Pub Date : 2023-05-31DOI: 10.1177/09720634231168250
Asim Mehmood, Z. Ahmed, Khalid Ghailan, Sushil Dohare, J. Varghese, F. Azeez
Payment methods based on a controlled or adjusted prospective payment system rather than ‘Fee for Services’ or direct payment are considered beneficial to access the healthcare delivery services. The purpose of this review was to identify technical challenges faced by three WHO regions, namely, Western Pacific, South East Asia Eastern and the Mediterranean while establishing or adopting a diagnosis-related group (DRG)/case-mix grouper and report the extent of implementing this system for reimbursement and healthcare financing in three WHO regions, namely, Western Pacific, South East Asia Eastern and the Mediterranean. The study followed PRISMA guidelines, and 33 articles published from 1st January 2009 to 31st December 2019 were selected for critical appraisal after systematic filtration. The objectives of the implementation of the DRG system in most developed and developing countries in these regions were to bring transparency in the payment system and reduce treatment costs by avoiding unnecessary healthcare services. The countries in the study regions were at different levels of economic and social development status, therefore the implementation and adaptation status of DRG/case-mix system/grouper varied in these countries The findings revealed that most of the countries faced challenges related to inequalities and inefficiencies in the healthcare system, shortage of funding, poor documentation related to diagnosis and procedures, incomplete medical record files and lack of primary data required for the case-mix system during the DRG/case-mix adaptation phase. The results also pointed to the importance of initial pilot testing of the DRG/case-mix system/grouper and careful manipulation and adaptation to the local context, especially when the DRG system/grouper imported from other countries.
{"title":"Implementation of Healthcare Financing Based on Diagnosis-related Group in Three WHO Regions; Western Pacific, South East Asia and Eastern Mediterranean: A Systematic Review","authors":"Asim Mehmood, Z. Ahmed, Khalid Ghailan, Sushil Dohare, J. Varghese, F. Azeez","doi":"10.1177/09720634231168250","DOIUrl":"https://doi.org/10.1177/09720634231168250","url":null,"abstract":"Payment methods based on a controlled or adjusted prospective payment system rather than ‘Fee for Services’ or direct payment are considered beneficial to access the healthcare delivery services. The purpose of this review was to identify technical challenges faced by three WHO regions, namely, Western Pacific, South East Asia Eastern and the Mediterranean while establishing or adopting a diagnosis-related group (DRG)/case-mix grouper and report the extent of implementing this system for reimbursement and healthcare financing in three WHO regions, namely, Western Pacific, South East Asia Eastern and the Mediterranean. The study followed PRISMA guidelines, and 33 articles published from 1st January 2009 to 31st December 2019 were selected for critical appraisal after systematic filtration. The objectives of the implementation of the DRG system in most developed and developing countries in these regions were to bring transparency in the payment system and reduce treatment costs by avoiding unnecessary healthcare services. The countries in the study regions were at different levels of economic and social development status, therefore the implementation and adaptation status of DRG/case-mix system/grouper varied in these countries The findings revealed that most of the countries faced challenges related to inequalities and inefficiencies in the healthcare system, shortage of funding, poor documentation related to diagnosis and procedures, incomplete medical record files and lack of primary data required for the case-mix system during the DRG/case-mix adaptation phase. The results also pointed to the importance of initial pilot testing of the DRG/case-mix system/grouper and careful manipulation and adaptation to the local context, especially when the DRG system/grouper imported from other countries.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48136136","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 : 2023-05-30DOI: 10.1177/09720634231167033
Kirti Tyagi
Global health authorities are trying to identify factors that influence people’s behavioural patterns to engage in preventive measures against COVID-19. The study examines the predictors of precautionary behaviours following the socio-emotional-cognitive risk perception model and presents a descriptive picture of people’s risk perception and precautionary behaviours during the COVID-19 lockdown in India. Around 203 participants in the age group of 18–67 years living in different covid active zones of India completed the online survey. Indian participants reported high engagement in various precautionary behaviours, with a high level of awareness and risk perception towards the diseases. Participants also expressed moderate to high level of worry towards the pandemic, with a moderate level of trust in the government’s ability to fight the pandemic. Further, a significant positive relationship was observed between risk severity, perceived personal risk impact, and anxiety towards the pandemic, and between awareness and engagement in precautionary behaviours. Additionally, only cognitive factors of risk perception (e.g., perceived psychological invulnerability and awareness about diseases) were found to be significant predictors for engagement in precautionary behaviours. Therefore, the present study emphasises how health agencies should create risk messages that increase people’s estimation of personal risk and knowledge towards the virus.
