Pub Date : 2023-06-01DOI: 10.1177/09720634231175748
R. Dehury, Janmejaya Samal, A. Raza, Shawnn Cautinho, M. Behera, P. Dehury
The union cabinet approved the National Health Policy (NHP) 2017 on 15 March 2017. After its initial draft stage, seeking opinions from different stakeholders for nearly 34 months, the NHP 2017 came to the public domain with its final version. The main objective of this version of the NHP is to implement the proposed National Health Assurance Plan, which has been one of the agendas of the National Democratic Alliance (NDA) government for the healthcare of the people. The main objective of this article is to critically appraise and discuss the scopes and limitations in accomplishing the targets set in the policy document. A critique of the targets has also been discussed, considering the historical evidence and experiences of achieving the same. In the end, suggestions and recommendations have also been suggested for improving the health system regarding NHP 2017. The article critically analyses NHP 2017 based on secondary and grey literature. Evidence from secondary literature has been juxtaposed to compare and contrast the difficulty in implementing the policy. Literature is obtained from electronically accessible search and indexing portals, such as Google, Google Scholar, Web of Sciences, Embase, PubMed, and PubMed Central by using the keywords like health policy, impact of health policy, human resources in health, health care information technology, hospitals, pharmaceuticals and medical devices, health insurance and public health. Considering the implementation challenges of the previous two NHPs, the current NHP 2017 should be relevant to the grassroots level nuances and should address not only the healthcare needs but also the human development indicators.
联盟内阁于2017年3月15日批准了2017年国家卫生政策。在征求不同利益相关者意见近34个月的初步草案阶段之后，NHP 2017以其最终版本进入公共领域。这一版《国家卫生计划》的主要目标是实施拟议的《国家卫生保障计划》，该计划一直是全国民主联盟政府关于人民保健的议程之一。本文的主要目的是批判性地评估和讨论实现政策文件中设定的目标的范围和限制。考虑到实现这些目标的历史证据和经验，还讨论了对这些目标的批评。最后，针对2017年NHP提出了改进卫生系统的建议和建议。本文基于二手文献和灰色文献对NHP 2017进行批判性分析。从二手文献的证据已并列比较和对比的困难，在执行的政策。通过使用卫生政策、卫生政策影响、卫生人力资源、卫生保健信息技术、医院、药品和医疗设备、健康保险和公共卫生等关键字，从谷歌、谷歌Scholar、Web of Sciences、Embase、PubMed和PubMed Central等电子检索和索引门户网站获取文献。考虑到前两个国家卫生计划的实施挑战，当前的国家卫生计划2017应该与基层的细微差别相关，不仅应该解决卫生保健需求，而且应该解决人类发展指标。
{"title":"Can the National Health Policy 2017 Strengthen the National Health System and Improve the Health of the Indian Populace?","authors":"R. Dehury, Janmejaya Samal, A. Raza, Shawnn Cautinho, M. Behera, P. Dehury","doi":"10.1177/09720634231175748","DOIUrl":"https://doi.org/10.1177/09720634231175748","url":null,"abstract":"The union cabinet approved the National Health Policy (NHP) 2017 on 15 March 2017. After its initial draft stage, seeking opinions from different stakeholders for nearly 34 months, the NHP 2017 came to the public domain with its final version. The main objective of this version of the NHP is to implement the proposed National Health Assurance Plan, which has been one of the agendas of the National Democratic Alliance (NDA) government for the healthcare of the people. The main objective of this article is to critically appraise and discuss the scopes and limitations in accomplishing the targets set in the policy document. A critique of the targets has also been discussed, considering the historical evidence and experiences of achieving the same. In the end, suggestions and recommendations have also been suggested for improving the health system regarding NHP 2017. The article critically analyses NHP 2017 based on secondary and grey literature. Evidence from secondary literature has been juxtaposed to compare and contrast the difficulty in implementing the policy. Literature is obtained from electronically accessible search and indexing portals, such as Google, Google Scholar, Web of Sciences, Embase, PubMed, and PubMed Central by using the keywords like health policy, impact of health policy, human resources in health, health care information technology, hospitals, pharmaceuticals and medical devices, health insurance and public health. Considering the implementation challenges of the previous two NHPs, the current NHP 2017 should be relevant to the grassroots level nuances and should address not only the healthcare needs but also the human development indicators.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"232 - 239"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65321072","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: 10.1177/09720634231177343
