Asia-Pacific Journal of Health Management (ACHSM)
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Accessing Electronic Health Records of the Unconscious Patient
No full textElectronic Health Records are a digital version of paper-based records. Studying previous treatment, care and medications is important for making diagnosis for the current situation. The aim of this paper relates to the use of EHR as a means of communication between patient and health care provider with a focus on how EHRs communicates health information for unconscious patient to physicians. As accessing records requires credentials of patient and if the patient is not in a condition to enter his credentials, this leads to the scope of dynamic access control. Dynamic access control is provided by dividing EHRs into different levels. The basis for these levels is physician’s specialization and patient’s health status. This framework is implemented with the help of a WAMP server using PHP and MySQL
Integrating Telepsychiatry Based Care in Rural Acute Community Mental Health Services? A systematic literature review
No full textBACKGROUND: There is limited local literature specific to emergency department assessment and subsequent telepsychiatry follow up in the community and most literature on telepsychiatry does not cover the case of urgent assessment and crisis follow up in the community.
AIM: This literature review explores the use of videoconferencing technology to overcome the burden of distance and access to tertiary mental health services in regional and remote areas of Australia.
METHODS: A systematic search in Medline, CINAHL, Psychiatry Online, Google Scholar, and the NSW Health Clinical Info Access Program (CIAP) was conducted. A combination of key terms: “Telepsychiatry” OR “Mental Health Telemedicine” OR “Telemedicine” OR “Telehealth” OR “Videoconferencing” OR “Mental Health Videoconferencing” OR “Telepsychiatry Ethics” AND “Acute Community” AND “Emergency Assessment” were used. Based on the screening and eligibility criteria, 21 peer-reviewed articles published in English between 2005 and 2020 were included in the review.
RESULTS: Key themes were found which support the use of remote telepsychiatry. Common in the literature were themes of equivalence to in-person review, as well as themes of convenience, overcoming remoteness and timely access to specialist assessment. Ethical and technical considerations was also commonly cited. The literature search found no direct examples of an acute psychiatric assessment in the emergency department with a subsequent follow-up in the community using videoconferencing technology.
CONCLUSION: Telepsychiatry in both the home and emergency department areas had merit and equivalence to face to face review, with the added benefit of wider access and timeliness to specialist assessment and treatment
The Ethical Concerns of A Pandemic: A critical analysis and opinions of the Indian situation in COVID era
No full textCOVID-19 brought havoc in the world with its high infectivity and virulence. Many countries were caught unprepared in public health capacity and socio-economic parameters. In this trying time, public health ethics remain an unanswered question on many fronts of treatment and control of novel coronavirus. The objective of the paper is to analyse the significant ethical challenges faced during the COVID-19 pandemic. The pre-defined thematic areas based on critical issues are identified to understand the ethical concerns of prevention and control of COVID-19. Secondary sources of literature have been consulted, and pieces of evidence gathered to strengthen the arguments. The article also provides a recommendation on ethical measures for the preservation of human dignity and ethical practices. The human rights aspects of regulations during the pandemic of the coronavirus are discussed to understand various nuances of justice and liberty
Intention of COVID-19 Vaccination in the Sri Lankan Context: A structural equation model approach
No full textIntroduction: The intention on vaccination of COVID-19 is influenced by demographic and psychological factors. An understanding of the factors that influence the intention of COVID-19 vaccination is important to achieve the successful vaccination programs.
Objective: The objective of this study is to determine the critical factors affecting the intention of COVID-19 vaccination in Sri Lanka.
Methodology: An online questionnaire was implemented amongst Sri Lankans to acquire the primary data. The questionnaire assessed the social demographic features, vaccination details, perception and intention about the vaccination, social norm, media exposure, and trust towards vaccines. Descriptive analysis was used to analyse the demographic characters and vaccination details. The structural equation model was used to analyse the relationship between the intention of COVID-19 vaccination and other relevant factors.
