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Mental Wellbeing and Recreational Sports – Two Together for a Healthy Win - Implications for Higher Education Institutions 心理健康与休闲运动-两者合为一致健康-对高等教育机构的启示
IF 0.6 Q4 Health Professions Pub Date : 2023-04-25 DOI: 10.24083/apjhm.v18i1.2239
A. Pandey, Anjali Chopra, S. Karve
The current research highlights how recreational sports enhance student wellbeing and promote physical and mental health through positive social bonding. The Indian social fabric is culturally and traditionally more interconnected as Indians thrive on social networks and engage in several festivals, celebrations, and get-togethers across the year. Therefore, the pandemic and ensuing lockdown created a vacuum. The study explored how students at higher education institutes (HEIs) engaged in Recreational Sports during the lockdown and its role in increasing social bonds, experiencing a feeling of association, positive emotions, relaxing the mind, and promoting overall wellbeing. Further, the present study identifies factors that influence the intention to continue engaging in recreation sports on an ongoing basis (a behaviour that was picked up during the pandemic to cope with lockdown and isolation). The current need  is to understand how learning and developing behavioural competencies can be encouraged through active learning in open spaces to overcome social isolation as all types of physical-sports activities favor psychological wellbeing. The present study uses the TPB (Theory of Planned Behavior) framework to identify factors that influence the intention to continue engaging in recreation sports on an ongoing basis. Social contact time, with many shared experiences, has multiple benefits. It not only helps in stress release but also motivates and provides comfort in the company of friends and colleagues. Therein lies the importance and relevance of Outdoor Behavioral Experiential Learning (OBEL) and recreational sports.
目前的研究强调了休闲运动如何通过积极的社会联系来提高学生的幸福感和促进身心健康。印度的社会结构在文化和传统上更加紧密相连,因为印度人在社交网络上茁壮成长,并在一年中参加几个节日、庆祝活动和聚会。因此,大流行和随后的封锁造成了一个真空。该研究探讨了高等教育机构(HEIs)的学生如何在封锁期间从事休闲体育活动,以及它在增加社会联系、体验联想、积极情绪、放松心灵和促进整体健康方面的作用。此外,本研究确定了影响持续参与娱乐体育活动意愿的因素(这种行为是在大流行期间为应对封锁和隔离而养成的)。目前的需要是了解如何通过开放空间的主动学习来鼓励学习和发展行为能力,以克服社会孤立,因为所有类型的体育活动都有利于心理健康。本研究使用计划行为理论(TPB)框架来识别影响持续参与休闲运动意愿的因素。社交时间,加上许多共同的经历,有很多好处。它不仅有助于释放压力,而且在朋友和同事的陪伴下也能激励和提供安慰。这就是户外行为体验学习(OBEL)与休闲运动的重要性和相关性。
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引用次数: 0
Health Equity Enabled Through Leadership 通过领导实现健康公平
IF 0.6 Q4 Health Professions Pub Date : 2023-04-25 DOI: 10.24083/apjhm.v18i1.2609
M. Avery
The first issue of the journal for 2023 provides original research and review works across a range of issues and topics relevant to leaders and managers in the health, aged and social care sectors. The relationship between resources, capabilities, value and their relevance to healthcare and its enablement has been demonstrated in enabling organisation and system performance and contribution. Clinical care and associated access for those living and working in rural and remote settings continues as an important factor in relation to quality and access to care in Australia. These can have different geographic impact. Any health system needs to continually consider the growth and development of the coming generation of leaders and managers and therefore critical to that responsibility our issues about leading and leadership development. Our health systems need an appropriate and proportionate balance between issues and elements of service and learning support for those providing care......
