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Legal comparison of the use of telemedicine between Indonesia and the United States 印度尼西亚和美国远程医疗使用的法律比较
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-25 DOI: 10.1108/ijhrh-04-2022-0032
Pujiyono Suwadi, Priscilla Wresty Ayuningtyas, Shintya Yulfa Septiningrum, Reda Manthovani
PurposeThis study aims to analyze the way Indonesian and the US laws regulate the reality and implications of legal issues regarding telemedicine, including the protection of citizens in using telemedicine.Design/methodology/approachThis normative legal study used secondary data comprising primary and secondary legal materials based on the law as a norm. The normative legal method was used because the data were based on laws and regulations, reports, journals and research governing telemedicine in Indonesia and the USA.FindingsThe results showed similarities between Indonesia and the USA regarding health services as part of protecting human rights. The differences in implementing telemedicine are from a legal aspect. The legal comparison of telemedicine implementation between the two countries resulted in differences in regulation, informed consent, medical records, practice licenses and medical prescriptions.Research limitations/implicationsThis study discussed telemedicine’s legal aspects in Indonesia and the USA.Practical implicationsThis study aimed to determine the implementation and guidelines used by the USA to be considered for adoption by Indonesia for legal certainty.Social implicationsThe results showed that legal threats could be a weakness of law in Indonesia. Therefore, the government should develop guidelines about telemedicine to accommodate citizens’ legal protection and certainty.Originality/valueThis study is original and could be used as a reference for policymakers in Indonesia and the USA in protecting citizens using telemedicine services. The findings provide a perspective based on Health Law in Indonesia.
目的本研究旨在分析印尼和美国法律对远程医疗法律问题的现实和影响的监管方式,包括对公民使用远程医疗的保护。设计/方法/方法这项规范性法律研究使用了二级数据,包括以法律为规范的一级和二级法律材料。之所以使用规范的法律方法,是因为这些数据是基于印度尼西亚和美国管理远程医疗的法律法规、报告、期刊和研究。结果表明,印度尼西亚和美国在医疗服务作为保护人权的一部分方面有相似之处。实施远程医疗的差异来自法律方面。两国远程医疗实施的法律比较导致了监管、知情同意、医疗记录、执业许可证和医疗处方方面的差异。研究局限性/含义本研究讨论了远程医疗在印度尼西亚和美国的法律方面。实际含义本研究旨在确定美国使用的实施和指南,以供印度尼西亚考虑采用,以获得法律确定性。社会影响研究结果表明,法律威胁可能是印度尼西亚法律的一个弱点。因此,政府应该制定有关远程医疗的指导方针,以适应公民的法律保护和确定性。独创性/价值本研究具有独创性,可作为印度尼西亚和美国政策制定者保护使用远程医疗服务的公民的参考。研究结果提供了一个基于印度尼西亚卫生法的视角。
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引用次数: 13
Challenges and opportunities in female commercial sex worker health care: a critical literature review 女性商业性工作者保健的挑战与机遇:一项批判性文献综述
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-25 DOI: 10.1108/ijhrh-03-2022-0021
Meagan O'Brien, Orla Kistmacher, Sabrina Marie Stephen, G. Flaherty
PurposeThis paper aims to describe the unique health challenges facing female commercial sex workers (FSWs), including issues related to their marginalisation and difficulty accessing health care. It proposes solutions to some of these problems.Design/methodology/approachThis paper addresses this sensitive subject through the methodology of a literature review, drawing on a variety of relevant published literature to inform a modern understanding of the current health challenges faced by this population.FindingsThis paper discusses issues around criminalisation of commercial sex workers, complexities of family planning, sexually transmitted infection prevention, mental health and substance abuse and how increasing health-care worker awareness of the health needs of this vulnerable population can be a positive step in building trust within this relationship. Although adoption of the proposed recommendations put forth in this paper may help to eliminate some of the barriers encountered by female sex workers, further research is recommended.Originality/valueThe subject of commercial sex worker health care is neglected in the academic literature. This review explores the topic in an open and balanced manner and presents a broad and updated overview of the current health-care challenges faced by FSWs as well as opportunities for optimising access and quality of sex worker health care.
