Asia-Pacific Journal of Health Management (ACHSM)
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Public-Private Partnership in Healthcare is a Necessity in Difficult Times: A case study
No full textHealthcare delivery is a risky enterprise for both public and private systems which may face adversity in a volatile, uncertain, complex, and ambiguous world. There has been a global emergence of Public-Private Partnership (PPP) hospitals to enhance delivery of sustainable healthcare, although its existence in developing countries remains limited. Risk management strongly influences PPP success; few PPP hospitals were able to meet contractually specified quality and performance requirements, creating debate regarding merits of the PPP model. Conversely, we present a case study of the first PPP hospital operated by not-for-profit organisation in New South Wales, Australia, to successfully complete the contract period. A Continuous Quality and Performance Improvement Framework was applied at five stages of organisational growth during the contract term. This case study demonstrates adaptive leadership and just organisational culture are equally important in providing high quality healthcare services to the community. We show the future potential of PPP model for service delivery as a third option to pure public or private sector hospitals, even in the post COVID-19 era when there is likelihood of financial instability in many settings
Welcome to the final issue of the College’s Asia Pacific Journal of Health Management for 2023
No full textAs the year draws to a close for many of us it is often a time of reflection and thanks. We are a privileged workforce in healthcare as we get to not only apply our training in scientific and technical capabilities, but the compassionate care that our patients and their families need in times of ill-health.
For some this year will have brought many challenges, both professional and personal, and I hope that as you reflect you will take time to acknowledge your resilience in the face of these challenges. 2024 is going to be another massive year for all of us in healthcare, and I relish the opportunity of interacting with many of you throughout the coming year. Finally, special thanks to Dr Mark Avery our editor and Yaping Liu who helps put this journal together so professionally.
I wish you and your loved ones a safe and happy Festive Season.
The Impact of On-Campus Health Promotion Activities on Healthy Lifestyle Behaviours of Indian University Students
No full textBackground: A paucity of information exists on the impact of health-promoting activities conducted in low-and-middle-income country settings including Indian Higher Education Institution (HEI). Health promoting universities offer a variety of on-campus health promotion activities to improve the health and lifestyle of the university students. However, the information on the impact of such programmes are scanty.
Aim: The study aimed to assess the university students' Health-Promoting Lifestyle Profiles (HPLP) before and after exposure to the ongoing on-campus health promotional activities for one year.
Methods: All freshmen admitted to an international university in India, with campuses across the major cities, were enrolled in the study. The study was conducted in two phases; phase 1 assessed the baseline existing HPLP scores of these students and phase 2 investigated the impact of on-campus health promotion activities for one year on the HPLP scores, a proxy for healthy lifestyle behaviour.
Results: The total HPLP scores differed significantly between the two phases (137.9 vs 130.9; p=0.000). Similarly, a significant increase in physical activity scores between the two phases was observed (17.8 vs 19.5; p=0.000). A gender-wise comparison of total and sub-scale HPLP scores of phase I reported significantly higher total HPLP, health responsibility, nutrition, and interpersonal sub-scale scores in females; and significantly higher physical activity scores in males (18.5 vs 17.3; p=0.000). In phase 2, females had significantly higher scores in total HPLP, nutrition, interpersonal, and physical activity sub-scale scores. In both phases females had significantly higher total HPLP scores than males (Phase 1: 137.6 vs 139.8; p=0.000; Phase 2 130.6 vs 131.3; p=0.000).
Conclusions: A gender-wise difference on the impact of on-campus health promoting activities with higher impact on females was observed. A more focused, systematic and targeted approach through curricular, co-curricular and extracurricular courses may further improve the HPLP scores of Indian university students
Patients’ Zone of Tolerance in The Service Process and Service Quality at A Multi-Specialty Hospital
No full textObjective: The purpose of the study is to examine patients’ Zone of Tolerance by measuring the gap between perceived and expected service quality and the waiting time to complete the service process during the provision of Master Health Checkups (MHC).
Method: Service Quality was tested by using a questionnaire among patients who underwent an MHC in a multi-speciality hospital, in Chennai, India. The observation checklist was used to measure the waiting time.
