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Designing the structural model of temporary medical centers in biological emergencies 生物突发事件临时医疗中心结构模型设计
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-10-10 DOI: 10.1080/20479700.2023.2264033
Maryam Moradi, Armin Zareiyan, Simintaj Sharififar, Ali Nasiri, Seyyed- Javad Hosseini Shokouh
ABSTRACTConsidering the importance of getting prepared for biological accidents and emergencies caused by the spread of biological agents, it seems necessary to design and codify a specific structural model for the establishment of temporary medical centers and hospitals. The present study was designed to provide a structural model of temporary medical centers in biological emergencies. This is a mixed-method study devised to present a model for the establishment of temporary medical centers. Multi-criteria decision-making methods were implemented in the quantitative section. Multi-criteria decision-making (MCDM) techniques, including Shannon entropy and TOPSIS, were used in this study to prioritize the components. The forms related to multi-criteria decision-making were designed by researchers according to the initial model, which were then completed by 15 experts. Also, 23 structural components of the model were prioritized and classified into four main categories (effective management, resources, infrastructure, and ideas). The categories were prioritized in terms of conceptual relevance as effective management, resources, infrastructure, and ideas, respectively. The results of this study can help to design temporary medical centers and manage biological emergencies more effectively in the future.KEYWORDS: Temporary medical centersbiological emergencydisasterrisk AcknowledgementsThe authors are very thankful to all the participants of the interview process for giving their valuable time and effort. In addition, the authors would also like to extend their gratitude to anonymous reviewers for their helpful comments and suggestions.Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThis work was supported by Aja University of Medical Sciences.Notes on contributorsMaryam MoradiMaryam Moradi (as first author), Conception and design of the study, acquisition of data, analysis and interpretation of data.Armin ZareiyanArmin Zareiyan, Analysis and interpretation of data, revising it critically for important intellectual content, final approval of the submitted version.Simintaj SharififarSimintaj Sharififar, Conception and design of the study, revising it critically for important intellectual content, final approval of the submitted version.Ali NasiriAli Nasiri, Revising for important intellectual content, final approval of the submitted version.Seyyed- Javad Hosseini ShokouhSeyyed- Javad Hosseini Shokouh, Revising for important intellectual content, final approval of the submitted version.
摘要考虑到为应对生物制剂扩散引起的生物事故和突发事件做好准备的重要性,有必要为临时医疗中心和医院的建立设计和制定具体的结构模型。本研究旨在提供生物突发事件临时医疗中心的结构模型。这是一项混合方法的研究,旨在为建立临时医疗中心提供一个模型。定量部分采用多准则决策方法。本研究采用多准则决策(MCDM)技术,包括Shannon熵和TOPSIS,对组件进行优先排序。研究人员根据初始模型设计了多准则决策的相关表格,然后由15名专家完成。此外,模型的23个结构组件被优先排序并分为四个主要类别(有效管理、资源、基础设施和想法)。这些类别分别根据概念相关性(如有效管理、资源、基础设施和想法)进行了优先排序。本研究的结果可以帮助设计临时医疗中心,并在未来更有效地管理生物紧急情况。关键词:临时医疗中心;生物突发事件;灾害风险。作者非常感谢面试过程中所有参与者所付出的宝贵时间和精力。此外,作者还想对匿名审稿人提供的有益意见和建议表示感谢。披露声明作者未报告潜在的利益冲突。本研究得到了日本医科大学的支持。作者简介:maryam Moradi(第一作者),研究的构思和设计,数据的获取,数据的分析和解释。Armin ZareiyanArmin Zareiyan,对数据进行分析和解释,对重要知识内容进行批判性修改,最终批准提交的版本。研究的构思和设计,对重要的知识内容进行批判性修改,最终批准提交的版本。修改重要的知识内容,最终批准提交的版本。Seyyed- Javad Hosseini ShokouhSeyyed- Javad Hosseini Shokouh,对重要的知识内容进行修改,最终批准提交的版本。
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引用次数: 0