Alane Andrelino Ribeiro, Marcela Amaral Pontes, J. Bermudez, S. Leite
Transparency on drug costs and prices has been debated in the main areas of high-level governance in recent years. Brazil is one of the signatory countries to the Resolution of the World Health Organization on the transparency of the markets for medicines, vaccines, and other technologies and the transparency of the composition of the price of medicines can have an impact on the Brazilian health system. The aim of this scoping review was through documentary and literature analysis for definitions, characteristics, description, and theoretical grounding of Brazil’s attributes related to the voluntary commitments signed in the Resolution. Despite some limitations and barriers to achieving transparency in the composition of drug prices in Brazil, the country has a regulatory framework and successful experiences that can contribute towards improving price transparency. The Brazilian case indicates that transparency laws, policies, and institutional capacity could help provide some additional information for policymakers. Policymakers should also consider the use of health data interoperability standards to share information on the costs and pricing of medicines at all levels.
{"title":"Transparency of Medicines Market, from the Global Perspective to the Challenges Faced in Brazil","authors":"Alane Andrelino Ribeiro, Marcela Amaral Pontes, J. Bermudez, S. Leite","doi":"10.1177/09720634231177343","DOIUrl":"https://doi.org/10.1177/09720634231177343","url":null,"abstract":"Transparency on drug costs and prices has been debated in the main areas of high-level governance in recent years. Brazil is one of the signatory countries to the Resolution of the World Health Organization on the transparency of the markets for medicines, vaccines, and other technologies and the transparency of the composition of the price of medicines can have an impact on the Brazilian health system. The aim of this scoping review was through documentary and literature analysis for definitions, characteristics, description, and theoretical grounding of Brazil’s attributes related to the voluntary commitments signed in the Resolution. Despite some limitations and barriers to achieving transparency in the composition of drug prices in Brazil, the country has a regulatory framework and successful experiences that can contribute towards improving price transparency. The Brazilian case indicates that transparency laws, policies, and institutional capacity could help provide some additional information for policymakers. Policymakers should also consider the use of health data interoperability standards to share information on the costs and pricing of medicines at all levels.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"240 - 253"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41656031","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: 10.1177/09720634231175750
S. Gupta, S. Sharma, Santosh Kumar, N. Sharma, Ashok Jain
There is a growing global concern for healthcare quality and patient safety and several countries have initiated accreditation and self assessment programmes for improved quality healthcare and patient safety. Both are based on the quality improvement framework and standards. Case studies have shown that: I) Accreditation certification of hospitals and healthcare facilities has been improved the quality of healthcare and related healthcare services. ii) Self-assessment by healthcare organisations has proved to be very useful tool for continuous and sustainable improvement in organization performance, quality of services, patient satisfaction over and above building the self-confidence of the care providers. In context of facility assessed it was carried out using a checklist specifically designed for this study with 318 items. The scoring pattern comprised total points and percent compliance for functional capacity of the hospital in comparison to prescribed norms. Assessment revealed maximum compliance in the categories of MIS and communication (100%). The facility lacked standard operating procedures, quality assurance system and fire safety system. Self-assessment as continuous feature will lay the basis for planning new interventions for impacting over all quality healthcare outcomes as well sustainability.
