Pub Date : 2024-03-19DOI: 10.1177/09720634241229247
Jeetendra Yadav, Dr. John, G. Menon, Ravinder Singh
Background: People with disabilities (PWDs) often face higher risk of financial burden towards healthcare. Higher out-of-pocket expenditure (OOPE) is a barrier towards accessing medical services, resulting in healthcare inequities between men and women. There is a lack of studies on gender disparities in healthcare burden among PWD in India. The present study examines gender inequality towards healthcare expenditure among PWDs in India. Methods: Unit level data from the Persons with Disabilities in India Survey under the National Sample Survey, 76th round that covered 118,152 households involving 576,569 individuals of whom 106,894 had at least one disability was used. We performed secondary analysis using descriptive statistics, bivariate estimates, Blinder–Oaxaca decomposition and multilevel log-linear regression to meet the objective of the study. Results: OOPE as a percent of monthly per capita expenditure was higher among males across all states of India except in Puducherry, Dadra and Nagar Haveli, Lakshadweep and Mizoram. This varied from 0.6% in Jammu and Kashmir to 20% in Nagaland. Multilevel analysis confirms that OOPE was significantly lesser among females ( β = –0.070, 95% confidence interval = – 0.129 to 0.01) compared to males after controlling demographic and disability-related predictors. PWDs reported higher healthcare burden as a percent of total household expenditure in India, and relatively less amount was spent on female healthcare compared to male healthcare. Conclusion: A substantial gender inequality for healthcare expenditure is found among PWDs in India. This makes for an urgent call to health researchers and policymakers towards gender-sensitive research, policy formulation and program implementation for PWDs in India.
{"title":"Gender Inequality in Out-of-pocket Expenditure on Healthcare Among Persons with Disabilities in India","authors":"Jeetendra Yadav, Dr. John, G. Menon, Ravinder Singh","doi":"10.1177/09720634241229247","DOIUrl":"https://doi.org/10.1177/09720634241229247","url":null,"abstract":"Background: People with disabilities (PWDs) often face higher risk of financial burden towards healthcare. Higher out-of-pocket expenditure (OOPE) is a barrier towards accessing medical services, resulting in healthcare inequities between men and women. There is a lack of studies on gender disparities in healthcare burden among PWD in India. The present study examines gender inequality towards healthcare expenditure among PWDs in India. Methods: Unit level data from the Persons with Disabilities in India Survey under the National Sample Survey, 76th round that covered 118,152 households involving 576,569 individuals of whom 106,894 had at least one disability was used. We performed secondary analysis using descriptive statistics, bivariate estimates, Blinder–Oaxaca decomposition and multilevel log-linear regression to meet the objective of the study. Results: OOPE as a percent of monthly per capita expenditure was higher among males across all states of India except in Puducherry, Dadra and Nagar Haveli, Lakshadweep and Mizoram. This varied from 0.6% in Jammu and Kashmir to 20% in Nagaland. Multilevel analysis confirms that OOPE was significantly lesser among females ( β = –0.070, 95% confidence interval = – 0.129 to 0.01) compared to males after controlling demographic and disability-related predictors. PWDs reported higher healthcare burden as a percent of total household expenditure in India, and relatively less amount was spent on female healthcare compared to male healthcare. Conclusion: A substantial gender inequality for healthcare expenditure is found among PWDs in India. This makes for an urgent call to health researchers and policymakers towards gender-sensitive research, policy formulation and program implementation for PWDs in India.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229979","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 : 2024-03-17DOI: 10.1177/09720634241235511
B. Landstad, M. Kvangarsnes, T. Hole, Nancy Walderhaug, Aasta-Marie Sveino Strand
The growing number of older individuals with complex needs and chronic illnesses is a major challenge to the health sector. This has led to a transfer of responsibilities from specialist to the primary healthcare sector. The aim of the study was to explore how healthcare professionals experience setting up and operating a municipal acute bed unit (MAU) in primary healthcare. Three focus groups of health professionals were recruited through purposeful sampling in 2019, and the 10 participants came from different professions. The study has a qualitative design with a hermeneutic approach. The findings identified three themes: (a) Strategic planning and coordinated services, (b) collaborative practice and learning and (c) flexible and family-centred care. The healthcare personnel experienced strengthened quality in the health services, improved work processes and increased safety for patients with relevant diagnoses. The interplay between internal and external factors seems to have been a successful innovation in planning and implementing an MAU in a medical facility in Mid-Norway. We assessed that being prepared for challenges is an important part of innovation in health services. The presence of an ‘inherent capital’ to meet unforeseen challenges in the future should be a prerequisite for innovation.