{"title":"The Interplay of Social, Emotional and Cognitive Factors of Risk Perception and Engagement in Precautionary Behaviours during COVID-19 Lockdown (4.0) in India","authors":"Kirti Tyagi","doi":"10.1177/09720634231167033","DOIUrl":"https://doi.org/10.1177/09720634231167033","url":null,"abstract":"Global health authorities are trying to identify factors that influence people’s behavioural patterns to engage in preventive measures against COVID-19. The study examines the predictors of precautionary behaviours following the socio-emotional-cognitive risk perception model and presents a descriptive picture of people’s risk perception and precautionary behaviours during the COVID-19 lockdown in India. Around 203 participants in the age group of 18–67 years living in different covid active zones of India completed the online survey. Indian participants reported high engagement in various precautionary behaviours, with a high level of awareness and risk perception towards the diseases. Participants also expressed moderate to high level of worry towards the pandemic, with a moderate level of trust in the government’s ability to fight the pandemic. Further, a significant positive relationship was observed between risk severity, perceived personal risk impact, and anxiety towards the pandemic, and between awareness and engagement in precautionary behaviours. Additionally, only cognitive factors of risk perception (e.g., perceived psychological invulnerability and awareness about diseases) were found to be significant predictors for engagement in precautionary behaviours. Therefore, the present study emphasises how health agencies should create risk messages that increase people’s estimation of personal risk and knowledge towards the virus.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135643007","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 : 2023-05-11DOI: 10.1177/09720634231167635
Rupa Sarkar
Reproductive Health Account construction was a long-envisioned dream in the State of Karnataka, India, for capturing inter-actor fund flows in reproductive health. Previous attempts in few states lead to successful identification of enablers and disablers within this systemic context. A Reproductive Health Account was constructed using primary reproductive health expenditure data, collected from a pre-estimated sample size of 519 households spread across 15 villages, using probability proportional to size method, from two selected sub-districts Channapatna and Ramanagara, having mediocre performance indices, within Ramanagara District of Karnataka. Secondary data were extracted from public health websites. Expenditures incurred on six types of health services by respondents of reproductive age group (15–49) during financial year, 2017–2018, within two sub-districts was collected over financial year, 2018–2019. Processed data were then converted to four ‘origin to destination’ matrices each capturing fund movement among two actors, based on accounting principles of National Health Account to develop a contextual Reproductive Health Account. Study included four actors namely financial sources, financial agents, health providers and health activities, all pertaining to reproductive health domain. Matrices helped identify a massive 87.23% burden on households, majorly financed by mortgage bearing astronomical interests and sale of meagre assets. Public sector healthcare at 5.47% was found performing unsatisfactorily. Tertiary level was absorbing disproportional amount of 62.93% funds in conjunction with the laboratory and imaging services. Moreover, pharmaceutical bills at 22.97% caused prolonged distress to these households. Government intervention towards absence and shortage of quality infrastructure at the primary and secondary sector levels needs reviewing, for containment of the massive out-of-pocket expenditures.
