Asia-Pacific Journal of Health Management (ACHSM)
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Special Issue: Updated COVID-19 Resources
No full textThis is the latest news and journal articles related to health management and leadership. Click rea
An Integrated Framework of Leadership for Healthcare Organizations to Navigate Through COVID-19 Crisis
No full textCOVID-19 crisis has strained healthcare systems immensely creating a multi-front challenge to overcome. Healthcare leaders face stressful situations like long arduous hours of work, isolation from their loved ones, immense mental health issues along with fighting false narratives and campaigns by social media. Hence, there is a dire need for leaders to embrace this uncertainty and evolve by adopting a strategic shift in their mindset.
To propose an effective functional leadership model of practice during crisis, author has undertaken a qualitative approach to understand the various literature published on crisis management, reviewed the literature on healthcare leadership, contextualized the papers about unique challenges posed by a crisis like COVID-19, and utilize the learnings to design an integrated framework for healthcare organizations to be applied during a crisis.
Author presents a systems-based view of leadership challenges in healthcare organizations during a crisis and proposes a unique framework of 3A- Acknowledge, Activate, and Agility which could serve a comprehensive tool of strategic leadership for healthcare leaders to adopt during a crisis. When healthcare organizations adopt the principles embedded within 3A model elements, it would help them realize better patient outcomes, develop compassionate organizational culture, and enhance professional satisfaction within their teams
Dual Impact of Comorbidities And Symptoms of Coronavirus on Mental Health During COVID-19 Pandemic Among Males And Females In India: Online cross sectional study
No full textBackground: The novel coronavirus disease 2019(COVID-19) has become a pandemic affecting health and wellbeing worldwide. In addition to the physical health, economic, and social implications, the psychological impacts of this pandemic are increasingly being reported in the scientific literature. Individuals with certain pre-existing comorbidities have been identified as a high-risk group for fatalities of COVID-19 infection. Thus, this study aimed to analyze the association of COVID-19 symptoms and the presence of comorbidities with the mental health of the population during this pandemic.
Method: A cross-sectional web-based online study was conducted from 13thJune to 31stJuly 2020 and link was circulated using social media platforms. Participants were of age ≥18 and residents of India were included. HERO’s scale was used to assess the mental health status. A multivariate logistic regression was performed to examine associations.
Results: Out of 1021 eligible individuals (460-females, 561-males), 15.2% females and 11.2% males reported poor mental health status. The COVID-19 symptoms such as nausea, vomiting, cough, shortness of breath, runny nose, fever, and sore throat were associated with poor mental health among males, while only nausea, vomiting was associated among females. Also, the presence of any one or more comorbidities was associated with poor mental health across gender.
Conclusion: Poor mental health was reported by both genders across the study population. Comorbidities and COVID-19 symptoms were significantly associated with poor mental health among males than females. These findings strongly support the need for an infrastructure to comprehend the gender-specific mental well-being as a core component of health across all the sections of Indian society.
Adolescent Tobacco Use Estimates From The Global Youth Tobacco Survey, India: Tobacco a risk factor for future spread of COVID 19
No full textBackground: Tobacco use has been identified as a risk factor and causes negative outcomes to the COVID 19 pandemic. Adolescents’ tobacco users in India are the vulnerable population to acquire COVID-19 in the future. The study aimed to understand tobacco consumption patterns among adolescents in India to highlight the vulnerability of this population to COVID-19 infection.
Methods: The Global Youth Tobacco Survey (GYTS) reports were identified and recovered from the Centre for Disease Control and Prevention (CDC) data sets. The findings of the surveys in 2003, 2006, and 2009 were compared with respect to the prevalence of cigarette smoking and other tobacco use, and the determinants of initiation of tobacco use among the adolescent population.
Results: The total tobacco consumption among adolescents was found to have increased from 13.7% in 2006 to 14.6% in 2009. All forms of tobacco use were higher in boys than girls across all three survey periods. Also, the trend of bidi (smoked tobacco form) use had increased in both genders. A reduction in exposure to Second Hand Smoke, with an increase in cessation services, media campaigns, and tobacco-related school curriculum was noted. If the increase in tobacco consumption between 2006 and 2009 had continued at the same rate then in 2021 around 18% of adolescents are estimated to consume tobacco in some form.
Conclusion: The significant overall tobacco use and increasing bidi consumption makes the adolescent group more susceptible to COVID-19 infection. This indicates an imperative need to include this age group for COVID-19 management to reduce the burden on health care
Impact of Socio-economic Factors in Reducing Malnutrition among Children: A comparative study of India, Bangladesh and Sri Lanka
No full textObjective: To assess the impact of economic and gender factors on malnutrition among children below 5 years age by making a comparative study between India, Bangladesh and Sri Lanka
Design and setting: The study uses data and information on economic and gender status parameters taken from the secondary sources for three South Asian Countries between the years 2000 to 2018. The study uses ANOVA, Post Hoc test and Fixed Effects Panel Regression analysis to arrive at the conclusions.
