Asia-Pacific Journal of Health Management (ACHSM)
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Review of Public Private Partnership in the Health Care in Hong Kong
Public Private Partnership Programme is a cooperation between different healthcare professionals in both public and private sectors. Over the decades, many programmes have been developed which cover various diseases, including chronic conditions and surgery for cataracts, as well as vaccinations. However, these programmes are not successful because of the unsatisfactory service charges to private sector, overlapped aims and resources and wrong estimation of the needs. To become successful, programmes reform is required by rearranging resources, annual reviews, more financial support and extending the coverage of diseases. Promotions are beneficial to all stakeholders. Overall, better coordination between both sectors is the most essential factor which can lead the programme to success and maintain a better health care system in Hong Kong
Writing for the Wider Public - Readability of Publicly Available Board Reports
Objective: This work aims to evaluate the readability of publicly available board reports from the Local Health Networks (LHNs) in South Australia and the National Health Service (NHS) Trusts in England.
Method: Publicly available board reports from the LHNs in South Australia and NHS Trusts in England were identified, screened, and evaluated from January 2020 to August 2020.
Results: The average Flesch Reading Ease score for all LHNs reviewed ranged from 34 ± 10.2 to 57 ± 0.0 (Difficult to Fairly Difficult). In comparison, the average Flesch Reading Ease score for all the NHS Foundation Trusts ranged from 46 ± 1.7 to 60 ± 3.0 (Difficult to Standard). The average Reading Ease score for metropolitan and non-metropolitan LHNs was 43 ± 8.1 and 41 ± 6.0 (Difficult to read). In contrast, the average Reading Ease score for metropolitan and non-metropolitan NHS Trust was Fairly Difficult with 53 ± 4.2 and 50 ± 3.5 respectively.
Conclusion: The evaluation results suggest that there is scope for improving the quality of publicly available board reports from the boards reviewed in terms of their readability by the public
The Impact of Television Advertisements on Student Decision-Making Process for College Admission: An exploratory study in India
COVID-19 drove universities throughout the world forcing Higher Education Institutions (HEIs) to go online or virtual. Admissions advertising and student recruitment were two of the sectors that were severely hit. Internet-based advertising has to entirely replace the old advertising environment. Although certain institutions were still able to conduct virtual tours, forums, and information sessions, the amount of involvement differed among colleges and universities. An exploratory study was conducted to investigate how effective Internet advertisements were in influencing students' admission decisions. During the academic year, 2020-21 at several institutions in India's western region, data were collected using the snowball sampling approach on 930 freshly enrolled students. The findings show that the efficacy of Internet ads for university admission is negatively correlated with the student's age group. Surprisingly, the study discovered that both rural and urban students were equally interested in online ads, and that family background had no impact on receptiveness to internet advertisements.
(*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
Free Treatment for Covid-19 Patients: true or false
The policy of providing free treatment for covid-19 patients currently exists in many developing countries. At this short editorial comment, we discussed a crucial question " whether the free treatment for covid-19 patients leads to an increase in the number of cases or not?"
It is a very important question that we think will change the financing policy of covid-19 treatment in a large number of countries
Protocol for Automated Content Analysis of Corpus to Determine Informatics Competencies amongst Health Service Managers
Background: Competencies have emerged as being important to develop health professionals, including managers in healthcare. Professional institutions adopted specific competency frameworks to guide designing professional development opportunities for health service managers, in particularly managers working in the area of health informatics. The fast-growing nature of healthcare settings means that the required competencies continue to evolve.
Objective: The aim of this protocol is to outline a reflexive thematic analysis process, including using an automated content analysis approach, and identify what is missing in existing health service management competency empirical studies in relation to health informatics competencies.
Methods: A rapid literature review has been performed using a PRISMA approach for eligibility screening, with 185 publications meeting the inclusion criteria. The Leximancer natural language processing software was used to transform a large corpus of literature from natural language into semantic themes and concepts. A reflexive thematic analysis was then undertaken using the text mining automated content analysis approach to identify predominant concepts and the co-occurrence between them.
Results: A search strategy was developed using three primary electronic databases: 1) Scopus; 2) ProQuest; and 3) the Cumulative Index to Nursing and Allied Health Literature (CINAHL); and five secondary electronic databases: 1) Web of Science 2) PubMed; 3) ACM Digital Library; 4) Open Access Theses and Dissertations Database, and 5) Google Scholar. The initial search undertaken on 10 November 2020 resulted in 1,212 publications. The results of the reflexive thematic analysis will be submitted for publication by November 2021.
