Asia-Pacific Journal of Health Management (ACHSM)
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Health Equity Enabled Through Leadership
No full textThe first issue of the journal for 2023 provides original research and review works across a range of issues and topics relevant to leaders and managers in the health, aged and social care sectors. The relationship between resources, capabilities, value and their relevance to healthcare and its enablement has been demonstrated in enabling organisation and system performance and contribution. Clinical care and associated access for those living and working in rural and remote settings continues as an important factor in relation to quality and access to care in Australia. These can have different geographic impact. Any health system needs to continually consider the growth and development of the coming generation of leaders and managers and therefore critical to that responsibility our issues about leading and leadership development. Our health systems need an appropriate and proportionate balance between issues and elements of service and learning support for those providing care.....
Relationship Between Perceived Stress and Quality of Life of Nurses Working in COVID-19 Wards
No full textBackground: Stressors during the COVID-19 pandemic, led to lack of concentration and lack of energy to achieve career goals, fatigue, poor performance, burnout and reduced quality of life of people, especially nurses.
Methods: This descriptive-analytical study was done with the aim of determining the relationship between perceived stress and quality of life of nurses working in the care wards of patients with COVID-19 in hospitals affiliated to Mazandaran University of Medical Sciences (Mazandaran, Iran) during 2020-2021. Inclusion criteria included willingness to participate in the study, having at least a bachelor's degree in nursing and working in the care wards of patients COVID-19. Data collection tools included demographic information questionnaire, Cohen Perceived Stress Questionnaire and WHO Quality of Life Questionnaire. Frequency, percentage, Mean and standard deviation indices were used to describe the variables. Also, Mann-Whitney, Kruskal-Wallis and Spearman correlation coefficients were used to ass the relationship between variables.
Results: The Mean (SD) age of participants was 33.48 (6.64) years. Most were female (%73.3). The total scores of quality of life and perceived stress variables of nurses were 47.63±24.31 and 27.62±4.61, respectively. Nurses' scores of quality of life domains included Physical Health, Psychological, Social Relationships and environmental domain were 46.52±12.69, 46.57±12.70, 46.39±19.45 and 50.52±10.52, respectively. Nurses' quality of life had a direct significant relationship with the variables of sleep quality and job satisfaction (P<0.001). Perceived stress score also had a significant inverse relationship with physical and social dimensions and total quality of life score (P<0.001).
Conclusions: Based on the results of this study and the negative effects of nurses' perceived stress on their quality of life, it is necessary to pay serious attention to nurses' concerns. It is recommended to Be considered appropriate interventions to reduce perceived stress and improve the quality of life in nurses who care for patients with Covid-19
Prioritizing the Precursors of Patients’ Experience in Indian Corporate Hospitals: Application of hybrid RIDIT-GRA approach
No full textObjective: This study aims to identify, understand, and prioritize the influence of distinct patient experience (PX) antecedents that have substantial evidence in shaping the patients’ preferences and experiences in Indian corporate hospitals. The study is expected to assist healthcare managers in the personalization and alignment of clinical services with consumer expectations and demands.
Design/ Methodology: A cross-sectional study was conducted across eight corporate hospitals to collect 220 patient data samples. A recent measurement model, titled ‘Patient Experience Questionnaire’, was adopted to harness pre-validated PX factors and related items. Further, two independent prioritization techniques, Relative to an Identified distribution (RIDIT) analysis and Grey Relational Analysis (GRA), were executed to render item precedence of the precursors of PX.
Results: Through RIDIT, items belonging to factors 'doctor services' and 'nursing services' secured favorable performance ratings, whereas items under 'information' and 'next-of-kin' obtained comparatively less favorable responses. There was evidence of minimal deviations when the results were verified through GRA, but the ranks obtained in both the independent techniques (RIDIT & GRA) revealed a robust correlation of 99.5%. Moreover, the applicability of two independent prioritization techniques enhances the rigor and reliability of findings.