Results: Comparative analysis between the three countries shows that the extent of malnutrition among children is lowest in Sri Lanka and highest in India. The study finds that economic factors such as domestic government’s expenditure of healthcare as percentage of total health expenditure and gender factors measured in terms of female labour force participation, and school enrolment of girls at secondary level significantly impact the level of malnutrition among children.
Conclusion: Malnutrition among children is a complex challenge which cannot be solved by emphasizing on only economic growth. Policies emphasising on gender parity and empowerment integrated in healthcare policies will positively impact nutritional level of children.
Knowledge, Awareness and Attitude Regarding Ergonomics Among Interns and Postgraduate Students: A follow-up study
No full textOBJECTIVES: To assess the knowledge attitude and awareness of interns and postgraduate students regarding ergonomic disorders and, to assess if they follow ergonomic postures following counselling regarding ergonomics among dental students in India.
METHODS: The questionnaire for this study was validated and, a Cronbach’s alpha score of 0.84 was obtained. This study was conducted as a two-part study. In the first part, a questionnaire was given to the participants of the study. In the second part of the study, the subjects were observed on the 7th, 15th, and 30th day.
RESULTS: Over half the participants i.e., 59.6 % (90 participants) preferred to perform the procedures while standing. This data on statistical analyses was found to be significant. (P-value 0.041) In this study, 84.1% of participants had experienced symptoms in the neck, shoulders, hands or back during working. (P-value 0.039).
Conclusion: Ergonomics is an important subject that must be taught to every medical professional
India: The future of healthcare Post Covid-19, learning from diversity
No full textThis special issue has its focus on the nation-state of India, its healthcare system and health services. You may well ask why a special issue on India and the simple response would be that our colleagues from the K. J. Somaiya Institute of Management (K J SIM), Mumbai, India approached the Journal to see if we would publish a special issue base on articles that were presented at the 1st Annual Conference on Healthcare Management conducted earlier this year by them.....
Application of Disruptive Technologies on Environmental Health: An overview of artificial intelligence, blockchain and internet of things: Disruptive Technology and Artificial Intelligence
No full textEnvironmental monitoring technology is a critical component in assisting and ensuring environmental management success. The development patterns of disruptive technologies for environmental monitoring should be studied and anticipated in order to aid in the promotion of India's environmental monitoring and protection. The primary objective is to examine previous research on disruptive technology and its current environmental applications, as well as to determine the degree of connection between the chosen variables, using the Vos Viewer Software, which is being used in this study. A discussion of the existing environmental impacts associated with artificial intelligence (AI), blockchain, and the Internet of Things (IoT), as well as new advancements in these fields, is presented in this article. As a result of the research, the difficulties and possibilities presented by the stated technologies on the entire Indian environmental monitoring network have been highlighted that can be useful for researchers and government for future advancement in environmental health.
(*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 Search of A Contemporary Definition of Meaningful Engagement: A systematic literature review
No full textConsumer engagement is emerging as an important trend in a contemporary health care environment. Yet, a universal definition of meaningful consumer engagement has not been determined. This paper presents our systematic literature review findings, which intended to consolidate the definition of consumer engagement (or related terms) in the context of health care to date to arrive at a definition for meaningful consumer engagement in healthcare. Literature searches were performed in MEDLINE, CINAHL, Embase and PsychINFO in June 2021. Using a combination of medical subject headings (MeSH) terms, Emtree search headings and free text words, a total of 82 records were identified. After reviewing in line with PRISMA methodology, 23 articles were considered relevant to the development of the definition of consumer engagement. The methodology of these papers was analysed using the revised Mixed Methods Appraisal Tool (MMAT) (2018). A total of 13 of these papers were then further analysed for a definition of meaningful consumer engagement or characteristics of consumer engagement. None of the definitions found comprehensively defined meaningful consumer engagement but instead, five described meaningful consumer engagement. Therefore, a new definition of meaningful consumer engagement is proposed, which is based upon the synthesis of the characteristics of meaningful consumer engagement and person-centred care. This new definition speaks to what is it means to be consumers of health care rather than patients and acknowledged the importance of the reciprocity of the exchange relationship of ‘consumers’, the importance of leadership, and the emerging evidence around diversity and inclusion trust and partnership which requires active involvement and participation
Artificial Intelligence (Online Resource): A panacea for SMEs in healthcare: Artifical Intelligence and SMEs
No full textThis paper presents a review of the most recent and popular research papers on the use of artificial intelligence in the healthcare sector. SMEs consist of 60-65% of Indian medical device market. Many doctors are operating through private hospitals which come under the category of SMEs segment. Technology is proving to be a boon for all the sectors, artificial intelligence an emerging technology has the potential to change the fortune of SMEs in health care sector. In this paper, there will be discussion on how artificial intelligence can help the healthcare sector in different ways. SMEs working in healthcare can take a learning from this paper and can utilize it for betterment.
(*The paper was presented at the AICTE International Conference on Circular Economy, Management and Industry, Bharati Vidyapeeth’s Institute of Management Studies and Research, Navi Mumbai and Apeejay School of Management, Dwarka, Delhi, India. October 2021