Pub Date : 2023-04-16DOI: 10.24083/apjhm.v18i1.2177
Agustina Boru Gultom
The quality of health services in flood disaster conditions still needs to get better attention because health workers carry out actions in this condition that are not yet effective. It was closely related to the quality of preparedness of these health workers. The quality can reflect whether there was an integration of health workers' knowledge, attitude, and preparedness in dealing with flood disasters. The study used a mixed method consisting of a quantitative design with a correlation test and a qualitative design with interviews. The study with a quantitative design used a total population of 22 health workers, and a qualitative design uses 8 participants who are representatives of each profession. Analysis used univariate analysis and bivariate analysis with Fisher’s exact test. Knowledge and preparedness of health workers to face flood disasters were still not good and not ready when compared to attitudes. Knowledge relates to preparing the health workers to face flood disasters with p 0,009, and a study with a qualitative design using 8 participants who are representatives of each profession. Health workers dealing with flood disasters have not fully integrated knowledge, attitudes, and preparedness. We need to improve aspects of behavior that are still not optimal.
{"title":"Integration of Knowledge, Attitude, And Preparedness of Health Workers in Facing Flood Disaster","authors":"Agustina Boru Gultom","doi":"10.24083/apjhm.v18i1.2177","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.2177","url":null,"abstract":"The quality of health services in flood disaster conditions still needs to get better attention because health workers carry out actions in this condition that are not yet effective. It was closely related to the quality of preparedness of these health workers. The quality can reflect whether there was an integration of health workers' knowledge, attitude, and preparedness in dealing with flood disasters. The study used a mixed method consisting of a quantitative design with a correlation test and a qualitative design with interviews. The study with a quantitative design used a total population of 22 health workers, and a qualitative design uses 8 participants who are representatives of each profession. Analysis used univariate analysis and bivariate analysis with Fisher’s exact test. Knowledge and preparedness of health workers to face flood disasters were still not good and not ready when compared to attitudes. Knowledge relates to preparing the health workers to face flood disasters with p 0,009, and a study with a qualitative design using 8 participants who are representatives of each profession. Health workers dealing with flood disasters have not fully integrated knowledge, attitudes, and preparedness. We need to improve aspects of behavior that are still not optimal.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47614789","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 : 2023-04-09DOI: 10.24083/apjhm.v18i1.1441
L. S, Z. Naik, Arun Panwar, S. M, V. Keluskar, R. K
Background: COVID-19 vaccine is the mighty weapon opted by all the countries across the globe in an attempt to eradicate the fatal COVID-19 pandemic. The myths on the COVID-19 vaccine are spreading widely, causing a hindrance to this noble preventive measure. The prevalence of such myths among healthcare professionals may be toxic and deadly. Aim & Objectives: To assess the knowledge, attitude, and practice of the healthcare professionals regarding the myths on COVID-19 vaccination and to demystify them.Materials and Methods: An 18-item questionnaire evaluating knowledge, attitude, and practice based on the existing myths on COVID-19 vaccination was circulated through Google Forms® among the 412 healthcare professionals of six disciplines belonging to a private University. The responses obtained were subjected to statistical analysis using SPSS® 20 software package. Results: A total of 385 health professionals participated in this study. The majority of them had medium knowledge (165) and positive attitude (273) with the mean knowledge and attitude scores of 3.82 ± 1.55 out of 6 and 4.3 ± 1.58 out of 7 respectively. Even though 312 participants got vaccinated, 72 of them failed to receive it. The knowledge scores showed a high statistically significant difference among the participants of different designations (p=0.001), but not with gender, field, and staff with different years of experience (p>0.05). The attitude scores were statistically different among participants of fields and designation (p<0.05) but not among genders (p=0.31) and staff with different years of experience (p=0.87). Knowledge and attitude scores showed a positive linear correlation and a high statistically significant difference (p<0.001). Conclusion: This study recommends more enhanced education programs on COVID-19 vaccination for the health professionals and demands an improved knowledge, attitude, and practice among them to achieve the goal of 100% vaccination so as to completely eradicate the COVID-19 pandemic.