Conclusions: Although the respondents were mostly satisfied with their care providers, an effective provider-patient communication was not evident in the care system. Patients seemed to be overly dependent on their physicians and showed limited intention to participate in a collaborative process. Lack of patient-centric culture, deficit infrastructure, excessive workload on healthcare providers, and restricted translation of patient-centric concepts into practice deterred organizations from fully benefiting from patients' involvement in clinical facets
Knowledge, Attitude, And Practice Among Healthcare Professionals Regarding the Myths On COVID-19 Vaccination: A cross-sectional questionnaire study and demystification: Myths on COVID-19 Vaccine Among Healthcare Professionals
No full textBackground: COVID-19 vaccine is the mighty weapon opted by all the countries across the globe in an attempt to eradicate the fatal COVID-19 pandemic. The myths on the COVID-19 vaccine are spreading widely, causing a hindrance to this noble preventive measure. The prevalence of such myths among healthcare professionals may be toxic and deadly.
Aim & Objectives: To assess the knowledge, attitude, and practice of the healthcare professionals regarding the myths on COVID-19 vaccination and to demystify them.Materials and Methods: An 18-item questionnaire evaluating knowledge, attitude, and practice based on the existing myths on COVID-19 vaccination was circulated through Google Forms® among the 412 healthcare professionals of six disciplines belonging to a private University. The responses obtained were subjected to statistical analysis using SPSS® 20 software package.
Results: A total of 385 health professionals participated in this study. The majority of them had medium knowledge (165) and positive attitude (273) with the mean knowledge and attitude scores of 3.82 ± 1.55 out of 6 and 4.3 ± 1.58 out of 7 respectively. Even though 312 participants got vaccinated, 72 of them failed to receive it. The knowledge scores showed a high statistically significant difference among the participants of different designations (p=0.001), but not with gender, field, and staff with different years of experience (p>0.05). The attitude scores were statistically different among participants of fields and designation (p<0.05) but not among genders (p=0.31) and staff with different years of experience (p=0.87). Knowledge and attitude scores showed a positive linear correlation and a high statistically significant difference (p<0.001).
Conclusion: This study recommends more enhanced education programs on COVID-19 vaccination for the health professionals and demands an improved knowledge, attitude, and practice among them to achieve the goal of 100% vaccination so as to completely eradicate the COVID-19 pandemic
Assessment of Healthcare Service Provision to Pediatric Patients With Chronic Diseases During the COVID-19 Lockdown
No full textBackground: The Coronavirus disease 2019(COVID-19) pandemic’s impact on essential health services is of great concern. The most important step in managing any patient with chronic disease is compliance with follow-up visits.
Aim: This study aims to assess healthcare services during the period of the COVID-19 pandemic lockdown regarding chronic patient visits and care, as well as to assess patient satisfaction with the provision of healthcare services during the lockdown period.
Methods: a cross-sectional study was performed at Cairo University Specialized Children Hospital, Egypt, through an interview questionnaire with the caregivers of chronic patients about the health care services throughout the COVID-19 pandemic from December 2020 to July 2021.
Results: More than 60% were satisfied with the healthcare service provision during the COVID-19 pandemic lockdown. Satisfaction toward medical sub-specialties was significantly higher than that of surgical ones. Patients who attended for follow-up markedly decreased during the lockdown.
Conclusion: During the COVID-19 pandemic, healthcare service provision was negatively affected. Follow-up of chronic patients and continued medical care were challenging points
Health Insurance & Humanoid ROBOT-Agents: A case study
No full textThe Sustainable Development Goal (SDG) Target 3.8 has emphasized the persistence of health risks as a major challenge for emerging and developing countries. This challenge necessitates the achievement of Universal Health Coverage (UHC) by enhancing the infrastructure of the public sector. However, relying solely on public sector healthcare may not be sufficient to meet the needs of large populations, particularly in underdeveloped regions. Consequently, private sector healthcare solutions have emerged to fill service gaps, but they remain unaffordable for many low-income individuals. To the end, Health insurance can play a crucial role in making these services more accessible and affordable, but it faces several challenges including poor accessibility, low awareness, lack of skilled workforce, and corruption.
