Pub Date : 2023-11-10DOI: 10.1080/20479700.2023.2277985
Meenal Kulkarni
ABSTRACTMultiple sources contribute to the increased level of noise in a Hospital, which is way beyond the WHO recommendation limit of 35 dBA. The intensive care units contain many sources of noise, such as aspirators, monitors, mechanical ventilators, computers, printers, air conditioning vents, intercoms, staff, and doors. These sources are controllable but are overlooked. The objective of the present study is to identify the frequency of noise-producing sources in three intensive care units-Medical ICU, Neuro ICU, and Cardiac CU which were selected based on the feedback from patients. Data were collected in three shifts and included the identification of sources of sound and their classification into four categories. A sound level meter was used to record the data. Two extremes and one centre of each ICU were marked to take consistent readings in a template on an hourly basis. The average noise levels in all the 3 ICUs in the morning shift was 72.33 dBA, the afternoon shift was 72.15 dBA, and at night was 69.65 dBA. The most recurring noise sources were identified as monitor beeps (88.62%), and verbal communications (83.86%). The median intervals of the majority of the readings were between 65.1 and 70 dBA.KEYWORDS: Frequencyhospitalintensive care unitsnoisesources AcknowledgementsThe researcher deeply appreciates and acknowledges the support provided by staff and management of the healthcare unit for the entire duration of the study.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsMeenal KulkarniDr. Meenal Kulkarni is working as an Assistant Professor in the field of healthcare management and is associated with MIT-World Peace University, Pune. She holds PhD in healthcare management from Symbiosis International (Deemed University), Pune. Her research areas include healthcare operations management, human resource management in which she has published many research articles.
{"title":"Measuring the recurring frequency of noise producing sources in intensive care units (ICUs) of a tertiary care hospital in India","authors":"Meenal Kulkarni","doi":"10.1080/20479700.2023.2277985","DOIUrl":"https://doi.org/10.1080/20479700.2023.2277985","url":null,"abstract":"ABSTRACTMultiple sources contribute to the increased level of noise in a Hospital, which is way beyond the WHO recommendation limit of 35 dBA. The intensive care units contain many sources of noise, such as aspirators, monitors, mechanical ventilators, computers, printers, air conditioning vents, intercoms, staff, and doors. These sources are controllable but are overlooked. The objective of the present study is to identify the frequency of noise-producing sources in three intensive care units-Medical ICU, Neuro ICU, and Cardiac CU which were selected based on the feedback from patients. Data were collected in three shifts and included the identification of sources of sound and their classification into four categories. A sound level meter was used to record the data. Two extremes and one centre of each ICU were marked to take consistent readings in a template on an hourly basis. The average noise levels in all the 3 ICUs in the morning shift was 72.33 dBA, the afternoon shift was 72.15 dBA, and at night was 69.65 dBA. The most recurring noise sources were identified as monitor beeps (88.62%), and verbal communications (83.86%). The median intervals of the majority of the readings were between 65.1 and 70 dBA.KEYWORDS: Frequencyhospitalintensive care unitsnoisesources AcknowledgementsThe researcher deeply appreciates and acknowledges the support provided by staff and management of the healthcare unit for the entire duration of the study.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsMeenal KulkarniDr. Meenal Kulkarni is working as an Assistant Professor in the field of healthcare management and is associated with MIT-World Peace University, Pune. She holds PhD in healthcare management from Symbiosis International (Deemed University), Pune. Her research areas include healthcare operations management, human resource management in which she has published many research articles.","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"41 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135093471","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 : 2023-11-08DOI: 10.1080/20479700.2023.2277979
Ruchi Thakur, Mohd Shannawaz, Shazina Saeed
ABSTRACTIntroduction The limited awareness regarding financial security schemes and the complexity of health insurance influences individuals’ behaviour and hinders its adoption. This systematic review aims to analyse the current literature on the knowledge, attitude, and utilization of health insurance and will provide a comprehensive understanding of health insurance in India.Methods This review has been registered in PROSPERO. PRISMA 2020 guidelines were used for study screening and selection. Databases such as PubMed and Scopus were used to select relevant articles. Besides those databases, Google Scholar, ScienceDirect, and preprint servers like medRxiv were also used. A total of 28 articles were found relevant and included in the review.Results Based on different geographical regions, the study conducted in Kerala (89.27%) showed the highest knowledge percentage, while Delhi (19.10%) reported the lowest percentage. Positive attitude was most prevalent in Jammu and Kashmir (92.10%), and health insurance was most widely utilized in Karnataka (Kannada) (78.8%), with Odisha (12.60%) having the lowest utilization percentage.Conclusion The Information, Education and Communication (IEC) campaigns should be periodically conducted to raise the awareness, enrolment, and utilization of health insurance among the Indian populace.KEYWORDS: Health insuranceknowledgeawarenessattitudeperceptionutilization Disclosure statementConflicts of interests: The authors reported there are no competing interests to declare.Ethical approval: There are no human participants in this article and informed consent is not applicable.Data availability statementThe data that support the findings of this study are openly available in PubMed (https://pubmed.ncbi.nlm.nih.gov/), Google Scholar (https://scholar.google.com/), Scopus (https://www.scopus.com/search/form.uri?display=basic#basic), ScienceDirect (https://www.sciencedirect.com/) and medRxiv (https://www.medrxiv.org/)Additional informationFundingThe authors reported there is no funding associated with the work featured in this article.Notes on contributorsRuchi ThakurRuchi Thakur is a PhD Scholar in public health from Amity Institute of Public Health and Hospital Administration, Amity University, Noida, India.Mohd ShannawazDr. Mohd Shannawaz is an associate professor at Amity Institute of Public Health and Hospital Administration, Amity University, Noida, India.Shazina SaeedDr. Shazina Saeed is an assistant professor-III at Amity Institute of Public Health and Hospital Administration, Amity University, Noida, India.
