Pub Date : 2023-08-02DOI: 10.24083/apjhm.v18i2.2529
Azadeh Chatrrouz, S. Daneshgar, Azam Lari
Objective: Hospital managers need to have accurate information about actual costs to make efficient and effective decisions. Activity-based costing (ABC) is put forward as an alternative, more accurate costing method to calculate the cost of medical treatment. The objective of this paper is the application of an activity-based method to estimate the cost of cataract surgery in an ophthalmic hospital. Methods: The present descriptive-analytical study was carried out at an ophthalmic hospital, in February and March of 2021, in Iran. Surgical operations for cataracts were considered. The required data were collected through conducting interviews with experts and relevant units, direct observation of activities, analysis of documents in the financial department, and the hospital information system (HIS) and financial software system of the hospital. The cost of surgical operations was estimated by activity-based costing (ABC). Results: According to the findings, the amount and the share of the total costs of the activities identified in the main centers were as follows: human resources 54.24% of the total cost of cataract surgery which is the highest share of surgery costs; the cost of consumables was 32.57% of the total cost of cataract surgery is the second share of surgery costs. Conclusions: The research results showed that in this regard administrators should design and implement a comprehensive operational planning system in the hospital.
{"title":"Application Of Activity-Based Costing Method in The Eestimate of Cataract Surgery Cost","authors":"Azadeh Chatrrouz, S. Daneshgar, Azam Lari","doi":"10.24083/apjhm.v18i2.2529","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2529","url":null,"abstract":"Objective: Hospital managers need to have accurate information about actual costs to make efficient and effective decisions. Activity-based costing (ABC) is put forward as an alternative, more accurate costing method to calculate the cost of medical treatment. The objective of this paper is the application of an activity-based method to estimate the cost of cataract surgery in an ophthalmic hospital.\u0000Methods: The present descriptive-analytical study was carried out at an ophthalmic hospital, in February and March of 2021, in Iran. Surgical operations for cataracts were considered. The required data were collected through conducting interviews with experts and relevant units, direct observation of activities, analysis of documents in the financial department, and the hospital information system (HIS) and financial software system of the hospital. The cost of surgical operations was estimated by activity-based costing (ABC).\u0000Results: According to the findings, the amount and the share of the total costs of the activities identified in the main centers were as follows: human resources 54.24% of the total cost of cataract surgery which is the highest share of surgery costs; the cost of consumables was 32.57% of the total cost of cataract surgery is the second share of surgery costs.\u0000Conclusions: The research results showed that in this regard administrators should design and implement a comprehensive operational planning system in the hospital.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68995548","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}
Pub Date : 2023-08-02DOI: 10.24083/apjhm.v18i2.2583
Shannon Richards-Green, S. Gough, S. Mickan
Objective: The purpose of this scoping review was to examine the nature and extent of the evidence for the use of a stage theory of adult development, Constructive Developmental Theory (CDT) within healthcare leadership. Design: A systematic methodology was employed, utilising inclusion and exclusion criteria and searching across seven databases. Main Outcome Measures: Summary of literature in response to three key questions. Results: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses – Scoping Reviews (PRISMA-ScR) flow diagram illustrates the study selection process with 154 records screened, 35 full-text articles assessed for eligibility and 7 studies included in the final analysis. Three themes emerged from the data: (1) healthcare as a complex system, (2) complexity of leadership in healthcare, (3) developmental leadership progression in healthcare. Conclusions: This review highlighted that CDT could provide a roadmap for individual change and adult developmental growth, thereby supporting the opportunity for more complex thinking and perspective taking within healthcare leadership. For the healthcare leader, the benefit of an awareness, understanding and application of CDT, is the potential for an increased capacity for recognising and dealing with complex challenges both personally and professionally. The study protocol is registered with Open Science Framework (OSF)
