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Aging is inevitable: understanding aging anxiety related to physical symptomology and quality of life with the mediating role of self-esteem in adults 衰老是不可避免的:理解与身体症状和生活质量相关的衰老焦虑与成人自尊的中介作用
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-09-16 DOI: 10.1108/ijhrh-05-2022-0047
Rowaida Yawar, Soulat Khan, M. Rafiq, Nimra Fawad, Sundas Shams, Saher Navid, Muhammad Abdullah Khan, Nabiha Taufiq, Areesha Touqir, Moazma Imran, Tayyab Ali Butt
PurposeThis study aims to examine the relationship between aging anxiety, self-esteem, physical symptomology and quality of life in early and middle adults as well as to explore the mediating role of self-esteem.Design/methodology/approachA cross-sectional study was designed, and a sample of N= 700 educated men and women aged between 35 and 65 years were taken through purposive sampling. Anxiety about Aging Scale, Rosenberg Self-esteem Scale, The World Health Organization Quality of Life – BREF and Somatic Symptom Scale-8 were used for assessment.FindingsResearch suggests that an increase in aging anxiety leads to poor quality of life and lower self-esteem. Additionally, a negative relationship was observed between aging anxiety and physical symptomology. Self-esteem plays a mediating role significantly in these relationships.Practical implicationsThe study highlighted the adverse effects of aging anxiety on the basis of which strategies can be devised to cope with it as well as to improve the self-esteem and quality of life in transition age. These findings can also aid in providing health care and public services in later adulthood. This study also emphasizes on aging as a human right rather than merely a process such as the human right for physical health and mental health.Originality/valueThis study provides a new outlook and perspective toward how the phenomenon of aging impacts the lives of adults who are about to enter older adulthood in a few years. The fears related to aging influence physical and mental health, due to which it is necessary to investigate the effect of aging anxiety.
目的研究中早期成人的衰老焦虑、自尊、身体症状和生活质量之间的关系,并探讨自尊的中介作用。设计/方法/方法设计了一项横断面研究,通过有目的抽样,选取了N= 700名年龄在35 - 65岁之间的受过教育的男性和女性。采用衰老焦虑量表、Rosenberg自尊量表、世界卫生组织生活质量量表- BREF和躯体症状量表-8进行评估。研究表明,衰老焦虑的增加会导致生活质量下降和自尊心下降。此外,衰老焦虑与身体症状呈负相关。自尊在这些关系中起着显著的中介作用。实际意义本研究强调了衰老焦虑的不利影响,在此基础上可以设计出应对策略,并提高过渡年龄的自尊和生活质量。这些发现也有助于在成年后期提供医疗保健和公共服务。这项研究还强调老龄化是一项人权,而不仅仅是一个过程,例如享有身体健康和精神健康的人权。原创性/价值本研究为研究老龄化现象如何影响几年后即将进入老年期的成年人的生活提供了新的观点和视角。与衰老相关的恐惧影响身心健康,因此有必要对衰老焦虑的影响进行研究。
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引用次数: 1
Patient personal data protection: comparing the health-care regulations in Indonesia, Singapore and the European Union 患者个人数据保护:比较印度尼西亚、新加坡和欧盟的医疗保健法规
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-09-06 DOI: 10.1108/ijhrh-04-2022-0035
Dona Budi Kharisma, Alvalerie Diakanza
PurposeThis paper aims to identify the reasons why cases of leakage of patient personal data often occur in the health sector. This paper also analyzes personal data protection regulations in the health sector from a comparative legal perspective between Indonesia, Singapore and the European Union (EU).Design/methodology/approachThis type of research is legal research. The research approach used is the statute approach and conceptual approach. The focus of this study in this research is Indonesia with a comparative study in Singapore and the EU.FindingsCases of leakage of patient personal data in Indonesia often occur. In 2021, the data for 230,000 COVID-19 patients was leaked and sold on the Rapid Forums dark web forum. A patient’s personal data is a human right that must be protected. Compared to Singapore and the EU, Indonesia is a country that does not yet have a law on the protection of personal data. This condition causes cases of leakage of patients’ personal data to occur frequently.Research limitations/implicationsThis study analyzes the regulation and protection of patients’ personal data in Indonesia, Singapore and the EU to construct a regulatory design for the protection of patients’ personal data.Practical implicationsThe results of this study are useful for constructing regulations governing the protection of patients’ personal data. The regulation is to protect the patient’s personal data like a patient’s human right.Social implicationsThe ideal regulatory design can prevent data breaches. Based on the results of comparative studies, in Singapore and the EU, cases of personal data leakage are rare because they have a regulatory framework regarding the protection of patients’ personal data.Originality/valueLegal strategies that can be taken to prevent and overcome patient data breaches include the establishment of an Act on Personal Data Protection; the Personal Data Protection Commission; and management of patients’ personal data.