有复杂需求和慢性病的老年人越来越多，这是对卫生部门的一大挑战。这导致责任从专科转移到初级医疗保健部门。本研究旨在探讨医疗专业人员如何体验在基层医疗机构设立和运营市级急症病床单位（MAU）。研究于 2019 年通过有目的的抽样招募了三个医护人员焦点小组，10 名参与者来自不同的专业领域。研究采用解释学方法进行定性设计。研究结果确定了三个主题：（a）战略规划和协调服务；（b）合作实践和学习；（c）灵活和以家庭为中心的护理。医护人员体验到了医疗服务质量的提高、工作流程的改进以及相关诊断病人安全性的增强。内部和外部因素之间的相互作用似乎是在挪威中部医疗机构规划和实施 MAU 的一个成功创新。我们认为，做好应对挑战的准备是医疗服务创新的重要组成部分。拥有应对未来不可预见挑战的 "内在资本 "应该是创新的先决条件。
{"title":"Municipal Acute Bed Units as a Health Service Innovation—A Qualitative Study","authors":"B. Landstad, M. Kvangarsnes, T. Hole, Nancy Walderhaug, Aasta-Marie Sveino Strand","doi":"10.1177/09720634241235511","DOIUrl":"https://doi.org/10.1177/09720634241235511","url":null,"abstract":"The growing number of older individuals with complex needs and chronic illnesses is a major challenge to the health sector. This has led to a transfer of responsibilities from specialist to the primary healthcare sector. The aim of the study was to explore how healthcare professionals experience setting up and operating a municipal acute bed unit (MAU) in primary healthcare. Three focus groups of health professionals were recruited through purposeful sampling in 2019, and the 10 participants came from different professions. The study has a qualitative design with a hermeneutic approach. The findings identified three themes: (a) Strategic planning and coordinated services, (b) collaborative practice and learning and (c) flexible and family-centred care. The healthcare personnel experienced strengthened quality in the health services, improved work processes and increased safety for patients with relevant diagnoses. The interplay between internal and external factors seems to have been a successful innovation in planning and implementing an MAU in a medical facility in Mid-Norway. We assessed that being prepared for challenges is an important part of innovation in health services. The presence of an ‘inherent capital’ to meet unforeseen challenges in the future should be a prerequisite for innovation.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235311","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 : 2024-03-11DOI: 10.1177/09720634241229545
Azam Shahbodaghi, H. Moghaddasi, F. Asadi, Azamossadat Hosseini
Introduction: Identifying errors in documentation can improve the quality of medical records, healthcare services and health care systems, and thus provide a good framework for improvements in documentation policies. To this end, the current research systematically examined studies reporting documentation errors and deficiencies in medical records. Method: The systematic review was conducted based on PRISMA. Original articles, published in English from January 2009 to April 2019, were retrieved using the Web of Science, Scopus, EMBASE, PubMed and Google Scholar. Results: A total of 7,624 articles were found. After the exclusion of duplicates and irrelevant items from this total, just 48 articles met the requirements of the study, among which 47 had some sorts of incompleteness; inaccuracy, 14 articles; inconsistency, 8 articles; illegibility, 7 articles; unsigned document, 4 articles and irrelevancy, 2 articles. Factors contributing to the incidence of documentation errors included occupational stressors, manual documentation and absence of or a defect in local, national and international standards or guidelines, with 12, 9 and 11 articles, respectively. Discussion: Incompleteness, inaccuracy and inconsistency are common errors in medical records documentation. Adopting necessary policies for enhancing the quality of documentation, making strides towards electronic documentation equipped with automatic error detection systems, and standardising the documentation process can be of great assistance in minimising documentation errors and deficiencies.