{"title":"Self-assessment of Public Healthcare Facility in Conformity with Accreditation Guidelines for Quality Services","authors":"S. Gupta, S. Sharma, Santosh Kumar, N. Sharma, Ashok Jain","doi":"10.1177/09720634231175750","DOIUrl":"https://doi.org/10.1177/09720634231175750","url":null,"abstract":"There is a growing global concern for healthcare quality and patient safety and several countries have initiated accreditation and self assessment programmes for improved quality healthcare and patient safety. Both are based on the quality improvement framework and standards. Case studies have shown that: I) Accreditation certification of hospitals and healthcare facilities has been improved the quality of healthcare and related healthcare services. ii) Self-assessment by healthcare organisations has proved to be very useful tool for continuous and sustainable improvement in organization performance, quality of services, patient satisfaction over and above building the self-confidence of the care providers. In context of facility assessed it was carried out using a checklist specifically designed for this study with 318 items. The scoring pattern comprised total points and percent compliance for functional capacity of the hospital in comparison to prescribed norms. Assessment revealed maximum compliance in the categories of MIS and communication (100%). The facility lacked standard operating procedures, quality assurance system and fire safety system. Self-assessment as continuous feature will lay the basis for planning new interventions for impacting over all quality healthcare outcomes as well sustainability.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"156 - 161"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45880209","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: 10.1177/09720634231175956
F. Isa, Shaista Noor, N. Mohammad
The entire world is progressing towards an ageing population, as, until 2030, 1.4 billion population will be elderly, which leads to 2.1 billion by 2050. The changing lifestyle and the declining fertility rate are main reasons for drastic makeover of economic environment and business issues. This study aims to examine the critical issues of Human Resource Management (HRM) in elderly care sector. The success of a business is associated with employed staff and ‘human resource’ in elderly care centres entails knowledge, skills, passion, loyalty, and personal traits. A qualitative research strategy is adopted, and semi-structured interviews were conducted with 10 HR executives of elderly care centres throughout Malaysia. Saldana’s structured inductive data analysis method for analysis. The result revealed critical issues of human resource management such as lack of professional and competent workers, absence of flexible and adaptive potential of employees. A recommendation plan is proposed regarding planning, recruitment, selection, training and professional development and supervision, and support of staff. Thus, it is imperative to achieve these objectives of human resource management in elderly care centres to provide graceful ageing to an older adult. The findings of the study may use as a guide for HR executives in elderly care centres.
{"title":"Critical Issues of Human Resource Management in Ageing Care Centres: Case of Malaysia","authors":"F. Isa, Shaista Noor, N. Mohammad","doi":"10.1177/09720634231175956","DOIUrl":"https://doi.org/10.1177/09720634231175956","url":null,"abstract":"The entire world is progressing towards an ageing population, as, until 2030, 1.4 billion population will be elderly, which leads to 2.1 billion by 2050. The changing lifestyle and the declining fertility rate are main reasons for drastic makeover of economic environment and business issues. This study aims to examine the critical issues of Human Resource Management (HRM) in elderly care sector. The success of a business is associated with employed staff and ‘human resource’ in elderly care centres entails knowledge, skills, passion, loyalty, and personal traits. A qualitative research strategy is adopted, and semi-structured interviews were conducted with 10 HR executives of elderly care centres throughout Malaysia. Saldana’s structured inductive data analysis method for analysis. The result revealed critical issues of human resource management such as lack of professional and competent workers, absence of flexible and adaptive potential of employees. A recommendation plan is proposed regarding planning, recruitment, selection, training and professional development and supervision, and support of staff. Thus, it is imperative to achieve these objectives of human resource management in elderly care centres to provide graceful ageing to an older adult. The findings of the study may use as a guide for HR executives in elderly care centres.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"382 - 392"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46525354","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: 10.1177/09720634231175741
Ö. Ünal, Mahmut Akbolat, Mustafa Amarat
This study was conducted to determine the practices, antecedents and outcomes of defensive medicine practices. For this purpose, this study was designed as a phenomenological research study using qualitative research methods. In-depth interviews were conducted with physicians who were practitioners and, thus, the experiencers of defensive medicine. The target population of the research consisted of 1,153 physicians working in the Sakarya city centre. The in-depth interviews were conducted with 21 physicians who agreed to participate. The resulting data were encoded and analysed using the NVIVO 12 software. As a result of this research, definitions of defensive medicine practices, positive defensive medicine and negative defensive medicine have been constructed using the expressions used by physicians. Besides, we obtained results indicating the practices of defensive medicine, the antecedents of defensive medicine and the outcomes of defensive medicine. The results of this study contribute to the literature in terms of providing comprehensive knowledge of defensive medicine.
