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Cost-Effectiveness Analysis of Rabies Control Program, 2008–2017: A Systematic Review 2008-2017 年狂犬病控制计划的成本效益分析:系统回顾
IF 2.3 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1177/09720634231216829
I. Tunas, D. A. Laksemi, Luh Putu, R. Sundari, I. Putu, Eka Widyadharma
Rabies is still a public health problem. It is a zoonotic disease caused by a viral infection of the central nervous system. Several efforts have been taken, and one of them is mass vaccination for dogs. This systematic review aims to assess the cost-effectiveness of controlling rabies disease. Three online databases used as the source of this review are PubMed, ProQuest and CINAHL (EBSCO), published between 2008 and 2017. Fourteen articles reviewed based on the eligibility criteria were related to the intervention in preventing and controlling rabies. The articles consist of three randomised controlled trials and six nonrandomised controlled trials, including a pre-test-post-test-controlled design. Moreover, there is a one-time series article, which is an intervention for only one group of samples. Eight articles are directed at the intervention of lifestyles involving increased physical activity, diet and nutrition, with the main purpose to prevent the increase of metabolic syndrome status. Cost-effectiveness estimation is based on the mass vaccination programme for dogs, post-exposure prophylaxis (PEP) administration for humans and the combination of both. The model and variables in cost-effectiveness analysis are widely varied and associated with demography, socio-economics and programmes conducted in the study area.
狂犬病仍然是一个公共卫生问题。这是一种由中枢神经系统病毒感染引起的人畜共患疾病。目前已采取了多项措施,其中之一就是为狗接种大规模疫苗。本系统综述旨在评估控制狂犬病的成本效益。本综述使用的三个在线数据库是 PubMed、ProQuest 和 CINAHL (EBSCO),发表于 2008 年至 2017 年之间。根据资格标准审查的 14 篇文章与预防和控制狂犬病的干预措施有关。这些文章包括三项随机对照试验和六项非随机对照试验,其中包括前测-后测-对照设计。此外,还有一篇一次性系列文章,只对一组样本进行干预。有 8 篇文章针对增加体育锻炼、饮食和营养的生活方式进行干预,主要目的是防止代谢综合征病情加重。成本效益估算以狗的大规模疫苗接种计划、人类的暴露后预防(PEP)管理以及两者的结合为基础。成本效益分析的模型和变量多种多样,与研究地区的人口、社会经济和计划有关。
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引用次数: 0
The Effect of Complaint-based Patient Education on Inappropriate Use of the Emergency Department: Experiences of an Academic Centre in Turkey and Literature Review 基于投诉的患者教育对不当使用急诊科的影响:土耳其学术中心的经验与文献综述
IF 2.3 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1177/09720634231215138
Hasan Idil, Gökçe Yenice, O. Atilla
Inappropriate use of the emergency department (ED) is a major problem worldwide. The lack of health care knowledge of the patients is an important factor in this respect. As a method to increase the health care information of patients who presented to the ED of an urban tertiary care hospital for non-urgent reasons, a training programme was implemented throughout 2017. For this purpose, the most frequent complaints of inappropriate use of ED were identified and educational leaflets were prepared regarding them. Through these leaflets, it was aimed to inform the patients about what they could do on their own for their mild complaints and in which situations they should seek treatment from ED, primary health care units, or outpatient clinics. In order to measure the effectiveness of this complaint-based patient education, as pre- and post-training, the inappropriate usage rates of ED for 2016 and 2018 were compared. Between 1 January 2017 and 31 December 2017, the rate of inappropriate use of ED was 43.9% (79,612 out of 181,216). Patients were informed about the urgency of their complaints through educational leaflets prepared. After the complaint-based patient education conducted throughout 2017, a significant decrease was observed in the rate of inappropriate use of the ED in post-training period in 2018 compared to before training in 2016 (OR 1.49; p < .001, 95% CI [1.47 1.51]). As a result, it can be said that structured and focused information programmes should be implemented for the patients presenting to the ED with non-urgent complaints. An effective complaint-based patient education can reduce the inappropriate use of ED.
