Asia-Pacific Journal of Health Management (ACHSM)
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Healthcare - Where to from here?
No full textIn writing an editorial it is difficult to ignore the impact and ramifications of addressing the Covid Pandemic. In Australia, there is emerging political and media signals that are saying we must start to move on and get people back to work and living normally. At the same time our health bureaucracies are pointing to higher vaccination rates, new variants, the need for ‘booster shots’ and continued reticence in some about opening state and national borders...
Predictors of Counterproductive Workplace Behaviors of Nurses
No full textDisruptive actions in healthcare settings can cause errors, poor client satisfaction, employee turnover, and bigger hospital expenses. This research investigated the determinants of counterproductive work behavior (CWB) such as work-related proactive coping, autonomy, interpersonal conflict, organizational constraints of hospital nurses in a tertiary hospital in large metropolitan city in the Philippines. A descriptive correlational design was utilized in the study. Nurses from the different clinical areas of the hospital were chosen as respondents for this study. Proactive coping received the strongest weight in the model followed by autonomy and organizational constraints; interpersonal conflicts received the lowest of the four weights. Based on the results of the study, the researcher can conclude that work-related proactive coping, autonomy, interpersonal conflicts, and organizational constraints are determinants of counterproductive work behaviors of hospital nurses. Health care managers should formulate customized programs and strategies that can improve employee performance and coping to reduce counterproductive work behaviors. Lastly, further studies would be conducted on other variables that can predict and mediate with counterproductive work behaviors
Can Non-Pharmaceutical Interventions Contain the Spreading of Novel Coronavirus SARS-CoV-2 in the Asia Pacific Countries?
No full textA novel coronavirus, namely SARS-CoV-2, has emerged rapidly and overspread worldwide, causing a pandemic disease, COVID-19. Until now, no pharmaceutical interventions specific to the COVID-19 infection has been proven effective. In these circumstances, non-pharmaceutical interventions, for example, banning local and international flights, national lockdowns of cities, social distancing, self-isolation, home-quarantine, the closure of schools and universities, closure of government and private offices, banning of mass gatherings would play a vital role in minimizing the primary reproduction number (R0) in expected level. Many Asia Pacific countries, Bangladesh, China, India, Iran, Nepal, New Zealand, Pakistan, and Vietnam, adopt, practice, and implement those non-pharmaceutical interventions and have success stories. Thereby, non-pharmaceutical interventions can contain the virus's spreading, which further reduces long waiting for the healthcare system's hospitalization and burden
Low COVID-19 Mortality in Old Age Homes in Western India: An empirical study
No full textBackground: Coronavirus disease 2019 (COVID-19) has emerged as a public health crisis globally. Management of old age homes have been challenged during the ongoing pandemic crisis, as the elderlies are by far the most vulnerable population group in context to prone to infection of COVID-19 disease.
Objective: The study intended to understand the effect of COVID-19 on western Indian elderly care homes, the actions taken by the administration, and the challenges faced during and post-lockdown period.
Method: A total of 44 care homes across three states of western India were contacted for data collection during the period of September-December 2020. Semi-structured interviews of the administrators were taken to gather the required information to achieve the study objectives.
Results: Out of 44 care homes, ten care homes reported 169 cases of coronavirus infection and seven deaths. Hence, the rate of reported COVID-19 cases was found to be 1074 per 10,000 residents.
Discussion: Results of the study indicated the significant steps taken by these old-age care homes to stave off the infection spread among the occupants. It was observed that an average of 26% of the occupants was sent back to their home/relative’s home before the lockdown to decongest the care homes. Care homes in western India seemed to have a very low infection rate and a very low number of deaths as compared to the Global Scenario. The present study also highlights the gaps in policy and calls for urgent action by the government for the regulation of old age homes in India.
The Elasticity of Health Expenditure on Agricultural Productivity Growth in Southeast Asia
No full textBackground: Recently, agricultural productivity growth has experienced a sharp downward turn across the countries of Southeast Asia partly due to population aging, increasing pace of urbanization, and industrialization.
Objective: To provide empirical evidence to the elasticity of prevailing health spending as a proxy of human capital stock on agricultural productivity growth in Southeast Asia.
Methods: This study analyses data obtained from the World Development Indicators for 2000-2016 using panel data regression models.
Results: The empirical evidence suggests that prevailing health expenditure, though statistically significant, exerts a strong positive effect on agricultural productivity growth. Therefore, a unit rise in prevailing health spending relative to GDP would increase agricultural productivity growth by 28% across countries of Southeast Asia, all else constant.
Conclusion: The trend of rapid agricultural productivity declines in Southeast Asia could be altered by augmenting investment to the prevailing health spending as an indicator of human capital stock.
Policy implications: The governments of Southeast Asia should increase investment in prevailing health spending relative to GDP, to stimulate more growth in agricultural productivity, greatly improved human capital stock, and eventually increase economic growth. 
