Asia-Pacific Journal of Health Management (ACHSM)
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Factors Influencing Job Satisfaction Among Recently Qualified Resident Doctors: A qualitative study
No full textIntroduction: Public health systems throughout the world are constantly being confronted with serious shortages of doctors. The Saudi health system acknowledges the risks involved in its heavy dependence on non-Saudi doctors and has gradually expanded its efforts to nationalize its medical staff by improving the capacity of the medical education system through increasing the number of medical colleges. The objective of this study was to explore the most crucial factors that influence job satisfaction among recently qualified resident doctors in Saudi Arabia.
Methods: The study used a qualitative approach, with in-depth interviews that were conducted with recently qualified resident doctors to gather information on the factors that were the most critical in affecting their job satisfaction early in their careers. Twenty-five qualified resident doctors were purposively selected for interviews. The participants were selected from various areas of specialization, such as internal medicine, surgery, pediatrics, obstetrics, gynecology, and emergency medicine.
Results: This study emphasized the importance of improving the satisfaction levels of recently qualified resident doctors with respect to a range of job-related factors. The following seven themes emerged from the data: education and development, recognition and respect, professionalism, workload, healthcare facilities, patient adherence, and salary.
Conclusion: An increased investment in medical education is recommended to improve educational outcomes. The satisfaction that recently qualified resident doctors have with regard to their salaries should be monitored continuously, and further evidence is needed to determine whether modifications are required. Improving the satisfaction levels of the resident doctors in the seven specific areas of their jobs can result in greater retention
From Chaplaincy to Spiritual Care: Turning points for an emerging health profession
No full textObjectives: National standards in Australia acknowledge the significance of spiritual care in the provision of holistic care, understanding that peoples’ beliefs and values impact their experience and health outcomes. While spiritual care has been provided in Australian hospitals for many decades little attention has been given to changes in the workforce and the implications for quality of care. This study aimed to further understanding of the key influences and mechanisms for change to ensure safe and high-quality spiritual care provision in Australia by a qualified and credentialed workforce.
Methods: This study used a qualitative case study design which included interviews and analysis of archived records. Narrative analysis produced an extensive organisational case study from which a timeline of key changes significant to the spiritual care workforce was constructed to inform this paper.
Results: There have been movements towards a professional spiritual care workforce, but progress has been slow, and inconsistency persists across Australia. Five key influences were identified that provide a basis for future progress: the need for evidence, cooperation amongst stakeholders, investment by government and health service management, and leadership and advocacy from spiritual care peak bodies.
Conclusions: Attention to historical turning points enables understanding of the influences for change. These can become opportunities for health management to further progress towards a qualified and credentialed spiritual care workforce able to deliver safe and high-quality spiritual care
Cross Sectional Study on The Association of Daily Spiritual Experience on Mental Well Being During COVID 19 Among The African Students In India
No full textObjectives: The current research focussed to explore the association of daily spiritual experience on the mental well- being of international students hails from Africa and pursuing studies in various higher education institutions in India. The research also tried to explore whether age and gender plays a significant role in the mental well- being of the respondents.
Design: The study is an exploratory cross-sectional in nature. The research tool comprised of the Daily Spiritual Experience Scale (DSES) and Warwick-Edinburgh Mental Well-being Scale (WEMWBS) along with the demographic details. Post reliability and validity tests, established scales are used to study the variable in the research. The data was analysed using Smart PLS SEM 3.3.2.
Setting: The respondents comprise of international students hails from Africa and pursuing various under graduate, post graduate and PhD courses from various institutions at Bhopal, Delhi, Mumbai and Rajasthan in India. The respondents include a cohort of 102 respondents who gave consent to be part of the study during first week of July to first week of August 2021 and were selected through purposive sampling technique.
Main outcome measures: The research measures the association of daily spiritual experience and mental well-being during pandemic and also the coping strategies used by the respondents.
Findings: The research report shows an insignificant relation of gender to the mental well-being whereas age reported a significant association. A significant association is reported between daily spiritual experience and the mental wellbeing of the respondents amidst pandemic situation.
