101
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Craig LE, Chen ZE, Barrie J. Disability, sexual and reproductive health: a scoping review of healthcare professionals' views on their confidence and competence in care provision. BMJ SEXUAL & REPRODUCTIVE HEALTH 2022; 48:7-15. [PMID: 33737315 DOI: 10.1136/bmjsrh-2020-200967] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 03/04/2021] [Accepted: 03/07/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND The sexual and reproductive needs of people with disabilities are often unmet. Healthcare professionals play an important role in meeting these needs. OBJECTIVE To explore the views of healthcare professionals on their confidence and competence in providing sexual and reproductive healthcare to people with disabilities. METHODOLOGY Two databases were searched yielding 14 studies included in the review. Studies detailing healthcare professionals' experiences working in the subject area were included alongside results and evaluations of staff training/workshops within the area. Search results were screened for eligibility by the first and second authors and any discrepancies were resolved by the third author. All subsequent stages were carried out by the first author and reviewed by the second and third authors. RESULTS The study's findings indicate that there is a lack of training, guidelines, patient contact, time, teamwork and collaboration between staff, and a lack of awareness/access to resources within this area. Evaluations of training programmes/workshops showed an increase in knowledge, comfort and skills surrounding the subject. Continuous training would be beneficial to ensure these are maintained at a high level. CONCLUSIONS Overall healthcare professionals felt they lack confidence and competence in providing sexual and reproductive healthcare to people with disabilities. Further research in this area is recommended to assess this in more depth. Development of guidelines, multidisciplinary training programmes and further resources for both staff and patients are recommended.
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Affiliation(s)
- Lucy Emma Craig
- Edinburgh Medical School, The University of Edinburgh, Edinburgh, UK
| | | | - Joanne Barrie
- Central Sexual Health, NHS Forth Valley, Stirling, UK
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102
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Al-Jabri FYM, Turunen H, Kvist T. Patients' Perceptions of Healthcare Quality at Hospitals Measured by the Revised Humane Caring Scale. J Patient Exp 2021; 8:23743735211065265. [PMID: 34926803 PMCID: PMC8674720 DOI: 10.1177/23743735211065265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The patients’ perceptions are central to quality improvement of the healthcare
system worldwide. This study aimed to examine patients’ perceptions of quality
care and investigate the demographic factors related to the overall patients’
perceptions. The Revised Humane Caring Scale was distributed to 367 adult
patients who were admitted at medical, surgical, and obstetrics and gynecology
departments in 2 tertiary hospitals in Oman. Overall patients’ perceptions of
quality of care were high, with professionalism being rated the highest, and
cognition of physical needs and human resources rated the lowest. Significant
differences in patients’ perceptions between hospitals as well as in the
subscales of interdisciplinary collaboration and outcome variables, between
planned- and emergency-admitted patients were found. The linear regression
analysis indicated a relationship between gender and overall quality care where
male patients reported higher satisfaction compared to counterparts. This study
suggested the need to improve the cognition of physical needs (food quality and
environmental sanitation) and human resources (staff to patient ratio) as well
as pay attention to the individual patients’ needs especially for
emergency-admitted patients.
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Affiliation(s)
| | - Hannele Turunen
- Kuopio University Hospital, University of Eastern Finland, Kuopio, Finland
| | - Tarja Kvist
- University of Eastern Finland, Kuopio, Finland
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103
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Sanıl M, Eminer F. An integrative model of patients' perceived value of healthcare service quality in North Cyprus. Arch Public Health 2021; 79:227. [PMID: 34930446 PMCID: PMC8685307 DOI: 10.1186/s13690-021-00738-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Accepted: 11/14/2021] [Indexed: 11/10/2022] Open
Abstract
Background Improving healthcare quality has become an essential objective for all health institutions worldwide to address the need to improve services, manage costs and satisfy patient expectations about the quality of care. As health is one of the leading service sectors of the North Cyprus economy, analysing patients’ perceived value of healthcare service quality is crucial. In this research, a comparative analysis of existing models revealed affordability, acceptability and accessibility as the leading modern service quality indicators affecting patients’ perceived value of healthcare service quality. The quality of services is a leading factor impacting business competition and retention dictated by the current market. This study aimed to investigate the factors that influence patient perceptions of healthcare service quality in North Cyprus. Methods A self-administered questionnaire was carried out among 388 patients of public and private hospitals in North Cyprus, and the data were analysed using partial least squares-structural equation modelling. Results Empirical results highlight that the acceptability of healthcare services is a prerequisite for perceiving a high value of service quality. The affordability and accessibility of services, respectively, were less effective. Results concerning mediating effects confirm that acceptability could fully mediate the relationship between affordability and perceived value and could partially mediate the impact of accessibility on the perceived quality of healthcare services. Conclusion This study contributes to healthcare theory and practice by developing a conceptual framework to provide policymakers and managers with a practical understanding of factors that affect healthcare service quality.
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Affiliation(s)
- Mert Sanıl
- Faculty of Health Sciences, European University of Lefke, Gemikonagı-Lefke, North Cyprus, TR-10, Mersin, Turkey.
| | - Fehiman Eminer
- Faculty of Economics and Administrative Sciences, European University of Lefke, Gemikonagı-Lefke, North Cyprus, TR-10, Mersin, Turkey
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104
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Babroudi NEP, Sabri-Laghaie K, Ghoushchi NG. Re-evaluation of the healthcare service quality criteria for the Covid-19 pandemic: Z-number fuzzy cognitive map. Appl Soft Comput 2021; 112:107775. [PMID: 34377110 PMCID: PMC8339509 DOI: 10.1016/j.asoc.2021.107775] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 07/26/2021] [Accepted: 07/29/2021] [Indexed: 12/15/2022]
Abstract
Hospitals as healthcare centers have faced many challenges with the Covid-19 spread, which results in a decline in the quality of health care. Because the number of patients referred to hospitals increases dramatically during the pandemic, providing high-quality services and satisfying them is more important than ever to maintain community health and create loyal customers in the future. However, health care quality standards are generally designed for normal circumstances. The SERVPERF standard, which measures customer perceptions of service quality, has also been adjusted for hospital service quality measurement. In this study, the SERVPERF standard criteria for health services are evaluated in the Covid-19 pandemic. For this purpose, by considering the causal relationships between the criteria and using Z-Number theory and Fuzzy Cognitive Maps (FCMs), the importance of these criteria in the prevalence of infectious diseases was analyzed. According to the results, hospital reliability, hospital hygiene, and completeness of the hospital with ratios 0.9559, 0.9305, and 0.9268 are respectively the most influential criteria in improving the quality of health services in the spread of infectious diseases circumstances such as the Covid-19 pandemic. A review of the literature shows that in previous studies, comprehensive research has not been done on prioritizing the criteria for measuring the quality of health services in the context of the spread of infectious diseases.
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105
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Horodnic AV, Williams CC, Drugă RI, Incaltarau C. Informal Payments by Patients in Central and Eastern Europe during the COVID-19 Pandemic: An Institutional Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10914. [PMID: 34682651 PMCID: PMC8535994 DOI: 10.3390/ijerph182010914] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 10/01/2021] [Accepted: 10/15/2021] [Indexed: 11/16/2022]
Abstract
Confronted with a global pandemic, public healthcare systems are under pressure, making access to healthcare services difficult for patients. This provides fertile ground for using illegal practices such as informal payments to gain access. This paper aims to evaluate the use of informal payments by patients during the COVID-19 pandemic and the institutions that affect the prevalence of this practice. Various measurements of formal and informal institutions are here investigated, namely the acceptability of corruption, the level of trust, transparency, and performance of the healthcare system. To do so, a logistic regression of 10,859 interviews with patients conducted across 11 Central and Eastern Europe countries in October-December 2020 is employed. The finding is that there are large disparities between countries in the prevalence of informal payments, and that the practice is more likely to occur where there are poorer formal and informal institutions, namely higher acceptability of corruption, lower trust in authorities, lower perceived transparency in handling the COVID-19 pandemic, difficult access to, and poor quality of, healthcare services, and higher mortality rates due to the COVID-19 pandemic. These findings suggest that policy measures for tackling informal payments need to address the current state of the institutional environment.
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Affiliation(s)
- Adrian V. Horodnic
- Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania; (R.I.D.); (C.I.)
| | | | - Răzvan Ionuț Drugă
- Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania; (R.I.D.); (C.I.)
- Faculty of Economics and Business Administration, “Alexandru Ioan Cuza” University of Iași, 700505 Iași, Romania
| | - Cristian Incaltarau
- Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iași, Romania; (R.I.D.); (C.I.)
- Centre for European Studies, “Alexandru Ioan Cuza” University of Iași, 700507 Iași, Romania
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106
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Li JY, Tian S, Carter J, Wen J. More than the bottom line: Exploring social responsibility practices in hospital settings in the United States. Health Mark Q 2021; 38:297-314. [PMID: 32870745 DOI: 10.1080/07359683.2020.1814616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The purpose of this article is to examine hospital social responsibility practices using a content analysis method. It selected a sample of 522 hospitals in U.S. and collected data from hospitals' official websites. Significant emphasis is found to be placed on CSR practices associated with marketplace activities that are mostly stakeholder-driven. Non-profit hospitals had stronger awareness on the actions of being a socially responsible organization. The results also confirm significant relationship between active CSR programs and hospital. The findings shed light on hospital social responsibility and provides a unifying conceptual basis that explains how hospitals in U.S execute CSR programs.
