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Promotion and Evaluation of HSE Indicators: Based on Integrated Management System in Two Chemical Industries, Iran 基于伊朗两家化工企业一体化管理体系的HSE指标提升与评价
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231196004
Somayeh Mirza, Nabiollah Mansouri, Hamid Shirkhanloo
By integrated management system (IMS) based on integrated main indicators (IMI), the quality of health, safety and environmental management specifically for chemical industries was well increased. This study aimed to evaluate and compare integrated and efficient indicators in two chemical industries in Iran by health, safety, and environment (HSE) management system (MS). The integrated indicators were divided into HSE domains in the form of a questionnaire by proposed method and the weight of each of them was calculated from 101 features in the field. A list of criteria, sub-criteria, and integrated indicators was first prepared for assessing the performance of the HSE-MS system, and Delphi was finalised with the help of experts, and then the results were weighed by ANP and DEMATEL methods for two companies. Finally, 101 integrated and efficient indicators were extracted for performance evaluation to demonstrate the application of the DEMATEL, ANP method to select effective indicators in measuring HSE-MS performance in two chemical industries. In this study, the mean scores per weight of HSE indicators for chemical industries A and B increased from 2.38 to 2.79 and 1.84 to 2.056 in the beginning of 2017 up to the end of 2018. The mean score of HSE indicators for companies A and B were archived (2.65 and 2.93) and (1.95 and 2.16), respectively, in the spring/winter of 2017 and 2018. So, HSE-MS and IMS help chemical industries to improve HSE and management systems to achieve high-quality industry in different options, especially in human sources. Although in this study all trends of HSE indicator had a moderate phase with positive rate from spring 2017 up to winter 2018 for two companies A and B but company B moved slowly as compared to company A.
采用基于综合主要指标的综合管理体系(IMS),提高了化工行业的健康、安全和环境管理质量。本研究旨在通过健康、安全和环境(HSE)管理系统(MS)评估和比较伊朗两个化学工业的综合和有效指标。采用该方法将综合指标以问卷的形式划分为HSE域,并从该领域的101个特征中计算出每个HSE域的权重。首先为评估HSE-MS系统的性能准备了一系列标准、子标准和综合指标,并在专家的帮助下完成了Delphi,然后用ANP和DEMATEL方法对两家公司的结果进行了加权。最后,提取了101个综合高效指标进行绩效评价,展示了DEMATEL, ANP方法在两个化工行业中选择有效指标衡量HSE-MS绩效的应用。在本研究中,化工行业A和化工行业B的HSE指标权重平均得分从2017年初的2.38分上升到2.79分,从1.84分上升到2.056分。A公司和B公司在2017年春冬和2018年春冬的HSE指标平均得分分别为2.65和2.93,1.95和2.16。因此,HSE- ms和IMS可以帮助化工行业改善HSE和管理体系,在不同的选择中实现高质量的行业,特别是在人力资源方面。尽管在本研究中,从2017年春季到2018年冬季,a和B两家公司的HSE指标的所有趋势都处于温和阶段,但与a公司相比,B公司的发展速度较慢。
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引用次数: 0
Effects of Lockdown on Utilisation of Health Care and Mental Health of Pregnant Women in Rural Areas of Balasore, Odisha, India: Experiences Learnt from the COVID-19 Pandemic 封锁对印度奥里萨邦巴拉索尔农村地区孕妇医疗保健和心理健康的影响:从COVID-19大流行中吸取的经验
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231195208
Nihar Ranjan Rout, Tapas Kumar Patra
Most of the countries around the world accepted and introduced lockdown as one of the major non-pharmaceutical strategies to slow down the spread of COVID-19. However, the pandemic and various lockdown measures introduced to mitigate it were expected to affect the population in many ways. This study aimed at analysing the problems of health care utilisation encountered by pregnant women in selected rural areas of the district of Balasore in Odisha and assessing the effect of lockdown on the mental health of the women. Besides, the study also attempted to explore the extent of precautionary measures practised by women in the study area. It is a cross-sectional study based on the data obtained through a semi-structured interview schedule, from 150 currently married rural women in the reproductive age group including 100 pregnant women selected through a multistage sampling process. Pregnant women in this study were conscious about COVID-19 and most of them preferred to stay back at home and wash their hands/use masks frequently. Unavailability of doctors and long waiting time etc. were reported as problems encountered at the health centre. The effect of the COVID-19 lockdown on the mental health of pregnant women was clearly evident, and the two biggest reasons were lockdown-induced immobility and reduced income. Pregnant women, who are highly vulnerable in general, were affected badly due to the COVID-19 lockdown and it is certainly a challenge for the policy makers to address the issue in times of such exigencies in the future.
