Pub Date : 2023-04-08DOI: 10.24083/apjhm.v18i1.1681
Prema Basargekar, Chandan Singhavi, Trisha Sinkar, Meenu Goel
Objective: The objective of the study is to assess the impact of socioeconomic status based on gender, age group, education, and income level of the people on the level of health literacy. Design and setting: The study uses the primary data of 380 respondents belonging to varied socio-economic classes. It is a cross-sectional study. Results: The study shows that the level of health literacy is significantly affected by the educational and income level of the respondents. Health literacy is also uniquely affected by age groups. Few of the nine parameters of health literacy are affected positively by rising age groups and few are affected negatively by rising age-group. The study finds that health literacy is not affected by gender differences. Conclusion: Health literacy plays a vital role in building the health status of people and helping the effective utilization of healthcare services. It is found that level of health literacy is affected by the socio-economic status of the people. It is the need of the hour to build health literacy in the weaker section of society with the help of policy tools.
{"title":"How Socioeconomic and Demographic Factors Affect Health Literacy? Assessment of health literacy level in different socioeconomic classes in India","authors":"Prema Basargekar, Chandan Singhavi, Trisha Sinkar, Meenu Goel","doi":"10.24083/apjhm.v18i1.1681","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1681","url":null,"abstract":"Objective: The objective of the study is to assess the impact of socioeconomic status based on gender, age group, education, and income level of the people on the level of health literacy.\u0000Design and setting: The study uses the primary data of 380 respondents belonging to varied socio-economic classes. It is a cross-sectional study.\u0000Results: The study shows that the level of health literacy is significantly affected by the educational and income level of the respondents. Health literacy is also uniquely affected by age groups. Few of the nine parameters of health literacy are affected positively by rising age groups and few are affected negatively by rising age-group. The study finds that health literacy is not affected by gender differences. \u0000Conclusion: Health literacy plays a vital role in building the health status of people and helping the effective utilization of healthcare services. It is found that level of health literacy is affected by the socio-economic status of the people. It is the need of the hour to build health literacy in the weaker section of society with the help of policy tools.","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":"41974718","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.v18i1.1685
Surya Neeragatti, R. Dehury, N. Sripathi
Introduction: As the availability of huge amounts of digital health information content increases, the popularity of Digital Health Information Search (DHIS) has increased. This paper explores the determinants that influence the intention to DHIS by the public by extending the UTAUT model with health behaviour constructs like health consciousness, attitude towards health information, and trust in DHI. Method: The instrument was created by adapting scales from previous studies. Survey forms were circulated through online platforms with the snowball sampling technique. With the 345 finalized sample, analysis was carried out, and structural equation modelling (SEM) is used for data analysis with the help of SPSS v.26 and AMOS v.26. Results: Sample demographics show that 60% of the respondents have experience of 5 years in using smartphones, and 70% of respondents use the smartphone from 1 to 6 hours per day. We see that less time was spent on digital health information (DHI). For searching DHI, respondents use Google/other browsers and for sharing it, WhatsApp is the most used app. The reliability of scales was checked in SPSS, which resulted in Cronbach's alpha value greater than 0.7 for all scales. The hypothesis testing resulted in all the constructs showing a significant relationship. We see that performance expectancy, social influence, and trust in DHI showed a strong significant relation with the intention to DHIS. Conclusion: This study extends the literature in information systems adoption studies by adding a combination of the technology acceptance model with health constructs. Factors influencing the intention to DHIS are accessibility, influence from peers, and information reliability are more concerned. This study shows the importance and need for genuine DHI from valid healthcare providers, in which the creators of healthcare information, like Government and private healthcare providers, have to be more conscious.