目的本文旨在描述女性商业性工作者(FSWs)面临的独特健康挑战,包括与她们边缘化和难以获得医疗保健有关的问题。它提出了其中一些问题的解决方案。设计/方法/方法本文通过文献综述的方法解决了这一敏感主题,借鉴了各种相关的已发表文献,以告知这一人群当前面临的健康挑战的现代理解。本文讨论了商业性工作者的刑事定罪、计划生育的复杂性、性传播感染的预防、精神健康和药物滥用等问题,以及如何提高卫生保健工作者对这一弱势群体健康需求的认识,从而在这种关系中建立信任。虽然采纳本文提出的建议可能有助于消除女性性工作者遇到的一些障碍,但建议进行进一步的研究。在学术文献中,商业性工作者的医疗保健问题被忽视了。这篇综述以开放和平衡的方式探讨了这一主题,并对目前性工作者面临的卫生保健挑战以及优化性工作者卫生保健的机会和质量进行了广泛和最新的概述。
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引用次数: 1
Environmental hazards and health rights of workers in shipbreaking in Bangladesh 孟加拉国拆船工人的环境危害和健康权利
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-20 DOI: 10.1108/ijhrh-03-2022-0014
M. Uddin, M. N. Nobi, Anm Moinul Islam
PurposeThe shipbreaking sector in Bangladesh has spurred extensive academic and policy debates on relations between shipbreaking industries, environmental degradation and the health security of their workers. As shipbreaking is an economically significant industry in Bangladesh, it needs to implement both domestic and global mechanisms for environmental conservation and the protection of the labourers’ health from environmental risks. The purpose of this paper is to primarily explore the environmental and health security issues in shipbreaking activities in Bangladesh. It also identifies the challenges in implementing the rules and regulations for protecting the health of the workers at shipbreaking yards in Bangladesh and preserving the marine environment.Design/methodology/approachThis is a qualitative paper based on secondary materials, including journal articles, books and national and international reports. It critically reviews the existing literature, rules, regulations and policing on shipbreaking with a particular focus on the environment and health security of the workers.FindingsThis paper finds that the implementation of the rules and regulations in shipbreaking in Bangladesh is complicated because of weak implementation mechanisms, political and economic interests of the yard owners, lack of coordination among different agencies, lack of adequate training and awareness among the workers and workers’ poor economic condition, which contribute to the degradation of marine and local environments and trigger health hazards among the workers. Therefore, degrading the environment and undermining occupational health and safety regulations have become regular; thus, accidental death and injury to the workers are common in this sector.Originality/valueThis paper is an important study on the issues of workers' health and safety and environmental hazards in the shipyard. It reports how the health security of the workers in shipbreaking yards in Bangladesh is vulnerable, and environmental rules are challenged. Finally, this paper frames some policy implications to safeguard the workers’ health rights and the marine environment.
