Asia-Pacific Journal of Health Management (ACHSM)
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Coronavirus-Related Health Literacy: A cross-sectional study during the COVID-19 infodemic in a developing country
No full textHealth literacy is the ability to obtain, read, understand, and use healthcare information to make appropriate health decisions and follow instructions for treatment. With the onset of Covid-19 disease, the public needs to have access to new and accurate information. The present study investigated the Coronavirus-related health literacy in Covid-19 patients referred to a teaching hospital in a developing country and its relationship with demographic variables.
Method: This survey research is a descriptive-analytical type. The research instrument includes LS-COVID-Q22). Patients with Covid-19 were referred to the hospital from December 5, 2020 to July 5, 2021.The samples were selected using a sample size determination formula of 190 people. Statistical analysis was performed with SPSS software version 26.
Results: The overall average score of health literacy related to coronavirus in patients with Covid-19 at Imam Reza teaching hospital in is 84.31 which is the desired level. Among the dimensions of health literacy, the highest score belonged to “Understanding health information” and the lowest score belonged to “Evaluate health information”. “Age” as a demographic factor, is the only factor that has been associated with health literacy related to the coronavirus.
Conclusion: Although the level of Coronavirus-related health literacy is favorable in this study, the participants in this study were mostly patients who were able to answer the research questions, were not hospitalized, had a sufficient level of literacy to understand the questionnaire questions, and most of them were medical staff who were familiar with the components of health literacy. However, considering that health literacy training related to coronavirus has an effective role in disease prevention and control, therefore, creating and promoting the necessary platform for teaching the components of health literacy , especially for elders is recommended by trustees and policymakers. Lack of proper evaluation of information sources leads to improper health practice
The Relationship of Social Capital With Job Satisfaction And The Quality of Nursing Care In Critical Care Nurses
No full textIntroduction and Objective: Social capital is an important factor influencing job satisfaction and the quality of nursing care provided by nurses. This study aimed to examine the relationship between social capital, job satisfaction, and quality of nursing care among critical care nurses working in critical care wards (CCWs).
Methods: A descriptive-analytical study was carried out in 2018, on nurses working in the critical care wards (CCWs) of Mazandarn University hospitals located in Sari, Iran. The study included 195 participants who completed a demographic questionnaire, Nahapiet and Ghoshal's Social Capital Questionnaire, Spector's Job Satisfaction Survey, and the Quality Patient Care Scale. The collected data were analyzed using both descriptive (Percentages, means, and standard deviations) and analytical statistics (Analysis of variance, Pearson's correlation coefficient and Univariate regression analysis).
Results: The study's findings demonstrated a significant and positive correlation between social capital and both job satisfaction (p=0.001) and the quality of nursing care (p=0.001). Social capital was identified as an independent variable that accounts for 20% of the changes in job satisfaction and 41% of the changes in the quality of nursing care.
Conclusion: This study highlights the importance of social capital in promoting job satisfaction and improving the quality of nursing care among CCW nurses. The findings demonstrate that social capital is a key factor that can significantly impact the quality of care provided to patients. Therefore, nursing managers must recognize the value of social capital and take active steps to promote it within their organizations
Communication Factors, Dispositions, Resources, And Bureaucratic Structure Have An Effect On The Implementation Of Close Contact Tracing Of COVID-19 In Banjar Regency, With Policy As A Moderating Variable
No full textBackground: various regions of Indonesia have unfulfilled close contact tracing for COVID-19 as prevention and control, including Banjar Regency which is part of the contributors to the low goal. The four factors influenced are communication, disposition, resource, and bureaucratic structure of tracer as implementing actors of close contact tracing, but other factors can strengthen or weaken policy implementation. This study aims to analyse the factors.
Methods: Quantitative study used a cross-sectional approach with the moderator variable is the policy context. The independent variables are communication, disposition, resource, and bureaucratic structure. The dependent variable is the implementation of close contact tracing of COVID-19. The instrument is a questionnaire with a sample of 119 respondents that were taken with Proportional random sampling. Data analysis used SPSS 26 application with moderated regression analysis (MRA).