Conclusion: Pandemic outbreaks influences the mental well-being of individuals specially when they are away from the social support system. Hence counselling services and other interventions to cater to the needs of students requires a serious deliberation at the policy level
The Costs of Medical Care for Covid-19 Patients: A case study in Turkey
No full textObjective: This study aims to calculate the medical costs of Covid-19 patients for hospitals based on the severity of clinical care.
Design: The study was conducted in a hospital in Istanbul/Turkey. A micro-costing approach was performed using historical cost data for one year. All direct and indirect medical inputs were determined in quantities and monetary values for four types of Covid-19 patients in the hospital.
Results: The analysis calculated the unit cost of an outpatient to be 459,99 ₺, while the cost per day for inpatient to be 1.184,63 ₺, for non-intubated in intensive care unit to be 1.938,11, for intubated in the intensive unit to be 2.393,99₺. The study also indicates that the total cost of a non-intubated patient in intensive care units is 1,54 times higher than the total cost per inpatient. An intubated patient’s cost is 2,08 times higher than an inpatient’s cost.
Conclusion: This study indicates that Covid-19 patients incur significantly high costs for hospitals. The findings of the study provide empirical data for different types of patients which can be used in clinical management and can help all related governing bodies to plan their actions and make the decision
An Exploration of Job Stress among Health Care Work Force
No full textObjectives: The aim of this study is unique and will be useful in elucidating the level and sources of job stress among nurses working in government and private sector health institutions in the Kurdistan Region. This research could be useful in developing future nursing and healthcare manpower planning policies. In this research work, the objective is to evaluate the job stress among hospital nurses in the Kurdistan region. The research part basically explains about work-related stress and how it is harmful to the health of the employees.
Methods: With the help of questionnaires, the authors collected primary data from the nurses working in 34 public and 56 private hospitals all over the Kurdistan region. To collect the data author used a simple random sampling method. The proposed study is descriptive in nature and authors collected data from 252 staff nurses working in the Kurdistan region. To do the analysis author used statistical tools like descriptive statistics, mean, cluster, chi-square, and correspondence analysis. To analyses, the data author used statistical software package SPSS 28.
Results: The results reveals that the ranking of four job stress domains like job factor, organizational factors, interpersonal relations factors and environmental factors. In that the interpersonal relations factors are ranked number one and the second rank is organizational factors third one is environmental factors and the last one is job factor.
Conclusions: In Kurdistan region hospital staff nurses stressed due to routine shift and poor organizational structure are mostly influenced on organizational factors that are why it’s ranked number one among the four domains
Dissatisfaction Factors That Influence Customers To Give Low Online Rating To Hospitals
No full textThe study attempts to identify factors of dissatisfaction that significantly influence customers to give low rating to the hospital on online platforms, based on the context of India. The study conducts a qualitative analysis of a sample of 669 reviews given to private for-profit hospitals on online platform. Through textual analysis of the reviews, five distinct factors of dissatisfaction were identified. Each factors were statistically tested to identify those that were significantly present in reviews that gave low rating to the hospital. Three out of five factors, inferior medical care, inappropriate behaviour of staff and profiteering attitude, were found to be significant. Within these three factors no significant difference was found in their strength of association with the low online rating
Reliability Testing of Self-Care of Heart Failure Index v6.2 Chinese Instrument Among Heart Failure Patients
No full textObjective: Self-Care of Heart Failure Index (SCHFI) v6.2 Chinese is an instrument used to assess the ability of self-care behaviour among heart failure patients. It has been validated in Taiwan, however, it is yet to be validated in Malaysia. As a multi-ethnic country, Chinese language has been one of the major languages in Malaysia. Therefore, this study was conducted to examine the reliability of Self-Care of Heart Failure Index (SCHFI) v6.2 Chinese among Malaysian population.
Design: A successive independent sample design was used throughout a 4-months data collection period.