目的本文旨在找出卫生部门经常发生患者个人数据泄露案件的原因。本文还从印度尼西亚、新加坡和欧盟的比较法律角度分析了卫生部门的个人数据保护条例。这种类型的研究是法律研究。本文采用的研究方法是法规法和概念法。本研究以印尼为研究重点,并对新加坡和欧盟进行比较研究。发现在印尼,病人个人资料外泄的个案时有发生。2021年,23万名新冠肺炎患者的数据被泄露并在暗网论坛Rapid Forums上出售。病人的个人资料是一项必须受到保护的人权。与新加坡和欧盟相比,印度尼西亚是一个尚未制定个人数据保护法律的国家。这种情况导致病人个人资料外泄的个案频繁发生。本研究通过分析印尼、新加坡和欧盟对患者个人数据的监管与保护,构建患者个人数据保护的监管设计。实践意义本研究的结果对构建患者个人数据保护的法规具有借鉴意义。该规定是为了保护患者的个人数据,就像保护患者的人权一样。社会影响理想的监管设计可以防止数据泄露。根据比较研究的结果,在新加坡和欧盟,个人数据泄露的案例很少,因为他们有一个关于患者个人数据保护的监管框架。可用于预防和克服患者数据泄露的法律策略包括制定《个人数据保护法》;个人资料保护委员会;以及对患者个人资料的管理。
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引用次数: 3
The need for attention to mental health of nursing staff during COVID-19 pandemic as their basic human right 新冠肺炎大流行期间护理人员的心理健康作为其基本人权的关注需求
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-09-06 DOI: 10.1108/ijhrh-04-2022-0031
S. Abdollahzade, S. Rafiei, Saber Souri
PurposeThis purpose of this study was to investigate the role of nurses’ resilience as an indicator of their mental health on sick leave absenteeism during the COVID-19 pandemic.Design/methodology/approachThis descriptive-analytical study was conducted in 2020 to identify the predictors of absenteeism among 260 nurses working in two training hospitals delivering specialized services in the treatment of COVID-19 patients. Data was collected through the use of standard questionnaires including demographic information, nurses’ resilience, intention for job turnover and absenteeism from the workplace. To predict sick leave absenteeism, regression analyses were implemented.FindingsStudy results revealed that the most influencing features for predicting the probability of taking sick leave among nurses were marital status, tenacity, age, work experience and optimism. Logistic regression also depicted that nurses who had less faith in God or less self-control were more likely to take sick leave.Practical implicationsThe resilience of nurses working in the COVID-19 pandemic was relatively low, which needs careful consideration to apply for organizational support. Main challenge that most of the health systems face include an inadequate supply of nurses which consequently lead to reduced efficiency, poor quality of care and decreased job performance. Thus, hospital managers need to put appropriate managerial interventions into practice, such as building a pleasant and healthy work environment, to improve nurses’ resilience in response to heavy workloads and stressful conditions.Originality/valueTo the best of the authors’ knowledge, this is the first study to examine such a relationship, thus contributing findings will provide a clear contribution to nursing management and decision-making processes. Resilience is an important factor for nurses who constantly face challenging situations in a multifaceted health-care system.