该杂志2023年的第一期提供了与卫生、老年和社会护理部门的领导者和管理者相关的一系列问题和主题的原创研究和评论作品。资源、能力、价值及其与医疗保健及其启用的相关性之间的关系已在启用组织和系统的绩效和贡献中得到证明。在澳大利亚,生活和工作在农村和偏远地区的人的临床护理和相关服务仍然是影响护理质量和服务的一个重要因素。这些可能具有不同的地理影响。任何卫生系统都需要不断考虑下一代领导人和管理者的成长和发展,因此,我们关于领导和领导力发展的问题对这一责任至关重要。我们的卫生系统需要在为提供护理的人提供服务和学习支持的问题和要素之间取得适当和相称的平衡。。。。。。
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引用次数: 0
Health Insurance & Humanoid ROBOT-Agents: A case study 健康保险与人形机器人代理:一个案例研究
IF 0.6 Q4 Health Professions Pub Date : 2023-04-24 DOI: 10.24083/apjhm.v18i1.2235
Ashu Tiwari
The Sustainable Development Goal (SDG) Target 3.8 has emphasized the persistence of health risks as a major challenge for emerging and developing countries. This challenge necessitates the achievement of Universal Health Coverage (UHC) by enhancing the infrastructure of the public sector. However, relying solely on public sector healthcare may not be sufficient to meet the needs of large populations, particularly in underdeveloped regions. Consequently, private sector healthcare solutions have emerged to fill service gaps, but they remain unaffordable for many low-income individuals. To the end, Health insurance can play a crucial role in making these services more accessible and affordable, but it faces several challenges including poor accessibility, low awareness, lack of skilled workforce, and corruption.The integration of Artificial Intelligence (AI) and Machine Learning (ML) technologies can offer solutions to these challenges. However, the adoption of technology in the insurance domain poses behavioral challenges that must be identified and addressed. This is particularly important in developing and emerging countries where markets are still underdeveloped, and information asymmetries are high. This study examines some of these challenges by studying people’s attitude towards humanoid agents. For this study a case study approach has ben used. Overall, addressing the challenges of health insurance and incorporating advanced technologies can provide a vital safety net against health risks to people.
可持续发展目标具体目标3.8强调,健康风险持续存在是新兴国家和发展中国家面临的一项重大挑战。这一挑战要求通过加强公共部门的基础设施来实现全民健康覆盖。然而,仅仅依靠公共部门的保健可能不足以满足大量人口的需求,特别是在不发达地区。因此,出现了私营部门的医疗保健解决方案,以填补服务空白,但对于许多低收入个人来说,它们仍然负担不起。最后,医疗保险可以在使这些服务更容易获得和负担得起方面发挥关键作用,但它面临着一些挑战,包括可及性差、认识低、缺乏熟练劳动力和腐败。人工智能(AI)和机器学习(ML)技术的集成可以为这些挑战提供解决方案。然而,在保险领域采用技术带来了必须识别和解决的行为挑战。这在市场仍然不发达、信息不对称程度很高的发展中国家和新兴国家尤为重要。这项研究通过研究人们对类人机器人的态度来检验其中的一些挑战。本研究采用了案例研究方法。总的来说,应对健康保险的挑战和采用先进技术可以为人们提供一个至关重要的安全网,以防范健康风险。
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引用次数: 0
Quality of Work Life And Medical Teachers’ Commitment: A moderated mediation analysis of fear of COVID-19 and job satisfaction 工作生活质量与医学教师承诺:新冠肺炎恐惧与工作满意度的有调节中介分析
IF 0.6 Q4 Health Professions Pub Date : 2023-04-23 DOI: 10.24083/apjhm.v18i1.1973
G. Rai, Saurabh Verma
This study is principally the first to test a moderated mediation model of COVID-19 fear and job satisfaction in the Quality of Work Life (QWL)-commitment relationship of medical teachers during the pandemic. The conceptual model draws its theoretical tenet from spillover and conservation of resources theories. Cluster sampling was incorporated from four metropolitan cities in India. A mixed-method research design was administered to 378 medical teachers amidst the pandemic. The partial least squares structural equation modeling (PLS-SEM) results indicate a significant positive association between the constructs. Path analyses have highlighted positive associations between QWL, job satisfaction, and affective commitment to medical institutions. Further, a partial mediation effect of job satisfaction in the QWL-commitment relationship is highlighted, adding a new dimension to past studies. Intriguingly, each of the positive associations between QWL, job satisfaction, and commitment was negated and significantly moderated by the fear of COVID-19 experienced by the medical teaching fraternity. The findings offer practical implications to the stakeholders (Ministry of Health and Family Welfare, Department of Higher Education, Government of India, and State Governments) in enriching the QWL, job satisfaction, and medical teachers’ commitment induced by psychological stress, anxiety, role conflict, post-traumatic stress disorder, and fear of COVID-19 in the global pandemic.
