Asia-Pacific Journal of Health Management (ACHSM)
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Innovations In the Indian Healthcare Industry to Brave the Vuca Times: - 2nd International Healthcare Management Conference 2022: Navigating the New Normal with Focus on Healthcare Accessibility, Innovation and Sustainability
No full textVolatility, Uncertainty, Complexity, Ambiguity—in a VUCA world the moment of surprise is everywhere, making things extremely unpredictable and planning and strategizing far more challenging. The healthcare industry is witnessing seismic shifts as medicine becomes more personalised, health data becomes valuable, and data sharing becomes essential, demanding the healthcare sector to re-strategise.
This research aims to understand the various innovations and change-management techniques based on technology that have been adopted by healthcare industries in today's VUCA world while exploring the innovations needed to drive the Indian healthcare sector in the years to come. Thus, it examines and highlight the implications of the rising emphasis being placed on innovations in the healthcare industry - helping the sector to re-strategise and face the changes in today’s VUCA world with greater clarity. This paper is also designed to call attention to and discuss contemporary perspectives taken by top healthcare organisations in India before and during the COVID-19 pandemic.
This research is based on secondary data, including intensive analysis of research papers, media articles and grey literature reports, along with examining the recent innovations undertaken by the top healthcare companies and hospitals in India. The findings suggest that moving away from a supply-driven healthcare system toward a patient-centred system is necessary, and therefore organisations in India have to embrace innovation, agility, and adaptability in unison to brave the VUCA times
Blockchain-Based Healthcare Monitoring System Using Patient Electronic Health Record: - Global Conference on Emerging Technologies, Business, Sustainable Innovative Business Practices, And Social Well-Being
No full textThe majority of hospitals and other healthcare institutions have made the switch from paper-based techniques to something that is known as electronic health records, or EHRs. This change was made possible by technological advancements. Various parties need to exchange the data records they keep on one another, and users need to be allowed to exercise control over who has access to the information they have on file. The Electronic Health Record (EHR) system is beset by issues relating to managing problems, challenges with trust, and data protection. Data stored on blockchains are immutable, private, and accessible only by their intended users. Blockchain technology's use has also led to managing a system with the potential to provide decentralized data storage. In this research, we determine whether it is appropriate to deploy blockchain technology in EHR and explore its potential uses in the efficient leadership of the COVID-19 pandemic.
 
Review of Telemedicine and E-health: A bibliometric analysis: - Global Conference on Emerging Technologies, Business, Sustainable Innovative Business Practices, And Social Well-Being
No full textThe fields of telemedicine and e-health have grown in recent years due to advancements in technology and wearable devices. This research aimed to look back at the last 27 years of e-health and telemedicine studies to see how they've evolved. Article details for the selected papers were obtained from the Scopus database. Article details for the selected papers were retrieved using the Scopus database. Insights from the existing study suggest an upward trend in the number of publications and a peculiar pattern in the distribution of both authors and articles. Nine of the most influential researchers and the most often cited works were identified. VOS viewer software underwent keyword, author, and country co-occurrence analyses, as well as co-authorship analysis. According to a country-by-country research review, the United States, Italy, and Germany are the top three countries in article production in telemedicine and electronic health. Doarn (8 publications), Merrell R.C. (7 publications), Giansanti D. (7 publications), and Maccioni G (4 publications) were found to be the most prolific authors in the field of telemedicine and e-health. The study used bibliometric analysis to determine that the keywords "telemedicine," "human," and "e-health" were the most frequently used in the 69 publications chosen for the study. This study is useful for telemedicine and e-health since it provides a thorough understanding of the literature in these subjects, highlighting the most studied and understudied areas from which to launch future research endeavours
Health Based Quality Life and the Financial Burden among the People of India Experiencing Chronic Diseases: - Global Conference on Emerging Technologies, Business, Sustainable Innovative Business Practices, And Social Well-Being
No full textThe financial burden influences elderly individuals' health-related quality of life (HRQoL). Very little is understood concerning the association between financial strain and HRQoL in vulnerable groups. This study aimed to examine the relationships among financial load and HRQoL of Odisha who suffer from chronic illness, along with cancer. Techniques: Throughout this cross-sectional investigation, 72 Citizens of Odisha (aged 60-89) with one or maybe more chronic diseases took part in a randomized preliminary trial. We investigated financial burden components using factor analysis. A 27-point FACT-G (Functional Assessment of Cancer Therapy-General) was applied to measure HRQoL. The correlations among financial burden and HRQoL sub-dimension were investigated using multiple linear regression. The factor analysis showed three financial burden constructs: health costs issues, financial burden medication compliance, and monetary stress. The financial burden was related to lower HRQoL throughout various areas in this research of older adults of Odisha with chronic conditions
Knowledge Translation to Practice and Competency in Translation Methods
No full textTranslation or implementation science involves implementing intervention to enhance uptake and use of evidence and knowledge to improve outcomes in health care [1]. Translation sciences play a critical role in health, aged and social care delivery bridging the gap between research and practical patient or client care. This interdisciplinary field encompasses a wide range of activities, from translating health related literature and research findings into clinical and operational practice; to facilitating effective communication between carers and providers; and consumers from diverse linguistic and cultural backgrounds....
