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}
Pub Date : 2023-06-01DOI: 10.1177/09720634231175590
Rita de Cássia Cerqueira de Paula, C. Rached, M. M. C. De Liberal
The 2017 annual review in several health sectors highlighted the importance of medical auditing, based on the analysis of accounts, extensions with pertinent discussions between external and internal auditor, concurrent audit, using medicine based on evidence to reduce costs and guarantee the quality of services provided. The article is justified by the scarcity of academic studies that link Health Economics with the implementation of internal audits, as it is a subject little explored by scientific research yet. The study consists in bibliographic research on the most recent publications that address the theoretical and practical concepts related to the implementation of Strategic Sourcing programs in the field of health in large hospitals of high and medium complexity. It is necessary to define the role of the health auditor as the professional who will help managers to see the medical bill based on the value in health and not only in the cut in hospital expenses. Studies of the possible outcomes aimed at comprehensive health care, auditors are required to control costs. This information helps in the search for the most effective way to meet specific needs in terms of service, focusing on maximising human and material resources available.
{"title":"The Leader Medical Audit in Hospital Routine Resource","authors":"Rita de Cássia Cerqueira de Paula, C. Rached, M. M. C. De Liberal","doi":"10.1177/09720634231175590","DOIUrl":"https://doi.org/10.1177/09720634231175590","url":null,"abstract":"The 2017 annual review in several health sectors highlighted the importance of medical auditing, based on the analysis of accounts, extensions with pertinent discussions between external and internal auditor, concurrent audit, using medicine based on evidence to reduce costs and guarantee the quality of services provided. The article is justified by the scarcity of academic studies that link Health Economics with the implementation of internal audits, as it is a subject little explored by scientific research yet. The study consists in bibliographic research on the most recent publications that address the theoretical and practical concepts related to the implementation of Strategic Sourcing programs in the field of health in large hospitals of high and medium complexity. It is necessary to define the role of the health auditor as the professional who will help managers to see the medical bill based on the value in health and not only in the cut in hospital expenses. Studies of the possible outcomes aimed at comprehensive health care, auditors are required to control costs. This information helps in the search for the most effective way to meet specific needs in terms of service, focusing on maximising human and material resources available.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"334 - 339"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45963657","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: 10.1177/09720634231177341
S. Ongan, Ismet Gocer
This study investigates the potential impacts of different socio-economic-demographic (henceforth, SED) factors in COVID-19-related stay-at-home-tendencies (henceforth, COVID-19-SAHTs) in the US. This requires a state-level investigation rather than a country-level since the US states exhibit large SED differences from one another. To this aim, the K-Means Cluster analysis and the panel autoregressive distributed lag models are applied. The main empirical finding indicates that different SED factors in different US states matter in COVID-19-SAHTs. Additionally, people in the states which have more equal income distribution, higher rate of basic literacy, and less population density stay at their homes more during the COVID-19 pandemic. These findings may provide some vital pre-information to the state policymakers about how much the people from different SED statuses will tend to comply with future COVID-19 state restrictions such as stay-at-home orders and others. Until the scientists create a proven vaccine for the coronavirus, states will most likely continue to issue some COVID-19 restrictions to reduce the spread of this pandemic.