Results: The F test results revealed that demographic factors may affect the zone of tolerance. The empathy of health care professionals may affect qualified and employed groups’ Zone of Tolerance. The patients who were dissatisfied with time were satisfied and delighted with overall services.
Conclusion: Patients who come for MHC will have certain expectations. The mean score results indicate that patients are delighted with the empathy of healthcare professionals during the test procedure patients' weighting time was highlighted as the main problem of many patients, which needs to be fixed but the customer perceived opinion on overall services may compensate for the time issue. If healthcare professionals and management can adhere to patients' expectations, the organization will be able to satisfy them, and if they go above and beyond, they will be able to delight them
Pandemic Preparedness in the Aged Care Sector: A systematic literature review
No full textInfectious disease outbreaks in aged care services present challenges for consumers and staff. The vulnerability of users of aged care services and a lack of preparedness on the part of aged care services to manage the risk associated with viral disease transmission was particularly evident during the COVID-19 pandemic.We used the PRISMA Method to review the available literature systematically. This qualitative review of the literature on pandemic preparedness assessed eight high-quality research papers and identified themes that emerged to support aged care services in preparing for future pandemics. These articles provided insight into what aged care services require to increase their capacity to respond to communicable disease outbreaks.Four themes emerged from the literature reviewed: Staff Training and Development, Safety Culture, Creating a Safe Environment by planning for contingencies and Risk and Resource Management (including resourcing for Personal Protective Equipment (PPE), Leader Presence and Time Responses and Clear, Consistent Messaging) were the dominant themes in the literature. The researchers found that using guidelines and checklists is helpful but only if they are clear, not complex and do not take too long to read. Risk strategies in future must also focus on the resources required to protect staff, families, and consumers. This paper also provides recommendations that will allow aged care services to respond to future communicable disease outbreaks more effectively. Such measures include the need for a planning methodology that incorporates ready access to PPE, the use of meaningful communication, increased hazard and risk awareness and the need to create a safety culture within the service based on sound values, attitudes and behaviours of leaders and staff
Impact of the COVID-19 Pandemic on Blood Transfusion Service: A case study from Kolkata, India
No full textBackground: The emergence of coronavirus disease (COVID-19) has posed a significant threat to public health all over the world and it has been a difficult challenge for blood banks in India to cope with the situation. In this study, the effect of the COVID-19 pandemic on the blood transfusion service of India has been assessed.
Method: The present study is conducted in a stand-alone community blood bank situated in the city of Kolkata, India. A comparative evaluation of supply, demand, and utilization of blood components by analysing pre-pandemic and post-pandemic data from 2017 to 2020 has been presented.
Result: As no blood donation camp could be organized due to the country-wide lockdown along with restrictions in mobility and large gatherings during the initial period after the outbreak of the pandemic, a significant reduction of 80.35% in blood collection was observed. The demand for the Packed Red Blood Cell was decreased by 75% due to the postponement of elective surgeries and non-urgent clinical interventions. Blood utilization patterns also changed as 40% of the Packed Red Blood Cell was issued to thalassemia patients during this period.
Conclusion: Based on the evaluation of blood bank performance under pre-pandemic and post-pandemic conditions, recommendations such as spreading public awareness, maintaining sufficient safety stock, proper training of blood banking staff, communicating with nearby hospitals, donors, and medical professionals have been identified to be helpful to mitigate the adverse effects of extreme situations such as a pandemic
Leadership at the Intersection of Healthcare and Constructive Developmental Theory: A scoping review
No full textObjective: The purpose of this scoping review was to examine the nature and extent of the evidence for the use of a stage theory of adult development, Constructive Developmental Theory (CDT) within healthcare leadership.
Design: A systematic methodology was employed, utilising inclusion and exclusion criteria and searching across seven databases.
Main Outcome Measures: Summary of literature in response to three key questions.
Results: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses – Scoping Reviews (PRISMA-ScR) flow diagram illustrates the study selection process with 154 records screened, 35 full-text articles assessed for eligibility and 7 studies included in the final analysis. Three themes emerged from the data: (1) healthcare as a complex system, (2) complexity of leadership in healthcare, (3) developmental leadership progression in healthcare.