本研究首次检验了大流行期间医学教师工作生活质量-承诺关系中COVID-19恐惧与工作满意度的调节中介模型。概念模型的理论依据是资源溢出理论和资源守恒理论。整群抽样来自印度的四个大城市。在大流行期间,对378名医学教师进行了混合方法研究设计。偏最小二乘结构方程模型(PLS-SEM)结果表明,结构之间存在显著的正相关关系。通径分析强调了QWL、工作满意度和对医疗机构的情感承诺之间的正相关关系。此外,工作满意度在工作质量-承诺关系中的部分中介作用被突出,为以往的研究增加了一个新的维度。有趣的是,QWL、工作满意度和承诺之间的每一项正相关都被医学教学兄弟会对COVID-19的恐惧所否定和显著调节。研究结果对利益相关者(卫生和家庭福利部、高等教育部、印度政府和邦政府)在丰富心理压力、焦虑、角色冲突、创伤后应激障碍和对COVID-19的恐惧引起的QWL、工作满意度和医学教师的承诺方面具有实际意义。
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引用次数: 1
Residential Aged Care and Homelike Environments: A scoping literature review of views of the aged care workforce 养老院和居家环境:老年护理工作者观点的范围界定文献综述
IF 0.6 Q4 Health Professions Pub Date : 2023-04-20 DOI: 10.24083/apjhm.v18i1.2003
Naisim Sum, Jill Francis, L. Naccarella
Evidence exists of the benefits of homelike environments for residents of residential aged care facil-ities (RACF). To date, most research has focused on the perceptions, experiences, and quality-of-life outcomes of homelike environments from residents’ perspectives. The views of the aged care workforce (ACW) about homelike environment in RACF is under-researched. A scoping review was conducted of the Pubmed, Medline, PsychInfo, Cinahl, and Scopus databases in April 2021. Search terms included: homelike environment; residential aged care; staff. Perspectives of ACW were synthesized using Rijnaard’s framework, encompassing three key categories. Of 1597 papers identified, 21 articles published from 1990 to 2021 met the eligibility criteria for review. The scop-ing review provided insights from nursing staff, facility managers, administrators, and also activity coordinators, laundry, and catering staff. Eight key elements of homelike environments were identi-fied, further classified into three key categories: (1) built environment (indoor and outdoor spaces); (2) psychological elements (residents’ choices and control, maintaining residents’ beliefs and habits); (3) social elements (relationships with residents, families, and staff, communal environments and maintaining contact with community). No important differences in themes across ACW groups were evident. Homelike environments were associated with higher job satisfaction, lower burnout, lower staff turnover and did not contribute to staff distress nor perceptions of reduced safety. Homelike environments are potentially beneficial for ACW. Review findings can inform planning, implemen-tation, and evaluation of homelike environments, to ultimately enhance outcomes for ACW and res-idents in RACFs.
