Asia-Pacific Journal of Health Management (ACHSM)
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Integration of Knowledge, Attitude, And Preparedness of Health Workers in Facing Flood Disaster
No full textThe quality of health services in flood disaster conditions still needs to get better attention because health workers carry out actions in this condition that are not yet effective. It was closely related to the quality of preparedness of these health workers. The quality can reflect whether there was an integration of health workers' knowledge, attitude, and preparedness in dealing with flood disasters. The study used a mixed method consisting of a quantitative design with a correlation test and a qualitative design with interviews. The study with a quantitative design used a total population of 22 health workers, and a qualitative design uses 8 participants who are representatives of each profession. Analysis used univariate analysis and bivariate analysis with Fisher’s exact test. Knowledge and preparedness of health workers to face flood disasters were still not good and not ready when compared to attitudes. Knowledge relates to preparing the health workers to face flood disasters with p 0,009, and a study with a qualitative design using 8 participants who are representatives of each profession. Health workers dealing with flood disasters have not fully integrated knowledge, attitudes, and preparedness. We need to improve aspects of behavior that are still not optimal
Relationship Between Workplace Incivility, Employee Performance And Employee Engagement In Healthcare Institutions: - Global Conference on Emerging Technologies, Business, Sustainable Innovative Business Practices, And Social Well-Being
No full textWorkplace incivility is a well-known problem that affects every firm and its environment. Employee engagement may result in physical and mental suffering, impacting how well people perform. The study aims to ascertain the relationship between employee engagement, employee performance, and workplace incivility. For this, scales of the investigated variables were used to build a well-structured questionnaire. The survey questionnaire was sent out to workers and employees of Health Care Institutions. There were 212 valid responses in total. SEM, or structural equation modelling, was utilized to establish relationships. The study's findings rejected hypotheses H1 and H2 showing workplace incivility (WPI) has a detrimental effect on employee engagement (EENG) at ( β= - 0.34, P >.05) and employee performance (EP) at (β = -0.27, P >.05). While adopting the hypothesis H3, employee engagement had a favourable impact on the performance of employees at (β = 0.36 P 0.05)
Gap Analysis of Providing Primary Health Care in Comprehensive Rural Health Centers of Iran
No full textBackground: The lack of primary health care (PHC) assessment will lead to the lack of knowledge of the final client's needs and to deviation from the mission of the health system. This study was conducted to compare the understanding and experience of PHC providers and recipients regarding the principles of PHC in Iran.
Methods: This cross-sectional descriptive-analytical study was conducted on Comprehensive Rural Health Centers (CRHCs) in 2022. The research population consisted of health service providers and recipients in rural areas. A Primary Care Assessment Tool (PCAT) was used. 410 child/ adolescent and 402 adult PCAT were completed by stratified cluster sampling method and 413 service providers were randomly selected. This questionnaire had 6 core domains and 3 ancillary domains. After collection and entering the Excel; data were analyzed by inferential statistics tests including Independent T-test and one-way ANOVA, by SPSS26 and STATA16 at the significant level of P>0.05.
Results: Except for the Cultural Competence and Services Available domains, in the rest of the domains, there was not the same understanding between the service provider and recipient regarding PHC services. Also. child/adolescent PHC recipients had the same understanding as adult PHC recipients in the domains of Cultural Competence, Family Centeredness, Information System, Ongoing Care, and Access. But a significant difference was between the two groups in other domains, Primary Care Score, and Primary Care Expanded scores (P >0.05).
Conclusions: For the common understanding between all three compared groups, cultural competence was the strongest component, and coordination-referral system, services provided, and community orientation were the weakest components. To fill this gap, increasing the health literacy of service recipients, real needs assessment, and providing services based on the needs of the community, reforming the processes of the referral system, and the commitment of the government to implement the processes seem necessary
Improving The Quality and Sustainability of Home-Based Acute Care Models Using Virtual Care Technology
No full textImportance COVID-19 has facilitated the rise of a new service model that combines HITH service provision with technology to create ‘virtual hospitals’, but evidence on the impact of this new model in terms of cost and clinical outcomes, compared to usual Hospital in the Home (HITH) care, is currently lacking.