{"title":"Knowledge, Attitude, And Practice Among Healthcare Professionals Regarding the Myths On COVID-19 Vaccination: A cross-sectional questionnaire study and demystification","authors":"L. S, Z. Naik, Arun Panwar, S. M, V. Keluskar, R. K","doi":"10.24083/apjhm.v18i1.1441","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1441","url":null,"abstract":"Background: COVID-19 vaccine is the mighty weapon opted by all the countries across the globe in an attempt to eradicate the fatal COVID-19 pandemic. The myths on the COVID-19 vaccine are spreading widely, causing a hindrance to this noble preventive measure. The prevalence of such myths among healthcare professionals may be toxic and deadly.\u0000Aim & Objectives: To assess the knowledge, attitude, and practice of the healthcare professionals regarding the myths on COVID-19 vaccination and to demystify them.Materials and Methods: An 18-item questionnaire evaluating knowledge, attitude, and practice based on the existing myths on COVID-19 vaccination was circulated through Google Forms® among the 412 healthcare professionals of six disciplines belonging to a private University. The responses obtained were subjected to statistical analysis using SPSS® 20 software package.\u0000Results: A total of 385 health professionals participated in this study. The majority of them had medium knowledge (165) and positive attitude (273) with the mean knowledge and attitude scores of 3.82 ± 1.55 out of 6 and 4.3 ± 1.58 out of 7 respectively. Even though 312 participants got vaccinated, 72 of them failed to receive it. The knowledge scores showed a high statistically significant difference among the participants of different designations (p=0.001), but not with gender, field, and staff with different years of experience (p>0.05). The attitude scores were statistically different among participants of fields and designation (p<0.05) but not among genders (p=0.31) and staff with different years of experience (p=0.87). Knowledge and attitude scores showed a positive linear correlation and a high statistically significant difference (p<0.001).\u0000Conclusion: This study recommends more enhanced education programs on COVID-19 vaccination for the health professionals and demands an improved knowledge, attitude, and practice among them to achieve the goal of 100% vaccination so as to completely eradicate the COVID-19 pandemic.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46769124","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 : 2023-04-09DOI: 10.24083/apjhm.v18i1.2189
N. El-Koofy, M. El-Shabrawi, Mai Abd Elhamed, Marwa M. Zein, Ramy S. Abdelghany, Eman Z. Abdelaziz
Background: The Coronavirus disease 2019(COVID-19) pandemic’s impact on essential health services is of great concern. The most important step in managing any patient with chronic disease is compliance with follow-up visits. Aim: This study aims to assess healthcare services during the period of the COVID-19 pandemic lockdown regarding chronic patient visits and care, as well as to assess patient satisfaction with the provision of healthcare services during the lockdown period. Methods: a cross-sectional study was performed at Cairo University Specialized Children Hospital, Egypt, through an interview questionnaire with the caregivers of chronic patients about the health care services throughout the COVID-19 pandemic from December 2020 to July 2021. Results: More than 60% were satisfied with the healthcare service provision during the COVID-19 pandemic lockdown. Satisfaction toward medical sub-specialties was significantly higher than that of surgical ones. Patients who attended for follow-up markedly decreased during the lockdown. Conclusion: During the COVID-19 pandemic, healthcare service provision was negatively affected. Follow-up of chronic patients and continued medical care were challenging points.