Association of Home Falls and Accidents Screening Tool (HOME FAST) with risk of fall in older adults: Ardakan Cohort Study on Ageing (ACSA) 家中跌倒和事故筛查工具(Home FAST)与老年人跌倒风险的关系:阿达坎老龄化队列研究(ACSA)
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-10-10 DOI: 10.1080/20479700.2023.2265691
Ahmad Delbari, Amirali Azimi, Mohammad Saatchi, Mohammad Bidkhori, Fatemeh-sadat Tabatabaei, Vahid Rashedi, Elham Hooshmand
ABSTRACTIntroduction Falls are a significant threat to older adults' health. The home falls and accidents screening tool (HOME FAST) was introduced as a screening tool for identifying hazards inside the home. This study aimed to investigate the ability of this tool to predict older adults at risk of falls.Materials and methods This study analyzed cross-sectional data from the Ardakan Cohort Study on Aging (ACSA) participants. HOME FAST was collected through home visits by interviewers. Fall history during the last 12 months was collected as a self-report. The discrimination was assessed by the receiver operating characteristic curve.Results A total of 4990 adults older than 50 participated in the current study, of which 47.65% were female, and the mean age was 61.5. Among them, 19.9% reported falls during the last year. The mean HOME FAST score was 6.2 for non-fallers, 6.5 for one-time fallers, and 6.4 for multipletime fallers (P = 0.047). The HOME FAST score over the optimal cut-point (five) was not associated with increased fall risk in the multivariate model.Conclusion Based on the findings, the HOME FAST score failed to be a screening tool for falls in the Iranian population. However, further prospective studies are required to investigate this point.KEYWORDS: HOME FASTaccidental fallsolder adultsgeriatricsfalling Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe Iranian Ministry of Health and Medical Education has contributed to the funding used in the PERSIAN cohorts through grant number 700/151. Furthermore, this work was supported and funded by the University of Social Welfare and Rehabilitation Sciences.Notes on contributorsAhmad DelbariAhmed Delbari, an associate professor of gerontology, obtained his medical doctorate and subsequently completed a PhD in Clinical Geriatrics and Neuroscience at Karolinska University. Presently, he serves as the head of the Iranian Research Center on Aging and the Department of Aging at the University of Social Welfare and Rehabilitation Sciences, with over 20 years of experience in the field of geriatrics.Amirali AzimiAmirali Azimi is a medical doctor currently pursuing his postdoctoral research. His primary research interests lie in the field of orthopedics and musculoskeletal disorders, with a specific focus on orthogeriatrics. His recent research has predominantly revolved around osteoarthritis and falls, aiming to prevent subsequent complications such as fractures. He has also been actively involved in research related to post-surgical pain management, particularly in orthopedic procedures like joint arthroplasties.Mohammad SaatchiMohammad Saatchi is an assistant professor of epidemiology at the University of Social Welfare and Rehabilitation Science in Tehran. His recently published articles were about social trust, vaccine hesitancy, barriers to vaccination, air pollution, and telerehabilitation.Mohammad BidkhoriMohammad Bidkhori a