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Affiliation(s)
- Jo-Yun Li
- Department of Strategic Communication, University of Miami, Coral Gables, Florida, USA
| | - Shiyun Tian
- Department of Strategic Communication, University of Miami, Coral Gables, Florida, USA
| | - Jackson Carter
- School of Journalism and Mass Communication, University of South Carolina, Columbia, South Carolina, USA
| | - Jing Wen
- School of Journalism and Mass Communication, University of South Carolina, Columbia, South Carolina, USA
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107
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Erandathi M, Chung Wang WY, Hsieh CC. Clustering the countries for quantifying the status of Covid-19 through time series analysis. INFORMATION DISCOVERY AND DELIVERY 2021. [DOI: 10.1108/idd-03-2021-0034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
This study aims to use financial stability and health facilities of countries, to cluster them for making a more consensus environment for manifesting the status of Covid-19 in a justifiable manner. The scarcity of the categorisation of the countries of the world in a common platform, and the requirement of manifesting the pandemic status such as Covid-19 in a justifiable manner create the demanding requirement. This study mainly focusses on assisting to generate a liable manifesto to criticise the span of viral infection of the severe acute respiratory syndrome coronavirus-2 over the globe.
Design/methodology/approach
Data for this study has been gathered from official websites of the World Bank, and the world in data. The Louvain clustering method has been used to cluster the countries based on their financial strength and health facilities. The resulted clusters are visualised using Silhouette plots. The anomalies of the clusters had been used to quantify the pandemic situation. The status of Covid-19 has been manifested with the time series analysis through python programming.
Findings
The countries of the world have been clustered into seven, where developed countries divided into three clusters and the countries with transition economies and developing clustered together into four clusters. The time series analysis of recognised anomalies of the clusters assist to monitor the government responses and analyse the efficiency of used safety measures against the pandemic.
Originality/value
This study’s resulted clusters are highly valuable as a division of countries of the whole world for evaluating the health systems and for the regional levels. Further, the results of time series analysis are beneficial in monitoring the government responses and analysing the efficiency of used safety measures against the pandemic.
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108
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Tobler S, Stummer H. Determinants of inpatient satisfaction: evidence from Switzerland. Int J Health Care Qual Assur 2021; ahead-of-print. [PMID: 33350289 DOI: 10.1108/ijhcqa-03-2020-0044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE A common way to handle quality problems and increasing costs of modern health care systems is more transparency through public reporting. Thereby, patient satisfaction is seen as one main reported outcome. Previous studies proposed several associated factors. Only a few of them included organizational determinants with potential to inform the health care provider's management. Therefore, the aim of this study was to investigate the influence of organizational contingency factors on patient satisfaction. DESIGN/METHODOLOGY/APPROACH As a case, Switzerland's inpatient rehabilitation sector was used. Therein, a cross-sectional study of public released secondary data with an exploratory multiple linear regression (MLR) modeling approach was conducted. FINDINGS Five significant influencing factors on patient satisfaction were found. They declared 42.2% of the variance in satisfaction on provider level. The organizations' supplementary insured patients, staff payment, outpatients, extracantonal patients and permanent resident population revealed significant correlations with patient satisfaction. RESEARCH LIMITATIONS/IMPLICATIONS Drawing on publicly available cross-sectional data, statistically no causality can be proved. However, integration of routine data and organization theory can be useful for further studies. PRACTICAL IMPLICATIONS Regarding inpatient satisfaction, improvement levers for providers' managers are as follow: first, service provision should be customized to patients' needs, expectations and context; second, employees' salary should be adequate to prevent dissatisfaction; third, the main business should be prioritized to avoid frittering. ORIGINALITY/VALUE Former studies regarding public reporting are often atheoretical and rarely used organizational variables as determinants for relevant outcomes. Therefore, uniformed data are useful.
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Affiliation(s)
- Stephan Tobler
- Institute for Management and Economics in Health Care, Private University of Health Sciences Medical Informatics and Technology, Hall, Austria
| | - Harald Stummer
- Institute for Management and Economics in Health Care, Private University of Health Sciences Medical Informatics and Technology, Hall, Austria
- Institute for Health Management and Innovation, University Seeburgcastle, Seekirchen am Wallersee, Austria
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109
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Quaife M, Estafinos AS, Keraga DW, Lohmann J, Hill Z, Kiflie A, Marchant T, Borghi J, Schellenberg J. Changes in health worker knowledge and motivation in the context of a quality improvement programme in Ethiopia. Health Policy Plan 2021; 36:1508-1520. [PMID: 34374420 PMCID: PMC8597962 DOI: 10.1093/heapol/czab094] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 06/14/2021] [Accepted: 07/26/2021] [Indexed: 11/13/2022] Open
Abstract
A knowledgeable and motivated workforce is critical for health systems to provide high-quality services. Many low- and middle-income countries face shortages in human resources and low health worker motivation but are also home to a burgeoning number of quality improvement (QI) programmes. This study evaluates whether and how motivation and clinical knowledge in three cadres of health workers changed in the context of a QI programme for maternal and newborn health in Ethiopia. This mixed-methods study used a pre–post comparison group design with matched comparison areas. We interviewed 395 health workers at baseline in April 2018 and 404 at endline in June 2019 from seven districts (woredas) with QI and seven comparison woredas. Three cadres were interviewed: health extension workers, facility-based skilled midlevel maternal and newborn care providers, and non-patient-facing staff. A qualitative component sought to triangulate and further elucidate quantitative findings using in-depth interviews with 22 health workers. Motivation was assessed quantitatively, exploratory factor analysis was used to categorize motivation dimensions, and regression-based difference-in-difference analyses were conducted. Knowledge was assessed through a clinical vignette. Qualitative data were analysed in a deductive process based on a framework derived from quantitative results. Although knowledge of the QI programme was high (79%) among participants from QI woreda at endline, participation in QI teams was lower (56%). There was strong evidence that health worker knowledge increased more in areas with QI than comparison areas. Three motivation dimensions emerged from the data: (1) ‘helping others’, (2) ‘pride and satisfaction’ and (3) ‘external recognition and support’. We found strong evidence that motivation across these factors improved in both QI and comparison areas, with weak evidence of greater increases in comparison areas. Qualitative data suggested the QI programme may have improved motivation by allowing staff to provide better care. This study suggests that although QI programmes can increase health worker knowledge, there may be little effect on motivation. Programme evaluations should measure a wide range of outcomes to fully understand their impact.
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Affiliation(s)
- Matthew Quaife
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK
| | | | | | - Julia Lohmann
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK
| | - Zelee Hill
- Institute for Global Health, University College London, Gower Street, London WC1E 6BT, UK
| | - Abiyou Kiflie
- Institute for Healthcare Improvement, Addis Ababa, Ethiopia
| | - Tanya Marchant
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
| | - Josephine Borghi
- Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK
| | - Joanna Schellenberg
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
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110
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Matlala NT, Malema RN, Bopape MA, Mphekgwana PM. The perceptions of professional nurses regarding factors affecting the provision of quality health care services at selected rural public clinics in the Capricorn district, Limpopo Province. Afr J Prim Health Care Fam Med 2021; 13:e1-e8. [PMID: 34476971 PMCID: PMC8424711 DOI: 10.4102/phcfm.v13i1.2830] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 04/22/2021] [Accepted: 05/06/2021] [Indexed: 11/28/2022] Open
Abstract
Background Despite many initiatives made by the National Department of Health through the Minister of Health, the provision of quality health care services remains a serious challenge in South Africa, especially in public rural clinics. Aim The study aims to determine the perceptions of professional nurses on the factors affecting the provision of quality health care services at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province. Setting The study was conducted at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province. Methods This study utilised a quantitative method, descriptive and a cross-sectional study conducted for three months at the selected public primary health care clinics. A structured self-administered questionnaire was used to collect data from 155 professional nurses who met the selection criteria. Data were analysed using Statistical Package for Social Sciences programme version 26.0. Results The results of 155 professional nurses were only 116 (74%) and reported that the use of modern technology such as electronic blood pressure, sonar machines and pulse reading computers improves the quality of health care services. Also 129 (84%), 124 (77%) and 118 (76%) reported that they were overwhelmed by the workload, the staff attitude and cleanliness of the clinic, respectively, which all affect the quality of health care services rendered. Moreover, only about 29 (19%) were satisfied with the salary they earned. Conclusion Despite the effort and interventions put in place by the Department of Health with regard to the Ideal Clinic Realisation and Maintenance in response to the current deficiencies in the quality of primary health care services and to lay a strong foundation for the implementation of National Health Insurance. The quality of health care services is still hindered by several factors such as an overwhelming workload, the attitude of the staff and cleanliness in the work environment, poor infrastructure and the professional nurses perceive the environment as lacking equipment.
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Affiliation(s)
- Nick T Matlala
- Department of Nursing Science, School of Health Care Sciences, University of Limpopo, Polokwane.
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111
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Mahdavi M, Doshmangir L, Jaafaripooyan E. Rethinking health services operations to embrace patient experience of healthcare journey. Int J Health Plann Manage 2021; 36:2020-2029. [PMID: 34288080 DOI: 10.1002/hpm.3288] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 06/21/2021] [Accepted: 07/07/2021] [Indexed: 11/10/2022] Open
Abstract
Patient experience is assumed pivotal for improving health services operations. The patient experience of healthcare services in Iran has been mostly assessed through the satisfaction and quality of single services or activities at individual providers, clinical departments, or health facilities. However, given the rise of chronic and multi-morbid conditions, health services for these conditions consist of several activities and interactions through a journey that patients take in the health system. To fill in this gap, we propose focusing on the assessment of patient experience on the patient journey through the health system. We advocate that there is much potential for improving the patient experience by rethinking the operations management of health services to embrace the patient experience of the healthcare journey. Rethinking health operations management may include an exhaustive list of interventions. Concisely, at the strategic level, policy-makers while understanding the need for shifting towards the patient experience, make sure that operational level management is experience oriented. This would be pursued through a strategic approach to patient experience, reconsidering qualifications for operational management, and benchmarking to identify and share best practices. Lessons learnt from previous quality improvement programmes are also considered as a capacity to establish the experience orientation.