Conclusions: This review highlighted that CDT could provide a roadmap for individual change and adult developmental growth, thereby supporting the opportunity for more complex thinking and perspective taking within healthcare leadership. For the healthcare leader, the benefit of an awareness, understanding and application of CDT, is the potential for an increased capacity for recognising and dealing with complex challenges both personally and professionally.
The study protocol is registered with Open Science Framework (OSF
Determinants, Inequalities and Geographical Differences in Cognitive Performance Amongst the Elderly Population in South Korea
No full textUsing the most recent 2018 Korean Longitudinal Study of Aging (KLoSA) survey data, this study aimed to examine the key determinants of cognitive impairment (CI) and to explore the inequalities and geographic differences of CI amongst the South Korean elderly population. The findings show that being super-aged, poor general health, and lack of exercise are positively associated with CI, while household wealth, educational level, participation in social activities and regular exercise all have a significant negative effect on CI. Compared to males, female respondents are more likely to experience CI. We found little difference between the specific determinates for the two subsamples. Inequalities in the prevalence of cognitive impairment were greatest in rural areas as well as amongst the respondents living in the Chungcheong region, Seoul Metropolitan Area and the Kangwan region. The results are helpful for the early intervention and prevention strategies to tackle the cognitive impairment problems of the elderly
How Socioeconomic and Demographic Factors Affect Health Literacy? Assessment of health literacy level in different socioeconomic classes in India: - 2nd International Healthcare Management Conference 2022: Navigating the New Normal with Focus on Healthcare Accessibility, Innovation and Sustainability
No full textObjective: The objective of the study is to assess the impact of socioeconomic status based on gender, age group, education, and income level of the people on the level of health literacy.
Design and setting: The study uses the primary data of 380 respondents belonging to varied socio-economic classes. It is a cross-sectional study.
Results: The study shows that the level of health literacy is significantly affected by the educational and income level of the respondents. Health literacy is also uniquely affected by age groups. Few of the nine parameters of health literacy are affected positively by rising age groups and few are affected negatively by rising age-group. The study finds that health literacy is not affected by gender differences.
Conclusion: Health literacy plays a vital role in building the health status of people and helping the effective utilization of healthcare services. It is found that level of health literacy is affected by the socio-economic status of the people. It is the need of the hour to build health literacy in the weaker section of society with the help of policy tools
Seven Aspects of Healthcare Customer Satisfaction And Factors Affecting It Within Emergency Department
No full textObjectives: This study aimed at investigating seven aspects, which are believed to be critical for healthcare customer satisfaction level, as well as determining underlying factors affecting them within the emergency department.
Design: A quantitative and cross-sectional study design, with deductive reasoning, was applied to undertake this study.
Setting: The study site involves different tertiary care private and public hospitals in Karachi, Pakistan.
Main Outcome Measures: General satisfaction perspective was measured involving satisfaction with technical quality, interpersonal manner, communication, financial aspects, time spent with the doctor, and accessibility and convenience.
Results: Respondents were 61.6% male and 38.4% female with mean age 34.65±10.27 years. Most of the healthcare customers (54.6%) commuted to the healthcare facility by ambulance. 72.2% of respondents were from private and 27.8% were from public healthcare facilities while the majority (55.4%) visits to healthcare emergency services were due to injury or intoxication. In our study mean general satisfaction, technical quality, interpersonal manner, communication, financial aspects, time spent with the doctor, and accessibility and convenience were 3.11±0.34, 3.42±0.37, 3.42±0.43, 3.45±0.39, 3.31±0.42, 2.80±0.58 and 3.46±0.59 respectively. We found 52.6% of healthcare customers were satisfied with general aspects of service, 81.5% satisfied with technical quality, 80.50% satisfied with interpersonal manner, 82.5% satisfied with the communication, 66.3% satisfied with financial aspects, 20.4% satisfied with time spent with doctors and 75.7% satisfied with accessibility and convenience.
Conclusion: General satisfaction with services was found to be at the lowest level, while the highest satisfaction level was with the “time spent with the doctor”. Healthcare institutes need to be more attentive to the service encounter time spent with doctors and on general issues for healthcare customers visiting the ED