{"title":"Determination of the Physician’s Experience of the Practices, Antecedents and Outcomes of Defensive Medicine Practices","authors":"Ö. Ünal, Mahmut Akbolat, Mustafa Amarat","doi":"10.1177/09720634231175741","DOIUrl":"https://doi.org/10.1177/09720634231175741","url":null,"abstract":"This study was conducted to determine the practices, antecedents and outcomes of defensive medicine practices. For this purpose, this study was designed as a phenomenological research study using qualitative research methods. In-depth interviews were conducted with physicians who were practitioners and, thus, the experiencers of defensive medicine. The target population of the research consisted of 1,153 physicians working in the Sakarya city centre. The in-depth interviews were conducted with 21 physicians who agreed to participate. The resulting data were encoded and analysed using the NVIVO 12 software. As a result of this research, definitions of defensive medicine practices, positive defensive medicine and negative defensive medicine have been constructed using the expressions used by physicians. Besides, we obtained results indicating the practices of defensive medicine, the antecedents of defensive medicine and the outcomes of defensive medicine. The results of this study contribute to the literature in terms of providing comprehensive knowledge of defensive medicine.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"254 - 262"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48102586","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: 10.1177/09720634231175583
Bayram Şahi̇n, Gulnur Ilgun, Seda Sonmez
In this study, it was aimed to examine the effect of nurses’ emotional labor levels on their intention to leave and to determine whether employee performance plays a mediating role in this relationship. The study is of descriptive cross-sectional type, which was conducted through a questionnaire on nurses. The surface acting has positive effect on the intent to leave among nurses, whereas deep acting has negative effect; employee performance has partial mediating role on the relationship between the surface acting and intent to leave, and the relationship between deep acting and intent to leave. The study is considered to provide significant tips in the identification of nurses with higher risk to leave the work, and in deciding managerial interventions that would be realised against such circumstances. It is suggested that it may be beneficial for nurse managers to organise training in their units, to evaluate the performance of nurses at regular intervals and thus to determine the reason for the increase and decrease, to plan activities that will reduce emotional burden.
{"title":"Mediating Effect of Employee Performance on the Relationship Between Emotional Labour and Intent to Leave Among Nurses","authors":"Bayram Şahi̇n, Gulnur Ilgun, Seda Sonmez","doi":"10.1177/09720634231175583","DOIUrl":"https://doi.org/10.1177/09720634231175583","url":null,"abstract":"In this study, it was aimed to examine the effect of nurses’ emotional labor levels on their intention to leave and to determine whether employee performance plays a mediating role in this relationship. The study is of descriptive cross-sectional type, which was conducted through a questionnaire on nurses. The surface acting has positive effect on the intent to leave among nurses, whereas deep acting has negative effect; employee performance has partial mediating role on the relationship between the surface acting and intent to leave, and the relationship between deep acting and intent to leave. The study is considered to provide significant tips in the identification of nurses with higher risk to leave the work, and in deciding managerial interventions that would be realised against such circumstances. It is suggested that it may be beneficial for nurse managers to organise training in their units, to evaluate the performance of nurses at regular intervals and thus to determine the reason for the increase and decrease, to plan activities that will reduce emotional burden.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"299 - 307"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49644218","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: 10.1177/09720634231175577
S. Singh, A. Siddhanta
This article aims to analyse the role of dual challenges in the HIV epidemic in India, especially in the context of the criticality of the emerging epidemic, in altering the HIV discordance among couples. Analysis of the evidence from two rounds of community-based HIV testing (NFHS-3&4) portrays that coverage of HIV testing in India has remarkably increased (91%) over the last decade. Although the overall prevalence of HIV in the country has declined, a noticeable decline can be found only among the males. The percentage of HIV concordant among couples in India remains unchanged (0.11%). Whereas, HIV prevalence among the couples where only the male partner is HIV positive has declined to 0.17% in NFHS-4 from 0.32% in NFHS-3. On the other hand, among couples where only the woman is HIV positive, the prevalence has increased. This shows that Indian women are in a disadvantageous position, and the gender difference in new infections is narrowing down. Thus, it can be said that the emerging HIV epidemic is altering the HIV discordance among couples in India, which poses the need to effectively and rapidly refine the HIV prevention strategies to target the sub-typologies and vulnerabilities.