Setting: Eighty heart failure patients from University of Malaya Medical Centre and National Heart Institute were recruited through purposive sampling. The two hospitals were chosen because they have specialized heart clinics that eased the data collection. The out-patients were screened by the cardiologists for their eligibility to participate in this study.
Measures: The samples were administered with SCHFI v6.2 Chinese. The item endorsement index, internal consistency and item-total correlation of SCHFI v6.2 Chinese were examined.
Results: The maintenance subscale of SCHFI showed a low internal consistency (Cronbach α = .52) while the management and confidence subscales showed an acceptable internal consistency (Cronbach α = .67 and .90 respectively).
Conclusion: SCHFI v6.2 Chinese is a reliable instrument to be used among the Malaysian population
Prediction of Graft Survival Using Artificial Neural Network (ANN), and Bayesian Belief Network (BBN): A Comparative Study: Graft Survival Prediction Using Machine Learning: A Comparative Study
No full textObjective: The aim of this study was to predict graft survival using machine learning prediction techniques and the involved decision making.
Design: Prediction of graft survival post-transplant using machine learning algorithms like Artificial Neural Network (ANN) (Single and Multi-layer networks), and Bayesian Belief Network (BBN).
Setting: Recipient and donor with characteristics of age, sex and Glomerular Filtration Rate (GFR) and the follow-up of probability of survival one year after transplantation (n=40).
Main outcome measures: The Data include simulation from donor, recipient characteristics of single centre with factors age, sex, GFR and probability of survival collected particularly with the follow-up after the first year of transplant.
Results: The ANN and BBN were modelled in Python. The probability of survival post-transplant is predicted, and accuracy measured using Root Mean Square Error (RMSE). The results for the methods were compared and efficacy and ease of use are discussed.
Conclusion: The decision making in the organ transplantation involving the patients and doctors consists of mainly involve improving the graft survival and hence prediction becomes important. The developed models can be used to predict the transplant and aid as decision support system for decision regarding matching and allocation
Message from ACHSM President - Dr Neale Fong
No full textI trust that you are well and as a leader or manager in the health sector wherever you are, you have taken time to ensure your own health and wellbeing in these extraordinary times. There is no more important time than now to ensure that you have the resilience and reserves to travel through these uncertainties.
In the last issue this column focussed on the ACHSM’s Certification Program and the importance of a credential for health leaders and executives. As I noted then, certification in a profession is an employment currency within the health sector that has traditionally excluded the leaders and managers. Through the introduction of these credentials, the College supports members and future members to have their body of knowledge and skills recognised and provides the platform for continuing development.
Today let me focus on the importance of lifelong learning and intentionally managing a career that hopefully will span decades, providing you with personal satisfaction and success. Committing to lifelong learning, as we mandate within Certification, is a commitment to your own development, and your own sense of staying curious and active within the profession.
A quiet and consistent focus on staying current is at the foundation of confident and competent leadership and ACHSM sees this as being at the heart of our offerings to College members
Systematic Literature Review of My Health Record System
No full textBackground: On 2010 Australia launched a personally controlled electronic health record (PCEHR) later renamed and augmented by the My Health Record Act 2012 Cth. The main goal of the present systematic literature review was to assess if the system has improved Australia’s healthcare system according to the objectives stated by the federal government in the My Health Record Act 2012 Cth. Methods: This systematic literature review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: Despite the MyHR system being available for seven years, there is limited empirical evaluation regarding its progress in achieving the stated goals. The results were segregated in four themes: (1) health information fragmentation, (2) Health information quality and management, (3) adverse medical events and duplication of treatment and (4) coordination of care. Regarding theme 1, it was evidenced that the system could reduce health information fragmentation; however, gaps in the workforce adoption were identified as a problem. About topic 2, improved access to information and possible misinterpretation were found. Theme 3 lacked research and theme 4 presented contradiction in the results.
Conclusion: The My Health Record (MyHR) system is founded on four key objectives. However, there is insufficient evidence that any outcomes have been achieved relating to any of the objectives. Research is required to determine whether the MyHR system helped improve Australia’s healthcare system according to the objectives stated in the Act 2012