Pub Date : 2024-02-29DOI: 10.1177/09720634241229267
V. Dsouza, Jestina Rachel Kurian, Brayal D'Souza, V. Sekaran, Lena Ashok
The study seeks to explore experiences and perceived needs of patients in source isolation and healthcare professionals’ management of COVID-19 patients to inform practice in the event of emerging health disaster. Participants were recruited through snowball and purposive sampling strategy. We conducted semi-structured telephone interviews to understand their subjective evaluations of these events. We applied inductive thematic analysis, which yielded six themes. The health events resulting from COVID-19 varied and shaped patient perspectives. Response to care received and trust in healthcare providers was encouraging, including expressions of gratitude and resilience towards discomfort brought on by isolation. Processing COVID-19 in isolation describes how patients cognitively and psychologically dealt with the illness. Clinicians’ experiences of working in isolation centred around workflow management, maintaining safety, focus on patient-centric approach and expanding roles of health workers, even as complacency towards COVID-19 was on the rise. Effective deployment of resources, efforts of experienced clinicians and staff, along with cooperation and resilience of patients, paves the way for the system to endure through the crisis. These lessons can be preserved for practice as global health entities are pushing for pandemic response, preparedness and prevention through measures such as the pandemic treaty.
{"title":"Building Perspectives for Resilient Health System: Lessons Learned from the Experience of Patients and Health Professionals during COVID-19","authors":"V. Dsouza, Jestina Rachel Kurian, Brayal D'Souza, V. Sekaran, Lena Ashok","doi":"10.1177/09720634241229267","DOIUrl":"https://doi.org/10.1177/09720634241229267","url":null,"abstract":"The study seeks to explore experiences and perceived needs of patients in source isolation and healthcare professionals’ management of COVID-19 patients to inform practice in the event of emerging health disaster. Participants were recruited through snowball and purposive sampling strategy. We conducted semi-structured telephone interviews to understand their subjective evaluations of these events. We applied inductive thematic analysis, which yielded six themes. The health events resulting from COVID-19 varied and shaped patient perspectives. Response to care received and trust in healthcare providers was encouraging, including expressions of gratitude and resilience towards discomfort brought on by isolation. Processing COVID-19 in isolation describes how patients cognitively and psychologically dealt with the illness. Clinicians’ experiences of working in isolation centred around workflow management, maintaining safety, focus on patient-centric approach and expanding roles of health workers, even as complacency towards COVID-19 was on the rise. Effective deployment of resources, efforts of experienced clinicians and staff, along with cooperation and resilience of patients, paves the way for the system to endure through the crisis. These lessons can be preserved for practice as global health entities are pushing for pandemic response, preparedness and prevention through measures such as the pandemic treaty.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140410629","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 : 2024-02-28DOI: 10.1177/09720634241227506
Gunasekaran Gobi Hariyanayagam, Foo Yen Li, Aida Farhana Yusoff, Wan Mohd Akmal Wan Sabri, S. S. Gunasekaran, Shargunan Selvanthan Gunasekaran
The use of facemask as precaution from COVID-19 cross-transmission have been strongly advocated by healthcare agencies as a public health management strategy to mitigate the pandemic burden on the healthcare system. This cross-sectional study aimed to investigate the knowledge, attitudes and practices (KAP) according to facemask practice during COVID-19. Descriptive statistics, chi-square test, t-test and one-way analysis of variance (ANOVA) and multivariable linear regression was used to identify factor contributing to knowledge while Binomial analysis was used to investigate factors contributing to practice. Among 268 participants included in the study, those with medical-grade facemask had better knowledge score (88.8%) compared to non-medical facemask (86.3%) and those without facemask (78.6%). Majority of participants had positive attitudes on controlling COVID-19 pandemic (88.8%), the ability in overcoming the pandemic (99.2%) and use of facemask in a public place (98.9%). Participants using medical-grade facemask (Adjusted Odds Ratio; AOR 5.9, 95% CI 1.9–18.0; p = .002) have appropriate practices towards COVID-19. However, participants using medical-grade facemask were 9.2 times (AOR 9.2, 95% CI: 3.5–24.5, p < .001) more likely to reuse of facemask without washing. The results highlight adequate KAP among respondents. However hygienic use of facemask need to be disseminated among general population.