目的本研究旨在探讨COVID-19大流行期间护士心理健康状况对病假缺勤的影响。设计/方法/方法本描述性分析研究于2020年进行,旨在确定在两家提供COVID-19患者治疗专业服务的培训医院工作的260名护士的缺勤预测因素。通过使用标准问卷收集数据,包括人口统计信息、护士的适应能力、工作离职意向和工作场所缺勤情况。采用回归分析预测病假缺勤情况。研究结果显示,婚姻状况、韧性、年龄、工作经验和乐观情绪对护士请病假概率的预测影响最大。逻辑回归还显示,对上帝信仰较弱或自制力较差的护士更有可能请病假。实践意义COVID-19大流行期间工作的护士应变能力相对较低,需要慎重考虑申请组织支持。大多数卫生系统面临的主要挑战包括护士供应不足,从而导致效率降低、护理质量差和工作绩效下降。因此,医院管理者需要将适当的管理干预措施付诸实践,例如建立一个愉快和健康的工作环境,以提高护士应对繁重工作量和压力条件的复原力。原创性/价值据作者所知,这是第一个研究这种关系的研究,因此贡献的发现将为护理管理和决策过程提供明确的贡献。对于在多方面的卫生保健系统中不断面临挑战的护士来说,恢复力是一个重要因素。
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引用次数: 0
Does digital technology adoption affect COVID-19 health outcomes? A quantitative analysis on the global level 采用数字技术是否会影响新冠肺炎的健康结果?全球层面的定量分析
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-08-25 DOI: 10.1108/ijhrh-07-2021-0141
Faezeh Yazdi, Farzin Rasoulyan, Seyed Reza Mirnezami
PurposeAdopting digital technology could facilitate the public health response to the COVID-19 pandemic. Some analysts argue that countries that adopted digital technology in their health sector have managed to control the virus better (Whitelaw et al., 2020). For instance, countries with more comprehensive contact tracing have significantly lower fatality rates (Yalaman et al., 2021). Moreover, World Health Organization (WHO) believes this technology is a crucial enabler for countries to meet the current challenge (WHO. Regional Office for the Western Pacific & University of Melbourne, 2021). In this regard, this study aims to quantitatively find the relationship between the technological advancement of countries and COVID-19 health outcomes, using seven technological indices that measure technological advancement.Design/methodology/approachThe authors used the multiple linear regression method to answer the research questions. The first analysis focuses on a cross section of all countries worldwide, and the second focuses on European countries for which weekly death statistics exist after the pandemic.FindingsThe findings support those countries with more technological abilities managed to control the virus’s mortality better, as evidenced by the negative link between the mortality rate of COVID-19 and the technological factors at the national level. Results also reveal that technology adoption decreases the death risk due to COVID-19 in countries with more elderly people. The authors may argue that technological advancement positively correlates with the number of deaths and diagnosed cases because the authors can better collect data or because the virus spreads due to higher economic and business activities. However, such technological advancement significantly decreases the death risk (lower mortality rate in the first analysis and lower mortality rate for elderly people in the second analysis).Research limitations/implicationsThree important conclusions could be made from the results: a lower mortality rate is generally expected for countries adopting advanced technology; technological advancement significantly decreases the death risk for elderly people; and a higher technology adoption level does not necessarily result in fewer diagnosed cases of/death due to COVID-19.Originality/valueAlthough some studies have focused on e-health applications in the public health response to the COVID-19 pandemic, no studies, to the best of the authors’ knowledge, have tried to quantify its efficacy, most especially on the global level.