{"title":"Assessment of Healthcare Service Provision to Pediatric Patients With Chronic Diseases During the COVID-19 Lockdown","authors":"N. El-Koofy, M. El-Shabrawi, Mai Abd Elhamed, Marwa M. Zein, Ramy S. Abdelghany, Eman Z. Abdelaziz","doi":"10.24083/apjhm.v18i1.2189","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.2189","url":null,"abstract":"Background: The Coronavirus disease 2019(COVID-19) pandemic’s impact on essential health services is of great concern. The most important step in managing any patient with chronic disease is compliance with follow-up visits.\u0000Aim: This study aims to assess healthcare services during the period of the COVID-19 pandemic lockdown regarding chronic patient visits and care, as well as to assess patient satisfaction with the provision of healthcare services during the lockdown period.\u0000Methods: a cross-sectional study was performed at Cairo University Specialized Children Hospital, Egypt, through an interview questionnaire with the caregivers of chronic patients about the health care services throughout the COVID-19 pandemic from December 2020 to July 2021.\u0000Results: More than 60% were satisfied with the healthcare service provision during the COVID-19 pandemic lockdown. Satisfaction toward medical sub-specialties was significantly higher than that of surgical ones. Patients who attended for follow-up markedly decreased during the lockdown. \u0000Conclusion: During the COVID-19 pandemic, healthcare service provision was negatively affected. Follow-up of chronic patients and continued medical care were challenging points.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47640560","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 : 2023-04-09DOI: 10.24083/apjhm.v18i1.1107
Sylvia Szabo, M. Pramanik, Sayem Ahmed, Kevin Lesson
Using the most recent 2018 Korean Longitudinal Study of Aging (KLoSA) survey data, this study aimed to examine the key determinants of cognitive impairment (CI) and to explore the inequalities and geographic differences of CI amongst the South Korean elderly population. The findings show that being super-aged, poor general health, and lack of exercise are positively associated with CI, while household wealth, educational level, participation in social activities and regular exercise all have a significant negative effect on CI. Compared to males, female respondents are more likely to experience CI. We found little difference between the specific determinates for the two subsamples. Inequalities in the prevalence of cognitive impairment were greatest in rural areas as well as amongst the respondents living in the Chungcheong region, Seoul Metropolitan Area and the Kangwan region. The results are helpful for the early intervention and prevention strategies to tackle the cognitive impairment problems of the elderly.
{"title":"Determinants, Inequalities and Geographical Differences in Cognitive Performance Amongst the Elderly Population in South Korea","authors":"Sylvia Szabo, M. Pramanik, Sayem Ahmed, Kevin Lesson","doi":"10.24083/apjhm.v18i1.1107","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1107","url":null,"abstract":"Using the most recent 2018 Korean Longitudinal Study of Aging (KLoSA) survey data, this study aimed to examine the key determinants of cognitive impairment (CI) and to explore the inequalities and geographic differences of CI amongst the South Korean elderly population. The findings show that being super-aged, poor general health, and lack of exercise are positively associated with CI, while household wealth, educational level, participation in social activities and regular exercise all have a significant negative effect on CI. Compared to males, female respondents are more likely to experience CI. We found little difference between the specific determinates for the two subsamples. Inequalities in the prevalence of cognitive impairment were greatest in rural areas as well as amongst the respondents living in the Chungcheong region, Seoul Metropolitan Area and the Kangwan region. The results are helpful for the early intervention and prevention strategies to tackle the cognitive impairment problems of the elderly.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44365268","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 : 2023-04-08DOI: 10.24083/apjhm.v18i1.1689
Vilasini Jadhav, Smita Ramakrishna
Objective: The purpose of this study is to understand and explore the motivations and barriers faced by customers while purchasing Health Insurance. Design and Setting: An exploratory qualitative research design is applied to analyse the textual content of the depth interview data The theory of planned behaviour (TPB) provides the theoretical backdrop in designing the codes for the themes. Results: The major factors which motivated the respondents to purchase health insurance policy include financial security, cashless transaction, taxation benefits, continuity benefits and helping in medical emergency. The significant barriers in the purchase of health insurance as identified by the participants include factors such as all ailments not covered, all facilities not covered, affordability, lack of awareness, lack of clarity and regarding the expense as an unnecessary expenditure. Conclusion: The study uses the framework of TPB to ascertain the factors which contribute to the major themes during the course of content analysis. Our results indicate the factors which act as a motivation as well as the factors which act as barriers in the purchase of health insurance. A possible solution for such barriers is to widen the scope of financial literacy, to include the benefits of health insurance and make people aware of the details of such policies. Insurance companies should also try to reduce the premium charged.