The integration of Artificial Intelligence (AI) and Machine Learning (ML) technologies can offer solutions to these challenges. However, the adoption of technology in the insurance domain poses behavioral challenges that must be identified and addressed. This is particularly important in developing and emerging countries where markets are still underdeveloped, and information asymmetries are high. This study examines some of these challenges by studying people’s attitude towards humanoid agents. For this study a case study approach has ben used. Overall, addressing the challenges of health insurance and incorporating advanced technologies can provide a vital safety net against health risks to people
CRM Capability and Service Innovation in Healthcare: Evidence from India
No full textThis study aims to investigate the constituents of customer relationship management (CRM) capability that allows to exhibit customer service flexibility (CSF) and affects innovation in healthcare. In doing so, it qualitatively develops and identify the dimensions of CRM capability through a case study in a public healthcare setting in India and provides a framework of CRM, CSF, and service innovation. The findings of the study suggest that CSF is a mediating mechanism between CRM capability and service innovation which is long ignored in the healthcare literature. The study contributes to theory and practice-oriented knowledge on how the CRM capabilities can improve the public healthcare and facilitates key strategies for flexible deliveries and innovative services
The Competencies Needed by Health Sector Information Quality Advocates
No full textObjectives: 1) To introduce to expert colleagues the concept of health sector information quality advocates. 2) To obtain these colleagues opinions on worth of the advocate role and the competencies needed by an advocate. 3) To identify existing courses that matched the needs of the advocacy role.
Design: 1) A workshop and pre-workshop survey of participants. 2) An online search of courses targeting a health workforce audience based on key words from the competencies identified by the workshop participants.
Setting: The workshop was conducted at the 35th Patient Classification Systems International (PCSI) Conference in Iceland in September 2022. The pre-conference online survey used SurveyMonkey. The online course search used Google Chrome and Google Scholar and the English language.
Main outcome measures: 1) Agreement of expert colleagues on the need for an Information quality advocate role. 2) Consensus by the expert colleagues on the important competencies. 3) The identified courses described in terms of mode of course delivery, course cost and duration, the delivering institute and key competencies covered. Each course was assessed and scored on a scale from 0 to 10 based on comprehensiveness and effectiveness.
Results: The top five competencies for the information quality advocate in order of importance were data governance principles, quality management, stakeholder engagement, information and system governance, and information culture. The online search results identified many courses for specific technical roles, but most did not have the focus on data validity, reliability and information usefulness that matched the needs of the advocacy role.
Conclusions: Focused training is needed to support appropriately skilled information quality advocates for the health sector. The presence of information quality advocates at the point of data collection facilitates the pathway to best practice in data collection
Welcome To The New Issue Of The College’s Asia Pacific Journal Of Health Management For 2023
No full textWelcome to the new issue of the College’s Asia Pacific Journal Of Health Management for 2023. I trust the year is treating you well and you are continuing on your way to achieving professional and personal goals set at the beginning of the year.
At this time of year the College is particularly busy preparing for our annual Asia Pacific Health Leadership Congress which this year is being held at the National Convention Centre, Canberra, 11-13 October 2023. The Congress seats are filling up fast and we have a wonderful program in place with themes of Sustainability and Workforce.
Our team aims to drastically reduce our own wastage for this event – e.g. there will be no satchel this year with all individual information including our sponsor promotions on our Congress app, recyclable plastic badges and a giveaway drink bottle made from sugarcane for each attendee with several water stations for re-filling. It is not too late to register for this Congress! https://www.achsm.org.au/canberra2023
Our 2024-2027 ACHSM Strategic Plan will be launched at the Congress. This plan has been several months coming to fruition and incorporates an aim to be a stronger system voice for our members and all health managers and leaders.
We are committed to supporting great health leadership across the health system and the profession of health management. It is the unique body of knowledge that we foster and develop through such vehicles as this Journal.
Thank you for spending time catching up with the latest research in health leadership and management through the articles you will find here in this Journal. Your commitment to lifelong learning is the cornerstone of our great profession
Cultural And Social Barrier in Community Physiotherapy Practice: Ethics in the Indian context
No full textBackground: Ethics becomes inevitable in the physiotherapy profession as it is concerned with professionalism and patient outcomes by avoiding patient-therapist conflicts and helps avoiding medical negligence.
Objctive: This study aims to explore the impedance faced by the community physiotherapist in implementing the code of ethics.
Methodology: A structured interview-based questionnaire was framed to assess the perception of ethics, role of ethics and the barriers faced in implementing ethical guidelines by community physiotherapist during their practice.
Results: Ethics is important as it dignifies the profession and gains the confidences of the patient and helps in developing a good rapport with the patient. The most important barriers faced by the physiotherapist in abiding by the code of ethics were the unawareness among the patient and their cultural belief alongside with lack of inter-sectorial harmony.
Conclusion: This study concludes that educating the patients and creating an inter-sectoral harmony will be most effective in breaking the barriers in ethical implementation in practice