有证据表明,居家环境对养老院(RACF)的居民有好处。到目前为止,大多数研究都集中在从居民的角度对居家环境的感知、体验和生活质量结果。老年护理工作者(ACW)对养老院居家环境的看法正在研究中。2021年4月,对Pubmed、Medline、PsychInfo、Cinahl和Scopus数据库进行了范围界定审查。搜索词包括:家常环境;养老院;工作人员使用Rijnaard的框架综合了ACW的观点,包括三个关键类别。在确定的1597篇论文中,1990年至2021年发表的21篇文章符合审查资格标准。范围审查提供了来自护理人员、设施经理、管理员以及活动协调员、洗衣店和餐饮人员的见解。确定了居家环境的八个关键要素,并将其进一步分为三个关键类别:(1)建筑环境(室内和室外空间);(2) 心理因素(居民的选择和控制,维持居民的信仰和习惯);(3) 社会因素(与居民、家庭和工作人员的关系、公共环境以及与社区保持联系)。ACW组之间的主题没有明显的重要差异。居家环境与更高的工作满意度、更低的倦怠感、更低的员工流动率有关,不会导致员工痛苦,也不会导致安全感降低。居家环境可能对ACW有益。审查结果可以为居家环境的规划、实施和评估提供信息,最终提高ACW和RACF中的识别结果。
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引用次数: 0
Automated Text-Based Psychological Support to Improve Work-Life Balance and Sleep Quality: A pilot study report of work-from-home workers in Indonesia 基于文本的自动心理支持改善工作与生活的平衡和睡眠质量:印度尼西亚在家工作工人的试点研究报告
IF 0.6 Q4 Health Professions Pub Date : 2023-04-20 DOI: 10.24083/apjhm.v18i1.2061
H. Maulana, Faras Hasna Azizah, Lupi Yudhaningrum, Erik Erik, Burhanuddin Tola
Background: Work-at-home jobs may raise the risk of mental health concerns as they blur the boundaries between one’s job and personal responsibility. This study aimed to develop and test the feasibility of an online psychological intervention using the WhatsAppÓmessaging application.Materials and Method: During the 14-day intervention period, two messages were sent twice a day consisting of positive psychological affirmation aimed at assisting participants (N= 48; 13 males and 35 females) to achieve work-life balance and better sleep quality. The Indonesian-adapted Fisher’s work-life balance scale and the sleep disturbance scale were used to measure both constructs. These measures were administered at the beginning and end of the intervention. In addition, we provided participants with brief open-ended questions to check the program’s feasibility and acceptance of the intervention.Results: A paired t-test analysis revealed that although there was an increase in work-life balance scores in the post-test compared to the pre-test, the difference was not significant (t (47) = -1.75, p >.05). Nevertheless, individuals' sleep quality scores improved significantly after the intervention (t (47) = − 2.85, p <.05).Discussion: The findings of this study are expected to provide a preliminary argument to further pursue the development of behavioral interventions using online strategies in Indonesia during the pandemic.
背景:在家工作可能会增加心理健康问题的风险,因为它们模糊了工作和个人责任之间的界限。本研究旨在开发和测试使用WhatsAppó消息应用程序进行在线心理干预的可行性。材料和方法:在为期14天的干预期内,每天发送两条信息,包括积极的心理肯定,旨在帮助参与者(N=48;13名男性和35名女性)实现工作与生活的平衡和更好的睡眠质量。采用印尼语改编的Fisher工作生活平衡量表和睡眠障碍量表来测量这两种结构。这些措施是在干预开始和结束时实施的。此外,我们向参与者提供了简短的开放式问题,以检查该计划的可行性和对干预的接受程度。结果:配对t检验分析显示,尽管与测试前相比,测试后的工作与生活平衡得分有所增加,但差异并不显著(t(47)=-1.75,p>0.05)。尽管如此,干预后个体的睡眠质量得分显著改善(t(47=-2.85,p<.05)。讨论:这项研究的结果有望为在疫情期间在印度尼西亚进一步发展使用在线策略的行为干预提供初步论据。
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引用次数: 0
Does Employment Status Associate with Physical and Mental Health Status? A Cross-Sectional Study on Working-age Population 就业状况与身心健康状况有关吗?劳动年龄人口的横断面研究
IF 0.6 Q4 Health Professions Pub Date : 2023-04-20 DOI: 10.24083/apjhm.v18i1.1335
Nishad Nasrin, K. Fatema, Fariha Farjana, N. Moni, Md. Karimul Islam, KanizFatima Mohsin, Md Shakil Ahmed
Aim: The study aims to investigate the implication of employment status on individuals’ mental and physical health status in Bangladesh.Method: Administering a semi-structured interview schedule, data were collected from 320 participants applying the multi-stage random sampling technique from the metropolitan area of Khulna city. An unpaired t-test was executed to observe the comparative scenario of mental health and socio-demographic conditions of different health-bearing classes. Also, logistic regression and the OLS model were executed to assess the association between employment status and physical and mental health status. BMI and Depression Anxiety Stress Scales 21 (DASS-21) were applied to measure the physical and mental health status, respectively.Results: Results revealed that employed individuals were more exposed to physical and mental health disorders compared to unemployed individuals. The employed individuals were at higher risk of being unhealthy, and suffering from back pain and sickness than the unemployed individuals. Results suggested that the employed individuals were expected to get involved more in mental health risk behavior (0.766, p <0.01); however, they possessed a lower extent of anxiety (-0.532, p <0.05). Recommendations:Insurance coverage, motivational programs, change in lifestyle and workplace environment development can be initiated from both employer and government levels for better health outcomes.