{"title":"Motivations And Barriers to Purchase Health Insurance: A qualitative study","authors":"Vilasini Jadhav, Smita Ramakrishna","doi":"10.24083/apjhm.v18i1.1689","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1689","url":null,"abstract":"Objective: The purpose of this study is to understand and explore the motivations and barriers faced by customers while purchasing Health Insurance.\u0000Design and Setting: An exploratory qualitative research design is applied to analyse the textual content of the depth interview data The theory of planned behaviour (TPB) provides the theoretical backdrop in designing the codes for the themes.\u0000Results: The major factors which motivated the respondents to purchase health insurance policy include financial security, cashless transaction, taxation benefits, continuity benefits and helping in medical emergency. The significant barriers in the purchase of health insurance as identified by the participants include factors such as all ailments not covered, all facilities not covered, affordability, lack of awareness, lack of clarity and regarding the expense as an unnecessary expenditure.\u0000Conclusion: The study uses the framework of TPB to ascertain the factors which contribute to the major themes during the course of content analysis. Our results indicate the factors which act as a motivation as well as the factors which act as barriers in the purchase of health insurance. A possible solution for such barriers is to widen the scope of financial literacy, to include the benefits of health insurance and make people aware of the details of such policies. Insurance companies should also try to reduce the premium charged.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47909199","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 : 2023-04-08DOI: 10.24083/apjhm.v18i1.1669
Utoomporn Wongsin, Passakorn Suanrueang
This cost analysis study gathered cost information from four community hospitals and two general hospitals in the fiscal year 2014, including service data, hospital statistics, and financial information. The study aimed to analysis and estimate the treatment costs of outpatient mental and behavioral disorders (MBDs) due to psychoactive substance use, provided at community and general hospitals in Thailand. We used ICD-10 codes, F10-F19, to handle the diagnosis codes of MBDs due to psychoactive substances and cost analysis. The unit cost per OPD visit was analyzed according to the cost analysis guidelines of the Ministry of Public Health, Thailand, using two procedures: a traditional method and a cost-to-charge ratio. The great majority of service expenses were labour costs (53%), followed by material costs (42%) and capital costs (6%). The unit cost per OPD visit for substance use disorders (SUD) in 2014 ranged between 172 and 762 THB. It was adjusted by the inflation rate to estimate the cost for 2021. The costs were growth in the range of 204 to 905 THB. The median cost estimate in 2021 from four community hospitals and two general hospitals, each accounting for 396 and 769 THB, respectively. The unit SUD visit costs of OPD from these six hospitals are quite close to the unit costs of the drug treatment centers. The greatest proportion of total service expenses was labor costs. Accordingly, human resources are believed to be a crucial challenge that needs to be considered and planned to deliver successful services. Notably, these hospitals were selected by purposive sampling and might not be representative of each hospital type. More hospitals should, therefore, be recruited in further research to represent the actual cost by hospital type.
{"title":"Cost Analysis of Outpatient Mental and Behavioral Disorders Due to Psychoactive Substance Use: A study of four community and two general hospitals in Thailand","authors":"Utoomporn Wongsin, Passakorn Suanrueang","doi":"10.24083/apjhm.v18i1.1669","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1669","url":null,"abstract":"This cost analysis study gathered cost information from four community hospitals and two general hospitals in the fiscal year 2014, including service data, hospital statistics, and financial information. The study aimed to analysis and estimate the treatment costs of outpatient mental and behavioral disorders (MBDs) due to psychoactive substance use, provided at community and general hospitals in Thailand. We used ICD-10 codes, F10-F19, to handle the diagnosis codes of MBDs due to psychoactive substances and cost analysis. The unit cost per OPD visit was analyzed according to the cost analysis guidelines of the Ministry of Public Health, Thailand, using two procedures: a traditional method and a cost-to-charge ratio. \u0000The great majority of service expenses were labour costs (53%), followed by material costs (42%) and capital costs (6%). The unit cost per OPD