Gender Differential In Symptoms, Morbidity, And Case Fatality Rate In The COVID-19 Pandemic In India
No full textBackground: The COVID-19 epidemic has taken a considerable toll worldwide and has harmed both male and female health. Statistics revealed that fewer females were directly affected than males; however, the latter may be more affected by the consequences. Some studies at the global level have suggested gender as the key determining factor in COVID-19, but there is a lack of such studies in developing countries like India. In light of the situation, this study has analyzed the gender-wise pattern of symptoms, morbidity, multimorbidity, and mortality due to COVID-19 in Karnataka, India.
Methods: We used patient-level raw data from COVID19-India application programming interface (API) from 09th March to 05th September 2020. We have used descriptive statistics such as frequency, percentage distribution, and latent class analysis (LCA) to carry out this analysis.
Findings: The study comprised 78,983 COVID-19 patients who were 63.6% males and 36.4 % females. Out of the total patients, 10.1% were reported as deceased, of which 68.4% were males and 31.6% were females. We found that all three symptoms (cough, breathlessness, and fever) were higher among males than females in the case of disease symptoms. Males had a higher risk of severe infection and mortality in general. In comparison, females suffered from comorbidities like diabetes and hypertension were at higher risk of mortality due to COVID-19 than their male counterparts. The latent class analysis also revealed that females had a more significant proportion of two or more symptoms, whereas males had more than two comorbidities.
Interpretation: Given the differences in lethality between the two genders, we believe that our study has found the root causes of the gender differentials in the COVID-19 pandemic. Furthermore, our research mapped gender differences in various aspects of COVID-19, which will help policymakers find suitable interventions to reduce the burden
Australian Health Services Management Courses: A discussion on syllabus
No full textObjective: The aim of this research was to understand core knowledge areas offered by Masters courses in health services management in Australian universities.
Design: A Google search identified relevant Masters’ degrees in health services management. Course syllabus was then extracted from each university’s website. Common core subjects were then collated and compared.
Setting: Data for this study was collected from Australian university websites.Main outcome measures: Findings were compared with those presented in a similar study conducted in 2013. Interpretation was also informed by an appraisal of key issues that characterise the current context of health care in Australia.
Results: Masters’ degrees in health services management were offered by 18 universities. Common core subjects included management, evaluation, evidence, health system, governance, law and human resource management. A comparison with an earlier study conducted by Ritchie and Yen [1] found an increase in the following subjects: health system, quality management, health economics, policy and research, and a decrease in health information, epidemiology and resourcing. New knowledge areas included leadership, planning and project management, change management, and strategy.
Conclusions: This paper presents a discussion on knowledge areas that comprise syllabus in masters level health services management education nationally. Key findings revealed differences between courses and the responsiveness of core syllabus to the current health care environment. The emergence of leadership, planning and project management was unsurprising while an absence of subjects that gave explicit reference to First Nations peoples was a notable finding
Detection And Management of Lower Body Deformity And Ulceration Extremity In People With A Lived Experience of Diabetes
No full textBackground: Diabetes is a silent killer, wherein prolonged poor glucose control could lead to acute diabetic ulcers that are responsible for foot ulcers in the lower body extremities. A diabetic foot is a skin sore formed as a result of skin tissue breaking down and exposing the tissue layers underneath. Chronic conditions of the disease lead to amputation of the limb which is a lifelong disability as well as morbidity.