孟加拉国的拆船行业引发了关于拆船业、环境退化和工人健康安全之间关系的广泛学术和政策辩论。由于拆船在孟加拉国是一个经济上重要的行业,因此需要实施国内和全球机制,以保护环境和保护劳动者的健康免受环境风险的影响。本文的目的是主要探讨在拆船活动在孟加拉国的环境和健康安全问题。报告还指出了在执行保护孟加拉国拆船厂工人健康和保护海洋环境的规章方面所面临的挑战。设计/方法/方法这是一篇基于二手材料的定性论文,包括期刊文章、书籍以及国内和国际报告。它批判性地审查了拆船的现有文献、规则、条例和警务,特别关注工人的环境和健康安全。本文发现,由于执行机制薄弱,船厂所有者的政治和经济利益,不同机构之间缺乏协调,工人缺乏足够的培训和意识以及工人的经济状况不佳,孟加拉国拆船规则和法规的实施非常复杂,这导致了海洋和当地环境的退化,并引发了工人的健康危害。因此,破坏环境和破坏职业健康与安全条例已成为常态;因此,在这个部门,工人的意外死亡和伤害是常见的。本文是对船厂工人健康安全与环境危害问题的一项重要研究。它报告了孟加拉国拆船厂工人的健康安全是如何脆弱的,环境法规是如何受到挑战的。最后,本文提出了保护工人健康权利和海洋环境的政策建议。
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引用次数: 0
The technological intervention in e-health management: evidence from Thailand 电子健康管理中的技术干预:来自泰国的证据
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-18 DOI: 10.1108/ijhrh-02-2022-0009
M. Raza, Rimsha Khalid, Wisetsri, Luigi Pio Leonardo Cavaliere, Hamza Alnawafleh, Magna Guzman-Avalos
PurposeThe e-health services came up as an effective tool to mitigate effects of COVID-19 and following social distance norms. This study highlighted an issue of contentious usage intentions of e-health services among Thai older citizens. This study aims to examine the relationship of social influence (SI), information quality (IQ) and the digital literacy (DL) to contentious usage intentions.Design/methodology/approachThis study follows quantitative techniques, and the sample size is 140 to analyze, that is collected from the older Thai citizens. The convenient sampling technique was used to collect the data and the items were measured by using a five-point Likert scale.FindingsThe findings of this study are having mixed results. The effect of DL and satisfaction (SAT) on continuous usage intention (CUI) is significant. The effect of IQ and SI on CUI is non-significant. The effect of IQ and SI on SAT is significant. Further, the mediating effect of SAT between IQ and CUI is non-significant. However, the mediating effect of SAT between SI and CUI is significant.Originality/valueThis study contributes to knowledge by empirical testing of DL and usage of the medicine. Furthermore, to the best of the authors’ knowledge, this study is one of the rare studies that incorporate technological intervention for drug usage intentions.
目的电子医疗服务是缓解新冠肺炎影响和遵守社交距离规范的有效工具。这项研究强调了泰国老年公民对电子健康服务的使用意向存在争议的问题。本研究旨在检验社会影响(SI)、信息质量(IQ)和数字素养(DL)与有争议的使用意图的关系。设计/方法/方法本研究采用定量技术,样本量为140,分析对象为泰国老年公民。使用方便的抽样技术收集数据,并使用五点Likert量表对项目进行测量。这项研究的结果喜忧参半。DL和满意度(SAT)对持续使用意向(CUI)的影响是显著的。IQ和SI对CUI的影响不显著。IQ和SI对SAT的影响是显著的。此外,SAT在IQ和CUI之间的中介作用并不显著。然而,SAT在SI和CUI之间的中介作用是显著的。独创性/价值本研究通过对DL和药物使用的实证测试来增加知识。此外,据作者所知,这项研究是罕见的将技术干预纳入药物使用意向的研究之一。
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引用次数: 1
Assessment of attitudes toward patient rights of people live from a Turkey town and migrating to Belgium 对土耳其城镇移民到比利时的患者权利态度的评估
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-14 DOI: 10.1108/ijhrh-12-2021-0204
Vahide Korkmaz, Nilufer Demirsoy
PurposeThe purpose of this study is to assess the attitudes of individuals living in Belgium and in Emirdag in regard to patient rights and the effect of cultural differences in developing the attitude. This study measures the attitudes of two groups of people living in different geographies, “individuals living in Emirdag and Individuals emigrated from Emirdag to Belgium,” and yet having the same ethnic origin, common social and cultural capital.Design methodology/approachImplementing quantitative research, the data for the current study was obtained from a total of 1,043 participants, who were administered the Likert type “Patient Rights Attitude Scale” along with demographic questionnaire.FindingsThe total score mean of the scale is 126.09 ± 15.21 in the Emirdag group, whereas in the Belgian group, it is 129.78 ± 13.356. While the attitude with the highest mean score about patient rights in both groups observed under “the right to seek medical attention” and “the right to consent in medical and drug researches” items and thusthese items are considered as a common denominator, the two groups differed in the scale items that received the lowest average.Social implicationsIt is important to determine the effects of attitudes toward patient rights and cultural differences on the development of attitudes, to determine the problems in the delivery of health services and health service procurement.Originality/valueThe structures that direct the choices and decisions of individuals in critical subjects such as organ transplantation and euthanasia, and thus having different practices in the doctrine, can be affected by individuals and even society’s rules, beliefs and values. It was concluded that immigrant participants’ dominating culture and related beliefs, rules and values play a role in the making of decision and choice.