{"title":"Do Different Socio-economic-demographic Factors Matter in COVID-19 Related Stay-at-home-tendencies Across the US States?","authors":"S. Ongan, Ismet Gocer","doi":"10.1177/09720634231177341","DOIUrl":"https://doi.org/10.1177/09720634231177341","url":null,"abstract":"This study investigates the potential impacts of different socio-economic-demographic (henceforth, SED) factors in COVID-19-related stay-at-home-tendencies (henceforth, COVID-19-SAHTs) in the US. This requires a state-level investigation rather than a country-level since the US states exhibit large SED differences from one another. To this aim, the K-Means Cluster analysis and the panel autoregressive distributed lag models are applied. The main empirical finding indicates that different SED factors in different US states matter in COVID-19-SAHTs. Additionally, people in the states which have more equal income distribution, higher rate of basic literacy, and less population density stay at their homes more during the COVID-19 pandemic. These findings may provide some vital pre-information to the state policymakers about how much the people from different SED statuses will tend to comply with future COVID-19 state restrictions such as stay-at-home orders and others. Until the scientists create a proven vaccine for the coronavirus, states will most likely continue to issue some COVID-19 restrictions to reduce the spread of this pandemic.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"219 - 224"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46117594","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: 10.1177/09720634231175949
Terry L. Rentner, Saud A. Alsulaiman
While the world is struggling with a Coronavirus (COVID-19) pandemic in 2020, one country, the Kingdom of Saudi Arabia, has been tackling a different strain of the Coronavirus, the Middle East Respiratory Syndrome Coronavirus (MERS-CoV), since 2012. The Ministry of Health (MOH) has been working to ensure the safety and health of Saudi residents, particularly during the annual pilgrimage season. This study examined information-seeking behaviours among Saudi people regarding MERS-CoV and the level of adherence to health preventive measures during the Hajj season. The study used the Health Belief Model (HBM) to assess perceived severity among Saudis. The study aimed to measure Saudi’s levels of fear from being infected with MERS-CoV. Snowball sampling and simple random probability sampling methods were utilized. A total of 1,206 participated in the study. Mann–Whitney U test, Kruskal-Wallis test, Chi-Square test of independence, Spearman’s rank correlation coefficient tests were conducted. The study found that the MOH needed to be more effective in sharing MERS-CoV information and that most Saudis had high perceived severity of MERS-CoV but did not fear contracting MERS-CoV, nor did it impact decisions to attend Hajj. Further results found that respondents with high perceived severity of contracting MERS-CoV were less likely to seek Coronavirus information than those with lower scores.
{"title":"Saudis Perceived Severity of Middle East Respiratory Coronavirus (MERS-CoV) and Preventive Measures","authors":"Terry L. Rentner, Saud A. Alsulaiman","doi":"10.1177/09720634231175949","DOIUrl":"https://doi.org/10.1177/09720634231175949","url":null,"abstract":"While the world is struggling with a Coronavirus (COVID-19) pandemic in 2020, one country, the Kingdom of Saudi Arabia, has been tackling a different strain of the Coronavirus, the Middle East Respiratory Syndrome Coronavirus (MERS-CoV), since 2012. The Ministry of Health (MOH) has been working to ensure the safety and health of Saudi residents, particularly during the annual pilgrimage season. This study examined information-seeking behaviours among Saudi people regarding MERS-CoV and the level of adherence to health preventive measures during the Hajj season. The study used the Health Belief Model (HBM) to assess perceived severity among Saudis. The study aimed to measure Saudi’s levels of fear from being infected with MERS-CoV. Snowball sampling and simple random probability sampling methods were utilized. A total of 1,206 participated in the study. Mann–Whitney U test, Kruskal-Wallis test, Chi-Square test of independence, Spearman’s rank correlation coefficient tests were conducted. The study found that the MOH needed to be more effective in sharing MERS-CoV information and that most Saudis had high perceived severity of MERS-CoV but did not fear contracting MERS-CoV, nor did it impact decisions to attend Hajj. Further results found that respondents with high perceived severity of contracting MERS-CoV were less likely to seek Coronavirus information than those with lower scores.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"191 - 200"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45146104","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: 10.1177/09720634231175747
P. Jelly, Suresh K. Sharma, V. Saxena, Rakesh Sharma