{"title":"Constructing a Reproductive Health Account Under National Health Accounts Framework at Sub-District Levels in Karnataka, India","authors":"Rupa Sarkar","doi":"10.1177/09720634231167635","DOIUrl":"https://doi.org/10.1177/09720634231167635","url":null,"abstract":"Reproductive Health Account construction was a long-envisioned dream in the State of Karnataka, India, for capturing inter-actor fund flows in reproductive health. Previous attempts in few states lead to successful identification of enablers and disablers within this systemic context. A Reproductive Health Account was constructed using primary reproductive health expenditure data, collected from a pre-estimated sample size of 519 households spread across 15 villages, using probability proportional to size method, from two selected sub-districts Channapatna and Ramanagara, having mediocre performance indices, within Ramanagara District of Karnataka. Secondary data were extracted from public health websites. Expenditures incurred on six types of health services by respondents of reproductive age group (15–49) during financial year, 2017–2018, within two sub-districts was collected over financial year, 2018–2019. Processed data were then converted to four ‘origin to destination’ matrices each capturing fund movement among two actors, based on accounting principles of National Health Account to develop a contextual Reproductive Health Account. Study included four actors namely financial sources, financial agents, health providers and health activities, all pertaining to reproductive health domain. Matrices helped identify a massive 87.23% burden on households, majorly financed by mortgage bearing astronomical interests and sale of meagre assets. Public sector healthcare at 5.47% was found performing unsatisfactorily. Tertiary level was absorbing disproportional amount of 62.93% funds in conjunction with the laboratory and imaging services. Moreover, pharmaceutical bills at 22.97% caused prolonged distress to these households. Government intervention towards absence and shortage of quality infrastructure at the primary and secondary sector levels needs reviewing, for containment of the massive out-of-pocket expenditures.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46097540","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 : 2023-05-10DOI: 10.1177/09720634231167031
H. Almansour
Reporting of incidents and near misses among healthcare professionals can help target improvement efforts and system changes to reduce the likelihood of patient injury. This study explored barriers that hinder healthcare professionals’ disclosure of incidents and near misses in hospital settings in Saudi Arabia. Cross-sectional data were collected using a qualitative semi-structured interview with 30 participants, including surgeons, physicians, nurses, allied health professionals, pharmacists, and healthcare quality staff during January and February 2020. Barriers reported by the participants were classified across six themes: fear, lack of knowledge, lack of leadership support, workload, reporting system, and lack of motivation. Health leaders must ensure that the reporting process is planned, designed, and implemented in a nonpunitive manner. When selecting middle-level managers, their knowledge regarding quality of care and patient safety practices should be assessed. The findings of this study add to existing knowledge regarding the barriers preventing the reporting of incidents and near misses among healthcare professionals.
{"title":"Barriers Preventing the Reporting of Incidents and Near Misses Among Healthcare Professionals","authors":"H. Almansour","doi":"10.1177/09720634231167031","DOIUrl":"https://doi.org/10.1177/09720634231167031","url":null,"abstract":"Reporting of incidents and near misses among healthcare professionals can help target improvement efforts and system changes to reduce the likelihood of patient injury. This study explored barriers that hinder healthcare professionals’ disclosure of incidents and near misses in hospital settings in Saudi Arabia. Cross-sectional data were collected using a qualitative semi-structured interview with 30 participants, including surgeons, physicians, nurses, allied health professionals, pharmacists, and healthcare quality staff during January and February 2020. Barriers reported by the participants were classified across six themes: fear, lack of knowledge, lack of leadership support, workload, reporting system, and lack of motivation. Health leaders must ensure that the reporting process is planned, designed, and implemented in a nonpunitive manner. When selecting middle-level managers, their knowledge regarding quality of care and patient safety practices should be assessed. The findings of this study add to existing knowledge regarding the barriers preventing the reporting of incidents and near misses among healthcare professionals.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44821046","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 : 2023-05-05DOI: 10.1177/09720634231168525
S. Marathe, D. Kakade, Shakuntala Bhalerao, K. Pawar
Although the ramifications of a weakly regulated, commercialised private sector have always been prevalent, the COVID-19 pandemic has further exposed its magnitude and implications for patients in India. Although much is being studied about the health system’s response to the pandemic, the recipient of the system, that is, the patient seems to be less attended in analysis. This article analyses patients’ experiences while seeking healthcare from the private sector in the context of state-imposed regulations over them during the pandemic. A qualitative study was conducted in Maharashtra, India and 30 in-depth interviews of patients who faced difficulties in availing treatment from private hospitals during the pandemic were conducted using purposive sampling. The study reveals the myriad of catastrophic challenges patients faced, their vulnerability and helplessness with private hospitals during the pandemic. It demonstrates the character of ruthless privatisation that operates in health care with rampant overcharging and the failure of regulation of the private sector during the crisis. The study concludes by pointing out the need for state intervention in the regulation of the private sector and emphasises the need to strengthen the public health system and place effective accountability mechanisms with the legal instrument to safeguard people’s interests from corporate privatisation.
