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An analysis of the relative importance of healthcare services indicators in South Africa: Utilities Analysis Approach 南非医疗保健服务指标相对重要性分析:公用事业分析方法
Pub Date : 2024-07-21 DOI: 10.35898/ghmj-72983
S. Gani
Background: There is a wide gap in healthcare access between the poor and the rich in South Africa. The government has implemented several policies to address this gap; nonetheless the complaints about poor healthcare delivery exist.Aims: The objective of this study is to examine the relative importance of healthcare service indicators in Tshwane Municipality, South Africa.Methods: This research uses a utility approach to analyse the relative importance of healthcare service indicators in the context of the Tshwane Municipality in South Africa. The study applies conjoint analysis to better understand healthcare users' preferences for several factors such as service range, waiting time for medications and consultations, waiting time for elective operations, and location. Questionnaire was administered on 280 respondents, comprising the following: Black – 130, Whites – 70, Indians – 40, and Coloured – 40. The data was collected from both public and private healthcare users, and the results were compared using an independent t-test.Results: The study found that there were no statistically significant variations in the mean utilities of public and private healthcare users. The finding suggests that healthcare users' preferences, whether they utilize public or private services, are largely comparable and can be addressed by utilizing unified techniques. The result also demonstrates the most favoured levels for each metric, providing insights into patient preferences and their social impacts. The study further highlights various healthcare preferences of users.Conclusion: This finding emphasises that healthcare users have unique expectations, requiring personalised healthcare delivery. The findings have several recommendations for policymakers and healthcare practitioners to improve service delivery and patient satisfaction. Received: 01 May 2024 | Reviewed: 03 June 2024 | Revised: 12 July 2024 | Accepted: 21 July 2024.
背景:在南非,穷人和富人在获得医疗服务方面存在很大差距。政府实施了多项政策来解决这一差距,但人们对医疗服务质量差的抱怨依然存在。研究目的:本研究旨在探讨南非茨瓦内市医疗服务指标的相对重要性:本研究采用实用方法,以南非茨瓦内市为背景,分析医疗服务指标的相对重要性。研究采用联合分析法,以更好地了解医疗用户对服务范围、药物和咨询等待时间、择期手术等待时间以及地点等因素的偏好。对 280 名受访者进行了问卷调查,其中包括黑人 130 人,白人 70 人,印度人 40 人,有色人种 40 人。数据从公立和私立医疗机构的用户中收集,并使用独立的 t 检验对结果进行比较:研究发现,公立和私立医疗机构用户的平均效用没有明显的统计学差异。这一结果表明,无论是使用公共服务还是使用私人服务,医疗用户的偏好在很大程度上具有可比性,可以通过使用统一的技术来解决。研究结果还显示了每个指标最受欢迎的水平,让人们深入了解患者的偏好及其社会影响。这项研究进一步突出了用户的各种医疗偏好:结论:这一研究结果强调了医疗保健用户具有独特的期望,需要个性化的医疗保健服务。研究结果为政策制定者和医疗从业人员提供了若干建议,以改善服务提供和提高患者满意度。收稿日期2024 年 5 月 01 日 | 已审阅:修订:2024 年 7 月 12 日 | 接受:2024 年 7 月 21 日。
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引用次数: 0
Mothers’ parenting patterns on stunting cases in toddlers: A case from Cirebon Health Center, West Java, Indonesia 母亲的养育方式对幼儿发育迟缓的影响:印度尼西亚西爪哇Cirebon卫生中心的一个案例
Pub Date : 2024-06-03 DOI: 10.35898/ghmj-72968
Eni Suhaeni, Salman Nur Azmii, Siti Maria Ulfah, T. Pratamawati