visit for substance use disorders (SUD) in 2014 ranged between 172 and 762 THB. It was adjusted by the inflation rate to estimate the cost for 2021. The costs were growth in the range of 204 to 905 THB. The median cost estimate in 2021 from four community hospitals and two general hospitals, each accounting for 396 and 769 THB, respectively. \u0000The unit SUD visit costs of OPD from these six hospitals are quite close to the unit costs of the drug treatment centers. The greatest proportion of total service expenses was labor costs. Accordingly, human resources are believed to be a crucial challenge that needs to be considered and planned to deliver successful services. \u0000Notably, these hospitals were selected by purposive sampling and might not be representative of each hospital type. More hospitals should, therefore, be recruited in further research to represent the actual cost by hospital type.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45804185","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 : 2023-04-08DOI: 10.24083/apjhm.v18i1.2053
Jennifer Kosiol, Linda Fraser, A. Fitzgerald, K. Radford
The resource-based view (RBV) theory is a widely accepted strategic management theory, particularly within private sector organisations. [1,2,3] However, within public healthcare settings, the level of empirical support available on the use and appropriateness of RBV within this environment is largely unchartered. Consequently, this paper aimed to further understand the level of evidence for the purpose of providing an insight into how it may be used to improve the efficiency and effectiveness of public health organisations. An extensive literature search returned a total of 859 studies. Of these, just 13 studies met the inclusion criteria of being an investigation of the use of RBV theory in public sector healthcare organisations. The analysis conducted demonstrates that while the use of RBV theory has been relatively slow, the benefits are positive. The practical application of RBV theory lies in strategically mapping the relationships between resources, capabilities, and public value, relevant to healthcare organisations, in order to gain and understand how public value is created to provide a competitive advantage and superior performance for the organisation.
{"title":"Resource-based View: A new strategic perspective for public health service managers","authors":"Jennifer Kosiol, Linda Fraser, A. Fitzgerald, K. Radford","doi":"10.24083/apjhm.v18i1.2053","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.2053","url":null,"abstract":"The resource-based view (RBV) theory is a widely accepted strategic management theory, particularly within private sector organisations. [1,2,3] However, within public healthcare settings, the level of empirical support available on the use and appropriateness of RBV within this environment is largely unchartered. Consequently, this paper aimed to further understand the level of evidence for the purpose of providing an insight into how it may be used to improve the efficiency and effectiveness of public health organisations.\u0000An extensive literature search returned a total of 859 studies. Of these, just 13 studies met the inclusion criteria of being an investigation of the use of RBV theory in public sector healthcare organisations. The analysis conducted demonstrates that while the use of RBV theory has been relatively slow, the benefits are positive. \u0000The practical application of RBV theory lies in strategically mapping the relationships between resources, capabilities, and public value, relevant to healthcare organisations, in order to gain and understand how public value is created to provide a competitive advantage and superior performance for the organisation.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49667938","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 : 2023-04-08DOI: 10.24083/apjhm.v18i1.2091
Inflation, the rise in prices of goods and services, has been on an exponential rise over the past few years globally. The excess inflation and the devaluation of the Nigerian currency has aggravated the problem of poor healthcare funding in the country. The overlooked influences that global inflation has had on the Nigerian healthcare system were highlighted in this work. Some of the influences included increased healthcare costs leading to demand-related problems, increased morbidity, reduced quality of healthcare delivery despite the increased cost, understaffing, the inefficiency of healthcare workers, medical brain drain as well as dwindling of research activities. In line with these consequences, it has become imperative for the government to take action to curb the growing menace of inflation and its impacts, through policy development and implementation as well as increasing resource allocation to the health sector.