目的本研究的目的是评估生活在比利时和埃米尔当的个人对患者权利的态度,以及文化差异对培养这种态度的影响。这项研究测量了生活在不同地理位置的两组人的态度,“生活在埃米尔当的个人和从埃米尔当移民到比利时的个人”,但具有相同的种族血统、共同的社会和文化资本。设计方法/方法实施定量研究,本研究的数据来自1043名参与者,他们接受了Likert型“患者权利态度量表”和人口统计问卷。结果:阿联酋组的总分平均值为126.09±15.21,而比利时组为129.78±13.356。虽然在“寻求医疗护理的权利”和“医学和药物研究中的同意权”项目下观察到的两组患者对患者权利的态度平均得分最高,因此这些项目被视为一个共同点,但两组在平均得分最低的量表项目上存在差异。社会含义重要的是确定对患者权利的态度和文化差异对态度发展的影响,确定提供医疗服务和医疗服务采购中的问题。独创性/价值观在器官移植和安乐死等关键学科中指导个人选择和决策的结构,因此在学说中有不同的实践,可能会受到个人甚至社会规则、信仰和价值观的影响。研究表明,移民参与者的主导文化以及相关的信仰、规则和价值观在决策和选择中发挥着作用。
{"title":"Assessment of attitudes toward patient rights of people live from a Turkey town and migrating to Belgium","authors":"Vahide Korkmaz, Nilufer Demirsoy","doi":"10.1108/ijhrh-12-2021-0204","DOIUrl":"https://doi.org/10.1108/ijhrh-12-2021-0204","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to assess the attitudes of individuals living in Belgium and in Emirdag in regard to patient rights and the effect of cultural differences in developing the attitude. This study measures the attitudes of two groups of people living in different geographies, “individuals living in Emirdag and Individuals emigrated from Emirdag to Belgium,” and yet having the same ethnic origin, common social and cultural capital.\u0000\u0000\u0000Design methodology/approach\u0000Implementing quantitative research, the data for the current study was obtained from a total of 1,043 participants, who were administered the Likert type “Patient Rights Attitude Scale” along with demographic questionnaire.\u0000\u0000\u0000Findings\u0000The total score mean of the scale is 126.09 ± 15.21 in the Emirdag group, whereas in the Belgian group, it is 129.78 ± 13.356. While the attitude with the highest mean score about patient rights in both groups observed under “the right to seek medical attention” and “the right to consent in medical and drug researches” items and thusthese items are considered as a common denominator, the two groups differed in the scale items that received the lowest average.\u0000\u0000\u0000Social implications\u0000It is important to determine the effects of attitudes toward patient rights and cultural differences on the development of attitudes, to determine the problems in the delivery of health services and health service procurement.\u0000\u0000\u0000Originality/value\u0000The structures that direct the choices and decisions of individuals in critical subjects such as organ transplantation and euthanasia, and thus having different practices in the doctrine, can be affected by individuals and even society’s rules, beliefs and values. It was concluded that immigrant participants’ dominating culture and related beliefs, rules and values play a role in the making of decision and choice.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47505652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stigma, discrimination and HIV or AIDS: an empirical investigation of Asian immigrants and refugees in Canada 耻辱、歧视与艾滋病毒或艾滋病:对加拿大亚裔移民和难民的实证调查
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-10 DOI: 10.1108/ijhrh-08-2022-0091
A. Ullah, A. Huque
PurposeHIV or AIDS remains invisible and dismissed by most South Asians living in Canada as HIV or AIDS issues are perceived as an offshoot of Western lifestyle linked with drug use and promiscuity. This paper aims to look into how people living with HIV or AIDS (PLWHA) cope with prejudice and stigma.Design/methodology/approachTo guide this research, a constructivist grounded theory approach was adopted as the theoretical and methodological framework. The authors reached the participants through a Toronto-based group that works with PLWHA. The authors chose their respondents in a snowball method and interviewed them both in person and online.FindingsThis paper identifies how South Asian immigrants and refugees/refugees with HIV or AIDS claimants are vulnerable to discrimination in Canada due to the following factors, which include but are not limited to: a lack of information about HIV and AIDS incidence in the community; and the Canadian health system's inability to respond appropriately to the lack of information.Practical implicationsHIV service engagements should take place within the context of a constellation of local traditions, or standardized expectations of patient engagement with HIV services can be counterproductive.Originality/valueIt is critical that governmental action prioritizes increasing public understanding of stigma. To minimize the consequences of HIV-related discrimination and stigma, misconceptions about HIV transmission must be debunked.
