Pub Date : 2023-09-01DOI: 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.
{"title":"Global Healthcare Infrastructure and Africa in Times of COVID-19: Insights for Sustainable Development and Future Pandemics","authors":"Samba Diop, Simplice Asongu","doi":"10.1177/09720634231195972","DOIUrl":"https://doi.org/10.1177/09720634231195972","url":null,"abstract":"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.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135894825","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 : 2023-09-01DOI: 10.1177/09720634231195173
Nasrin Banu
This paper is devoted to exploring the linkages between livelihood assets, healthcare facilities and health well-being in Indo-Bangladesh international border adjacent location. To establish the linkages, Sustainable Livelihood Approach (SLA) has been adopted here. The study assumes that adjacency to the international border makes the location vulnerable. The study evaluates that lesser access to healthcare facilities in Border Adjacent Zone (BAZ) makes the people unable to cope with their poor health conditions. Even the livelihood asset is not at a satisfactory level by which the worse condition are to be overcome. Better health conditions and greater access to healthcare facilities make the households in Border Distant Zone (BDZ) enjoy sustainable health well-being that too with higher scores of livelihood assets.
{"title":"Linkages between Livelihood Assets, Healthcare Facilities and Health Well-being: A Study of Indo-Bangladesh Border","authors":"Nasrin Banu","doi":"10.1177/09720634231195173","DOIUrl":"https://doi.org/10.1177/09720634231195173","url":null,"abstract":"This paper is devoted to exploring the linkages between livelihood assets, healthcare facilities and health well-being in Indo-Bangladesh international border adjacent location. To establish the linkages, Sustainable Livelihood Approach (SLA) has been adopted here. The study assumes that adjacency to the international border makes the location vulnerable. The study evaluates that lesser access to healthcare facilities in Border Adjacent Zone (BAZ) makes the people unable to cope with their poor health conditions. Even the livelihood asset is not at a satisfactory level by which the worse condition are to be overcome. Better health conditions and greater access to healthcare facilities make the households in Border Distant Zone (BDZ) enjoy sustainable health well-being that too with higher scores of livelihood assets.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134961575","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 : 2023-09-01DOI: 10.1177/09720634231195150
Jamil M. A. Shqairat, Salim Faraj, Muliati Sedek
The training of nursing students is essential for the professional development and quality of care. The purpose of this study is to assess the gap between theory and practice among undergraduate nursing students in Al-Makassed nursing college, a cross-sectional survey was used in this study. The questionnaire consists of two parts: socio-demographic information part and questions related to students, instructors, curriculum, practical training field and communication factors. The results of this study show that there is a gap between theoretical education and practice training. There were several factors in nursing students’ training, such as curriculum, communication, practical training field, instructors and instructions. The conclusion of this study shows that nursing education should reconsider current methods of theoretical and practical training learning and looking for ways to prepare the best professional nurses’ future.
{"title":"Bridge the Gap Between Nursing Theoretical Education and Clinical Training Environment in Al-Makassed Training Hospital in Palestine","authors":"Jamil M. A. Shqairat, Salim Faraj, Muliati Sedek","doi":"10.1177/09720634231195150","DOIUrl":"https://doi.org/10.1177/09720634231195150","url":null,"abstract":"The training of nursing students is essential for the professional development and quality of care. The purpose of this study is to assess the gap between theory and practice among undergraduate nursing students in Al-Makassed nursing college, a cross-sectional survey was used in this study. The questionnaire consists of two parts: socio-demographic information part and questions related to students, instructors, curriculum, practical training field and communication factors. The results of this study show that there is a gap between theoretical education and practice training. There were several factors in nursing students’ training, such as curriculum, communication, practical training field, instructors and instructions. The conclusion of this study shows that nursing education should reconsider current methods of theoretical and practical training learning and looking for ways to prepare the best professional nurses’ future.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637547","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}
The existing state of health infrastructure and services, which is often poor in rural areas of the country is further faced with challenges due to the COVID-19 pandemic. The current study attempts to provide some key insights on the impact of COVID-19 on utilisation of maternal healthcare services during the pandemic. The study used the mixed-method data, gathered through a cross-sectional study conducted in 2020 in South 24 Parganas district of West Bengal. Currently, married women ( n = 318) who were pregnant or had delivered a child were selected for the interview through a multi-stage sampling technique. Frequency distribution, bi-variate cross tabulation and logistic regression were performed. Of the eligible women during the pandemic, 86% have received regular antenatal care, 73% have delivered in a health facility even though the quality of service was poor; and only 37.6% received postnatal care within 42 days of delivery. ‘Risk perception of women towards being infected with COVID-19’ were found to be the most significant determinants of maternal healthcare utilisation. COVID-19 pandemic has significantly affected the quality and utilisation of maternal health services in rural West Bengal. The results suggest the need for better preparedness of healthcare facilities in terms of human resources and physical infrastructure; as well as educating the community through awareness (counter rumours) and through risk and behaviour change communication regarding COVID-19 protocols and community engagement to effectively manage utilisation of Maternal healthcare services during pandemic.