{"title":"The Knowledge, Attitudes and Practices According to Facemask Practice During COVID-19 Pandemic","authors":"Gunasekaran Gobi Hariyanayagam, Foo Yen Li, Aida Farhana Yusoff, Wan Mohd Akmal Wan Sabri, S. S. Gunasekaran, Shargunan Selvanthan Gunasekaran","doi":"10.1177/09720634241227506","DOIUrl":"https://doi.org/10.1177/09720634241227506","url":null,"abstract":"The use of facemask as precaution from COVID-19 cross-transmission have been strongly advocated by healthcare agencies as a public health management strategy to mitigate the pandemic burden on the healthcare system. This cross-sectional study aimed to investigate the knowledge, attitudes and practices (KAP) according to facemask practice during COVID-19. Descriptive statistics, chi-square test, t-test and one-way analysis of variance (ANOVA) and multivariable linear regression was used to identify factor contributing to knowledge while Binomial analysis was used to investigate factors contributing to practice. Among 268 participants included in the study, those with medical-grade facemask had better knowledge score (88.8%) compared to non-medical facemask (86.3%) and those without facemask (78.6%). Majority of participants had positive attitudes on controlling COVID-19 pandemic (88.8%), the ability in overcoming the pandemic (99.2%) and use of facemask in a public place (98.9%). Participants using medical-grade facemask (Adjusted Odds Ratio; AOR 5.9, 95% CI 1.9–18.0; p = .002) have appropriate practices towards COVID-19. However, participants using medical-grade facemask were 9.2 times (AOR 9.2, 95% CI: 3.5–24.5, p < .001) more likely to reuse of facemask without washing. The results highlight adequate KAP among respondents. However hygienic use of facemask need to be disseminated among general population.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140418541","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 : 2024-02-22DOI: 10.1177/09720634241227512
Vidya, Rahul Singh
ABO blood system is not only important for determining the lifestyle diseases, blood transfusion and exchange but it has also been found to be highly relevant to genetic marker of obesity. Recent studies are trying to explore the relation between blood grouping and obesity, and blood group diets and management of obesity. But still there are limited studies related to reduction of weight from blood group diets. The aim of this study is to examine the association of blood groups and weight reduction through a Moderate-Fat, Balanced Nutrient Reduction Diets among overweight and obese adults. A longitudinal study was conducted over 175 overweight and obese adults (>18 years and <60 years of age) of urban Bihar. A planned diet regime was followed by participants for a period of six months, and their anthropometric measurements were used for statistical analysis. There were substantial decreases in weight, BMI and waist circumference across different blood groups resulted through moderate-fat balanced nutrient reduction diet plan in both genders. For all blood groups, BMI reduction was at least 3.78 kg/m2 through the program, and the program was most effective for blood group O positive participants.