目的艾滋病毒或艾滋病仍然是不可见的,并被大多数居住在加拿大的南亚人所忽视,因为艾滋病毒或艾滋病问题被视为西方生活方式的一个分支,与吸毒和滥交有关。本文旨在探讨艾滋病毒或艾滋病患者如何应对偏见和污名。设计/方法论/方法为了指导本研究,采用了建构主义的理论方法作为理论和方法论框架。作者通过多伦多一个与PLWHA合作的小组联系到了参与者。作者采用滚雪球法选择了受访者,并对他们进行了面对面和在线采访。本文确定了南亚移民和感染艾滋病毒或艾滋病的难民/难民在加拿大如何容易受到歧视,原因包括但不限于:缺乏社区中艾滋病毒和艾滋病发病率的信息;以及加拿大卫生系统无法对缺乏信息作出适当反应。实际意义艾滋病毒服务的参与应该在一系列当地传统的背景下进行,否则对患者参与艾滋病毒服务的标准化期望可能会适得其反。独创性/价值至关重要的是,政府行动应优先考虑提高公众对污名的理解。为了最大限度地减少与艾滋病毒有关的歧视和污名化的后果,必须揭穿对艾滋病毒传播的误解。
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引用次数: 0
Psychosocial indicators of suicidal ideation among acid attack survivors 硫酸袭击幸存者自杀意念的社会心理指标
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-10 DOI: 10.1108/ijhrh-06-2022-0056
Shakeela Asif, Soulat Khan, Tayyab Ali Butt, Anisa Mehmood, Aimen Zulfiqar, Tahira Mubashar
PurposeThis study aims to probe the relationship of facial disfigurement, stigmatization, burdensome, hopelessness and suicidal ideation in acid attack survivors and to scrutinize the mediating role of perceived burdensome and hopelessness in connection between facial disfigurement, social stigmatization and suicidal ideation among acid attack survivors.Design/methodology/approachData was collected from Holy Family Hospital which is located in Rawalpindi, Pakistan, Acid Survivors Foundation and social media sites. Purposive sampling technique was used to collect the sample. Sample comprised of N = 74 acid attack survivors. English version of discrimination and stigma scale, interpersonal needs questionnaire perceived burdensome scale, suicidal ideation attributes scale, Beck hopelessness scale and observer-rated facial disfigurement scale were used for the assessment. Statistical analysis includes correlation and mediation analysis through process macro.FindingsResults indicated significant positive relationship between facial disfigurements, unfair treatment, stopping self and perceived burdensome with suicidal ideation, whereas overcoming stigma, hopelessness and positive treatment present a negative relationship with suicidal ideation. Results of the current study also showed that burdensome and hopelessness appear as significant mediator in association between facial disfigurement, social discrimination and suicidal ideation. This study provides the awareness about how by decreasing the hopelessness and perceived burdensome and resolving social stigmatization can minimize suicidal ideation and risks accompanying it.Originality/valueThis research covers a topic that violates human rights, it is a topic that never gets old and people are still facing its effects.