不当使用急诊科(ED)是全世界的一个主要问题。在这方面,患者缺乏医疗保健知识是一个重要因素。为了增加因非急诊原因到一家城市三级医院急诊科就诊的患者的医疗保健知识,2017 年全年实施了一项培训计划。为此,确定了不当使用急诊室的最常见投诉,并编写了相关教育传单。通过这些传单,目的是让患者了解,对于轻微的主诉,他们可以自己做些什么,而在哪些情况下,他们应该到急诊室、初级保健单位或门诊部寻求治疗。为了衡量这种基于主诉的患者教育在培训前后的效果,对2016年和2018年的ED不当使用率进行了比较。在2017年1月1日至2017年12月31日期间,ED的不当使用率为43.9%(181216人中的79612人)。通过准备的教育宣传单,患者被告知其投诉的紧迫性。在 2017 年全年开展以主诉为基础的患者教育后,与 2016 年培训前相比,2018 年培训后不适当使用急诊室的比率显著下降(OR 1.49;p < .001,95% CI [1.47 1.51])。因此,可以说,对于因非紧急主诉而到急诊室就诊的患者,应实施结构化和有针对性的信息计划。以主诉为基础的有效病人教育可以减少不适当使用急诊室的情况。
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引用次数: 0
The Impact of Workplace Bullying on Health Care Quality, Safety and Work Productivity in Jordan: A Systematic Review 工作场所欺凌对约旦医疗质量、安全和工作效率的影响:一项系统综述
Q2 Medicine Pub Date : 2023-11-01 DOI: 10.1177/09720634231195168
Muwafaq Mohammad Al-Momani, Suhair Hussni Al-Ghabeesh, Haya Qattom
Bullying among nurses and other health care professionals with low health quality has become a major global concern. Nurses were also recognised as people who are close to patients and can play an important role to manage work bullying through providing effective training and education programs.This systematic review was developed and aimed to identify and clarify concepts and provide an overview of the available evidence on workplace bullying (WPB) among nurses as part of health care delivery system. Systematic review of all types of studies involving nurses published between 2009 and 2020 and approached health-related databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Psychology and Behavioural Sciences (PsychINFO), MEDLINE, and Education Resource Information Centre (ERIC). The review used focused keywords: WPB, health care quality, safety, interpersonal conflict, work productivity and nursing. Forty-three studies met the review criteria and five main themes were discovered including the prevalence of WPB among nurses worldwide, prevalence of WPB among nurses in the Arab region, perpetrators of WPB, influence of bullying on productivity, and individual–organisational characteristics and bullying. Growing evidence provided a negative relationship between WPB, safety and productivity suggesting further research on how bullying is prevalent and what solutions would manage this problem, particularly in Jordan.
