Pub Date : 2024-04-19DOI: 10.1177/09720634241242310
Sunetra Ghatak
In India, access to public health care is being criticised in terms of inequities in availability, utilisation and affordability. The role of private facilities is gradually becoming important in the discussions as it is expected to act as a substitute for the public health care systems. With this paradigm change, recent health insurance policies are also designed to cover expenses incurred either in public or private facilities. Therefore, the interplay of public and private establishments has a significant role to play, which positively influences the total allocation of resources. In this scenario, the most important is to examine the spatial distribution of two types of health providers to understand the prospective access of health establishments, whether they coexist, and whether private establishments are adequate to support the needs of the people. The study confirms the coexistence of health establishments, which means health establishments are not distributed evenly and form clusters. The correlation between public and private establishments is strong in urban areas, but it is inconsistent for rural areas. Moreover, findings suggest that existing insurance policies are only boosting demand for health care but are unable to minimise out-of-pocket expenses as health establishments are confined to certain areas. Therefore, universal health care has remained elusive unless the supply-side venture is achieved.
{"title":"Assessing Spatial Distribution of Health Infrastructure in India","authors":"Sunetra Ghatak","doi":"10.1177/09720634241242310","DOIUrl":"https://doi.org/10.1177/09720634241242310","url":null,"abstract":"In India, access to public health care is being criticised in terms of inequities in availability, utilisation and affordability. The role of private facilities is gradually becoming important in the discussions as it is expected to act as a substitute for the public health care systems. With this paradigm change, recent health insurance policies are also designed to cover expenses incurred either in public or private facilities. Therefore, the interplay of public and private establishments has a significant role to play, which positively influences the total allocation of resources. In this scenario, the most important is to examine the spatial distribution of two types of health providers to understand the prospective access of health establishments, whether they coexist, and whether private establishments are adequate to support the needs of the people. The study confirms the coexistence of health establishments, which means health establishments are not distributed evenly and form clusters. The correlation between public and private establishments is strong in urban areas, but it is inconsistent for rural areas. Moreover, findings suggest that existing insurance policies are only boosting demand for health care but are unable to minimise out-of-pocket expenses as health establishments are confined to certain areas. Therefore, universal health care has remained elusive unless the supply-side venture is achieved.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140684770","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 : 2024-04-19DOI: 10.1177/09720634241244426
Mamunur Rahman, Zasharatul Islam, H. Alamgir
Receiving adequate, timely and effective medical care at the tertiary level hospitals can be a challenge because of the difficulty to reach these hospitals. Many of these facilities are located in central or certain geographic areas. This study describes the geographic distribution of tertiary care hospitals in Bangladesh and assesses their accessibility. Several data sources including the Directorate General of Health Services, National Population Census and Google Maps were used. Geographic inaccessibility ranking was calculated by a method that used data on population and area of the district, travel time and distance to the hospital. Among 35 hospitals, 16 are situated in Dhaka district comprising 10,424 beds, which is almost 41% of the total tertiary care beds. Among the 64 total districts, 46 do not have any such hospital. Around 6.4 million people need to travel more than 3 hours and another 25.4 million need between 2 and 3 hours to reach tertiary care hospitals. Geographic inaccessibility score was found to be high for 5 districts, moderate for 5 districts and low for 19 districts. High centrality of location and skewed distribution of these hospitals may have created health inequity and disparity for a large population segment in Bangladesh.