{"title":"The Unspotted Impact of Global Inflation and Economic Crisis on The Nigerian Healthcare System","authors":"","doi":"10.24083/apjhm.v18i1.2091","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.2091","url":null,"abstract":"Inflation, the rise in prices of goods and services, has been on an exponential rise over the past few years globally. The excess inflation and the devaluation of the Nigerian currency has aggravated the problem of poor healthcare funding in the country. The overlooked influences that global inflation has had on the Nigerian healthcare system were highlighted in this work. Some of the influences included increased healthcare costs leading to demand-related problems, increased morbidity, reduced quality of healthcare delivery despite the increased cost, understaffing, the inefficiency of healthcare workers, medical brain drain as well as dwindling of research activities. In line with these consequences, it has become imperative for the government to take action to curb the growing menace of inflation and its impacts, through policy development and implementation as well as increasing resource allocation to the health sector.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45055371","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 : 2023-04-08DOI: 10.24083/apjhm.v18i1.1679
Janvee Garg, A. K. Singh
Smart health care depends heavily on a resilient and strong digital infrastructure. Telemedicine, Electronic Health Records (EHR), Fitness Trackers, Wearable Devices that monitor Heart Rate, Steps, Sleep Cycle and many other digital health-related measures are already used as indicators of what a future system of health technology will look like. The purpose of this paper is to examine the existing research studies to determine if it is possible to forecast health based on the data available from such devices. Further, in the Indian context, where Unique Health ID is already being implemented, this paper aims to extend the functionality of the UHID and analyze the viability of integrating the UHID with data sources for predicting health. Predicting and forecasting health will benefit all stakeholders in the healthcare ecosystem. Accurate disease forecasting models would be extremely helpful for epidemic and pandemic prevention and control. This research examines the potential for health forecasting and the challenges associated with its development.
{"title":"The Use of Digital Healthcare Systems to Predict Diseases","authors":"Janvee Garg, A. K. Singh","doi":"10.24083/apjhm.v18i1.1679","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1679","url":null,"abstract":"Smart health care depends heavily on a resilient and strong digital infrastructure. Telemedicine, Electronic Health Records (EHR), Fitness Trackers, Wearable Devices that monitor Heart Rate, Steps, Sleep Cycle and many other digital health-related measures are already used as indicators of what a future system of health technology will look like. The purpose of this paper is to examine the existing research studies to determine if it is possible to forecast health based on the data available from such devices. Further, in the Indian context, where Unique Health ID is already being implemented, this paper aims to extend the functionality of the UHID and analyze the viability of integrating the UHID with data sources for predicting health. Predicting and forecasting health will benefit all stakeholders in the healthcare ecosystem. Accurate disease forecasting models would be extremely helpful for epidemic and pandemic prevention and control. This research examines the potential for health forecasting and the challenges associated with its development.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47947861","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 : 2023-04-08DOI: 10.24083/apjhm.v18i1.1711
R. Olley, Jeremy Hozynka
The digitalisation of healthcare represents another change challenge for clinicians, and the most prominent of these is the Electronic Health Record (EHR). Adopting the EHR, including the training of clinicians of all disciplines, often does not occur effectively, which increases the risk of adverse events and the reduction in the quality and safety of clinical care. The competent use of the EHR requires clinician user training. One form of training is scenario-based. The questions asked of the literature in this SLR are what evidence exists as to the effectiveness of using scenarios to train clinicians in using the EHR, and is there a research gap in this evidence to inform future research? To undertake this systematic review of the literature, the researchers implemented the PRISMA Method. Only highly ranked, health-related academic databases accessed through an electronic library catalogue were used to search for relevant peer-reviewed/refereed articles. The decision to apply the PRISMA method was based on the PRISMA statement, which safeguards comprehensive reporting and transparency to ensure inferred recommendations and interventions are based on the best available evidence. 6,898 records were returned from Boolean searches for articles published between November 2018 to November 2021. Five articles were included for greater analysis following exclusions by title review, abstract review, and quality assessment. Quality assessment of articles reporting empirical studies relating to the effectiveness of using scenarios in this type of training was performed using the standard quality assessment scoresheet by Kmet [48]. Three themes emerged from the literature. The centrality of workflow, Clinician engagement are key, and scenario-based training is one of many training strategies implemented. The authors found that further rigorous research studies are required to enhance the evidence body for the continued usage of scenario-based training of clinicians to effectively use the EHR, particularly as the digital landscape within health continues to evolve. Moreover, the authors posit that further research on scenario-based EHR training of clinicians should include: Scenario-based training is just one part of a broader and blended EHR training suite. Ensuring future studies encompass a diversity of all fields of clinical roles within the research and, Include standardised terminology naming for clinicians' scenario-based EHR training within the studies.
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