{"title":"Utilisation of Maternal Health Services During COVID-19 Pandemic: Findings from Rural West Bengal, India","authors":"Atanu Ghosh, Tanusree Dutta, Shoummo SenGupta, Runa Nath, Nandan Kumar, Manas Ranjan Pradhan","doi":"10.1177/09720634231195136","DOIUrl":"https://doi.org/10.1177/09720634231195136","url":null,"abstract":"The existing state of health infrastructure and services, which is often poor in rural areas of the country is further faced with challenges due to the COVID-19 pandemic. The current study attempts to provide some key insights on the impact of COVID-19 on utilisation of maternal healthcare services during the pandemic. The study used the mixed-method data, gathered through a cross-sectional study conducted in 2020 in South 24 Parganas district of West Bengal. Currently, married women ( n = 318) who were pregnant or had delivered a child were selected for the interview through a multi-stage sampling technique. Frequency distribution, bi-variate cross tabulation and logistic regression were performed. Of the eligible women during the pandemic, 86% have received regular antenatal care, 73% have delivered in a health facility even though the quality of service was poor; and only 37.6% received postnatal care within 42 days of delivery. ‘Risk perception of women towards being infected with COVID-19’ were found to be the most significant determinants of maternal healthcare utilisation. COVID-19 pandemic has significantly affected the quality and utilisation of maternal health services in rural West Bengal. The results suggest the need for better preparedness of healthcare facilities in terms of human resources and physical infrastructure; as well as educating the community through awareness (counter rumours) and through risk and behaviour change communication regarding COVID-19 protocols and community engagement to effectively manage utilisation of Maternal healthcare services during pandemic.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135429210","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 : 2023-09-01DOI: 10.1177/09720634231196936
Shivam Gupta
Since the COVID-19 virus was first identified early in 2020, it has killed an estimated 20 million people worldwide and wreaked economic damage estimated to be higher than $13 trillion by the end of 2024 (International Monetary Fund, 2022). The excess mortality around the world suggests that the virus continues to cause the deaths of several thousand people a day (Wallace-Wells, 2023). It has significantly affected the progress of the Sustainable Development Goals (SDG). COVID-19 pandemic affected not only SDG3 (good health and well-being) but also indirectly the progress of SDG1 (no poverty), SDG2 (zero hunger), SDG4 (quality education), SDG9 (investing in innovation and infrastructure) and SDG10 (reducing inequities) (Hollnagel et al., 2013). Nevertheless, as the crisis phase of COVID-19 passes, international efforts are gaining steam to put in place a more effective system to prepare for future pandemics. Since the global health emergency ended, many countries have begun dismantling the infrastructure, systems and other resources set up during the COVID-19 response. It is important to ensure that these capacities can be maintained and swiftly mobilised to respond to such outbreaks and other public health emergencies. Building resilient health systems will not only have the ability to cope with the shocks of public health emergencies but will also have the ability to recover to normalcy faster (Hollnagel et al., 2013). Individual countries need to improve their capacity to prevent, detect and respond to outbreaks. This does not just mean throwing money at the problem; however, now is the time for well thought out, targeted investments in resilient health systems that reflect the learnings from COVID-19 both within and between countries, as well as recognising the specific priorities and risks that countries face. In this editorial, we provide a summary of key strategies that improve the resilience of health systems. We also identify areas where greater clarity is needed on resilience and its relation to existing approaches to health systems strengthening. This mainstreaming of resilience, we hope, will assist in its inclusion as a key outcome of future health systems strengthening investments.