{"title":"Relationship Between Blood Group and \u2028Obesity Reduction Through Diet Among \u2028Adults of Urban Bihar","authors":"Vidya, Rahul Singh","doi":"10.1177/09720634241227512","DOIUrl":"https://doi.org/10.1177/09720634241227512","url":null,"abstract":"ABO blood system is not only important for determining the lifestyle diseases, blood transfusion and exchange but it has also been found to be highly relevant to genetic marker of obesity. Recent studies are trying to explore the relation between blood grouping and obesity, and blood group diets and management of obesity. But still there are limited studies related to reduction of weight from blood group diets. The aim of this study is to examine the association of blood groups and weight reduction through a Moderate-Fat, Balanced Nutrient Reduction Diets among overweight and obese adults. A longitudinal study was conducted over 175 overweight and obese adults (>18 years and <60 years of age) of urban Bihar. A planned diet regime was followed by participants for a period of six months, and their anthropometric measurements were used for statistical analysis. There were substantial decreases in weight, BMI and waist circumference across different blood groups resulted through moderate-fat balanced nutrient reduction diet plan in both genders. For all blood groups, BMI reduction was at least 3.78 kg/m2 through the program, and the program was most effective for blood group O positive participants.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441030","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 : 2024-02-20DOI: 10.1177/09720634231216071
Phey Liana, Venny Patricia, M. Shofiarani, Tungki Pratama Umar
To perform its function of providing health services, the clinical laboratory faces several challenges, especially in the speediness and accuracy of result delivery. Some issues frequently arise during the execution. An approach to overcoming obstacles and improving service quality is to use online applications delivered via the Android system to distribute the laboratory results. This study assessed internal customer satisfaction with the use of this online application. This study employs a quantitative approach with a cross-sectional approach. The customer was given a questionnaire with 15 questions covering five aspects of service quality (tangibility, reliability, responsiveness, assurance and empathy). The questionnaire’s validity and reliability were evaluated, and the Cartesian diagram analysis was used to determine the service improvement strategy. The empathy dimension has the highest satisfaction figure, with an average of 95.39%, while the assurance dimension has the lowest, with an average of 84.62%. The majority of the quality subdimensions are found in quadrants II and III of the Cartesian diagram (five parameters each). Most subdimension quality is found in quadrant II, with as many as five subdimension quality, indicating a high level of importance and satisfaction.
{"title":"The Level of Internal Customer Satisfaction with the Android-based Laboratory Result Application in an Indonesian Tertiary Hospital","authors":"Phey Liana, Venny Patricia, M. Shofiarani, Tungki Pratama Umar","doi":"10.1177/09720634231216071","DOIUrl":"https://doi.org/10.1177/09720634231216071","url":null,"abstract":"To perform its function of providing health services, the clinical laboratory faces several challenges, especially in the speediness and accuracy of result delivery. Some issues frequently arise during the execution. An approach to overcoming obstacles and improving service quality is to use online applications delivered via the Android system to distribute the laboratory results. This study assessed internal customer satisfaction with the use of this online application. This study employs a quantitative approach with a cross-sectional approach. The customer was given a questionnaire with 15 questions covering five aspects of service quality (tangibility, reliability, responsiveness, assurance and empathy). The questionnaire’s validity and reliability were evaluated, and the Cartesian diagram analysis was used to determine the service improvement strategy. The empathy dimension has the highest satisfaction figure, with an average of 95.39%, while the assurance dimension has the lowest, with an average of 84.62%. The majority of the quality subdimensions are found in quadrants II and III of the Cartesian diagram (five parameters each). Most subdimension quality is found in quadrant II, with as many as five subdimension quality, indicating a high level of importance and satisfaction.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140446881","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 : 2024-02-18DOI: 10.1177/09720634241229252
M. Miah, Santosh Venkatraman
The novel coronavirus pandemic, shortly known as COVID-19, has become one of the deadliest and costliest events in recent human history. Since it started in December 2019, as of 4 January 2021, this virus infected 83,910,386 people around the globe and killed 1,839,660 lives, including 20,258,725 confirmed cases with 347,555 deaths only in the United States. Early detection and diagnosis of the virus can significantly save lives by controlling the spreading of the virus and monitoring the patients. In the process to fight COVID-19, artificial intelligence (AI) can be a very important tool for early detection and diagnosis to fight COVID-19 and save the global economy and lives. This article presents a unique and timely review on using AI for the early detection and diagnosis of COVID-19. Sourcing from open-access online materials and academic outlets, the article analyses sample articles concerning the use of AI in detecting and diagnosing COVID-19. The research team scrutinised the contents using established content analysis approach. Even though the pandemic started only about a year ago, AI is being used very effectively for the detection and diagnosis of COVID-19. Medical practitioners, researchers and scientists around the world are using AI for this purpose in different ways. AI is playing an important role to fight COVID-19 by early detecting and diagnosing it. It is anticipated that the findings would offer benefits in enhancing the use of AI to control the spreading and saving lives from the deadly virus.
