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Work-life balance and burnout among emergency healthcare professionals during the COVID-19 pandemic: A cross-sectional study COVID-19大流行期间急诊医护人员的工作与生活平衡和职业倦怠:一项横断面研究
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-04-17 DOI: 10.1080/20479700.2023.2199546
Melih Kocatepe, V. Kocatepe, D. Yıldırım
The aim of this study was to examine the correlation between work-life balance and burnout among emergency healthcare professionals during the COVID-19 pandemic. This was a cross-sectional, descriptive, and correlational study which was conducted with 428 subjects between February and July 2021. A Descriptive Characteristics Form, the Maslach Burnout Inventory (MBI), and the Work-Life Balance Scale (WLBS) were used to collect data. The findings of the study revealed that there was a statistically significant negative correlation between their total WLBS and MBI scores (P < 0.05). Participants' Work-Life Balance scores explained 28.5% of the variance in burnout levels (R 2= 0.285). Those who did not have to be away from their families during the pandemic had higher total WLBS scores than those who did. Those who received positive support from their families during the pandemic despite their heavy schedules were satisfied with their jobs and unit, and moreover had statistically higher total WLBS scores and statistically lower total MBI scores compared to the others. © 2023 Informa UK Limited, trading as Taylor & Francis Group.
本研究的目的是研究COVID-19大流行期间急诊医护人员工作与生活平衡与职业倦怠之间的相关性。这是一项横断面、描述性和相关性研究,在2021年2月至7月期间对428名受试者进行了研究。采用描述性特征表、Maslach倦怠量表(MBI)和工作-生活平衡量表(WLBS)收集数据。研究结果显示,患者总WLBS与MBI评分呈显著负相关(P < 0.05)。被试的工作-生活平衡得分解释了28.5%的倦怠水平方差(r2 = 0.285)。那些在大流行期间不必离开家人的人比那些不得不离开家人的人的WLBS总分更高。在疫情期间,尽管工作繁忙,但得到家人积极支持的人对工作和单位感到满意,而且WLBS总分在统计上高于其他人,MBI总分在统计上低于其他人。©2023 Informa UK Limited以Taylor & Francis Group的名义进行交易。
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引用次数: 0
Organizational strategies in promoting person-centered primary care: A participatory concept mapping study 促进以人为中心的初级保健的组织策略:一项参与式概念映射研究
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-04-17 DOI: 10.1080/20479700.2023.2200604
P. S. Saw, Nur Zahirah Balqis-Ali, K. Quek, B. Ahmad, Weng Hong Fun, S. Sararaks, Shaun Wen Huey Lee
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引用次数: 0
Exploring the relationship between workplace spirituality, spiritual survival and innovative work behavior among healthcare professionals 探索工作场所灵性、精神生存和医疗保健专业人员创新工作行为之间的关系
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-04-15 DOI: 10.1080/20479700.2023.2199555
P. Baber, Ruturaj Baber, Francesca Di Virgilio
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引用次数: 2
Effect of auditory noise circumstance on visual images encoding based electroencephalography analysis 基于脑电图分析的听觉噪声环境对视觉图像编码的影响
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-04-12 DOI: 10.1080/20479700.2023.2198902
S. N. S. Sayed Daud, R. Sudirman
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引用次数: 1
An evaluation of the driving and restraining factors affecting the implementation of hospital accreditation standards: A force field analysis 影响医院认证标准实施的驱动与制约因素评价:力场分析
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-04-03 DOI: 10.1080/20479700.2022.2084810
Mohammed Hussein, M. Pavlova, W. Groot
ABSTRACT Background: Integrating accreditation standards in healthcare business operations is context-sensitive and affected by diverse factors. This study explored the driving and restraining factors influencing the implementation of accreditation standards in Saudi Arabian hospitals. Methods: A qualitative design using semi-structured in-depth interviews was employed. Twenty-seven hospital directors and 29 hospital quality directors were interviewed. Interviews were recorded, transcribed verbatim, and thematically analyzed. A force-field analysis framework was adopted to present a visual picture of the various factors influencing the implementation of hospital accreditation standards. Results: The analysis yielded 42 driving and restraining factors affecting the implementation of accreditation standards. The main drivers identified were teamwork, the quality mindset of leaders and staff, employing a continuous readiness model, and commitment toward customers. By contrast, insufficient manpower, infrastructural gaps, workforce recruitment challenges, variability among surveyors, the COVID-19 pandemic, limited financial support, and bureaucratic decision-making procedures were the main reported restrainers. At the national level, perceived restrainers pose a serious challenge to compliance with the existing accreditation model. Conclusion: Exploring the factors affecting accreditation standards implementation assists in assessing accreditation readiness, helps to prioritize efforts to strengthen drivers and weaken restrainers, and contributes to the institutionalization of accreditation standards.