{"title":"Perils of the Commercialised Private Healthcare Sector for Patients: Analysis of Patients’ Experiences from COVID-19 Pandemic in Maharashtra, India","authors":"S. Marathe, D. Kakade, Shakuntala Bhalerao, K. Pawar","doi":"10.1177/09720634231168525","DOIUrl":"https://doi.org/10.1177/09720634231168525","url":null,"abstract":"Although the ramifications of a weakly regulated, commercialised private sector have always been prevalent, the COVID-19 pandemic has further exposed its magnitude and implications for patients in India. Although much is being studied about the health system’s response to the pandemic, the recipient of the system, that is, the patient seems to be less attended in analysis. This article analyses patients’ experiences while seeking healthcare from the private sector in the context of state-imposed regulations over them during the pandemic. A qualitative study was conducted in Maharashtra, India and 30 in-depth interviews of patients who faced difficulties in availing treatment from private hospitals during the pandemic were conducted using purposive sampling. The study reveals the myriad of catastrophic challenges patients faced, their vulnerability and helplessness with private hospitals during the pandemic. It demonstrates the character of ruthless privatisation that operates in health care with rampant overcharging and the failure of regulation of the private sector during the crisis. The study concludes by pointing out the need for state intervention in the regulation of the private sector and emphasises the need to strengthen the public health system and place effective accountability mechanisms with the legal instrument to safeguard people’s interests from corporate privatisation.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48114042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-25DOI: 10.1177/09720634231168524
N. S. Ahmed, M. Bein
The main purpose of this research is to examine a research model that explores the mediation role of the organisational supportive culture in the relationship between human resources management practices (HRMP) and patient satisfaction: a case study of Rizgary teaching and referral hospital in Erbil-Iraq. A survey instrument was considered the main data collection tool. The survey participants were medical staff and patients who contributed to the research by replying to the questionnaire indicators. Partial least squares—structural equation modelling (PLS-SEM) was used for analysing the empirical data. The research findings revealed that human resources management practices positively related to supportive culture, results also demonstrated that supportive culture in surveyed hospitals positively and significantly impacts patient satisfaction. The results displayed that human resources management practices directly affect patient satisfaction. Furthermore, supportive culture partially mediated the relationship between human resources management practices and patient satisfaction, due to human resources management practices, directly and indirectly, affecting patient satisfaction. The current research essentially contributes to the literature by indicating that human resources management practices within hospitals, directly and indirectly, enhance patient satisfaction through healthcare services accuracy and meet the expectations of patients, in addition, the results showed that supportive culture partially mediates the relationship between human resources management practices and patient satisfaction.
{"title":"Mediation Role of Organisational Supportive Culture in the Relationship Between Human Resources Management Practices and Patient Satisfaction: A Case Study of Rizgary Teaching and Referral Hospital in Erbil-Iraq","authors":"N. S. Ahmed, M. Bein","doi":"10.1177/09720634231168524","DOIUrl":"https://doi.org/10.1177/09720634231168524","url":null,"abstract":"The main purpose of this research is to examine a research model that explores the mediation role of the organisational supportive culture in the relationship between human resources management practices (HRMP) and patient satisfaction: a case study of Rizgary teaching and referral hospital in Erbil-Iraq. A survey instrument was considered the main data collection tool. The survey participants were medical staff and patients who contributed to the research by replying to the questionnaire indicators. Partial least squares—structural equation modelling (PLS-SEM) was used for analysing the empirical data. The research findings revealed that human resources management practices positively related to supportive culture, results also demonstrated that supportive culture in surveyed hospitals positively and significantly impacts patient satisfaction. The results displayed that human resources management practices directly affect patient satisfaction. Furthermore, supportive culture partially mediated the relationship between human resources management practices and patient satisfaction, due to human resources management practices, directly and indirectly, affecting patient satisfaction. The current research essentially contributes to the literature by indicating that human resources management practices within hospitals, directly and indirectly, enhance patient satisfaction through healthcare services accuracy and meet the expectations of patients, in addition, the results showed that supportive culture partially mediates the relationship between human resources management practices and patient satisfaction.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46590961","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 : 2023-04-12DOI: 10.1177/09720634221150960
M. K. Sah, M. Yadav, Shruti Silwal, Randip Raut, Arabind Joshi
