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Productive efficiency analysis of primary healthcare services in Afghanistan: a DEA study 阿富汗初级保健服务的生产效率分析:一项DEA研究
Pub Date : 2013-10-28 DOI: 10.1504/IJBHR.2013.057374
P. Pavitra
Very little is known about the productive efficiency of the large scale contracting-out mechanism that delivers basic healthcare services in Afghanistan. This study analyses the relative efficiency of basic package of health services (BPHS) facilities and examines the factors associated with the efficiency of health facilities (HFs) in Afghanistan. Data envelopment analysis (DEA) model is used on the primary data, collected in 2011. Using the DEA scores in a fractional logit regression model, we estimate the effects of exogenous factors on the productive efficiency of the HFs. The level of the HF and the productive efficiency are not linearly related – the lowest level facilities are quite evenly distributed in the range of efficiency scores. This study establishes the need for a better understanding of the HF – specific management processes and the geography specific healthcare demand situation for a better policy decisions in the distribution of HFs for the country.
对于在阿富汗提供基本保健服务的大规模外包机制的生产效率知之甚少。本研究分析了阿富汗一揽子基本卫生服务(BPHS)设施的相对效率,并考察了与卫生设施效率相关的因素。对2011年收集的原始数据采用数据包络分析(DEA)模型。利用分数logit回归模型的DEA得分,我们估计了外生因素对高铁企业生产效率的影响。HF水平与生产效率并不是线性相关的,最低水平的设施在效率得分范围内分布相当均匀。本研究表明,有必要更好地了解心力衰竭的具体管理过程和地理上具体的医疗需求情况,以便更好地制定国家心力衰竭分布的政策决策。
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引用次数: 3
Corruption and public exclusion: a serious challenge to effective public policy on health 腐败和公众排斥:对有效的卫生公共政策的严重挑战
Pub Date : 2013-10-28 DOI: 10.1504/IJBHR.2013.057364
B. Omotosho
Corruption has become a household name in most developing countries globally as several people engage in it secretly and in the public. The usual norm in the time past was that corruption was limited to politicians but reverse is the case in recent times as public institutions and representatives of funding agencies in developing countries are becoming deeply involved in it. This has also led to mistrusts, pursuit of selfish aims and among others between the funding agencies, government and implementers. This has in turn brought a wide gap between the key players and members of the public as far as health policy is concerned. This paper therefore seeks to examine the dimensions and challenges of corruption among these actors as a major cause of public exclusion in health programmes in Nigeria.
在全球大多数发展中国家,腐败已经成为一个家喻户晓的名字,因为一些人秘密地和公开地从事腐败。过去的常态是腐败仅限于政客,但最近的情况正好相反,因为发展中国家的公共机构和资助机构的代表正深入参与其中。这也导致了资助机构、政府和实施者之间的不信任、自私目标的追求等。就卫生政策而言,这又造成了主要参与者与公众之间的巨大差距。因此,本文试图审查这些行为体中腐败的规模和挑战,这是尼日利亚卫生方案中公众被排斥的一个主要原因。
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引用次数: 0
Identification of needs and attitudes of overweight and obese patients for weight loss therapy: a mix-method analysis in German rehabilitation facilities 超重和肥胖患者对减肥治疗的需求和态度的识别:德国康复机构的混合方法分析
Pub Date : 2013-10-23 DOI: 10.1504/IJBHR.2013.058852
S. Bethge, A. Mühlbacher
There is urgent need for effective treatment and coordinated care programmes for the obesity epidemic. Treatment success can only be achieved by a long-term change of behaviour and consideration of patient priorities. This study analysed, treatment needs and expectations of overweight and obese patients in rehabilitation facilities to identify patient-relevant characteristics with regard to long-term weight loss programmes. This was done using a combination of qualitative-procedures [literature analysis, expert-interviews (N = 5), focus-groups (N = 44)] and quantitative-assessment (survey N = 201, explorative factor analyses). The factor analysis (Cronbach’s alpha 0.87–0.55; variance 55.41%) revealed eight patient-relevant factors: ‘knowledge’, ‘varied range of therapy options’, ‘interpersonal care’, ‘individualised therapy planning’, ‘infrastructure quality’, ‘coordinated care’, ‘social interaction’ and ‘technical competence’. Only if the needs and preferences of patients are known, the creation of patie...