目的采用数字技术可以促进公共卫生应对新冠肺炎大流行。一些分析人士认为,在卫生部门采用数字技术的国家已经成功地更好地控制了病毒(Whitelaw等人,2020)。例如,接触者追踪更全面的国家的死亡率明显更低(Yaraman等人,2021)。此外,世界卫生组织(世界卫生组织)认为,这项技术是各国应对当前挑战的关键推动者(世界卫生组织,西太平洋区域办事处和墨尔本大学,2021年)。在这方面,本研究旨在利用衡量技术进步的七项技术指标,定量研究各国的技术进步与新冠肺炎健康结果之间的关系。设计/方法论/方法作者采用多元线性回归方法回答研究问题。第一项分析侧重于全球所有国家的横截面,第二项分析则侧重于欧洲国家,这些国家在疫情后每周都有死亡统计数据。研究结果支持那些技术能力更强的国家更好地控制了病毒的死亡率,新冠肺炎死亡率与国家层面的技术因素之间的负相关证明了这一点。研究结果还表明,在老年人较多的国家,技术的采用降低了新冠肺炎造成的死亡风险。作者可能会认为,技术进步与死亡和确诊病例数呈正相关,因为作者可以更好地收集数据,或者因为病毒的传播是由于更高的经济和商业活动。然而,这种技术进步显著降低了死亡风险(第一次分析中死亡率较低,第二次分析中老年人死亡率较低)。研究局限性/含义从结果中可以得出三个重要结论:采用先进技术的国家通常预计死亡率较低;技术进步显著降低了老年人的死亡风险;更高的技术采用水平并不一定会减少新冠肺炎的确诊病例/死亡病例。原始性/价值尽管一些研究侧重于电子卫生在应对新冠肺炎大流行的公共卫生中的应用,但据作者所知,没有任何研究试图量化其疗效,尤其是在全球范围内。
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引用次数: 0
Mortality rate, patient length of stay and medical cost prediction in different priority levels for patient admission to an intensive care unit 重症监护病房不同优先级患者的死亡率、住院时间和医疗费用预测
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-08-23 DOI: 10.1108/ijhrh-10-2021-0192
Fariba Hosseinpour, Mahyar Seddighi, Mohammad Amerzadeh, S. Rafiei
PurposeThis study aimed to compare mortality rate, length of stay (LOS) and hospitalization costs at different priority levels for a patient admitted to an intensive care unit (ICU) at a public tertiary hospital in Qazvin, Iran. This study also aimed to predict influencing factors on patients’ mortality, ICU LOS and hospitalization costs in different admission groups.Design/methodology/approachThe authors conducted a retrospective cohort study among patients who mainly suffered from internal diseases admitted to an ICU of a public hospital. This study was conducted among 127 patients admitted to ICU from July to September 2019. The authors categorized patients into four groups based on two crucial hemodynamic and respiratory status criteria. The authors used a logistic regression model to predict the likelihood of mortality in ICU admitted patients during hospitalizations for the four prioritization groups. Furthermore, the authors conducted a multivariate analysis using the “enter” method to identify risk factors for LOS.FindingsResults showed a statistically significant relationship between the priority of being admitted to ICU and hospitalization costs. The authors’ findings revealed that age, LOS and levels of consciousness had a predictability role in determining in-hospital mortality. Besides, age, gender, consciousness level of patients and type of the disease were mentioned as affecting factors of LOS.Originality/valueThis study’s findings emphasize the necessity of categorizing patients according to specific criteria to efficiently use available resources to help health-care authorities reduce the costs and allocate the budget to different health sectors.