Results: The four factors together communication, disposition, resource, and bureaucratic structure affected the implementation of close contact tracing of COVID-19 by 51.8% and the other variables were not observed in this study. The effect increased to 55.7% after introducing the policy context variable. In the partial variable test, there is no effect on the resource, but after the interaction of the moderator variable in the policy context, there is a significant p-value of 0.036 on the resource variable.
Conclusions: Communication, disposition, resource, and bureaucratic structure simultaneously on tracers in the implementation of close contact tracing of COVID-19 in Banjar Regency increased with a policy context variable as a moderator variable. The policy context variable can increase the effect of the resource factor as a pure moderator
Relationship Between the Trust in A Health Care System and Adherence to COVID-19 Preventive Behaviors Among The General Population in 2021
No full textIntroduction: Identifying the factors affecting the adoption of COVID-19 preventive behaviors can be helpful in designing various interventions related to the promotion of this index. Therefore, the aim of this study was to investigate the relationship between trust in a healthcare system and adherence to COVID-19 preventive behaviors among the general population.
Methods: This cross-sectional study was conducted during September 2021 and simultaneously with the fifth wave of COVID-19 in Urmia, Iran. The study's statistical population was for all people older than 18 years living in Urmia who had access to cyberspace. In this study, 504 samples were included using the snowball and convenience sampling method. Data were collected using an electronic questionnaire that consisted of three sections: demographic information, Whole Health System Trust Scale, and a researcher-made questionnaire to measure COVID-19 preventive behaviors. Data were collected through WhatsApp and analyzed using SPSS 16.
Results: The quality of care (β = 0.178, p = 0.003), patient focus of providers (β = 0.140, p = 0.010), policies at the macro level will be without consequences for the patient (β = -0.112, p = 0.027), and the quality of cooperation between health care services providers (β = 0.106, p = 0.026), were significant predictors of COVID-19 preventive behaviors.
Conclusion: In order to promote adherence to COVID-19 preventive behaviors among the general public, it is suggested to improve the quality of care provided for the prevention and control of COVID-19; provide customer-centered cares relating to prevention and control of COVID-19; attract public trust to the macro level policies relating to prevention and control of COVID-19; and create cooperation and coordination among services providers working in the field of prevention and control of COVID-19
The Ratio and Predictor Factors of Inappropriate and Unnecessary Use of Emergency Department Services
No full textIntroduction: Provision of unnecessary medical services is one of the problems that have driven up health care budgets. The condition of Emergency department and sometimes patients 'unreasonable expectations may lead to ED staff burnout and increase the provision of unnecessary services.
Methods: In this study, the Hospital Urgencies Appropriateness Protocol (HUAP) was used to assess the appropriateness of services provided in the ED. The sample size of this study consisted of 445 patients who were selected among the patients admitted in Rasoul Akram and Firouzgar hospitals by stratified sampling. Chi-square and logistic regression tests were used to analyze the data.
Results: The rate of inappropriate admission in the ED of the studied hospitals was measured at about 13%. Patients admitted to the Firouzgar ED showed a higher probability to inappropriate admission. Among considered factors, gender and Interval between the onset of symptoms and ED admission are affecting factor in inappropriate admission.
Conclusion: The rate of in appropriate admission is somehow high in this study. Gender and Interval between the onset of symptoms and ED admission can be considered as predictors of the provision of unnecessary services. So it is significant to provide operational and evidence-based solutions regarding the issues related to the provision of unnecessary services in the ED
Graduate Employment Outcomes of Health Service Management Work Integrated Learning Placements
No full textIntroduction: Australian universities are increasingly focused on graduate employability outcomes. Industry and government are also seeking job-ready graduates. Employment outcomes for degree programs are measured by national surveys. Understanding employment outcomes for health service management university programs however are not able to be determined by these surveys as the data are not sufficiently granular. Universities embed a range of employability activities into their degrees to promote and support job-ready graduates such as work-integrated learning placements.
Study design: This study employed a novel approach to measuring employability outcomes for graduates who had completed a health service management work integrated learning placement.