India is trying to achieve the target of sustainable development goals of reducing maternal mortality ratio to 70/1,00,000 live births by the year 2030. The maternal mortality in Uttarakhand is 89/100,000 live birth (2015–2017), against the national average of 122. Daley in the care during the labour process, poor transport system, and inadequate health care facilities for maternal care leading to maternal and infant mortality are not well understood, including other contributing factors. In Uttarakhand, maternal haemorrhage (22.9%), eclampsia (14.6%), sepsis (10.6%), rupture of the uterus (6.2%), ectopic pregnancy (2.1%), and pulmonary embolism (2.1%) were the direct causes for maternal mortality; the indirect causes were anaemia (16.6%), jaundice (12.5%), heart diseases during pregnancy (6.2%), and other communicable diseases (6.3%). Age at pregnancy, not having health schemes, health care accessibility, presence of complications, and residing in a rural area were additional risk factors. Being multigravida adds to a higher risk for women to die (66.7%). Common causes of neonatal mortality were birth asphyxia (20.4%) and preterm birth (15.4%), whereas pneumonia (26.1%), septicaemia (12.5%), diarrhoeal and acute gastroenteritis (19%) were common causes for post-neonatal deaths. It was also reported that prematurity with respiratory distress syndrome (37.7%), septicaemia (16.8%), and perinatal asphyxia (13.9%) were the leading causes in Uttarakhand, while neonatal seizures (3.54%), congenital anomalies (3.23%), intrauterine growth restriction (IUGR) (2.6%), and neonatal jaundice (2.3%) were fewer common causes reported. Multidirectional contributing factors had been reported for maternal and infant mortality, so it needs a multidimensional approach to address the issue.
{"title":"A Comprehensive Review of Causes and Determinants of Maternal and Infant Mortality in Uttarakhand","authors":"P. Jelly, Suresh K. Sharma, V. Saxena, Rakesh Sharma","doi":"10.1177/09720634231175747","DOIUrl":"https://doi.org/10.1177/09720634231175747","url":null,"abstract":"India is trying to achieve the target of sustainable development goals of reducing maternal mortality ratio to 70/1,00,000 live births by the year 2030. The maternal mortality in Uttarakhand is 89/100,000 live birth (2015–2017), against the national average of 122. Daley in the care during the labour process, poor transport system, and inadequate health care facilities for maternal care leading to maternal and infant mortality are not well understood, including other contributing factors. In Uttarakhand, maternal haemorrhage (22.9%), eclampsia (14.6%), sepsis (10.6%), rupture of the uterus (6.2%), ectopic pregnancy (2.1%), and pulmonary embolism (2.1%) were the direct causes for maternal mortality; the indirect causes were anaemia (16.6%), jaundice (12.5%), heart diseases during pregnancy (6.2%), and other communicable diseases (6.3%). Age at pregnancy, not having health schemes, health care accessibility, presence of complications, and residing in a rural area were additional risk factors. Being multigravida adds to a higher risk for women to die (66.7%). Common causes of neonatal mortality were birth asphyxia (20.4%) and preterm birth (15.4%), whereas pneumonia (26.1%), septicaemia (12.5%), diarrhoeal and acute gastroenteritis (19%) were common causes for post-neonatal deaths. It was also reported that prematurity with respiratory distress syndrome (37.7%), septicaemia (16.8%), and perinatal asphyxia (13.9%) were the leading causes in Uttarakhand, while neonatal seizures (3.54%), congenital anomalies (3.23%), intrauterine growth restriction (IUGR) (2.6%), and neonatal jaundice (2.3%) were fewer common causes reported. Multidirectional contributing factors had been reported for maternal and infant mortality, so it needs a multidimensional approach to address the issue.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"291 - 298"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45142680","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: 10.1177/09720634231177336
N. Amiri, Manal Ali
Marketing is an important branch of management in every business. It manages the exchange relationships between buyers and sellers. In the healthcare industry, exchange relationships involve various stakeholders, including marketers, healthcare providers, patients, and others. The study aims to figure out the role of nurses, who form the largest segment of the workers in healthcare organisations, in marketing for their profession, services, and organisations, and identify the impact of their marketing role on their profession and organisational performance. Besides, the study aims to come up with a model that displays the findings, including the relationships between nurse’s roles in marketing and its influence on organisational performance. To achieve these goals, the authors adopted the literature review research method to summarise the findings of published articles in academic journals. The study has revealed that nurses should consider building their image and improving healthcare services using a well-structured marketing plan. Furthermore, the study suggested a model that links building a positive professional image and enhancing the healthcare services by nurses to improve their organisational performance moderated by internal marketing of the organisation towards nurses.