{"title":"Determinants of Digital Health Information Search (DHIS) Behaviour: Extending UTAUT with healthcare behaviour constructs","authors":"Surya Neeragatti, R. Dehury, N. Sripathi","doi":"10.24083/apjhm.v18i1.1685","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1685","url":null,"abstract":"Introduction: As the availability of huge amounts of digital health information content increases, the popularity of Digital Health Information Search (DHIS) has increased. This paper explores the determinants that influence the intention to DHIS by the public by extending the UTAUT model with health behaviour constructs like health consciousness, attitude towards health information, and trust in DHI.\u0000Method: The instrument was created by adapting scales from previous studies. Survey forms were circulated through online platforms with the snowball sampling technique. With the 345 finalized sample, analysis was carried out, and structural equation modelling (SEM) is used for data analysis with the help of SPSS v.26 and AMOS v.26.\u0000Results: Sample demographics show that 60% of the respondents have experience of 5 years in using smartphones, and 70% of respondents use the smartphone from 1 to 6 hours per day. We see that less time was spent on digital health information (DHI). For searching DHI, respondents use Google/other browsers and for sharing it, WhatsApp is the most used app. The reliability of scales was checked in SPSS, which resulted in Cronbach's alpha value greater than 0.7 for all scales. The hypothesis testing resulted in all the constructs showing a significant relationship. We see that performance expectancy, social influence, and trust in DHI showed a strong significant relation with the intention to DHIS.\u0000Conclusion: This study extends the literature in information systems adoption studies by adding a combination of the technology acceptance model with health constructs. Factors influencing the intention to DHIS are accessibility, influence from peers, and information reliability are more concerned. This study shows the importance and need for genuine DHI from valid healthcare providers, in which the creators of healthcare information, like Government and private healthcare providers, have to be more conscious.","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":"49244653","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.v18i1.1703
Jaya Mathew, Neha Gupta, Jennifer Jagose
Volatility, Uncertainty, Complexity, Ambiguity—in a VUCA world the moment of surprise is everywhere, making things extremely unpredictable and planning and strategizing far more challenging. The healthcare industry is witnessing seismic shifts as medicine becomes more personalised, health data becomes valuable, and data sharing becomes essential, demanding the healthcare sector to re-strategise. This research aims to understand the various innovations and change-management techniques based on technology that have been adopted by healthcare industries in today's VUCA world while exploring the innovations needed to drive the Indian healthcare sector in the years to come. Thus, it examines and highlight the implications of the rising emphasis being placed on innovations in the healthcare industry - helping the sector to re-strategise and face the changes in today’s VUCA world with greater clarity. This paper is also designed to call attention to and discuss contemporary perspectives taken by top healthcare organisations in India before and during the COVID-19 pandemic. This research is based on secondary data, including intensive analysis of research papers, media articles and grey literature reports, along with examining the recent innovations undertaken by the top healthcare companies and hospitals in India. The findings suggest that moving away from a supply-driven healthcare system toward a patient-centred system is necessary, and therefore organisations in India have to embrace innovation, agility, and adaptability in unison to brave the VUCA times.
{"title":"Innovations In the Indian Healthcare Industry to Brave the Vuca Times","authors":"Jaya Mathew, Neha Gupta, Jennifer Jagose","doi":"10.24083/apjhm.v18i1.1703","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1703","url":null,"abstract":"Volatility, Uncertainty, Complexity, Ambiguity—in a VUCA world the moment of surprise is everywhere, making things extremely unpredictable and planning and strategizing far more challenging. The healthcare industry is witnessing seismic shifts as medicine becomes more personalised, health data becomes valuable, and data sharing becomes essential, demanding the healthcare sector to re-strategise.\u0000This research aims to understand the various innovations and change-management techniques based on technology that have been adopted by healthcare industries in today's VUCA world while exploring the innovations needed to drive the Indian healthcare sector in the years to come. Thus, it examines and highlight the implications of the rising emphasis being placed on innovations in the healthcare industry - helping the sector to re-strategise and face the changes in today’s VUCA world with greater clarity. This paper is also designed to call attention to and discuss contemporary perspectives taken by top healthcare organisations in India before and during the COVID-19 pandemic.\u0000This research is based on secondary data, including intensive analysis of research papers, media articles and grey literature reports, along with examining the recent innovations undertaken by the top healthcare companies and hospitals in India. The findings suggest that moving away from a supply-driven healthcare system toward a patient-centred system is necessary, and therefore organisations in India have to embrace innovation, agility, and adaptability in unison to brave the VUCA times.","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":"46498244","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.v18i1.1675
A. Prasuna, Avani Rachh
Objective: The aim of this research paper is to analyse and provide suggestions to overcome challenges of data security and data privacy in the healthcare sector. The objective is to also conduct a SWOT analysis to understand the current scenario of the healthcare sector. It will provide detail on the concerns of the healthcare sector. Design and Setting: A quantitative data analysis was conducted. The online Google forms were used to gather primary data. Statistical analysis software was used for data analyses like independent sample t-tests and one-way anova. Results: The healthcare sector is concerned about data security and data privacy. The violation of privacy cases in India has increased over several years. The data security and data privacy in healthcare sector are very important. The female respondents felt that it is very important that their consent is taken before their personal information is sold or shared with others plus before tracking their movement on the internet than male respondents. Conclusion: Healthcare and information technology sectors are among the most important sectors in the current online world. The strengths are healthcare awareness and mobile applications while weakness are ineffectively protected systems and infrastructure problems. The opportunities are investments for different facilities in the sector plus increase in research and development. The threats are violation of data privacy, data thefts and cyber-attacks putting a question on data security. Proper effective procedures have to be implemented to improve data security.