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Affiliation(s)
- Mahdi Mahdavi
- National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.,Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA
| | - Leila Doshmangir
- School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
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112
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Jawed M, Pradhan NA, Mistry R, Nazir A, Shekhani S, Ali TS. Management of maternal depression: Qualitative exploration of perceptions of healthcare professionals from a public tertiary care hospital, Karachi, Pakistan. PLoS One 2021; 16:e0254212. [PMID: 34234364 PMCID: PMC8263250 DOI: 10.1371/journal.pone.0254212] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 06/22/2021] [Indexed: 11/18/2022] Open
Abstract
The lack of implementation and routine screening of management techniques at tertiary care hospitals leads to an increased burden of maternal depression. The consequences are borne emotionally, physically, and mentally by the mother, the child, the overall family, and society. Hence, it is vital to contextualize this mental disorder to design and implement effective healthcare interventions. The study is aimed to assess the knowledge and practices of healthcare professionals, in a tertiary care setting, who deal with depressive symptoms amongst mothers. It gauges whether a psychological screening criterion is being implemented by the clinical staff during prenatal and postnatal visits to recommend steps that can help develop a service framework. A qualitative, exploratory study design was implemented for this research. With purposive sampling, eight in-depth interviews (three nurses and five doctors) at a single tertiary care hospital were conducted categorically using a semi-structured (open and close-ended questions) interview toolkit. Content Analysis was carried out using information gathered from the unit of analysis. The study provided evidence of the existing gaps in one particular tertiary healthcare system, within Pakistan, concerning diagnosis and management of maternal depression. Results highlighted that providers were well-versed with explanations of maternal depression, the aftermath of it, and the current status of healthcare; however, they were minimally educated about the specifics and levels of treatment. The gathered information assisted in recommending steps to develop a service framework.
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Affiliation(s)
- Makkiya Jawed
- Sehat Kahani Community Innovation Hub, Karachi, Sindh, Pakistan
- Department of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan
| | | | - Rozina Mistry
- Department of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan
- School of Nursing and Midwifery, Aga Khan University, Karachi, Sindh, Pakistan
| | - Amirah Nazir
- International Internship Programme, Aga Khan University, Karachi, Sindh, Pakistan
| | - Sualeha Shekhani
- Department of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan
- Center of Biomedical Ethics and Culture, Sindh Institute of Urology & Transplantation, Karachi, Sindh, Pakistan
| | - Tazeen Saeed Ali
- Department of Community Health Sciences, Aga Khan University, Karachi, Sindh, Pakistan
- School of Nursing and Midwifery, Aga Khan University, Karachi, Sindh, Pakistan
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113
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Radević I, Dimovski V, Lojpur A, Colnar S. Quality of Healthcare Services in Focus: The Role of Knowledge Transfer, Hierarchical Organizational Structure and Trust. KNOWLEDGE MANAGEMENT RESEARCH & PRACTICE 2021. [DOI: 10.1080/14778238.2021.1932623] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Ivan Radević
- Faculty of Economics, University of Montenegro, Podgorica, Montenegro
| | - Vlado Dimovski
- School of Economics and Business, University of Ljubljana, Ljubljana, Slovenia
| | - Anđelko Lojpur
- Faculty of Economics, University of Montenegro, Podgorica, Montenegro
| | - Simon Colnar
- School of Economics and Business, University of Ljubljana, Ljubljana, Slovenia
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Akuffo KO, Asare AK, Yelbert EE, Kobia-Acquah E, Addo EK, Agyei-Manu E, Brusah T, Asenso PA. Job satisfaction and its associated factors among opticians in Ghana: a cross-sectional study. HUMAN RESOURCES FOR HEALTH 2021; 19:68. [PMID: 34001133 PMCID: PMC8130430 DOI: 10.1186/s12960-021-00612-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 05/07/2021] [Indexed: 06/02/2023]
Abstract
BACKGROUND Job satisfaction refers to the feeling of contentment one experiences with their job. Job satisfaction among opticians is a crucial variable in determining their motivation and has consequential influence on the quality of eye health care, systems and services. Nevertheless, little has been done to assess job satisfaction levels among human resources for eye-health, such as opticians, in Ghana. This study assessed (for the first time) the job satisfaction level among opticians in Ghana, and the factors associated with their job satisfaction. METHODS This was a cross-sectional survey involving all registered and licensed opticians working in Ghana. A validated, well-structured job satisfaction questionnaire was distributed to 195 opticians across all regions of the country. The questionnaire was composed of 15-item job satisfaction variables which were measured on a five-point Likert scale ('1-strongly disagree' to '5-strongly agree'). Logistic regression analyses were used to investigate the association between sociodemographic characteristics and factors of job satisfaction, and the overall job satisfaction level. RESULTS A total of 101 opticians responded to the study. The mean presenting age of all participants was 25.3 ± 5.0 years (21 to 47 years), with majority being males (57.4%). The mean score of the overall job satisfaction level reported by participants was 2.65, with 12.9% (95% confidence interval [CI]: 7.0-21.0%) of them being satisfied with their jobs. There was no statistically significant association between overall job satisfaction and sociodemographic characteristics (p > 0.05; for all). Only salary was significantly associated with overall level of job satisfaction (odds ratio [OR]: 16.5; 95% CI: 2.06-132.86; p = 0.008). CONCLUSION Majority of opticians working in Ghana were not satisfied with their jobs. Enhancing salary/remuneration would improve the job satisfaction level among opticians in the country. There is the need for effective management of human resources for eye-health (particularly opticians) and policy revision on ophthalmic healthcare administration in Ghana.
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Affiliation(s)
- Kwadwo Owusu Akuffo
- Department of Optometry and Visual Science, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Akosua Kesewah Asare
- Department of Optometry and Visual Science, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, Ghana
| | - Elsie Emelia Yelbert
- Department of Optometry and Visual Science, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Emmanuel Kobia-Acquah
- Department of Optometry and Visual Science, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Center for Eye Research Ireland, Technological University Dublin, Dublin, Ireland
| | - Emmanuel Kofi Addo
- Department of Optometry and Visual Science, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Department of Ophthalmology and Visual Sciences, John A. Moran Eye Centre, University of Utah, Salt Lake City, UT, USA
- Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, USA
| | - Eldad Agyei-Manu
- Department of Optometry and Visual Science, College of Science, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
- Usher Institute for Population Health Sciences and Informatics, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK
| | - Thomas Brusah
- Optical Department, Sight for Africa Eye Clinic, Accra, Ghana
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The role of organizational factors in how efficiency-thoroughness trade-offs potentially affect clinical quality dimensions – a review of the literature. INTERNATIONAL JOURNAL OF HEALTH GOVERNANCE 2021. [DOI: 10.1108/ijhg-12-2020-0134] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe purpose of this paper is to increase knowledge of the role organizational factors have in how health personnel make efficiency-thoroughness trade-offs, and how these trade-offs potentially affect clinical quality dimensions.Design/methodology/approachThe paper is a thematic synthesis of the literature concerning health personnel working in clinical, somatic healthcare services, organizational factors and clinical quality.FindingsIdentified organizational factors imposing trade-offs were high workload, time limits, inappropriate staffing and limited resources. The trade-offs done by health personnel were often trade-offs weighing thoroughness (e.g. providing extra handovers or working additional hours) in an environment weighing efficiency (e.g. ward routines of having one single handover and work-hour regulations limiting physicians' work hours). In this context, the health personnel functioned as regulators, balancing efficiency and thoroughness and ensuring patient safety and patient centeredness. However, sometimes organizational factors limited health personnel's flexibility in weighing these aspects, leading to breached medication rules, skipped opportunities for safety debriefings and patients being excluded from medication reviews.Originality/valueBalancing resources and healthcare demands while maintaining healthcare quality is a large part of health personnel's daily work, and organizational factors are suspected to affect this balancing act. Yet, there is limited research on this subject. With the expected aging of the population and the subsequent pressure on healthcare services' resources, the balancing between efficiency and thoroughness will become crucial in handling increased healthcare demands, while maintaining high-quality care.
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Costa S. Staff education by the critical care outreach team: evaluating the effect of a study day on nurses' knowledge levels. Emerg Nurse 2021; 29:27-32. [PMID: 33955724 DOI: 10.7748/en.2021.e2076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/26/2021] [Indexed: 11/09/2022]
Abstract
Critical care outreach teams were developed in the UK from the early 2000s onwards in response to evidence that the management of severely ill patients on hospital wards before admission to the intensive care unit was frequently suboptimal. Most hospitals in the UK have some form of CCOT, which is usually composed of senior nurses with extensive critical care experience. One of the goals of CCOTs is to provide educational support to staff to enhance their skills at recognising and managing deteriorating patients. However, the evidence regarding the effects of CCOTs is conflicting. This article describes a service evaluation conducted at an acute NHS trust in England to assess the effects of educational sessions designed and delivered by the local CCOT. The CCOT offered a study day on non-invasive ventilation for patients with type 2 respiratory failure to a group of ten nurses from different clinical areas. A pre-and post-study day questionnaire showed that all participants had increased knowledge levels at the end of the study day. If positive effects of CCOT-led study days on nurses' knowledge were consistently demonstrated, these study days could be considered as a practical and effective method of meeting the learning needs of nurses.