世界上大多数国家都接受并引入了封锁措施,作为减缓COVID-19传播的主要非药物策略之一。然而,预计大流行和为缓解疫情而采取的各种封锁措施将在许多方面影响人口。这项研究的目的是分析奥里萨邦巴拉索尔区某些农村地区孕妇利用医疗保健的问题,并评估封锁对妇女心理健康的影响。此外,这项研究还试图探讨研究地区妇女采取预防措施的程度。这是一项横断面研究,基于通过半结构化访谈时间表获得的数据,来自150名已婚农村育龄妇女,其中包括100名孕妇,通过多阶段抽样过程选择。本研究中的孕妇对COVID-19有一定的意识,大多数孕妇宁愿呆在家里,勤洗手/戴口罩。据报告,保健中心遇到的问题包括没有医生和等待时间过长等。新冠肺炎疫情封锁对孕妇心理健康的影响显而易见,其中两个最大的原因是封锁导致的行动不便和收入减少。由于COVID-19封锁,孕妇一般都是非常脆弱的,受到严重影响,未来在这种紧急情况下解决这一问题对决策者来说无疑是一项挑战。
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引用次数: 0
Implementation of Management Policy for Healthcare Facility to Respond COVID-19 Pandemic in West Java 西爪哇医疗机构应对COVID-19大流行管理政策的实施
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231195163
Marion Siagian
This research describes organisation, interpretation and application of the legal policies in healthcare management as the response to the COVID-19 pandemic in West Java. This research used a descriptive method with a qualitative approach. Data collection was carried out with a study of documentation and forum group discussions. Data analysis technique employed the interactive model by Miles, M. B. (process of collecting, condensing, and presenting data, as well as drawing conclusions). In response to the COVID-19 pandemic in West Java, it was carried out by forming the Healthcare Facility Management Division under Acceleration Task Force. The policy was interpreted by establishing a plan to assess the requirements for additional capacity and healthcare workers by referring to the prediction of the increased number of patients using the SimCOVID model. Implementation of management policy for healthcare facilities in West Java has been carried out through organisation, interpretation, and application.
本研究描述了在西爪哇应对COVID-19大流行的医疗保健管理中法律政策的组织、解释和应用。本研究采用定性方法结合描述性方法。数据收集是通过研究文件和论坛小组讨论进行的。数据分析技术采用了Miles, m.b.的交互模型(收集、压缩、呈现数据以及得出结论的过程)。为应对西爪哇的COVID-19大流行,在加速工作队下成立了卫生保健设施管理司。该政策的解释是,根据使用SimCOVID模型对患者数量增加的预测,制定了一项计划,以评估对额外能力和医护人员的需求。通过组织、解释和应用,实施了西爪哇保健设施的管理政策。
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引用次数: 0
Existential, Relatedness and Growth Needs that Determine Turnover Intention of Rural CHC Doctors in Tamil Nadu: Structural Equation Model 泰米尔纳德邦农村CHC医生离职意愿的存在性、相关性和成长需求:结构方程模型
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231195138
J. Shanmugapriya, Seema Mehta, Tanjul Saxena
This article explores the motivational needs of doctors to retain in the rural areas by reducing their turnover intention. The study investigates the effect of Existential, Relatedness, and Growth (ERG) dimensions on turnover intention of Community Health Centre (CHC) doctors when they are placed in rural and remote areas of Tamil Nadu. This article discovered and examined the link between ERG needs and turnover intention. The study is based on a cross-sectional analytic study design, wherein primary data were gathered using a structured questionnaire on a five-point Likert scale from 318 doctors and processed through descriptive statistics and structural equation modelling using Smart PLS 3. The element of ‘growth needs’ within the ERG framework has been identified as the most significant predictor of rural CHC doctors’ intention to leave their positions. Therefore, policymakers should focus on developing strategies related to this aspect to retain doctors in rural areas. Additionally, researchers and public health practitioners can employ validated ERG instruments to analyse doctors’ motivation for choosing rural postings in India.