{"title":"A Study on Challenges of Data Security and Data Privacy in the Healthcare Sector: SWOT Analysis","authors":"A. Prasuna, Avani Rachh","doi":"10.24083/apjhm.v18i1.1675","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1675","url":null,"abstract":"Objective: The aim of this research paper is to analyse and provide suggestions to overcome challenges of data security and data privacy in the healthcare sector. The objective is to also conduct a SWOT analysis to understand the current scenario of the healthcare sector. It will provide detail on the concerns of the healthcare sector.\u0000Design and Setting: A quantitative data analysis was conducted. The online Google forms were used to gather primary data. Statistical analysis software was used for data analyses like independent sample t-tests and one-way anova.\u0000Results: The healthcare sector is concerned about data security and data privacy. The violation of privacy cases in India has increased over several years. The data security and data privacy in healthcare sector are very important. The female respondents felt that it is very important that their consent is taken before their personal information is sold or shared with others plus before tracking their movement on the internet than male respondents.\u0000Conclusion: Healthcare and information technology sectors are among the most important sectors in the current online world. The strengths are healthcare awareness and mobile applications while weakness are ineffectively protected systems and infrastructure problems. The opportunities are investments for different facilities in the sector plus increase in research and development. The threats are violation of data privacy, data thefts and cyber-attacks putting a question on data security. Proper effective procedures have to be implemented to improve data security.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":"14 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41257644","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.v18i1.1795
S. Shekhar
COVID-19 continues to disrupt the life of people worldwide. One of the most vulnerable sections affected by the pandemic is very old and seriously ill people. The present study provides a detailed analysis of the trends in the global scientific production on COVID-19 and palliative care. An analysis of the documents searched from the Scopus database was interpreted by Biblioshiny, an R-based software for bibliometric analysis. A descriptive examination of sources, authors, and records was done, and network analysis of conceptual, intellectual, and social structures. The research revealed ongoing research on this topic in the recent two years. The United States, the UK, India, and Spain have all done extensive research on the subject. The study's findings may aid medical practitioners and policymakers in focusing on critical sections in palliative care in the context of COVID-19. The study also identifies crucial areas in the chosen issue and guides future researchers on developing themes, contexts, and possible collaborations.