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Affiliation(s)
- Sergio Costa
- Maidstone and Tunbridge Wells NHS Trust, Maidstone, England
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Soubra R, Hlais S, Houmani N, Ghandour L, El Haj Hassan R, Joujou M, Shaarani I. Health seeking behaviour among Lebanese population: A highlight on seeking care from pharmacists. Eur J Gen Pract 2021; 27:51-59. [PMID: 33944640 PMCID: PMC8816400 DOI: 10.1080/13814788.2021.1917541] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
Background Understanding health-seeking behaviour could significantly reduce the impact of illness on patients’ lives. Fragmentation of the Lebanese healthcare system and presence of variability in socio-economic factors have affected some aspects of the Lebanese population’s overall health seeking behaviour. One of these aspects is seeking diagnosis from pharmacists, which is prohibited by the Lebanese law but reinforced by the absence of supervision of concerned authorities. Objectives This study aimed to assess the Lebanese population’s knowledge, attitude, and practice towards seeking health care from pharmacists, exploring particularly the practice of seeking diagnosis from pharmacists. Methods A cross-sectional study was conducted by surveying a convenient sample of 493 participants across the eight governorates of Lebanon between July and October 2016. A self-administered questionnaire was used. Questions assessed the health care seeking behaviour of the participants. Results Two-thirds of the study participants (63.9%) did not have a general practitioner whom they visit regularly. Nearly half of the participants (48.9%) reported seeking diagnosis from pharmacists. Noteworthy, seeking diagnosis from pharmacists’ behaviour declined significantly with having a general practitioner visited regularly. More than half of participants (59.5%) believed that dealing with emergencies is among the pharmacists’ duties. In addition, 62.8% perceived that pharmacists are ‘often/always’ capable of managing common complaints. Conclusion Our study showed that a significant proportion of the Lebanese population seek a diagnosis from pharmacists and a significant proportion of them have a misconception about the role of pharmacists in the Lebanese healthcare system.
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Affiliation(s)
- Rabih Soubra
- Faculty of Medicine, Beirut Arab University, Beirut, Lebanon
| | - Sani Hlais
- Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Nadine Houmani
- Faculty of Medicine, Beirut Arab University, Beirut, Lebanon
| | - Lina Ghandour
- Faculty of Medicine, Beirut Arab University, Beirut, Lebanon
| | | | - Mohammed Joujou
- Faculty of Medicine, Beirut Arab University, Beirut, Lebanon
| | - Issam Shaarani
- Faculty of Medicine, Beirut Arab University, Beirut, Lebanon
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Beyene SA, Weldegerima L, Tela FG, Seid O, Brown AT, Bezabih AM. Barriers to utilize nutrition interventions among lactating women in rural communities of Tigray, northern Ethiopia: An exploratory study. PLoS One 2021; 16:e0250696. [PMID: 33930036 PMCID: PMC8087028 DOI: 10.1371/journal.pone.0250696] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 04/12/2021] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND While lactation is a physiological process requiring high energy demand to fulfill the nutrient requirements of the mother and the breastfeeding child, many factors affecting maternal nutrient intake can lead to nutritional deficits. Previous studies in Ethiopia have reported the prevalence of maternal and child undernutrition and related complications. However, qualitative studies exploring potential barriers to utilizing available nutrition interventions are limited. This study, therefore, sought to qualitatively explore barriers hindering the uptake of nutrition services among lactating mothers from rural communities in Tigray, northern Ethiopia. METHODS We conducted 6 in-depth interviews, 70 key informant interviews, and 13 focus group discussions among purposively selected community groups, experts, and lactating mothers between November- 2017 and January- 2018. Audio records of all interviews and focus group discussions were transcribed verbatim (word-to-word) and translated into English. Then, translated data were analyzed thematically using qualitative data analysis software Atlas ti-version 7.4. RESULTS The participants in this study perceived that lactating mothers in their study area are not properly utilizing available and recommended nutrition interventions, and as a result, their nutrient intake was reported as inadequate. Participants identified inadequate accessibility and availability of foods, feeding practices, cultural and religious influences, focus on agricultural production and productivity, barriers related to health services and poor access to water, sanitation and hygiene as major barriers hindering the uptake of nutrition interventions by lactating women in Tigray, northern Ethiopia. CONCLUSION The uptake of nutrition intervention services was low among lactating mothers and was hindered by multiple socio-cultural and health service related factors requiring problem-specific interventions at community, health facility, and administrative levels to improve the nutritional status of lactating mothers in the study area.
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Affiliation(s)
- Selemawit Asfaw Beyene
- Department of Nutrition and Dietetics, School of Public Health, College of Health Sciences, Mekelle University, Mek’ele, Ethiopia
| | - Lemlem Weldegerima
- Department of Nutrition and Dietetics, School of Public Health, College of Health Sciences, Mekelle University, Mek’ele, Ethiopia
| | - Freweini Gebrearegay Tela
- Department of Nutrition and Dietetics, School of Public Health, College of Health Sciences, Mekelle University, Mek’ele, Ethiopia
| | - Omer Seid
- Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Sciences, Bahir dar University, Bahir Dar, Ethiopia
| | | | - Afework Mulugeta Bezabih
- Department of Nutrition and Dietetics, School of Public Health, College of Health Sciences, Mekelle University, Mek’ele, Ethiopia
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Putra KR, Andayani T, Ningrum EH. Job satisfaction and caring behavior among nurses in a military hospital: A cross-sectional study. J Public Health Res 2021; 10. [PMID: 33855409 PMCID: PMC8129760 DOI: 10.4081/jphr.2021.2212] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 03/25/2021] [Indexed: 12/02/2022] Open
Abstract
Background: Caring is the major focus of nursing practice, and their behavior has an impact on the quality of patient care, and it is very important that they are satisfied while working. The strong relationship between job satisfaction and nurses caring behavior is well established, and therefore the managers can be encouraged to provide better conditions for nurses’ satisfaction. The aim of this study was to investigate the relationship between job satisfaction and the caring behavior of nurses in the Military Hospital. Design and Methods: A survey with a self-assessment questionnaire was carried out from August to December 2019. Participants were 121 nurses working in a military hospital Malang, Indonesia. The data was collected using the Job Satisfaction Survey (JSS) and Caring Behavior Inventory (CBI- 24). The data were analyzed using rank Spearman and multiple linear regression. Results: Job satisfaction had a positive correlation with the caring behavior of nurses (p=0.003; r=0.266). Furthermore, there were four job satisfaction dimensions namely supervision, contingent rewards, co-workers, nature of work and communication dimensions were positively correlated with nurses’ caring behavior (p<0.05) while salary, promotion, benefits, operating procedure dimensions are not related to nurse’s caring behavior (p>0.05). Conclusions: Caring behavior of nurses is influenced by job satisfaction. Therefore, it is necessary to provide supervision, contingent rewards, empowerment, collaboration program for the nurses to reconstruct the nursing working environment to be healthier and increase the caring behavior of nurses. Significance for public health The nurses are group of health-care professionals that have the largest number of healthcare workforce in the world. Nurses practice independently and have the ability in promoting and maintaining human health. However, their job satisfaction is rarely investigated, and there are several negative impacts that may arise from unsatisfied nurses. The decreased motivation in providing care, leading to an increase in patient complaints as well as potential safety incidence. These consequences indicated a red flag for the qualified healthcare services provided in the public health. This study examines the relationship between job satisfaction and the caring behavior of nurses. The result is expected to identify specific factors of job satisfaction that can be modified to maintain caring behavior in which the decreasing quality of care can be prevented.
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Affiliation(s)
| | - Tutut Andayani
- School of Nursing, Faculty of Medicine, Universitas Brawijaya, Malang.
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Lejeune J, Fouquereau E, Chênevert D, Coillot H, Chevalier S, Gillet N, Michon JM, Gandemer V, Colombat P. The Participatory Approach: A Specific French Organizational Model at the Department Level to Serve the Quality of Work Life of Healthcare Providers and the Quality of Care in Pediatric Oncology. Cancer Manag Res 2021; 13:2763-2771. [PMID: 33790650 PMCID: PMC8006951 DOI: 10.2147/cmar.s284439] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Accepted: 01/19/2021] [Indexed: 11/23/2022] Open
Abstract
Background Care providers ‘psychological health at work is an important issue because it directly affects the quality of patient care. So far, few studies have studied the psychological health at work of care providers in paediatric oncology. The participatory approach (PA) is an innovative organizational model of department specific to France and previously associated with quality of work life (QWL) and job performance. The aim of the present study was to explore the relationships between the participatory approach, care providers’ QWL and quality of care of children in pediatric oncology departments in France. Methods A multicentre survey was carried out in pediatric cancer units in France. Care providers completed a questionnaire assessing PA, QWL, consequences of QWL, and their perception of quality of care. The children or their parents completed a questionnaire assessing their perception of quality of care. Results Five hundred and ten healthcare professionals working in French pediatric oncology centres (more than 40% of the healthcare staff in paediatric oncology in France), 142 children and 298 parents responded to the survey. PA was associated with the care providers’ QWL (β = 0.274; p <0.001), work engagement (β = 0.167; p<0.001), job satisfaction (β = 0.166; p<0.001) and perception of quality of care (β = 0.236; p<0.001). PA was also related to patients’ perception of quality of care notably regarding quality of communication (β = 0.161; p<0.001) and information (β = 0.226; p<0.001). Conclusion PA is an innovative organizational model that appears to play a role in all aspects of healthcare providers’ QWL, and in the quality of care perceived by both care providers and patients.