摘要:跌倒是老年人健康的一大威胁。家庭跌倒和事故筛查工具(home FAST)被引入,作为识别家庭内部危险的筛查工具。本研究旨在调查该工具预测老年人跌倒风险的能力。材料和方法本研究分析了来自Ardakan队列衰老研究(ACSA)参与者的横断面数据。HOME FAST是通过采访者家访收集的。收集过去12个月的秋季历史作为自我报告。用受试者工作特征曲线评价鉴别性。结果共有4990名50岁以上成年人参与本研究,其中女性占47.65%,平均年龄为61.5岁。其中,去年下降的占19.9%。未跌倒者的平均HOME FAST评分为6.2分,一次跌倒者为6.5分,多次跌倒者为6.4分(P = 0.047)。在多变量模型中,HOME FAST评分超过最佳切点(5分)与跌倒风险增加无关。根据研究结果,HOME FAST评分不能作为伊朗人口跌倒的筛查工具。然而,需要进一步的前瞻性研究来调查这一点。关键词:家庭快速意外跌倒成人老年人跌倒披露声明作者未报告潜在的利益冲突。伊朗卫生和医学教育部通过第700/151号赠款为波斯队列提供了资金。此外,这项工作得到了社会福利和康复科学大学的支持和资助。ahmed Delbari,老年学副教授,获得医学博士学位,随后在卡罗林斯卡大学完成临床老年病学和神经科学博士学位。目前,他是伊朗老龄化研究中心和社会福利与康复科学大学老龄化系的负责人,在老年病学领域拥有20多年的经验。Amirali Azimi是一名医学博士,目前正在进行博士后研究。他的主要研究兴趣在于骨科和肌肉骨骼疾病领域,特别关注矫形老年病学。他最近的研究主要围绕骨关节炎和跌倒,旨在预防骨折等并发症。他还积极参与与术后疼痛管理相关的研究,特别是在关节置换术等骨科手术中。穆罕默德·萨奇(Mohammad Saatchi)是德黑兰社会福利与康复科学大学流行病学助理教授。他最近发表的文章涉及社会信任、疫苗犹豫、疫苗接种障碍、空气污染和远程康复。Mohammad Bidkhori是流行病学博士候选人,在公共卫生领域进行研究,特别关注老年人。他的最新文章是“社区居住成年人睡眠质量及其相关因素的评估:衰老的Ardakan队列研究(ACSA)”。Sadat Tabatabaei是一位医生。该研究人员的工作和出版物主要集中在肿瘤学和神经学领域。作为伊朗老龄研究中心的博士后研究员,她主要从事与老年人慢性疾病相关的研究,如恶性肿瘤、认知障碍和该人群的神经系统疾病并发症。她是伊朗德黑兰社会福利和康复科学大学的助理教授。他拥有老年学博士学位,并于2017年以优异成绩获得该学位,以及康复科学学士和硕士学位。Rashedi博士是美国老年学学会(GSA)和美国心理学会(APA)的成员。主要研究方向为老年学、心理健康、认知学。自2019年以来,Rashedi博士一直担任美国华盛顿大学卫生计量评估研究所(IHME)的全球疾病负担(GBD)合作者。Elham Hooshmand是流行病学硕士和老年学博士候选人。她是阿达坎衰老队列研究的执行主管。
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引用次数: 0
The relationship among burnout, perceived social support and cognitive factors affecting preventive behaviours of healthcare workers: The COVID-19 pandemic period COVID-19大流行期医护人员职业倦怠、感知社会支持及影响预防行为的认知因素的关系
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-10-04 DOI: 10.1080/20479700.2023.2265674
Aslı Yıldız, Sıdıka Kaya, Bülent Güngörer
ABSTRACTBackground Burnout and social support have been widely examined, but how these factors relate to preventive behaviours against COVID-19 has not yet been studied. This study investigated the relationship among burnout, perceived social support and cognitive factors affecting preventive behaviours of healthcare workers (HCWs) during the pandemic period.Methods A survey was conducted with 360 HCWs working in a large public hospital in Turkey during the pandemic. The survey included the Maslach Burnout Inventory, the Multidimensional Scale of Perceived Social Support, and two subscales of the Affecting Factors on Preventive Behaviours of COVID-19 Scale, which is based on the Protection Motivation Theory. Data were analysed using descriptive statistics, between-group comparison tests, and binary logistic regression.Results Of the HCWs, 38.1% reported high burnout, 20.3% inadequate social support, 51.4% low perceived self-efficacy, and 52.2% low protection motivation. Working in COVID-19 wards and having low perceived self-efficacy increased burnout (OR:1.96, 1.62; P < 0.050). Receiving adequate social support and higher protection motivation increased the perceived self-efficacy (OR:2.03, 4.92; P < 0.025). Lower education and higher perceived self-efficacy increased protection motivation (OR:2.32, 4.24; P < 0.025).Conclusion The results revealed that burnout, protection motivation, and perceived self-efficacy were significantly affected by some risk factors that policymakers should address.KEYWORDS: Healthcare workersburnoutsocial supportprotection motivationcognitive modelsCOVID-19 wards AcknowledgementsThe authors would like to thank all the HCWs who participated or helped in the achievement of this study during the challenging COVID-19 period. We will always make mention of Professor Bülent Altunkaynak deceased author of the study with respect and love.Disclosure statementConflicts of interests: The authors report no conflicts of interest.Ethics statement: First approved by the Turkish Ministry of Health (29.05.20) and then by Hacettepe University Senate’s Ethics Committee (05.11.20, approval number: E.1316133), the research was conducted with the permission of Ankara Provincial Health Directorate (03.02.21). Also, the participants were informed and their consents were obtained, assuring that the data obtained will remain confidential.Data availability statementThe data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.Additional informationNotes on contributorsAslı YıldızAslı Yıldız (MSc) is a Health Specialist in Republic of Türkiye Ministry of Health, also a PhD student in the Department of Healthcare Management at Hacettepe University. She is a statistician and econometrician (DM). Her fields of interests are statistical methods, health economics, quality management in health services and motivation theories.Sıdıka Ka
