Pub Date : 2023-06-19DOI: 10.1177/09720634231167034
K. Dash, P. Jena, K. Patel, M. Behera, Sasmita Nayak, S. Satpathy
Increasing number of evidence is linking household air pollution (HAP) with the respiratory and general health of people. In this context, this study tries to review and synthesize the Indian evidence on exposure to household air pollution and respiratory health outcomes from the epidemiological studies conducted in India. The literature is gathered by searching national and international databases and selected using PRISMA guidelines. Included 11 studies that suggested higher odds of developing respiratory illness in HAP-exposed individuals than the non-exposed ones. Most of the studies focused on respiratory health outcomes following exposure to HAP among women and children. Household air pollution was found to be associated with an increased risk of acute lower respiratory infections in children. Though Indian evidence is limited, household air pollution in combination with increasing ambient air pollution can have a significant health impact on the Indian population. Along with current legislative, administrative, and community efforts, higher individual and collective efforts are essential to reduce the overall impact of household air pollution in Indian settings.
{"title":"The Indian Epidemiological Evidences on Household Air Pollution and Respiratory Health Outcomes","authors":"K. Dash, P. Jena, K. Patel, M. Behera, Sasmita Nayak, S. Satpathy","doi":"10.1177/09720634231167034","DOIUrl":"https://doi.org/10.1177/09720634231167034","url":null,"abstract":"Increasing number of evidence is linking household air pollution (HAP) with the respiratory and general health of people. In this context, this study tries to review and synthesize the Indian evidence on exposure to household air pollution and respiratory health outcomes from the epidemiological studies conducted in India. The literature is gathered by searching national and international databases and selected using PRISMA guidelines. Included 11 studies that suggested higher odds of developing respiratory illness in HAP-exposed individuals than the non-exposed ones. Most of the studies focused on respiratory health outcomes following exposure to HAP among women and children. Household air pollution was found to be associated with an increased risk of acute lower respiratory infections in children. Though Indian evidence is limited, household air pollution in combination with increasing ambient air pollution can have a significant health impact on the Indian population. Along with current legislative, administrative, and community efforts, higher individual and collective efforts are essential to reduce the overall impact of household air pollution in Indian settings.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45277201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-19DOI: 10.1177/09720634231167240
Fariastuti Djafar
This study aims to describe the COVID-19 cases in the host countries and the home provinces of Indonesian migrant workers (IMWs), and to explore the process of returning home for the IMWs during the first six months of COVID-19 pandemic in Indonesia. The study employed secondary data mainly published by the Indonesian government and the news media. The data were analysed descriptively and exploratively. The study reveals that the potential returnees were from the host countries that had a number of COVID-19 cases which was not necessarily lower than Indonesia. Some provinces in Java had a large number of potential returning migrant workers as well as a number of COVID-19 cases. The IMWs returned home both legally and illegally while the COVID-19 cases were dominated by the local cases.
{"title":"The COVID-19 Pandemic and the Return of Indonesian Migrant Workers","authors":"Fariastuti Djafar","doi":"10.1177/09720634231167240","DOIUrl":"https://doi.org/10.1177/09720634231167240","url":null,"abstract":"This study aims to describe the COVID-19 cases in the host countries and the home provinces of Indonesian migrant workers (IMWs), and to explore the process of returning home for the IMWs during the first six months of COVID-19 pandemic in Indonesia. The study employed secondary data mainly published by the Indonesian government and the news media. The data were analysed descriptively and exploratively. The study reveals that the potential returnees were from the host countries that had a number of COVID-19 cases which was not necessarily lower than Indonesia. Some provinces in Java had a large number of potential returning migrant workers as well as a number of COVID-19 cases. The IMWs returned home both legally and illegally while the COVID-19 cases were dominated by the local cases.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48726051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/09720634231177347
F. Idigo, N. Chijioke, A. Anakwue, U. Nwogu, B. U. Maduka
Increasing incidence of no-shows has been identified as a major challenge to planning of appointment schedules which imparts negatively on revenue generation and system efficiency. This cross-sectional study analysed the scheduling method in use, appointment delay time, appointment compliance rate and no-show rate of patients in the ultrasound unit of a Nigerian tertiary hospital, using observation, patient records and questionnaires. Information obtained were: The time interval between clinician request and examination appointment schedule, patient load distribution, scheduling method, number of patients scheduled and number that kept to appointment scheduling, and as well staff opinion on reasons for patients’ length of stay for ultrasound investigations. The results showed that the single-block scheduling method was used and patients’ arrival was highest between 7:12 and 9:00 hours with decreasing rate as the day progresses. The time interval between request and appointment was 12–14 days. Appointment compliance rate was observed to be 5.5, while no show rate was 4.5. Poor state of ultrasound machines was observed to be the highest contributing factor to patient delays with Kendall’s coefficient of concordance 0.466. The findings of this work can be utilized in efficient planning of public hospital ultrasound units to enhance patient access.