{"title":"COVID-19 And Palliative Care: A bibliometric analysis","authors":"S. Shekhar","doi":"10.24083/apjhm.v18i1.1795","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1795","url":null,"abstract":"COVID-19 continues to disrupt the life of people worldwide. One of the most vulnerable sections affected by the pandemic is very old and seriously ill people. The present study provides a detailed analysis of the trends in the global scientific production on COVID-19 and palliative care. An analysis of the documents searched from the Scopus database was interpreted by Biblioshiny, an R-based software for bibliometric analysis. A descriptive examination of sources, authors, and records was done, and network analysis of conceptual, intellectual, and social structures. The research revealed ongoing research on this topic in the recent two years. The United States, the UK, India, and Spain have all done extensive research on the subject. The study's findings may aid medical practitioners and policymakers in focusing on critical sections in palliative care in the context of COVID-19. The study also identifies crucial areas in the chosen issue and guides future researchers on developing themes, contexts, and possible collaborations.","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":"41656531","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.v18i1.1639
Introduction: Australian universities are increasingly focused on graduate employability outcomes. Industry and government are also seeking job-ready graduates. Employment outcomes for degree programs are measured by national surveys. Understanding employment outcomes for health service management university programs however are not able to be determined by these surveys as the data are not sufficiently granular. Universities embed a range of employability activities into their degrees to promote and support job-ready graduates such as work-integrated learning placements. Study design: This study employed a novel approach to measuring employability outcomes for graduates who had completed a health service management work integrated learning placement. Findings and research outcomes: Our study shows that graduates of a health service management program who complete a work-integrated learning placement have good employability outcomes and are gaining employment in roles related to their degree. Further research is needed to understand the impact of the placement and other embedded approaches in health service management degree programs to determine the role of each of the possible contributing factors
{"title":"Graduate Employment Outcomes of Health Service Management Work Integrated Learning Placements","authors":"","doi":"10.24083/apjhm.v18i1.1639","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1639","url":null,"abstract":"Introduction: Australian universities are increasingly focused on graduate employability outcomes. Industry and government are also seeking job-ready graduates. Employment outcomes for degree programs are measured by national surveys. Understanding employment outcomes for health service management university programs however are not able to be determined by these surveys as the data are not sufficiently granular. Universities embed a range of employability activities into their degrees to promote and support job-ready graduates such as work-integrated learning placements. \u0000Study design: This study employed a novel approach to measuring employability outcomes for graduates who had completed a health service management work integrated learning placement. \u0000Findings and research outcomes: Our study shows that graduates of a health service management program who complete a work-integrated learning placement have good employability outcomes and are gaining employment in roles related to their degree. Further research is needed to understand the impact of the placement and other embedded approaches in health service management degree programs to determine the role of each of the possible contributing factors","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":"44778508","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.v18i1.1473
M. Gore, Dr Rajiv Yeravdekar, Dr. Kavitha Menon
Background: A paucity of information exists on the impact of health-promoting activities conducted in low-and-middle-income country settings including Indian Higher Education Institution (HEI). Health promoting universities offer a variety of on-campus health promotion activities to improve the health and lifestyle of the university students. However, the information on the impact of such programmes are scanty. Aim: The study aimed to assess the university students' Health-Promoting Lifestyle Profiles (HPLP) before and after exposure to the ongoing on-campus health promotional activities for one year. Methods: All freshmen admitted to an international university in India, with campuses across the major cities, were enrolled in the study. The study was conducted in two phases; phase 1 assessed the baseline existing HPLP scores of these students and phase 2 investigated the impact of on-campus health promotion activities for one year on the HPLP scores, a proxy for healthy lifestyle behaviour. Results: The total HPLP scores differed significantly between the two phases (137.9 vs 130.9; p=0.000). Similarly, a significant increase in physical activity scores between the two phases was observed (17.8 vs 19.5; p=0.000). A gender-wise comparison of total and sub-scale HPLP scores of phase I reported significantly higher total HPLP, health responsibility, nutrition, and interpersonal sub-scale scores in females; and significantly higher physical activity scores in males (18.5 vs 17.3; p=0.000). In phase 2, females had significantly higher scores in total HPLP, nutrition, interpersonal, and physical activity sub-scale scores. In both phases females had significantly higher total HPLP scores than males (Phase 1: 137.6 vs 139.8; p=0.000; Phase 2 130.6 vs 131.3; p=0.000). Conclusions: A gender-wise difference on the impact of on-campus health promoting activities with higher impact on females was observed. A more focused, systematic and targeted approach through curricular, co-curricular and extracurricular courses may further improve the HPLP scores of Indian university students.