{"title":"The Roles of Nurses as Marketers: A Literature Review","authors":"N. Amiri, Manal Ali","doi":"10.1177/09720634231177336","DOIUrl":"https://doi.org/10.1177/09720634231177336","url":null,"abstract":"Marketing is an important branch of management in every business. It manages the exchange relationships between buyers and sellers. In the healthcare industry, exchange relationships involve various stakeholders, including marketers, healthcare providers, patients, and others. The study aims to figure out the role of nurses, who form the largest segment of the workers in healthcare organisations, in marketing for their profession, services, and organisations, and identify the impact of their marketing role on their profession and organisational performance. Besides, the study aims to come up with a model that displays the findings, including the relationships between nurse’s roles in marketing and its influence on organisational performance. To achieve these goals, the authors adopted the literature review research method to summarise the findings of published articles in academic journals. The study has revealed that nurses should consider building their image and improving healthcare services using a well-structured marketing plan. Furthermore, the study suggested a model that links building a positive professional image and enhancing the healthcare services by nurses to improve their organisational performance moderated by internal marketing of the organisation towards nurses.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"327 - 333"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48726821","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: 10.1177/09720634231175947
Sanjukta Sarkar
Women’s abuse is a global health problem that erodes their self-esteem and saps their energy. Research evidence for India mainly focusses on use of reproductive healthcare services by women based on their experience of intimate partner violence during pregnancy. We hypothesise that non-partner violence during pregnancy can be equally detrimental for women and their children’s well-being. As this aspect remains unexplored, we investigate the relationship between physical non-partner violence (PNPV) faced by women during pregnancy in India and utilisation of three reproductive healthcare services by them, namely antenatal care, institutional delivery and postnatal checks. Using data from the fourth round of the National Family Health Survey and employing binary multivariable logistic regression models under the framework of the Andersen–Newman Behavioural Model of health services utilisation, we find that women who experience PNPV during pregnancy are significantly more likely to give birth in a medical facility but less likely to make use of postnatal care services. Thus, recognising the connection between violence during pregnancy and the utilisation of maternal health services can enable healthcare and other social support organisations to identify the unique needs of pregnant women experiencing abuse and help in reducing such violence from happening in the first place.
{"title":"Non-partner Violence During Pregnancy and Utilisation of Reproductive Healthcare Services by Women in India: An Application of the Andersen–Newman Behavioural Model","authors":"Sanjukta Sarkar","doi":"10.1177/09720634231175947","DOIUrl":"https://doi.org/10.1177/09720634231175947","url":null,"abstract":"Women’s abuse is a global health problem that erodes their self-esteem and saps their energy. Research evidence for India mainly focusses on use of reproductive healthcare services by women based on their experience of intimate partner violence during pregnancy. We hypothesise that non-partner violence during pregnancy can be equally detrimental for women and their children’s well-being. As this aspect remains unexplored, we investigate the relationship between physical non-partner violence (PNPV) faced by women during pregnancy in India and utilisation of three reproductive healthcare services by them, namely antenatal care, institutional delivery and postnatal checks. Using data from the fourth round of the National Family Health Survey and employing binary multivariable logistic regression models under the framework of the Andersen–Newman Behavioural Model of health services utilisation, we find that women who experience PNPV during pregnancy are significantly more likely to give birth in a medical facility but less likely to make use of postnatal care services. Thus, recognising the connection between violence during pregnancy and the utilisation of maternal health services can enable healthcare and other social support organisations to identify the unique needs of pregnant women experiencing abuse and help in reducing such violence from happening in the first place.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"317 - 326"},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47145726","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 : 2023-05-31DOI: 10.1177/09720634231168250
Asim Mehmood, Z. Ahmed, Khalid Ghailan, Sushil Dohare, J. Varghese, F. Azeez