本文通过降低医生离职意愿,探讨了医生留在农村的动机需求。本研究调查了存在、关联和成长(ERG)维度对泰米尔纳德邦农村和偏远地区社区卫生中心(CHC)医生离职意向的影响。本文发现并检验了ERG需求与离职倾向之间的联系。本研究基于横断面分析研究设计,其中318名医生使用五点李克特量表的结构化问卷收集主要数据,并使用Smart PLS 3通过描述性统计和结构方程建模进行处理。ERG框架内的“成长需求”元素已被确定为农村CHC医生离职意向的最重要预测因子。因此,政策制定者应重点制定这方面的相关战略,以留住农村地区的医生。此外,研究人员和公共卫生从业人员可以使用经过验证的ERG工具来分析医生选择在印度农村工作的动机。
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引用次数: 0
Investigating the Impact of Perceived Social Support from Supervisors and Co-workers on Work Engagement Among Nurses in Private Healthcare Sector in Bangladesh: The Mediating Role of Affective Commitment 调查来自主管和同事的感知社会支持对孟加拉国私营医疗保健部门护士工作投入的影响:情感承诺的中介作用
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231195162
Mahi Uddin
This study examined the role of workplace social support from supervisors and co-workers on work engagement of nurses in the private healthcare sector in Bangladesh through the mediating role of affective commitment. Data were collected from 271 nurses and analysed through structural equation modelling. The results reported that affective commitment partially mediated the relationship between supervisory support and work engagement, and fully mediated the relationship between co-worker support and work engagement. Healthcare organisations need to make sure that trained supervisors and co-workers are available in the workplace that can increase collaboration and cooperation among nurses. This study, grounded on job demand–resources theory and social exchange theory, contributes to extend the existing service research by studying the mediating mechanism of affective commitment integrating perceived supervisory support and perceived co-worker support to the work engagement of nurses.
本研究通过情感承诺的中介作用,考察了孟加拉国私营医疗保健部门的主管和同事的工作场所社会支持对护士工作投入的作用。收集了271名护士的数据,并通过结构方程模型进行了分析。结果表明,情感承诺部分中介了主管支持与工作投入之间的关系,完全中介了同事支持与工作投入之间的关系。医疗机构需要确保工作场所有训练有素的主管和同事,这可以增加护士之间的协作和合作。本研究基于工作需求-资源理论和社会交换理论,研究情感承诺整合感知上级支持和感知同事支持对护士工作投入的中介机制,有助于拓展现有的服务研究。
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引用次数: 0
When Media Campaigns Fail: Explaining the Factors of Civil Disobedience to COVID-19 Protocols in Nigeria 当媒体宣传失败:解释尼日利亚公民不服从COVID-19协议的因素
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231195214
Obasanjo Joseph Oyedele, Toyin Segun Onayinka, Omolola Oluwasola, Chika E. Asogwa
Media campaigns on COVID-19 protocols were launched in Nigeria to reduce the spread of the virus. There was evidence to suggest disobedience to the protocols. Thus, this study investigates factors that facilitated civil disobedience to COVID-19 protocols and the implications for the management of the virus. Awareness, mediatisation and personal, cultural and societal factors constructs were formulated to measure the level of civil disobedience. Kaiser–Meyer–Olkin’s Measure of Sampling Adequacy used for the study revealed that 86.4% out of the sampled size was sufficient for testing and validating variables in the civil disobedience construct, 69.1% and 63.1% for awareness and mediatisation constructs, respectively. The constructs were subjected to inferential statistical analysis, and the variables measured at the continuous and linear relationship levels. The study found economic status and media reports as the determinants of peoples’ awareness of the virus. Provision of adequate information and exposure to COVID-related contents were dominant factors under mediatisation; social distancing and use of face masks were dominant factors of civil disobedience. This study concluded that media campaigns on COVID-19 protocols failed to achieve needed behavioural changes due to economic issues, language barriers, insensitivity of government and inadequate provision of essential amenities.