目的本研究旨在比较伊朗Qazvin一家公立三级医院重症监护室(ICU)患者在不同优先级下的死亡率、住院时间和住院费用。本研究还旨在预测不同入院组患者死亡率、ICU服务水平和住院费用的影响因素。设计/方法/方法作者对公立医院ICU收治的主要内科疾病患者进行了回顾性队列研究。这项研究是在2019年7月至9月入住ICU的127名患者中进行的。作者根据两个重要的血液动力学和呼吸状态标准将患者分为四组。作者使用逻辑回归模型预测了四个优先组ICU住院患者的死亡率。此外,作者使用“输入”方法进行了多变量分析,以确定LOS的风险因素。结果显示,入住ICU的优先级与住院费用之间存在统计学上显著的关系。作者的研究结果表明,年龄、LOS和意识水平在决定住院死亡率方面具有可预测性作用。年龄、性别、患者意识水平和疾病类型是LOS的影响因素。独创性/价值这项研究的发现强调了根据特定标准对患者进行分类的必要性,以有效利用可用资源,帮助卫生保健当局降低成本,并将预算分配给不同的卫生部门。
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引用次数: 0
Compromised well-being: implications on female geriatric abuse during the COVID-19 crisis in India 健康受损:新冠肺炎危机期间对印度女性老年虐待的影响
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-08-19 DOI: 10.1108/ijhrh-02-2022-0008
Debashrita Dey, P. Tripathi
PurposeThis study aims to reflect on how the COVID-19 pandemic has intensified the social and economic vulnerability of Indian elderly women, thereby making them prone to varied forms of abuse and denying them of the basic rights of secured existence.Design/methodology/approachThis study was conducted by analyzing primary data from government sources that dealt with the aging Indian population and the common predicaments that elderly women experienced during the pandemic. A qualitative interview was conducted in three old-age homes in India where the experiences of 26 elderly female residents were documented for understanding their experiences during the pandemic. The secondary data collected from different newspaper articles and online resources also enabled in perusing the difficulties that they faced both at home and the caregiving space at the critical juncture of COVID-19.FindingsNearly 73% of the elderly population in the country has faced an incidence in different forms of abuse and exploitation during the subsequent waves of the pandemic. Disrespect and neglect were the most common type of mistreatment and around 23.1% reported physical assault. The elderly women were victimized further on socioeconomic grounds and their rights of living a secured and dignified life were significantly neglected.Research limitations/implicationsThe basic premise of this paper operates on the ground that the family as an institution has shunned taking care of the responsibilities vis-a-vis the elderly and therefore formal institutions have been introduced to aid in the conventional caretaking responsibilities in the Indian societal structure. This situation became all the more grave during the pandemic and therefore needed much intervention. This paper follows the theoretical lens of gender theory and case study method to analyze the data.Social implicationsThe HelpAge India report findings entail that elderly women/widows are doubly marginalized in the Indian society, and the COVID-19 pandemic has escalated the caregiver stress on manifold levels, thus exacerbating the problem. As most of the female senior citizens are economically dependent on their children and relatives, financial exploitation became one of the important premise that deprived them of a healthy living both at home and elderly caregiving institution. Despite the prevalence of certain elderly assistance schemes in the country, the older women’s needs and well-being got heavily impacted and their voice gets hardly recognized in the wider spectrum of sociopolitical events. To extend the requisite help and assistance to this socially vulnerable section, the government on September, 2021, launched a pan-India, toll-free helpline number “Elder Line” to provide relevant information on elderly legal and medical aid and guidance on procuring pension.Originality/valueAccording to the secondary findings, a significant percentage of elderly women have been susceptible to physica