{"title":"Whether HIV Discordance Among Couples Is Getting Altered Due to the Changing Discourseof the HIV Epidemic in India? Evidence fromTwo Rounds of National Family Health Survey","authors":"S. Singh, A. Siddhanta","doi":"10.1177/09720634231175577","DOIUrl":"https://doi.org/10.1177/09720634231175577","url":null,"abstract":"This article aims to analyse the role of dual challenges in the HIV epidemic in India, especially in the context of the criticality of the emerging epidemic, in altering the HIV discordance among couples. Analysis of the evidence from two rounds of community-based HIV testing (NFHS-3&4) portrays that coverage of HIV testing in India has remarkably increased (91%) over the last decade. Although the overall prevalence of HIV in the country has declined, a noticeable decline can be found only among the males. The percentage of HIV concordant among couples in India remains unchanged (0.11%). Whereas, HIV prevalence among the couples where only the male partner is HIV positive has declined to 0.17% in NFHS-4 from 0.32% in NFHS-3. On the other hand, among couples where only the woman is HIV positive, the prevalence has increased. This shows that Indian women are in a disadvantageous position, and the gender difference in new infections is narrowing down. Thus, it can be said that the emerging HIV epidemic is altering the HIV discordance among couples in India, which poses the need to effectively and rapidly refine the HIV prevention strategies to target the sub-typologies and vulnerabilities.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"263 - 271"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42232212","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: 10.1177/09720634231175957
S. Rathi, P. Sodani, Prashant Sharma
Abundant literature is available on an extremely high temperature associated with mortality for cities of the developed world, but there is a dearth in the literature for coastal, desert and dry cities of the developing world, especially for India. We examined all-cause mortality and extreme high temperature in three Indian cities representing coastal, desert and dry areas for summer months (March to June) from 2006 to 2015. We obtained the data on temperature and all-cause mortality for ten years for the summer months. The city-specific effect of ambient heat on all-cause mortality was assessed through time series ordinary least square linear regression model. A total of 75,571, 122,117 and 53,042 deaths for 1,203, 1,220 and 1,180 summer days from 2006 to 2015 were analysed with ambient temperature for Jaipur, Hyderabad and Surat, respectively. There were 994 (27.6%) out of 3,603 summer days having temperature ≥40°C and 2,495 (69.3%) out of 3,602 summer days having feel temperature/heat index (HI) of ≥41°C. According to the Indian Meteorological Department (IMD) criteria for the heatwave, Surat has the maximum number of 75 days with a maximum temperature of ≥40°C, whereas Hyderabad has only 4 days and Jaipur faced 35 days with a maximum temperature of ≥45°C during the study period. The per-day mean all-cause mortality increased to 39% and 11% for Jaipur and Hyderabad, respectively, at ≥45°C and 20% for the coastal city of Surat at ≥40°C as per IMD heatwave criteria. A time-series linear regression model shows that adjusted R-squared is 0.593, 0.629 and 0.348, which explained the variation of 59.3%, 62.9% and 34.8% for all-cause mortality (dependent variable) by independent variables (maximum temperature, humidity and HI) for Jaipur, Hyderabad and Surat, respectively. The maximum temperature threshold (cut-off) for all-cause mortality for Jaipur, Hyderabad and Surat is 42°C, 41°C and 40°C, respectively. The impact of ambient heat in the rise of all-cause mortality for all study sites was evident. Hence, findings support the efforts for reducing the public health burden of high ambient temperature through developing and implementing city-specific heat action plans.