{"title":"Leadership at the Intersection of Healthcare and Constructive Developmental Theory: A scoping review","authors":"Shannon Richards-Green, S. Gough, S. Mickan","doi":"10.24083/apjhm.v18i2.2583","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2583","url":null,"abstract":"Objective: The purpose of this scoping review was to examine the nature and extent of the evidence for the use of a stage theory of adult development, Constructive Developmental Theory (CDT) within healthcare leadership.\u0000Design: A systematic methodology was employed, utilising inclusion and exclusion criteria and searching across seven databases.\u0000Main Outcome Measures: Summary of literature in response to three key questions.\u0000Results: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses – Scoping Reviews (PRISMA-ScR) flow diagram illustrates the study selection process with 154 records screened, 35 full-text articles assessed for eligibility and 7 studies included in the final analysis. Three themes emerged from the data: (1) healthcare as a complex system, (2) complexity of leadership in healthcare, (3) developmental leadership progression in healthcare.\u0000Conclusions: This review highlighted that CDT could provide a roadmap for individual change and adult developmental growth, thereby supporting the opportunity for more complex thinking and perspective taking within healthcare leadership. For the healthcare leader, the benefit of an awareness, understanding and application of CDT, is the potential for an increased capacity for recognising and dealing with complex challenges both personally and professionally.\u0000The study protocol is registered with Open Science Framework (OSF)","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42883989","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}
Pub Date : 2023-08-02DOI: 10.24083/apjhm.v18i2.2459
H. Oh, Stephanie Ching-Hui Ng, Zef Zhenhao Zeng
Objectives: The primary aim of this quality improvement project was to develop, implement and evaluate an automated bed assignment algorithm (ABAA) which can offer objective and consistent bed assignment recommendations that comply with the unique operational constraints and prioritization rules of a tertiary hospital in Singapore. Methods: Using the classical process improvement framework of Plan-Do-Study-Act (PDSA), the quality circle workgroup first developed and tested the ABAA prototype to confirm its feasibility and reliability to meet all hospital operational constraints and prioritization rules. PDSA framework was then also employed in the user interface design and integration of ABAA into existing system setup. The staff satisfaction level of the ABAA was subsequently assessed via an anonymized online survey. Results: In the prototype development phase, the workgroup was able to conclude after nine rounds of review meetings that the ABAA prototype was able to perform bed assignments like hospital staff using data in 64 operational scenarios. Among the 10 eligible staff who completed the online survey, up to 90% of them reported that ABAA was able to generate bed assignment recommendations which met the hospital operational requirements. 90% of these staff also reported that ABAA was easy to use and navigate, while all respondents reported using ABAA before attempting to assign beds manually. 80% of staff felt ABAA was able to reduce human error, while 50% of staff felt ABAA had reduced their time taken for bed assignments by 30 minutes to 2 hours per shift. Conclusions: Evidently, the user-centric design of ABAA has enabled its high adoption and acceptance rate among staff. Overall, it has allowed the staff to make faster, consistent and objective bed assignment decisions which complied with hospital operational constraints and prioritization rules so that newly admitted patients received the most appropriate care at their point of admission.
{"title":"Developing and Evaluating An Automated Bed Assignment Algorithm in A Tertiary Hospital: A case study in Singapore","authors":"H. Oh, Stephanie Ching-Hui Ng, Zef Zhenhao Zeng","doi":"10.24083/apjhm.v18i2.2459","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2459","url":null,"abstract":"Objectives: The primary aim of this quality improvement project was to develop, implement and evaluate an automated bed assignment algorithm (ABAA) which can offer objective and consistent bed assignment recommendations that comply with the unique operational constraints and prioritization rules of a tertiary hospital in Singapore. \u0000Methods: Using the classical process improvement framework of Plan-Do-Study-Act (PDSA), the quality circle workgroup first developed and tested the ABAA prototype to confirm its feasibility and reliability to meet all hospital operational constraints and prioritization rules. PDSA framework was then also employed in the user interface design and integration of ABAA into existing system setup. The staff satisfaction level of the ABAA was subsequently assessed via an anonymized online survey. \u0000Results: In the prototype development phase, the workgroup was able to conclude after nine rounds of review meetings that the ABAA prototype was able to perform bed assignments like hospital staff using data in 64 operational scenarios. Among the 10 eligible staff who completed the online survey, up to 90% of them reported that ABAA was able to generate bed assignment recommendations which met the hospital operational requirements. 90% of these staff also reported that ABAA was easy to use and navigate, while all respondents reported using ABAA before attempting to assign beds manually. 80% of staff felt ABAA was able to reduce human error, while 50% of staff felt ABAA had reduced their time taken for bed assignments by 30 minutes to 2 hours per shift.\u0000Conclusions: Evidently, the user-centric design of ABAA has enabled its high adoption and acceptance rate among staff. Overall, it has allowed the staff to make faster, consistent and objective bed assignment decisions which complied with hospital operational constraints and prioritization rules so that newly admitted patients received the most appropriate care at their point of admission.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41762493","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}
Pub Date : 2023-08-02DOI: 10.24083/apjhm.v18i2.1931
M. Behera, Hannah M. Degge, R. Dehury, Deepanjali Behera