Objective To assess the clinical and financial impacts of virtual care technology on Hospital in the Home models of care.
Design Quasi-experimental study comparing outcomes of a control group receiving ‘usual’ home-based acute care and a virtual care cohort using remote monitoring technology while also receiving usual Hospital in the Home (HITH) care.
Main Outcomes and Measures Readmissions within 28 days, unplanned emergency department (ED) presentations, transfers-in to facility-based hospital beds, and average length of stay.
Results During the study period, 151 adult and 26 paediatric patients utilised virtual care technology for the majority, or all, of their home-based acute care. Use of such technology was associated with a statistically significant reduction in risk of hospital readmission within 28 days—from 43% to 21%. The risk of hospital readmission within 28 days for the same diagnosis-related group (DRG) dropped from 18% to 4%, and the length of stay for the top three DRGs by volume decreased from a mean of 7.2 days to 4.0 days, saving an average of $3,698 per admission. Use of technology was also associated with reduced rates of unplanned ED presentations and transfers-in to traditional hospital beds compared to usual care for adults.
Conclusions Our findings confirm there are clinical and economic benefits associated with embedding virtual care technology in Hospital in the Home (HITH) service models that warrant consideration in health systems facing capacity constraints and rising costs
Leading for Sustainable Health Systems
No full textA sustainable health system is a cornerstone of any developing society, ensuring the well-being of its citizens and fostering economic development and growth. Emerging healthcare sustainability involves multifaceted aspects of what constitutes a sustainable health system, addressing key components such as accessibility, affordability, quality of care, preventive measures, and the role of technology.
Leaders play are pivotal in healthcare sustainability, yet their impact can be diluted. While some leaders champion innovative practices and resource optimisation, there is need to address systemic issues. Authentic and effective governance, adequate financial stewardship, and strategic foresight affects sustainable healthcare models. Leaders need to beyond significant short-term gains, emphasising long-term ecological and economic viability. Collaboration, transparency, and a commitment to evidence-based policies are essential. Without visionary leadership, healthcare sustainability remains elusive and fragmented, perpetuating challenges that compromise the well-being of both the system and its beneficiaries. We have the systems that we have built and we will get the systems that we build....
Patient’s Satisfaction in Utilizing Public Health Center Services during the COVID-19 Pandemic Based on Gender, Age, Education Level, and Occupation
No full textA public health center is at the forefront of breaking the COVID-19 chain. Limiting the number of patients accessing care during the pandemic is thought to affect patient satisfaction with the quality of service at the public health center during the COVID-19 pandemic. This study aims to know the level of satisfaction of patients visiting a health center based on gender, age, education level, and profession criteria during the COVID-19 pandemic in Sumbersari District, Indonesia.
This study used an analytical observational study method for visitors of the Sumbersari Public Health Center in February-March 2021. The population was 126,279 people visiting Sumbersari Public Health Center, meaning a purposive sampling requires 100 people to participate. The research variables were gender, age, education level, occupation, and the patient's satisfaction. The measuring instrument used was a questionnaire. The data were analyzed descriptively using logistic regression test.
There is no effect of gender and age on patient satisfaction (p> 0.05). There is an effect of the level of education on patient satisfaction (p <0.05) with OR = 3.32. There is an effect of work on patient satisfaction (p <0.05) with OR = 0.054, meaning that respondents who work, the chance to feel dissatisfied is 18.5 times greater than respondents who do not work
The Relationship Between the Quality of Health Services and Tuberculosis Patients' Satisfaction at The Palu City Health Center
No full textIntroduction: Tuberculosis is an infectious disease that is still a global concern, and most sufferers are of productive age. Factors for treatment failure are usually related to treatment supervision and the quality of health services. This study aimed to analyze the relationship between the quality of health services and the level of satisfaction of tuberculosis patients at the Palu City Health Center.
Methods: This research is quantitative research with cross sectional study conducted on 116 respondents. The instrument used in this research is a questionnaire. The analysis in this study used the Chi-Square and Multiple logistic regression.