护士和其他卫生保健专业人员之间的低卫生质量欺凌已成为全球关注的一个主要问题。护士也被认为是与病人关系密切的人,可以通过提供有效的培训和教育项目,在管理工作欺凌方面发挥重要作用。本系统综述旨在确定和澄清概念,并概述作为卫生保健服务系统一部分的护士工作场所欺凌(WPB)的现有证据。对2009年至2020年间发表的涉及护士的所有类型的研究进行系统回顾,并访问与健康相关的数据库:护理和相关健康文献累积索引(CINAHL)、心理学和行为科学(PsychINFO)、MEDLINE和教育资源信息中心(ERIC)。重点关键词:WPB、卫生保健质量、安全、人际冲突、工作效率和护理。43项研究符合审查标准,并发现了五个主要主题,包括世界各地护士中WPB的患病率,阿拉伯地区护士中WPB的患病率,WPB的肇事者,欺凌对生产力的影响,以及个人-组织特征和欺凌。越来越多的证据表明,WPB、安全和生产力之间存在负相关关系,这表明需要进一步研究欺凌是如何普遍存在的,以及如何解决这一问题,特别是在约旦。
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引用次数: 0
What Motivates Students to Physical Activity: Development and Validation of the Students Physical Activity Motivation Scale 学生体育活动动机:学生体育活动动机量表的编制与验证
Q2 Medicine Pub Date : 2023-10-16 DOI: 10.1177/09720634231196942
Awadhesh Kumar Shirotriya, Lalit Sharma, Amrendra Pandey
In India, physical inactivity in children and youth is a public health concern, and it is unfortunate to see that most Indian children do not accomplish prescribed levels of physical activity. We strongly believe that the availability of a physical activity motivation instrument specific to the Indian population can significantly promote physical activities in India. This study aimed to develop the student’s physical activity motivation scale (SPAMS). The convenience sampling method was used to collect data from 622 participants from 5 states and 1 union territory of India. A multi-stage approach using exploratory and confirmatory factor analysis was computed to develop and validate its psychometric properties in two different samples (EFA-311 and CFA-311). Factor analysis revealed three distinct factors underlying physical activity motivation: skill development, appearance and positive health. Based on the findings, it can be concluded that SPAMS meets the concept and external validity criteria and that it is suitable for theoretical and practical applications.
在印度,儿童和青少年缺乏体育活动是一个公共卫生问题,不幸的是,大多数印度儿童没有达到规定的体育活动水平。我们坚信,针对印度人口的体育活动动机工具的可用性可以显著促进印度的体育活动。本研究旨在编制学生体育活动动机量表(SPAMS)。采用便利抽样法,从印度5个邦和1个联邦属地的622名参与者中收集数据。采用探索性和验证性因子分析的多阶段方法,在两个不同的样本(EFA-311和CFA-311)中开发和验证其心理测量特性。因素分析揭示了体育活动动机的三个不同因素:技能发展、外表和积极健康。研究结果表明,SPAMS符合概念和外部效度标准,具有较好的理论和实际应用价值。
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引用次数: 0
Main Challenges of Primary Health Care in Five Latin American Countries 拉丁美洲五国初级卫生保健面临的主要挑战
Q2 Medicine Pub Date : 2023-09-26 DOI: 10.1177/09720634231196950
Indiana-Luz Rojas-Torres, Richard de Jesús Gil Herrera
This article provides a description of integrated primary healthcare strategies in five Latin American countries to assess options for the implementation of a healthcare system based on Primary Care. Based on a document review of scientific articles and official documents from multilateral organisations, ministries, or health entities, it was possible to synthesise the Primary Health Care strategies that had been implemented to derive the main proposals that were potentially transferable. Argentina, Chile, Colombia, and Mexico have Primary Health Care actions aimed at promoting health and preventing diseases; Cuba is highlighted as a reference because of its family health model. The main difficulties are from healthcare system based on the neoliberal model and segmentation and fragmentation of healthcare services.This study provides important aspects of Primary Health Care, in terms of the need to revitalise with a family and community approach, integrating health services at three levels of primary prevention, intersectoral factors, community empowerment, resource allocation and training in human skills, as well as strengthening mental health and sexual health programmes. It concludes with suggestions for a more integrated Primary Health Care based on the strategies implemented and the local needs of the countries under study.
