic Amid COVID-19: A literature review on gamification for mental health
No full textBackground: COVID-19 affects individuals both physically and mentally. The key is to address emerging needs with a modest technique that helps boost the positive approach in individuals. Literature defines Gamification as engaging users with the non-game approach, using game design elements. Its growing popularity is evident in other fields, such as finance and retail.
Objective: This research aims to study the available literature that analyzes and understands using the Gamification approach for mental health in the pandemic.
Methods: The author performed a systematic literature review using the PRISMA technique among the selected articles published until Jul 2023, focusing on Gamification, mental health, and COVID-19 in highly reputed record databases, which were peer-reviewed studies. Therefore, the studies using the standard international language of English were eligible for this Study.
Results: The Study identified elevated articles exploring Gamification through mobile application software, web-based platforms, and other tools since COVID-19 limited in-person social contact for individual safety during peak time.
Conclusion: There are limited studies of Gamification in mental health, and the existing studies suggest that Gamification supports the betterment of mental health. Future studies can explore the different areas of mental health with gamification-based applications or gamified approaches