{"title":"How Geographically Accessible is Tertiary \u2028Care in Low- and Middle-income Countries: \u2028The Bangladesh Case","authors":"Mamunur Rahman, Zasharatul Islam, H. Alamgir","doi":"10.1177/09720634241244426","DOIUrl":"https://doi.org/10.1177/09720634241244426","url":null,"abstract":"Receiving adequate, timely and effective medical care at the tertiary level hospitals can be a challenge because of the difficulty to reach these hospitals. Many of these facilities are located in central or certain geographic areas. This study describes the geographic distribution of tertiary care hospitals in Bangladesh and assesses their accessibility. Several data sources including the Directorate General of Health Services, National Population Census and Google Maps were used. Geographic inaccessibility ranking was calculated by a method that used data on population and area of the district, travel time and distance to the hospital. Among 35 hospitals, 16 are situated in Dhaka district comprising 10,424 beds, which is almost 41% of the total tertiary care beds. Among the 64 total districts, 46 do not have any such hospital. Around 6.4 million people need to travel more than 3 hours and another 25.4 million need between 2 and 3 hours to reach tertiary care hospitals. Geographic inaccessibility score was found to be high for 5 districts, moderate for 5 districts and low for 19 districts. High centrality of location and skewed distribution of these hospitals may have created health inequity and disparity for a large population segment in Bangladesh.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685269","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 : 2024-04-11DOI: 10.1177/09720634231216062
Manpreet Kailay, Kamalpreet Kaur Paposa
The field of personal management has undergone a significant change in the past decade. During the initial phases of sustainable practices—organisations seem to be responsible towards their society and environment along with a focus on financial profits. Building on sustainable management theory, ‘sustainable human resource management’ concept receives significant interest from management, academicians and scholars. Studies related to this area are limited and are still emerging in the developing country context. In this article, the literature review suggests that sustainability could be the driver of the hospital sector in the system. Sustainability in the hospital sector through sustainable human resource management practices is necessary to build and adapt a concrete sustainable practices structure. The various service sectors are focusing on embedding environmental sustainability and lesser focus has been given to the other three elements of sustainability that is the strategic, social and humanistic approach. The present article approaches headed for the full range implementation of sustainable human resource management practices in the hospital sector. In light of this, we proposed a model (SHRM—layout). We offer recommendations for the managing the hospital sector to implement these practices and influence others to maximise sustainable performance from the findings. The framework acts as a guide to organisations for incorporating sustainability practices in their management development plans.
{"title":"Sustainable Human Resource Management in the Hospital Sector: A Review of Literature","authors":"Manpreet Kailay, Kamalpreet Kaur Paposa","doi":"10.1177/09720634231216062","DOIUrl":"https://doi.org/10.1177/09720634231216062","url":null,"abstract":"The field of personal management has undergone a significant change in the past decade. During the initial phases of sustainable practices—organisations seem to be responsible towards their society and environment along with a focus on financial profits. Building on sustainable management theory, ‘sustainable human resource management’ concept receives significant interest from management, academicians and scholars. Studies related to this area are limited and are still emerging in the developing country context. In this article, the literature review suggests that sustainability could be the driver of the hospital sector in the system. Sustainability in the hospital sector through sustainable human resource management practices is necessary to build and adapt a concrete sustainable practices structure. The various service sectors are focusing on embedding environmental sustainability and lesser focus has been given to the other three elements of sustainability that is the strategic, social and humanistic approach. The present article approaches headed for the full range implementation of sustainable human resource management practices in the hospital sector. In light of this, we proposed a model (SHRM—layout). We offer recommendations for the managing the hospital sector to implement these practices and influence others to maximise sustainable performance from the findings. The framework acts as a guide to organisations for incorporating sustainability practices in their management development plans.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140714468","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 : 2024-04-09DOI: 10.1177/09720634231217018
Neera Trivedi, P. Sodani
A significant health problem affecting thousands of people worldwide is end-stage renal disease (ESRD). Haemodialysis and kidney transplantation are the two main forms of treatment. Despite the fact that kidney transplantation is a more effective and affordable treatment option, many ESRD patients still undergo haemodialysis due to a variety of reasons, including a lack of opportunity for transplantation, financial limitations and a lack of available donors. By examining the cost and quality of life connected with kidney transplantation and haemodialysis, this research aims to contribute to the economic assessment of ESRD treatments. A total of 268 recipients of kidney transplants and 225 patients receiving haemodialysis made up the study’s sample size. It was carried out at Medanta – The Medicity in Gurugram, Haryana. Haemodialysis costs ₹550,000 per year, while the average expense for a kidney transplant is ₹880,000. However, a straightforward projection indicates that in about 20 months, the cost of haemodialysis patients will equal that of transplant patients. In terms of life satisfaction, kidney transplant recipients reported higher levels of general fulfilment with healthcare services than haemodialysis patients. With a ratio of 1.6:1.75 in terms of expenses versus quality of life (QoL), transplantation of kidneys was found to be more advantageous.