背景:在医疗保健业务运营中整合认证标准具有情境敏感性,并受到多种因素的影响。本研究探讨了影响沙特阿拉伯医院实施认证标准的驱动因素和制约因素。方法:采用半结构化深度访谈的定性设计。对27名医院院长和29名医院质量主管进行了访谈。采访被记录下来,逐字抄录,并按主题进行分析。本研究采用力场分析架构,以直观呈现影响医院认可标准实施的各种因素。结果:分析得出42个影响认可标准实施的驱动和制约因素。确定的主要驱动因素是团队合作、领导和员工的质量心态、采用持续准备模式以及对客户的承诺。相比之下,人力不足、基础设施差距、劳动力招聘挑战、测量师之间的差异、COVID-19大流行、财政支持有限以及官僚决策程序是报告的主要制约因素。在国家一级,公认的制约因素对遵守现有认证模式构成严重挑战。结论:探索影响认可标准实施的因素有助于评估认可准备情况,有助于优先考虑加强驱动因素和削弱制约因素的努力,并有助于认可标准的制度化。
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引用次数: 3
Bibliometric analysis of scientific publications on health care insurance in India from 2000 to 2021 2000-2001年印度医疗保险科学出版物的文献计量分析
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-04-03 DOI: 10.1080/20479700.2022.2085848
Santosh Nayak, D. Behera, Jyothi Shetty, A. Shetty, Satish Kumar, Sandeep S. Shenoy
ABSTRACT Background: India's health care suffers from high out-of-pocket medical expenses that lead to a higher financial burden on poor people. To reduce the health cost burden, the government of India has initiated many governments funded insurance schemes since 2000. Private health insurance also flourished, but the coverage is limited to wealthier households. Many researchers have published many scientific publications on this research domain, but the bibliometric analysis of scientific publications is missing. Methods: We have relied on the ‘SCOPUS' database for data collection based on the wider availability of literature. 761 documents extracted were journal articles, published between 2000 and 2021 followed by certain inclusion and exclusion criteria. Biblioshiny package of R-Studio has been used for data analysis. Results: Our analysis reflect upon various aspects of Bibliographic analysis like number of articles published, cited, country wise scientific production etc. Our results also reflect on very few studies that relate to Poverty, income, young adults, aged, adolescents, and children, where there is further scope for research. Conclusion: We found that the health insurance-related publication rate has increased over the period. But it requires more research especially the implementation of health insurance mechanisms from the health system perspective. The study will be a policy document to find the research gaps in the healthcare insurance domain.