背景：关于在包括印度高等教育机构在内的中低收入国家开展的健康促进活动的影响，信息匮乏。健康促进大学提供各种校园健康促进活动，以改善大学生的健康和生活方式。然而，关于这些方案的影响的资料很少。目的：本研究旨在评估大学生在接触持续一年的校园健康促进活动前后的健康促进生活方式档案（HPLP）。方法：所有被印度一所国际大学录取的新生都被纳入了这项研究，该大学的校园遍布各大城市。这项研究分两个阶段进行；第一阶段评估了这些学生的基线现有HPLP分数，第二阶段调查了一年的校园健康促进活动对HPLP分数的影响，HPLP分数是健康生活方式行为的代表。结果：两个阶段的HPLP总分差异显著（137.9 vs 130.9；p=0.000）。同样，两个阶段之间的体力活动得分显著增加（17.8 vs 19.5；p=0.000，女性的人际关系子量表得分；男性的体力活动得分显著较高（18.5比17.3；p=0.000）。在第二阶段，女性在HPLP总分、营养、人际关系和体力活动子量表得分显著较高。在这两个阶段，女性的HPLP总分均显著高于男性（第1阶段：137.6 vs 139.8；p=0.000；第2阶段：130.6 vs 131.3；p=0.000）。通过课程、课外和课外课程采取更加集中、系统和有针对性的方法，可以进一步提高印度大学生的HPLP成绩。
{"title":"The Impact of On-Campus Health Promotion Activities on Healthy Lifestyle Behaviours of Indian University Students","authors":"M. Gore, Dr Rajiv Yeravdekar, Dr. Kavitha Menon","doi":"10.24083/apjhm.v18i1.1473","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1473","url":null,"abstract":"Background: A paucity of information exists on the impact of health-promoting activities conducted in low-and-middle-income country settings including Indian Higher Education Institution (HEI). Health promoting universities offer a variety of on-campus health promotion activities to improve the health and lifestyle of the university students. However, the information on the impact of such programmes are scanty.\u0000Aim: The study aimed to assess the university students' Health-Promoting Lifestyle Profiles (HPLP) before and after exposure to the ongoing on-campus health promotional activities for one year.\u0000Methods: All freshmen admitted to an international university in India, with campuses across the major cities, were enrolled in the study. The study was conducted in two phases; phase 1 assessed the baseline existing HPLP scores of these students and phase 2 investigated the impact of on-campus health promotion activities for one year on the HPLP scores, a proxy for healthy lifestyle behaviour.\u0000Results: The total HPLP scores differed significantly between the two phases (137.9 vs 130.9; p=0.000). Similarly, a significant increase in physical activity scores between the two phases was observed (17.8 vs 19.5; p=0.000). A gender-wise comparison of total and sub-scale HPLP scores of phase I reported significantly higher total HPLP, health responsibility, nutrition, and interpersonal sub-scale scores in females; and significantly higher physical activity scores in males (18.5 vs 17.3; p=0.000). In phase 2, females had significantly higher scores in total HPLP, nutrition, interpersonal, and physical activity sub-scale scores. In both phases females had significantly higher total HPLP scores than males (Phase 1: 137.6 vs 139.8; p=0.000; Phase 2 130.6 vs 131.3; p=0.000).\u0000Conclusions: A gender-wise difference on the impact of on-campus health promoting activities with higher impact on females was observed. A more focused, systematic and targeted approach through curricular, co-curricular and extracurricular courses may further improve the HPLP scores of Indian university students.","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":"49474372","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.v18i1.1755
Harrison Thorn, R. Olley
Objective: This qualitative review aims to identify and list the barriers and facilitators to accessing medical services for rural and remote Australians, within the current literature to inform policy development and highlight the need for further research. Methods: The review was guided by the PRISMA method. Boolean search strings identified relevant articles using the Griffith University Library electronic catalogue. The study included only English language research articles published between August 31st, 2018 and August 31st, 2021, focusing on facilitators and barriers within the Australian context considering both access and rurality/remoteness. Results: Thematic analysis of six articles identified ten barriers: communication, confidentiality, fear and shame, funding, geography, health behaviours, reliance on others, service provision, staffing, transport; and eight facilitators: collaboration/partnerships, communication, cultural safety funding, service provision, staffing, and telehealth, to accessing medical services in rural and remote Australia. Conclusion: Ten barriers and eight facilitators to accessing medical services in rural and remote Australia were identified and listed from six articles identified through a qualitative review. This review identified a research gap regarding understanding the underlying challenges behind these barriers and facilitators and the implications for policy implementation to improve access to medical services.
