Pub Date : 2023-09-01DOI: 10.1177/09720634231201698
Nuno Araújo, Ana Maria Reis, Ana Pinto Borges, Álvaro Rosa
The need to guarantee public health spending sustainability remains on the governments’ agenda, despite constant efforts to improve health sector efficiency and to contain health spending growth. In this paper, we analyse citizens’, managers’ and health professionals’ views concerning the choice of alternative National Health Service (NHS)’ financing sources and the selection of priority areas to be financed from public funds. The main novelty of this study is the auscultation and the evaluation of different stakeholders’ perspectives concerning health spending decisions, namely, health professionals, managers and the general public. An online questionnaire was used to collect data. Methods include descriptive and inferential statistics, a Pareto graph and a factorial analysis. Our results reveal the preferable additional NHS funding sources are lottery and games of chance and the increase in alcohol and tobacco taxes. The respondents defend that priorities should consider the improvement of the population’s health status, namely, considering the universality of access, equity, effectiveness and efficiency, in line with the NHS’ mission. Health professionals are also concerned about disease prevention and health promotion. This paper contributes empirical evidence to support health manager decisions, focusing on rationing decisions and alternative financing sources.
{"title":"Managing Public Health Spending Growth: Public’s Views","authors":"Nuno Araújo, Ana Maria Reis, Ana Pinto Borges, Álvaro Rosa","doi":"10.1177/09720634231201698","DOIUrl":"https://doi.org/10.1177/09720634231201698","url":null,"abstract":"The need to guarantee public health spending sustainability remains on the governments’ agenda, despite constant efforts to improve health sector efficiency and to contain health spending growth. In this paper, we analyse citizens’, managers’ and health professionals’ views concerning the choice of alternative National Health Service (NHS)’ financing sources and the selection of priority areas to be financed from public funds. The main novelty of this study is the auscultation and the evaluation of different stakeholders’ perspectives concerning health spending decisions, namely, health professionals, managers and the general public. An online questionnaire was used to collect data. Methods include descriptive and inferential statistics, a Pareto graph and a factorial analysis. Our results reveal the preferable additional NHS funding sources are lottery and games of chance and the increase in alcohol and tobacco taxes. The respondents defend that priorities should consider the improvement of the population’s health status, namely, considering the universality of access, equity, effectiveness and efficiency, in line with the NHS’ mission. Health professionals are also concerned about disease prevention and health promotion. This paper contributes empirical evidence to support health manager decisions, focusing on rationing decisions and alternative financing sources.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637541","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 Postgraduate Diploma in Public Health Management (PGDPHM) was launched in 2008 to create a cadre of public health managers within the ranks of the public healthcare system. However, limited research exists on this programme and its impact on the health system. This qualitative research study aimed at obtaining in-depth perspectives of PGDPHM graduates from the Indian Institute of Public Health-Gandhinagar (IIPHG). Study participants were selected from a variety of roles across Gujarat. The programme equips healthcare professionals with several competencies essential to the management of public health issues from the community to state levels. However, the health system has yet to fully realise its potential and rationally allocate this human resource. Recognition also has not translated into public health oriented career growth for most graduates, and the duties of medical officers with this qualification continue to have a clinical focus. The PGDPHM programme has the potential to help ensure that India reaches an adequate capacity for health management professionals. It would be beneficial to improve recognition for the programme within the health system, increase focus on public health research and conduct regular evaluations to assess the career trajectories of graduates.