Payment methods based on a controlled or adjusted prospective payment system rather than ‘Fee for Services’ or direct payment are considered beneficial to access the healthcare delivery services. The purpose of this review was to identify technical challenges faced by three WHO regions, namely, Western Pacific, South East Asia Eastern and the Mediterranean while establishing or adopting a diagnosis-related group (DRG)/case-mix grouper and report the extent of implementing this system for reimbursement and healthcare financing in three WHO regions, namely, Western Pacific, South East Asia Eastern and the Mediterranean. The study followed PRISMA guidelines, and 33 articles published from 1st January 2009 to 31st December 2019 were selected for critical appraisal after systematic filtration. The objectives of the implementation of the DRG system in most developed and developing countries in these regions were to bring transparency in the payment system and reduce treatment costs by avoiding unnecessary healthcare services. The countries in the study regions were at different levels of economic and social development status, therefore the implementation and adaptation status of DRG/case-mix system/grouper varied in these countries The findings revealed that most of the countries faced challenges related to inequalities and inefficiencies in the healthcare system, shortage of funding, poor documentation related to diagnosis and procedures, incomplete medical record files and lack of primary data required for the case-mix system during the DRG/case-mix adaptation phase. The results also pointed to the importance of initial pilot testing of the DRG/case-mix system/grouper and careful manipulation and adaptation to the local context, especially when the DRG system/grouper imported from other countries.
{"title":"Implementation of Healthcare Financing Based on Diagnosis-related Group in Three WHO Regions; Western Pacific, South East Asia and Eastern Mediterranean: A Systematic Review","authors":"Asim Mehmood, Z. Ahmed, Khalid Ghailan, Sushil Dohare, J. Varghese, F. Azeez","doi":"10.1177/09720634231168250","DOIUrl":"https://doi.org/10.1177/09720634231168250","url":null,"abstract":"Payment methods based on a controlled or adjusted prospective payment system rather than ‘Fee for Services’ or direct payment are considered beneficial to access the healthcare delivery services. The purpose of this review was to identify technical challenges faced by three WHO regions, namely, Western Pacific, South East Asia Eastern and the Mediterranean while establishing or adopting a diagnosis-related group (DRG)/case-mix grouper and report the extent of implementing this system for reimbursement and healthcare financing in three WHO regions, namely, Western Pacific, South East Asia Eastern and the Mediterranean. The study followed PRISMA guidelines, and 33 articles published from 1st January 2009 to 31st December 2019 were selected for critical appraisal after systematic filtration. The objectives of the implementation of the DRG system in most developed and developing countries in these regions were to bring transparency in the payment system and reduce treatment costs by avoiding unnecessary healthcare services. The countries in the study regions were at different levels of economic and social development status, therefore the implementation and adaptation status of DRG/case-mix system/grouper varied in these countries The findings revealed that most of the countries faced challenges related to inequalities and inefficiencies in the healthcare system, shortage of funding, poor documentation related to diagnosis and procedures, incomplete medical record files and lack of primary data required for the case-mix system during the DRG/case-mix adaptation phase. The results also pointed to the importance of initial pilot testing of the DRG/case-mix system/grouper and careful manipulation and adaptation to the local context, especially when the DRG system/grouper imported from other countries.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"25 1","pages":"404 - 413"},"PeriodicalIF":2.3,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48136136","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 : 2023-05-30DOI: 10.1177/09720634231167033
Kirti Tyagi
Global health authorities are trying to identify factors that influence people’s behavioural patterns to engage in preventive measures against COVID-19. The study examines the predictors of precautionary behaviours following the socio-emotional-cognitive risk perception model and presents a descriptive picture of people’s risk perception and precautionary behaviours during the COVID-19 lockdown in India. Around 203 participants in the age group of 18–67 years living in different covid active zones of India completed the online survey. Indian participants reported high engagement in various precautionary behaviours, with a high level of awareness and risk perception towards the diseases. Participants also expressed moderate to high level of worry towards the pandemic, with a moderate level of trust in the government’s ability to fight the pandemic. Further, a significant positive relationship was observed between risk severity, perceived personal risk impact, and anxiety towards the pandemic, and between awareness and engagement in precautionary behaviours. Additionally, only cognitive factors of risk perception (e.g., perceived psychological invulnerability and awareness about diseases) were found to be significant predictors for engagement in precautionary behaviours. Therefore, the present study emphasises how health agencies should create risk messages that increase people’s estimation of personal risk and knowledge towards the virus.