Background: A recent survey conducted in 2021 noted a high stunting incident was found in Cirebon, West Java of Indonesia, reached to 30.6%, even higher compare to the provincial rate (24.5%).  It has been known that parenting patterns and nutritional status are greatly influenced by the mother's understanding of managing health and nutrition for their baby in order to lower the stunting case.Aims: This study is to analyze the association between mother's parenting patterns and stunting in toddlers age 24-48 month in Cirebon Municipality.Methods: A total of 68 mothers have been selected using the consecutive sampling from a health facility in Cirebon City, Indonesia. This research uses survey and descriptive methods with a quantitative approach to examine the impact of mother's parenting patterns on stunting incidence in toddlers aged 24-48 months. This research also uses secondary data in the form of KIA (Mother and Child Health) records to identify the stunting cases among the respondents. Statistical analysis was employed to find how significant the variables affecting to the others.Results: From the questionnaire, it was found that the majority of participants were mothers aged 26-35 years old, and only graduated from high school or lower, and most of them were not working mothers. The stunting incidence found in this health center reached to 58.8 %. While only 36.8% of mothers exhibits well parenting pattern, the majority may show sufficient level (52.9%). Even only 10.3% of respondents correspond with low parenting pattern, however all of them found with stunting incidence. From statistical analysis, it is noted that mothers’ parenting pattern significantly affecting stunting cases in toddlers (p value = 0.001).Conclusion: This recent study concludes that parenting pattern significantly contributes to the number of stunting cases in toddler aged 24-48 months. The statistical analysis found mothers with well parenting pattern lower chance of having a stunted child. The data highlights the importance of knowledge and attitude will benefit in reducing the total number of stunted children in Cirebon city, Indonesia. Keywords: Parenting pattern; Stunting; Mothers; Toddlers; Indonesia.Received: 09 November 2023, Reviewed: 19 November 2023, Revised: 06 January 2024, Accepted: 03 June 2024.
背景2021 年进行的一项最新调查显示,印度尼西亚西爪哇省井里汶市的发育迟缓率高达 30.6%,甚至高于该省的比率(24.5%)。 众所周知,育儿模式和营养状况在很大程度上受到母亲对宝宝健康和营养管理的理解的影响,从而降低发育迟缓率:方法:采用连续抽样的方法,从印度尼西亚井里汶市的一家医疗机构中共抽取了 68 名母亲。本研究采用调查和描述性方法,以定量方式研究母亲的养育模式对 24-48 个月幼儿发育迟缓发生率的影响。本研究还利用 KIA(母婴健康)记录形式的二手数据来确定受访者中的发育迟缓病例。研究采用了统计分析方法,以确定变量对其他变量的重要影响程度:从问卷中发现,大多数参与者是 26-35 岁的母亲,只有高中或高中以下学历,而且大多数都不是在职母亲。该保健中心的发育迟缓发生率高达 58.8%。虽然只有 36.8%的母亲表现出良好的养育模式,但大多数(52.9%)可能表现出足够的水平。即使只有 10.3%的受访者表现出低水平的养育模式,但她们都有发育迟缓的问题。统计分析显示,母亲的养育模式对幼儿发育迟缓有显著影响(P 值 = 0.001):这项最新研究得出结论,育儿模式对 24-48 个月幼儿的发育迟缓病例数有明显影响。统计分析发现,养育方式良好的母亲,其子女发育迟缓的几率较低。数据强调了知识和态度的重要性,这将有利于减少印度尼西亚井里汶市发育迟缓儿童的总数。关键词养育模式;发育迟缓;母亲;幼儿;印度尼西亚:09 November 2023, Reviewed:收稿日期:2023 年 11 月 09 日,审稿日期:2023 年 11 月 19 日,修订日期:2024 年 1 月 6 日,接受日期:2024 年 6 月 3 日:03 June 2024.