{"title":"An analysis of knowledge, attitude, and utilization of health insurance in India: A systematic review","authors":"Ruchi Thakur, Mohd Shannawaz, Shazina Saeed","doi":"10.1080/20479700.2023.2277979","DOIUrl":"https://doi.org/10.1080/20479700.2023.2277979","url":null,"abstract":"ABSTRACTIntroduction The limited awareness regarding financial security schemes and the complexity of health insurance influences individuals’ behaviour and hinders its adoption. This systematic review aims to analyse the current literature on the knowledge, attitude, and utilization of health insurance and will provide a comprehensive understanding of health insurance in India.Methods This review has been registered in PROSPERO. PRISMA 2020 guidelines were used for study screening and selection. Databases such as PubMed and Scopus were used to select relevant articles. Besides those databases, Google Scholar, ScienceDirect, and preprint servers like medRxiv were also used. A total of 28 articles were found relevant and included in the review.Results Based on different geographical regions, the study conducted in Kerala (89.27%) showed the highest knowledge percentage, while Delhi (19.10%) reported the lowest percentage. Positive attitude was most prevalent in Jammu and Kashmir (92.10%), and health insurance was most widely utilized in Karnataka (Kannada) (78.8%), with Odisha (12.60%) having the lowest utilization percentage.Conclusion The Information, Education and Communication (IEC) campaigns should be periodically conducted to raise the awareness, enrolment, and utilization of health insurance among the Indian populace.KEYWORDS: Health insuranceknowledgeawarenessattitudeperceptionutilization Disclosure statementConflicts of interests: The authors reported there are no competing interests to declare.Ethical approval: There are no human participants in this article and informed consent is not applicable.Data availability statementThe data that support the findings of this study are openly available in PubMed (https://pubmed.ncbi.nlm.nih.gov/), Google Scholar (https://scholar.google.com/), Scopus (https://www.scopus.com/search/form.uri?display=basic#basic), ScienceDirect (https://www.sciencedirect.com/) and medRxiv (https://www.medrxiv.org/)Additional informationFundingThe authors reported there is no funding associated with the work featured in this article.Notes on contributorsRuchi ThakurRuchi Thakur is a PhD Scholar in public health from Amity Institute of Public Health and Hospital Administration, Amity University, Noida, India.Mohd ShannawazDr. Mohd Shannawaz is an associate professor at Amity Institute of Public Health and Hospital Administration, Amity University, Noida, India.Shazina SaeedDr. Shazina Saeed is an assistant professor-III at Amity Institute of Public Health and Hospital Administration, Amity University, Noida, India.","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135340409","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 : 2023-10-26DOI: 10.1080/20479700.2023.2273025
Francesco Ferrara, Ugo Trama, Eduardo Nava, Maurizio Capuozzo, Andrea Zovi, Filomena Valentino, Roberto Langella
{"title":"Atrial fibrillation therapy with new oral anticoagulants: a real world evidence study","authors":"Francesco Ferrara, Ugo Trama, Eduardo Nava, Maurizio Capuozzo, Andrea Zovi, Filomena Valentino, Roberto Langella","doi":"10.1080/20479700.2023.2273025","DOIUrl":"https://doi.org/10.1080/20479700.2023.2273025","url":null,"abstract":"","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"27 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134909804","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 : 2023-10-26DOI: 10.1080/20479700.2023.2270288
Catherine Z. Baumgardner, Amber Schilling, Diane Spokus, Zachary Henderson, Mark Suzuki, Christopher S. Hollenbeak
ABSTRACT.Coronary artery bypass graft (CABG) surgery is the mainstay for surgical treatment of coronary artery disease. CABG is performed in one of two ways: (1) while the heart is temporarily arrested, and a patient receives cardiopulmonary bypass (‘on pump’); or (2) without cardiopulmonary bypass with the heart still beating (‘off pump’). This observational study using data from 2004-2015 from the Healthcare Cost and Utilization Project National Inpatient Sample (HCUP-NIS) examined trends in utilization and outcomes (in-hospital mortality, length of stay (LOS), hospital costs, and selected post-operative complications associated with on and off pump CABG. Overall, there was a declining trend in the number of CABG procedures. Off-pump procedure patients had significantly higher unadjusted mortality rates and longer LOS, but without significantly higher costs. There was a lower risk of post-operative stroke associated with off-pump procedures, but an increased occurrence of post-operative sepsis. One possible explanation is that more patients may be receiving angioplasty, which may have increased the pool of CABG patients with higher risk factors. Hospital administrators may use this information to optimize patient outcomes in cardiovascular surgery units. Future research should seek to control for patient level risk factors in the selection of surgical procedure.KEYWORDS: Coronary artery diseasecoronary artery bypass graftCABGcardiopulmonary bypassoff-pump coronary artery bypassutilizationHCUP-NIS Disclosure statementNo potential conflict of interest was reported by the author(s).Authorship contribution statementCatherine Z. Baumgardner, PhD: Conceptualization (supporting); Writing – original draft (equal); Writing – review and editing (equal); Project administration (supporting); Supervision (supporting).Amber Schilling, PharmD: Data curation (supporting); Formal analysis (equal); Writing – original draft (equal); Writing – review & editing (equal).Diane Spokus, PhD: Writing – original draft (equal); Writing – review & editing (equal).Zachary Henderson, MHA: Writing – original draft (equal); Writing – review & editing (equal).Mark Suzuki, MD: Writing – review & editing (equal).Christopher S. Hollenbeak, PhD: Conceptualization (lead); Data curation (lead); Formal analysis (equal); Project administration (lead); Supervision (lead)Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsCatherine Z. BaumgardnerDr Catherine Z. Baumgardner is a leadership scholar and Teaching Professor at The Pennsylvania State University. Her research focuses on leadership and organization development in healthcare, with a special emphasis on physician leaders.Amber SchillingDr Amber Schilling is a pharmacist who works as an independent consultant on a wide variety of health outcomes and value-based research projects. She has partnered with clients in both industry and academia. S