{"title":"Artificial Intelligence for Early Detection and Diagnosis of COVID-19: Immense Potential of a Powerful Technolog.","authors":"M. Miah, Santosh Venkatraman","doi":"10.1177/09720634241229252","DOIUrl":"https://doi.org/10.1177/09720634241229252","url":null,"abstract":"The novel coronavirus pandemic, shortly known as COVID-19, has become one of the deadliest and costliest events in recent human history. Since it started in December 2019, as of 4 January 2021, this virus infected 83,910,386 people around the globe and killed 1,839,660 lives, including 20,258,725 confirmed cases with 347,555 deaths only in the United States. Early detection and diagnosis of the virus can significantly save lives by controlling the spreading of the virus and monitoring the patients. In the process to fight COVID-19, artificial intelligence (AI) can be a very important tool for early detection and diagnosis to fight COVID-19 and save the global economy and lives. This article presents a unique and timely review on using AI for the early detection and diagnosis of COVID-19. Sourcing from open-access online materials and academic outlets, the article analyses sample articles concerning the use of AI in detecting and diagnosing COVID-19. The research team scrutinised the contents using established content analysis approach. Even though the pandemic started only about a year ago, AI is being used very effectively for the detection and diagnosis of COVID-19. Medical practitioners, researchers and scientists around the world are using AI for this purpose in different ways. AI is playing an important role to fight COVID-19 by early detecting and diagnosing it. It is anticipated that the findings would offer benefits in enhancing the use of AI to control the spreading and saving lives from the deadly virus.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139959189","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 : 2024-02-07DOI: 10.1177/09720634231213917
A. Ganguly, John V. Farr
The COVID-19 pandemic has significantly affected the way supply chains function and operate. Supply chain resiliency (SCR) has become increasingly more relevant to the pandemic, with corporations and governments realising that their supply chains were not as resilient leading to shortages/delays of many consumer products. Delays in the delivery of essential items, including medicines, food supplies and healthcare equipment, have exposed the challenges that a supply chain might face during a major disruption such as the global pandemic, regional conflicts and natural disasters. The purpose of this study is to identify and evaluate some of the critical inhibitors associated with SCR during COVID-19. The study employs multi-criteria decision-making utilising the fuzzy analytical hierarchy process. This research was conducted in the context of the Indian pharmaceutical supply chains. The research showed that there are seven major inhibitors to SCR. The findings of the current study are expected to aid the pharmaceutical supply chain managers in identifying and evaluating the critical inhibitors to achieving SCR and designing strategies to mitigate any future catastrophe like a global pandemic.
{"title":"Supply Chain Resiliency in Post- COVID-19 Times: Evaluating the Inhibitors Using a Fuzzy Analytic Hierarchy Process Approach","authors":"A. Ganguly, John V. Farr","doi":"10.1177/09720634231213917","DOIUrl":"https://doi.org/10.1177/09720634231213917","url":null,"abstract":"The COVID-19 pandemic has significantly affected the way supply chains function and operate. Supply chain resiliency (SCR) has become increasingly more relevant to the pandemic, with corporations and governments realising that their supply chains were not as resilient leading to shortages/delays of many consumer products. Delays in the delivery of essential items, including medicines, food supplies and healthcare equipment, have exposed the challenges that a supply chain might face during a major disruption such as the global pandemic, regional conflicts and natural disasters. The purpose of this study is to identify and evaluate some of the critical inhibitors associated with SCR during COVID-19. The study employs multi-criteria decision-making utilising the fuzzy analytical hierarchy process. This research was conducted in the context of the Indian pharmaceutical supply chains. The research showed that there are seven major inhibitors to SCR. The findings of the current study are expected to aid the pharmaceutical supply chain managers in identifying and evaluating the critical inhibitors to achieving SCR and designing strategies to mitigate any future catastrophe like a global pandemic.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139855829","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 : 2024-02-07DOI: 10.1177/09720634231216064
Neha Bansal, M. Narwal, Prinkle Prinkle
The healthcare industry in India has advanced significantly in recent years. As a result of corporatisation, hospitals’ classes and quality have significantly changed in modern times. The intangible nature of healthcare services imposes a great challenge to healthcare service providers to measure the quality of service hence satisfaction of patients. The present study highlights the role of corporatisation in the assessment of patient satisfaction (PS). The aim of this article is to evaluate how doctors’ services, nurse services, administrative services, pathological services (PHS) and pricing affect the level of PS in corporate hospitals of Delhi. An exploratory research technique was used. A sample of 342 patients was analysed using a questionnaire. Using partial least squares to a structural equation model, a cross-sectional study was applied. The results revealed that doctor services, nurse services, administrative services and PHS have positive impact on PS and pricing of hospitals negatively influences satisfaction of patients. It indicates that corporatisation of healthcare services has mainly leaded to improvement of satisfaction level. At the same time, research will direct healthcare providers in the right direction towards the rectification and reconsideration of pricing policies making them more pocket-friendly.