Findings and research outcomes: Our study shows that graduates of a health service management program who complete a work-integrated learning placement have good employability outcomes and are gaining employment in roles related to their degree. Further research is needed to understand the impact of the placement and other embedded approaches in health service management degree programs to determine the role of each of the possible contributing factor
An Analysis of the Cost Benefits of Establishing a Regional Maintenance Center for Health Services
No full textObjective : The limitations of the Health Office in managing medical equipment management programs are compared to hospitals, as are the efficiency of the resources needed by the Regional Maintenance Center in assisting the Health Office to carry out the program. So an analysis is needed to see what the resulting costs and benefits are.
Method: The research is accompanied by observations and observations of documents related to medical device maintenance and calibration analysis using cost-benefit analysis. The study was carried out in 2021 at the Pasuruan District Health Office in East Java Province, Indonesia.
Results : After doing research, it was found that in the financial aspect, when viewed from the NPV, the IRR value is found to be 2.34%, the BCR is greater than one, which is 6.95%, and the PI is 8.5. The health facility maintenance unit is feasible to establish and develop in terms of both financial and effectiveness.
Conclusion : Various regulations were issued by the Ministry of Health to manage the management of health equipment. The Regional Maintenance Center is believed to be able to run well if all parties support it, starting with regional leaders, then support from human resources, financial resources, officer competence, infrastructure, and management information systems. so that health services can be available in both quantity and quality
Quality of Work Life And Medical Teachers’ Commitment: A moderated mediation analysis of fear of COVID-19 and job satisfaction
No full textThis study is principally the first to test a moderated mediation model of COVID-19 fear and job satisfaction in the Quality of Work Life (QWL)-commitment relationship of medical teachers during the pandemic. The conceptual model draws its theoretical tenet from spillover and conservation of resources theories.
Cluster sampling was incorporated from four metropolitan cities in India. A mixed-method research design was administered to 378 medical teachers amidst the pandemic. The partial least squares structural equation modeling (PLS-SEM) results indicate a significant positive association between the constructs. Path analyses have highlighted positive associations between QWL, job satisfaction, and affective commitment to medical institutions. Further, a partial mediation effect of job satisfaction in the QWL-commitment relationship is highlighted, adding a new dimension to past studies. Intriguingly, each of the positive associations between QWL, job satisfaction, and commitment was negated and significantly moderated by the fear of COVID-19 experienced by the medical teaching fraternity.
The findings offer practical implications to the stakeholders (Ministry of Health and Family Welfare, Department of Higher Education, Government of India, and State Governments) in enriching the QWL, job satisfaction, and medical teachers’ commitment induced by psychological stress, anxiety, role conflict, post-traumatic stress disorder, and fear of COVID-19 in the global pandemic
The Unspotted Impact of Global Inflation and Economic Crisis on The Nigerian Healthcare System
No full textInflation, the rise in prices of goods and services, has been on an exponential rise over the past few years globally. The excess inflation and the devaluation of the Nigerian currency has aggravated the problem of poor healthcare funding in the country. The overlooked influences that global inflation has had on the Nigerian healthcare system were highlighted in this work. Some of the influences included increased healthcare costs leading to demand-related problems, increased morbidity, reduced quality of healthcare delivery despite the increased cost, understaffing, the inefficiency of healthcare workers, medical brain drain as well as dwindling of research activities. In line with these consequences, it has become imperative for the government to take action to curb the growing menace of inflation and its impacts, through policy development and implementation as well as increasing resource allocation to the health sector
Achieving Professional and Personal Goals At the Beginning of the Year 2023
No full textWelcome to the first issue of the College’s Asia Pacific Journal of Health Management for 2023. I trust the year is treating you well and you are well on your way to achieving professional and personal goals set at the beginning of the year.
The College is moving forward with a successful year, too. In March we held a hugely successful Health Leadership Conference in Melbourne with well over 200 attendees. The focus on the common issues of leadership, workforce concerns and health system sustainability as well as aged care leadership and management was appreciated by all who participated. These issues of Workforce and Sustainability will be explored in more detail at the ACHSM Asia-Pacific Health Leadership Congress to be held in Canberra, 11-13 October, 2023. Please put a hold on those dates in your diary and register for this Congress....