摘要冠状动脉旁路移植术(CABG)是治疗冠状动脉疾病的主要手术方法。冠状动脉搭桥有两种方式:(1)在心脏暂时停止跳动时，患者接受体外循环(“有泵”);或者(2)不进行体外循环，心脏仍在跳动(“停泵”)。这项观察性研究使用了2004-2015年医疗成本和利用项目国家住院患者样本(HCUP-NIS)的数据，研究了使用趋势和结果(住院死亡率、住院时间(LOS)、住院费用和与开泵和关泵CABG相关的术后并发症)。总体而言，冠状动脉搭桥手术的数量呈下降趋势。非泵手术患者的未调整死亡率明显更高，LOS更长，但费用没有明显增加。与非泵手术相关的术后卒中风险较低，但术后败血症发生率增加。一种可能的解释是，更多的患者可能正在接受血管成形术，这可能增加了具有较高风险因素的CABG患者的数量。医院管理人员可以使用这些信息来优化心血管外科单位的患者预后。未来的研究应寻求在选择手术方式时控制患者水平的危险因素。关键词:冠状动脉疾病冠状动脉旁路移植术冠状动脉旁路移植术心肺旁路移植术体外泵冠状动脉旁路移植术披露声明作者未报告潜在利益冲突。作者贡献声明catherine Z. Baumgardner, PhD: Conceptualization(支持);写作-原稿(同等);写作——审稿与编辑(同等);项目管理(支持);监督(支持)。Amber Schilling，药学博士:数据管理(支持);形式分析(相等);写作-原稿(同等);写作-审查和编辑(同等)。Diane Spokus，博士:写作-原稿(平等);写作-审查和编辑(同等)。Zachary Henderson, MHA:写作-原稿(相等);写作-审查和编辑(同等)。马克铃木，医学博士:写作-审查和编辑(平等)。Christopher S. Hollenbeak博士:概念化(lead);数据管理(领导);形式分析(相等);项目管理(领导);监督(领导)额外信息资金来源作者报告说，没有与本文所述工作相关的资金。Catherine Z. Baumgardner博士是宾夕法尼亚州立大学的领导力学者和教学教授。她的研究主要集中在医疗保健的领导和组织发展，特别强调医师领导。Amber Schilling博士是一名药剂师，在各种健康结果和基于价值的研究项目中担任独立顾问。她与工业界和学术界的客户都有合作。她住在华盛顿特区都会区。Diane Spokus博士是宾夕法尼亚州立大学卫生政策与管理系的教学教授。她还持有硕士认证健康教育专家证书，并在一家医院董事会任职。她的研究重点是医疗保健劳动力的培训和发展，并对老龄化政策有特殊兴趣。Zachary Henderson, MHA, FACHE, CMPE是Geisinger Health System的区域运营经理。他拥有超过十年的领导各种专业实践的经验。他的运营知识植根于精简高效的流程和建立团队文化以推动结果。Mark Suzuki是心胸外科和普通外科的认证医师，并在心胸外科和心血管外科方面接受过专门的临床培训。他隶属于皮埃蒙特奥古斯塔大学卫生系统。克里斯托弗·s·霍伦比克博士是宾夕法尼亚州立大学卫生政策与行政学院的卫生经济学家、教授和系主任。他的研究重点是医疗保健的价值和结果。
{"title":"Trends in utilization of off-pump coronary artery bypass graft surgery in the US","authors":"Catherine Z. Baumgardner, Amber Schilling, Diane Spokus, Zachary Henderson, Mark Suzuki, Christopher S. Hollenbeak","doi":"10.1080/20479700.2023.2270288","DOIUrl":"https://doi.org/10.1080/20479700.2023.2270288","url":null,"abstract":"ABSTRACT.Coronary artery bypass graft (CABG) surgery is the mainstay for surgical treatment of coronary artery disease. CABG is performed in one of two ways: (1) while the heart is temporarily arrested, and a patient receives cardiopulmonary bypass (‘on pump’); or (2) without cardiopulmonary bypass with the heart still beating (‘off pump’). This observational study using data from 2004-2015 from the Healthcare Cost and Utilization Project National Inpatient Sample (HCUP-NIS) examined trends in utilization and outcomes (in-hospital mortality, length of stay (LOS), hospital costs, and selected post-operative complications associated with on and off pump CABG. Overall, there was a declining trend in the number of CABG procedures. Off-pump procedure patients had significantly higher unadjusted mortality rates and longer LOS, but without significantly higher costs. There was a lower risk of post-operative stroke associated with off-pump procedures, but an increased occurrence of post-operative sepsis. One possible explanation is that more patients may be receiving angioplasty, which may have increased the pool of CABG patients with higher risk factors. Hospital administrators may use this information to optimize patient outcomes in cardiovascular surgery units. Future research should seek to control for patient level risk factors in the selection of surgical procedure.KEYWORDS: Coronary artery diseasecoronary artery bypass graftCABGcardiopulmonary bypassoff-pump coronary artery bypassutilizationHCUP-NIS Disclosure statementNo potential conflict of interest was reported by the author(s).Authorship contribution statementCatherine Z. Baumgardner, PhD: Conceptualization (supporting); Writing – original draft (equal); Writing – review and editing (equal); Project administration (supporting); Supervision (supporting).Amber Schilling, PharmD: Data curation (supporting); Formal analysis (equal); Writing – original draft (equal); Writing – review & editing (equal).Diane Spokus, PhD: Writing – original draft (equal); Writing – review & editing (equal).Zachary Henderson, MHA: Writing – original draft (equal); Writing – review & editing (equal).Mark Suzuki, MD: Writing – review & editing (equal).Christopher S. Hollenbeak, PhD: Conceptualization (lead); Data curation (lead); Formal analysis (equal); Project administration (lead); Supervision (lead)Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsCatherine Z. BaumgardnerDr Catherine Z. Baumgardner is a leadership scholar and Teaching Professor at The Pennsylvania State University. Her research focuses on leadership and organization development in healthcare, with a special emphasis on physician leaders.Amber SchillingDr Amber Schilling is a pharmacist who works as an independent consultant on a wide variety of health outcomes and value-based research projects. She has partnered with clients in both industry and academia. S","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136376367","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 : 2023-10-23DOI: 10.1080/20479700.2023.2266637
Yawo M. Kobara, Felipe F. Rodrigues, Camila P. E. de Souza, David Stanford
ABSTRACTA Step-Down Unit (SDU) provides an intermediate Level of Care for patients from an Intensive Care Unit (ICU) as their condition becomes less acute. SDU congestion and upstream patient arrivals force ICU administrators to incur costs, either in the form of overstays or premature step-downs. Based on a proxy for patient acuity level called the ‘Nine Equivalents of Nursing Manpower Score (NEMS)’, patients were classified into high-acuity and low-acuity. Two patient flow policies were developed and simulated: one allowing for premature step-down actions when the system is congested and the other allowing for patient rejection actions when the system is congested. The results show that the patient-rejection policy has a net health service benefit that significantly exceeds the premature step-down policy. Based on these results, it can be concluded that premature step-down contributes to congestion downstream. Counter-intuitively, premature step-down should therefore be discouraged and patient diversion actions should be further explored as viable options for congested ICUs.KEYWORDS: Healthcarepatient flowICUSDUcongestionpremature step-down Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsYawo M. KobaraYawo M. Kobara is an Assistant Professor in the Odette School of Business, University of Windsor.Felipe F. RodriguesFelipe F. Rodrigues is an Assistant Professor of Operations Management and Analytics at King's University College.Camila P. E. de SouzaCamila P. E. de Souza is Assistant Professor in Statistics and Data Science at the Department of Statistical and Actuarial Sciences at Western University in London, Ontario.David StanfordDavid Stanford is a Professor in Statistics and Data Science at the Department of Statistical and Actuarial Sciences at Western University in London.