目的本研究旨在探讨酸中毒幸存者的面部毁容、污名化、负担、绝望和自杀意念之间的关系,并考察酸中毒幸存者中感知负担和绝望在面部毁容和社会污名化和自杀意念中的中介作用。设计/方法/方法数据来自位于巴基斯坦拉瓦尔品第的圣家医院、酸幸存者基金会和社交媒体网站。采用目的性采样技术采集样品。样本由N=74名酸中毒幸存者组成。采用英语版的歧视和污名量表、人际需求问卷感知负担量表、自杀意念属性量表、Beck绝望量表和观察者评定的面部毁容量表进行评估。统计分析包括通过过程宏观的相关性分析和中介分析。研究结果表明,面部毁容、不公平待遇、停止自我和自杀意念的负担之间存在显著的正相关关系,而克服污名、绝望和积极治疗与自杀意念呈负相关。目前的研究结果还表明,负担和绝望似乎是面部毁容、社会歧视和自杀意念之间的重要中介。这项研究让人们意识到,通过减少绝望和负担,解决社会污名化,可以最大限度地减少自杀念头和随之而来的风险。独创性/价值这项研究涵盖了一个侵犯人权的话题,一个永远不会变老的话题,人们仍然面临着它的影响。
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引用次数: 0
Cultural adaptation and validation of the Others as Shamer scale: a barrier to effective health-care assessment 文化适应和认同他者为羞耻者量表:有效卫生保健评估的障碍
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-05 DOI: 10.1108/ijhrh-05-2022-0039
Mahvia Gull, M. Aqeel, Aniqa Kanwal, K. Khan, Tanvir Akhtar
PurposeDespite the fact that shame is recognized as a significant factor in clinical encounters, it is under-recognized, under-researched and under-theorized in health prevention, assessment and cross-cultural contexts. Thus, this study aims to investigate the psychometric properties of the most widely used scale, the “Other as Shamer Scale” (OAS), to assess the risk and proclivities of external shame in adults. As in health care, there is a barrier between what is known through research in one culture and what is acceptable in practice in another culture.Design/methodology/approachThe Urdu version was prepared using the standard back-translation method, and the study was conducted from June 2021 to January 2022. The translation and adaptation were completed in four steps: forward translation, adaptation and translation, back translation, committee approach and cross-language validation. The sample, selected through the purposive sampling method, is comprised of 200 adults (men = 100 and women = 100), with an age range of 18–60 years (M = 28, SD = 5.5), spanning all stages of life. The Cronbach's alpha reliability and factorial validity of the OAS were assessed through confirmatory factor analysis and Pearson correlation analyses. Internal consistency and test–retest reliability (at a two-week interval) were used to evaluate the reliability. Statistical analyses were performed using Statistical Package for Social Sciences (version 22) software.FindingsPreliminary analysis revealed that the overall instrument had good internal consistency (Urdu OAS a = 0.91; English OAS a = 0.92) as well as test–retest correlation coefficients for 15 days (r = 0.88). The factor loading of all items ranged from 0.69 to 0.9, which explained the significant level and indicated the model's overall goodness of fit.Originality/valueFindings suggest that this scale has significant psychometric properties and the potential to be used as a valid, reliable and cost-effective clinical and research instrument. This study contributes to scientific knowledge and helps to develop and test indigenous cross-cultural instruments that can be used to examine external shame in Pakistani people.