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引用次数: 0
Donor-funded procurement effectiveness in the public health medical laboratory services: Examining the moderation role for government policy in donor-support 公共卫生医学实验室服务中由捐助者资助的采购的有效性:考察政府政策在捐助方支持中的调节作用
Pub Date : 2024-06-01 DOI: 10.35898/ghmj-72984
Crossman Mayavo
Background: The paper seeks to provide evidence on the government policy’s moderating role in donor-funded procurement in the laboratory services of Zimbabwe. Procurement is a key component for any organizations to function optimally and the medical laboratory service is no exception considering that the donors are the major funders of the department hence the need for this study to examine the government policy as the moderating variable for this research. Medical laboratory services plays a very important role in the functioning of any health sector as every disease have to be tested to ascertain the actual disease a person suffering from before any treatment can be commenced.Aims: The aim of the paper was to examine the moderating role of government policy on donor-funded procurement in Zimbabwe’s laboratory services.Methods: The paper made use of a quantitative method research method. Data was collected from 260 respondents sampled from a total population of 795 using RaoSoftware but only 214 respondents successfully returned the questionnaire from the Ministry of Health and Child Care, Zimbabwe and the analysis was done using STATA to run the structural equation modeling.Results: The study found out that government policy (GP) moderates the pre-donation preparation process (PDPP) (β=0.15, p-value = 0.038) donation requirement process (DRP) (β=0.24, p-value =0.000), donation recipient planning process (DRPP) (β=0.22, p-value = 0.001) and donation implementation process (DIP) (β=0.18, p-value = 0.004) and the effectiveness of donor-funded procurement.Conclusion: Based on the results, the study concluded that government policy has a role to play to support donor-funded procurement in the laboratory services in Zimbabwe and the world over and the study recommended that policy maker should take into consideration the important role as government policy plays as it support key health outcomes considering the crucial role the medical laboratory also plays. Received: 16 April 2024 | Reviewed: 22 April 2024 | Revised: 6 May 2024 | Accepted: 11 June 2024.
背景:本文旨在提供证据,说明政府政策在津巴布韦实验室服务部门由捐助者资助的采购中的调节作用。采购是任何组织实现最佳运作的关键要素,医学实验室服务也不例外,因为捐助者是该部门的主要资助者,因此本研究需要将政府政策作为调节变量进行研究。医学实验室服务在任何卫生部门的运作中都扮演着非常重要的角色,因为每种疾病都必须经过检测以确定患者所患的实际疾病,然后才能开始治疗:本文采用了定量研究方法。使用 RaoSoftware 从总人口 795 中抽取了 260 名受访者进行数据收集,但只有 214 名受访者成功返回了津巴布韦卫生与儿童保健部的调查问卷,数据分析使用 STATA 进行结构方程建模:研究发现,政府政策(GP)对捐赠前准备过程(PDPP)(β=0.15,p 值=0.038)、捐赠需求过程(DRP)(β=0.24,p 值=0.000)、捐赠接收方规划过程(DRPP)(β=0.22,p 值=0.001)和捐赠实施过程(DIP)(β=0.18,p 值=0.004)以及捐赠方出资采购的有效性具有调节作用:根据研究结果,该研究得出结论:在津巴布韦乃至全世界,政府政策在支持实验室服务中的捐赠资助采购方面发挥着作用,研究建议政策制定者应考虑到政府政策的重要作用,因为考虑到医学实验室也发挥着关键作用,政府政策在支持关键健康成果方面发挥着重要作用。收稿日期2024年4月16日修订:2024 年 5 月 6 日 | 接受:2024 年 6 月 11 日:11 June 2024.
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引用次数: 0
Children are Losing Lives in the Name of Culture: The Health Impacts of Initiation Schools in South Africa 儿童以文化的名义失去生命:南非启蒙学校对健康的影响
Pub Date : 2024-04-16 DOI: 10.35898/ghmj-72982
Tiisetso Chuene
Background: On an annual basis, young boys lose their lives due to circumcisions performed at initiation schools across South Africa. Some of the initiates lose their manhood as a result of amputations and all these acts are done in the name of culture. Over the last few years, there have been more media reports in South Africa about improper traditional circumcisions coupled with poor health outcomes causing deaths of children admitted at initiation schools.Aims: This article explores the health impacts of traditional initiation schools in South Africa.Methods: This review followed desktop approach through utilization of secondary data. Systematic quantitative review technique was used to collect data. To get a better understanding of the context under investigation, desktop analysis was employed using the five steps of the data analysis process.Results: The themes identified in this study include challenges associated with the practice in relation to children's rights, ethical conflicts between traditional initiation practices and public health, commercialization of initiation schools, and complications associated with circumcision at initiation schools.Conclusion: There is insufficient enforcement of the laws and a lack of public knowledge regarding the impact of initiation on children. Even though South Africa's national and local governments have made significant attempts to control the initiation practices and uphold children's rights, significant law enforcement is still required to shield children from unsafe cultural customs. In addition to the ineffective execution of existing rules and regulations, the traditional initiation sector is burdened by a lack of direct, continuous, and efficient supervision of the operations of initiation schools.Received: 7 February 2024, Reviewed: 11 March 2024, Revised: 29 March 2024, Accepted: 16 April 2024.