Background: The Human Resource in Health (HRH) crisis is one of the most critical constraints to achieving health and development goals. In this study, the WHO's recommendations were used to highlight the health workforce issues in remote and rural areas with a prime focus on four major policy domains: education, regulatory, financial incentives, and professional and personal support. Objectives: Medical doctors are one of the essential frontline health workers for primary health care in rural India. This study adopted World Health Organization's (WHO's) human resource policy framework to evaluate doctors' responses in understanding the recruitment and retention of medical doctors in rural areas. Materials and Methods: A cross-sectional, descriptive study was conducted in the rural and remote areas of Odisha state, India. A multistage sampling procedure was used to select the participants, who were all government medical doctors working in rural and remote locations. The primary outcome measure is percentage responses using WHO’s Human Resource policy framework Results: Medical doctors working in rural and remote areas perceived the practice as challenging. They were mainly least satisfied with the items asked in the professional and personal support domain. However, more than half of the doctors (56.7%) are eager to work in remote and rural areas for the next three years. Conclusion: Public health administrators and policymakers should create an enabling environment and design interventions encouraging doctors to stay in remote areas. Most importantly, this includes a political and financial commitment to achieve targeted interventions.
{"title":"Improving the Recruitment and Retention of Healthcare Professionals in Rural Areas: Evidence from the medical doctors of six districts of India","authors":"M. Behera, Hannah M. Degge, R. Dehury, Deepanjali Behera","doi":"10.24083/apjhm.v18i2.1931","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.1931","url":null,"abstract":"Background: The Human Resource in Health (HRH) crisis is one of the most critical constraints to achieving health and development goals. In this study, the WHO's recommendations were used to highlight the health workforce issues in remote and rural areas with a prime focus on four major policy domains: education, regulatory, financial incentives, and professional and personal support. Objectives: Medical doctors are one of the essential frontline health workers for primary health care in rural India. This study adopted World Health Organization's (WHO's) human resource policy framework to evaluate doctors' responses in understanding the recruitment and retention of medical doctors in rural areas. Materials and Methods: A cross-sectional, descriptive study was conducted in the rural and remote areas of Odisha state, India. A multistage sampling procedure was used to select the participants, who were all government medical doctors working in rural and remote locations. The primary outcome measure is percentage responses using WHO’s Human Resource policy framework Results: Medical doctors working in rural and remote areas perceived the practice as challenging. They were mainly least satisfied with the items asked in the professional and personal support domain. However, more than half of the doctors (56.7%) are eager to work in remote and rural areas for the next three years. Conclusion: Public health administrators and policymakers should create an enabling environment and design interventions encouraging doctors to stay in remote areas. Most importantly, this includes a political and financial commitment to achieve targeted interventions.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47017533","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}
Pub Date : 2023-08-02DOI: 10.24083/apjhm.v18i2.1445
Hanieh Shiriyan, Parisa Rezaii Almas, Taha Torabi Choplujeh, M. Maheri
Introduction: Identifying the factors affecting the adoption of COVID-19 preventive behaviors can be helpful in designing various interventions related to the promotion of this index. Therefore, the aim of this study was to investigate the relationship between trust in a healthcare system and adherence to COVID-19 preventive behaviors among the general population. Methods: This cross-sectional study was conducted during September 2021 and simultaneously with the fifth wave of COVID-19 in Urmia, Iran. The study's statistical population was for all people older than 18 years living in Urmia who had access to cyberspace. In this study, 504 samples were included using the snowball and convenience sampling method. Data were collected using an electronic questionnaire that consisted of three sections: demographic information, Whole Health System Trust Scale, and a researcher-made questionnaire to measure COVID-19 preventive behaviors. Data were collected through WhatsApp and analyzed using SPSS 16. Results: The quality of care (β = 0.178, p = 0.003), patient focus of providers (β = 0.140, p = 0.010), policies at the macro level will be without consequences for the patient (β = -0.112, p = 0.027), and the quality of cooperation between health care services providers (β = 0.106, p = 0.026), were significant predictors of COVID-19 preventive behaviors. Conclusion: In order to promote adherence to COVID-19 preventive behaviors among the general public, it is suggested to improve the quality of care provided for the prevention and control of COVID-19; provide customer-centered cares relating to prevention and control of COVID-19; attract public trust to the macro level policies relating to prevention and control of COVID-19; and create cooperation and coordination among services providers working in the field of prevention and control of COVID-19.