降压病房(SDU)为重症监护病房(ICU)的患者提供中间水平的护理，因为他们的病情变得不那么严重。SDU的拥挤和上游患者的到来迫使ICU管理员承担费用，要么以逾期居留的形式，要么过早降级。根据一种名为“护理人力九等量评分(NEMS)”的患者视力水平代理，将患者分为高视力和低视力。开发并模拟了两个患者流策略:一个允许在系统拥挤时采取过早的降压行动，另一个允许在系统拥挤时采取患者排斥行动。结果表明，患者排斥政策的净卫生服务效益显著超过过早退步政策。基于这些结果，可以得出过早降压导致下游拥堵的结论。因此，与直觉相反，应不鼓励过早降压，并应进一步探索患者转移行动，作为拥挤的icu的可行选择。关键词:医疗保健患者流量;充血;过早退出披露声明作者未报告潜在的利益冲突。其他信息资金作者报告没有与本文所述工作相关的资金。作者简介:yawo M. Kobara，温莎大学奥德特商学院助理教授。Felipe F. Rodrigues，国王大学学院运营管理与分析助理教授。Camila P. E. de Souza，安大略省伦敦西部大学统计与精算科学系统计与数据科学助理教授。大卫·斯坦福(David Stanford)是伦敦西部大学统计与精算科学系的统计与数据科学教授。
{"title":"ICU patient flow: To premature step-down or not? A simulation analysis","authors":"Yawo M. Kobara, Felipe F. Rodrigues, Camila P. E. de Souza, David Stanford","doi":"10.1080/20479700.2023.2266637","DOIUrl":"https://doi.org/10.1080/20479700.2023.2266637","url":null,"abstract":"ABSTRACTA Step-Down Unit (SDU) provides an intermediate Level of Care for patients from an Intensive Care Unit (ICU) as their condition becomes less acute. SDU congestion and upstream patient arrivals force ICU administrators to incur costs, either in the form of overstays or premature step-downs. Based on a proxy for patient acuity level called the ‘Nine Equivalents of Nursing Manpower Score (NEMS)’, patients were classified into high-acuity and low-acuity. Two patient flow policies were developed and simulated: one allowing for premature step-down actions when the system is congested and the other allowing for patient rejection actions when the system is congested. The results show that the patient-rejection policy has a net health service benefit that significantly exceeds the premature step-down policy. Based on these results, it can be concluded that premature step-down contributes to congestion downstream. Counter-intuitively, premature step-down should therefore be discouraged and patient diversion actions should be further explored as viable options for congested ICUs.KEYWORDS: Healthcarepatient flowICUSDUcongestionpremature step-down Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsYawo M. KobaraYawo M. Kobara is an Assistant Professor in the Odette School of Business, University of Windsor.Felipe F. RodriguesFelipe F. Rodrigues is an Assistant Professor of Operations Management and Analytics at King's University College.Camila P. E. de SouzaCamila P. E. de Souza is Assistant Professor in Statistics and Data Science at the Department of Statistical and Actuarial Sciences at Western University in London, Ontario.David StanfordDavid Stanford is a Professor in Statistics and Data Science at the Department of Statistical and Actuarial Sciences at Western University in London.","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135366674","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 : 2023-10-21DOI: 10.1080/20479700.2023.2269666
Vikas Thakur, Kamal Hossain
ABSTRACTHealthcare (HC) sector has witnessed the growing proliferation of technological innovation to enhance the quality of life, increased life expectancy, diagnostic options, and cost-effectiveness of HC services. Therefore, the present study aims to identify and analyse the critical factors of technological innovations catering to HC service delivery. The study has implemented fuzzy-total interpretive structural modelling (F-TISM) approach to develop hierarchical inter-relationships among the identified factors. Matrice d’impacts croisés multiplication appliquée á un classment (MICMAC) analysis is implemented to classify factors into autonomous, dependent, linkage, and independent groups. The findings of the study placed all the factors of technological innovation in the HC sector at six levels of the developed hierarchical F-TISM model. The factors at the bottom levels are independent variables, which lead to the top-level dependent variables and in the middle of the hierarchical structure are the linkage variables. The most influential factors in the F-TISM model are public-private partnerships, integrated HC information systems, health 4.0 in HC services, organizational culture, and consumer demand. The study distinctly highlighted the importance of HC innovation achieved through the strong foundations laid down by organizational culture and the prolonged need of consumers bridged through integrated HC systems and state-of-the-art technological advancements.KEYWORDS: Technological innovationshealthcare (HC) servicesintegrated HC information systemorganizational ambidexterityTISM framework Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsVikas ThakurVikas Thakur is an assistant professor, who has a teaching experience of more than nine years in reputed organizations across India. He has teaching experience in the field of operations and supply chain management and completed several projects granted by the Government of India.Kamal HossainKamal Hossain is research scholar at School of Management, National Institute of Technology, Rourkela, India. He is working in the area of operations management.