{"title":"Spatial Variability of Summer Temperature and Related All-cause Mortality from 2006 to 2015 for Indian Cities: A Time Series Analysis","authors":"S. Rathi, P. Sodani, Prashant Sharma","doi":"10.1177/09720634231175957","DOIUrl":"https://doi.org/10.1177/09720634231175957","url":null,"abstract":"Abundant literature is available on an extremely high temperature associated with mortality for cities of the developed world, but there is a dearth in the literature for coastal, desert and dry cities of the developing world, especially for India. We examined all-cause mortality and extreme high temperature in three Indian cities representing coastal, desert and dry areas for summer months (March to June) from 2006 to 2015. We obtained the data on temperature and all-cause mortality for ten years for the summer months. The city-specific effect of ambient heat on all-cause mortality was assessed through time series ordinary least square linear regression model. A total of 75,571, 122,117 and 53,042 deaths for 1,203, 1,220 and 1,180 summer days from 2006 to 2015 were analysed with ambient temperature for Jaipur, Hyderabad and Surat, respectively. There were 994 (27.6%) out of 3,603 summer days having temperature ≥40°C and 2,495 (69.3%) out of 3,602 summer days having feel temperature/heat index (HI) of ≥41°C. According to the Indian Meteorological Department (IMD) criteria for the heatwave, Surat has the maximum number of 75 days with a maximum temperature of ≥40°C, whereas Hyderabad has only 4 days and Jaipur faced 35 days with a maximum temperature of ≥45°C during the study period. The per-day mean all-cause mortality increased to 39% and 11% for Jaipur and Hyderabad, respectively, at ≥45°C and 20% for the coastal city of Surat at ≥40°C as per IMD heatwave criteria. A time-series linear regression model shows that adjusted R-squared is 0.593, 0.629 and 0.348, which explained the variation of 59.3%, 62.9% and 34.8% for all-cause mortality (dependent variable) by independent variables (maximum temperature, humidity and HI) for Jaipur, Hyderabad and Surat, respectively. The maximum temperature threshold (cut-off) for all-cause mortality for Jaipur, Hyderabad and Surat is 42°C, 41°C and 40°C, respectively. The impact of ambient heat in the rise of all-cause mortality for all study sites was evident. Hence, findings support the efforts for reducing the public health burden of high ambient temperature through developing and implementing city-specific heat action plans.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"179 - 190"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47224562","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: 10.1177/09720634231175740
Mustafa Amarat, Serkan Deniz, Mahmut Akbolat, M. Çimen
This study focuses on feelings of loneliness and hopelessness in which COVID-19 was created. The research addresses the following questions: (a) How does trust in government or media affect loneliness and hopelessness during the COVID-19 pandemic? (b) How does trust in interpersonal information affect loneliness and hopelessness? (c) What is the mediating role of perceived personal sensitivity, hand hygiene, and social distance in the effect of trust in government or media on loneliness and hopelessness? (d) What is the mediating role of perceived personal sensitivity, hand hygiene, and social distance in the effect of trust on interpersonal information on loneliness and hopelessness? Trust in government or media information (β: 0.200) positively affects Situational Awareness variables. While Trust in interpersonal information (β: −0.106) affects negatively. Situational Awareness creates a negative effect on Loneliness (β: −0.129) and Hopeless (β: −0.155), while Health Protective Response affects positively. Finally, Health Protective Response negatively affects Loneliness (β: 0.245) and Hopeless (β: 0.253). Interpersonal information, on the other hand, causes individuals to feel both hopeless and lonely. And, when the relationship between individuals’ health protective response with hopelessness and loneliness is examined, it is understood that both health protection responses negatively affect these two emotional states, even if they have different effect levels. As individuals display health protection responses, they have higher hopes for the future and the loneliness felt decreases.