{"title":"Building Resilient Health Systems: Key Strategies and Need for Greater Conceptual Clarity","authors":"Shivam Gupta","doi":"10.1177/09720634231196936","DOIUrl":"https://doi.org/10.1177/09720634231196936","url":null,"abstract":"Since the COVID-19 virus was first identified early in 2020, it has killed an estimated 20 million people worldwide and wreaked economic damage estimated to be higher than $13 trillion by the end of 2024 (International Monetary Fund, 2022). The excess mortality around the world suggests that the virus continues to cause the deaths of several thousand people a day (Wallace-Wells, 2023). It has significantly affected the progress of the Sustainable Development Goals (SDG). COVID-19 pandemic affected not only SDG3 (good health and well-being) but also indirectly the progress of SDG1 (no poverty), SDG2 (zero hunger), SDG4 (quality education), SDG9 (investing in innovation and infrastructure) and SDG10 (reducing inequities) (Hollnagel et al., 2013). Nevertheless, as the crisis phase of COVID-19 passes, international efforts are gaining steam to put in place a more effective system to prepare for future pandemics. Since the global health emergency ended, many countries have begun dismantling the infrastructure, systems and other resources set up during the COVID-19 response. It is important to ensure that these capacities can be maintained and swiftly mobilised to respond to such outbreaks and other public health emergencies. Building resilient health systems will not only have the ability to cope with the shocks of public health emergencies but will also have the ability to recover to normalcy faster (Hollnagel et al., 2013). Individual countries need to improve their capacity to prevent, detect and respond to outbreaks. This does not just mean throwing money at the problem; however, now is the time for well thought out, targeted investments in resilient health systems that reflect the learnings from COVID-19 both within and between countries, as well as recognising the specific priorities and risks that countries face. In this editorial, we provide a summary of key strategies that improve the resilience of health systems. We also identify areas where greater clarity is needed on resilience and its relation to existing approaches to health systems strengthening. This mainstreaming of resilience, we hope, will assist in its inclusion as a key outcome of future health systems strengthening investments.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637540","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 : 2023-07-19DOI: 10.1177/09720634231168255
Duygu Karabulut Şimşek, Filiz Ersöz
Nowadays, the rapid advancement of technological developments consists of complex and large databases. Software programmes are needed because it can be very difficult to process the complex data. The aim of the study is to reveal the patient profile by data mining of the hospital information system and to help make strategic decisions according to patient profile analysis in the establishment of a new hospital or additional hospital departments in the future. The application of data mining in the health sector provides the sector with a faster, reliable and different perspective on decision-making by reaching the desired data. For this purpose, data mining decision tree algorithms were applied, and patient profile estimations were found by using the data of patients receiving service from a private health institution with hospitals in different settlements. By categorising the characteristics of the individuals receiving service and the branches from which they receive service, it was revealed with which variables the patient profile is related. It is thought that determining patient profile will help to follow a more accurate path in the stage of meeting their demands.
{"title":"Health Information Management and Patient Profile Estimation Using Data Mining Classification Techniques","authors":"Duygu Karabulut Şimşek, Filiz Ersöz","doi":"10.1177/09720634231168255","DOIUrl":"https://doi.org/10.1177/09720634231168255","url":null,"abstract":"Nowadays, the rapid advancement of technological developments consists of complex and large databases. Software programmes are needed because it can be very difficult to process the complex data. The aim of the study is to reveal the patient profile by data mining of the hospital information system and to help make strategic decisions according to patient profile analysis in the establishment of a new hospital or additional hospital departments in the future. The application of data mining in the health sector provides the sector with a faster, reliable and different perspective on decision-making by reaching the desired data. For this purpose, data mining decision tree algorithms were applied, and patient profile estimations were found by using the data of patients receiving service from a private health institution with hospitals in different settlements. By categorising the characteristics of the individuals receiving service and the branches from which they receive service, it was revealed with which variables the patient profile is related. It is thought that determining patient profile will help to follow a more accurate path in the stage of meeting their demands.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"1 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43186422","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 : 2023-06-22DOI: 10.1177/09720634231167233
Abhinav Shekhar, A. Anand, C. Jha, S. Yadav, D. Sinha
Multiple studies have analysed the incidence of wrong-site surgeries (WSSs) in developed countries. This study aims to find out information relevant to the incidence and pattern of WSS in India. Multiple sources like Medline, EMBASE and the Global Health Library databases were searched for abstracts and citations in all languages published between 1 January 1975 and 31 December 2018, describing any WSS from India. After extensively searching the online databases only one case report related to WSS in India could be found. Zero incidences of WSS in general surgery from India seem fallacious and it is due to non-reporting of such events and the Government of India should implement a national registry to maintain data on WSS, which can lead to improved surgical care.