{"title":"From Healthcare Professionals to Public Health Practitioners: Qualitative Assessment of the Postgraduate Diploma in Public Health Management","authors":"Mahaveer Golechha, Mehul Patel, Tasneem Bohra, Jallavi Panchamia","doi":"10.1177/09720634231201701","DOIUrl":"https://doi.org/10.1177/09720634231201701","url":null,"abstract":"The Postgraduate Diploma in Public Health Management (PGDPHM) was launched in 2008 to create a cadre of public health managers within the ranks of the public healthcare system. However, limited research exists on this programme and its impact on the health system. This qualitative research study aimed at obtaining in-depth perspectives of PGDPHM graduates from the Indian Institute of Public Health-Gandhinagar (IIPHG). Study participants were selected from a variety of roles across Gujarat. The programme equips healthcare professionals with several competencies essential to the management of public health issues from the community to state levels. However, the health system has yet to fully realise its potential and rationally allocate this human resource. Recognition also has not translated into public health oriented career growth for most graduates, and the duties of medical officers with this qualification continue to have a clinical focus. The PGDPHM programme has the potential to help ensure that India reaches an adequate capacity for health management professionals. It would be beneficial to improve recognition for the programme within the health system, increase focus on public health research and conduct regular evaluations to assess the career trajectories of graduates.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637544","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}
This case control research was conducted in the tribal block of Sirohi district of Rajasthan, India to assess the impact of the food supplementation program on the nutritional status of school-going children. With 1:1 matching using parameters of sex and age of children from six villages each, data of 430 1st to 8th grade children, 215 cases and controls each, were analysed. World Health Organization (WHO) Anthro plus tool was used to determine the Weight for Age, Height for Age and Body Mass Index (BMI) for age indicators. Results showed that children who were on the intervention of milk were found to be 1.7 times more active as compare to those not receiving milk. It was also found that the proportion of children with severe malnutrition- in terms of wasting, stunting and underweight – was less among cases as compare to the controls. However, the difference was found significant only for wasting and underweight respectively. Therefore, it was concluded that milk-based interventions have been proved to be successful strategy in combating acute malnutrition among school-going children. More research is needed to evaluate the impact of such interventions on stunting, and to improve the program planning for scaling up and replication.
{"title":"Improving Nutritional Status of School Going Children Through School-based Nutrition Program in Rajasthan, India","authors":"Mayur Trivedi, Tapasvi Puwar, Khushi Kansara, Kanak Srivastava","doi":"10.1177/09720634231195164","DOIUrl":"https://doi.org/10.1177/09720634231195164","url":null,"abstract":"This case control research was conducted in the tribal block of Sirohi district of Rajasthan, India to assess the impact of the food supplementation program on the nutritional status of school-going children. With 1:1 matching using parameters of sex and age of children from six villages each, data of 430 1st to 8th grade children, 215 cases and controls each, were analysed. World Health Organization (WHO) Anthro plus tool was used to determine the Weight for Age, Height for Age and Body Mass Index (BMI) for age indicators. Results showed that children who were on the intervention of milk were found to be 1.7 times more active as compare to those not receiving milk. It was also found that the proportion of children with severe malnutrition- in terms of wasting, stunting and underweight – was less among cases as compare to the controls. However, the difference was found significant only for wasting and underweight respectively. Therefore, it was concluded that milk-based interventions have been proved to be successful strategy in combating acute malnutrition among school-going children. More research is needed to evaluate the impact of such interventions on stunting, and to improve the program planning for scaling up and replication.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135428784","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: 10.1177/09720634231195163
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.
{"title":"Implementation of Management Policy for Healthcare Facility to Respond COVID-19 Pandemic in West Java","authors":"Marion Siagian","doi":"10.1177/09720634231195163","DOIUrl":"https://doi.org/10.1177/09720634231195163","url":null,"abstract":"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.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637542","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: 10.1177/09720634231195980
D. Stasinopoulos, A. Goula, C. Kastanioti, M. Sarris, S. Soulis
Tax evasion of self-employed doctors as well as the informal payments made to doctors in public health structures are identified as the two main parameters of Shadow Economy in this sector. In this study, a quantitative survey of 1,022 physicians was conducted to research the attitudes and perceptions of physicians. Although the physicians are mostly opposed to antisocial and unlawful behaviours, they are more tolerant with shadow economy phenomena. The research highlighted a correlation between tax evasion and informal payments where the increase of one phenomenon increases the intensity of the other. ‘Tax evasion’ in the conscience of physicians functions as a ‘corrective mechanism’ in the sector’s charges, which satisfies patients and physicians in the sector of self-employed doctors, acquiring characteristics of ‘Inxit’ of the well-known theory of Gaal and McKee. Informal Payments, on the other hand, as research has shown, act as an incentive for unsatisfied physicians to remain within the public health system. However, they have a negative impact on the employment relationships of health executives while at the same time, they significantly exacerbate the quality of services provided by public health institutions. Deterioration of quality in the ‘organisation’ with open channels of ‘exit’ and ‘voice’, given that there is no ‘loyalty’ of patients in the public health system, as research shows, leads to the conclusion that Informal Payments take on characteristics of ‘utilitarian silence’ on the part of patients, rather than characteristics of an alternative to ‘exit’, ‘protest’—of the well-known ‘EVL’ theory of Hirschman (1970) —or, ultimately, to ‘Inxit’.