{"title":"The Interplay of Social, Emotional and Cognitive Factors of Risk Perception and Engagement in Precautionary Behaviours during COVID-19 Lockdown (4.0) in India","authors":"Kirti Tyagi","doi":"10.1177/09720634231167033","DOIUrl":"https://doi.org/10.1177/09720634231167033","url":null,"abstract":"Global health authorities are trying to identify factors that influence people’s behavioural patterns to engage in preventive measures against COVID-19. The study examines the predictors of precautionary behaviours following the socio-emotional-cognitive risk perception model and presents a descriptive picture of people’s risk perception and precautionary behaviours during the COVID-19 lockdown in India. Around 203 participants in the age group of 18–67 years living in different covid active zones of India completed the online survey. Indian participants reported high engagement in various precautionary behaviours, with a high level of awareness and risk perception towards the diseases. Participants also expressed moderate to high level of worry towards the pandemic, with a moderate level of trust in the government’s ability to fight the pandemic. Further, a significant positive relationship was observed between risk severity, perceived personal risk impact, and anxiety towards the pandemic, and between awareness and engagement in precautionary behaviours. Additionally, only cognitive factors of risk perception (e.g., perceived psychological invulnerability and awareness about diseases) were found to be significant predictors for engagement in precautionary behaviours. Therefore, the present study emphasises how health agencies should create risk messages that increase people’s estimation of personal risk and knowledge towards the virus.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135643007","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 : 2023-05-11DOI: 10.1177/09720634231167635
Rupa Sarkar
Reproductive Health Account construction was a long-envisioned dream in the State of Karnataka, India, for capturing inter-actor fund flows in reproductive health. Previous attempts in few states lead to successful identification of enablers and disablers within this systemic context. A Reproductive Health Account was constructed using primary reproductive health expenditure data, collected from a pre-estimated sample size of 519 households spread across 15 villages, using probability proportional to size method, from two selected sub-districts Channapatna and Ramanagara, having mediocre performance indices, within Ramanagara District of Karnataka. Secondary data were extracted from public health websites. Expenditures incurred on six types of health services by respondents of reproductive age group (15–49) during financial year, 2017–2018, within two sub-districts was collected over financial year, 2018–2019. Processed data were then converted to four ‘origin to destination’ matrices each capturing fund movement among two actors, based on accounting principles of National Health Account to develop a contextual Reproductive Health Account. Study included four actors namely financial sources, financial agents, health providers and health activities, all pertaining to reproductive health domain. Matrices helped identify a massive 87.23% burden on households, majorly financed by mortgage bearing astronomical interests and sale of meagre assets. Public sector healthcare at 5.47% was found performing unsatisfactorily. Tertiary level was absorbing disproportional amount of 62.93% funds in conjunction with the laboratory and imaging services. Moreover, pharmaceutical bills at 22.97% caused prolonged distress to these households. Government intervention towards absence and shortage of quality infrastructure at the primary and secondary sector levels needs reviewing, for containment of the massive out-of-pocket expenditures.
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