尼日利亚启动了关于COVID-19协议的媒体宣传活动,以减少该病毒的传播。有证据表明有人违反了协议。因此,本研究调查了促进公民不服从COVID-19协议的因素及其对病毒管理的影响。意识、媒介化和个人、文化和社会因素结构被用来衡量公民不服从的水平。研究中使用的Kaiser-Meyer-Olkin抽样充分性测量显示,86.4%的样本足以测试和验证公民不服从结构中的变量,69.1%和63.1%分别用于意识和媒介化结构。结构进行推理统计分析,并在连续和线性关系水平上测量变量。该研究发现,经济状况和媒体报道是人们对该病毒认识的决定因素。提供足够的信息和接触与covid相关的内容是媒介化的主要因素;保持社会距离和使用口罩是公民不服从的主要因素。该研究的结论是,由于经济问题、语言障碍、政府不敏感以及基本设施提供不足,媒体宣传COVID-19协议未能实现所需的行为改变。
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引用次数: 0
Formation of Informal Groups in Healthcare: A Field Survey in Istanbul/Turkiye 医疗保健领域非正式群体的形成:伊斯坦布尔/土耳其的实地调查
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231196001
Cenk Teker, Sait Söyler, Doğancan Çavmak
Groups within the healthcare organisations are widespread subjects of research nowadays. Nevertheless, informal groups are rarely examined in healthcare. This study is a descriptive cross-sectional study aimed to determine the formation of informal groups and its dimensions in Turkey. A survey design was adopted and sample size was 208. The questionnaire was validated using exploratory factor analysis and Cronbach’s alpha coefficient. The study unveiled that the ownership of hospitals are prominent determinants of informal groups. Demographic, social and environmentally proximity are the main factors for public employees to take part in an informal group while intellectual life and closeness are the main factors for private sector employees. The study suggests that managers should assume the most part of responsibility to determine employee’s abilities, preferences and social features to cooperate with informal groups.
医疗保健组织内的群体是当今广泛的研究对象。然而,在医疗保健中很少检查非正式群体。本研究是一项描述性横断面研究,旨在确定土耳其非正式群体的形成及其维度。采用问卷调查设计,样本量为208人。采用探索性因子分析和Cronbach’s alpha系数对问卷进行验证。研究表明,医院所有权是非正式群体的主要决定因素。人口、社会和环境接近性是公共部门雇员参加非正式团体的主要因素,而智力生活和亲密性是私营部门雇员参加非正式团体的主要因素。研究表明,管理者应该承担决定员工与非正式群体合作的能力、偏好和社会特征的大部分责任。
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引用次数: 0
Global Healthcare Infrastructure and Africa in Times of COVID-19: Insights for Sustainable Development and Future Pandemics 2019冠状病毒病时代的全球医疗基础设施和非洲:可持续发展和未来大流行病的见解
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231195972
Samba Diop, Simplice Asongu
This exploratory study aims to assess Africa’s lagging position in global health in relation to some healthcare infrastructure before critically examining the situation of Africa in the light of pressing COVID-19 healthcare infrastructural needs in terms of the number of hospital beds, intensive care units beds and ventilators per 100,000 people. A comparative analysis is provided to showcase which regions are leading in the health facilities in the world in general and Africa, in particular, as well as countries that are lagging in the attendant healthcare facilities. Analytical insights are provided to illustrate that the COVID-19 pandemic has revealed how Africa cannot reach most Sustainable Development Goals (SDGs), especially SDG-3 on health and well-being. Moreover, corresponding inferences suggest that the continent is unprepared for future pandemics in terms of health facilities.