前言:明确影响采取COVID-19预防行为的因素有助于设计与促进该指数相关的各种干预措施。因此，本研究的目的是调查一般人群对医疗保健系统的信任与遵守COVID-19预防行为之间的关系。方法:本横断面研究于2021年9月在伊朗乌尔米娅与第五波COVID-19同时进行。该研究的统计人口是指居住在乌尔米亚的所有年龄在18岁以上、可以访问网络空间的人。本研究采用滚雪球法和方便抽样法共纳入504份样本。使用电子问卷收集数据，该问卷由三个部分组成:人口统计信息、整个卫生系统信任量表和研究人员制作的问卷，用于测量COVID-19预防行为。通过WhatsApp收集数据，并使用SPSS 16进行分析。结果:医疗服务质量(β = 0.178, p = 0.003)、医疗服务提供者对患者的关注(β = 0.140, p = 0.010)、宏观层面的政策是否对患者没有影响(β = -0.112, p = 0.027)、医疗服务提供者之间的合作质量(β = 0.106, p = 0.026)是新冠肺炎预防行为的显著预测因子。结论:为提高公众对COVID-19预防行为的依从性，建议提高COVID-19防控服务质量;提供以客户为中心的COVID-19防控服务;吸引公众对疫情防控宏观政策的信任;在COVID-19防控领域的服务提供者之间建立合作与协调。
{"title":"Relationship Between the Trust in A Health Care System and Adherence to COVID-19 Preventive Behaviors Among The General Population in 2021","authors":"Hanieh Shiriyan, Parisa Rezaii Almas, Taha Torabi Choplujeh, M. Maheri","doi":"10.24083/apjhm.v18i2.1445","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.1445","url":null,"abstract":"Introduction: Identifying the factors affecting the adoption of COVID-19 preventive behaviors can be helpful in designing various interventions related to the promotion of this index. Therefore, the aim of this study was to investigate the relationship between trust in a healthcare system and adherence to COVID-19 preventive behaviors among the general population.\u0000Methods: This cross-sectional study was conducted during September 2021 and simultaneously with the fifth wave of COVID-19 in Urmia, Iran. The study's statistical population was for all people older than 18 years living in Urmia who had access to cyberspace. In this study, 504 samples were included using the snowball and convenience sampling method. Data were collected using an electronic questionnaire that consisted of three sections: demographic information, Whole Health System Trust Scale, and a researcher-made questionnaire to measure COVID-19 preventive behaviors. Data were collected through WhatsApp and analyzed using SPSS 16.\u0000Results: The quality of care (β = 0.178, p = 0.003), patient focus of providers (β = 0.140, p = 0.010), policies at the macro level will be without consequences for the patient (β = -0.112, p = 0.027), and the quality of cooperation between health care services providers (β = 0.106, p = 0.026), were significant predictors of COVID-19 preventive behaviors.\u0000Conclusion: In order to promote adherence to COVID-19 preventive behaviors among the general public, it is suggested to improve the quality of care provided for the prevention and control of COVID-19; provide customer-centered cares relating to prevention and control of COVID-19; attract public trust to the macro level policies relating to prevention and control of COVID-19; and create cooperation and coordination among services providers working in the field of prevention and control of COVID-19.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43501404","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}
Pub Date : 2023-08-02DOI: 10.24083/apjhm.v18i2.1001
A. Nag, Bhumiphat Gilitwala
Purpose: This research paper aims to identify the factors that have influenced patients' loyalty towards hospitals, doctors, or healthcare providers during the COVID-19 pandemic. The study seeks to create a comprehensive model that takes all these factors into account. Design/ Methodology/Approach: The study collected primary data from 400 valid responses using a Google Form, and a non-probability, convenient sampling technique was used. The sample size was calculated using G*Power software. [21] The respondents were mostly from Bhopal or nearby areas in Madhya Pradesh, India. SmartPLS software [22] was used to conduct partial least square structural equation modeling. The study used confirmatory composite analysis to observe interrelationships in terms of linear compounds, and tested research hypotheses using a structural model. Findings: The COVID-19 pandemic has had a profound impact on the healthcare industry, including patient loyalty and expectations. The research highlighted that patients are increasingly looking for a more human-centered approach from medical staff, which includes better communication and more personalized care. This means that healthcare providers need to focus on building strong patient relationships based on trust, empathy, and respect. Originality Value: The present research work will help in identifying the key drivers of patient loyalty so that hospitals can focus on improving the areas that matter most to their patients, such as the quality of care, staff communication, accessibility, and overall patient experience. This, in turn, can increase patient satisfaction and ultimately lead to higher levels of patient loyalty.
