Asia-Pacific Journal of Health Management (ACHSM)
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A Study On Application Of Blockchain Technology To Control Counterfeit Drugs, Enhance Data Privacy and Improve Distribution In Online Pharmacy
Technology has always emerged to embolden the existing working process. On the one hand, it encourages transparency, accessibility and robustness in the system and on the other hand, it begets mitigation of the risks and allows us to detect, evaluate and eliminate vulnerability in the system. The most prominent technologies in todays’ world like Artificial Intelligence, Virtual/Augmented Reality, Automation, Cloud Computing are thriving to solve society’s problems and ensure the expedition in the process from its previous generation.
Blockchain technology is no exception in providing the solution to eliminate the counterfeit markets across the globe and building trust among parties to do business without the fear of indulging or facing any unscrupulous business.
Blockchain technology can ensure data privacy while improving supply chain transparency and reducing fraud. It can provide all stakeholders within a certain supply chain with access to the same information, potentially reducing errors. A decentralised application can pave the way to promulgate online pharmaceutical business where health information and each stakeholders’ data is not compromised. Against this backdrop the research conducted throws light on the challenges in the online medical drug and devices’ distribution and proposes a solution, an architectural design for blockchain technology in an online pharmaceutical platform to mitigate the counterfeit market while bringing efficiency to the ecosystem
In This Issue
This issue of the journal commences with an editorial that provides some discussion about the current approaches to Covid and the tensions that exists in that context.....
Editorial
SettingsCovid-19: A strife of interests for us all and what problem are we attempting to solve?
Research Articles
Gender Equity in Australian Health Leadership
Research Articles
Assessing Quality of Healthcare Delivery When Making Choices: National Survey on Health Consumers’ Decision Making Practices
Research Articles
The Case for a Reciprocal Health Care Agreement between Australia and South Korea
Commentary
COVID-19 and Working Within Health Care Systems: the future is flexible
Review Articles
Review of Public Private Partnership in the Health Care in Hong Kong
Viewpoint Article
Hong Kong’s Growing Need for Palliative Care Services and the Role of the Nursing Profession
Commentary
Vietnam’s Healthcare System Decentralization: how well does it respond to global health crises such as covid-19 pandemic?
Research Articles
Publicly Financed Health Insurance Schemes and Horizontal Inequity in Inpatient Service Use in India
Research Articles
Distress and Quality of Life among Type II Diabetic Patients: Role of physical activity
Viewpoint Article
Achievements and Challenges of Iran Health System after Islamic Revolution: Structural reforms at the second step
Research Articles
Strategic Analysis of Community Participation in Primary Health Care in Iran and Presentation of Promotion Strategies Using Internal and External Environment Assessment Techniques
Research Articles
Utilization of Healthcare Services & Healthcare Expenditure Patterns in the Rural Households of Nepa
Predicting Electronic Cigarette Use Among Adults in the Philippines
Background: The Philippines has one of the highest cigarette smoking rates in Southeast Asia. Tobacco prevention and control efforts should not be a one-size-fits-all approach. One of the most recent and highly marketed way of cutting down smoking is the use of E-cigarettes. But its use may also have potential harmful effects which would be similar to cigarette smoking.
Purpose: This study aimed to determine the factors predicting electronic cigarette use among adults in a large metropolitan area in the Philippines.
Methods:The study used a descriptive-correlational multivariate research design. Adults who are at least 18 years of age, who are electronic cigarettes users, dual users (electronic cigarette and cigarette users), and non-smokers were chosen for this study. The researchers utilized a researcher- made questionnaire based on the Theory of Planned Behavior (TPB) in gathering the data.
Results: Multiple regression analysis suggests that positive attitude and high perceived behavioral control significantly predict intent to use electronic cigarettes. Moreover, intent to use is a significant predictor of actual e-cigarette use.
Conclusion: People who have positive attitudes and high perceived behavioral control towards e-cigarette use are most likely to have higher intent to use e-cigarettes. Further, people who have high intent to use e-cigarettes will most likely use e-cigarettes. With reverence to the findings of this study, health managers and professionals should look into how e-cigarettes are being marketed to the public which may shape their attitude and behavior. Lastly, further studies should be conducted on other variables that may predict electronic cigarette use and measure health outcomes
Enactment of Sustainable Technovations on Healthcare Sectors
This article discusses the use of innovative technologies and their potential to assist pan-India surveillance systems, including health initiatives. The key goal is to review prior studies on innovative technology and its use for existing healthcare sectors and identify association strength among the selected variables using Vos Viewer software.