Identifying Factors Affecting of Cooperation Management between Charities and the Teaching Hospitals of Shahid Beheshti University of Medical Sciences
No full textObjectives: One of the most important issues in the provision of health services in every country is providing the necessary resources for presenting these services. Cooperation between charity organizations and public hospitals is especially important as it can increase charity participation, facilitate public participation in the treatment area and develop hospital units. This study aimed was to identify factors affecting cooperation Management and designing a model of cooperation management between charities and the university hospitals of Shahid Beheshti University of Medical Sciences.
Methods: This descriptive-analytical, cross-sectional and applied study was conducted in hospitals of Shahid Beheshti University of Medical Sciences in 2019. The statistical population consisted of 411 people including managers, chiefs and deputies, contracting hospital experts and social workers, managers and lawyers of the university, trustees and managers and charity experts. The research sample consisted of 330 people who were selected through the stratified random sampling method. Data was collected using a researcher-made questionnaire. The SPSS 18 and AMOS software were used to analyze the data.
Results: The most effective contract pattern determinant had a path coefficient of 1.177, while the least effective current consumption expenditure determinant had a path coefficient of 0.530.
Conclusion: The following steps are ways in which costs related to an inpatient department are guaranteed to be covered by a charity during the term of the contract: defining the criteria for selecting a charity to operate in a hospital, choosing a cooperative method and a contract template, determining the share of capital and current costs, and selecting the department type in the contract.
 
In This Issue
No full textIn this issue, we commence with a commentary from the Federal President of ACHSM Dr Neale Fong that goes to contemporary issues around leadership and management in the context of the College and then goes on to address the concepts of credentialing and certification and their importance in the profession of health management. The following 12 research articles and the 4 review articles have been published. Welcome to reading
Leadership and Management in the Time of Pandemics
No full textI proposed that I would start this editorial with the phrase ‘that we live in interesting times…’given the ongoing challenge to all is the Covid_19 pandemic. The alleged origin of the phrase is said to be from a Chinese curse ‘may you live in interesting times’ but is found not to be directly attributable to a Chinese source, but it does use irony to suggest we are living in difficult and challenging times. It was subsequently used by the likes of Joseph Chamberlain and more recently in the 1960s by the then USA President John F Kennedy. [1] Either way most of us know that pandemics, dissent, war, and environmental disasters are not new and recent, but have occurred throughout history and are repeated often enough for most of us to have some experience or memories of those events......
TAM Model for E-Health Implementation in Rural Areas of Uttarakhand, Post Covid-19 Pandemic: TAM Model for E-Health Implementation: A Study of Rural Areas of Uttarakhand During Post Covid
No full textObjective: The present study aim to find out the factors that has an influence and impacts the actual use of e-Health during post COVID-19 pandemic on the lines of TAM (technology acceptance model) and further suggest ways for effective implementation and adoption of e-Health by the rural patients.
Design & Setting: The study was conducted on a total of 243 rural patients who had experienced e-Health services. Structural Equation Modeling has been used for analysis of data.
Results: The analysis revealed that ‘perceived usefulness’, ‘perceived ease of use’, ‘privacy’ and ‘trust’, all had considerable impact on the ‘intention to use’ which further significantly impacts the ‘actual use’.
Conclusion: Using in-depth interviews, both patients and physicians, practice of evidence-based e-Health interventions was identified for effective implementation and adoption of e-Health, which further helps to provides an equitable healthcare services to both urban and rural population
Gender Inequity in Utilisation of Publicly Funded Health Insurance Schemes- Findings based on insurance data from a Southern Indian State: Is there a difference in utilisation of state sponsored health insurance between men and women?
No full textWhile Publicly Funded Health Insurance Schemes (PFHIS) can be an effective strategy to achieve Universal Health Coverage by offering financial protection, the extent to which they facilitate gender equity has been less explored. Women constitute one of the main vulnerable groups owing to a combination of health and economic vulnerabilities to access inpatient care services. Gender health equity requires that healthcare resources, such as PFHIS effectively reach women. This study investigates the gender differences in utilisation of Chief Ministers’ Comprehensive Health Insurance Scheme (CMCHIS) by looking at a large volume of claims data covering 2012 to 2014 in the southern Indian state, Tamil Nadu. Previous studies indicate that women in the state had a higher hospitalisation rate than men and are entitled equally to CMCHIS.
By disaggregating the data on number of beneficiaries, claim status, average and total claim value, type of procedures based on gender on a random selection of 230265 cases, the paper points out that women’s utilization of CMCHIS is significantly lesser than men. Women constitute only 36% of all beneficiaries and received only half of the total claim value disbursed through the scheme. This pro-male bias was found to be statistically significant and consistent across the scheme years, age group and type of procedures. The study concludes that the gender inequity in utilization of CMCHIS is conspicuous and needs immediate attention from policy makers and administrators. With recent inclusion of COVID19 testing and treatment under PFHIS, the paper urges for further research lest more women are left behind