目前迫切需要对肥胖流行病进行有效的治疗和协调一致的护理规划。治疗的成功只能通过长期改变行为和考虑患者的优先事项来实现。本研究分析了康复机构中超重和肥胖患者的治疗需求和期望,以确定长期减肥计划中与患者相关的特征。本研究采用定性程序[文献分析、专家访谈(N = 5)、焦点小组(N = 44)]和定量评估(调查N = 201,探索性因素分析)相结合的方法完成。因子分析(Cronbach 's alpha 0.87-0.55;方差55.41%)揭示了8个与患者相关的因素:“知识”、“治疗选择的多样性”、“人际关怀”、“个性化治疗计划”、“基础设施质量”、“协调护理”、“社会互动”和“技术能力”。只有了解了病人的需求和偏好,病人的创造……
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引用次数: 1
Artificial neural networks for medical diagnosis using biomedical dataset 基于生物医学数据集的医学诊断人工神经网络
Pub Date : 2013-06-19 DOI: 10.1504/IJBHR.2013.054519
Qeethara Al-Shayea, G. A. El-Refae, S. Yaseen
Artificial neural networks are a promising field in medical diagnostic applications. The goal of this study is to propose a neural network for medical diagnosis. A feed-forward back propagation neural network with tan-sigmoid transfer functions is used in this paper. The dataset is obtained from UCI machine learning repository. The results of applying the proposed neural network to distinguish between healthy patients and patients with disease based upon biomedical data in all cases show the ability of the network to learn the patterns corresponding to symptoms of the person. Three cases are studied. In the diagnosis of acute nephritis disease; the percent correctly classified in the simulation sample by the feed-forward back propagation network is 100% while in the diagnosis of heart disease; the percent correctly classified in the simulation sample by the feed-forward back propagation network is approximately 88%. On the other hand, in the diagnosis of disk hernia or spondylolisthesis; the percent correctly classified in the simulation sample is approximately 82%. Receiver operating characteristics (ROCs) curve are used to evaluate diagnosis for decision support.
人工神经网络在医学诊断应用中是一个很有前途的领域。本研究的目的是提出一种用于医学诊断的神经网络。本文采用了一种具有tan-s型传递函数的前馈反传播神经网络。数据集来自UCI机器学习存储库。应用所提出的神经网络在所有情况下根据生物医学数据区分健康患者和疾病患者的结果表明,该网络能够学习与人的症状相对应的模式。本文研究了三个案例。在急性肾炎疾病的诊断中;在心脏病诊断中,前馈反传播网络对模拟样本的分类正确率为100%;前馈反传播网络对仿真样本的正确率约为88%。另一方面,在椎间盘突出或脊柱滑脱的诊断上;在模拟样本中,正确分类的百分比约为82%。采用受试者工作特征(roc)曲线评价诊断结果,为决策支持提供依据。
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引用次数: 16
The fallacy of one-dimensional theory of planned behaviour structure in predicting health behaviour 计划行为结构一维理论在预测健康行为中的谬误
Pub Date : 2013-06-19 DOI: 10.1504/IJBHR.2013.054516
S. Yap, N. Othman, Y. Wee
Most research on exercise is dominated in the West. Drawing on a socio-cognitive theory, this research aims at addressing methodological issues in an Eastern culture where recent developments of the theory of planned behaviour (TPB) applications have been limited. To answer the call for reinterpretation of the TPB measurement, we propose and test a more complex factor structure of TPB predictors. Cross-sectional data was collected from a quota sample of 512 adults in Malaysia. This study provides an empirical validation that the multidimensional, first-order model has achieved measurement validity and possesses better fit compared to the global, second-order TPB structure. Our investigation of the specific effects of social cognitive components on exercise intention and behaviour also improves the understanding of this theoretical relationship.
大多数关于运动的研究都集中在西方。借鉴社会认知理论,本研究旨在解决东方文化中计划行为理论(TPB)应用的最新发展受到限制的方法论问题。为了回应对TPB测量的重新解释,我们提出并测试了一个更复杂的TPB预测因子结构。横断面数据是从马来西亚的512名成年人的配额样本中收集的。本研究提供了一个经验验证,多维的一阶模型与全局的二阶TPB结构相比,具有更好的测量效度和拟合性。我们对社会认知成分对运动意图和行为的具体影响的研究也提高了对这种理论关系的理解。
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引用次数: 9
Studies of Nuclex effect under cardiovascular disorders, influenza and acute upper respiratory tract infection 心血管疾病、流感和急性上呼吸道感染的Nuclex效应研究
Pub Date : 2013-06-19 DOI: 10.1504/IJBHR.2013.054520
Z. Tkachuk, M. Shved, O. Prokopovych, P. Babych
The obtained results have confirmed the efficacy of Nuclex in terms of normalisation of parameters of coronary reserve, and in terms of elimination of the main signs and symptoms of influenza and acute upper respiratory tract infection (URTI), in particular, Normalisation of body temperature, disappearance of headache, catarrhal phenomena, and general fatigue. The decrease in intensity of these signs and symptoms in the study group appeared one to three days earlier than in the control group, and this difference remained significant until the end of treatment. On the 14th day of Nuclex intake influenza A virus H1N1 could not be found by means of PCR in 58.33% of the study group patients, meanwhile in the control group patients the virus was still detectable. The results have clearly demonstrated the significant difference in the treatment efficacy between the control and study groups thus favouring the latter. Nuclex has been proven effective to completely remove the influenza virus from the body.