{"title":"Modelling the factors of technological innovation in the healthcare sector: A fuzzy-TISM-MICMAC approach","authors":"Vikas Thakur, Kamal Hossain","doi":"10.1080/20479700.2023.2269666","DOIUrl":"https://doi.org/10.1080/20479700.2023.2269666","url":null,"abstract":"ABSTRACTHealthcare (HC) sector has witnessed the growing proliferation of technological innovation to enhance the quality of life, increased life expectancy, diagnostic options, and cost-effectiveness of HC services. Therefore, the present study aims to identify and analyse the critical factors of technological innovations catering to HC service delivery. The study has implemented fuzzy-total interpretive structural modelling (F-TISM) approach to develop hierarchical inter-relationships among the identified factors. Matrice d’impacts croisés multiplication appliquée á un classment (MICMAC) analysis is implemented to classify factors into autonomous, dependent, linkage, and independent groups. The findings of the study placed all the factors of technological innovation in the HC sector at six levels of the developed hierarchical F-TISM model. The factors at the bottom levels are independent variables, which lead to the top-level dependent variables and in the middle of the hierarchical structure are the linkage variables. The most influential factors in the F-TISM model are public-private partnerships, integrated HC information systems, health 4.0 in HC services, organizational culture, and consumer demand. The study distinctly highlighted the importance of HC innovation achieved through the strong foundations laid down by organizational culture and the prolonged need of consumers bridged through integrated HC systems and state-of-the-art technological advancements.KEYWORDS: Technological innovationshealthcare (HC) servicesintegrated HC information systemorganizational ambidexterityTISM framework Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsVikas ThakurVikas Thakur is an assistant professor, who has a teaching experience of more than nine years in reputed organizations across India. He has teaching experience in the field of operations and supply chain management and completed several projects granted by the Government of India.Kamal HossainKamal Hossain is research scholar at School of Management, National Institute of Technology, Rourkela, India. He is working in the area of operations management.","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135511191","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 : 2023-10-21DOI: 10.1080/20479700.2023.2271689
Thanh Nguyen Hoang, Chieu Ha Ngoc, Khoa Pham Tran Anh, Ngoc Tran Nguyen, Huong Nguyen Mai, Tan Pham Huy, Trung Le Hong, Bang Pham Ngoc, Duc Hoang Huu, Vung Nguyen Dang
ABSTRACTBackground Studies about oral health-related quality of life (OHRQoL) among preschool children in Vietnam are still limited. This study aimed to examine the OHRQoL of three-year preschool children and identify associated factors.Methods We performed a cross-sectional study in three kindergartens located in a city in the northern province of Vietnam from April to June 2021. A total of 361 children and their parents were enrolled in the study. The PedsQL™ Oral Health Scale was used to measure OHRQoL. Multivariate Tobit regression was used to determine factors associated with OHRQoL of children.Results The mean Oral PedsQOL score was 77.1 (SD = 17.6). Fathers’ high education and using milk daily (Coef. = 6.54, 95%CI = 1.91-11.16) were associated with higher OHRQoL. Meanwhile, a higher number of caries (Coef. = −0.73; 95%CI = −1.23; −0.23), a high frequency of experiencing bleeding gums, egg (Coef. = −5.76, 95%CI = −10.14; −1.38) and sweet food (Coef. = −4.94; 95%CI = −9.05; −0.83) as favorite foods were related to a lower OHRQoL. Children who brushed their teeth twice a day had a lower OHRQoL than those brushing once a day or less (Coef. = −4.40; 95%CI = −8.46; −0.34).Conclusion Preschoolers had moderate OHRQoL. Related factors include parental education, oral health and oral care behavior.KEYWORDS: Oral health-related quality of lifechildrenpreschoolcariestooth decay Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis research received no specific grant from any government, commercial, or non-profit funding body.Notes on contributorsThanh Nguyen HoangThanh Nguyen Hoang is a researcher and lecturer in Hanoi Medical University, Hanoi, Vietnam. His expertise focused on public health. He has published many articles in the areas of quality of life, public health, and mental health.Chieu Ha NgocChieu Ha Ngoc is a doctorate in dentistry and a lecturer with more than 10 years of experience in research on dentistry.Khoa Pham Tran AnhKhoa Pham Tran Anh is a master of dentistry, with many years of experience in maxillofacial research.Ngoc Tran NguyenNgoc Tran Nguyen is a PhD in Psychiatry, a lecturer with many years of experience in mental health research.Huong Nguyen MaiHuong Nguyen Mai is a clinician at Vietnam National Children's Hospital, a research expert in the field of children.Tan Pham HuyTan Pham Huy is a researcher at Hanoi Medical University Hospital.Trung Le HongTrung Le Hong is a researcher and specialist at Vinh Phuc Health Department Province, Vinh Phuc, Vietnam.Bang Pham NgocBang Pham Ngoc is a researcher at Vietnam Ministry of Health.Duc Hoang HuuDuc Hoang Huu is a researcher at Viet Duc Hospital, Hanoi, Vietnam.Vung Nguyen DangVung Nguyen Dang is Associate Professor, Head of the Department of Population and Reproductive Health, Hanoi Medical University, and Deputy Director of the School of Preventive Medicine and Public Health. Is an expert with many years of research
{"title":"Factors associated with oral health-related quality of life among three-year old preschoolers in Vietnam","authors":"Thanh Nguyen Hoang, Chieu Ha Ngoc, Khoa Pham Tran Anh, Ngoc Tran Nguyen, Huong Nguyen Mai, Tan Pham Huy, Trung Le Hong, Bang Pham Ngoc, Duc Hoang Huu, Vung Nguyen Dang","doi":"10.1080/20479700.2023.2271689","DOIUrl":"https://doi.org/10.1080/20479700.2023.2271689","url":null,"abstract":"ABSTRACTBackground Studies about oral health-related quality of life (OHRQoL) among preschool children in Vietnam are still limited. This study aimed to examine the OHRQoL of three-year preschool children and identify associated factors.Methods We performed a cross-sectional study in three kindergartens located in a city in the northern province of Vietnam from April to June 2021. A total of 361 children and their parents were enrolled in the study. The PedsQL™ Oral Health Scale was used to measure OHRQoL. Multivariate Tobit regression was used to determine factors associated with OHRQoL of children.Results The mean Oral PedsQOL score was 77.1 (SD = 17.6). Fathers’ high education and using milk daily (Coef. = 6.54, 95%CI = 1.91-11.16) were associated with higher OHRQoL. Meanwhile, a higher number of caries (Coef. = −0.73; 95%CI = −1.23; −0.23), a high frequency of experiencing bleeding gums, egg (Coef. = −5.76, 95%CI = −10.14; −1.38) and sweet food (Coef. = −4.94; 95%CI = −9.05; −0.83) as favorite foods were related to a lower OHRQoL. Children who brushed their teeth twice a day had a