尽管羞耻感被认为是临床遭遇中的一个重要因素,但在健康预防、评估和跨文化背景下,羞耻感未得到充分认识、研究和理论化。因此,本研究旨在探讨最广泛使用的量表“他人为羞耻者量表”(OAS)的心理测量特性,以评估成人外部羞耻的风险和倾向。就像在医疗保健领域一样,在一种文化中通过研究了解到的知识和在另一种文化中实践中可以接受的知识之间存在着障碍。设计/方法/方法乌尔都语版本采用标准反译方法编写,研究时间为2021年6月至2022年1月。翻译与改编分正向翻译、改编与翻译、反向翻译、委员会方法和跨语言验证四个步骤完成。本研究采用有目的抽样方法,选取200名成年人(男性100人,女性100人),年龄在18-60岁之间(M = 28, SD = 5.5),跨越了人生的各个阶段。通过验证性因子分析和Pearson相关分析评估OAS的Cronbach's α信度和析因效度。采用内部一致性和重测信度(间隔两周)来评估信度。使用Statistical Package for Social Sciences (version 22)软件进行统计分析。初步分析表明,整体仪器具有良好的内部一致性(乌尔都语OAS a = 0.91;英语OAS a = 0.92)以及15天的重测相关系数(r = 0.88)。各项目的因子负荷在0.69 ~ 0.9之间,说明了模型的显著性水平,说明了模型的整体拟合优度。原创性/价值研究结果表明,该量表具有显著的心理测量特性,有望成为一种有效、可靠和具有成本效益的临床和研究工具。这项研究有助于科学知识的发展,并有助于开发和测试可用于检查巴基斯坦人外部羞耻感的土著跨文化工具。
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引用次数: 1
Relationship between strategic orientation and performance: the mediating role of green supply chain management for better performance 战略定位与绩效的关系:绿色供应链管理对绩效提升的中介作用
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-10-04 DOI: 10.1108/ijhrh-03-2022-0018
Samira Jalili, Mohammad Amerzadeh, S. Moosavi, A. Keshavarz, R. Zaboli, S. Tabatabaee, R. Kalhor
PurposeStrategic orientation is one of the critical principles affecting the marketing and strategy selection of an organization’s activities, reflecting the strategic tendencies implemented by the organization to create behaviours, leading to organizational efficiency and better employee performance. Therefore, this paper aims to study the relationship between strategic orientation and performance in Qazvin teaching hospitals through green supply chain management (SCM) to improve employees' performance.Design/methodology/approachThis was a descriptive– analytical and cross-sectional study. The total number of employees in medical centres was 2,256 people. According to Morgan’s table, the required number of samples was 328, including 10% of the sample loss. The questionnaire was given to 365 staff in different hospitals in proportion to the number of staff. Two statistical software, SPSS24 and AMOS23, were used to evaluate the results.FindingsAll three variables were relatively moderate in the hospitals. The results of evaluating the structural model of the research showed that all the studied hypotheses were significant, except for the relationship between organizational performance and strategic orientation hypothesis. The results also show that this model had a good fit.Practical implicationsThe findings can lead to saving the environment, creating a better social image and reducing costs and profitability, allowing managers to know the strategic orientations rather than depending on institutional pressure issues and monitoring guidelines.Originality/valueConsidering the significant relationship between the dimensions of green SCM and the hospitals’ performance, the authors suggest: establishing multilateral co-operation in environmental issues, improving the environmental status of hospitals, reducing waste rates and paying attention to social responsibility of hospitals. In addition, the findings help hospital management to comprehensively understand the strategies for implementing green SCM procedures.
目的战略导向是影响组织活动营销和战略选择的关键原则之一,反映了组织为创造行为、提高组织效率和员工绩效而实施的战略趋势。因此,本文旨在通过绿色供应链管理来研究Qazvin教学医院的战略定位与绩效之间的关系,以提高员工的绩效。设计/方法论/方法这是一项描述性、分析性和横断面研究。医疗中心的员工总数为2256人。根据Morgan的表格,所需的样本数量为328个,其中包括10%的样本损失。调查问卷按员工人数的比例发给了不同医院的365名员工。两个统计软件SPSS24和AMOS23用于评估结果。结果所有三个变量在医院中都相对温和。对研究结构模型的评估结果表明,除了组织绩效与战略取向之间的关系假设外,所有研究假设都是显著的。结果还表明,该模型具有良好的拟合性。实际意义这些发现可以拯救环境,创造更好的社会形象,降低成本和盈利能力,让管理者了解战略方向,而不是依赖于机构压力问题和监督准则。原创性/价值考虑到绿色供应链管理的维度与医院绩效之间的显著关系,作者建议:在环境问题上建立多边合作,改善医院的环境状况,降低废物率,关注医院的社会责任。此外,研究结果有助于医院管理层全面了解实施绿色供应链管理程序的策略。
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引用次数: 1