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Affiliation(s)
- Julien Lejeune
- Service d'Onco-Hématologie Pédiatrique, Hôpital Clocheville, Tours, France
| | | | | | | | | | | | - Jean M Michon
- Département de Pédiatrie, Institut Curie, Paris, France
| | - Virginie Gandemer
- Service d'Onco-Hématologie Pédiatrique, CHU Hôpital Sud, Rennes, France
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Okedo-Alex IN, Akamike IC, Nwafor JI, Onwasigwe CN. Determinants, reasons for choice and willingness to recommend birthing facility among mothers in public and private health facilities in Ebonyi, Nigeria. Pan Afr Med J 2021; 38:289. [PMID: 34122716 PMCID: PMC8180001 DOI: 10.11604/pamj.2021.38.289.24437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2020] [Accepted: 03/03/2021] [Indexed: 11/11/2022] Open
Abstract
Introduction facility-based births remain low in Nigeria despite the enormous benefits on maternal and neonatal health. We compared the determinants, reasons for choice and willingness to recommend public and private birthing facilities among mothers in Ebonyi, Nigeria. Methods this was a cross-sectional survey among 620 women whose childbirth occurred in public (teaching) and private-for-profit mission hospitals in Ebonyi, Nigeria. Semi-structured, interviewer-administered questionnaires were used for data collection. Results the mean age of the respondents was 29.86±4.4. Most had post-secondary education (71.0%), more than 4 antenatal visits (83.4%) and vaginal births (77.7%). Respondents with high economic status [adjusted odds ratio (aOR) 2.88; Confidence Interval (CI) 1.98-4.18], post-secondary education (aOR 1.73; CI 1.13-2.64) and urban residence (aOR 3.51; CI 2.19-5.61) were more likely to utilize public birthing facilities. In the private hospital, religion (78.4%) was the commonest reason for utilization while poor quality of services (61.9%) was the major cause of dissatisfaction. In the public hospital, the main reason for patronage was insurance enrolment (73.2%) while negative provider attitude (66.7%) led to dissatisfaction. In both facilities, majority (92%) were willing to recommend their birth facility to others. Conclusion regardless of facility type, respondents were willing to recommend or reuse the health facility for subsequent obstetric care. Religion and insurance enrolment were the major reasons for choosing the private and public hospital respectively. Residence, educational and income status influenced birthing facility type used. We recommend improved quality of services in private hospitals and provision of insurance with improved provider attitude in public health facilities.
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Affiliation(s)
- Ijeoma Nkem Okedo-Alex
- Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
| | - Ifeyinwa Chizoba Akamike
- Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
| | - Johnbosco Ifunanya Nwafor
- Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
| | - Chika Nwakanma Onwasigwe
- Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
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Tavakoli F, Nasiripour AA, Riahi L, Mahmoudi M. Design of a Model for Management of Referral System in the Iranian Urban Family Physician Program. IRANIAN JOURNAL OF PUBLIC HEALTH 2021; 49:2144-2151. [PMID: 33708735 PMCID: PMC7917490 DOI: 10.18502/ijph.v49i11.4732] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Background: The purpose of this research was to identify the main dimensions of management of referral systems in family physician program and then introduce them to policymakers of the country primary health care. Methods: This descriptive-correlation study was designed in Mazandaran Province, northern Iran (2017). The participants were employees of health centers of Mazandaran and Fars Provinces, Iran. The dimensions influencing on the referral system were identified systematically in the selected countries by using researcher-made questionnaire according to a statistical method called Factor Analysis. The data sufficiency was evaluated by the Bartlett’s and Kaiser-Meyer-Olkin’s tests. Reliability of test was calculated and confirmed according to Cronbach’s Alpha and Combined Reliability tests. Validity of the test was calculated and confirmed based on the average variance extracted (AVE). Results: In confirmatory factor analysis, coefficient of effect of Electronic Health Record on referral system (as the most important dimension), coefficient of Family Physician, coefficient of structure of insurance, coefficient of policymaking in health care system, coefficient of proper stewardship of health system, and basic health care services, were 0.887, 0.877, 0.860, 0.804, 0.568, and 0.522, respectively. Conclusion: Six effective dimensions including Electronic Health Record (as the most important dimension), family physician, structure of insurance, policymaking in health care system, proper stewardship of health system, and basic health care services were identified. According to six effective dimensions on management model of the referral system in the Iranian urban family physician program, the health system authorities pay serious attention to the six identified dimensions of the current study to improve the health of the urban community.
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Affiliation(s)
- Farshad Tavakoli
- Department of Health Services Management, School of Medical Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Amir Ashkan Nasiripour
- Department of Health Services Management, School of Medical Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Leila Riahi
- Department of Health Services Management, School of Medical Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Mahmoud Mahmoudi
- Department of Health Services Management, School of Medical Sciences, Science and Research Branch, Islamic Azad University, Tehran, Iran
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Shi H, Fan M, Zhang H, Ma S, Wang W, Yan Z, Chen Y, Fan H, Bi R. Perceived health-care quality in China: a comparison of second- and third-tier hospitals. Int J Qual Health Care 2021; 33:6159655. [PMID: 33693896 DOI: 10.1093/intqhc/mzab027] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 01/13/2021] [Accepted: 03/04/2021] [Indexed: 11/14/2022] Open
Abstract
OBJECTIVES To evaluate disparity in service quality between second- and third-tier hospitals and explore factors that affect patients' perception of service quality in China. DESIGN Cross sectional study. SETTING Twelve hospitals in China. PARTICIPANTS 5714 patients. INTERVENTION None. MAIN OUTCOME MEASURE Total score of the SERVQUAL scale and each of its five dimensions. RESULTS Patients from third-tier hospitals rated significantly higher scores overall and in all the five dimensions of the SERVQUAL scale. Those with lower education, urban residents and those who had higher degree of life satisfaction and attention paid to health perceived higher service quality. Inpatients perceived higher service quality compared with outpatients. CONCLUSION We found a significant gap in patient's perceived service quality between second- and third-tier hospitals in China. A variety of demographic and personality factors were found to significantly influence patient's perceived service quality.
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Affiliation(s)
- Hongmei Shi
- School of Management, Jiangsu University, Zhenjiang, Jiangsu 212013, China
| | - Ming Fan
- School of Management, Jiangsu University, Zhenjiang, Jiangsu 212013, China
| | - Hao Zhang
- Department of Healthare Policy and Research, Weill Cornell Medicine, New York, NY 10065, USA
| | - Shaoying Ma
- Department of Economics, The Graduate Center, City University of New York, New York, NY 10010, USA
| | - Wenxin Wang
- Department of Public Administration, Shantou University, Shantou, Guangdong 515063, China
| | - Zhigang Yan
- Department of Public Administration, Shantou University, Shantou, Guangdong 515063, China
| | - Yuandong Chen
- Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu 212001, China
| | - Hongjuan Fan
- Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu 212001, China
| | - Ronghua Bi
- Affiliated Hospital of Jiangsu University, Zhenjiang, Jiangsu 212001, China
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Abdullah MI, Huang D, Sarfraz M, Ivascu L, Riaz A. Effects of internal service quality on nurses' job satisfaction, commitment and performance: Mediating role of employee well-being. Nurs Open 2021; 8:607-619. [PMID: 33570299 PMCID: PMC7877139 DOI: 10.1002/nop2.665] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 09/02/2020] [Accepted: 09/29/2020] [Indexed: 12/14/2022] Open
Abstract
AIM The attitudes and behaviours of nursing staff are critical to determine patients' satisfaction and to have a competitive advantage for any healthcare organization. This study is set to investigate the effects of internal service quality (ISQ) on nurses' job satisfaction, employee commitment, well-being and job performance in the healthcare sector of Pakistan. Further, this study also examines the mediating role of nurses' well-being for the relationship of job satisfaction and commitment with their job performance. METHODS This was a cross-sectional quantitative research. A self-administered survey was used to collect data from 412 nursing employees of 20 private sector healthcare centres operating in Pakistan. Partial least square of structural equation model (PLS-SEM) and structural equation modelling (SEM) were employed through Smart PLS 3.2.8 for data analysis. RESULTS Study results revealed that ISQ directly effects employees' satisfaction, commitment, well-being of the nursing employees. Moreover, employees' well-being has mediated job satisfaction and job performance relationship; however, well-being did not mediate the relationship between commitment and job performance.
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Affiliation(s)
- Muhammad Ibrahim Abdullah
- Business SchoolHohai UniversityNanjingPR China
- Department of Management SciencesComsats University IslamabadLahorePakistan
| | | | - Muddassar Sarfraz
- Binjiang CollegeNanjing University of Information Science and TechnologyWuxiPR China
| | - Larisa Ivascu
- Faculty of Management in Production and TransportationPolitehnica University of TimisoaraTimisoaraRomania
| | - Amir Riaz
- Department of Management SciencesComsats University IslamabadLahorePakistan
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Ximba SW, Baloyi OB, Ann Jarvis M. Midwives' perceived role in up referral of high-risk pregnancies in primary healthcare settings, eThekwini district, South Africa. Health SA 2021; 26:1546. [PMID: 33824728 PMCID: PMC8008006 DOI: 10.4102/hsag.v26i0.1546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 12/09/2020] [Indexed: 11/11/2022] Open
Abstract
Background South African maternal and neonatal mortality rates remain unnecessarily high, which are considered avoidable through timeous identification, treatment and referral. An efficient referral process of high-risk pregnant women is dependent on the midwives’ ability to respond with relevance to the maternal and neonatal healthcare needs. The attainment of improved maternal and neonatal outcomes commences at the primary healthcare level, with the midwife, recognised as the first person responsible and accountable for pregnant women’s healthcare. Aim To explore midwives’ perceptions of their role in the referral of high-risk pregnant women from primary health care clinics to expert-centred sites. Methods A qualitative, exploratory, descriptive in nature approach, underpinned by a social constructivism paradigm, guided the methodology. Purposive sampling was used to select both the primary health care clinics in the feeder zone and the registered midwives working in these clinics. Data were collected through four focus group discussions and analysed using content analysis. The principles of trustworthiness were observed. Setting Department of Health primary health care clinics in the eThekwini district, South Africa. Results The midwives understood their role in the up referral of high-risk pregnant women but experienced many interruptions in its execution. Four categories emerged from the data, namely, enhanced by team support in the clinics, restrictions in transfer to expert-centred sites, impeding social determinants and midwifery competence facilitates referral process. Conclusion Global initiatives cannot guarantee maternal and neonatal health because of the challenges experienced by the midwives in the execution of their roles as they interface with the healthcare team.