{"title":"Determinants of Patient Satisfaction in Healthcare Industry in Delhi using PLS-SEM","authors":"Neha Bansal, M. Narwal, Prinkle Prinkle","doi":"10.1177/09720634231216064","DOIUrl":"https://doi.org/10.1177/09720634231216064","url":null,"abstract":"The healthcare industry in India has advanced significantly in recent years. As a result of corporatisation, hospitals’ classes and quality have significantly changed in modern times. The intangible nature of healthcare services imposes a great challenge to healthcare service providers to measure the quality of service hence satisfaction of patients. The present study highlights the role of corporatisation in the assessment of patient satisfaction (PS). The aim of this article is to evaluate how doctors’ services, nurse services, administrative services, pathological services (PHS) and pricing affect the level of PS in corporate hospitals of Delhi. An exploratory research technique was used. A sample of 342 patients was analysed using a questionnaire. Using partial least squares to a structural equation model, a cross-sectional study was applied. The results revealed that doctor services, nurse services, administrative services and PHS have positive impact on PS and pricing of hospitals negatively influences satisfaction of patients. It indicates that corporatisation of healthcare services has mainly leaded to improvement of satisfaction level. At the same time, research will direct healthcare providers in the right direction towards the rectification and reconsideration of pricing policies making them more pocket-friendly.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139794789","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 : 2024-02-07DOI: 10.1177/09720634231217027
Michael Yü-Chi Wu, Cheryl Tsai-Luen Wu, Naveed Saleem, Mengtong Zhang
Prior to the COVID-19, various issues in ethics, laws, regulations and security risks limited physicians in their ability to deliver medical care via telemedicine. However, in 2020, telemedicine quickly became mainstream when the US government issued a waiver granting the use of telemedicine to reduce COVID-19 transmission. This study examined the US physicians’ acceptance of telemedicine after its sudden wide-scale implementation. The authors developed a survey based on the Unified Theory of Acceptance and Use of Technology to assess the US physicians’ intentions and attitudes toward the use of telemedicine in the delivery of medical care. This survey was distributed between March and June in 2021 across several voluntary online physician groups. The survey was validated using factor analysis. The 110 participants who completed this study were all active physicians practising telemedicine in the USA. The majority of the participants were female (93%), between 34 and 59 years of age (93%), had at least 10 years of medical experience (84%) and practised in a city (92%). The behavioural intention to use telemedicine was influenced by performance expectancy ( β = 0.34, p<.001), social influence ( β = 0.34, p<.001), facilitating conditions ( β = 0.14, p<.05) and attitude towards telemedicine use ( β = 0.36, p<.001). Attitude towards telemedicine use was influenced by performance expectancy ( β = 0.60, p<.001), effort expectancy ( β = 0.16, p<.05) and social influence ( β = 0.16, p<.05). In addition, telemedicine experience moderated the influence of performance expectancy on behavioural intention negatively ( β =−0.39, p<.001) and moderated the influence of facilitating conditions on behavioural intention positively( β = 0.27, p<.001). This study found that the physicians’ performance expectancy of and attitude towards telemedicine use were significant predictors of physicians’ acceptance. Social influence from colleagues and administrators also played an essential role in impacting physicians’ acceptance of telemedicine. Physicians’ effort expectancy merely affected their attitude towards telemedicine use. Facilitating conditions—such as the inability to perform physical exams, labs, etc.—only influenced the physicians’ intention to use telemedicine. Finally, the survey data suggested that as physicians gained telemedicine experience, their performance expectancy predicted lower behavioural intention than counterparts with less experience.