Results: The results showed that the perception of vaccine, social norms and trust were significantly related with people’s intention towards vaccination, whereas media exposure showed an insignificant relationship with the intention towards vaccination. Meanwhile, perception about vaccine and media exposure had significant relationships between trust of the vaccines.
Conclusion: It was conclusive that the intention of the COVID-19 vaccination was greatly influenced by the perception of vaccine, social norms and trust besides media exposure, which had an indirect effect on intention towards vaccination of COVID-19
Testing the Relationship Between Referral Marketing, Consumer Perception and Brand Loyalty In Ayurvedic Products Amongst Women: ---7th International Conference on Embracing Change & Transformation Innovation and Creativity
No full textAyurveda is an ancient medical method that uses a variety of floras and herbs in preventing sickness and maintaining healthy lifestyle in the Indian Sub-continent. Women consumers in India prefer to use ayurvedic products to protect themselves against medical disorders, personal care and beauty products [1]. During the last decade, the demand for ayurvedic products have grown significantly and therefore every business organization in this sector is aspiring to increase market share by understanding the need of the consumer as well as changing consumer perception through referral marketing and brand preferences.
The purpose of this study is to identify links among referral marketing, customer perception, and brand loyalty in relation to ayurvedic products. A structured questionnaire was created for the purpose of survey, and a pilot study was conducted to ensure its validity. Working women and housewives, were the respondents from whom the data were collected. A total of 242 valid responses were collected from the respondents.
To examine the link between the latent constructs, structural equation modelling was devised for the constructs- referral marketing, consumer perception and brand loyalty.
The study found that referral marketing had positive effect on the perception of the consumer at β = 0.36, CR= 2.59, p=0.000, referral marketing on brand loyalty at β = 0.41, CR= 2.09, p<0.05, accepting the hypothesis H1(Referral marketing has a positive effect on consumer perception); and H2 ( Referral marketing has a positive effect on brand loyalty); Consumer perception affects brand loyalty at β = 0.18, CR= 1.95, p = 0.000, accepting this hypothesis H3.
*(The paper presented at the 7th International Conference on Embracing Change & Transformation Innovation and Creativity 26-28 May 2022
The Dark Side of Overuse of Internet: A study of Indian college students
No full textIntroduction: The extensive use of the internet and its effect on our lives can no longer be overlooked. While the internet is a result of the rapid advancement of science and technology, its impact on students depends on how they use it. The present study identifies Internet usage patterns, nature of use, and Internet Addiction (IA) among India's undergraduate and postgraduate students and its consequences on their lives.
Methods: This empirical examination uses the Multistage Sampling Method (MSM) and cross-sectional method. The structured questionnaire distributed (N=1,200) to ungraduated college students. We included at least ten institutes of every state in India and thirty participants from each institution in this study.
Results: The study revealed that overuse of the internet is statistically significant with internet addiction concerning gender but not with age and education. Overuse of the internet strongly impacts IA. The study further investigates the relationship with the consequences of overuse of the internet with age, gender and education and found that genders significantly differ with the physical and psychological problem but not with a behavioural and relationship problem; level of education has a significant difference with physical and behavioural problem but not with relationship and psychological problems.