{"title":"Surgical Safety Audit in India, or Lack Thereof: An Urgent Need for National Policy on Wrong-Site Surgery Registry and Research","authors":"Abhinav Shekhar, A. Anand, C. Jha, S. Yadav, D. Sinha","doi":"10.1177/09720634231167233","DOIUrl":"https://doi.org/10.1177/09720634231167233","url":null,"abstract":"Multiple studies have analysed the incidence of wrong-site surgeries (WSSs) in developed countries. This study aims to find out information relevant to the incidence and pattern of WSS in India. Multiple sources like Medline, EMBASE and the Global Health Library databases were searched for abstracts and citations in all languages published between 1 January 1975 and 31 December 2018, describing any WSS from India. After extensively searching the online databases only one case report related to WSS in India could be found. Zero incidences of WSS in general surgery from India seem fallacious and it is due to non-reporting of such events and the Government of India should implement a national registry to maintain data on WSS, which can lead to improved surgical care.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45353109","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 : 2023-06-19DOI: 10.1177/09720634231167034
K. Dash, P. Jena, K. Patel, M. Behera, Sasmita Nayak, S. Satpathy
Increasing number of evidence is linking household air pollution (HAP) with the respiratory and general health of people. In this context, this study tries to review and synthesize the Indian evidence on exposure to household air pollution and respiratory health outcomes from the epidemiological studies conducted in India. The literature is gathered by searching national and international databases and selected using PRISMA guidelines. Included 11 studies that suggested higher odds of developing respiratory illness in HAP-exposed individuals than the non-exposed ones. Most of the studies focused on respiratory health outcomes following exposure to HAP among women and children. Household air pollution was found to be associated with an increased risk of acute lower respiratory infections in children. Though Indian evidence is limited, household air pollution in combination with increasing ambient air pollution can have a significant health impact on the Indian population. Along with current legislative, administrative, and community efforts, higher individual and collective efforts are essential to reduce the overall impact of household air pollution in Indian settings.
{"title":"The Indian Epidemiological Evidences on Household Air Pollution and Respiratory Health Outcomes","authors":"K. Dash, P. Jena, K. Patel, M. Behera, Sasmita Nayak, S. Satpathy","doi":"10.1177/09720634231167034","DOIUrl":"https://doi.org/10.1177/09720634231167034","url":null,"abstract":"Increasing number of evidence is linking household air pollution (HAP) with the respiratory and general health of people. In this context, this study tries to review and synthesize the Indian evidence on exposure to household air pollution and respiratory health outcomes from the epidemiological studies conducted in India. The literature is gathered by searching national and international databases and selected using PRISMA guidelines. Included 11 studies that suggested higher odds of developing respiratory illness in HAP-exposed individuals than the non-exposed ones. Most of the studies focused on respiratory health outcomes following exposure to HAP among women and children. Household air pollution was found to be associated with an increased risk of acute lower respiratory infections in children. Though Indian evidence is limited, household air pollution in combination with increasing ambient air pollution can have a significant health impact on the Indian population. Along with current legislative, administrative, and community efforts, higher individual and collective efforts are essential to reduce the overall impact of household air pollution in Indian settings.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45277201","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 : 2023-06-19DOI: 10.1177/09720634231167240
Fariastuti Djafar
This study aims to describe the COVID-19 cases in the host countries and the home provinces of Indonesian migrant workers (IMWs), and to explore the process of returning home for the IMWs during the first six months of COVID-19 pandemic in Indonesia. The study employed secondary data mainly published by the Indonesian government and the news media. The data were analysed descriptively and exploratively. The study reveals that the potential returnees were from the host countries that had a number of COVID-19 cases which was not necessarily lower than Indonesia. Some provinces in Java had a large number of potential returning migrant workers as well as a number of COVID-19 cases. The IMWs returned home both legally and illegally while the COVID-19 cases were dominated by the local cases.