{"title":"Examining the Effect of Situational Awareness and Health Protection Behaviour on Loneliness and Hopelessness in COVID-19 Process","authors":"Mustafa Amarat, Serkan Deniz, Mahmut Akbolat, M. Çimen","doi":"10.1177/09720634231175740","DOIUrl":"https://doi.org/10.1177/09720634231175740","url":null,"abstract":"This study focuses on feelings of loneliness and hopelessness in which COVID-19 was created. The research addresses the following questions: (a) How does trust in government or media affect loneliness and hopelessness during the COVID-19 pandemic? (b) How does trust in interpersonal information affect loneliness and hopelessness? (c) What is the mediating role of perceived personal sensitivity, hand hygiene, and social distance in the effect of trust in government or media on loneliness and hopelessness? (d) What is the mediating role of perceived personal sensitivity, hand hygiene, and social distance in the effect of trust on interpersonal information on loneliness and hopelessness? Trust in government or media information (β: 0.200) positively affects Situational Awareness variables. While Trust in interpersonal information (β: −0.106) affects negatively. Situational Awareness creates a negative effect on Loneliness (β: −0.129) and Hopeless (β: −0.155), while Health Protective Response affects positively. Finally, Health Protective Response negatively affects Loneliness (β: 0.245) and Hopeless (β: 0.253). Interpersonal information, on the other hand, causes individuals to feel both hopeless and lonely. And, when the relationship between individuals’ health protective response with hopelessness and loneliness is examined, it is understood that both health protection responses negatively affect these two emotional states, even if they have different effect levels. As individuals display health protection responses, they have higher hopes for the future and the loneliness felt decreases.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"172 - 178"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65321009","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: 10.1177/09720634231175580
Carmen Amaia Ramírez-Torres, A. Pedraz-Marcos, María Loreto Maciá-Soler, Félix Rivera-Sanz
In 2008, the World Health Organization launched the Surgical Safety Checklist (SSC) to reduce the number of adverse events occurring at operating suites. The objective of this study was to explore middle managers’ experiences of patient safety culture, the meanings they attach to this culture, and their perceptions of one of its best-known strategies, the SSC. This study used a qualitative design involving structured interviews with the head of department, quality managers, and nursing supervisors at an operating suite. Eleven middle managers acknowledged that the SSC supports memory and instils accountability. Work overload was highlighted as the main barrier in SSC implementation, while feedback was identified as the main facilitator. We found significant differences in levels of understanding of patient safety culture among different types of middle managers and professions. Key aspects for promoting an effective, long-lasting patient safety culture were also identified.
{"title":"Perceptions of Patient Safety Among Middle Managers at an Operating Suite","authors":"Carmen Amaia Ramírez-Torres, A. Pedraz-Marcos, María Loreto Maciá-Soler, Félix Rivera-Sanz","doi":"10.1177/09720634231175580","DOIUrl":"https://doi.org/10.1177/09720634231175580","url":null,"abstract":"In 2008, the World Health Organization launched the Surgical Safety Checklist (SSC) to reduce the number of adverse events occurring at operating suites. The objective of this study was to explore middle managers’ experiences of patient safety culture, the meanings they attach to this culture, and their perceptions of one of its best-known strategies, the SSC. This study used a qualitative design involving structured interviews with the head of department, quality managers, and nursing supervisors at an operating suite. Eleven middle managers acknowledged that the SSC supports memory and instils accountability. Work overload was highlighted as the main barrier in SSC implementation, while feedback was identified as the main facilitator. We found significant differences in levels of understanding of patient safety culture among different types of middle managers and professions. Key aspects for promoting an effective, long-lasting patient safety culture were also identified.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"282 - 290"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48466501","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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