{"title":"An Empirical Study of Paradigm Shift in Patient Loyalty Towards Hospitals in The Wake of the COVID-19 pandemic","authors":"A. Nag, Bhumiphat Gilitwala","doi":"10.24083/apjhm.v18i2.1001","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.1001","url":null,"abstract":"Purpose: This research paper aims to identify the factors that have influenced patients' loyalty towards hospitals, doctors, or healthcare providers during the COVID-19 pandemic. The study seeks to create a comprehensive model that takes all these factors into account.\u0000Design/ Methodology/Approach: The study collected primary data from 400 valid responses using a Google Form, and a non-probability, convenient sampling technique was used. The sample size was calculated using G*Power software. [21] The respondents were mostly from Bhopal or nearby areas in Madhya Pradesh, India. SmartPLS software [22] was used to conduct partial least square structural equation modeling. The study used confirmatory composite analysis to observe interrelationships in terms of linear compounds, and tested research hypotheses using a structural model.\u0000Findings: The COVID-19 pandemic has had a profound impact on the healthcare industry, including patient loyalty and expectations. The research highlighted that patients are increasingly looking for a more human-centered approach from medical staff, which includes better communication and more personalized care. This means that healthcare providers need to focus on building strong patient relationships based on trust, empathy, and respect.\u0000Originality Value: The present research work will help in identifying the key drivers of patient loyalty so that hospitals can focus on improving the areas that matter most to their patients, such as the quality of care, staff communication, accessibility, and overall patient experience. This, in turn, can increase patient satisfaction and ultimately lead to higher levels of patient loyalty.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45553673","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}
Pub Date : 2023-08-02DOI: 10.24083/apjhm.v18i2.2347
Moira McInerney, R. Hinchcliff, G. Fitzgerald, Robyn King
Objectives: Private Equity (PE) involvement in healthcare has been evident in the United States (US) for some time, with questionable benefits reported. There are significant differences in funding, health insurance and regulation in the US, when compared to Australia and New Zealand (NZ), so it is not clear whether existing US research can be generalised to these settings. This study aims to examine published information regarding PE involvement in the private-for-profit (PFP) healthcare sector in Australia and NZ, including evidence of PE shareholdings and its impacts. Design: This scoping review considers academic and grey literature, including academic research and commentary papers, media reports, corporate reports, PFP healthcare websites and government submissions. Main Outcome & Results: Thirty three relevant sources were identified, but no specific information on the impacts of PE investment were discovered. The academic papers highlight an ongoing debate (but limited research evidence) about PFP healthcare, including the quality of clinical care, practice consolidation and a downward trend on clinician ownership. The grey literature offered more information on PE investment and growth of the PFP sector, but limited detail about shareholdings. Conclusion: With little research on PE investment in Australia and NZ, it is difficult to know if continued PE growth will have a positive or negative affect on operational performance and outcomes, such as clinician engagement and clinical care. The authors conclude that there is a shifting landscape of PFP healthcare in Australia and NZ, to less clinician and greater PE ownership. Given the reports of negative impacts of PE involvement in the US, these trends pose significant immediate and long-term implications. This paper sets the agenda for further research to explore the organisational and system-level impacts of PE growth in Australia and NZ.