导言：识别文件记录中的错误可以提高医疗记录、医疗服务和医疗系统的质量，从而为改进文件记录政策提供一个良好的框架。为此，本研究对报告医疗记录中的文件错误和缺陷的研究进行了系统性检查。方法：根据 PRISMA 进行系统性审查。使用 Web of Science、Scopus、EMBASE、PubMed 和 Google Scholar 检索 2009 年 1 月至 2019 年 4 月期间发表的英文原创文章。结果：共找到 7624 篇文章。在剔除重复和不相关的文章后，仅有48篇文章符合研究要求，其中47篇存在不完整的情况；不准确的文章有14篇；不一致的文章有8篇；难以辨认的文章有7篇；未署名的文件有4篇；不相关的文章有2篇。导致文件错误发生的因素包括职业压力、手工文件以及地方、国家和国际标准或指南的缺失或缺陷，分别有 12 篇、9 篇和 11 篇。讨论不完整、不准确和不一致是医疗记录文档中常见的错误。采取必要的政策来提高文档质量，大力发展配备自动错误检测系统的电子文档，以及规范文档流程，对减少文档错误和缺陷有很大帮助。
{"title":"Documentation Errors and Deficiencies in Medical Records: A Systematic Review","authors":"Azam Shahbodaghi, H. Moghaddasi, F. Asadi, Azamossadat Hosseini","doi":"10.1177/09720634241229545","DOIUrl":"https://doi.org/10.1177/09720634241229545","url":null,"abstract":"Introduction: Identifying errors in documentation can improve the quality of medical records, healthcare services and health care systems, and thus provide a good framework for improvements in documentation policies. To this end, the current research systematically examined studies reporting documentation errors and deficiencies in medical records. Method: The systematic review was conducted based on PRISMA. Original articles, published in English from January 2009 to April 2019, were retrieved using the Web of Science, Scopus, EMBASE, PubMed and Google Scholar. Results: A total of 7,624 articles were found. After the exclusion of duplicates and irrelevant items from this total, just 48 articles met the requirements of the study, among which 47 had some sorts of incompleteness; inaccuracy, 14 articles; inconsistency, 8 articles; illegibility, 7 articles; unsigned document, 4 articles and irrelevancy, 2 articles. Factors contributing to the incidence of documentation errors included occupational stressors, manual documentation and absence of or a defect in local, national and international standards or guidelines, with 12, 9 and 11 articles, respectively. Discussion: Incompleteness, inaccuracy and inconsistency are common errors in medical records documentation. Adopting necessary policies for enhancing the quality of documentation, making strides towards electronic documentation equipped with automatic error detection systems, and standardising the documentation process can be of great assistance in minimising documentation errors and deficiencies.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140252398","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 : 2024-03-03DOI: 10.1177/09720634241229240
N. M. Hallage, Regina Maura Zetoni Crespan, A. C. M. Gaiatto, T. A. Bibo, Nicolle de Godoy Moreira e Costa, Beatriz da Costa Aguiar Alves, Thaís Gascón, J. Raimundo, J. A. Encinas, M. Perez, G. L. Veiga, F. Fonseca
The purpose of this study is to assess the vaccine response to the COVID-19 outbreak installed at the institution. To conduct this case report, 36 individuals were evaluated, among residents and employees of this institution. Blood samples were collected by venipuncture and the presence of antibodies to SARS-CoV-2 (total antibodies, IgG and IgM) were analysed in these samples; 25% of patients/staff ( n = 9) seroconverted with only the first dose of CoronaVac® in just 14 days after the first dose of the vaccine. These individuals did not developed symptoms of COVID-19 during the outbreak that occurred at the institution. Vaccine response to CoronaVac®, after an outbreak of COVID-19 at the studied institution, was higher than the response postulated in other previously published studies with detection of SARS-CoV-2 antibodies before the second dose of the vaccine.