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Affiliation(s)
- Siyabonga W Ximba
- Department of Nursing, College of Health Sciences, University of Kwazulu-Natal, Durban, South Africa
| | - Olivia B Baloyi
- Department of Nursing, College of Health Sciences, University of Kwazulu-Natal, Durban, South Africa
| | - Mary Ann Jarvis
- Department of Nursing, College of Health Sciences, University of Kwazulu-Natal, Durban, South Africa
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Midwives' job satisfaction and intention to leave their current position in developing regions of Ethiopia. Women Birth 2021; 35:38-47. [PMID: 33640298 DOI: 10.1016/j.wombi.2021.02.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2020] [Revised: 01/25/2021] [Accepted: 02/08/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND The aim of this research was to analyze midwives' job satisfaction and intention to leave in developing regions of Ethiopia. METHODS A facility-based cross-sectional study was conducted amongst 107 midwives in four developing regions of Ethiopia. All midwives who were working in 26 health facilities participated in the study. A structured self-administered questionnaire, and in depth key informant interview guides, were used to collect data. Job satisfaction was measured by nine dimensions and intention to leave their current position was measured using three questions. RESULTS More than two-thirds (67%) of the midwives were female, with a mean age of 26.1 (sd±4.2) years old. Less than half (45%) of the midwives were satisfied with their job, less than half (42%) were satisfied with 'work environment' and less than half (45%) were satisfied with 'relationship with management' and 'job requirements'. Relatively better satisfaction rates were reported regarding 'professional status', of which more than half (56%) of midwives were satisfied, followed by more than half (54%) of midwives being satisfied with 'staff interaction'. Almost two-fifths (39%) of midwives intended to leave their current position. CONCLUSION Job dissatisfaction and intention to leave rates amongst midwives in developing regions in Ethiopia are a source of concern. The majority of midwives were most dissatisfied with their working environment and issues related to payment. Their intention to leave their current position was inversely influenced by job satisfaction. The introduction of both financial and nonfinancial mechanisms could improve midwives' job satisfaction, and improve retention rates within the profession.
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Eltaybani S, Yamamoto-Mitani N, Ninomiya A, Igarashi A. The association between nurses' burnout and objective care quality indicators: a cross-sectional survey in long-term care wards. BMC Nurs 2021; 20:34. [PMID: 33622305 PMCID: PMC7901176 DOI: 10.1186/s12912-021-00552-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 02/09/2021] [Indexed: 12/23/2022] Open
Abstract
Background Worldwide, rather few studies have examined the association between burnout and care quality using objectively measured quality indicators, with most of the studies have relied on perceived quality outcomes. This study aimed to examine the association between staff nurses’ burnout and selected objective quality metrics in long-term care wards in Japan. Methods This is a secondary analysis of a cross-sectional survey. Nurse managers and staff nurses working at randomly selected hospitals with long-term care wards—the equivalent of skilled nursing homes in Western countries— completed self-administered, anonymous questionnaires. The questionnaires collected data regarding care quality indicators, staff nurses’ burnout, and other confounders (e.g., ward size, participants’ years of experience, and patients’ conditions). All statistical analyses were conducted at the ward level. A multivariate regression analysis was used to examine associations between burnout and outcome indicators. Results Data from 196 wards in 196 hospitals (196 nurse managers and 2473 staff nurses) across Japan were analyzed. Multivariate regression analysis showed that higher emotional exhaustion was associated with higher rates of pneumonia and pressure ulcers (p-value = .036 and .032, respectively), and that reduced personal accomplishment was associated with higher rates of tube feeding (p-value = .018). A larger ward size was also associated with low rates of pneumonia (regression coefficient = −.001, p-value = .019). Conclusions Staff nurses’ burnout is a significant determinant of care quality in long-term care wards, implying that organizations that implement burnout reducing strategies may see greater benefits in patient outcomes. A large ward size was significantly associated with better care outcomes—specifically, low rates of pneumonia. Future research needs to determine feasible quality improvement measures in small-scale long-term care facilities, and to provide more comprehensive insights on ward-level variables that influence care quality in long-term care settings.
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Affiliation(s)
- Sameh Eltaybani
- Department of Gerontological Homecare and Long-term Care Nursing, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan. .,Department of Critical Care and Emergency Nursing, Alexandria University, Alexandria, Egypt.
| | - Noriko Yamamoto-Mitani
- Department of Gerontological Homecare and Long-term Care Nursing, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan
| | - Ayako Ninomiya
- The Dia Foundation for Research on Ageing Societies, Tokyo, Japan
| | - Ayumi Igarashi
- Department of Gerontological Homecare and Long-term Care Nursing, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan
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128
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A comparative study of quality of health care services of public and private hospitals in Ghana. J Public Health (Oxf) 2021. [DOI: 10.1007/s10389-021-01479-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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129
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Alfiero S, Brescia V, Bert F. Intellectual capital-based performance improvement: a study in healthcare sector. BMC Health Serv Res 2021; 21:73. [PMID: 33468137 PMCID: PMC7816306 DOI: 10.1186/s12913-021-06087-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2020] [Accepted: 01/13/2021] [Indexed: 11/16/2022] Open
Abstract
Background Knowledge resources are in most productive sectors distinctive in terms of competitiveness. Still, in the health sector, they can have an impact on the health of the population, help make the organisations more efficient and can help improve decision-making processes. The purpose of this paper is to investigate the Intellectual Capital impact on healthcare organization’ performance in the Italian healthcare system. Methods The theoretical framework linked to intellectual Capital in the health sector and the performance evaluation related to efficiency supports the analysis carried out in two stages to determine the right placement of resources and the exogenous variables that influence performance level. The evaluation of the impact of the ICs on performance is determined through the Data envelopment analysis. The incidence of the exogenous variables has been established through linear regression. Results Empirical results in Italy show some IC components influence organization ‘performance (Essential Levels of Assistance) and could be used for defining the policy of allocation of resources in healthcare sector. The efficiency of 16 regions considered in 2016 based on Slack-Based-Model constant returns-to-scale (SBM-CRS) and Slack-Based-Model variable returns-to-scale (SBM-VRS) identifies a different ability to balance IC and performance. Current healthcare expenditure and the number of residents is correlated with the identified efficiency and performance levels. Conclusions This paper embeds an innovative link between healthcare performance, in term of efficiency and IC which aligns resource management with future strategy. The study provides a new decision-making approach.
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Affiliation(s)
- Simona Alfiero
- Department of Management, C.so Unione Sovietica, University of Turin, 218 bis, Torino, Italy
| | - Valerio Brescia
- Department of Management, C.so Unione Sovietica, University of Turin, 218 bis, Torino, Italy.
| | - Fabrizio Bert
- Department of Public Health Sciences, University of Turin, Via Santena 5/bis, Torino, Italy
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130
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Damari B, Kamrava SK, Kazemi-Asl S, Rostamigooran N. Iranian centers of excellence in medical sciences: A qualitative study to analyze the current state and design of a future roadmap. Med J Islam Repub Iran 2021; 34:143. [PMID: 33437739 PMCID: PMC7787043 DOI: 10.34171/mjiri.34.143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2018] [Indexed: 11/25/2022] Open
Abstract
Background: Due to the law for the fifth development plan and Iran’s 20- year economic perspective, Centers of Excellence (COEs) were expected to upgrade the level of research and education besides improving infrastructures in Iran. This study is aimed to analyze the current state of national centers of excellence and designing a future roadmap.
Methods: In this qualitative study, data was gathered by reviewing relevant national & international literature and upstream documents, interview with experts, and focused group discussions with stakeholders. Finally, a roadmap was prepared for approval.
Results: Lack of common understanding of the COEs definition, lack of clear professional orientation for each center, lack of mandate and commitment in using COEs in the health system and community health promotion, weakness in enticing elites, and unresponsive to basic needs of the country were five major challenges COEs encountered. The consensus prospective vision for centers of excellence was developed based on the establishment and management of special institutions of thought and technology in centers of excellence to advise health policymakers and provide the highest level of the regional and global position.
Conclusion: Despite over a decade of development of medical COEs, their goals have not been reached yet. Enactment of designed roadmap and its subprojects in the Supreme Council of Centers is the primary steps for functional improvement of COEs.
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Affiliation(s)
- Behzad Damari
- Governance and Health Department, Neuroscience Institue, Tehran University of Medical Sciences, Tehran, Iran
| | - Seyed Kamran Kamrava
- Head and Neck Research Center, Hazrat Rasoul Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Siamak Kazemi-Asl
- Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
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Iyamu T, Nunu K. Healthcare data management conceptual framework for service delivery. EDUCATION AND INFORMATION TECHNOLOGIES 2021; 26:3513-3527. [PMID: 33456311 PMCID: PMC7803662 DOI: 10.1007/s10639-020-10413-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 12/09/2020] [Indexed: 06/12/2023]
Abstract
In the context of South Africa, what we do know is that huge amount of healthcare data does exist and that they are consciously and unconsciously scattered in bits and pieces across facilities within the country. This has directly or indirectly resulted to underutilisation of data, which affects service delivery to the community. For example, many patients have been wrongly diagnosed, and some others have been given wrong medications due to duplication of prescriptions, which were influenced by lack of real-time information. Consequently, there have been loss and damages to lives, contributing to the mortality rate in the country. This study was undertaken on the premise of these challenges, to develop a conceptual framework that can guide how data could be managed towards improved services within the South African healthcare facilities. The interpretive approach was employed. Qualitative data were gathered from existing works. Structuration theory was applied as a lens to guide the analysis of the data. From the findings, a framework was developed, primarily to guide and advance the waysin which data are stored, retrieved, managed, and used for healthcare improved services.