Conclusion: Our investigation helps college, university or educational policymakers to frame good mental health policies or create programmes to reduce or constrain the adverse effect of overuse of the internet. The results show a compelling need to reduce the overuse of the internet (OI) by promoting psychological competence
Senior Manager Perceptions of The Human Dimension of Health Services Management: Australia and Brazil
No full textPractice and research show the importance of the human dimension of health service management and related skills/competences. However, a review of curriculum content of postgraduate courses in Australia showed a lack of content in this area. It was in this context, an enquiry was undertaken to assess the perceptions of senior health service managers in Australia in this field. To provide a contrast with Australian perceptions, senior health service managers in Brazil were also asked for their understandings. Findings from this enquiry in the two countries show similar but some variance in nuance, possibly due to differences in culture and corporate environment. The result of the enquiry points to the importance given by these senior managers to skills/competences in this area, and perceptions of shortfalls, in contrast with the lack of importance given to postgraduate training in this field
Doctor Workforce Attrition: Doctor Workplace Attrition: An examination of pathways from work demands to organisational commitment
No full textHealth workforce shortages worldwide are approaching crisis point, further burdening systems already struggling to meet demand. Doctor attrition has been identified as a major contributor to this problem and therefore, the current study examined links between workload demands and stressors, and doctors’ commitment. Based on prior research and key psychological theories, pathways were hypothesised that were initiated by workload demands and stressors, proceeding through work-life conflict and psychological distress, intrinsic motivation factors, through to commitment. A sample of 208 medical doctors completed self-report measures of these constructs. Among workload hassles and demands, quantitative demands, representing the extent that workload exceeds available resources (e.g., time) emerged as the strongest predictor. Meaningfulness of work was the strongest direct predictor of commitment, followed by work-life conflict, job satisfaction and burnout. This study highlights the importance for workplaces providing an environment that nurtures doctors’ intrinsic motivation and manages doctor workloads to ensure work-life balance is maintained
A Profile View of Healthcare Service Sector Organizations through Integration with Organizational Culture and Subculture: ---7th International Conference on Embracing Change & Transformation Innovation and Creativity
No full textPurpose: This paper aims to identify the fundamental features of culture within an organization and thereafter examines the subculture, which is imminent in relation to the attributes of employees.
Methodology: This research was carried out by involving 22 prominent healthcare service sector organizations, which were selected randomly from three major districts in Odisha state, India. The study is based on 358 selected sample responses from front-line employees of these selected healthcare service sector organizations. The statistical techniques that were used on data derived in this study were analysis of variance, descriptive statistics, and t-tests.
Findings: It was found that employees of the healthcare service sector organizations involved considered cultural characteristics such as outcome, team orientation, and attention to detail to be the least prevailing in their organizations. The study revealed significant differentiation of the perception of the organizational culture prevailing within the organization, through post facto analysis of verification for variation potentials, for tenure in a specific position, age, and job position. Thus, this study argues that based on occupation, employment relationship type, and gender, an insignificant influence was displayed on the employees' perception of the prevailing organizational culture.
Practical Implications: The development of a superior culture that promotes service quality enhancement maximizes patient satisfaction. To achieve successful proliferation and quintessential existence of the organization, it is cardinal that all the personnel within the organization have a firm grasp of the main operating culture and the intrinsic subculture. This study highlights the impact of organizational culture and subcultures within various organizations catering to the healthcare service sector of Odisha.
*(The paper presented at the 7th International Conference on Embracing Change & Transformation Innovation and Creativity 26-28 May 2022
Concerns Among Parents of Dental Profession Students During Covid -19 Pandemic
No full textAim: This study was undertaken to assess the concerns of the parents of dental profession students during the COVID-19 pandemic.
Materials and methods: In this survey a structured questionnaire was sent to all the participants through Google Fforms. The questionnaire was designed into five sections. The complete questionnaire consisted of 19 questions. In the first section, participants needed to answer demographic information (five Questions). The second part of the questionnaire (four questions) assessed anxiety of parents and the third part was related to their professional career (three questions), the fourth part asked about effective disinfection practices (four questions) in the college premises and hostel, while the fifth part questioned about learning mode (three questions) during COVID-19 pandemic.
Results: The total response rate in this present survey was 78.02%. 52.2% of parents stated that they are really anxious and have disturbed mental health. Significant percentages (more than 80%) of the parents were worried about their son/daughter’s career advancement and dental profession but, 87.7% of the parents were not ready to change their son/daughter’s profession. 53.2 % of the parents believed that their wards were unable to learn efficiently without attending college and 44.9 % of the parents were not satisfied in online assessment during COVID- 19 pandemic.
Conclusion: Within the limitations of this present study, it was concluded that majority of the parents expressed fear and anxiety about their children’s profession. Regarding the mode of learning, half of the parents expressed concern that their wards were unable to learn efficiently without attending college and clinics and also, they were unsatisfied with online assessment