所获得的结果证实了Nuclex在冠状动脉储备参数正常化方面的功效,以及在消除流感和急性上呼吸道感染(URTI)的主要体征和症状方面的功效,特别是在体温正常化、头痛、卡他性现象消失和全身疲劳方面的功效。在研究组中,这些体征和症状强度的下降比对照组早出现1 - 3天,这种差异一直保持到治疗结束。在摄入Nuclex的第14天,58.33%的研究组患者未检测到甲型H1N1流感病毒,而对照组患者仍检测到甲型H1N1流感病毒。结果清楚地表明,对照组和研究组之间的治疗效果有显著差异,因此有利于后者。Nuclex已被证明能有效地完全清除人体内的流感病毒。
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引用次数: 0
HRD climate in National Rural Health Mission in India – an empirical study 印度国家农村卫生项目中的人力资源发展气候——一项实证研究
Pub Date : 2013-06-19 DOI: 10.1504/IJBHR.2013.054523
K. Jain, Satish Kumar, A. Solanki
In today’s competitive environment, skilled human resource can play an important role in the success of any organisation. The developmental climate in an organisation helps the employees to utilise their skills and competencies for success and achieving organisational objectives. For this purpose, an affable human resource development (HRD) climate is extremely important. The purpose of this paper is to assess the extent of HRD climate prevailing in National Rural Health Mission (NRHM) at Rajasthan in India and also a comparative analysis of permanent and contractual employees working in the NRHM in India. After reviewing the earlier work and instruments available for assessing the HRD climate, an improvised, self-developed and well tested for content validity questionnaire is used. This questionnaire was administered to 300 respondents (150 permanent and 150 contractual) from the organisations taking into consideration the availability of employees and their interest to give responses to the questionnaires. Mean score and percentage of each dimension was analysed. The study revealed that human resource development climate is better for permanent employees compared to contractual employees. The findings indicate significant difference in the perceptions of developmental climate prevailing between permanent and contractual employees in NRHM Rajasthan.
在当今竞争激烈的环境中,熟练的人力资源可以在任何组织的成功中发挥重要作用。组织中的发展氛围有助于员工利用他们的技能和能力取得成功并实现组织目标。为此目的,一个友好的人力资源发展环境是极其重要的。本文的目的是评估印度拉贾斯坦邦国家农村卫生特派团(NRHM)中普遍存在的人力资源开发气候的程度,并对在印度国家农村卫生特派团工作的永久雇员和合同雇员进行比较分析。在审查了早期用于评估人力资源开发气候的工作和工具之后,使用了一个临时的、自行开发的和经过充分测试的内容效度问卷。考虑到员工的可用性和他们对问卷的回答的兴趣,我们对来自组织的300名受访者(150名永久雇员和150名合同雇员)进行了问卷调查。分析各维度的平均得分和百分比。研究发现,与合同制员工相比,正式员工的人力资源发展环境更好。研究结果表明,在拉贾斯坦邦的永久雇员和合同雇员之间,对发展气候的普遍看法存在显著差异。
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引用次数: 0
Health systems in the United Arab Emirates: progression, challenges and future directions 阿拉伯联合酋长国的卫生系统:进展、挑战和未来方向
Pub Date : 2013-01-01 DOI: 10.1504/IJBHR.2013.058859
A. Sharif, I. Blair, Nabila Taha, L. Tom
An optimal functioning health system delivers quality, timely and efficient services to all individuals in a convenient and accessible location. The United Arab Emirates (UAE) is a rapidly developing country composed of a multinational population with emerging public health issues and needs that are influencing the growth and direction of the health system. The seven emirates that form the UAE vary in population size and structure, land mass, financial strength and have both federal and local agencies responsible for the regulation of their health systems. As such, the provision and distribution of healthcare services vary between each emirate depending on the strategy and financing mechanism of the local authority. This paper will discuss the evolution, challenges and future directions of health systems in the UAE.