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Affiliation(s)
- Tiko Iyamu
- Department of Information Technology, Cape Peninsula University of Technology, Cape Town, South Africa
| | - Khaya Nunu
- Department of Information Technology, Cape Peninsula University of Technology, Cape Town, South Africa
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132
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Alemu W, Girma E, Mulugeta T. Patient awareness and role in attaining healthcare quality: A qualitative, exploratory study. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2021. [DOI: 10.1016/j.ijans.2021.100278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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133
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Mekonnen DA, Roets L. Integrating HIV and Family Planning Services: The Pros and Cons. HIV AIDS-RESEARCH AND PALLIATIVE CARE 2020; 12:879-886. [PMID: 33324113 PMCID: PMC7733375 DOI: 10.2147/hiv.s281997] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 11/20/2020] [Indexed: 11/23/2022]
Abstract
Background The integration of HIV and family planning services as a one-stop service is a cost-effective way of service delivery, but it has advantages and disadvantages. Methods A cross-sectional study design was applied to conduct this research in Ethiopia from June 2015 to November 2018. Two-stage sampling was applied: 1) a simple random sampling method was used to select 31 public health centers, and 2) 403 clients and 305 service providers were selected by using a stratified simple random sampling. A self-administrator questionnaire was developed to collect the data from service providers, and an interview questionnaire was used to collect data from clients. The data were statistically computed using bi-variate and multivariate logistic regression. Results Integrated HIV and family planning services allow for the enhancement of the competencies of healthcare workers, client satisfaction, mobilization of fiscal resources, provision of infrastructures, and adequate numbers of human resources available. It can also mobilize additional resources for health education and improve awareness on HIV and family planning services. Despite the mentioned advantages, shortages of human resources, HIV drugs and contraceptives, funding and long waiting times were identified as the disadvantages of HIV and family planning service integration. There was a risk of nine times lower chance of intention to use an integrated HIV and family planning services, if a client waited for more than 1 hour and 6 times risk waited for 30-60 minutes. Conclusion The advantages of offering an integrated service at a one-stop facility by far outweighing the disadvantages. It might be relevant to develop a strategic action plan for stakeholders to facilitate the integration of HIV and family planning services with the aim to improve service utilization and to reduce maternal and child morbidity and mortality.
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Affiliation(s)
- Dessie Ayalew Mekonnen
- Department of Health Studies, College of Human Sciences, University of South Africa, Addis Ababa, Ethiopia
| | - Lizeth Roets
- Department of Health Studies, College of Human Sciences, University of South Africa, Addis Ababa, Ethiopia
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134
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Bashir S, Nasir M. Tradeoff between efficiency and perceived quality: evidence from patient-level data. Int J Qual Health Care 2020; 32:591-598. [DOI: 10.1093/intqhc/mzaa098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2020] [Revised: 07/29/2020] [Accepted: 08/18/2020] [Indexed: 11/13/2022] Open
Abstract
Abstract
Objectives
To estimate technical efficiency scores of District Headquarter Hospitals (DHQHs) for obstetric services and to explore the relationship between the efficiency of DHQHs and the patients’ satisfaction about the quality of services provided.
Design, Setting and Participants
Data from Health Facility Assessment (HFA) survey is used for efficiency measurement. The data on patient’s perceptions and other control variables are taken from Client Exit Interviews part of the HFA survey. Two-stage residual inclusion, Ordered Logistic Regression and Least square dummy variable techniques are used to investigate the relationship between technical efficiency and patients’ satisfaction level.
Main Outcome Measure(s) and Results
The average efficiency score for Pakistan’s DHQHs is 0.52, and not a single hospital is fully efficient. Moreover, the relationship between technical efficiency and patients’ satisfaction is found to be negative and statistically significant indicating that an increase in hospital efficiency tends to decrease patients’ satisfaction. The disaggregated analysis reveals that patients’ satisfaction associated with the healthcare provider attitude and communication is more affected by technical efficiency.
Conclusion
Patients’ satisfaction level is more sensitive to physician’s attitude and communication. This makes sense because the longer the consultation time, the more accurate the diagnosis would be. This, together with a comforting and confident physician, is likely to achieve better patients’ satisfaction.
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Affiliation(s)
- Saima Bashir
- Pakistan Institute of Development Economics Quaid-i-Azam University Campus, Islamabad 44000, Pakistan
| | - Muhammad Nasir
- Pakistan Institute of Development Economics Quaid-i-Azam University Campus, Islamabad 44000, Pakistan
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135
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Widyarman AS, Bachtiar EW, Theodorea CF, Rizal MI, Roeslan MO, Djamil MS, Santosa DN, Bachtiar BM. COVID-19 Awareness Among Dental Professionals in Indonesia. Front Med (Lausanne) 2020; 7:589759. [PMID: 33251237 PMCID: PMC7672024 DOI: 10.3389/fmed.2020.589759] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 10/13/2020] [Indexed: 12/13/2022] Open
Abstract
Background: The COVID-19 pandemic caused by SARS-CoV-2 has claimed thousands of lives worldwide. To enhance knowledge and awareness of COVID-19, considerable online resources have been made available, including aspects related to the dental profession. The study aim was to examine the knowledge, perception, and attitude of dental professionals in Indonesia toward COVID-19. We conducted a survey via a questionnaire created using Google docs and distributed to 632 members of the Indonesian Dental Association in the context of a webinar hosted by the Indonesian Oral Biology Association on first June, 2020. Materials and Methods: The questionnaire consisted of 17 items pertaining to demographic data, knowledge and virus identification, awareness regarding drugs commonly used in dentistry during pandemic and research opportunities. Participants were asked to complete the questionnaire after the webinar by choosing one answer to each question. For the analysis, participants were divided into three groups according to their professional background i.e., employment at national hospital, private hospital, or academic faculty. Data were analyzed using descriptive statistics and expressed as frequencies and percentages. The chi-square test was used to investigate the association between professional activity and the level of knowledge, perceptions, and attitudes about COVID-19. Results: Sixty percent of the participants correctly identified the pathogenesis of the disease. This knowledge was not associated with their professional affiliation (p = 0.95). Sixty-seven percentage had comprehensive knowledge about virus detection methods. This knowledge was not associated with their affiliation either (p = 0.54). Questions regarding drugs of choice, prevention, and the spread of COVID-19 were correctly answered by 89, 96, and 82% of the participants, respectively. Knowledge of these aspects were significantly associated with the professional affiliation (p < 0.05). All respondents were optimistic regarding research opportunities (p < 0.01). Respondents from academics were more interested in joining COVID-19-related research projects with governmental institutions (p < 0.01). Conclusion: Knowledge and awareness of COVID-19 among Indonesian dentists are reasonably good. However, further improvement would be beneficial to manage patients during this pandemic. As the number of COVID-19 cases continue to rise in Indonesia, it is important that dentists keep abreast of the updated knowledge on this moving field. Dentist knowledge on infection control should be strengthened through continuous educational programs.
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Affiliation(s)
- Armelia Sari Widyarman
- Department of Microbiology, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
| | - Endang W Bachtiar
- Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
| | | | - M Ihsan Rizal
- Department of Oral Biology, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
| | - M Orliando Roeslan
- Department of Oral Biology, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
| | - Melanie S Djamil
- Department of Oral Biology, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
| | - Didi N Santosa
- Department of Oral Biology, Faculty of Dentistry, Trisakti University, Jakarta, Indonesia
| | - Boy M Bachtiar
- Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia, Depok, Indonesia
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136
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West S, Visentin DC, Cleary M. Motivation for a Successful Health Career. Issues Ment Health Nurs 2020; 41:1051-1053. [PMID: 33000976 DOI: 10.1080/01612840.2020.1826872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Sancia West
- Faculty of Health and Medicine, University of Newcastle, Ourimbah, Australia
| | - Denis C Visentin
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia
| | - Michelle Cleary
- School of Nursing, College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia
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137
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Rivai F, Rezeki SF, Pasinringi SA, Mangilep AU. Overview of interpersonal communication between nurses and patients in inpatient installation at RSUD H. A. Sulthan Daeng Radja. ENFERMERIA CLINICA 2020. [DOI: 10.1016/j.enfcli.2020.06.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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138
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Suhail P, Srinivasulu Y. Impact of communication dyads on health-care service experience in Ayurveda. INTERNATIONAL JOURNAL OF PHARMACEUTICAL AND HEALTHCARE MARKETING 2020. [DOI: 10.1108/ijphm-06-2019-0045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
This paper aims to understand whether the perceptions of the patient’s in the health-care service experience differs in the Ayurveda, and to examine the impact of three critical communication dyads on the patient service experiences in Ayurveda health-care sector.
Design/methodology/approach
The study consists of 436 participants, recruited directly from the inpatients of Ayurveda establishments/hospitals/clinics in Northern Kerala, India. Data was collected through a structured questionnaire. An independent sample t-test was used to find out the differences in the perceptions of Ayurveda health-care consumers towards their health-care service experience. Multiple regression analysis is used to explain the dyadic relationship of patient–firm (PFR), patient–employee (PER) and employee–firm relation (EFR) on the health-care service experience (SE) in the Ayurveda sector.
Findings
The study highlights that the perception of patients on Ayurveda health-care service experience varies according to their socio-economic statuses such as age, gender, annual income and the number of inpatient days. Among the service communication dyads, PFR is the most effective dyadic phase that contributes significantly more towards an improved Ayurveda health-care SE, followed by the PER and EFR.
Research limitations/implications
The findings of the study will be more applicable to the Ayurveda health-care sector, where the doctors and the management have more role in the servicescape.
Practical implications
Health managers have to consider three stakeholders (customers, employees and firm) and the relationship between them. It is valued the PFR more, followed by the PER and EFR.