在 COVID-19 之前，伦理、法律、法规和安全风险等各种问题限制了医生通过远程医疗提供医疗服务的能力。然而，在 2020 年，当美国政府发布豁免令，允许使用远程医疗来减少 COVID-19 的传播时，远程医疗迅速成为主流。本研究考察了远程医疗突然大范围实施后，美国医生对远程医疗的接受程度。作者根据 "技术接受与使用统一理论"（Unified Theory of Acceptance and Use of Technology）编制了一份调查问卷，以评估美国医生对使用远程医疗提供医疗服务的意向和态度。该调查于 2021 年 3 月至 6 月间在几个自愿在线医生团体中进行了分发。调查采用因子分析法进行验证。完成这项研究的 110 名参与者都是在美国从事远程医疗的在职医生。大多数参与者为女性（93%），年龄在 34 岁至 59 岁之间（93%），拥有至少 10 年的医疗经验（84%），在城市中行医（92%）。使用远程医疗的行为意向受绩效预期（β = 0.34，p<.001）、社会影响（β = 0.34，p<.001）、便利条件（β = 0.14，p<.05）和使用远程医疗的态度（β = 0.36，p<.001）的影响。使用远程医疗的态度受绩效预期（β = 0.60，p<.001）、努力预期（β = 0.16，p<.05）和社会影响（β = 0.16，p<.05）的影响。此外，远程医疗经验对绩效期望对行为意向的影响有负向调节作用（β =-0.39，p<.001），对促进条件对行为意向的影响有正向调节作用（β = 0.27，p<.001）。本研究发现，医生对使用远程医疗的绩效预期和态度是医生接受远程医疗的重要预测因素。来自同事和管理者的社会影响也对医生接受远程医疗起到了至关重要的作用。医生的努力预期仅仅影响了他们对使用远程医疗的态度。便利条件--如无法进行体检、化验等--只影响了医生使用远程医疗的意向。最后，调查数据表明，随着医生远程医疗经验的增加，他们的绩效预期会比经验较少的医生预测出更低的行为意向。
{"title":"An Assessment of the COVID-19 Pandemic’s Impact on US Physicians’ Acceptance of Telemedicine: An Exploratory Study","authors":"Michael Yü-Chi Wu, Cheryl Tsai-Luen Wu, Naveed Saleem, Mengtong Zhang","doi":"10.1177/09720634231217027","DOIUrl":"https://doi.org/10.1177/09720634231217027","url":null,"abstract":"Prior to the COVID-19, various issues in ethics, laws, regulations and security risks limited physicians in their ability to deliver medical care via telemedicine. However, in 2020, telemedicine quickly became mainstream when the US government issued a waiver granting the use of telemedicine to reduce COVID-19 transmission. This study examined the US physicians’ acceptance of telemedicine after its sudden wide-scale implementation. The authors developed a survey based on the Unified Theory of Acceptance and Use of Technology to assess the US physicians’ intentions and attitudes toward the use of telemedicine in the delivery of medical care. This survey was distributed between March and June in 2021 across several voluntary online physician groups. The survey was validated using factor analysis. The 110 participants who completed this study were all active physicians practising telemedicine in the USA. The majority of the participants were female (93%), between 34 and 59 years of age (93%), had at least 10 years of medical experience (84%) and practised in a city (92%). The behavioural intention to use telemedicine was influenced by performance expectancy ( β = 0.34, p<.001), social influence ( β = 0.34, p<.001), facilitating conditions ( β = 0.14, p<.05) and attitude towards telemedicine use ( β = 0.36, p<.001). Attitude towards telemedicine use was influenced by performance expectancy ( β = 0.60, p<.001), effort expectancy ( β = 0.16, p<.05) and social influence ( β = 0.16, p<.05). In addition, telemedicine experience moderated the influence of performance expectancy on behavioural intention negatively ( β =−0.39, p<.001) and moderated the influence of facilitating conditions on behavioural intention positively( β = 0.27, p<.001). This study found that the physicians’ performance expectancy of and attitude towards telemedicine use were significant predictors of physicians’ acceptance. Social influence from colleagues and administrators also played an essential role in impacting physicians’ acceptance of telemedicine. Physicians’ effort expectancy merely affected their attitude towards telemedicine use. Facilitating conditions—such as the inability to perform physical exams, labs, etc.—only influenced the physicians’ intention to use telemedicine. Finally, the survey data suggested that as physicians gained telemedicine experience, their performance expectancy predicted lower behavioural intention than counterparts with less experience.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139795623","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 : 2024-02-07DOI: 10.1177/09720634231213917
A. Ganguly, John V. Farr