Information gathered from research on randomized controlled trials, cross-sectional studies, review studies and systematic review studies, meta-analysis, sample, and case series. This article discusses the use of innovative technologies and their potential to assist pan-India surveillance systems, including health initiatives to community based healthcare.
This paper discusses the current usage of Artificial Intelligence, Blockchain, and the Internet of Things (IoT) on health and developments.
The findings of the study state the complexities and opportunities of the mentioned technologies on the pan-India health surveillance system and indicates that data management, safety and security regulation gaps need to resolve before enforcing monitoring practices.
This paper presents an analysis of recent instances of using IoT technologies centred on remote surveillance and indicate a need for an advanced computing architecture for future integrated with pilot and tracking operations
Socioeconomic and Political Dimensions of COVID-19 Dispersion
This study aims to provide understanding on how certain factors lead to the formation of clusters of areas of COVID-19 dispersion to guide policy decisions and government actions. It utilized an ecological study design which analyzes data at the population or group level. The units of observation are the barangays in Cebu City. These barangays are the nodes in the network and the edge considered is the presence of areas of convergence. In order to identify the nodes for this study, data mining was done to get the number of reported COVID-19 cases in Cebu City from the Cebu City Health Office as of May 23, 2020. Only thirty-nine (39) barangays with COVID-19 cases were included in the study. Results revealed that although public and private transportation is controlled during the implementation of Enhanced Community Quarantine, it is assumed that the spread started prior to implementation of strict prohibitions which led to the rise of cases later on. Even at the time of the strict community quarantine restrictions, economic activities related to basic necessities were still allowed. For instance, public markets were open with prohibitions related to schedules only. This implies that people are still mobile at certain times despite the presence of restrictions. People still converge in areas where economic activities are present
Phenomenon of Causal Fraud Health Insurance in Hospitals: Theory of gear fraud
Objective: To describe and explore the experiences of hospital employees with the causes of fraud in the health insurance program at the hospitals.
Design And Setting: This research was carried out at government hospitals in the Southeast Sulawesi Province in collaboration with BPJS Health, namely the Bahteramas Regional General Hospital and the Kendari City Regional General Hospital. Triangulation was carried out at BPJS Health, the Center for Health Insurance Financing at the Ministry of Health and the Center for Health Policy and Management at Gadjah Mada University, Yogyakarta. This research was conducted for one year, namely January 2020 to February 2021qualitative method with a phenomenological approach. Data collection methods were carried out through in-depth interviews, focus group discussions, and document studies. The number of participants in this study was 44 people consisting of doctors in charge of services, nurses, midwives, and case-mix team including coders who met the inclusion criteria. Data analysis used the Moustakas method.
Result: The causes of health insurance fraud in hospitals financial motives (the desire to get money or material or economic or welfare benefits, get high service services and low employee salaries), behavioral motives (low integrity, lifestyle and employee habits of committing fraud0, and social motives (kinship, humanitarian factors, avoiding conflict, social position, and the existence of pressure), internal controls (a weak monitoring system, poorly enforced regulations, unclear regulations and limited hospitals providing services, no monitoring and evaluation, and there are no sanctions for fraud perpetrators), revenue targets (hospitals income and increasing the number of claims), leadership (leadership style or weak leadership in the hospitals and the absence of transparency), incentive systems (poor distribution of incentives and the absence of transparency of services from hospitals management), National Health Insurance (NHI) regulations (dynamic regulations and the availability of the National Guidelines for Medical Services has not been fulfilled and there is no standard for readmission and fragmentation), the NHI financing system (inconvenience of the financing system and the adequacy of the INA-CBGs tariff calculation), and the BPJS Health system (inconvenience of the BPJS Health system and the BPJS Health system which makes it difficult).