本探索性研究旨在评估非洲在一些医疗保健基础设施方面在全球卫生中的落后地位,然后根据紧迫的COVID-19医疗保健基础设施需求(每10万人的医院床位、重症监护病房床位和呼吸机数量)严格审查非洲的情况。提供了一项比较分析,以显示世界上特别是非洲哪些区域在卫生设施方面处于领先地位,以及在相应的卫生设施方面落后的国家。本文提供了分析性见解,说明2019冠状病毒病大流行揭示了非洲如何无法实现大多数可持续发展目标,特别是关于健康和福祉的可持续发展目标3。此外,相应的推论表明,非洲大陆在卫生设施方面还没有做好应对未来流行病的准备。
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引用次数: 0
In-service Training of Maternal Health Workers in Rural Areas in Vietnam: Is it Relevant, Timely and Effective? A Mixed-method Study 越南农村孕产妇保健工作者在职培训:相关、及时和有效吗?混合方法研究
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231195175
Nguyen Thi Hoai Thu, Fiona McDonald, Sophie Witter, Bui Thi My Anh, Andrew Wilson
Training is widely considered to contribute to the ‘can do’ and ‘will do’ capacities of health workers. Having appropriately skilled health workers is recognised as critical to assuring quality health services. This study examined the relevance of in-service training (IST) provided to maternal health workers (MHW) in rural Vietnam. A mixed method approach was used involving a survey of 240 health workers providing maternal health services and managers and 43 in-depth interviews of health workers and managers from 5 health districts across two provinces in Vietnam. Although two thirds of participants reported accessing IST within the previous 12 months, only 53.3% attended maternal health training. Factors related to the self-reported ability to perform Essential Obstetric Care (EOC) include: Being trained on EOC; Work experience; and Qualifications of MHWs. Participants reported that the IST was irrelevant to their actual needs, while managers reported frustration that IST programs were scheduled haphazardly, dependent on budget availability. In conclusion, in-service training programs should be designed taking into account the needs of the workforce and managers in terms of content, mode of delivery, scheduling and follow-up. Poorly planned and inappropriately delivered training may contribute to a perceived inability to provide EOC.
人们普遍认为,培训有助于提高卫生工作者的“能做”和“愿意做”能力。拥有适当技能的卫生工作者被认为是确保优质卫生服务的关键。本研究考察了向越南农村孕产妇保健工作者提供在职培训(IST)的相关性。采用混合方法对越南两个省5个卫生区240名提供孕产妇保健服务的卫生工作者和管理人员进行了调查,并对卫生工作者和管理人员进行了43次深度访谈。虽然三分之二的参与者报告在过去12个月内接受了技术培训,但只有53.3%的参与者参加了孕产妇保健培训。与自我报告执行基本产科护理(EOC)能力相关的因素包括:接受过基本产科护理培训;工作经验;及健康护理师的资格。参与者报告说,技术创新与他们的实际需求无关,而管理人员报告说,技术创新项目的安排是随意的,取决于预算的可用性。综上所述,在职培训计划的设计应考虑到员工和管理者在内容、交付方式、时间安排和后续方面的需求。计划不周和交付不当的培训可能导致无法提供EOC。
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引用次数: 0
Psychological Impact of COVID-19 in India: A Survey Study of Mental Health During the Pandemic COVID-19在印度的心理影响:大流行期间心理健康的调查研究
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-01 DOI: 10.1177/09720634231195969
Rutuja Laxmikant Kolhe, Rutuja Umesh Madhure
COVID-19 has wreaked havoc worldwide, challenging science, basic humanity, and mankind by posing various physiological, psychological, social, economic, and political threats. We conducted an online survey in some regions of Maharashtra, prominently Pune and Mumbai to understand the psychological impact of the COVID-19 pandemic on the general population and the mental health of the public. The motive behind the research was to focus on the positive as well as the negative impact of the coronavirus crisis on the public. Social distancing, quarantine, and lockdown have affected different people in different ways. Major emphasis was laid upon the dominant factors that affect the mental well-being of an individual such as sleep routine, work schedule and social life. The survey responses were analysed to obtain useful results. We present the statistical analysis of the collected data and discuss important correlations between various factors using Cramer’s V correlation method. It is critical to study the responses of the human brain in such cases, so that mankind can prepare for any other catastrophic events in future.
新冠肺炎疫情在世界范围内造成严重破坏,对科学、基本人性和人类构成各种生理、心理、社会、经济和政治威胁。我们在马哈拉施特拉邦的一些地区,特别是浦那和孟买进行了一项在线调查,以了解COVID-19大流行对普通人群和公众心理健康的影响。这项研究的动机是关注冠状病毒危机对公众的积极和消极影响。保持社交距离、隔离和封锁以不同的方式影响着不同的人。主要的重点放在影响个人心理健康的主要因素上,如睡眠规律、工作安排和社会生活。对调查结果进行了分析,以获得有用的结果。我们对收集到的数据进行了统计分析,并使用克莱默的V相关法讨论了各因素之间的重要相关性。研究人类大脑在这种情况下的反应是至关重要的,这样人类就可以为未来的任何其他灾难性事件做好准备。
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引用次数: 0
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Journal of Health Management
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