Conclusions: New understanding and knowledge in the area of health management competencies, specifically relating to informatics will be developed. Health informatics competencies will be defined for Australian health service managers. Further, this study helps inform the discourse regarding automated content analysis for the healthcare and informatics industry, healthcare organisations and university course requirements
Characteristics of Falls Among the Elderly During the COVID-19 Pandemic Lockdown: Covid-19 falls among elderly
Background: Every year millions of older people experience a fall. There are many reasons associated as to why a fall occurs in elderly: musculoskeletal weakness, balance issues etc. A fall can lead to a serious injury or mortality depending on the type and impact of the fall. As the environment for the elderly was restricted to their homes during the Covid-19 pandemic, this study aimed at assessing the characteristics of falls during the pandemic.
Materials and methods: 60 elderly individuals aging 60 years and above participated in the study. This included 36.7% males and 63.3% females. A pre-validated questionnaire was used to assess the characteristics of falls.
Result: Fear of fall was not experienced or was same as before the lockdown however the fall percentage decreased by 7% during the lockdown.
Conclusion: Falls among the elderly decreased during the Covid-19 pandemic lockdown
Assessment of Tribal Healthcare Infrastructure for Delivery of Maternal Health Program in Balasore District, Odisha, India
Introduction: There are still large number of maternal deaths in India nearing up to 50,000 deaths in a year which is one sixth of the world in recent years. Odisha (India) is also not performing well in maternal health care management despite its commitment in MDG and SDG. Odisha constitute 23% of tribal population, where the maternal mortality is very high and difficult to provide health services, particularly maternal health services. The study aims to assess provision of necessary health services for pregnant women in an inaccessible tribal pockets.
Methods: The study was conducted in Balasore district, Odisha (India) where a sizable population is consisting of various indigenous tribes, particularly in some blocks. The Parijata tool was used to assess various health care facilities which was developed by UNICEF and ARTH, Rajasthan. By this, availability of basic things like manpower, drugs and consumables are assessed along with laid down clinical practices and procedures.
Results: The study found that there is lack of provisioning of health services in healthcare facilities. Both District hospital at Balasore and Sub-district hospitals lack basic services recommended by WHO for taking care of women. Further, the effort of government to implement a uniform program across the state hinder the tailoring of services for tribal pockets.
Conclusion: The study provides remedial measures for improving the role and functioning of grass roots workers, integrating indigenous medicine with biomedicine, and revamping health information system to incorporate cultural features, thereby improving its utilization in the study area. The study raised critical issues about potential of maternal health program to deliver effective care of pregnant women in tribal dominated areas
In This Special Issue
This issue is a special issue of the Journal based on the proceedings of a Health Management conference held earlier this year in India. Please read the editorial and the preface to discover how this eventuated. Most articles, 15 in total come from the proceedings of that conference but there are also a significant number of additional articles from our colleagues from India. Our thanks to Professor Prema Basargekar and his colleagues from K. J. Somaiya Institute of Management (K J SIM), Mumbai, India for working to make this issue significant
There are some 30 articles in total In the issue. This is a record issue for APJHM
Comparison of Keyword Search Techniques with Respect to Electronic Health Records
As the world progresses towards automation, manual search for data from large databases also needs to keep pace. When the database includes health data, even minute aspects need careful scrutiny. Keyword search techniques are helpful in extracting data from large databases. There are two keyword search techniques: Exact and Approximate. When the user wants to search through EHR, a short search time is expected. To this end, this work investigates Metaphone (Exact search) and Similar_Text (approximate search) Techniques. We have applied keyword search to the data, which includes the symptoms and names of medicines. Our results indicate that the search time for Similar_text is better than for Metaphone
Benefits And Limitations of Medical Tourism Development In Hong Kong: Local residents’ perspective
OBJECTIVES: Promoting medical tourism has been discussed by various stakeholders of its destination. High-quality medical products and services is addressed, especially in the Asia Pacific region. This study aims to (1) explore major criteria to establish medical tourism in Hong Kong from the local residents’ perspective and (2) examine the benefits and limitations in developing medical tourism in Hong Kong by the local residents’ age groups.
DESIGN: Target samples were local residents with different age groups who had experienced receiving medical treatment or service in Hong Kong. The self-administered survey with 38 questions was created to explore the local residents’ perceptions on various issues of medical tourism development in Hong Kong. Data was collected in April 2021 with the total response rate of 153 respondents. A descriptive analysis and ANOVA test were applied for objective testing.
RESULTS: To answer the objectives, the important criteria for medical tourism development in Hong Kong were physician expertise, infrastructure of hospitals, and healthcare quality. The least important criteria were the political and economic condition of that destination and language. The ANOVA results have shown significant differences on the benefits and limitations of developing medical tourism by age groups of local residents. Younger respondents perceived a benefit of medical tourism, rather than elderly respondents in terms of gaining more medical experience. Elderly respondents perceived the limitations of medical tourism development compared to younger respondents in the areas with lacking private sector interest and high cost.
CONCLUSION: There are numerous factors for consideration on establishing medical tourism destination in Hong Kong. Local residents perceive an opportunity for Hong Kong as a medical tourism destination. Although some limitations should be closely monitored, local residents would be confident with medical tourism development.
(*The paper was presented at 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