本文描述了五个拉丁美洲国家的综合初级卫生保健战略,以评估基于初级卫生保健的卫生保健系统的实施方案。根据对来自多边组织、部委或卫生实体的科学文章和官方文件的文件审查,有可能综合已经实施的初级卫生保健战略,以得出可能可转让的主要建议。阿根廷、智利、哥伦比亚和墨西哥有旨在促进健康和预防疾病的初级卫生保健行动;古巴因其家庭保健模式而被列为参考。主要的困难来自于基于新自由主义模式的医疗体系和医疗服务的分割和碎片化。这项研究提供了初级保健的重要方面,因为需要以家庭和社区的方式振兴,在初级预防、部门间因素、社区赋权、资源分配和人力技能培训三个层面整合保健服务,以及加强心理健康和性健康方案。报告最后根据所研究国家的实施战略和当地需求,提出了更加综合的初级保健建议。
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引用次数: 0
Perceived Technology Acceptance and Software Engineering Factors Towards Intention to Use Web-based Health Information Service (WBHIS) 感知技术接受度和软件工程因素对基于web的健康信息服务使用意向的影响
Q2 Medicine Pub Date : 2023-09-22 DOI: 10.1177/09720634231196959
Siti Noraini Mohd Tobi, Mohd Zulkifli Abdullah, Jaafar Pyeman, Annurizal Anuar, Saadiah Juliana Saadun, Hendrikus Kadang
The article investigates the intentional use of a Web-based Health Information Service (WBHIS) through multi-factors influencing the use of a national, MyHEALTH Portal (MHP). The study utilised an online web-survey incorporates three interrelated aspects of investigation; acceptance influence, socio-cognitive, and software engineering factors (user interface and data quality), to investigate deeper on Malaysian health consumers’ intent to adopt the portal. Findings have shown health consumers’ intention to use MHP is positively influenced by the positive behavioural attitude of health consumers’ towards the portal. The study also supported the significant role played by software engineering factors; user interface design and data quality towards health consumers’ attitude of the portal. The results would assist Malaysia Health Education Division in gaining better insights into the design of a well-accepted WBHIS where specifically, the findings would improve the presence and functions of the MHP. This effort is evidently significant in helping the country to reach the 11th Malaysia Plan through its strategy to encourage health awareness and healthy lifestyle activities among its citizens.
本文通过影响国家MyHEALTH门户网站(MHP)使用的多种因素,调查了基于web的健康信息服务(WBHIS)的有意使用情况。该研究采用在线网络调查,包括三个相互关联的调查方面;接受度影响、社会认知和软件工程因素(用户界面和数据质量),深入调查马来西亚健康消费者采用门户网站的意图。研究结果显示,健康消费者使用MHP的意愿受到健康消费者对门户网站的积极行为态度的积极影响。研究还支持了软件工程因素所起的重要作用;用户界面设计和数据质量对健康消费者门户的态度。研究结果将有助于马来西亚卫生教育司更好地了解设计一个广为接受的妇女健康信息系统,具体而言,研究结果将改善妇女健康信息系统的存在和功能。这一努力显然对帮助该国通过其鼓励公民健康意识和健康生活方式活动的战略实现第11个马来西亚计划具有重要意义。
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引用次数: 0
Environmental Health Problems Among Children in North Eastern States of India 印度东北部各邦儿童的环境健康问题
Q2 Medicine Pub Date : 2023-09-22 DOI: 10.1177/09720634231196961
Atanu Ghosh, Sourav Dey, Rajdeep Singha
In 2015, India has faced the largest number of under 5 (U5) death than all other countries, with regional disparities. Childhood diarrhoea and pneumonia are the major cause of U5 death. Using the data from the fourth round of National Family Health Survey (NFHS-IV, 2015–2016) for the eight North Eastern state we have tried to understand the prevalence of environmental health problems like ARI and diarrhoea and their correlates. These two diseases are the major cause of U5 deaths in low- and middle-income countries including India. Apart from bivariate analysis and logistic regression analysis we have also conducted spatial association to identify the regional variation in diarrhoea and ARI among U5 children in NE states. Household’s environmental factors and socio-economic characteristics are found to have significant impact on child mortality. Among the NE states Sikkim found to be better off and Meghalaya is worse in terms of child health outcome. Policies aimed at achieving the goal of reduction of child mortality should be directed on improving the household’s environmental and or socio-economic status if this goal is to be realised. India must analyze the process achieved and contemplate the consequences for reaching the Sustainable Development Goal’s targets for child survival.