{"title":"Shadow Economy in Physicians’ Sector: The Physicians’ Point of View from Greece","authors":"D. Stasinopoulos, A. Goula, C. Kastanioti, M. Sarris, S. Soulis","doi":"10.1177/09720634231195980","DOIUrl":"https://doi.org/10.1177/09720634231195980","url":null,"abstract":"Tax evasion of self-employed doctors as well as the informal payments made to doctors in public health structures are identified as the two main parameters of Shadow Economy in this sector. In this study, a quantitative survey of 1,022 physicians was conducted to research the attitudes and perceptions of physicians. Although the physicians are mostly opposed to antisocial and unlawful behaviours, they are more tolerant with shadow economy phenomena. The research highlighted a correlation between tax evasion and informal payments where the increase of one phenomenon increases the intensity of the other. ‘Tax evasion’ in the conscience of physicians functions as a ‘corrective mechanism’ in the sector’s charges, which satisfies patients and physicians in the sector of self-employed doctors, acquiring characteristics of ‘Inxit’ of the well-known theory of Gaal and McKee. Informal Payments, on the other hand, as research has shown, act as an incentive for unsatisfied physicians to remain within the public health system. However, they have a negative impact on the employment relationships of health executives while at the same time, they significantly exacerbate the quality of services provided by public health institutions. Deterioration of quality in the ‘organisation’ with open channels of ‘exit’ and ‘voice’, given that there is no ‘loyalty’ of patients in the public health system, as research shows, leads to the conclusion that Informal Payments take on characteristics of ‘utilitarian silence’ on the part of patients, rather than characteristics of an alternative to ‘exit’, ‘protest’—of the well-known ‘EVL’ theory of Hirschman (1970) —or, ultimately, to ‘Inxit’.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135428789","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}
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.
{"title":"Promotion and Evaluation of HSE Indicators: Based on Integrated Management System in Two Chemical Industries, Iran","authors":"Somayeh Mirza, Nabiollah Mansouri, Hamid Shirkhanloo","doi":"10.1177/09720634231196004","DOIUrl":"https://doi.org/10.1177/09720634231196004","url":null,"abstract":"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.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135428796","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: 10.1177/09720634231195208
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.
{"title":"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","authors":"Nihar Ranjan Rout, Tapas Kumar Patra","doi":"10.1177/09720634231195208","DOIUrl":"https://doi.org/10.1177/09720634231195208","url":null,"abstract":"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.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135434058","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: 10.1177/09720634231195138
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.
{"title":"Existential, Relatedness and Growth Needs that Determine Turnover Intention of Rural CHC Doctors in Tamil Nadu: Structural Equation Model","authors":"J. Shanmugapriya, Seema Mehta, Tanjul Saxena","doi":"10.1177/09720634231195138","DOIUrl":"https://doi.org/10.1177/09720634231195138","url":null,"abstract":"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.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135637545","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: 10.1177/09720634231195162
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.
{"title":"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","authors":"Mahi Uddin","doi":"10.1177/09720634231195162","DOIUrl":"https://doi.org/10.1177/09720634231195162","url":null,"abstract":"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.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135434055","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: 10.1177/09720634231195972
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":null,"pages":null},"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}
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