{"title":"A Study on the Economic Evaluation of End-stage Renal Disease Treatment: Kidney Transplantation Versus Haemodialysis","authors":"Neera Trivedi, P. Sodani","doi":"10.1177/09720634231217018","DOIUrl":"https://doi.org/10.1177/09720634231217018","url":null,"abstract":"A significant health problem affecting thousands of people worldwide is end-stage renal disease (ESRD). Haemodialysis and kidney transplantation are the two main forms of treatment. Despite the fact that kidney transplantation is a more effective and affordable treatment option, many ESRD patients still undergo haemodialysis due to a variety of reasons, including a lack of opportunity for transplantation, financial limitations and a lack of available donors. By examining the cost and quality of life connected with kidney transplantation and haemodialysis, this research aims to contribute to the economic assessment of ESRD treatments. A total of 268 recipients of kidney transplants and 225 patients receiving haemodialysis made up the study’s sample size. It was carried out at Medanta – The Medicity in Gurugram, Haryana. Haemodialysis costs ₹550,000 per year, while the average expense for a kidney transplant is ₹880,000. However, a straightforward projection indicates that in about 20 months, the cost of haemodialysis patients will equal that of transplant patients. In terms of life satisfaction, kidney transplant recipients reported higher levels of general fulfilment with healthcare services than haemodialysis patients. With a ratio of 1.6:1.75 in terms of expenses versus quality of life (QoL), transplantation of kidneys was found to be more advantageous.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140725531","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}
In this article, we propose a model (using a simple SIR model) for the analysis of the spread and control of COVID-19 pandemic in India after the subsequent lockdown(s) by taking into account the approach of partial measures, which, in fact, could be a mid-way approach between the two approaches of taking complete measures or no measures. Our supposition of partial measures (which put restrictions on the movements of some age groups) could be an effective protocol in controlling the spread of the coronavirus without hampering economic activities. The analysis has shown that there will be less number of infections after January 2021 by adopting partial measures. Overall, from the study, we have found some encouraging and significant results compared to the others in order to improve the economy of our country keeping the current pandemic in control.
在本文中，我们提出了一个模型（使用简单的 SIR 模型），用于分析 COVID-19 大流行病在随后的封锁之后在印度的传播和控制情况，其中考虑到了部分措施的方法，事实上，这可能是采取完全措施或不采取措施这两种方法之间的中间方法。我们假设的部分措施（限制某些年龄组的行动）可能是在不妨碍经济活动的情况下控制冠状病毒传播的有效方案。分析表明，如果采取部分措施，2021 年 1 月以后的感染人数将会减少。总之，与其他研究相比，我们发现了一些令人鼓舞的重要结果，以改善我国的经济，控制当前的流行病。
{"title":"Mathematical Study based on SIR Model to \u2028Combat with COVID-19 in India using Partial Measures: A Mid-way Approach","authors":"Ritesh Kumar Pathak, Tripti Kumari, Sheo Kumar Singh","doi":"10.1177/09720634241229578","DOIUrl":"https://doi.org/10.1177/09720634241229578","url":null,"abstract":"In this article, we propose a model (using a simple SIR model) for the analysis of the spread and control of COVID-19 pandemic in India after the subsequent lockdown(s) by taking into account the approach of partial measures, which, in fact, could be a mid-way approach between the two approaches of taking complete measures or no measures. Our supposition of partial measures (which put restrictions on the movements of some age groups) could be an effective protocol in controlling the spread of the coronavirus without hampering economic activities. The analysis has shown that there will be less number of infections after January 2021 by adopting partial measures. Overall, from the study, we have found some encouraging and significant results compared to the others in order to improve the economy of our country keeping the current pandemic in control.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140733316","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 : 2024-04-05DOI: 10.1177/09720634241240024
Aspiya Tamboli, A. Nagarkar
The study was designed to develop and validate a scale for measuring barriers to healthcare and to examine barriers in the case of people with physical disabilities. A 35-item scale with a four-factor structure was developed using principal component analysis, and the scale’s psychometric properties were examined using confirmatory factor analysis. The scale was administered to a sample of 402 people with a physical disability. Descriptive analysis and a chi-square test were performed to study the distribution of barriers across various sociodemographic characteristics. The scale identified four barriers: Health system, transportation and geographical, attitudinal and social and financial barriers. The Cronbach’s α was 0.976, indicating high reliability. The sample consisted of 57.2% men and 42.8% women. More than 90% reported facing barriers while accessing healthcare, but the financial barrier was significantly more. Increasing age and low levels of education were significantly associated with all four categories of barriers. Rural residence was associated with geographical and transportation barriers ( P value = 0.02), while working status was associated with the financial barrier ( P value = 0.03). Greater attention is needed to the financial and transport assistance for people with disabilities. The new tool, d-BAR, is contextual and valuable in identifying barriers to accessing healthcare among people with disabilities.