目的:本研究旨在调查就业状况对孟加拉国个人身心健康状况的影响。方法:采用半结构化访谈法,采用多阶段随机抽样方法,从库尔纳市市区抽取320名调查对象。采用非配对t检验观察不同健康承载阶层的心理健康和社会人口状况的比较情况。此外,采用logistic回归和OLS模型来评估就业状况与身心健康状况之间的关系。采用BMI和抑郁焦虑压力量表21 (DASS-21)分别测量身体和心理健康状况。结果:研究结果显示,就业人员比失业人员更容易出现身心健康障碍。有工作的人比没有工作的人更有可能不健康,患背痛和疾病。结果表明,在职人员对心理健康风险行为的参与程度较高(0.766,p <0.01);但焦虑程度较低(-0.532,p <0.05)。建议:保险范围、激励计划、生活方式的改变和工作场所环境的发展可以从雇主和政府两方面着手,以获得更好的健康结果。
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引用次数: 0
An Analysis of the Cost Benefits of Establishing a Regional Maintenance Center for Health Services 建立区域卫生服务维护中心的成本效益分析
IF 0.6 Q4 Health Professions Pub Date : 2023-04-17 DOI: 10.24083/apjhm.v18i1.1667
Ririn Widyowati Supangat, R. Wulandari
Objective : The limitations of the Health Office in managing medical equipment management programs are compared to hospitals, as are the efficiency of the resources needed by the Regional Maintenance Center in assisting the Health Office to carry out the program. So an analysis is needed to see what the resulting costs and benefits are.Method: The research is accompanied by observations and observations of documents related to medical device maintenance and calibration analysis using cost-benefit analysis. The study was carried out in 2021 at the Pasuruan District Health Office in East Java Province, Indonesia.Results : After doing research, it was found that in the financial aspect, when viewed from the NPV, the IRR value is found to be 2.34%, the BCR is greater than one, which is 6.95%, and the PI is 8.5. The health facility maintenance unit is feasible to establish and develop in terms of both financial and effectiveness.Conclusion : Various regulations were issued by the Ministry of Health to manage the management of health equipment. The Regional Maintenance Center is believed to be able to run well if all parties support it, starting with regional leaders, then support from human resources, financial resources, officer competence, infrastructure, and management information systems. so that health services can be available in both quantity and quality.