背景:南非各地的启蒙学校每年都有男孩因割礼而丧生。有些入会者因截肢而失去男子气概,而所有这些行为都是以文化的名义进行的。在过去几年中,南非有越来越多的媒体报道了不当的传统包皮环切手术以及不良的健康后果导致入会学校儿童死亡的事件:方法:本综述采用桌面方法,利用二手数据。采用系统的定量审查技术来收集数据。为了更好地了解调查背景,采用了数据分析过程的五个步骤进行桌面分析:本研究确定的主题包括与儿童权利相关的做法所带来的挑战、传统入门做法与公共卫生之间的道德冲突、入门学校的商业化以及入门学校割礼所带来的并发症:结论:法律执行不力,公众对入门仪式对儿童的影响缺乏了解。尽管南非的国家和地方政府在控制入门习俗和维护儿童权利方面做出了重大努力,但仍需要大力执法,以保护儿童免受不安全文化习俗的伤害。除了现行规章制度执行不力外,传统入会行业还因缺乏对入会学校运作的直接、持续和有效监督而负担沉重:收到:2024 年 2 月 7 日,审阅:2024 年 3 月 11 日,修订:2024 年 3 月 11 日:收稿日期:2024 年 2 月 7 日,审稿日期:2024 年 3 月 11 日,修订日期:2024 年 3 月 29 日,接受日期:2024 年 4 月 16 日:接受:2024 年 4 月 16 日。
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引用次数: 0
The Effect of Physical Activity on Blood Pressure in the Community of Tumbang Tahai District, Palangka Raya, Indonesia 体育锻炼对印度尼西亚巴朗卡拉亚市吞邦塔海区社区居民血压的影响
Pub Date : 2024-04-03 DOI: 10.35898/ghmj-71973
Muhammad Naufa Anwar, Riccardo Hartoyo, I. D. G. Sandhikarana, Hendrykus Theo Damar Widhiyanto, Rian Ka Praja
Background: Cardiovascular diseases, including hypertension, pose significant health challenges globally. Physical activity has long been recognized as a modifiable factor that can influence various aspects of cardiovascular health, including blood pressure. However, the relationship between physical activity and blood pressure is complex and can be influenced by various factors such as cultural and regional differences.Aims: The primary objective of this research was to examine the association between physical activity and blood pressure using a quasi-experimental design.Methods: This study utilized a quasi-experimental design with a one-group pre-test post-test approach. The sample was selected using a total sampling technique. The independent and dependent variables in this research were physical activity and blood pressure. Data collection instruments employed in this study consisted of observation sheets, an aneroid sphygmomanometer, and a stethoscope. Data analysis was performed using the Wilcoxon test.Results: This study showed that there was an association between physical activity and blood pressure.    Conclusion: this research sheds light on the relationship between physical activity and blood pressure. The findings underscore the importance of considering cultural and regional factors in designing health interventions. Received: 20 November 2023, Reviewed: 21 November 2023, Revised: 14 March 2024, Accepted: 03 April 2024.