Conclusions: The causes of health insurance fraud in hospitals can be explained by the gear fraud theory that Internal factors are the main cause and external factors predispose to health insurance fraud in hospitals. These internal and external factors interact with each other like the working mechanism of a gear. Understanding the theory of gear fraud will help formulate fraud prevention efforts in health insurance programs in hospitals that are more comprehensive and focus on eliminating the causes of fraud
Artificial Intelligence in Healthcare: 21st century age of rifles - A bibliometric analysis
In the 21st century data, itself are information, product, and goods. The pandemic situation has given new eyes to the old invention to effectively bridge the gap between history, happenings, and technology as well as past and future. Health is requisite and every one of us would have placed our footstep one way or the another in the healthcare sector. The demand for healthcare professionals is also increasing in our country with an increasing population. To address the health need of society, this paper attempts to exhibit the studies captured on these two broad areas in the healthcare sector with a systematic literature review of bibliometric analysis. This paper will bring out the technological invention, its implications in the 21st century, relevance in the covid 19 pandemic situation, research, and facts explored in this area. Humans are the inventor and users of technology: the good we use the great will be the outcome: It all depends.
(*The paper was presented at the 2nd Conference on Business Data Analytics: Innovation in emerging trends in management data analytics. Apeejay School of Management, Dwarka, Delhi, India. November 2021
Problems of Big Data Adoption in the Healthcare Industries
Big data offers the knowledge required for healthcare providers to streamline customer service processes that customize healthcare and create best practices for communicating with clients or patients. A more detailed and customized experience can be offered to customers. But there are many challenges that healthcare organizations are facing. The research aims to study big data challenges in the healthcare sector. A literature review is performed to discover big data problems in healthcare. A questionnaire is utilized for the survey research in the hospitals. Target populations are the staff who are working in the hospitals. For analysis, exploratory factor analysis is being performed. All the challenges are grouped into five factors. All the parameters are satisfied for the study.
(*The paper was presented at the 2nd Conference on Business Data Analytics: Innovation in emerging trends in management data analytics. Apeejay School of Management, Dwarka, Delhi, India. November 2021
In This Issue
This issue is the fourth and final issue of the Journal for 2021. It reflects a widespread interest in the Asia Pacific with 30 articles from 11 countries. These countries include Australia, India, Iran, Indonesia, the Philippines, Saudi Arabia, Bangladesh. Vietnam, Thailand, Turkey and Hong Kong, China. This represents a significant collaboration of healthcare managers, leaders, academics, students, and health professionals from diverse health systems. This is a credit to them all and our reviewers.
The topics addressed within the issue continue to be dominated by Covid_19 but are also more extensive than that topic. The topics include leadership, engagement, health literacy, employee performance, job satisfaction, mentoring, , artificial intelligence, big data to name many but not all. This is extensive collection of health management topics that should be of interest.
Another continuing feature of this issue is the interest in publishing articles from international conferences. There are articles from four recent conferences. These included the 2021 Shape Symposium conducted from Australia and online, “Shaping the future for health management education and research in a time of flux and uncertainty”, held online in July and available at http://shape.org.au/. The Hong Kong Polytechnic University’s College of Professional and Continuing Education (CPCE) Conference “Post-pandemic health and long-term care: A new paradigm”. September 2021 with online and ‘in presence’ attendance.
Two conferences highlighted in this issue are recognised from India with some eight articles published from these conferences. The conferences were the AICTE sponsored International Conference on Circular Economy, Management and Industry Leading towards Sustainability, October 2021 and the 2nd Conference on Business Data Analytics, November 2021 We wish to specifically mention these conferences and recognise the conference organisers and our guest co -editors on this occasion, who assisted us with the 8 selected articles.
The guest co-editors are Mr. Anuj Kumar, Assistant Professor, Apeejay School of Management, Dwarka, Delhi, India https://www.apeejay.edu/asm/?utm_source=google&utm_medium=google+business+listing&utm_campaign=organic. (Top PGDM Colleges Delhi NCR) and Dr. Nimit Gupta, Professor, School of Management, The NorthCap University, Gurugram, India https://www.ncuindia.edu/educate-india- society/
Hong Kong’s Growing Need for Palliative Care Services and the Role of the Nursing Profession
This viewpoint paper explores the growing emphasis and social need for palliative care from a global perspective, juxtaposed against the Hong Kong status quo and its increasing need for such services. It further highlights that the role of nursing within palliative care is central to patients receiving the best quality of care. Hong Kong’s current delivery models are generally insufficient and can be improved by the adoption of five recommended policy changes, which reinforce the position of nurses as vital to creating a better service. These recommendations will enable nurses to take the lead in future palliative care delivery frameworks, enabling more efficient planning of future management of patients’ pain and other symptoms, social, spiritual, or emotional needs that arise during assessment. Its value may extend to other countries and settings