摘要职业倦怠和社会支持已被广泛研究,但这些因素与COVID-19预防行为的关系尚未得到研究。本研究旨在调查疫情期间医护人员职业倦怠、感知社会支持和影响其预防行为的认知因素之间的关系。方法对疫情期间在土耳其某大型公立医院工作的360名卫生保健员进行调查。调查内容包括Maslach倦怠量表、感知社会支持多维量表和基于保护动机理论的COVID-19预防行为影响因素量表的两个子量表。数据分析采用描述性统计、组间比较检验和二元逻辑回归。结果38.1%的医护人员存在高倦怠感,20.3%的医护人员缺乏社会支持,51.4%的医护人员自我效能感低,52.2%的医护人员缺乏保护动机。在COVID-19病房工作和自我效能感较低的人会增加倦怠感(OR:1.96, 1.62;P < 0.050)。获得足够的社会支持和较高的保护动机可提高自我效能感(OR:2.03, 4.92;P < 0.025)。低学历和高自我效能感会增加保护动机(OR:2.32, 4.24;P < 0.025)。结论职业倦怠、保护动机和自我效能感受到一些风险因素的显著影响,政策制定者应注意这些风险因素。关键词:医护人员倦怠、社会支持、保护动机、认知模型、COVID-19病房致谢作者感谢所有在具有挑战性的COVID-19期间参与或帮助完成本研究的医护人员。我们将永远怀着尊敬和爱提及该研究的已故作者b伦特·阿尔tunkaynak教授。利益冲突:作者报告无利益冲突。伦理声明:首先由土耳其卫生部(29.05.20)批准,然后由Hacettepe大学参议院伦理委员会(05.11.20,批准号:E.1316133)批准,该研究是在安卡拉省卫生局(03.02.21)的许可下进行的。此外,还告知了参与者并征得了他们的同意,并确保所获得的数据将保密。数据可用性声明支持本研究结果的数据可根据通讯作者的要求提供。由于隐私或道德限制,这些数据不会公开。关于投稿人的说明saslyu YıldızAslı Yıldız (MSc)是基耶共和国卫生部的卫生专家,也是Hacettepe大学卫生保健管理系的博士生。她是统计学家和计量经济学家(DM)。她的研究领域包括统计方法、卫生经济学、卫生服务质量管理和动机理论。Sıdıka KayaSıdıka Kaya(博士)是Hacettepe大学医疗保健管理系的教授。她拥有医疗保健管理硕士学位和博士学位。她是波士顿大学的富布赖特访问学者,哈佛大学的研究和高级培训研究员。她的研究重点是医疗保健质量、患者安全、医院绩效、利用率、再入院率、劳动力问题和医疗旅游。b lent GüngörerBülent Güngörer(医学博士)是卫生科学大学急诊医学系副教授,也是安卡拉埃特利克市医院的协调员副主任医师。他曾在新冠肺炎病房工作,并对其医学专业相关的新冠肺炎患者进行了一些研究。
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引用次数: 0
Patient experience of care in sub-Saharan Africa: A narrative overview 撒哈拉以南非洲患者护理经验:叙述概述
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-10-03 DOI: 10.1080/20479700.2023.2265666
Emmanuel Kumah
ABSTRACTPatient experience of healthcare is increasingly recognized as a key dimension of healthcare quality, alongside clinical effectiveness and patient safety. While the focus of many developed countries is increasingly shifting from patient satisfaction to monitoring and evaluating patients’ care experiences, the concentration of many sub-Saharan African (SSA) countries is still on the evaluation of patient satisfaction with care. The aim of this paper, therefore, is to provide a narrative overview of patient experience of care (PEC) research and initiatives in SSA. A non-systematic literature search for relevant published and unpublished records was conducted on five electronic databases: Medline/PubMed, Scopus, Web of Science, Google Scholar, and African Index Medicus (AIM). The health ministry/department websites of the various SSA countries were also searched manually for additional information on nationally established patient experience survey programs. This review has established that few individual PEC research activities have been undertaken in SSA, and these have been concentrated in Ethiopia and South Africa. It could, therefore, be concluded, based on the available evidence, that PEC is under-researched in the SSA region. This paper has provided a broad perspective on the concept of PEC within the SSA region.KEYWORDS: Patient experiencepatient satisfactionhealth system responsivenesshealthcare qualitySub-Saharan Africa Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationNotes on contributorsEmmanuel KumahEmmanuel Kumah is a healthcare management consultant and an assistant professor at the Department of Health Administration and Education, Faculty of Science Education, University of Education, Winneba, Ghana. He has published extensively in the area of patient-centered care.