目的本研究旨在反思新冠肺炎大流行如何加剧了印度老年妇女的社会和经济脆弱性,从而使她们容易受到各种形式的虐待,并剥夺她们有保障生存的基本权利。设计/方法/方法这项研究是通过分析政府来源的主要数据进行的,这些数据涉及印度人口老龄化和老年妇女在疫情期间经历的常见困境。在印度的三家养老院进行了定性访谈,记录了26名老年女性居民的经历,以了解她们在疫情期间的经历。从不同的报纸文章和在线资源中收集的二级数据也有助于深入了解他们在新冠肺炎的关键时刻在家庭和护理场所面临的困难。在随后的几波疫情中,该国近73%的老年人口面临着不同形式的虐待和剥削。不尊重和忽视是最常见的虐待类型,约23.1%的人报告了人身攻击。老年妇女在社会经济方面进一步受害,她们过上有保障和有尊严生活的权利受到严重忽视。研究局限性/含义本文的基本前提是,作为一个机构,家庭回避了照顾老年人的责任,因此引入了正式的机构来帮助印度社会结构中的传统照顾责任。这种情况在疫情期间变得更加严重,因此需要大量干预。本文采用性别理论的理论视角和个案研究的方法对数据进行分析。社会影响印度助老会报告的调查结果表明,老年妇女/寡妇在印度社会中被双重边缘化,新冠肺炎大流行在多个层面上加剧了照顾者的压力,从而加剧了问题。由于大多数女性老年人在经济上依赖子女和亲属,经济剥削成为剥夺她们在家和养老机构健康生活的重要前提之一。尽管某些老年人援助计划在该国很普遍,但老年妇女的需求和福祉受到了严重影响,她们的声音在更广泛的社会政治事件中几乎得不到认可。为了向这一社会弱势群体提供必要的帮助和援助,政府于2021年9月开通了一条泛印度的免费求助热线“老年热线”,提供有关老年人法律和医疗援助的相关信息,以及获取养老金的指导。独创性/价值根据二次调查结果,相当大比例的老年妇女容易受到身体和情感虐待,寡妇、经济依赖、身体虚弱、认知障碍等因素以及其他压力源加剧了她们在疫情期间遭受虐待的风险。因此,为了认识到并缓解影响老年人的现有问题,政府应该制定必要的协议并采取必要的措施,以确保边缘化群体的福利,并保护他们整体生存的基本权利。
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引用次数: 0
The impacts of economic sanctions on the performance of hospitals in Iran: implications for human rights 经济制裁对伊朗医院业绩的影响:对人权的影响
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-08-18 DOI: 10.1108/ijhrh-07-2021-0151
B. Karami Matin, Shahin Soltani, S. Byford, M. Soofi, S. Rezaei, Ali Kazemi-Karyani, E. Hosseini, Shiva Tolouei Rakhshan
PurposeStudies show that economic sanctions have had major negative impacts on health systems during the past years. The aim of this study is to identify the impacts of US sanctions on the performance of public hospitals in Iran.Design/methodology/approachA qualitative research study was conducted between October 2019 and September 2020 in Kermanshah Province, Iran. Semi-structured, face-to-face interviews, lasting between 25 and 90 min, were carried out with 20 participants in seven public hospitals affiliated to the authors’ institution in Kermanshah Province. Inductive thematic analysis was used to identify themes in the data.FindingsFive main themes emerged from the analysis: resource management challenges; financial restrictions; interruptions in planning; reductions in the quality of service delivery; and changes in organizational relationships.Originality/valueThe results of the present study demonstrate that US economic sanctions have considerably reduced access to necessary medical equipment and medicines for public hospitals in Iran. Policymakers should monitor the distribution of equipment and pharmaceutical products within public hospitals in Iran and take actions to ameliorate shortages during times of economic sanctions.
目的研究表明,经济制裁在过去几年中对卫生系统产生了重大负面影响。本研究的目的是确定美国制裁对伊朗公立医院绩效的影响。设计/方法/方法2019年10月至2020年9月在伊朗克尔曼沙省进行了一项定性研究。半结构化的面对面访谈,持续时间在25到90之间 min,与20名参与者一起在克尔曼沙省作者机构附属的七家公立医院进行。归纳主题分析用于确定数据中的主题。分析得出五个主要主题:资源管理挑战;金融限制;规划中断;提供服务的质量下降;以及组织关系的变化。独创性/价值本研究的结果表明,美国的经济制裁大大减少了伊朗公立医院获得必要医疗设备和药品的机会。政策制定者应监测伊朗公立医院内设备和药品的分配情况,并采取行动缓解经济制裁期间的短缺。
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引用次数: 0
Sustainable menstrual products: a classic or a fad? 可持续月经用品:经典还是时尚?