The services rendered by hospitals during the pandemic may not be efficient. This might impact the satisfaction of patients seeking healthcare. The aim of this study is to assess the satisfaction level of patients other than those with COVID-19 during the pandemic with different services provided by the hospital. A quantitative, analytical and cross-sectional study was carried out in a multidisciplinary hospital. Valid questionnaire, derived from PSQ III and PSQ 18, was used for data collection from 250 outpatients. Ethical approval was obtained. Systematic random sampling was done to enrol patients into the study after taking their consent. Descriptive analysis was performed using frequency, proportion, median and inter-quartile range. Mann–Whitney U test and Kruskal–Wallis test were carried out to find the association between overall satisfaction and different socio-demographic and other variables. Statistical significance was set at p-value < 0.05. Almost two-thirds of the respondents visiting the hospital during the pandemic were female (male: 35.6% and female: 64.4%). More than half (50.4%) of the patients reported that access to the hospital was feasible. Of the patients reporting dissatisfaction, most of them (86.4%) considered the establishment of separate COVID-19 hospitals as the best option. The median satisfaction score for the overall satisfaction of patients towards different service domains was 54.0 (45–60). Almost all respondents (95.6%) found that services were easily available. Patient satisfaction score was significantly associated with expenditure ( p < 0.001). Satisfaction score was also significantly associated with the time spent in the hospital by the patients ( p < 0.001). Majority of the patients reporting to the multidisciplinary hospital were satisfied with the provisioning of treatment and different services during the COVID-19 pandemic. Relatively lesser satisfaction was reported for the provision of maintenance of social distance, availability of hand washing/sanitisation, overall hospital cleanliness and cost of treatment. Moreover, satisfaction among patients was associated with their perceived fear of the pandemic.
{"title":"Satisfaction of Patients Other Than COVID-19 During the Pandemic at a Multidisciplinary Centre with COVID-19 Services","authors":"M. K. Sah, M. Yadav, Shruti Silwal, Randip Raut, Arabind Joshi","doi":"10.1177/09720634221150960","DOIUrl":"https://doi.org/10.1177/09720634221150960","url":null,"abstract":"The services rendered by hospitals during the pandemic may not be efficient. This might impact the satisfaction of patients seeking healthcare. The aim of this study is to assess the satisfaction level of patients other than those with COVID-19 during the pandemic with different services provided by the hospital. A quantitative, analytical and cross-sectional study was carried out in a multidisciplinary hospital. Valid questionnaire, derived from PSQ III and PSQ 18, was used for data collection from 250 outpatients. Ethical approval was obtained. Systematic random sampling was done to enrol patients into the study after taking their consent. Descriptive analysis was performed using frequency, proportion, median and inter-quartile range. Mann–Whitney U test and Kruskal–Wallis test were carried out to find the association between overall satisfaction and different socio-demographic and other variables. Statistical significance was set at p-value < 0.05. Almost two-thirds of the respondents visiting the hospital during the pandemic were female (male: 35.6% and female: 64.4%). More than half (50.4%) of the patients reported that access to the hospital was feasible. Of the patients reporting dissatisfaction, most of them (86.4%) considered the establishment of separate COVID-19 hospitals as the best option. The median satisfaction score for the overall satisfaction of patients towards different service domains was 54.0 (45–60). Almost all respondents (95.6%) found that services were easily available. Patient satisfaction score was significantly associated with expenditure ( p < 0.001). Satisfaction score was also significantly associated with the time spent in the hospital by the patients ( p < 0.001). Majority of the patients reporting to the multidisciplinary hospital were satisfied with the provisioning of treatment and different services during the COVID-19 pandemic. Relatively lesser satisfaction was reported for the provision of maintenance of social distance, availability of hand washing/sanitisation, overall hospital cleanliness and cost of treatment. Moreover, satisfaction among patients was associated with their perceived fear of the pandemic.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44913952","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 : 2023-04-06DOI: 10.1177/09720634221150967
Neha Rai, T. Tripathi
With changing demography and the increasing burden of chronic diseases comorbidity is becoming a major public health concern. Among various co-occurring disease combinations, diabetes and hypertension are the two most fatal combinations often increasing the risk of multimorbidity, complexity, and cost of treatment. Therefore, this study intends to estimate the prevalence of comorbidity in India and across various socioeconomic groups to identify the higher-risk population. We further analysed the economic burden associated with comorbid conditions of diabetes and hypertension in particular. This is a cross-sectional study that uses Unit-Level data from the NSSO-75 round (2017–2018). The marginal effect using the logit model is calculated to identify the higher-risk population for the prevalence of comorbidity across socioeconomic and demographic characteristics. The cost of treatment is calculated through descriptive statistics. The prevalence of comorbid diabetes and hypertension is 2.06% in India. Heart disease, goiter and thyroid, joint pain, bronchial asthma, and gastric peptic ulcer are the common combinations prevailing among patients with diabetes and hypertension together. Results suggest that the elderly and women are at higher risk of comorbidity. Education and higher economic status are positively associated with it. The cost of treatment increases with comorbidity, and medicine constitutes almost 83.2% of the total medical cost among patients with diabetes and hypertension.