目的:与医院相比,卫生办公室在管理医疗设备管理计划方面的局限性,以及区域维护中心在协助卫生办公室执行计划时所需资源的效率。因此,需要进行分析,看看由此产生的成本和收益是什么。方法:采用成本效益分析法对医疗器械维护与校准相关文献进行观察和分析。该研究于2021年在印度尼西亚东爪哇省Pasuruan地区卫生办公室进行。结果:经过研究发现,在财务方面,从NPV来看,IRR值为2.34%,BCR大于1,为6.95%,PI为8.5。从财政和效益两方面来看,建立和发展保健设施维护单位都是可行的。结论:卫生部制定了各项规章制度,对卫生设备的管理进行管理。据信,如果从地区领导人开始,从人力资源、财政资源、军官能力、基础设施和管理信息系统等方面得到各方的支持,区域维护中心就能正常运作。这样才能在数量和质量上提供保健服务。
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引用次数: 0
CRM Capability and Service Innovation in Healthcare: Evidence from India CRM能力与医疗保健服务创新:来自印度的证据
IF 0.6 Q4 Health Professions Pub Date : 2023-04-17 DOI: 10.24083/apjhm.v18i1.2471
Payal Sanan
This study aims to investigate the constituents of customer relationship management (CRM) capability that allows to exhibit customer service flexibility (CSF) and affects innovation in healthcare. In doing so, it qualitatively develops and identify the dimensions of CRM capability through a case study in a public healthcare setting in India and provides a framework of CRM, CSF, and service innovation. The findings of the study suggest that CSF is a mediating mechanism between CRM capability and service innovation which is long ignored in the healthcare literature. The study contributes to theory and practice-oriented knowledge on how the CRM capabilities can improve the public healthcare and facilitates key strategies for flexible deliveries and innovative services.
本研究旨在探讨客户关系管理(CRM)能力的组成部分,允许展示客户服务灵活性(CSF)并影响医疗保健创新。在此过程中,本文通过对印度公共医疗环境的案例研究定性地开发和确定了CRM能力的维度,并提供了CRM、CSF和服务创新的框架。研究结果表明,CSF是客户关系管理能力与服务创新之间的中介机制,而这一机制在医疗保健文献中长期被忽视。该研究为CRM功能如何改善公共医疗保健和促进灵活交付和创新服务的关键战略提供了理论和实践导向的知识。
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引用次数: 0
The Ratio and Predictor Factors of Inappropriate and Unnecessary Use of Emergency Department Services 急诊科服务不适当和不必要使用的比例和预测因素
Q4 Health Professions Pub Date : 2023-04-16 DOI: 10.24083/apjhm.v18i1.1599
Mohamad Kasnavieh, Mahsa Mahmoudinejad, Mohamad Veisy, Shadi Mousavi, Ali Tahmasebi
Introduction: Provision of unnecessary medical services is one of the problems that have driven up health care budgets. The condition of Emergency department and sometimes patients 'unreasonable expectations may lead to ED staff burnout and increase the provision of unnecessary services. Methods: In this study, the Hospital Urgencies Appropriateness Protocol (HUAP) was used to assess the appropriateness of services provided in the ED. The sample size of this study consisted of 445 patients who were selected among the patients admitted in Rasoul Akram and Firouzgar hospitals by stratified sampling. Chi-square and logistic regression tests were used to analyze the data. Results: The rate of inappropriate admission in the ED of the studied hospitals was measured at about 13%. Patients admitted to the Firouzgar ED showed a higher probability to inappropriate admission. Among considered factors, gender and Interval between the onset of symptoms and ED admission are affecting factor in inappropriate admission. Conclusion: The rate of in appropriate admission is somehow high in this study. Gender and Interval between the onset of symptoms and ED admission can be considered as predictors of the provision of unnecessary services. So it is significant to provide operational and evidence-based solutions regarding the issues related to the provision of unnecessary services in the ED.
引言:提供不必要的医疗服务是导致卫生保健预算增加的问题之一。急诊科的条件和患者不合理的期望可能导致急诊科工作人员倦怠,增加不必要的服务。方法:本研究采用医院急诊适宜性方案(HUAP)来评估急诊科提供服务的适宜性。本研究的样本量包括445名患者,这些患者是通过分层抽样从Rasoul Akram和Firouzgar医院入院的患者中选择的。采用卡方检验和逻辑回归检验对数据进行分析。结果:所研究医院急诊室不适当住院率约为13%。入住Firouzgar ED的患者出现不适当入住的可能性更高。在考虑的因素中,性别和出现症状与ED入院的时间间隔是不适当入院的影响因素。结论:本组患者住院率较高。性别和症状发作与急诊科入院之间的间隔可被视为提供不必要服务的预测因素。因此,针对与急诊科提供不必要服务有关的问题,提供可操作的、基于证据的解决方案是非常重要的。
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引用次数: 0
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Asia Pacific Journal of Health Management
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