摘要与临床有效性和患者安全一样,患者的医疗体验越来越被认为是医疗质量的关键因素。虽然许多发达国家的重点日益从患者满意度转向监测和评估患者的护理体验,但许多撒哈拉以南非洲(SSA)国家的重点仍然是评估患者对护理的满意度。因此,本文的目的是提供SSA患者护理体验(PEC)研究和倡议的叙述概述。在Medline/PubMed、Scopus、Web of Science、Google Scholar和African Index Medicus (AIM) 5个电子数据库中对相关已发表和未发表的文献进行非系统检索。各SSA国家的卫生部/部门网站也进行了人工搜索,以获取关于国家建立的患者体验调查项目的额外信息。这项审查已经确定,非洲南部很少进行个别的经济合作研究活动,这些活动集中在埃塞俄比亚和南非。因此,根据现有的证据可以得出结论,非洲南部地区对经济合作的研究不足。本文提供了一个广阔的视角,在SSA区域内PEC的概念。关键词:患者体验患者满意度卫生系统响应性卫生保健质量撒哈拉以南非洲披露声明作者未报告潜在利益冲突。semmanuel Kumah是一名医疗保健管理顾问,也是加纳温内巴教育大学科学教育学院卫生管理和教育系的助理教授。他在以患者为中心的护理领域发表了大量文章。
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引用次数: 0
Exploring medical tourism service challenges post-Covid-19: Insights and perspectives from immediate healthcare stakeholders for sustainable business continuity 探索covid -19后医疗旅游服务的挑战:来自医疗保健利益相关者的见解和观点,以实现可持续的业务连续性
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-25 DOI: 10.1080/20479700.2023.2261691
Wanita Abd Mutalib, Nur Adilah Md Zain, Mohd Hafiz Hanafiah, Mohd Salehuddin Mohd Zahari, Muhammad Aliff Asyraff
ABSTRACTThis study objective is twofold: First, we investigate the post-Covid-19 medical tourists’ hospitalization procedures. Next, we explore the post-Covid-19 medical tourism service provider’s challenges from the immediate healthcare stakeholders and agencies insights and perspectives. This study utilizes the Business Continuity Management (BCM) model as the grounded theory. Using the qualitative method, ten informants from the senior-ranking medical tourism personnel related to the medical tourism industry were interviewed. The interview data were transcribed and analysed using thematic analysis. This research manifestly revealed: (i) uncertain standard operating procedures; (ii) limited awareness of the availability of treatment among medical tourists; (iii) overreliance on a single medical tourist’s origin; (iv) reluctance rising from risks of travelling are some of the challenges medical tourism service providers faced post-Covid-19 pandemic. This research is among the first to reveal uncertain standard operating procedures, limited awareness of the availability of medical treatment, reliance on a single medical tourist’s origin, reluctance and risks of travelling are the main threats that affect medical tourism service providers.KEYWORDS: Medical tourismpost-COVID-19policymakersqualitativebusiness continuity management AcknowledgementsThe author wishes to express his gratitude to the Universiti Teknologi MARA for awarding the fundamental research grant, which facilitated the development of this manuscript. Universiti Teknologi MARA supports this research under the DUCS grant [600-UITMSEL (PI. 5/4) (005/2022)].Disclosure statementNo potential conflict of interest was reported by the author(s).Declaration of competing interestThe author declares that they have no known competing financial interests or personal relationships that could have influenced the work reported in this paper.Ethics statementWith the submission of this manuscript, I would like to undertake that all authors of this research paper have directly participated in the planning, execution, or analysis of this study. The contents of this manuscript are not now under consideration for publication elsewhere. In addition, there are no directly related manuscripts or abstracts, published or unpublished, by any authors of this paper. This study instrument was approved by the university’s Research Ethics Committee (Ref: 600-FHOTOUR (PJI5/4)).Additional informationFundingThis work was supported by Universiti Teknologi MARA: [Grant Number 600-UITMSEL (PI. 5/4) (005/2022)].Notes on contributorsWanita Abd MutalibWanita Abd Mutalib is a postgraduate student in Tourism Management, Universiti Teknologi MARA, Malaysia. She completed her Bachelor of Business Administration (Hons.) Majoring in Finance from Universiti Teknologi MARA, Malaysia in 2006, and earlier took a Diploma in Business Studies from Universiti Teknologi MARA in 2003. Currently, she is the Deputy Director of the Administra