{"title":"Barriers And Facilitators to Accessing Medical Services in Rural And Remote Australia: A systematic review","authors":"Harrison Thorn, R. Olley","doi":"10.24083/apjhm.v18i1.1755","DOIUrl":"https://doi.org/10.24083/apjhm.v18i1.1755","url":null,"abstract":"Objective: This qualitative review aims to identify and list the barriers and facilitators to accessing medical services for rural and remote Australians, within the current literature to inform policy development and highlight the need for further research. \u0000Methods: The review was guided by the PRISMA method. Boolean search strings identified relevant articles using the Griffith University Library electronic catalogue. The study included only English language research articles published between August 31st, 2018 and August 31st, 2021, focusing on facilitators and barriers within the Australian context considering both access and rurality/remoteness. \u0000Results: Thematic analysis of six articles identified ten barriers: communication, confidentiality, fear and shame, funding, geography, health behaviours, reliance on others, service provision, staffing, transport; and eight facilitators: collaboration/partnerships, communication, cultural safety funding, service provision, staffing, and telehealth, to accessing medical services in rural and remote Australia. \u0000Conclusion: Ten barriers and eight facilitators to accessing medical services in rural and remote Australia were identified and listed from six articles identified through a qualitative review. This review identified a research gap regarding understanding the underlying challenges behind these barriers and facilitators and the implications for policy implementation to improve access to medical services.","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":"42065119","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 : 2023-01-09DOI: 10.24083/apjhm.v17i3.1351
Wayne Tsien, J. Nie, R. Gauld
Aim: Physician multi-site practice (PMP), or dual practice, is commonplace worldwide. Since the mid-2000s, the Chinese government has issued a series of laws and regulations to promote PMP with a goal of improving access to high-quality medical services. However, PMP is widely conducted illegally in China, i.e., without official registration of practicing doctors. This article provides a more nuanced understanding of PMP in China. Approach: This article takes a case study approach. It presents a high-profile case exposed through Chinese social media as well as public perceptions through the lens of online comments given by over thirty thousand netizens on a nationally controversial case. Findings: Netizens saw benefits to PMP despite being illegal. A culturally-rooted Chinese construction of the triple concepts of ‘Qing’ (sensibility, feeling or sentiment), ‘Li’ (propriety, norm or reason) and ‘Fa’ (rule, regulation or law) is employed to explore the issue of legitimacy of PMP in the Chinese context and explain why PMP has not yet been implemented effectively, and why members of the general public strongly support illegal PMP. Conclusion: While doctors and the public support illegal PMP, it will be challenging for the Chinese government to gain traction with official PMP policy.
{"title":"Physician Multi-Site Practice in China: Doctor practices, public views and legitimacy based on a controversial case","authors":"Wayne Tsien, J. Nie, R. Gauld","doi":"10.24083/apjhm.v17i3.1351","DOIUrl":"https://doi.org/10.24083/apjhm.v17i3.1351","url":null,"abstract":"Aim: Physician multi-site practice (PMP), or dual practice, is commonplace worldwide. Since the mid-2000s, the Chinese government has issued a series of laws and regulations to promote PMP with a goal of improving access to high-quality medical services. However, PMP is widely conducted illegally in China, i.e., without official registration of practicing doctors. This article provides a more nuanced understanding of PMP in China. \u0000Approach: This article takes a case study approach. It presents a high-profile case exposed through Chinese social media as well as public perceptions through the lens of online comments given by over thirty thousand netizens on a nationally controversial case. \u0000Findings: Netizens saw benefits to PMP despite being illegal. A culturally-rooted Chinese construction of the triple concepts of ‘Qing’ (sensibility, feeling or sentiment), ‘Li’ (propriety, norm or reason) and ‘Fa’ (rule, regulation or law) is employed to explore the issue of legitimacy of PMP in the Chinese context and explain why PMP has not yet been implemented effectively, and why members of the general public strongly support illegal PMP. \u0000Conclusion: While doctors and the public support illegal PMP, it will be challenging for the Chinese government to gain traction with official PMP policy.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42749343","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 : 2023-01-09DOI: 10.24083/apjhm.v17i3.1881