背景:包括高血压在内的心血管疾病对全球健康构成重大挑战。长期以来,人们一直认为体育锻炼是一个可调节的因素,可影响包括血压在内的心血管健康的各个方面。然而,体育锻炼与血压之间的关系非常复杂,而且可能受到文化和地区差异等各种因素的影响:本研究采用准实验设计,采用一组前测后测的方法。抽样采用总体抽样技术。本研究的自变量和因变量分别是体育锻炼和血压。研究中使用的数据收集工具包括观察表、血压计和听诊器。数据分析采用 Wilcoxon 检验:研究结果表明,体育锻炼与血压之间存在关联。 结论:这项研究揭示了体育锻炼与血压之间的关系。研究结果强调了在设计健康干预措施时考虑文化和地区因素的重要性。收稿日期:2023 年 11 月 20 日,审稿日期:2023 年 11 月 20 日:2023年11月20日,审阅2023年11月21日,修订:2024年3月14日,接受:2024年4月3日:接受:2024 年 4 月 3 日。
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引用次数: 0
The effect of Professional Nursing Practice Model Training (MPKP) with the implementation of Pillar IV Nursing Care Delivery System (Pillar IV NCDs) at a Hospital in Kotamobagu, Indonesia 专业护理实践模式培训(MPKP)与第四支柱护理服务系统(第四支柱非传染性疾病)在印度尼西亚科塔莫巴古的一家医院实施的效果
Pub Date : 2023-02-08 DOI: 10.35898/ghmj-61934
T. Pujiyanto, Helkim Sarino Laode Manika, Rita Dewi
Background: Professional Nursing Practice Model Training (Model Praktik Keperawatan Profesional; MPKP) is one of the efforts to improve the quality of service in hospitals in nursing services to minimize errors or omissions that can occur. The training carried out is expected to be able to improve the implementation of pillar IV NCDS in hospitals.Aims: This study aimed to determine the effect of MPKP training with the application of pillar IV NCDS at the General Hospital of the Evangelical Masehi Church Bolaang Mongondow Monompia Kotamobagu.Methods: This research is a quantitative research type with a pre-experimental research design one group pre-test post-test design. This research was conducted in August 2022 as many as 52 nurse respondents working at the Monompia GMIBM Hospital Kotamobagu.Results: From the survey, it shows that the intervention will increase the number of nurses implementing the Pillar IV Nursing Care Delivery System (Pillar IV NCDs) including the assessment element (from 76.9% to 90.4%), nursing diagnosis (from 36.5% to 75.0%), planning (from 51.9% to 88.5%), action or measurement (from 84.6% and 92.3%), evaluation (from 46.2% to 90.4%), and nursing care notes (78.8% and 98.1%). There are differences in the implementation of pillar IV NCDS before and after being given MPKP training (p-value: <0.001). it is known that education level and the work experience of the nurses will significantly determine the success of the training, respectively with p value of <0.001 and 0.004.Conclusion: From the survey, we may note how the Professional Nursing Practice Model Training (MPKP) affecting the number of nursing implementing the Pillar IV NCDs. Data from the results can be used as recommendation to the hospitals’ human resources department in designing their program in order to increase the nurses’ competences.
背景:专业护理实践模式培训(Model Praktik Keperawatan Professional;MPKP)是提高医院护理服务质量的努力之一,以尽量减少可能发生的错误或遗漏。开展的培训预计将能够改善医院第四支柱非传染性疾病的实施情况。目的:本研究旨在确定MPKP培训在福音派Masehi教会Bolaang Mongondow Monompia Kotamobagu总医院应用第四支柱非传染性疾病的效果。方法:本研究为定量研究型,采用实验前研究设计,一组前测后测设计。该调查是在2022年8月对在komompia GMIBM医院工作的52名护士进行的。结果:调查显示,干预将增加实施第四支柱护理服务系统(第四支柱NCDs)的护士人数,包括评估元素(从76.9%增加到90.4%)、护理诊断(从36.5%增加到75.0%)、计划(从51.9%增加到88.5%)、行动或测量(从84.6%和92.3%)、评估(从46.2%增加到90.4%)和护理笔记(78.8%和98.1%)。在接受MPKP培训前后,第四支柱非传染性疾病的实施存在差异(p值:<0.001)。我们知道,护士的教育程度和工作经验对培训的成功有显著影响,p值分别<0.001和0.004。结论:从调查中,我们可以注意到专业护理实践模式培训(MPKP)如何影响实施第四支柱非传染性疾病的护理人数。研究结果可作为医院人力资源部门制定护理方案的参考依据,以提高护理人员的胜任能力。
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引用次数: 0
Standard Operating Procedures of antenatal care and its relation with pregnant women’s satisfaction during pregnancy examination: Results of a survey at Gamping I Public Health Center, Yogyakarta, Indonesia 产前保健标准操作程序及其与妊娠检查期间孕妇满意度的关系:印度尼西亚日惹Gamping I公共卫生中心的调查结果
Pub Date : 2023-02-08 DOI: 10.35898/ghmj-61927
Hilma Triana, Sulistyaningsih Sulistyaningsih, Jumpanata Jumpanata, Yogi Yamani