{"title":"Barriers to Healthcare Access Scale for People with Physical Disabilities: Development, Validation and Use","authors":"Aspiya Tamboli, A. Nagarkar","doi":"10.1177/09720634241240024","DOIUrl":"https://doi.org/10.1177/09720634241240024","url":null,"abstract":"The study was designed to develop and validate a scale for measuring barriers to healthcare and to examine barriers in the case of people with physical disabilities. A 35-item scale with a four-factor structure was developed using principal component analysis, and the scale’s psychometric properties were examined using confirmatory factor analysis. The scale was administered to a sample of 402 people with a physical disability. Descriptive analysis and a chi-square test were performed to study the distribution of barriers across various sociodemographic characteristics. The scale identified four barriers: Health system, transportation and geographical, attitudinal and social and financial barriers. The Cronbach’s α was 0.976, indicating high reliability. The sample consisted of 57.2% men and 42.8% women. More than 90% reported facing barriers while accessing healthcare, but the financial barrier was significantly more. Increasing age and low levels of education were significantly associated with all four categories of barriers. Rural residence was associated with geographical and transportation barriers ( P value = 0.02), while working status was associated with the financial barrier ( P value = 0.03). Greater attention is needed to the financial and transport assistance for people with disabilities. The new tool, d-BAR, is contextual and valuable in identifying barriers to accessing healthcare among people with disabilities.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140736313","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 : 2024-04-03DOI: 10.1177/09720634241229265
A. Dao, Huy van Nguyen, H. L. Nguyen, J. Allison, Tung Duc Le, Ngoc Hong Bui, Huong Thi Thu Nguyen, Phuong The Nguyen, P. Le, Tien Van Nguyen, Germán Chiriboga, Robert J. Goldberg, H. T. Nguyen
Cardiovascular disease (CVD) is the leading cause of death among all non-communicable diseases (NCDs) in Vietnam. The objectives of the present study were to analyse contemporary gaps in CVD control studies, which were published in Vietnam between 2013 and 2017. A systematic literature review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses. Research articles written in English or Vietnamese, published between 2013 and 2017, and focused on the four main WHO themes of CVD control were identified. Among 11,385 Vietnamese-based CVD studies published during this period, only 119 studies (1.0%) were relevant to public health CVD control outcomes, and only 17 of 20 CVD indicators were addressed in these studies. Most studies were published in Vietnamese journals (73.9%), focused on disease and intermediate risk factors (73.9%), were cross-sectional (84.8%) and hospital-based (54.6%). We observed a lack of studies, many of which suffered design and analysis limitations, focused on several WHO themes for effective CVD control. Future Vietnamese-based CVD control studies should focus on the WHO-recommended themes and health indicators in broader community settings to provide better data to inform effective public health policies to control CVD.