2015年,印度面临的5岁以下儿童死亡人数比其他所有国家都多,而且存在地区差异。儿童腹泻和肺炎是5岁以下儿童死亡的主要原因。利用第四轮全国家庭健康调查(NFHS-IV, 2015-2016年)对东北部八个邦的数据,我们试图了解急性呼吸道感染和腹泻等环境健康问题的流行情况及其相关因素。这两种疾病是包括印度在内的低收入和中等收入国家5岁以下儿童死亡的主要原因。除了双变量分析和逻辑回归分析,我们还进行了空间关联,以确定东北各邦U5儿童腹泻和急性呼吸道感染的区域差异。家庭环境因素和社会经济特征对儿童死亡率有重大影响。在东北部各邦中,锡金的儿童健康状况较好,梅加拉亚邦的儿童健康状况较差。如果要实现这一目标,旨在实现降低儿童死亡率目标的政策应着眼于改善家庭的环境和/或社会经济地位。印度必须分析已取得的进程,并考虑实现可持续发展目标关于儿童生存的具体目标的后果。
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引用次数: 0
Major Determinants of Infant Mortality: District-level Evidence from Annual Health Survey States of India 婴儿死亡率的主要决定因素:来自印度各邦年度健康调查的地区一级证据
Q2 Medicine Pub Date : 2023-09-22 DOI: 10.1177/09720634231196963
Subhanil Banerjee, Souren Koner, Arshleen Kaur, Charvi Sharma
The study aims to understand the major determinants of infant mortality in infant mortality-prone annual health survey states of India. The study has considered district level infant mortality rate as a dependent variable and household size, sex ratio at birth, female literacy, marriage before the legal age, birth spacing, full antenatal care, Mothers who received post-natal care within 48 hours of delivery, Children within 12 to 23 months who are fully immunised, Breastfeeding within 24 hours of birth, Children aged 6 to 35 months are only breastfed for the initial 6 months, women who are aware of HAF/ORS/ORT, and women who are aware of ARI/Pneumonia as independent variables. The study considered district-level data on the mentioned variables over nine annual health survey states over three years. The results reveal that female literacy, birth spacing, immunisation, only breastfeeding till 6 months, and awareness regarding HAF/ORS/ORT all have a statistically significant negative impact on IMR. On the other hand, post-natal care has a statistically significant positive impact on IMR. This surprising result can have two explanations. First, only those children receiving PNC who are already sick and succumbing to their sickness. Second, the patient death rate owing to hospital infection in India is very high, so it may be that infants are succumbing to this particular aspect. Identification of major determinants of infant mortality will eventually lead to actions against them, and that, in due course of time, will tame the onrush of infant mortality in Annual Health Survey States as well as other parts of India and the world. Quantification and determination of the major determinants of infant mortality for the annual health survey states are missing till date, and from that aspect, the article is novel.
这项研究的目的是了解印度每年进行健康调查的婴儿死亡率高发邦的婴儿死亡率的主要决定因素。该研究考虑了地区一级婴儿死亡率作为一个依赖变量、家庭规模、出生性比例、女性识字率、法定年龄前结婚、生育间隔、全面产前护理、分娩后48小时内接受产后护理的母亲、12至23个月内接受全面免疫接种的儿童、出生后24小时内进行母乳喂养、6至35个月大的儿童仅在最初6个月接受母乳喂养、了解HAF/ORS/ORT的妇女、意识到急性呼吸道感染/肺炎的妇女作为独立变量。该研究考虑了9个年度健康调查州在三年多的时间里关于上述变量的地区级数据。结果显示,女性识字率、生育间隔、免疫接种、仅母乳喂养至6个月,以及对HAF/ORS/ORT的认识都对IMR有统计学上显著的负面影响。另一方面,产后护理对IMR有统计学上显著的正向影响。这一令人惊讶的结果有两种解释。首先,只有那些接受PNC的儿童已经生病并死于疾病。其次,印度医院感染导致的患者死亡率非常高,因此可能是婴儿屈服于这一特殊方面。确定婴儿死亡率的主要决定因素将最终导致针对这些因素的行动,并在适当的时候遏制年度健康调查各邦以及印度和世界其他地区婴儿死亡率的激增。迄今为止,对年度健康调查各州婴儿死亡率的主要决定因素的量化和确定尚不清楚,从这方面来看,这篇文章是新颖的。
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引用次数: 0
The Difficulties of Making Sport Policy Succeed: A Case Study of Sri Lanka 体育政策成功的困难:以斯里兰卡为例
Q2 Medicine Pub Date : 2023-09-17 DOI: 10.1177/09720634231196941