Background: The achievement parameter for maternal health services program is the access of pregnant health services, as indicated by measuring the coverage of antenatal care services. In Indonesia, examination of pregnant women according to antenatal standards is regulated by Ministry of Health Indonesia Number 21 of 2021, where pregnancy checks must fulfill the standard 10 T criteria.Aims: This study aimed to identify the Standard Operating Procedures of antenatal care in Gamping I Public Health Center, Yogyakarta, Indonesia, and determine its relation with pregnant women’s satisfaction during pregnancy examination.Methods: Of 70 TM III pregnant women, who routinely visit for antenatal care service at the Public Health Center Gamping I, a total of 40 pregnant women were selected using consecutive sampling with 10% margin of error. A set of questionnaires was distributed to the respondents to asses: (1) The implementation of the antenatal care service standard (20 questions, and weighted using a dichotomy scale) and (2) The pregnant women satisfaction (22 questions, and weighted using the Likert scale. The data obtained from respondents were then tabulated and processed using Microsoft Office Excel 2010 and then analyzed using the SPSS Statistics 16.0 program (Pearson Product Moment formula with an error rate of 5%).Results: There are 10 pregnancy tests (10T) received by the pregnant women at the health center including the measurement of Height, Weight, Blood pressure, upper arm circumference, Uterine fundus height, Presentation & Fetal heart rate, Provision of  90 Fe Tablets, Laboratory examinations, Case handling, TT Immunization Screening, and Counseling & mental health assessment. According to the findings of the research conducted by the researchers, antenatal examinations were not carried out in a comprehensive and thorough manner in instances. This article provides the women satisfaction to the antennal care on different dimensions of satisfaction including Physical Proof, Reliability, Responsiveness, Guarantee, and Empathy. Even though the analysis shows that the respondents was satisfied with the antennal care services; however, the relation is not statistically significant (p-value of 0.652).Conclusion : One's satisfaction is very difficult to measure and someone's satisfaction is different from the satisfaction of someone else. According to the findings of the study, every time a midwife performed an antenatal checkup, she had never provided complete 10T-based antenatal care. In addition, this research has been carried out through direct observation of prenatal care, where pregnant women and midwives' perceptions of antenatal care examinations do not differ.
背景:孕产妇保健服务方案的成就参数是获得孕妇保健服务的机会,通过测量产前保健服务的覆盖率来表明这一点。在印度尼西亚,根据印度尼西亚卫生部2021年第21号法令规定的产前检查标准对孕妇进行检查,其中怀孕检查必须符合标准10t标准。目的:本研究旨在了解印尼日惹市甘平第一公共卫生中心产前保健标准操作程序,并探讨其与孕妇孕检满意度的关系。方法:采用连续抽样的方法,以10%的误差范围,抽取到甘平市第一公共卫生中心接受产前保健服务的70例TM III期孕妇共40例。采用问卷调查的方式对受访对象进行评估:(1)产前保健服务标准执行情况(共20题,采用二分法进行加权)和(2)孕妇满意度(共22题,采用李克特量表进行加权)。然后使用Microsoft Office Excel 2010对受访者的数据进行制表和处理,然后使用SPSS Statistics 16.0程序进行分析(Pearson Product Moment公式,错误率为5%)。结果:孕妇在保健中心共接受了10项妊娠检查,包括身高、体重、血压、上臂围、子宫底高度、胎位及胎心率,提供90片铁片,实验室检查,病例处理,TT免疫筛查,心理健康咨询和评估。根据研究人员进行的研究结果,在某些情况下,产前检查没有以全面和彻底的方式进行。本文从生理证据、可靠性、反应性、保证性和共情性四个维度对女性对产前护理的满意度进行了分析。尽管分析显示受访者对产前护理服务感到满意;但相关性无统计学意义(p值为0.652)。结论:一个人的满意度很难衡量,一个人的满意度与另一个人的满意度是不同的。根据这项研究的结果,每次助产士进行产前检查时,她从未提供过完整的基于10的产前护理。此外,这项研究是通过对产前护理的直接观察进行的,孕妇和助产士对产前护理检查的看法没有差异。
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引用次数: 0
The correlation between job satisfaction, compensation, and work environment on nurse's turnover intention in Kotamobagu Regional General Hospital using Structural Equation Modeling path analysis 运用结构方程模型路径分析,探讨了工作满意度、薪酬、工作环境对高町地区综合医院护士离职意向的相关影响
Pub Date : 2023-02-08 DOI: 10.35898/ghmj-61925
Echa Effendy Siswanto Amir, Eko Winarto, Rita Dewi Sunarno, Shindi Hapsari