{"title":"Socioeconomic Predictors and Cost of Comorbidity Among Indian Population: A Case of Diabetes and Hypertension","authors":"Neha Rai, T. Tripathi","doi":"10.1177/09720634221150967","DOIUrl":"https://doi.org/10.1177/09720634221150967","url":null,"abstract":"With changing demography and the increasing burden of chronic diseases comorbidity is becoming a major public health concern. Among various co-occurring disease combinations, diabetes and hypertension are the two most fatal combinations often increasing the risk of multimorbidity, complexity, and cost of treatment. Therefore, this study intends to estimate the prevalence of comorbidity in India and across various socioeconomic groups to identify the higher-risk population. We further analysed the economic burden associated with comorbid conditions of diabetes and hypertension in particular. This is a cross-sectional study that uses Unit-Level data from the NSSO-75 round (2017–2018). The marginal effect using the logit model is calculated to identify the higher-risk population for the prevalence of comorbidity across socioeconomic and demographic characteristics. The cost of treatment is calculated through descriptive statistics. The prevalence of comorbid diabetes and hypertension is 2.06% in India. Heart disease, goiter and thyroid, joint pain, bronchial asthma, and gastric peptic ulcer are the common combinations prevailing among patients with diabetes and hypertension together. Results suggest that the elderly and women are at higher risk of comorbidity. Education and higher economic status are positively associated with it. The cost of treatment increases with comorbidity, and medicine constitutes almost 83.2% of the total medical cost among patients with diabetes and hypertension.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46980056","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 : 2023-04-06DOI: 10.1177/09720634221150996
Subramaniam Shankar, S. Pradeep, J. Karthick, R. Naveenkumar, Srinivasan Jayaraman
Hand Screen Printing (HSP) is one of the dominant textile-processing industries that plays a significant role in the employment of people in and around the rural regions of the developing countries. Further, most of the HSP industries are small scale industries sector, workers are illiterate or lack work safety knowledge, also both management and workers ignore the ergonomic issues in their day to day life. Though various research groups have attempted to evaluate both qualitatively and quantitative the ergonomic issues faced by HSP workers, due to lack of direct solution to improve the HSP workers’ ergonomic environment, there is still a huge space is available for further intervention. The present study aims to redesign the squeegee frame for HSP workers and validate its effect over the workers’ health. In this study, the traditional squeegee was modified by considering the evaluated ergonomic issues. To evaluate the design intervention, ten male volunteers participated in the study and performed the HSP operation using both traditional squeegee (pre-intervention) and retrofitted squeegee (post-intervention). Further, the study population was divided into two equal group such as control group and low back pain (LBP) group. The surface Electromyogram (sEMG) signal, Rapid Entire Body Assessment (REBA) score and Borg’s scale data were collected, to assess the post intervention attempt. Result inferred that retrofitted squeegee intervention had reduced the REBA score (postural risk) by 52% and Borg’s scale by 51% (workers’ pain intensity). In addendum, sEMG study supported these findings by showing a decline in muscle fatigue for the LBP group. This study concludes that, retrofitted squeegee intervention aspect can be an effective agent to improve the ergonomic posture and reduce the musculoskeletal disorders among HSP workers and significantly increase the productive of textile industry.