Results: The results of the analysis showed that availability (p<0.001), respect and caring (p<0.001), safety (p<0.001), timeliness (p<0.001) and tangible (p<0.001) were associated with tuberculosis patient satisfaction. The multivariate analysis found that timeliness (p=0.002; OR=17.692) was the most dominant factor in influencing patient satisfaction.
Conclusions: Availability, respect and caring, safety, timeliness, and tangibles are related to the satisfaction of tuberculosis patients. Timeliness service is the most dominant factor influencing the satisfaction of tuberculosis. Palu City Health Center are expected to continue to make efforts to improve health services by health workers in the TB program to increase comfort and improve patient health
Evaluating an Automated Temperature-Monitoring System in Medicine and Vaccine Storage Facilities of a Hospital Network
No full textObjective: The aims of this study were to evaluate the effectiveness of a new automated continuous temperature monitoring system in detecting temperature excursions and describe the challenges of implementing such a system.
Design: This study is an observational before-and-after audit comparing temperature excursions detected in the three months before and three months after the implementation of the new monitoring system at Eastern Health. Inclusion criteria consisted of all medicine and vaccine storage facilities monitored by the new automated temperature monitoring system. Four sites not connected to the new monitoring system were excluded.
Setting: Eastern Health is a large tertiary metropolitan health service in Melbourne, Australia. It operates from 21 locations including seven teaching hospitals, with medicines and vaccines stored in 124 refrigerators, 6 freezers and 101 ambient room temperature storage locations.
Main outcome measures: An analysis of post-implementation data identified a potential association between refrigerator brands and temperature excursion rate.
Results: There was a large increase in the number of temperature excursions detected post-implementation of the new automated monitoring system. 28746, 24 and 8966 temperature excursions were detected post-implementation compared to 344, 0 and 0 pre-implementation in refrigerators, freezers and ambient locations, respectively. The majority of temperature excursions detected in medicine and vaccine fridges were below +2°C (98.4%). One brand of refrigerators was linked to 27231 (94.7%) excursions (p<0.001).
Conclusions: The new temperature monitoring system detects higher number of excursions which provides better visibility of performance, identifies areas of non-compliance, and guides and evaluates solutions. This study recommends that freezers and ambient storage locations are monitored as robustly as refrigerators, temperature monitoring devices are placed in close proximity to pharmaceuticals, and that healthcare organisations avoid purchasing unreliable medicine and vaccine refrigerators. Finally, this study suggests the development of a National Medicine Storage Guideline
Repurposing of Polio Vaccine in Prevention of COVID-19: Thinking towards more options
No full textCOVID-19 has created an unprecedented crisis worldwide in every sector. There currently is no approved drug available against this disease. The development of a vaccine is also a complex and long process that is often completed in 10-15 years. Recently, several vaccines for COVID-19 have received emergency approval for use but few experts deem that currently approved COVID-19 vaccines might provide a temporary boost to the immune system but they are dubious for their long-term effect and safety. This article sheds light on polio vaccine as a possibility on COVID-19 prophylaxis because this vaccine was developed through a rigorous process of the various phases of development. The polio vaccine could provide another option to combat COVID-19 and if we have more options, we can fight more effectively against the pandemic. The polio vaccine is utilized globally with a highly satisfactory retort and very good immune responses. By seeing a satisfactory cross-protective immune response, the polio vaccination could be repurposed and offered against COVID-19 for an effective immuno-prophylaxis and protection. This article focusses on the repurposing of vaccines/drugs for COVID-19 and discusses the scientific rationale behind the suggestive use of the polio vaccine against COVID-19 because the polio vaccine is FDA-approved less expensive, readily available, easy to administer, and highly safe
Adaptation, Change and Leadership
No full textThe second issue of the journal this year presents publications related to leading and managing within the health sector environment as well as a selection of papers based on presentations made at the recent International Conference on Embracing Change and Transformation.
In mobilising and enabling learning, growth and development in health organisations, the important linkages of adaptation, change to the leadership continuum provides both challenges and opportunities...