The COVID-19 pandemic has significantly affected the way supply chains function and operate. Supply chain resiliency (SCR) has become increasingly more relevant to the pandemic, with corporations and governments realising that their supply chains were not as resilient leading to shortages/delays of many consumer products. Delays in the delivery of essential items, including medicines, food supplies and healthcare equipment, have exposed the challenges that a supply chain might face during a major disruption such as the global pandemic, regional conflicts and natural disasters. The purpose of this study is to identify and evaluate some of the critical inhibitors associated with SCR during COVID-19. The study employs multi-criteria decision-making utilising the fuzzy analytical hierarchy process. This research was conducted in the context of the Indian pharmaceutical supply chains. The research showed that there are seven major inhibitors to SCR. The findings of the current study are expected to aid the pharmaceutical supply chain managers in identifying and evaluating the critical inhibitors to achieving SCR and designing strategies to mitigate any future catastrophe like a global pandemic.
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Pub Date : 2024-02-07DOI: 10.1177/09720634231216064
Neha Bansal, M. Narwal, Prinkle Prinkle
The healthcare industry in India has advanced significantly in recent years. As a result of corporatisation, hospitals’ classes and quality have significantly changed in modern times. The intangible nature of healthcare services imposes a great challenge to healthcare service providers to measure the quality of service hence satisfaction of patients. The present study highlights the role of corporatisation in the assessment of patient satisfaction (PS). The aim of this article is to evaluate how doctors’ services, nurse services, administrative services, pathological services (PHS) and pricing affect the level of PS in corporate hospitals of Delhi. An exploratory research technique was used. A sample of 342 patients was analysed using a questionnaire. Using partial least squares to a structural equation model, a cross-sectional study was applied. The results revealed that doctor services, nurse services, administrative services and PHS have positive impact on PS and pricing of hospitals negatively influences satisfaction of patients. It indicates that corporatisation of healthcare services has mainly leaded to improvement of satisfaction level. At the same time, research will direct healthcare providers in the right direction towards the rectification and reconsideration of pricing policies making them more pocket-friendly.
{"title":"Determinants of Patient Satisfaction in Healthcare Industry in Delhi using PLS-SEM","authors":"Neha Bansal, M. Narwal, Prinkle Prinkle","doi":"10.1177/09720634231216064","DOIUrl":"https://doi.org/10.1177/09720634231216064","url":null,"abstract":"The healthcare industry in India has advanced significantly in recent years. As a result of corporatisation, hospitals’ classes and quality have significantly changed in modern times. The intangible nature of healthcare services imposes a great challenge to healthcare service providers to measure the quality of service hence satisfaction of patients. The present study highlights the role of corporatisation in the assessment of patient satisfaction (PS). The aim of this article is to evaluate how doctors’ services, nurse services, administrative services, pathological services (PHS) and pricing affect the level of PS in corporate hospitals of Delhi. An exploratory research technique was used. A sample of 342 patients was analysed using a questionnaire. Using partial least squares to a structural equation model, a cross-sectional study was applied. The results revealed that doctor services, nurse services, administrative services and PHS have positive impact on PS and pricing of hospitals negatively influences satisfaction of patients. It indicates that corporatisation of healthcare services has mainly leaded to improvement of satisfaction level. At the same time, research will direct healthcare providers in the right direction towards the rectification and reconsideration of pricing policies making them more pocket-friendly.","PeriodicalId":509705,"journal":{"name":"Journal of Health Management","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139854613","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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