Anupa Jayawardhana, Ruth Crabtree, Joe Piggin
Although a new Sri Lankan sport policy framework was introduced in 2012, no research has been done to evaluate the implementation of the policy framework. Consequently, the purpose of this study was to evaluate and identify mitigating factors in achieving the strategic goals of the Sri Lankan sport policy framework. Qualitative data and a quantitative approach were used to analyse and investigate the sport policy framework. A questionnaire (N = 240) and interviews (N = 05) were utilised to gather data from sport participants, non-sport participants and top-level sport administrators. Both quantitative and qualitative analyses suggested that the goals of the national sport policy framework have not been achieved. Lack of financial support, deficiency of government provision, institutional structural issues, and negative attitudes of policy actors were identified as mitigating factors in the process of policy implication. Developing an umbrella organisation for coordinating sport and government’s support are vital to resolve those problems.
虽然2012年引入了新的斯里兰卡体育政策框架,但没有进行任何研究来评估该政策框架的实施情况。因此,本研究的目的是评估和确定在实现斯里兰卡体育政策框架战略目标方面的缓解因素。定性数据和定量方法用于分析和调查体育政策框架。采用问卷调查法(N = 240)和访谈法(N = 05)收集体育参与者、非体育参与者和体育高层管理人员的数据。定量和定性分析都表明,国家体育政策框架的目标尚未实现。财政支持不足、政府供给不足、体制结构问题和政策行为者的消极态度被确定为政策暗示过程中的缓解因素。建立一个协调体育和政府支持的伞形组织对于解决这些问题至关重要。
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引用次数: 1
Psychological Effects of the COVID-19 Pandemic in Haryana (India) COVID-19大流行对哈里亚纳邦(印度)的心理影响
Q2 Medicine Pub Date : 2023-09-01 DOI: 10.1177/09720634231195968
Rupa Rathee, Pallavi Rajain, Rakhi Singh
With the spread of coronavirus disease 2019, countries all over the world took drastic measures to curb its spread. These measures had different kinds of effects on people based on their knowledge and attitude towards this pandemic. The people faced several kinds of difficulties in their day-to-day lives. All these aspects formed the basis of this article. The data were collected through convenience sampling from a sample of 110 respondents in Haryana (India). As the data were collected in July, the country was already in its second phase of unlocking after several months of lockdown. The data were analysed using SPSS version 25. It was found that due to various awareness programs by the government, the majority of respondents had knowledge about the severe acute respiratory syndrome coronavirus-2 virus and its effects. The people had an attitude of fighting the spread of the virus by taking the necessary precautions. There were slight psychological effects as the country had already started unlocking. Lastly, the difficulties faced during the pandemic were discussed which had disrupted the lives of the people.
随着2019冠状病毒病的传播,世界各国采取了严厉措施遏制其传播。根据人们对这一流行病的认识和态度,这些措施对人们产生了不同的影响。人们在日常生活中面临着几种困难。这些方面构成了本文的基础。数据是通过方便抽样从哈里亚纳邦(印度)的110名受访者中收集的。在7月份收集数据时,该国在几个月的封锁之后已经进入了第二阶段的解锁。使用SPSS 25对数据进行分析。调查发现,由于政府开展了各种宣传活动,大多数受访者对严重急性呼吸综合征冠状病毒-2病毒及其影响有所了解。人们的态度是采取必要的预防措施与病毒的传播作斗争。由于这个国家已经开始开锁,所以有轻微的心理影响。最后,讨论了疫情期间面临的困难,这些困难扰乱了人民的生活。
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引用次数: 0
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Journal of Health Management
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