{"title":"Private Equity Investment in Private For-Profit Healthcare in Australia and New Zealand: A scoping review","authors":"Moira McInerney, R. Hinchcliff, G. Fitzgerald, Robyn King","doi":"10.24083/apjhm.v18i2.2347","DOIUrl":"https://doi.org/10.24083/apjhm.v18i2.2347","url":null,"abstract":"Objectives: Private Equity (PE) involvement in healthcare has been evident in the United States (US) for some time, with questionable benefits reported. There are significant differences in funding, health insurance and regulation in the US, when compared to Australia and New Zealand (NZ), so it is not clear whether existing US research can be generalised to these settings. This study aims to examine published information regarding PE involvement in the private-for-profit (PFP) healthcare sector in Australia and NZ, including evidence of PE shareholdings and its impacts.\u0000Design: This scoping review considers academic and grey literature, including academic research and commentary papers, media reports, corporate reports, PFP healthcare websites and government submissions.\u0000Main Outcome & Results: Thirty three relevant sources were identified, but no specific information on the impacts of PE investment were discovered. The academic papers highlight an ongoing debate (but limited research evidence) about PFP healthcare, including the quality of clinical care, practice consolidation and a downward trend on clinician ownership. The grey literature offered more information on PE investment and growth of the PFP sector, but limited detail about shareholdings.\u0000Conclusion: With little research on PE investment in Australia and NZ, it is difficult to know if continued PE growth will have a positive or negative affect on operational performance and outcomes, such as clinician engagement and clinical care. The authors conclude that there is a shifting landscape of PFP healthcare in Australia and NZ, to less clinician and greater PE ownership. Given the reports of negative impacts of PE involvement in the US, these trends pose significant immediate and long-term implications. This paper sets the agenda for further research to explore the organisational and system-level impacts of PE growth in Australia and NZ.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42250338","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}
Pub Date : 2023-04-25DOI: 10.24083/apjhm.v17i3.1171
Jian Xin Aw, N. Mohamed, B. Rahmatullah
Past research revealed concerns over the depressive symptoms and psychological well-being of university students. The present study utilizes a stratified random sampling to examine the role of perceived social support on psychological well-being between depressed and non-depressed university students during the COVID-19 pandemic in Malaysia. This study recruited a total of 244 university students from different universities across Malaysia from November 2021 to July 2022 through social media such as Facebook, Instagram, and WhatsApp. A prevalence rate of 50.4% of university students was found to present significant depressive symptoms. There is a significant correlation between perceived social support and psychological wellbeing (r = 0.769, p < 0.05). Non-depressed university students reported significantly higher on their perceived social support and psychological well-being than university students with significant depressive symptoms with values of p<0.001 and p<0.043. Among depressed university students, perceived social support from friends and significant others was reported to be significantly lower than non-depressed university students with a value of p<0.001 and p<0.023. Overall, the present study discovered that a higher level of perceived social support could predict greater psychological well-being and reduced depressive symptoms among university students. Hence, perceived social support should be promoted as an effective intervention for university students due to its accessibility and cost. Future research should look into the effectiveness of perceived social support and other psychological resources for university students with different mental health concerns.
过去的研究揭示了对大学生抑郁症状和心理健康的担忧。本研究采用分层随机抽样的方法，研究了在2019冠状病毒病大流行期间，马来西亚抑郁和非抑郁大学生之间感知到的社会支持对心理健康的作用。这项研究从2021年11月到2022年7月，通过Facebook、Instagram和WhatsApp等社交媒体共招募了244名来自马来西亚不同大学的大学生。50.4%的大学生出现明显的抑郁症状。感知社会支持与心理健康存在显著相关(r = 0.769, p < 0.05)。无抑郁大学生的社会支持感和心理幸福感显著高于有抑郁症状大学生(p<0.001和p<0.043)。抑郁大学生对来自朋友和重要他人的社会支持的感知显著低于非抑郁大学生(p<0.001和p<0.023)。总体而言，本研究发现，较高水平的感知社会支持可以预测大学生更大的心理健康和减少抑郁症状。因此，由于感知社会支持的可及性和成本，应促进其作为一种有效的干预措施。未来的研究应进一步探讨感知社会支持和其他心理资源对不同心理健康问题大学生的有效性。
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Pub Date : 2023-04-25DOI: 10.24083/apjhm.v18i1.2601
Neale Fong
Welcome to the first issue of the College’s Asia Pacific Journal of Health Management for 2023. I trust the year is treating you well and you are well on your way to achieving professional and personal goals set at the beginning of the year. The College is moving forward with a successful year, too. In March we held a hugely successful Health Leadership Conference in Melbourne with well over 200 attendees. The focus on the common issues of leadership, workforce concerns and health system sustainability as well as aged care leadership and management was appreciated by all who participated. These issues of Workforce and Sustainability will be explored in more detail at the ACHSM Asia-Pacific Health Leadership Congress to be held in Canberra, 11-13 October, 2023. Please put a hold on those dates in your diary and register for this Congress.....