摘要本研究的目的有两个:一是调查新冠肺炎疫情后医疗游客的住院流程。接下来,我们将从当前医疗保健利益相关者和机构的视角探讨后冠状病毒肺炎医疗旅游服务提供商面临的挑战。本研究以业务连续性管理(BCM)模型为理论基础。采用定性方法,对10名与医疗旅游行业相关的高级医疗旅游人员进行访谈。对访谈数据进行转录和专题分析。研究表明:(1)标准操作程序不确定;㈡医疗旅游者对可获得治疗的认识有限;㈢过度依赖单一医疗旅游来源地;(四)因旅行风险而产生的不情愿情绪是医疗旅游服务提供商在新冠肺炎大流行后面临的一些挑战。这项研究首次揭示了不确定的标准操作程序、对医疗可用性的认识有限、对单一医疗游客来源的依赖、不情愿和旅行风险是影响医疗旅游服务提供商的主要威胁。关键字:医疗旅游后冠状病毒肺炎政策制定者定性业务连续性管理致谢作者感谢法国玛拉理工大学提供的基础研究资助,为本文的撰写提供了便利。马拉理工大学在DUCS资助下支持这项研究[600- utmsel (PI)]。5/4)(005/2022)]。披露声明作者未报告潜在的利益冲突。竞争利益声明作者声明,他们没有已知的竞争经济利益或个人关系,可能会影响本文所报道的工作。在提交本文时,我保证本研究论文的所有作者都直接参与了本研究的计划、执行或分析。这份手稿的内容目前还没有考虑在其他地方发表。此外,本文的任何作者都没有直接相关的已发表或未发表的手稿或摘要。本研究仪器经大学研究伦理委员会批准(参考号:600-FHOTOUR (PJI5/4))。本研究由Universiti technologii MARA资助:[批准号600- utmsel (PI)]。5/4)(005/2022)]。作者简介:wanita Abd Mutalib wanita Abd Mutalib是马来西亚马拉理工大学旅游管理专业研究生。她完成了工商管理(荣誉)学士学位。2006年毕业于马来西亚玛拉理工大学金融学专业,2003年获得玛拉理工大学商学文凭。目前,她是布城马来西亚旅游局行政部副主任,拥有11年的工作经验。Nur Adilah Md ZainNur Adilah Md Zain是马来西亚玛拉理工大学酒店与旅游管理学院的高级讲师。她于2020年在澳大利亚悉尼大学获得旅游博士学位,并于2014年在马来西亚马拉理工大学获得旅游管理硕士学位。她是旅游目的地、医疗旅游和旅游管理领域的活跃作者。Mohd Hafiz Hanafiah是马来西亚玛拉理工大学酒店与旅游管理学院的教授。他于2016年在马来西亚理工大学获得酒店和旅游管理博士学位,并于2008年在马来亚大学获得经济学硕士学位。他是旅游管理、旅游经济学和旅游目的地竞争力领域的活跃作者。Mohd Salehuddin Mohd ZahariMohd Salehuddin Mohd Zahari是马来西亚雪兰莪州的玛拉科技大学酒店与旅游管理学院的教授。他在新西兰林肯大学获得酒店管理博士学位。他是美食旅游领域的活跃研究者。穆罕默德·阿里夫·阿斯拉夫穆罕默德·阿里夫·阿斯拉夫是马拉理工大学酒店与旅游管理学院的讲师。他于2014年成功获得旅游管理硕士学位,并于2022年获得哲学博士学位,专攻旅游背景下的社交媒体利用领域。阿斯拉夫博士的主要研究重点集中在旅游管理和市场营销领域。
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引用次数: 0
The relationship of mushroom management and collective justice in health institutions 卫生机构蘑菇管理与集体公平的关系
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-18 DOI: 10.1080/20479700.2023.2255422
Hatice Demir, Taşkın Kiliç
ABSTRACTAs in every sector, organizational management in the health sector plays an important role in the institution being successful and achieving its goals. Health care is a phenomenon that reminds individuals of the need for collective work. The aim of this study was to determine the relationship between the perceptions of mushroom management and collective justice in healthcare organizations. The sample for the study, using the relational survey model, consisted of 410 healthcare professionals. The “Mushroom Management Scale” and “Collective Justice Scale” were used to collect data. SEM path analysis revealed that there was a significant negative relationship between the mushroom management scale sub-dimensions and collective justice variable. In addition, a significant effect was found between these variables. Based on the demographic data of the participants, mushroom management sub-dimensions and collective justice perceptions of participants differed significantly according to the institution they worked in. It is thought that health institution managers who are transparent, honest and open, especially in information sharing, instead of using mushroom management style, who include employees in decision-making processes, and who adopt a more sharing management style will increase employees' trust in the organization and management as well as their perceptions of collective justice.KEYWORDS: Mushroom managementcollective justicehealth workerhealth managementknowledge sharing‌ 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 contributorsHatice DemirHatice Demir, Ordu University, Institute of Health Sciences, graduated with a master's degree in Health Management.Taşkın KiliçTaşkın Kiliç is a Professor and Distinguished Academician in the field of Health Management at Ordu University, Faculty of Health Sciences. He has nearly 50 national and international articles, nearly 12 books, nearly 50 national and international papers, projects, patents and awards in the fields of social, humanities and administrative sciences and management and strategy.