lower OHRQoL than those brushing once a day or less (Coef. = −4.40; 95%CI = −8.46; −0.34).Conclusion Preschoolers had moderate OHRQoL. Related factors include parental education, oral health and oral care behavior.KEYWORDS: Oral health-related quality of lifechildrenpreschoolcariestooth decay Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis research received no specific grant from any government, commercial, or non-profit funding body.Notes on contributorsThanh Nguyen HoangThanh Nguyen Hoang is a researcher and lecturer in Hanoi Medical University, Hanoi, Vietnam. His expertise focused on public health. He has published many articles in the areas of quality of life, public health, and mental health.Chieu Ha NgocChieu Ha Ngoc is a doctorate in dentistry and a lecturer with more than 10 years of experience in research on dentistry.Khoa Pham Tran AnhKhoa Pham Tran Anh is a master of dentistry, with many years of experience in maxillofacial research.Ngoc Tran NguyenNgoc Tran Nguyen is a PhD in Psychiatry, a lecturer with many years of experience in mental health research.Huong Nguyen MaiHuong Nguyen Mai is a clinician at Vietnam National Children's Hospital, a research expert in the field of children.Tan Pham HuyTan Pham Huy is a researcher at Hanoi Medical University Hospital.Trung Le HongTrung Le Hong is a researcher and specialist at Vinh Phuc Health Department Province, Vinh Phuc, Vietnam.Bang Pham NgocBang Pham Ngoc is a researcher at Vietnam Ministry of Health.Duc Hoang HuuDuc Hoang Huu is a researcher at Viet Duc Hospital, Hanoi, Vietnam.Vung Nguyen DangVung Nguyen Dang is Associate Professor, Head of the Department of Population and Reproductive Health, Hanoi Medical University, and Deputy Director of the School of Preventive Medicine and Public Health. Is an expert with many years of research ","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"103 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135511810","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}
ABSTRACTThis study aimed to evaluate the practical use of the Workload Indicators of Staffing Needs (WISN) method in a general hospital in Iran. This method was used to determine the staffing needs of nurses in various hospital units, and the study examined the gap between the theoretical calculations and the actual use of the data in the hospital. Data was collected through a mixed-method approach including observations, interviews, and document analysis. The results showed that the WISN method indicated a surplus of nursing staff and no work pressure on nurses. However, the method did not account for the complexity of nurses managing multiple tasks simultaneously, and the low bed occupancy and low hospital revenue raised concerns about the excess of nurses obtained by the WISN method. The study suggests that decision-making on staff arrangements should not be solely based on WISN's numbers, and modalities of nursing care should also be considered. While the WISN method is important in determining nurse workload, it must be used with other factors to ensure the standard of patient care is not compromised. This study contributes to the understanding of the practical use of the WISN method in the context of Iran's healthcare system.Abbreviations: WISN: Workload Indicators of Staffing Needs; MSA: Main healthcare services, Support, and Additional activities; ED: Emergency Department; WHO: World Health Organization; AWT: Available Working Time; CAF: Category Allowance Factor; IAF: Individual Allowance Factor; CAS: Category Allowance Standard; IAS: Individual Allowance Standard; LMICs: Low and Low Middle Income CountriesKEYWORDS: Workload Indicators of Staffing Needs (WISN)human resourcenursing staffIranhospital AcknowledgementsWe would like to express our gratitude to all the employees of the under-study hospital for providing the necessary data.Disclosure statementNo potential conflict of interest was reported by the author(s).Ethics approvalEthics approval for this study was granted by the Isfahan university of medical science ethics committee (299038). (Email: ethics@behdasht.gov.ir, phone: 0098-02181455615).Additional informationFundingThis study is financed by the Health Management and Economics Research Center in the design of the study and collection, analysis, and interpretation of data.Notes on contributorsAsal Sadat Niaraees ZavareAsal Niaraees graduated from Isfahan University of Medical Sciences, earning both a Bachelor's degree in Health Services Management in 2017 and an MSc degree in 2020. Since 2020, Asal has been employed in the Quality Improvement Department and serves as a member of the Research Council at Issa-ben-Maryam Hospital and Dr. Beheshti Hospital. During her MSc studies, Asal conducted a comprehensive research project exploring the feasibility of hospital-based palliative care in a referral hospital. Currently, Asal is pursuing a PhD in Health Economics, where she is engaged in various research endeavors. Her research are
从3年的手术室主管，到3年的急诊科主管，再到3个月左右的护理经理，再到6年的Sina和Isa ibn Maryam医院的质量改进协调员，最后，她开始了Isa ibn Maryam医院的经理工作。Nasrin Shaarbafchizadeh博士在博士阶段学习医疗保健管理，曾任伊斯法罕医学科学大学副教授，现任伊朗医学科学大学医院管理研究中心副教授和副校长。她在伊斯法罕医学大学担任了4年的研究副校长。她在卫生系统融资、卫生旅游、人力资源管理和医院质量管理等领域进行了研究。
{"title":"Is the Workload Indicators of Staffing Needs (WISN) method rigorous enough to tell us how many nurses we need in a general hospital?","authors":"Asal Sadat Niaraees Zavare, Faezeh Akbari, Maryam Zahmatkesh, Masoumeh Alizadeh Bazgir, Nasrin Shaarbafchizadeh","doi":"10.1080/20479700.2023.2269670","DOIUrl":"https://doi.org/10.1080/20479700.2023.2269670","url":null,"abstract":"ABSTRACTThis study aimed to evaluate the practical use of the Workload Indicators of Staffing Needs (WISN) method in a general hospital in Iran. This method was used to determine the staffing needs of nurses in various hospital units, and the study examined the gap between the theoretical calculations and the actual use of the data in the hospital. Data was collected through a mixed-method approach including observations, interviews, and document analysis. The results showed that the WISN method indicated a surplus of nursing staff and no work pressure on nurses. However, the method did not account for the complexity of nurses managing multiple tasks simultaneously, and the low bed occupancy and low hospital revenue raised concerns about the excess of nurses obtained by the WISN method. The study suggests that decision-making on staff arrangements should not be solely based on WISN's numbers, and modalities of nursing care should also be considered. While the WISN method is important in determining nurse workload, it must be used with other factors to ensure the standard of patient care is not compromised. This study contributes to the understanding of the practical use of the WISN method in the context of Iran's healthcare system.Abbreviations: WISN: Workload Indicators of Staffing Needs; MSA: Main healthcare services, Support, and Additional activities; ED: Emergency Department; WHO: World Health Organization; AWT: Available Working Time; CAF: Category Allowance Factor; IAF: Individual Allowance Factor; CAS: Category Allowance Standard; IAS: Individual Allowance Standard; LMICs: Low and Low Middle Income CountriesKEYWORDS: Workload Indicators of Staffing Needs (WISN)human resourcenursing staffIranhospital AcknowledgementsWe would like to express our gratitude to all the employees of the under-study hospital for providing the necessary data.Disclosure statementNo potential conflict of interest was reported by the author(s).Ethics approvalEthics approval for this study was granted by the Isfahan university of medical science ethics committee (299038). (Email: ethics@behdasht.gov.ir, phone: 0098-02181455615).Additional informationFundingThis study is financed by the Health Management and Economics Research Center in the design of the study and collection, analysis, and interpretation of data.Notes on contributorsAsal Sadat Niaraees ZavareAsal Niaraees graduated from Isfahan University of Medical Sciences, earning both a Bachelor's degree in Health Services Management in 2017 and an MSc degree in 2020. Since 2020, Asal has been employed in the Quality Improvement Department and serves as a member of the Research Council at Issa-ben-Maryam Hospital and Dr. Beheshti Hospital. During her MSc studies, Asal conducted a comprehensive research project exploring the feasibility of hospital-based palliative care in a referral hospital. Currently, Asal is pursuing a PhD in Health Economics, where she is engaged in various research endeavors. Her research are","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"214 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135883106","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 : 2023-10-18DOI: 10.1080/20479700.2023.2265685
Ángel Fernández-Pérez, Ángeles Sánchez
ABSTRACTCitzens’ self-reported satisfaction is often employed to assess the quality of health services and systems and guide actions for improvement. Health providers and policymakers are increasingly interested in identifying factors that promote higher satisfaction with health systems. Using data from the Spanish Healthcare Barometer survey, this paper aims at analysing the relationship between non-clinical factors of responsiveness and overall satisfaction with the public Spanish National Health System. Specifically, the study examines whether better experiences with aspects such as doctor-patient communication, dignity, or prompt attention are relevant in improving overall satisfaction with the health system. Factors that contribute most to satisfaction are also identified. The methodology relies on probit-adapted ordinary least squares, a method that is increasingly employed in the most recent subjective well-being literature. The findings show that non-clinical factors are relevant in reporting higher overall satisfaction with the health system. Factors related to prompt attention and dignity contribute most to increasing satisfaction. As our readings suggest, this is the first study to present empirical evidence on the relevance of non-clinical factors of responsiveness in improving users’ experience with the whole Spanish health system. These results provide health policymakers with information to improve the quality of the system.KEYWORDS: Quality assessmentnon-clinical qualitypatient satisfactionprobit-adapted ordinary least squareshealth system performancehealth system responsiveness Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingThis work was supported by Agencia Estatal de Investigación: [Grant Number ECO2015-66553-R] and the Faculty of Economics and Business Sciences of the University of Granada.Notes on contributorsÁngel Fernández-PérezÁngel Fernández-Pérez holds a double PhD in Economics from the University of Granada, Spain, and the University of Insubria at Varese, Italy. He is Assistant Professor in the Department of Applied Economics at the University of Granada. His main research is in the field of health economics, specifically health policy evaluation and health system performance. He is also interested in the economics of inequality.Ángeles SánchezAngeles Sánchez holds a PhD in Economics from the University of Granada, Spain. She is Associate Professor in the Department of Applied Economics at the University of Granada. Her research interests focus on how public policies can contribute to increasing people’s well-being and reducing economic inequalities.
摘要公民自我报告的满意度经常被用来评估卫生服务和系统的质量，并指导改进行动。卫生服务提供者和政策制定者越来越有兴趣确定促进对卫生系统更高满意度的因素。使用来自西班牙医疗晴雨表调查的数据，本文旨在分析非临床因素的反应性和西班牙公共国家卫生系统的总体满意度之间的关系。具体而言，该研究考察了医患沟通、尊严或及时关注等方面的更好体验是否与提高对卫生系统的总体满意度有关。还确定了对满意度贡献最大的因素。该方法依赖于概率适应的普通最小二乘，这种方法在最近的主观幸福感文献中越来越多地被采用。研究结果表明，非临床因素与报告较高的卫生系统总体满意度有关。与及时关注和尊严有关的因素对提高满意度贡献最大。正如我们的阅读资料所表明的，这是第一个提出非临床因素在改善整个西班牙卫生系统用户体验中的响应性相关性的经验证据的研究。这些结果为卫生政策制定者提供了提高系统质量的信息。关键词:质量评估;非临床质量;患者满意度;概率适应普通最小二乘卫生系统绩效;本研究得到了agcia Estatal de Investigación的资助:[资助号ECO2015-66553-R]和格拉纳达大学经济与商业科学学院的支持。他拥有西班牙格拉纳达大学和意大利瓦雷塞因苏布里亚大学的经济学双博士学位。他是格拉纳达大学应用经济系的助理教授。他的主要研究领域是卫生经济学，特别是卫生政策评估和卫生系统绩效。他还对不平等的经济学感兴趣。Ángeles SánchezAngeles Sánchez，西班牙格拉纳达大学经济学博士。她是格拉纳达大学应用经济系副教授。她的研究兴趣集中在公共政策如何有助于提高人们的福祉和减少经济不平等。
{"title":"Non-clinical factors and citizens’ satisfaction: A way to improve the quality of health systems","authors":"Ángel Fernández-Pérez, Ángeles Sánchez","doi":"10.1080/20479700.2023.2265685","DOIUrl":"https://doi.org/10.1080/20479700.2023.2265685","url":null,"abstract":"ABSTRACTCitzens’ self-reported satisfaction is often employed to assess the quality of health services and systems and guide actions for improvement. Health providers and policymakers are increasingly interested in identifying factors that promote higher satisfaction with health systems. Using data from the Spanish Healthcare Barometer survey, this paper aims at analysing the relationship between non-clinical factors of responsiveness and overall satisfaction with the public Spanish National Health System. Specifically, the study examines whether better experiences with aspects such as doctor-patient communication, dignity, or prompt attention are relevant in improving overall satisfaction with the health system. Factors that contribute most to satisfaction are also identified. The methodology relies on probit-adapted ordinary least squares, a method that is increasingly employed in the most recent subjective well-being literature. The findings show that non-clinical factors are relevant in reporting higher overall satisfaction with the health system. Factors related to prompt attention and dignity contribute most to increasing satisfaction. As our readings suggest, this is the first study to present empirical evidence on the relevance of non-clinical factors of responsiveness in improving users’ experience with the whole Spanish health system. These results provide health policymakers with information to improve the quality of the system.KEYWORDS: Quality assessmentnon-clinical qualitypatient satisfactionprobit-adapted ordinary least squareshealth system performancehealth system responsiveness Disclosure statementNo potential conflict of interest was reported by the authors.Additional informationFundingThis work was supported by Agencia Estatal de Investigación: [Grant Number ECO2015-66553-R] and the Faculty of Economics and Business Sciences of the University of Granada.Notes on contributorsÁngel Fernández-PérezÁngel Fernández-Pérez holds a double PhD in Economics from the University of Granada, Spain, and the University of Insubria at Varese, Italy. He is Assistant Professor in the Department of Applied Economics at the University of Granada. His main research is in the field of health economics, specifically health policy evaluation and health system performance. He is also interested in the economics of inequality.Ángeles SánchezAngeles Sánchez holds a PhD in Economics from the University of Granada, Spain. She is Associate Professor in the Department of Applied Economics at the University of Granada. Her research interests focus on how public policies can contribute to increasing people’s well-being and reducing economic inequalities.","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135883665","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}