{"title":"Achieving Professional and Personal Goals At the Beginning of the Year 2023","authors":"Neale Fong","doi":"10.24083/apjhm.v18i1.2601","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.2601","url":null,"abstract":"Welcome to the first issue of the College’s Asia Pacific Journal of Health Management for 2023. I trust the year is treating you well and you are well on your way to achieving professional and personal goals set at the beginning of the year.\u0000The College is moving forward with a successful year, too. In March we held a hugely successful Health Leadership Conference in Melbourne with well over 200 attendees. The focus on the common issues of leadership, workforce concerns and health system sustainability as well as aged care leadership and management was appreciated by all who participated. These issues of Workforce and Sustainability will be explored in more detail at the ACHSM Asia-Pacific Health Leadership Congress to be held in Canberra, 11-13 October, 2023. Please put a hold on those dates in your diary and register for this Congress.....","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43272567","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}
Pub Date : 2023-04-25DOI: 10.24083/apjhm.v18i1.2141
Intisar A. Malik, Sherzad Abdulahad, Abubakir Saleh, N. Shabila
Background: Employees require an appropriate working environment that helps them work without problems limiting their performance. Objective: This study aimed to assess the perspectives of the employees at the Ministry of Health in the Iraqi Kurdistan Region regarding their work environment and satisfaction with the various aspects of work. Methods: This self-administered questionnaire survey involved 109 employees from the Ministry of Health in Erbil, Iraqi Kurdistan Region. A questionnaire containing different questions about the work environment and work satisfaction was used to assess employees' perspectives about their working environment. Results: The participants thought that the sense of preserving public money and materials and feeling responsible among employees is low. The employees were not much satisfied with the relations between managers and employees. Most participants thought that improving the financial situation would affect the employees' capacity (96.3%) and that implementing modern systems, equipment, and programs would improve protection (84.4%). Most participants were satisfied with their workplace (71.6%) and thought their education was relevant to their work (73.4%). They emphasizedthe importance of making employees feel responsible, providing training courses, and improving the services and work facilities to improve the working conditions. Conclusion: Low work awareness and commitment exist among employees. The working environment was an important factor in the job satisfaction of employees.
{"title":"Health Employees’ Perceptions of Their Working Conditions","authors":"Intisar A. Malik, Sherzad Abdulahad, Abubakir Saleh, N. Shabila","doi":"10.24083/apjhm.v18i1.2141","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.2141","url":null,"abstract":"Background: Employees require an appropriate working environment that helps them work without problems limiting their performance.\u0000Objective: This study aimed to assess the perspectives of the employees at the Ministry of Health in the Iraqi Kurdistan Region regarding their work environment and satisfaction with the various aspects of work.\u0000Methods: This self-administered questionnaire survey involved 109 employees from the Ministry of Health in Erbil, Iraqi Kurdistan Region. A questionnaire containing different questions about the work environment and work satisfaction was used to assess employees' perspectives about their working environment.\u0000Results: The participants thought that the sense of preserving public money and materials and feeling responsible among employees is low. The employees were not much satisfied with the relations between managers and employees. Most participants thought that improving the financial situation would affect the employees' capacity (96.3%) and that implementing modern systems, equipment, and programs would improve protection (84.4%). Most participants were satisfied with their workplace (71.6%) and thought their education was relevant to their work (73.4%). They emphasizedthe importance of making employees feel responsible, providing training courses, and improving the services and work facilities to improve the working conditions.\u0000Conclusion: Low work awareness and commitment exist among employees. The working environment was an important factor in the job satisfaction of employees.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45648028","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}
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