摘要与任何部门一样,卫生部门的组织管理对机构的成功和实现其目标起着重要作用。卫生保健是一种提醒个人需要集体工作的现象。本研究的目的是确定在卫生保健组织的蘑菇管理和集体正义的看法之间的关系。使用关系调查模型的研究样本包括410名医疗保健专业人员。采用“蘑菇管理量表”和“集体正义量表”进行数据收集。SEM通径分析表明,蘑菇经营规模各子维度与集体公平变量呈显著负相关。此外,在这些变量之间发现了显著的影响。根据参与者的人口统计数据,不同机构的参与者在蘑菇管理子维度和集体正义感知方面存在显著差异。研究认为,卫生机构管理者如果不采用蘑菇式管理方式,而是采用透明、诚实和开放的管理方式,特别是在信息共享方面,将员工纳入决策过程,采取更共享的管理方式,将会增加员工对组织和管理的信任以及集体公平感。关键词:蘑菇管理集体正义卫生工作者卫生管理知识共享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。hatice Demir,奥尔都大学卫生科学研究所,毕业于卫生管理硕士学位。Taşkın KiliçTaşkın Kiliç是奥尔都大学健康科学学院健康管理领域的教授和杰出院士。在社会、人文、行政科学、管理与战略等领域发表国内外论文近50篇,专著近12部,国内外论文、项目、专利和奖项近50项。
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引用次数: 0
Burnout among medical students of a medical university in Vietnam: A cross-sectional study 越南医科大学医学生职业倦怠的横断面研究
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-13 DOI: 10.1080/20479700.2023.2257462
Dat Le Minh, Trinh Bui Thi Tuyet, Linh Do Thi Dieu, Nhi Tran Tho, Tam Ngo Thi, Tuan Ngo Tri, Vinh Phan Huu
ABSTRACTBackground Academic burnout is a concern among students. The research aimed to depict the current situation and examine several factors associated with academic burnout among students of Hanoi Medical University in 2023.Methods A cross sectional study was carried out on a sample of 300 randomly selected students from Hanoi Medical University. The study employed demographic questionnaires and the Maslach Burnout Inventory Student Survey (MBI-SS) to assess the level of burnout. Statistical analyses, including descriptive statistics and regression analysis, were performed to evaluate burnout-related factors.Results The study findings revealed that the overall prevalence of burnout was 16.33%. Factors associated with burnout syndrome included being female (OR = 0.42, 95% CI 0.19 −0.93) with a lower level of burnout than males, fourth-year students (OR = 0.06, 95% CI 0.01 −0.72) had a lower level of burnout compared to other academic years, and students pursuing pre-clinical courses (OR = 4.07, 95% CI 1.17 −14.29) had a higher level of burnout.Conclusion The study findings highlight that academic burnout is a noteworthy issue among students. Examining burnout-related factors, including gender, academic year, and field of study, can assist universities in developing specific interventions to support students in managing burnout and enhancing the quality of education.KEYWORDS: Academic burnoutmedical studentthe Maslach burnoutFactors associated with burnoutstudent's burnout Disclosure statementNo potential conflict of interest was reported by the author(s).Correction StatementThis article has been republished with minor changes. These changes do not impact the academic content of the article.Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsDat Le MinhDat Le Minh, MD is a researcher, project officer of the Vietnam Public Health Association, and member of the editorial board of the Vietnam Journal of Public Health.Trinh Bui Thi TuyetTrinh Bui Thi Tuyet is a student at Hanoi Medical University, Vietnam.Linh Do Thi DieuLinh Do Thi Dieu is a student at Hanoi Medical University, Vietnam.Nhi Tran ThoNhi Tran Tho, PhD is Deputy Head of the Department of Ethics and Medical Psychology at Hanoi Medical University, who has many years of research experience in fields related to Stress, anxiety, and depression in medical students.Tam Ngo ThiTam Ngo Thi, MD, MSc is a lecturer at the Faculty of Medicine, Dai Nam University, Hanoi, Vietnam. She is a member of the advisory board of the Journal of Community Medicine, Vietnam.Tuan Ngo TriTuan Ngo Tri, MPM has more than 10 years of teaching experience in Medical Organization and Management and medical research and more than 7 years of teaching experience in hospital management and hospital quality management. He also has more than 10 national articles and 5 international articles.Vinh Phan HuuVinh Phan Huu is a student at H