T. Heidari, Azar Jafari-Koulaee, H. A. Lolaty, M. Khorram, S. Rezaei, Abolfazl Hosseinnataj
Background: Stressors during the COVID-19 pandemic, led to lack of concentration and lack of energy to achieve career goals, fatigue, poor performance, burnout and reduced quality of life of people, especially nurses. Methods: This descriptive-analytical study was done with the aim of determining the relationship between perceived stress and quality of life of nurses working in the care wards of patients with COVID-19 in hospitals affiliated to Mazandaran University of Medical Sciences (Mazandaran, Iran) during 2020-2021. Inclusion criteria included willingness to participate in the study, having at least a bachelor's degree in nursing and working in the care wards of patients COVID-19. Data collection tools included demographic information questionnaire, Cohen Perceived Stress Questionnaire and WHO Quality of Life Questionnaire. Frequency, percentage, Mean and standard deviation indices were used to describe the variables. Also, Mann-Whitney, Kruskal-Wallis and Spearman correlation coefficients were used to ass the relationship between variables. Results: The Mean (SD) age of participants was 33.48 (6.64) years. Most were female (%73.3). The total scores of quality of life and perceived stress variables of nurses were 47.63±24.31 and 27.62±4.61, respectively. Nurses' scores of quality of life domains included Physical Health, Psychological, Social Relationships and environmental domain were 46.52±12.69, 46.57±12.70, 46.39±19.45 and 50.52±10.52, respectively. Nurses' quality of life had a direct significant relationship with the variables of sleep quality and job satisfaction (P<0.001). Perceived stress score also had a significant inverse relationship with physical and social dimensions and total quality of life score (P<0.001). Conclusions: Based on the results of this study and the negative effects of nurses' perceived stress on their quality of life, it is necessary to pay serious attention to nurses' concerns. It is recommended to Be considered appropriate interventions to reduce perceived stress and improve the quality of life in nurses who care for patients with Covid-19.
{"title":"Relationship Between Perceived Stress and Quality of Life of Nurses Working in COVID-19 Wards","authors":"T. Heidari, Azar Jafari-Koulaee, H. A. Lolaty, M. Khorram, S. Rezaei, Abolfazl Hosseinnataj","doi":"10.24083/apjhm.v17i3.1881","DOIUrl":"https://doi.org/10.24083/apjhm.v17i3.1881","url":null,"abstract":"Background: Stressors during the COVID-19 pandemic, led to lack of concentration and lack of energy to achieve career goals, fatigue, poor performance, burnout and reduced quality of life of people, especially nurses. \u0000Methods: This descriptive-analytical study was done with the aim of determining the relationship between perceived stress and quality of life of nurses working in the care wards of patients with COVID-19 in hospitals affiliated to Mazandaran University of Medical Sciences (Mazandaran, Iran) during 2020-2021. Inclusion criteria included willingness to participate in the study, having at least a bachelor's degree in nursing and working in the care wards of patients COVID-19. Data collection tools included demographic information questionnaire, Cohen Perceived Stress Questionnaire and WHO Quality of Life Questionnaire. Frequency, percentage, Mean and standard deviation indices were used to describe the variables. Also, Mann-Whitney, Kruskal-Wallis and Spearman correlation coefficients were used to ass the relationship between variables. \u0000Results: The Mean (SD) age of participants was 33.48 (6.64) years. Most were female (%73.3). The total scores of quality of life and perceived stress variables of nurses were 47.63±24.31 and 27.62±4.61, respectively. Nurses' scores of quality of life domains included Physical Health, Psychological, Social Relationships and environmental domain were 46.52±12.69, 46.57±12.70, 46.39±19.45 and 50.52±10.52, respectively. Nurses' quality of life had a direct significant relationship with the variables of sleep quality and job satisfaction (P<0.001). Perceived stress score also had a significant inverse relationship with physical and social dimensions and total quality of life score (P<0.001).\u0000Conclusions: Based on the results of this study and the negative effects of nurses' perceived stress on their quality of life, it is necessary to pay serious attention to nurses' concerns. It is recommended to Be considered appropriate interventions to reduce perceived stress and improve the quality of life in nurses who care for patients with Covid-19.","PeriodicalId":42935,"journal":{"name":"Asia Pacific Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47335727","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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