{"title":"Current Gaps in the Control of Cardiovascular Disease in Vietnam: A Systematic Review of Vietnamese-based Studies","authors":"A. Dao, Huy van Nguyen, H. L. Nguyen, J. Allison, Tung Duc Le, Ngoc Hong Bui, Huong Thi Thu Nguyen, Phuong The Nguyen, P. Le, Tien Van Nguyen, Germán Chiriboga, Robert J. Goldberg, H. T. Nguyen","doi":"10.1177/09720634241229265","DOIUrl":"https://doi.org/10.1177/09720634241229265","url":null,"abstract":"Cardiovascular disease (CVD) is the leading cause of death among all non-communicable diseases (NCDs) in Vietnam. The objectives of the present study were to analyse contemporary gaps in CVD control studies, which were published in Vietnam between 2013 and 2017. A systematic literature review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses. Research articles written in English or Vietnamese, published between 2013 and 2017, and focused on the four main WHO themes of CVD control were identified. Among 11,385 Vietnamese-based CVD studies published during this period, only 119 studies (1.0%) were relevant to public health CVD control outcomes, and only 17 of 20 CVD indicators were addressed in these studies. Most studies were published in Vietnamese journals (73.9%), focused on disease and intermediate risk factors (73.9%), were cross-sectional (84.8%) and hospital-based (54.6%). We observed a lack of studies, many of which suffered design and analysis limitations, focused on several WHO themes for effective CVD control. Future Vietnamese-based CVD control studies should focus on the WHO-recommended themes and health indicators in broader community settings to provide better data to inform effective public health policies to control CVD.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140746552","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 : 2024-03-25DOI: 10.1177/09720634241229555
Manoj Pareek
Claim servicing in health insurance is an important area for insurers. Third party administrators (TPAs) are a critical link in India that process health insurance claims. Several insurers have started in-house claim teams for health insurance claims instead of outsourcing the work to TPAs. The study aims to explore the role played by external TPAs in terms of value addition done by them for insurers, policyholders and healthcare providers. The study aims to find the benefits of roping in an in-house team to settle health claims and the benefits accruing out of this decision to policyholders and hospitals. The role of TPAs in claim processing, issues faced by customers while making a claim, and improvement areas in the process have also been examined. The author has tried to explore and research this area so that policyholders can choose a health insurance company without bias whether it has an in-house claim settlement process or engages an external TPA. The study brings out the concerns of customers and hospitals regarding the settlement of health insurance claims and suggests improvement areas required for both TPAs and in-house teams in claim settlements by evaluating the same.
{"title":"Comparative Assessment of External Third Party Administrators and In-house Teams of Insurers in Health Insurance Claims Settlement Process in Bangalore, India","authors":"Manoj Pareek","doi":"10.1177/09720634241229555","DOIUrl":"https://doi.org/10.1177/09720634241229555","url":null,"abstract":"Claim servicing in health insurance is an important area for insurers. Third party administrators (TPAs) are a critical link in India that process health insurance claims. Several insurers have started in-house claim teams for health insurance claims instead of outsourcing the work to TPAs. The study aims to explore the role played by external TPAs in terms of value addition done by them for insurers, policyholders and healthcare providers. The study aims to find the benefits of roping in an in-house team to settle health claims and the benefits accruing out of this decision to policyholders and hospitals. The role of TPAs in claim processing, issues faced by customers while making a claim, and improvement areas in the process have also been examined. The author has tried to explore and research this area so that policyholders can choose a health insurance company without bias whether it has an in-house claim settlement process or engages an external TPA. The study brings out the concerns of customers and hospitals regarding the settlement of health insurance claims and suggests improvement areas required for both TPAs and in-house teams in claim settlements by evaluating the same.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140384460","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 : 2024-03-25DOI: 10.1177/09720634241237596
İlker Köse, Sinem Cece, Songül Yener, Senanur Seyhan, B. O. Elmas, John Rayner, Şuayıp Birinci, M. M. Ülgü, Esra Zehir, Berrin Gündoğdu
The digitalisation studies in public hospitals in Turkey started with the Health Transformation Program in 2003. The Ministry of Health has been measuring the dissemination of meaningful usage and adoption of electronic health record (EHR) using Electronic Medical Record Adoption Model (EMRAM) and Outpatient Electronic Medical Record Adoption Model (O-EMRAM). Using a comprehensive survey, our study intends to measure the stage of EHR adoption in oral and dental health centres (ODHCs) providing primary healthcare services in Turkey. The results obtained were classified by basic and comprehensive EHR functions and benchmarked against the studies addressing EHR adoption in primary healthcare institutions of other countries. In 2021, 167 ODHCs/oral and dental health hospitals (ODHHs) actively operating in Turkey completed the O-EMRAM survey. The data obtained from the survey results were analysed with QlikView Personal Edition. The availability and prevalence of medical information systems and EHR functions and their use were measured. It is observed that 59 (40.7%) of ODHCs/ODHHs have comprehensive EHR functions, while the remaining 86 (59.3%) have basic EHR functions. Under these circumstances, it can be stated that all ODHCs/ODHHs in Turkey use at least basic EHR functions. All ODHCs/ODHHs in Turkey have at least basic EHR functions. The integration of e-prescription, electronic authorisation system and e-Pulse used throughout Turkey and Health Information Management System Society (HIMSS) used in ODHCs/ODHHs can be listed as one of the decisive factors in this result. ODHCs/ODHHs still have a long way to go in adopting EHR, but the current circumstances are also promising. It is considered that this study will serve as a baseline for future measurements and produce a notable result for decision-makers.