{"title":"Management of Hand Screen Printing Workers Health Using Ergonomic Design Intervention","authors":"Subramaniam Shankar, S. Pradeep, J. Karthick, R. Naveenkumar, Srinivasan Jayaraman","doi":"10.1177/09720634221150996","DOIUrl":"https://doi.org/10.1177/09720634221150996","url":null,"abstract":"Hand Screen Printing (HSP) is one of the dominant textile-processing industries that plays a significant role in the employment of people in and around the rural regions of the developing countries. Further, most of the HSP industries are small scale industries sector, workers are illiterate or lack work safety knowledge, also both management and workers ignore the ergonomic issues in their day to day life. Though various research groups have attempted to evaluate both qualitatively and quantitative the ergonomic issues faced by HSP workers, due to lack of direct solution to improve the HSP workers’ ergonomic environment, there is still a huge space is available for further intervention. The present study aims to redesign the squeegee frame for HSP workers and validate its effect over the workers’ health. In this study, the traditional squeegee was modified by considering the evaluated ergonomic issues. To evaluate the design intervention, ten male volunteers participated in the study and performed the HSP operation using both traditional squeegee (pre-intervention) and retrofitted squeegee (post-intervention). Further, the study population was divided into two equal group such as control group and low back pain (LBP) group. The surface Electromyogram (sEMG) signal, Rapid Entire Body Assessment (REBA) score and Borg’s scale data were collected, to assess the post intervention attempt. Result inferred that retrofitted squeegee intervention had reduced the REBA score (postural risk) by 52% and Borg’s scale by 51% (workers’ pain intensity). In addendum, sEMG study supported these findings by showing a decline in muscle fatigue for the LBP group. This study concludes that, retrofitted squeegee intervention aspect can be an effective agent to improve the ergonomic posture and reduce the musculoskeletal disorders among HSP workers and significantly increase the productive of textile industry.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44612509","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 : 2023-03-16DOI: 10.1177/09720634221150998
S. Nanda, Uma Warrier
Given that citizen participation is considered the main pillar of ‘Development’, the political economy behind its practice (behaviour and utilisation) remains a question. To disentangle the complex web of relationships that the governance shares with the citizens’ interface, it would be worthwhile to examine the whole phenomenon at the grass root level. A review of issues surrounding democracy has led different schools of thought to realise the need for adopting a holistic development approach for ensuring citizens’ participation in development processes. One such school believes that it is only through addressing governance bottlenecks and ensuring spaces for participation in policy design, programme formulation and implementation supplemented with proper monitoring, that ‘real’ development can be achieved. It is also universally accepted that governance is an enabler for socio-economic transformation and this can help in the improvement of lives through the eradication of structural inequality. Hence, strengthening the local governments is critical for ensuring citizen empowerment, civic participation and better service delivery. Furthermore, governance is measurable and can be monitored; thus can ensure a measurable implementation, accountability and monitoring framework (Global Thematic Consultation on Governance and the Post-2015 Development Framework, 2013). Against these backdrops, the current study endeavours to unearth plausible factors influencing the health behaviour of rural people examining a case of India’s National Sanitation Program—Swachh Bharat Mission in Odisha villages. Analysis of primary data collected from six districts across different regions of the Odisha state shows that various managerial, governance and social factors have a significant effect on the health behaviour of people and present more insightful results.
{"title":"Socio-Managerial Framework of Health Governance: Empirical Evidence from India’s National Sanitation Program (SBM-G)","authors":"S. Nanda, Uma Warrier","doi":"10.1177/09720634221150998","DOIUrl":"https://doi.org/10.1177/09720634221150998","url":null,"abstract":"Given that citizen participation is considered the main pillar of ‘Development’, the political economy behind its practice (behaviour and utilisation) remains a question. To disentangle the complex web of relationships that the governance shares with the citizens’ interface, it would be worthwhile to examine the whole phenomenon at the grass root level. A review of issues surrounding democracy has led different schools of thought to realise the need for adopting a holistic development approach for ensuring citizens’ participation in development processes. One such school believes that it is only through addressing governance bottlenecks and ensuring spaces for participation in policy design, programme formulation and implementation supplemented with proper monitoring, that ‘real’ development can be achieved. It is also universally accepted that governance is an enabler for socio-economic transformation and this can help in the improvement of lives through the eradication of structural inequality. Hence, strengthening the local governments is critical for ensuring citizen empowerment, civic participation and better service delivery. Furthermore, governance is measurable and can be monitored; thus can ensure a measurable implementation, accountability and monitoring framework (Global Thematic Consultation on Governance and the Post-2015 Development Framework, 2013). Against these backdrops, the current study endeavours to unearth plausible factors influencing the health behaviour of rural people examining a case of India’s National Sanitation Program—Swachh Bharat Mission in Odisha villages. Analysis of primary data collected from six districts across different regions of the Odisha state shows that various managerial, governance and social factors have a significant effect on the health behaviour of people and present more insightful results.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49194906","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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