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-08-12 DOI: 10.1108/ijhrh-05-2022-0038
Prerna Ahuja, Navjit Singh
PurposeThis all-inclusive bibliometric study aims to highlight the importance and shift of the researchers and the society towards the sustainable menstrual products (SMPs). This study also provides insights for this taboo topic which needs to be addressed for improving the menstrual hygiene of women.Design/methodology/approachThis study adopts a trio of systematic literature review, bibliometric analysis and content analysis of the research articles taken from the SCOPUS database. The influential journals, authors and countries were established with the bibliometric analysis. Most prestigious research articles were identified based on the page-rank analysis. The intellectual structure was established with bibliographic coupling through which various themes were identified. For the content analysis, thematic mapping and author keyword analysis was performed to gain deeper understanding of themes.FindingsIt was established that the taboo yet novel research domain of SMPs is a necessary step towards the improvement of hygiene of women as well as the economy. The products are here to stay making them a Classic; hence, more research normalizing their usage is necessary. From this analysis, research gaps providing directions to the researchers were identified.Originality/valueTo the best knowledge of the authors, this is the first study that provides a comprehensive review of the SMPs. The research methodology applied in this review involves the triad of systematic literature review, bibliometric and content analyses study that establishes an intellectual structure and provides an all-inclusive overview of this taboo research area.
目的:本文献计量学研究旨在强调研究人员和社会对可持续月经产品的重要性和转变。这项研究也为这个禁忌话题提供了见解,需要解决改善女性月经卫生的问题。设计/方法/方法本研究采用系统文献综述、文献计量分析和内容分析三种方法对SCOPUS数据库中的研究文章进行分析。通过文献计量分析,建立了具有影响力的期刊、作者和国家。最负盛名的研究文章是根据页面排名分析确定的。通过书目耦合建立了知识结构,通过书目耦合确定了各种主题。在内容分析方面,通过主题映射和作者关键词分析,加深对主题的理解。研究结果表明,SMPs这一禁忌但新颖的研究领域是改善妇女卫生和经济的必要步骤。这些产品将继续存在,使它们成为经典;因此,有必要进行更多的研究来规范它们的使用。从这一分析中,发现了研究空白,为研究人员提供了方向。原创性/价值据作者所知,这是第一个对smp进行全面回顾的研究。本综述采用的研究方法包括系统文献综述、文献计量学和内容分析研究的三位一体,建立了一个知识结构,并对这个禁忌研究领域提供了一个全面的概述。
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引用次数: 2
Advancing right to health considerations in national responses against health sector corruption: the case for action 在国家打击卫生部门腐败的对策中推进健康权考虑:行动的理由
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-07-29 DOI: 10.1108/ijhrh-06-2022-0054
E. Alexiadou
PurposeHealth sector corruption constitutes a pervasive challenge and a major obstacle to the equitable enjoyment of the right to health by exacerbating health inequalities within societies, while often eroding public trust primarily amid public health crises that threaten human security. The purpose of this paper is to examine the value of advancing right to health considerations in national legislative and regulatory responses against health sector corruption.Design/methodology/approachThis paper builds on existing evidence, with focusing attention on international standards that are relevant to the topic under discussion. The literature research included publicly available reports, peer-reviewed studies and other documents primarily of human rights bodies at the United Nations level.FindingsAdvancing right to health considerations in national responses against health sector corruption offers comprehensive guidance for the deployment of a strong regulatory anti-corruption framework for action by the governments as part of their health rights obligations. Essentially, the implementation of such a national framework for action, encompassing accountability, participatory decision-making and transparency, constitutes a necessary and an important step towards maintaining well-functioning health systems and a robust social pressure for continued political commitment with the ultimate goal the provision of equitable access to quality health services at all times.Originality/valueBy using a rights-based approach, the paper identifies a national framework for state action consisting of legal obligations and tools towards guiding governments, while at the same time empowering civil society groups to demand the implementation of core human rights principles of transparency, participation and accountability within health system governance. It provides insights for the future development, reinforcement and/or reform of national law, policies and practices towards minimizing and eradicating vulnerabilities to health sector corruption.