摘要背景:印度的医疗保健费用高昂,这给穷人带来了更大的经济负担。为了减轻医疗费用负担,自2000年以来,印度政府启动了许多由政府资助的保险计划。私人医疗保险也蓬勃发展,但覆盖范围仅限于富裕家庭。许多研究人员在这一研究领域发表了许多科学出版物,但对科学出版物的文献计量学分析却缺失。方法:我们依靠“SCOPUS”数据库,根据更广泛的文献进行数据收集。提取的761份文件是2000年至2021年间发表的期刊文章,遵循一定的纳入和排除标准。R-Studio的Bibliobshing软件包已用于数据分析。结果:我们的分析反映了文献分析的各个方面,如发表、引用的文章数量、国别科学成果等。我们的结果还反映了极少数与贫困、收入、年轻人、老年人、青少年和儿童有关的研究,这些研究还有进一步的研究空间。结论:我们发现健康保险相关的公布率在这段时间内有所上升。但它需要更多的研究,特别是从卫生系统的角度来研究医疗保险机制的实施。这项研究将是一份政策文件,旨在找出医疗保险领域的研究空白。
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引用次数: 2
Application of activity theory to examine the implementation of e-health in Namibia 应用活动理论考察纳米比亚电子健康的实施情况
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-04-03 DOI: 10.1080/20479700.2022.2083046
L. Mutasa, T. Iyamu
ABSTRACT Despite the investment and efforts to improve the health systems through the e-health solution, systems and activities remain fragmented, which hamper service delivery. These challenges persist because either the factors that influence the implementation of the e-health solutions are not known or they remain speculative. Empirically, this study reveals the factors that influence the development of e-health solutions in the country. It is an interpretivist study in which the semi-structured interview technique was employed to collect data and relevant documents authored by different health stakeholders, such as Ministry of Health and Social Services (MoHSS), Office of the Prime Minister (OPM) and from public and private health facilities in the country were gathered. The activity theory (AT) underpins the study, meaning it guided the analysis, from which eight factors: (1) disparity, which affects transparency; (2) isolation; means that e-health solutions are currently stand-alone; (3) governance; which includes standardization, policies, and principles; (4) requirements that cover functions and technology specifications; (5) know-how; entails skillset and human capacity; (6) interoperability; exchange and information use between IT solutions; (7) synchronization of data and processes; and (8) heterogeneity were found to be the main influence on the implementation of e-health solutions in the country.
摘要尽管通过电子健康解决方案对卫生系统进行了投资和努力,但系统和活动仍然分散,阻碍了服务的提供。这些挑战持续存在,因为影响电子健康解决方案实施的因素要么未知,要么仍然是推测性的。根据经验,本研究揭示了影响该国电子健康解决方案发展的因素。这是一项解释主义研究,采用半结构化访谈技术收集了不同卫生利益相关者撰写的数据和相关文件,如卫生和社会服务部、总理办公室以及该国公共和私人卫生机构的数据和文件。活动理论(AT)是这项研究的基础,也就是说它指导了分析,其中有八个因素:(1)差异,影响透明度;(2) 隔离;意味着电子健康解决方案目前是独立的;(3) 治理;包括标准化、政策和原则;(4) 涵盖功能和技术规范的要求;(5) 专有技术;需要技能和人的能力;(6) 互操作性;信息技术解决方案之间的交流和信息使用;(7) 数据和过程的同步;(8)异质性是影响该国电子卫生解决方案实施的主要因素。
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引用次数: 0
Determining the temporal factors of survival associated with brain and nervous system cancer patients: A hybrid machine learning methodology 确定与脑和神经系统癌症患者相关的生存时间因素:一种混合机器学习方法
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-04-01 DOI: 10.1080/20479700.2023.2196101
Gopal Nath, Austin Coursey, J. Ekong, E. Rastegari, Saptarshi Sengupta, A. Dag, D. Delen
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引用次数: 0
The impact of a reimbursement rate reduction on the utilization of antiulcer, antidepressants and antidiabetics in Portugal: A time series analysis 报销率降低对葡萄牙抗溃疡药、抗抑郁药和抗糖尿病药使用的影响:时间序列分析
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-03-29 DOI: 10.1080/20479700.2023.2193008
A. Donato, D. Figueiredo, F. Batel-Marques
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引用次数: 0
Using a stakeholder co-design approach to develop interventions for quality improvement based on patient complaints 使用利益相关者共同设计方法,根据患者投诉制定质量改进干预措施
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-03-22 DOI: 10.1080/20479700.2023.2188717
Emily O’Dowd, S. Lydon, C. Rudland, A. Gillespie, E. Ahern, M. Ward, M. Kane, T. Reader, P. O’Connor
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International Journal of Healthcare Management
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