{"title":"Seroconversion of the CoronaVac® Vaccine from One Dose in an Outbreak of COVID-19 Infection at a Long-term Care Institution","authors":"N. M. Hallage, Regina Maura Zetoni Crespan, A. C. M. Gaiatto, T. A. Bibo, Nicolle de Godoy Moreira e Costa, Beatriz da Costa Aguiar Alves, Thaís Gascón, J. Raimundo, J. A. Encinas, M. Perez, G. L. Veiga, F. Fonseca","doi":"10.1177/09720634241229240","DOIUrl":"https://doi.org/10.1177/09720634241229240","url":null,"abstract":"The purpose of this study is to assess the vaccine response to the COVID-19 outbreak installed at the institution. To conduct this case report, 36 individuals were evaluated, among residents and employees of this institution. Blood samples were collected by venipuncture and the presence of antibodies to SARS-CoV-2 (total antibodies, IgG and IgM) were analysed in these samples; 25% of patients/staff ( n = 9) seroconverted with only the first dose of CoronaVac® in just 14 days after the first dose of the vaccine. These individuals did not developed symptoms of COVID-19 during the outbreak that occurred at the institution. Vaccine response to CoronaVac®, after an outbreak of COVID-19 at the studied institution, was higher than the response postulated in other previously published studies with detection of SARS-CoV-2 antibodies before the second dose of the vaccine.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140267225","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 : 2023-12-30DOI: 10.1177/09720634231216065
Payam Shojaei, Arash Haqbin, Mostafa Saber
The medical tourism industry has been observing significant developments in Iran. This country has been attracting tourists from countries in the Middle East and different regions of the world for a long time. However, nowadays, the Iran medical tourism industry faces serious barriers and challenges which deteriorate its participation in the global medical tourism market. The present article aims to investigate the barriers to the development of medical tourism in this country. In this regard, by reviewing the related literature and a weighted content validity ratio (CVR) analysis, 17 critical barriers were identified and finalised. Then, their casual relations were determined using a fuzzy cognitive mapping (FCM) methodology. The data gathered by a panel consisted of 10 experts in the field of medical tourism. The results show that five barriers, including managers’ lack of knowledge, lack of strategic planning, lack of cooperation and coordination, weak government support and lack of enabling tourism sector, are considered the most important. The findings of this research provide opportunities for practitioners and policymakers to concentrate on Iran’s medical tourism in order to overcome the barriers and consequently enhance the development of this lucrative industry.
{"title":"Identifying and Analysing Iran Medical Tourism Development Barriers Using Fuzzy Cognitive Mapping","authors":"Payam Shojaei, Arash Haqbin, Mostafa Saber","doi":"10.1177/09720634231216065","DOIUrl":"https://doi.org/10.1177/09720634231216065","url":null,"abstract":"The medical tourism industry has been observing significant developments in Iran. This country has been attracting tourists from countries in the Middle East and different regions of the world for a long time. However, nowadays, the Iran medical tourism industry faces serious barriers and challenges which deteriorate its participation in the global medical tourism market. The present article aims to investigate the barriers to the development of medical tourism in this country. In this regard, by reviewing the related literature and a weighted content validity ratio (CVR) analysis, 17 critical barriers were identified and finalised. Then, their casual relations were determined using a fuzzy cognitive mapping (FCM) methodology. The data gathered by a panel consisted of 10 experts in the field of medical tourism. The results show that five barriers, including managers’ lack of knowledge, lack of strategic planning, lack of cooperation and coordination, weak government support and lack of enabling tourism sector, are considered the most important. The findings of this research provide opportunities for practitioners and policymakers to concentrate on Iran’s medical tourism in order to overcome the barriers and consequently enhance the development of this lucrative industry.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138870","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 : 2023-12-23DOI: 10.1177/09720634231216026
N. Jankelová, Zuzana Joniaková, Juraj Mišún
Our study provides a comprehensive view of innovations in the management of healthcare facilities (HCF). It fills the research gap and contributes to discussions on the need to introduce new innovative management tools into the curricula of healthcare managers and professionals. The design of the study is based on answering research questions (RQ) by statistical processing of data from 181 managers of various types of HCF in Slovakia, obtained by questionnaire. We evaluate the use of innovative approaches in the management of healthcare organisations in the application of hard and soft management tools and their relationship to the economic results of these organisations. RQs are aimed at differentiating the application of innovative approaches in management depending on the characteristics of HCF and their managers and depending on the economic results. There is a positive relationship between the use of innovative approaches in management and the economic results of HCF. There are significant differences in the degree of application of innovative approaches between different types of facilities, the leaders in their implementation are university hospitals. The medical education of managers with the additional completed specialised management study has a significant relation to the application of innovative approaches in management.