Objective: We have compiled an interesting and informative review on diabetic foot ulceration. Topics and subtopics discussed in the article have scientific relevance for the readers of health management journals.
Main Outcome and Results: The cascade of events that lead to ulceration is responsible for degrading vascular changes in nerve fibers, resulting in poor motor neuropathy in the lower extremities. Therefore, detection of diabetic foot and ulceration in the early stage is crucial for proper disease management. Various tools in this regard have been used to detect and monitor diabetic foot occurrence apart from a conventional assessment such as the severity of the infection, infection of the skin, extent or size of the ulcer, depth of tissue infection, and loss of sensation from various parts of the lower body. Furthermore, recent advancement in medical technology has also given some critical diagnostic tools EMG (Electromyography), NCV (Nerve Conduction Velocity), PPG (Photoplethysmography), and SSEP (Somatosensory Evoked Potential).
Conclusion: The review discusses various complications related to people with a lived experience of diabetic foot ulcers and some advanced tools to diagnose them. Furthermore, a conclusive discussion on a holistic view of diabetic foot diagnosis methods and available treatments has been summarized which could be more explored for better detection/management of the disease
Knowledge Level of Nurses about Hospital Triage: A systematic review study
No full textObjective: Triage prioritizes patient care based on the severity of the injury and aims to facilitate the best possible recovery for the majority of individuals within the shortest possible timeframe. This concept holds paramount importance in the realm of emergency care. The objective of this study was to assess the knowledge level of triage nurses working in hospitals.
Methods: This systematic review study encompassed an extensive analysis of relevant literature, drawing from international databases such as PubMed, Scopus, Web of Knowledge, and Google Scholar, as well as Iranian databases including SID, Magiran. The search spanned the period from 1980 to 2023.
Results: In the present study, 22 articles were selected for data extraction. Across all these articles, it was consistently observed that the knowledge level of the nurses ranged from low to moderate. Furthermore, two interventional studies reported a notable increase in knowledge levels among nurses following training.
Conclusion: Based on the findings from multiple studies, it is evident that the knowledge level of triage nurses generally falls within the low to moderate range. Consequently, it is advisable to conduct further studies in a similar vein and implement necessary actions to address this issue
The Influence of Social and Individual Factors on Medicine Use in Older Adults
No full textObjective: To quantitatively explore the social and individual factors (including beliefs, experiences, and health literacy) that may affect medicine use in older adults.
Design: A descriptive research approach with quantitative-based methods was used. Individual structured interviews were completed for each participant where they were questioned on any health conditions, medicines, and healthcare utilisation. The following validated questionnaires were implemented in the interview; Beliefs about Medicines Questionnaire, Health Literacy Questionnaire, EQ-5D-5L scale, Barthel Activities of Daily Living Index, Perceived Sensitivity to Medicines Scale, Patients Attitudes Towards Deprescribing, Medication Related Burden Quality of Life, and Adherence to Refills and Medication Scale. Descriptive statistics were calculated using SPSS software.
Setting: People ≥65 years living in the community in Australia.
Main Outcome Measures: Suboptimal prescribing, including polypharmacy, potentially inappropriate medicines use, and adherence.
Results: Twenty-four participants completed the study and reported a mean BMQ necessity score of 11/25, mean specific concerns score of 19/25, mean general overuse score of 12/20 and suggest general harm score of 16/20. Most participants believed that medicines do more harm than good and physicians are overprescribing medicines. The highest scoring HLQ domain was ‘Navigating the healthcare system’, while the lowest scoring domains were ‘social support’ and ‘having sufficient information to manage my health’. Additionally, individual experience was found to be an important factor in participants’ medication attitudes and participants who trusted their prescriber were more likely to adhere to their medication regimen.
Conclusion: The influence of beliefs, experiences, and health literacy on medicine use in older adults remains unclear, and future studies will investigate the effects of these factors on a larger sample size