Monetary penalties for refusal of mandatory Covid-19 vaccination: state’s right to regulate vs people’s rights and freedom in health care 拒绝强制接种Covid-19疫苗的罚款:国家的管理权与人民在卫生保健方面的权利和自由
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-09-30 DOI: 10.1108/ijhrh-03-2022-0019
S. Sefriani, Nur Gemilang Mahardhika
PurposeThe Covid-19 pandemic has persisted for almost three years. States have since then enforced laws, policies and measures believed to be the most effective to handle the global pandemic. Along this line, the Indonesian Government opted to implement mandatory vaccination and refusal of which entails monetary penalties. Hence, this study aims to analyze two legal issues that touch upon the realm of International Human Rights Law: first, whether state has the authority to implement the said mandatory vaccine program to those who refuse to be vaccinated, and second, how is the more appropriate legal policy to obligate vaccination but without coercive sanction.Design/methodology/approachThis is a normative legal research that uses a qualitative method with case studies, conceptual, historical and comparative approaches. A descriptive-analytical deduction process was used in analyzing the issue.FindingsThe results present, as part of state’s right to regulate, it has the authority to enact mandatory vaccination with monetary penalties to fulfil its obligation to protect public health in times of emergency; this is legal and constitutional but only if it satisfies the requirements under the International Human Rights Law: public health necessity, reasonableness, proportionality and harm avoidance. Alternatively, herd immunity is achievable without deploying unnecessary coercive sanctions, such as improving public channels of communication and information, adopting legal policies that incentivize people’s compliance like exclusion from public services, subsidies revocation, employment restrictions, higher health insurance premiums, etc.Research limitations/implicationsThis study analyzes in depth the following issues: of whether the government has the authority to apply mandatory vaccination laws enforced through monetary penalties for those who refused to be vaccinated and how does the government implement the appropriate legal policy to enforce mandatory vaccination without imposing penalties for non-compliance while maintaining a balance between the interests of protecting public health and the human rights of individuals to choose medical treatment for themselves, including whether they are willing to be vaccinated. Hence, the political affairs, economic matters and other non-legal related issues are excluded from this study.Originality/valueThis paper hence offers a suggestive insight for state in formulating a policy relating to the mandatory vaccination program. Although the monetary penalties do not directly violate the rule of law, a more non-coercive approach to the society would be more favorable.
目的新冠肺炎大流行已经持续了近三年。此后,各国实施了被认为是应对全球疫情最有效的法律、政策和措施。根据这一方针,印度尼西亚政府选择实施强制性疫苗接种,拒绝接种将受到罚款。因此,本研究旨在分析涉及国际人权法领域的两个法律问题:第一,国家是否有权对拒绝接种疫苗的人实施上述强制性疫苗计划;第二,如何制定更合适的法律政策来强制接种疫苗,但不受强制制裁。设计/方法论/方法这是一项规范性法律研究,采用定性方法,包括案例研究、概念、历史和比较方法。在分析该问题时使用了描述性分析推导过程。调查结果显示,作为国家监管权的一部分,它有权制定强制性疫苗接种并处以罚款,以履行在紧急情况下保护公众健康的义务;这是合法和符合宪法的,但前提是它符合《国际人权法》的要求:公共卫生的必要性、合理性、相称性和避免伤害。或者,群体免疫是可以实现的,而无需部署不必要的强制性制裁,例如改善公共沟通和信息渠道,采取鼓励人们遵守的法律政策,如被排除在公共服务之外、取消补贴、就业限制、提高医疗保险费、,等。研究局限性/含义本研究深入分析了以下问题:政府是否有权通过对拒绝接种疫苗的人处以罚款来实施强制性疫苗接种法,以及政府如何实施适当的法律政策来强制接种疫苗,而不对不遵守规定的人处以处罚在保护公众健康的利益和个人选择治疗的人权之间保持平衡,包括他们是否愿意接种疫苗。因此,政治事务、经济事务和其他与法律无关的问题被排除在本研究之外。因此,本文为国家制定与强制性疫苗接种计划相关的政策提供了启示。尽管罚款并不直接违反法治,但对社会采取更非强制性的做法会更有利。
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引用次数: 1
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International Journal of Human Rights in Healthcare
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