{"title":"Assessment of Scheduling Method,Appointment Delay, and No-show Rate in the Ultrasound Unit of a Nigerian Teaching Hospital","authors":"F. Idigo, N. Chijioke, A. Anakwue, U. Nwogu, B. U. Maduka","doi":"10.1177/09720634231177347","DOIUrl":"https://doi.org/10.1177/09720634231177347","url":null,"abstract":"Increasing incidence of no-shows has been identified as a major challenge to planning of appointment schedules which imparts negatively on revenue generation and system efficiency. This cross-sectional study analysed the scheduling method in use, appointment delay time, appointment compliance rate and no-show rate of patients in the ultrasound unit of a Nigerian tertiary hospital, using observation, patient records and questionnaires. Information obtained were: The time interval between clinician request and examination appointment schedule, patient load distribution, scheduling method, number of patients scheduled and number that kept to appointment scheduling, and as well staff opinion on reasons for patients’ length of stay for ultrasound investigations. The results showed that the single-block scheduling method was used and patients’ arrival was highest between 7:12 and 9:00 hours with decreasing rate as the day progresses. The time interval between request and appointment was 12–14 days. Appointment compliance rate was observed to be 5.5, while no show rate was 4.5. Poor state of ultrasound machines was observed to be the highest contributing factor to patient delays with Kendall’s coefficient of concordance 0.466. The findings of this work can be utilized in efficient planning of public hospital ultrasound units to enhance patient access.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45268963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/09720634231175950
S. Sukkha, S. Sangroongruangsri, Jaturon Malaphan, Pattira Sodsee, Aumakorn Kongjaew, Waraporn Sakdamnuson, A. Ingsathit, Pakwan Bunupuradah
Human serum albumin (HSA) is a commonly used product with high impact on healthcare expenditure. Little is known regarding the appropriateness of HSA use in healthcare system. This study aimed to assess prescriber’s compliance to the approved HSA criteria. Potential cost saving was also estimated. A cross-sectional study was performed in a tertiary care, university hospital in Bangkok in 2019. Prescriptions for HSA for all adult patients along with corresponding medical records were reviewed and assessed against the approved HSA criteria. Deviation from the criteria was used to estimate the potential cost saving. A total of 688 prescriptions were reviewed, 200 prescriptions met the inclusion criteria and were included in the analysis. Among six indications in the approved criteria for HSA, the rates of criteria compliance ranged from 48 to 90%. Hypoalbuminemia was found to be the main reason for inappropriate use. The estimated cost saving from inappropriate HSA use was €3,543 (€59 per prescription). Significant deviation from the approved criteria of HSA use was seen in a Thai hospital and significant cost saving can be made by increasing the compliance to the criteria. A practice improvement initiative to promote rational use of HSA is warranted.
{"title":"Prescribers’ Compliance to Human Serum Albumin Usage Criteria and Its Implication on Cost Saving","authors":"S. Sukkha, S. Sangroongruangsri, Jaturon Malaphan, Pattira Sodsee, Aumakorn Kongjaew, Waraporn Sakdamnuson, A. Ingsathit, Pakwan Bunupuradah","doi":"10.1177/09720634231175950","DOIUrl":"https://doi.org/10.1177/09720634231175950","url":null,"abstract":"Human serum albumin (HSA) is a commonly used product with high impact on healthcare expenditure. Little is known regarding the appropriateness of HSA use in healthcare system. This study aimed to assess prescriber’s compliance to the approved HSA criteria. Potential cost saving was also estimated. A cross-sectional study was performed in a tertiary care, university hospital in Bangkok in 2019. Prescriptions for HSA for all adult patients along with corresponding medical records were reviewed and assessed against the approved HSA criteria. Deviation from the criteria was used to estimate the potential cost saving. A total of 688 prescriptions were reviewed, 200 prescriptions met the inclusion criteria and were included in the analysis. Among six indications in the approved criteria for HSA, the rates of criteria compliance ranged from 48 to 90%. Hypoalbuminemia was found to be the main reason for inappropriate use. The estimated cost saving from inappropriate HSA use was €3,543 (€59 per prescription). Significant deviation from the approved criteria of HSA use was seen in a Thai hospital and significant cost saving can be made by increasing the compliance to the criteria. A practice improvement initiative to promote rational use of HSA is warranted.","PeriodicalId":45421,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43991096","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":null,"pages":null},"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: 10.1177/09720634231175741
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":null,"pages":null},"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: 10.1177/09720634231175956
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":null,"pages":null},"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: 10.1177/09720634231177343
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":null,"pages":null},"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: 10.1177/09720634231175748
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":null,"pages":null},"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: 10.1177/09720634231175583
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":null,"pages":null},"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}
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