目的卫生部门腐败是一个普遍的挑战,也是公平享有健康权的主要障碍,它加剧了社会内部的健康不平等,同时往往主要在威胁人类安全的公共卫生危机中侵蚀公众信任。本文的目的是审查在国家立法和监管部门打击卫生部门腐败的对策中推进健康权考虑的价值。设计/方法论/方法本文以现有证据为基础,重点关注与讨论主题相关的国际标准。文献研究包括公开的报告、同行评审的研究报告和其他文件,主要是联合国一级人权机构的文件。发现在国家打击卫生部门腐败的对策中推进健康权考虑,为部署强有力的反腐败监管框架提供了全面指导,供政府作为其健康权义务的一部分采取行动。从本质上讲,执行这样一个包括问责制、参与性决策和透明度的国家行动框架,这是朝着维持运转良好的卫生系统迈出的必要和重要的一步,也是一种强大的社会压力,要求继续作出政治承诺,最终目标是在任何时候都能公平获得高质量的卫生服务。独创性/价值通过使用基于权利的方法,该文件确定了一个国家行动的国家框架,包括指导政府的法律义务和工具,同时赋予民间社会团体权力,要求在卫生系统治理中实施透明、参与和问责的核心人权原则。它为未来制定、加强和/或改革国家法律、政策和做法提供了见解,以最大限度地减少和消除卫生部门腐败的脆弱性。
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引用次数: 1
Challenges facing hospital human resources during the COVID-19 pandemic: a qualitative study in Iran COVID-19大流行期间医院人力资源面临的挑战:伊朗的定性研究
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-07-21 DOI: 10.1108/ijhrh-03-2022-0016
Hehshmatollah Asadi, O. Barati, A. Garavand, Y. Joyani, Masoumeh Bagheri Kahkesh, Nasim Afsarimanesh, Mehrdad Seifi, A. Shokri
PurposeThis study aims to identify health workforce challenges at Iranian hospitals during the COVID-19 pandemic.Design/methodology/approachThis was a conventional content analysis study conducted in 2020. The population consisted of the managers (heads of hospitals, managers and matrons) and staff (nurses, physicians, etc.) of eligible hospitals. The participants were selected using purposive sampling, and data saturation was achieved after 28 interviews. The data were analyzed in MAXQDA10.FindingsIn total, 28 interviews were conducted with 10 women and 18 men. The challenges of hospital human resources were categorized into five main themes and 15 sub-themes. The main themes were the shortage of human resources, burnout, the need to acquire new knowledge and skills, the employees’ health and safety and the reward system.Originality/valueIdentification of challenges faced by human resources is the first step toward preventing human force shortage and psychological problems in the personnel. Implementing the recommendations of the present study would assist the proper management of hospitals’ human resources.
目的本研究旨在确定2019冠状病毒病大流行期间伊朗医院卫生人力面临的挑战。设计/方法/方法这是一项在2020年进行的传统内容分析研究。人口包括合格医院的管理人员(医院院长、管理人员和护士长)和工作人员(护士、医生等)。调查对象采用有目的抽样的方法,经过28次访谈,达到数据饱和。数据在MAXQDA10中进行分析。调查结果共对10名女性和18名男性进行了28次采访。医院人力资源面临的挑战分为5个主题和15个副主题。主要的主题是人力资源短缺、倦怠、需要获得新的知识和技能、员工的健康和安全以及奖励制度。独创性/价值识别人力资源面临的挑战是防止人力短缺和人员心理问题的第一步。实施本研究的建议将有助于妥善管理医院的人力资源。
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引用次数: 0
期刊
International Journal of Human Rights in Healthcare
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