摘要背景学业倦怠是学生普遍关注的问题。本研究旨在描述目前的情况,并检查与2023年河内医科大学学生学业倦怠相关的几个因素。方法采用横断面研究方法,随机抽取河内医科大学学生300人进行调查。本研究采用人口统计问卷和Maslach倦怠量表学生调查(MBI-SS)来评估倦怠水平。统计分析包括描述性统计和回归分析来评估倦怠相关因素。结果调查结果显示,职业倦怠的总体患病率为16.33%。与倦怠综合征相关的因素包括:女性(OR = 0.42, 95% CI 0.19 ~ 0.93)的倦怠水平低于男性,四年级学生(OR = 0.06, 95% CI 0.01 ~ 0.72)的倦怠水平低于其他学年,而攻读临床预科课程的学生(OR = 4.07, 95% CI 1.17 ~ 14.29)的倦怠水平较高。结论本研究结果表明,学生学业倦怠是一个值得关注的问题。研究倦怠相关因素,包括性别、学年和学习领域,可以帮助大学制定具体的干预措施,以支持学生管理倦怠和提高教育质量。关键词:学业倦怠医学生马斯拉倦怠倦怠与倦怠学生倦怠的相关因素披露声明作者未报告潜在的利益冲突。更正声明这篇文章经过细微修改后重新发表。这些变化不影响文章的学术内容。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:dr . at Le Minh,医学博士,越南公共卫生协会研究员、项目官员和《越南公共卫生杂志》编委会成员。Trinh Bui Thi TuyetTrinh Bui Thi Tuyet是越南河内医科大学的一名学生。Linh Do Thi dieulh Do Thi Dieu是越南河内医科大学的一名学生。Nhi Tran ThoNhi Tran Tho博士,河内医科大学伦理与医学心理学系副主任,在医学生压力、焦虑和抑郁相关领域有多年的研究经验。Tam Ngo ThiTam Ngo Thi,医学博士,硕士,越南河内戴南大学医学院讲师。她是《越南社区医学杂志》的顾问委员会成员。Tuan Ngo TriTuan Ngo Tri, MPM在医疗组织与管理和医学研究方面有10多年的教学经验,在医院管理和医院质量管理方面有7年以上的教学经验。发表国内文章10余篇,国际文章5篇。Vinh Phan Huu是越南河内医科大学的一名学生。
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引用次数: 0
Physicians’ attitudes towards obesity management in the primary care clinics in Al-Ain, United Arab Emirates: A qualitative study 阿拉伯联合酋长国Al-Ain初级保健诊所医生对肥胖管理的态度:一项定性研究
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-12 DOI: 10.1080/20479700.2023.2256551
Iffat Elbarazi, Shamsa Lootah, Fatima Al Shamsi, Nouf Al Marzouqi, Meerah Al Matrooshi, Fatheya Al Awadi, Zufishan Alam, Fatma Al-Maskari
The global prevalence of obesity has almost tripled since 1975 and has become a major public health concern in the United Arab Emirates (UAE). Although physicians are considered as essential role players in the prevention and management of obesity, their perspectives towards obesity management still remain unknown in the UAE. Accordingly, this study aimed to assess physicians’ attitudes and practices towards obesity management and prevention in the UAE using a qualitative research design. Face-to-face interviews, with a convenience sample of 15 health care practitioners from primary care clinics in Al-Ain City, Abu Dhabi, were employed during January–March 2019. Inductive thematic analysis was performed to identify main emerging themes and subthemes. Three major themes, namely beliefs and knowledge about obesity and its management, attitudes toward weight control, and current practices in relation to obesity management in primary care clinics, emerged. The results revealed that weight management is considered essential for all those with high body mass index but is suboptimal in primary care settings. Cultural misconceptions among patients regarding weight and lack of appropriate follow-up constitute major barriers to its management. As obesity is burdensome, its management is crucial and can be enhanced by multidisciplinary approach and unification of guidelines.
自1975年以来,全球肥胖流行率几乎增加了两倍,并已成为阿拉伯联合酋长国(阿联酋)的一个主要公共卫生问题。虽然医生被认为是预防和管理肥胖的重要角色,但他们对肥胖管理的看法在阿联酋仍然不为人所知。因此,本研究旨在使用定性研究设计评估阿联酋医生对肥胖管理和预防的态度和做法。在2019年1月至3月期间,对来自阿布扎比艾因市初级保健诊所的15名卫生保健从业人员进行了面对面访谈。进行归纳主题分析,以确定主要的新兴主题和次级主题。三个主要主题,即关于肥胖及其管理的信念和知识,对体重控制的态度,以及与初级保健诊所肥胖管理有关的当前实践,出现了。结果显示,体重管理被认为对所有高体重指数的人都是必要的,但在初级保健机构中不是最佳的。患者对体重的文化误解和缺乏适当的随访是其管理的主要障碍。由于肥胖是一个沉重的负担,它的管理是至关重要的,可以通过多学科的方法和统一的指南来加强。
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引用次数: 0
Exploring service climate in healthcare using a change management approach 使用变更管理方法探索医疗保健中的服务环境
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-11 DOI: 10.1080/20479700.2023.2249655
Helen Kelley, Claudia Steinke, Oluwagbohunmi Awosoga, Ruth Ann Rebutoc
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引用次数: 0
Needle exchange programs and their impact on HIV incidence in West Virginia: Is it working? 西弗吉尼亚州针头交换项目及其对艾滋病发病率的影响:有效吗?
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-09-11 DOI: 10.1080/20479700.2023.2255772
Amber Graves, Katie Duty, Thomas Norton, Alberto Coustasse
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引用次数: 0
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International Journal of Healthcare Management
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