{"title":"The COVID-19 Pandemic and the Return of Indonesian Migrant Workers","authors":"Fariastuti Djafar","doi":"10.1177/09720634231167240","DOIUrl":"https://doi.org/10.1177/09720634231167240","url":null,"abstract":"This study aims to describe the COVID-19 cases in the host countries and the home provinces of Indonesian migrant workers (IMWs), and to explore the process of returning home for the IMWs during the first six months of COVID-19 pandemic in Indonesia. The study employed secondary data mainly published by the Indonesian government and the news media. The data were analysed descriptively and exploratively. The study reveals that the potential returnees were from the host countries that had a number of COVID-19 cases which was not necessarily lower than Indonesia. Some provinces in Java had a large number of potential returning migrant workers as well as a number of COVID-19 cases. The IMWs returned home both legally and illegally while the COVID-19 cases were dominated by the local cases.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48726051","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 : 2023-06-01DOI: 10.1177/09720634231177347
F. Idigo, N. Chijioke, A. Anakwue, U. Nwogu, B. U. Maduka
Increasing incidence of no-shows has been identified as a major challenge to planning of appointment schedules which imparts negatively on revenue generation and system efficiency. This cross-sectional study analysed the scheduling method in use, appointment delay time, appointment compliance rate and no-show rate of patients in the ultrasound unit of a Nigerian tertiary hospital, using observation, patient records and questionnaires. Information obtained were: The time interval between clinician request and examination appointment schedule, patient load distribution, scheduling method, number of patients scheduled and number that kept to appointment scheduling, and as well staff opinion on reasons for patients’ length of stay for ultrasound investigations. The results showed that the single-block scheduling method was used and patients’ arrival was highest between 7:12 and 9:00 hours with decreasing rate as the day progresses. The time interval between request and appointment was 12–14 days. Appointment compliance rate was observed to be 5.5, while no show rate was 4.5. Poor state of ultrasound machines was observed to be the highest contributing factor to patient delays with Kendall’s coefficient of concordance 0.466. The findings of this work can be utilized in efficient planning of public hospital ultrasound units to enhance patient access.
{"title":"Assessment of Scheduling Method,Appointment Delay, and No-show Rate in the Ultrasound Unit of a Nigerian Teaching Hospital","authors":"F. Idigo, N. Chijioke, A. Anakwue, U. Nwogu, B. U. Maduka","doi":"10.1177/09720634231177347","DOIUrl":"https://doi.org/10.1177/09720634231177347","url":null,"abstract":"Increasing incidence of no-shows has been identified as a major challenge to planning of appointment schedules which imparts negatively on revenue generation and system efficiency. This cross-sectional study analysed the scheduling method in use, appointment delay time, appointment compliance rate and no-show rate of patients in the ultrasound unit of a Nigerian tertiary hospital, using observation, patient records and questionnaires. Information obtained were: The time interval between clinician request and examination appointment schedule, patient load distribution, scheduling method, number of patients scheduled and number that kept to appointment scheduling, and as well staff opinion on reasons for patients’ length of stay for ultrasound investigations. The results showed that the single-block scheduling method was used and patients’ arrival was highest between 7:12 and 9:00 hours with decreasing rate as the day progresses. The time interval between request and appointment was 12–14 days. Appointment compliance rate was observed to be 5.5, while no show rate was 4.5. Poor state of ultrasound machines was observed to be the highest contributing factor to patient delays with Kendall’s coefficient of concordance 0.466. The findings of this work can be utilized in efficient planning of public hospital ultrasound units to enhance patient access.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"201 - 207"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45268963","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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