Background: Turnover intention is the tendency of employees to leave the organization or resign voluntarily from their job. Several factors that might influence turnover intention are included job satisfaction, work environment, and compensation.Aims: This study aimed to determine the Path Analysis of the effect of job satisfaction, compensation, and work environment on the turnover intention of nurses at Kotamobagu Regional General Hospitals.Methods: A total of 34 nurses (total sampling method) contributed in this cross-sectional study. The model is presented with a single-directed arrow indicating cause and effect. The regression weights predicted by the model are compared with the correlation matrix from the observed data and then the goodness of fit is calculated. This study uses data analysis that is adapted to the research pattern and the variables studied. A causal model was employed, and to test the proposed hypothesis the SEM analytical technique (Structural Equation Modeling) was operated through the AMOS program.Results: From the statistical analysis, the study shows a significant relationship between job satisfaction and turnover intention (p-value = 0.011), and between the compensation and the turnover intention (p-value = 0.026). However, we found that there was no relationship between work environment and turnover intention among the nurses at Kotamobagu Regional General Hospitals (p-value = 0.935).  Conclusion: This study concluded that there is a correlation between work satisfaction and compensation on turnover intention (direct factor), but there was no correlation between work environment on turnover intention (mediator). It is suggested a need to arrange regular evaluation in terms of job satisfaction and compensation to prevent turnover among the nurses.
背景:离职倾向是指员工离开组织或自愿辞去工作的倾向。影响离职倾向的因素包括工作满意度、工作环境和薪酬。目的:本研究旨在探讨工作满意度、薪酬、工作环境对科田巴古地区综合医院护士离职意向的影响。方法:采用全抽样方法对34名护士进行横断面调查。该模型用一个单向箭头表示因果关系。将模型预测的回归权重与实测数据的相关矩阵进行比较,计算拟合优度。本研究采用了适应研究模式和研究变量的数据分析方法。采用因果模型,并通过AMOS程序使用结构方程模型(SEM)分析技术对所提出的假设进行验证。结果:从统计分析来看,工作满意度与离职倾向之间存在显著关系(p值= 0.011),薪酬与离职倾向之间存在显著关系(p值= 0.026)。然而,我们发现工作环境与Kotamobagu地区综合医院护士的离职倾向之间没有关系(p值= 0.935)。结论:工作满意度和薪酬对离职倾向有直接影响,而工作环境对离职倾向无中介影响。建议定期对护士进行工作满意度和薪酬评估,防止护士流失。
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引用次数: 0
Innovative strategies to promote global health: Lessons from the Covid-19 pandemic 促进全球卫生的创新战略:2019冠状病毒病大流行的教训
Pub Date : 2023-02-08 DOI: 10.35898/ghmj-61956
A. Macnab
The current view is that the hold of the Covid-19 virus is now being altered from pandemic to endemic status with global cooperation. While vaccination remains a central component of the public health interventions required to achieve this, a range of innovative health promotion strategies are also needed in parallel if we are to ensure that the pandemic continues to wane further. Research and personal experience tell us that Covid-19 vaccines offer high protection against severe illness, aid the delivery of health care and save lives. However, WHO communiqués reiterate that vaccine hesitancy is a major threat to global health and that many countries still need to improve vaccination rates. It is also stated that in order to do this innovative strategies are needed to establish greater trust, improve communication and reduce misinformation. Consequently health care providers are being urged to build on lessons learned during the pandemic, find ways to build trust, counter residual vaccine hesitancy and promote other health related behaviors that are inclusive, allay fears and avoid scapegoating.  Importantly, the strategies needed to increase willingness to be vaccinated and promote the health-related knowledge and behaviors necessary for the pandemic to continue to wane are now known to be highly country-specific, and regional differences in what approaches are required are also evident within counties. Consequently, as health care providers we need to develop innovative strategies and employ task shifting to the meet the specific needs of the individual populations we serve. This review summarizes ways to approach this challenge based the core principles advocated by WHO for promoting health literacy and changing behaviors; community empowerment, people-centered strategies, innovative education, novel and improved tools, training to respond to local needs, and the use of non-traditional avenues and outlets.