{"title":"Electronic Health Record Adoption in Oral and Dental Health Centres in Turkey","authors":"İlker Köse, Sinem Cece, Songül Yener, Senanur Seyhan, B. O. Elmas, John Rayner, Şuayıp Birinci, M. M. Ülgü, Esra Zehir, Berrin Gündoğdu","doi":"10.1177/09720634241237596","DOIUrl":"https://doi.org/10.1177/09720634241237596","url":null,"abstract":"The digitalisation studies in public hospitals in Turkey started with the Health Transformation Program in 2003. The Ministry of Health has been measuring the dissemination of meaningful usage and adoption of electronic health record (EHR) using Electronic Medical Record Adoption Model (EMRAM) and Outpatient Electronic Medical Record Adoption Model (O-EMRAM). Using a comprehensive survey, our study intends to measure the stage of EHR adoption in oral and dental health centres (ODHCs) providing primary healthcare services in Turkey. The results obtained were classified by basic and comprehensive EHR functions and benchmarked against the studies addressing EHR adoption in primary healthcare institutions of other countries. In 2021, 167 ODHCs/oral and dental health hospitals (ODHHs) actively operating in Turkey completed the O-EMRAM survey. The data obtained from the survey results were analysed with QlikView Personal Edition. The availability and prevalence of medical information systems and EHR functions and their use were measured. It is observed that 59 (40.7%) of ODHCs/ODHHs have comprehensive EHR functions, while the remaining 86 (59.3%) have basic EHR functions. Under these circumstances, it can be stated that all ODHCs/ODHHs in Turkey use at least basic EHR functions. All ODHCs/ODHHs in Turkey have at least basic EHR functions. The integration of e-prescription, electronic authorisation system and e-Pulse used throughout Turkey and Health Information Management System Society (HIMSS) used in ODHCs/ODHHs can be listed as one of the decisive factors in this result. ODHCs/ODHHs still have a long way to go in adopting EHR, but the current circumstances are also promising. It is considered that this study will serve as a baseline for future measurements and produce a notable result for decision-makers.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140385237","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 : 2024-02-29DOI: 10.1177/09720634241229259
Munir Apipi, Siti Zaleha Abdul Rasid, Rohaida Basiruddin
Background: Blockchain technology has better security and immutable features, which are beneficial for healthcare data management. Decentralisation data management allows better sharing of medical images between units and departments. Objectives: The objectives of this study were to determine the cost of adopting the blockchain-based system for medical images and the cost-benefit analysis for five years of adoption of this technology at a district hospital in Malaysia. Methodology: Data regarding the yearly costs and workload for 2016 until 2018 were collected from a district hospital in Malaysia. The cost of blockchain implementation was obtained from a company that developed this technology. The cost-benefit analysis was done using the capital budgeting method for five years of this technology adoption. Sensitivity analysis was done to assess uncertainty conditions during this adoption. Results: The total yearly cost of Radiology Unit for 2018 was MYR490,168.96. The cost for adopting blockchain technology was MYR80,000 for the software, MYR115,000 for upgrading the assets and yearly maintenance cost was MYR16,000. The total present value of net benefits for five years of technology adoption was MYR865,295.01. Sensitivity analysis shows that consumables cost-saving is the most sensitive variable. Most pessimistic situation analyses showed positive net benefits. Conclusion: The adoption of blockchain technology in managing medical images offers numerous benefits to public hospitals in Malaysia. Investment in this technology can provide a good return to the organisation.
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