ABSTRACTBackground On February 24th, 2022, a full-scale armed conflict broke out in Ukraine, resulting in a significant impact on the healthcare system, as well as extensive damage to the country's infrastructure. The aim of this study was to assess the challenges faced by oncologists in providing cancer care to patients.Methods Data were collected through a structured self-administered questionnaire administered using the Google survey tool and distributed to all participants.Results This was a cross-sectional study that involved 111 oncology specialists. Physicians practising in regions that were partially or temporarily occupied by the Russian army (Chernihiv and Zaporizhzhia) reported a significantly higher decline in patient numbers compared to physicians in unoccupied regions (70.0% vs 20.9%; p < 0.0001). Most physicians from both occupied and unoccupied regions reported an increase in the number of patients with advanced disease (65.0% vs. 65.9%; p = 0.735). The majority of physicians from both occupied and unoccupied regions did not see loss of information, changes in cancer treatment phases, and self-medication as a concern. The majority were satisfied with the availability of medicines and equipment.Conclusion This needs-based assessment is crucial for improving the quality of cancer care as it provides valuable information for designing public health interventions.KEYWORDS: Russo-Ukrainian warcancer patientsoncology servicesphysicians’ perceptionsquality of care Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsValeriy ZubValeriy Zub, PhD, Doctoral Student of the Department of Public Health Management, Shupyk National Healthcare University of Ukraine. He is the author of more than 50 articles published in scientific journals, materials of national and international conferences.Yuliya SemenovaYuliya Semenova, Candidate of Medical Sciences, Assistant Professor at the Nazarbayev University School of Medicine. Research areas are public and global healthOleksandr TolstanovOleksandr Tolstanov, ScD, Professor, Vice-Rector for Scientific and Pedagogical Work, Shupyk National Healthcare University of Ukraine. His scientific direction is focused on improvement of medical care management, theory and practice of the state health care management. He is the author of more than 150 scientific publications. He made a great scientific and practical contribution to the modernization and reform of the health care system of Ukraine.Andrii KotuzaAndrii Kotuza, ScD, Professor, Head of the Center of science, organization of quality control and safety of medical activity, Feofaniya Clinical Hospital, State Management of Affairs of Ukraine. He has extensive experience in public health, healthcare economics, strategic planning and development of medical activity.Taras GutorTaras Gutor, P
{"title":"Provision of medical care to cancer patients in Ukraine during Russo-Ukrainian war: A survey of oncologists’ perceptions","authors":"Valeriy Zub, Yuliya Semenova, Oleksandr Tolstanov, Andrii Kotuza, Taras Gutor, Oksana Matsyura, Roman Lysiuk, Geir Bjørklund","doi":"10.1080/20479700.2023.2261697","DOIUrl":"https://doi.org/10.1080/20479700.2023.2261697","url":null,"abstract":"ABSTRACTBackground On February 24th, 2022, a full-scale armed conflict broke out in Ukraine, resulting in a significant impact on the healthcare system, as well as extensive damage to the country's infrastructure. The aim of this study was to assess the challenges faced by oncologists in providing cancer care to patients.Methods Data were collected through a structured self-administered questionnaire administered using the Google survey tool and distributed to all participants.Results This was a cross-sectional study that involved 111 oncology specialists. Physicians practising in regions that were partially or temporarily occupied by the Russian army (Chernihiv and Zaporizhzhia) reported a significantly higher decline in patient numbers compared to physicians in unoccupied regions (70.0% vs 20.9%; p < 0.0001). Most physicians from both occupied and unoccupied regions reported an increase in the number of patients with advanced disease (65.0% vs. 65.9%; p = 0.735). The majority of physicians from both occupied and unoccupied regions did not see loss of information, changes in cancer treatment phases, and self-medication as a concern. The majority were satisfied with the availability of medicines and equipment.Conclusion This needs-based assessment is crucial for improving the quality of cancer care as it provides valuable information for designing public health interventions.KEYWORDS: Russo-Ukrainian warcancer patientsoncology servicesphysicians’ perceptionsquality of care Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsValeriy ZubValeriy Zub, PhD, Doctoral Student of the Department of Public Health Management, Shupyk National Healthcare University of Ukraine. He is the author of more than 50 articles published in scientific journals, materials of national and international conferences.Yuliya SemenovaYuliya Semenova, Candidate of Medical Sciences, Assistant Professor at the Nazarbayev University School of Medicine. Research areas are public and global healthOleksandr TolstanovOleksandr Tolstanov, ScD, Professor, Vice-Rector for Scientific and Pedagogical Work, Shupyk National Healthcare University of Ukraine. His scientific direction is focused on improvement of medical care management, theory and practice of the state health care management. He is the author of more than 150 scientific publications. He made a great scientific and practical contribution to the modernization and reform of the health care system of Ukraine.Andrii KotuzaAndrii Kotuza, ScD, Professor, Head of the Center of science, organization of quality control and safety of medical activity, Feofaniya Clinical Hospital, State Management of Affairs of Ukraine. He has extensive experience in public health, healthcare economics, strategic planning and development of medical activity.Taras GutorTaras Gutor, P","PeriodicalId":46911,"journal":{"name":"International Journal of Healthcare Management","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135968696","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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