目前的观点是,在全球合作下,Covid-19病毒正在从大流行状态转变为地方病状态。虽然疫苗接种仍然是实现这一目标所需的公共卫生干预措施的核心组成部分,但如果我们要确保大流行继续进一步减弱,还需要同时采取一系列创新的健康促进战略。研究和个人经验告诉我们,Covid-19疫苗对严重疾病提供高度保护,有助于提供卫生保健并挽救生命。然而,世卫组织公报重申,疫苗犹豫是对全球健康的主要威胁,许多国家仍然需要提高疫苗接种率。它还指出,为了做到这一点,需要创新的战略来建立更大的信任,改善沟通和减少错误信息。因此,敦促卫生保健提供者以大流行期间的经验教训为基础,找到建立信任的方法,消除疫苗残留犹豫,并促进其他与健康相关的包容性行为,减轻恐惧,避免成为替罪羊。重要的是,现在人们知道,提高接种疫苗意愿和促进与该流行病继续减弱所必需的健康相关知识和行为所需的战略是高度针对国家的,而且在所需要的方法方面的区域差异在国家内部也很明显。因此,作为保健提供者,我们需要制定创新战略并采用任务转移,以满足我们所服务的个别人群的具体需求。本综述总结了根据世卫组织倡导的促进卫生知识普及和改变行为的核心原则应对这一挑战的方法;社区赋权、以人民为中心的战略、创新教育、新颖和改进的工具、针对当地需求的培训,以及利用非传统途径和渠道。
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引用次数: 0
What to include in a Review, Commentary, Editorial, and Special Edition of Global Health Management Journal 全球健康管理杂志的评论、评论、社论和特别版应该包括什么
Pub Date : 2023-02-08 DOI: 10.35898/ghmj-61955
A. Macnab
There are several different types of article that authors can submit for publication in a journal. The article types are intended to allow for original research, commentaries, and reviews that are relevant to the stated focus and scope of the journal to be presented to the readers in an interesting and informative manner. Some journals have a special interest in less common forms of communication, and so will accept submissions to other categories, such as interesting images, videos, case reports, or descriptions of teaching methods or learning points. Authors should read the instructions and their editorial policies for authors section on each journal’s website to identify the types of article the editorial team will consider, and then prepare their submission to comply with the description given for each type of article and specific instructions on how each should be formatted. This editorial describes three categories of article and their guidelines to be included in the Global Health Management Journal: Editorial, Commentary and Review. To provide more exposure of papers and works presented at international forums, seminars, and conferences, the journal creates specific guidelines to publish the selected papers from the meetings in Global Health Management Journals as a Special Edition.
作者可以提交几种不同类型的文章在期刊上发表。文章类型旨在允许原创研究、评论和评论,这些都与期刊的既定焦点和范围相关,以有趣和翔实的方式呈现给读者。有些期刊对不太常见的交流形式特别感兴趣,因此会接受其他类别的投稿,例如有趣的图像、视频、案例报告或对教学方法或学习要点的描述。作者应阅读各期刊网站上作者部分的说明和编辑政策,以确定编辑团队将考虑的文章类型,然后准备提交符合每种类型文章的描述以及每种文章应该如何格式化的具体说明。这篇社论描述了将被纳入《全球卫生管理杂志》的三类文章及其指南:社论、评论和评论。为了提供更多在国际论坛、研讨会和会议上发表的论文和作品,本刊制定了具体的指导方针,将会议上的选定论文作为特别版发表在《全球卫生管理期刊》上。
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引用次数: 0
期刊
GHMJ (Global Health Management Journal)
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