{"title":"Innovative Approaches in the Management of Healthcare Organisations","authors":"N. Jankelová, Zuzana Joniaková, Juraj Mišún","doi":"10.1177/09720634231216026","DOIUrl":"https://doi.org/10.1177/09720634231216026","url":null,"abstract":"Our study provides a comprehensive view of innovations in the management of healthcare facilities (HCF). It fills the research gap and contributes to discussions on the need to introduce new innovative management tools into the curricula of healthcare managers and professionals. The design of the study is based on answering research questions (RQ) by statistical processing of data from 181 managers of various types of HCF in Slovakia, obtained by questionnaire. We evaluate the use of innovative approaches in the management of healthcare organisations in the application of hard and soft management tools and their relationship to the economic results of these organisations. RQs are aimed at differentiating the application of innovative approaches in management depending on the characteristics of HCF and their managers and depending on the economic results. There is a positive relationship between the use of innovative approaches in management and the economic results of HCF. There are significant differences in the degree of application of innovative approaches between different types of facilities, the leaders in their implementation are university hospitals. The medical education of managers with the additional completed specialised management study has a significant relation to the application of innovative approaches in management.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139162367","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 : 2023-12-21DOI: 10.1177/09720634231215389
Suchismita Paul, Soumitra Sarkar
India’s healthcare system is witnessing increased medical inflation, which is outpacing per capita Gross Domestic Product growth. With increased lifestyle diseases and, most recently, a pandemic caused by COVID-19, the cost of financing healthcare has become a huge issue, especially when government spending on healthcare is so low. In light of this, this article emphasises the significance of privately purchased, that is voluntary health insurance in addition to the government-sponsored health insurance programme for the vast uninsured population. Starting with the history of health insurance in India, this article examines premium growth, underwriting profit, investment income, net profit, incurred claims ratio and other metrics. Following that, the difficulties in the health insurance industry and their breadth are examined through a review of literature and recent newspaper reporting. The key issues resulting in negative underwriting experience are the inefficient risk pooling and unregulated private health care costs. A risk-sharing mechanism with an indemnification model must be implemented for better cost management to eliminate value fragmentation. Finally, ideas are given for resolving the challenges and increasing the market share of the health insurance company, with a focus on long-term business models such as managed care.
{"title":"Health Insurance Business in India: Progress, Issues and Way Forward","authors":"Suchismita Paul, Soumitra Sarkar","doi":"10.1177/09720634231215389","DOIUrl":"https://doi.org/10.1177/09720634231215389","url":null,"abstract":"India’s healthcare system is witnessing increased medical inflation, which is outpacing per capita Gross Domestic Product growth. With increased lifestyle diseases and, most recently, a pandemic caused by COVID-19, the cost of financing healthcare has become a huge issue, especially when government spending on healthcare is so low. In light of this, this article emphasises the significance of privately purchased, that is voluntary health insurance in addition to the government-sponsored health insurance programme for the vast uninsured population. Starting with the history of health insurance in India, this article examines premium growth, underwriting profit, investment income, net profit, incurred claims ratio and other metrics. Following that, the difficulties in the health insurance industry and their breadth are examined through a review of literature and recent newspaper reporting. The key issues resulting in negative underwriting experience are the inefficient risk pooling and unregulated private health care costs. A risk-sharing mechanism with an indemnification model must be implemented for better cost management to eliminate value fragmentation. Finally, ideas are given for resolving the challenges and increasing the market share of the health insurance company, with a focus on long-term business models such as managed care.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138950484","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 : 2023-12-18DOI: 10.1177/09720634231212541
Abdessamad Ouchen, Hamid Akdim
This research attempts to explain the number of COVID-19 deaths. We use in this sense non-spatial and spatial econometric modelling for 14 socio-economic and geographic variables for a panel of 112 countries. The number of hospital beds and doctors in a country has a negative impact on the number of COVID-19 deaths. The proportion of the population aged 65 and over in a country, the number of tourist arrivals and its COVID-19 infections have a positive effect on COVID-19 deaths. The number of COVID-19 deaths in a country depends on the observable characteristics of its neighbours. When the number of COVID-19 infections in neighbouring countries of a given country increases and the proportion of their populations aged 65 and over is high, the number of COVID-19 deaths in the affected country increases. There is no substantial impact of diabetes prevalence, stringency index, even temporally lagged and population density on the reduction in the number of COVID-19 deaths. This research highlights the significant impact of five explanatory variables among the 14 variables selected on the number of COVID-19 deaths. There is a spatial autocorrelation for the variables selected. The spatial models show the existence of an exogenous interaction effect.