一个最佳运作的卫生系统可在方便和可达的地点向所有个人提供优质、及时和高效的服务。阿拉伯联合酋长国(UAE)是一个由多国人口组成的快速发展中国家,其新出现的公共卫生问题和需求正在影响卫生系统的增长和方向。组成阿联酋的七个酋长国在人口规模和结构、土地面积、财政实力方面各不相同,并且有联邦和地方机构负责监管其卫生系统。因此,保健服务的提供和分配在每个酋长国之间有所不同,这取决于地方当局的战略和筹资机制。本文将讨论阿联酋卫生系统的发展、挑战和未来方向。
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引用次数: 3
Scaling-up the development of national immunisation technical advisory groups in the Economic Community of West African States: role of a regional organisation, the West African Health Organisation 扩大西非国家经济共同体国家免疫技术咨询小组的发展:西非卫生组织这一区域组织的作用
Pub Date : 2013-01-01 DOI: 10.1504/IJBHR.2013.058855
L. Gautier, P. C. Faye, K. Senouci, M. Y. A. Mongbo, Johanna Austin Benjamin, I. Wachsmuth, B. Gessner
The need for evidence-informed decision making in immunisation programmes has become crucial, especially in West Africa where countries face limited human and financial resources. Establishing national immunisation technical advisory groups (NITAGs) may help strengthen the national decision-making. A survey and literature review helped define the role of the West African Health Organisation (WAHO) in piloting a regional approach for supporting countries in creating NITAGs. In 2011, a collaborative structure was set up to conduct the initiative, including WAHO as the leader, the supporting immunisation and vaccine advisory committees (SIVAC) initiative, and the evidence-informed policy network (EVIPNet) programme of the World Health Organization (WHO). During 2013, this process achieved its first successes with the official creation of NITAGs in Senegal and Benin. Eight other countries of the Economic Community of West African States have formally expressed their commitment at the highest political level of their respective governments to the process of establishing NITAGs.
在免疫规划中进行循证决策的必要性已变得至关重要,特别是在各国面临有限人力和财政资源的西非。建立国家免疫技术咨询小组(NITAGs)有助于加强国家决策。一项调查和文献综述帮助确定了西非卫生组织(西非卫生组织)在试点支持各国建立NITAGs的区域方法方面的作用。2011年,为开展该倡议建立了一个协作结构,其中包括牵头的世卫组织、支持免疫和疫苗咨询委员会(SIVAC)倡议以及世界卫生组织(世卫组织)的循证政策网络(EVIPNet)方案。2013年,随着在塞内加尔和贝宁正式成立nitag,这一进程取得了第一次成功。西非国家经济共同体的其他八个国家已在各自政府的最高政治级别上正式表示,它们将致力于建立国家过渡小组的进程。
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引用次数: 2
Quantification of cardiovascular disease research in West Africa 西非心血管疾病研究的量化
Pub Date : 2013-01-01 DOI: 10.1504/IJBHR.2013.058850
I. Okwechime, Hamidat D. Segunmaru, S. Egarievwe, F. Mzayek, E. Kabagambe, M. Aliyu
The purpose of this paper is to provide a logical rationale on the need to increase country-specific research on cardiovascular diseases (CVD) in West Africa. Using health data from the World Health Organization’s Health Statistics and Health Information Systems, the burden of cardiovascular diseases among West African countries was described. PubMed’s database and search tools were used with specific key words, to retrieve articles referencing cardiovascular disease for the study period 1992 to 2011. The total number of publications from each West African country was obtained and the percentage of each country’s contribution was estimated. An annual trend of research productivity was then plotted for each country and also for the region. The major contributors to CVD research in West Africa were Nigeria, Ghana, and Senegal. An overall trend of increasing CVD research output was evident during the study period, driven mainly by research from Nigeria. This cross-sectional study revealed the need to increase country-specific research on CVD in West Africa. Conducting CVD research provides evidence of the epidemiology, mechanisms, and determinants of CVDs. This study is important as it may serve as a basis for developing regionally tailored policies and interventions for West Africa.
本文的目的是为在西非增加针对特定国家的心血管疾病(CVD)研究的必要性提供一个合乎逻辑的理由。利用世界卫生组织卫生统计和卫生信息系统的卫生数据,描述了西非国家的心血管疾病负担。使用PubMed的数据库和搜索工具以特定的关键词检索1992年至2011年研究期间涉及心血管疾病的文章。得到了每个西非国家的出版物总数,并估计了每个国家贡献的百分比。然后绘制了每个国家和该地区的年度研究生产力趋势。西非心血管疾病研究的主要贡献者是尼日利亚、加纳和塞内加尔。在研究期间,主要由尼日利亚的研究推动的心血管疾病研究产出总体趋势明显。这项横断面研究表明,有必要在西非加强针对心血管疾病的国别研究。开展心血管疾病研究为心血管疾病的流行病学、机制和决定因素提供了证据。这项研究很重要,因为它可以作为为西非制定适合该区域的政策和干预措施的基础。
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引用次数: 1
期刊
International journal of behavioural & healthcare research
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