{"title":"Modelling of the Explanatory Factors of the Number of COVID-19 Deaths for a Panel of Countries","authors":"Abdessamad Ouchen, Hamid Akdim","doi":"10.1177/09720634231212541","DOIUrl":"https://doi.org/10.1177/09720634231212541","url":null,"abstract":"This research attempts to explain the number of COVID-19 deaths. We use in this sense non-spatial and spatial econometric modelling for 14 socio-economic and geographic variables for a panel of 112 countries. The number of hospital beds and doctors in a country has a negative impact on the number of COVID-19 deaths. The proportion of the population aged 65 and over in a country, the number of tourist arrivals and its COVID-19 infections have a positive effect on COVID-19 deaths. The number of COVID-19 deaths in a country depends on the observable characteristics of its neighbours. When the number of COVID-19 infections in neighbouring countries of a given country increases and the proportion of their populations aged 65 and over is high, the number of COVID-19 deaths in the affected country increases. There is no substantial impact of diabetes prevalence, stringency index, even temporally lagged and population density on the reduction in the number of COVID-19 deaths. This research highlights the significant impact of five explanatory variables among the 14 variables selected on the number of COVID-19 deaths. There is a spatial autocorrelation for the variables selected. The spatial models show the existence of an exogenous interaction effect.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138963369","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 : 2023-12-15DOI: 10.1177/09720634231216024
Adil Zahoor, Danish Khan, Shayan Basharat Fazili
We look into the way nurses’ job crafting perception (POC) affects their job crafting behaviour (JC) and, as a result, their well-being (WB). Further, the moderating function of personal and job resources (JR) is also scrutinised. We collected primary data from 773 nurses working in 12 private sector and public sector hospitals in Northern Indian states using a standardised questionnaire and deployed structural equation modelling to examine the hypothesised linkages. The empirical findings exposed that POC significantly predicts JC. Second, JC significantly ameliorates nurses’ hedonic and eudaimonic WB. Finally, personal resources (PR) intensify the influence of POC on JC, whereas JR do not. The findings imply that POC cultivates nurses’ JC behaviour, which, in turn, enhances their WB and PR catalyses this driver impact.
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Pub Date : 2023-12-11DOI: 10.1177/09720634231216576
Canet Tuba Sarıtaş
This article examines functional flexibilisation in nursing labour management, considering Turkey’s healthcare restructuring since 2003. It provides a qualitative analysis of nurses’ ward transition experiences through in-depth interviews with 38 female nurses in hospital wards. Along with functional insecurity, the findings suggest that ward transitions lead to insecurity and uncertainty in nurses’ career prospects, skill reproduction and specialisation in a particular clinical area. Moreover, the intersection of healthcare restructuring principles and occupational power relations underlines that applying ward transitions as a functional flexibilisation strategy triggers non-professionalisation and/or degradation of nursing as an occupation.
{"title":"Precarious Implications of Functional Flexibilisation in Labour Management: A Qualitative Analysis of Nurses' Ward Transitions","authors":"Canet Tuba Sarıtaş","doi":"10.1177/09720634231216576","DOIUrl":"https://doi.org/10.1177/09720634231216576","url":null,"abstract":"This article examines functional flexibilisation in nursing labour management, considering Turkey’s healthcare restructuring since 2003. It provides a qualitative analysis of nurses’ ward transition experiences through in-depth interviews with 38 female nurses in hospital wards. Along with functional insecurity, the findings suggest that ward transitions lead to insecurity and uncertainty in nurses’ career prospects, skill reproduction and specialisation in a particular clinical area. Moreover, the intersection of healthcare restructuring principles and occupational power relations underlines that applying ward transitions as a functional flexibilisation strategy triggers non-professionalisation and/or degradation of nursing as an occupation.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138980340","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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