Social implications
Proper implementation of the suggestions given by the study can improve overall service communications of the different service providers of Ayurveda with good interpersonal manner to achieve better relationships among the three mentioned parties.
Originality/value
The empirical evidence from the study is relevant and timely to the health-care service providers of the country to aid them in providing a better health-care service experience. The study adds value given the increasing trend of lifestyle diseases and subsequent demand in health-care services, especially in the Ayurveda sector.
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Scholl I, Kobrin S, Elwyn G. "All about the money?" A qualitative interview study examining organizational- and system-level characteristics that promote or hinder shared decision-making in cancer care in the United States. Implement Sci 2020; 15:81. [PMID: 32957962 PMCID: PMC7507661 DOI: 10.1186/s13012-020-01042-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 09/07/2020] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND Despite decades of ethical, empirical, and policy support, shared decision-making (SDM) has failed to become standard practice in US cancer care. Organizational and health system characteristics appear to contribute to the difficulties in implementing SDM in routine care. However, little is known about the relevance of the different characteristics in specific healthcare settings. The aim of the study was to explore how organizational and health system characteristics affect SDM implementation in US cancer care. METHODS We conducted semi-structured interviews with diverse cancer care stakeholders in the USA. Of the 36 invited, 30 (83%) participants consented to interview. We used conventional content analysis to analyze transcript content. RESULTS The dominant theme in the data obtained was that concerns regarding a lack of revenue generation, or indeed, the likely loss of revenue, were a major barrier preventing implementation of SDM. Many other factors were prominent as well, but the view that SDM might impair organizational or individual profit margins and reduce the income of some health professionals was widespread. On the organizational level, having leadership support for SDM and multidisciplinary teams were viewed as critical to implementation. On the health system level, views diverged on whether embedding tools into electronic health records (EHRs), making SDM a criterion for accreditation and certification, and enacting legislation could promote SDM implementation. CONCLUSION Cancer care in the USA has currently limited room for SDM and is prone to paying lip service to the idea. Implementation efforts in US cancer care need to go further than interventions that target only the clinician-patient level. On a policy level, SDM could be included in alternative payment models. However, its implementation would need to be thoroughly assessed in order to prevent further misdirected incentivization through box ticking.
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Affiliation(s)
- Isabelle Scholl
- Dartmouth College, The Dartmouth Institute for Health Policy & Clinical Practice, Level 5, Williamson Translational Research Building, One Medical Center Drive, Lebanon, NH, 03756, USA.
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, W26, 20246, Hamburg, Germany.
| | - Sarah Kobrin
- Healthcare Delivery Research Program, National Cancer Institute, 9609 Medical Center Drive, Rockville, MD, 20850, USA
| | - Glyn Elwyn
- Dartmouth College, The Dartmouth Institute for Health Policy & Clinical Practice, Level 5, Williamson Translational Research Building, One Medical Center Drive, Lebanon, NH, 03756, USA
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Functional Capability and Job Competence of Part-Time Postretiree Workers in Higher Academic Institutions. AGEING INTERNATIONAL 2020. [DOI: 10.1007/s12126-019-09357-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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141
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Assessment of Quality of Antenatal Care Services and Its Determinant Factors in Public Health Facilities of Hossana Town, Hadiya Zone, Southern Ethiopia: A Longitudinal Study. ADVANCES IN PUBLIC HEALTH 2020. [DOI: 10.1155/2020/5436324] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background. Antenatal care is a care that links the woman and her family with the formal health system, increases the chance of using a skilled attendant at birth, and contributes to good health through the life cycle. Inadequate care during this time breaks a critical link in the continuum of care and affects both women and babies. Therefore, the main aim of this study was to determine the quality of ANC in Hadiya Zone, Southern Ethiopia. Method. A longitudinal facility-based study design was conducted among 1123 mothers whose gestational age of less than 16 weeks was identified and followed until birth and 40 days after birth to detect whether they gained the acceptable standard of quality of ANC from July 2017 to June 2018. A structured, predefined, and pretested observation check list and Likert scales were employed to obtain the necessary information after getting both written and verbal consent from the concerned bodies and study participants. Data was entered into Epi Info version 3.5 and transferred to STATA Version 14 software and cleaned by reviewing frequency tables, logical errors, and checking outliers. Generalized estimating equation (GEE) analysis was applied to get the average response observation of each visit of quality of ANC in the health facilities. Result. This study showed that the overall magnitude of good quality of antenatal care service that was provided in the whole visit at Hosanna Town’s public health facilities was 1230 (31.38%). The most frequently identified problems were inability to take full history, lack of proper counseling, poor healthcare provider and client interaction, and improper registration and there was a variation in providing quality of care in each visit. Quality of antenatal care was significantly associated with residence, educational status gravidity, parity, and visit. In conclusion, the overall quality of antenatal care is low, so the health facilities need further modification on the identified problems.
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142
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Sánchez-Hernández MI, Gismera-Tierno E, Labrador-Fernández J, Fernández-Fernández JL. Encountering Suffering at Work in Health Religious Organizations: A Partial Least Squares Path Modeling Case-Study. Front Psychol 2020; 11:1424. [PMID: 32655461 PMCID: PMC7324682 DOI: 10.3389/fpsyg.2020.01424] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 05/27/2020] [Indexed: 11/13/2022] Open
Abstract
Health religious organizations tend to offer individual attention to patients in line with their spiritual character and, at the same time, the highest service quality. This study puts the attention on the nurse-patient relationship and empirically explores a theoretical model that links nurses’ suffering at work with personal’s willingness to engage in a therapeutic and spiritual relationship with patients and the consequent effect on quality. Data has been collected in the city of Madrid (Spain) in the month of June 2019 in Santa Elena Clinic. An analytical case-study based on Partial Least Squares (PLS) path modeling is the chosen method to verify the cause-effect hypothesized relationships. This study contributes to the current academic literature by providing new knowledge and empirical evidence on the topic of the future of work in health religious organizations. The main conclusion is the necessary inclusion of suffering, even in good places to work, as a key indicator for a better management. Results should be a useful source of information for practitioners that seek to implement better human management systems in these organizations.
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Affiliation(s)
- Maria Isabel Sánchez-Hernández
- Business Management and Sociology Department, School of Economics and Business Administration, University of Extremadura, Badajoz, Spain
| | - Eduardo Gismera-Tierno
- Ethics and Sustainability Department, School of Economics, Comillas Pontifical University, Madrid, Spain
| | - Jesus Labrador-Fernández
- Ethics and Sustainability Department, School of Economics, Comillas Pontifical University, Madrid, Spain
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Sawe HR, Sirili N, Weber E, Coats TJ, Wallis LA, Reynolds TA. Barriers and facilitators to implementing trauma registries in low- and middle-income countries: Qualitative experiences from Tanzania. Afr J Emerg Med 2020; 10:S23-S28. [PMID: 33318898 PMCID: PMC7723914 DOI: 10.1016/j.afjem.2020.06.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Revised: 06/07/2020] [Accepted: 06/08/2020] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND The burden of trauma in low and middle-income countries (LMICs) is disproportionately high: LMICs account for nearly 90% of the global trauma deaths. Lack of trauma data has been identified as one of the major challenges in addressing the quality of trauma care and informing injury-preventing strategies in LMICs. This study aimed to explore the barriers and facilitators of current trauma documentation practices towards the development of a national trauma registry (TR). METHODS An exploratory qualitative study was conducted at five regional hospitals between August 2018 and December 2018. Five focus group discussions (FGDs) were conducted with 49 participants from five regional hospitals. Participants included specialists, medical doctors, assistant medical officers, clinical officers, nurses, health clerks and information communication and technology officers. Participants came from the emergency units, surgical and orthopaedic inpatient units, and they had permanent placement to work in these units as non-rotating staff. We analysed the gathered information using a hybrid thematic analysis. RESULTS Inconsistent documentation and archiving system, the disparity in knowledge and experience of trauma documentation, attitudes towards documentation and limitations of human and infrastructural resources in facilities we found as major barriers to the implementation of trauma registry. Health facilities commitment to standardising care, Ministry of Health and medicolegal data reporting requirements, and insurance reimbursements criteria of documentation were found as major facilitators to implementing trauma registry. CONCLUSIONS Implementation of a trauma registry in regional hospitals is impacted by multiple barriers related to providers, the volume of documentation, resource availability for care, and facility care flow processes. However, financial, legal and administrative data reporting requirements exist as important facilitators in implementing the trauma registry at these hospitals. Capitalizing in the identified facilitators and investing to address the revealed barriers through contextualized interventions in Tanzania and other LMICs is recommended by this study.
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Affiliation(s)
- Hendry R. Sawe
- Department of Emergency Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
- Division of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Nathanael Sirili
- Department of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
| | - Ellen Weber
- Emergency Department, University of California, San Francisco, CA, USA
| | - Timothy J. Coats
- Department of Cardiovascular Sciences, University of Leicester, United Kingdom
| | - Lee A. Wallis
- Division of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Teri A. Reynolds
- Division of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
- Clinical Services and Systems, Integrated Health Services, World Health Organization (WHO), Geneva, Switzerland
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144
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Ishijima H, Nishikido K, Teshima M, Nishikawa S, Gawad EA. Introducing the "5S-KAIZEN-TQM" approach into public hospitals in Egypt. Int J Health Care Qual Assur 2020; 33:89-109. [PMID: 31940154 DOI: 10.1108/ijhcqa-06-2018-0143] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this paper is to identify how the introduction and dissemination of the 5S-KAIZEN-TQM approach positively influence the Egyptian health sector and its sustainability. It also seeks to encourage effective and efficient introduction of the 5S-KAIZEN-TQM approach into the health sectors of low- and middle-income countries. DESIGN/METHODOLOGY/APPROACH The pilot program introducing the 5S-KAIZEN-TQM approach into five Egyptian public hospitals spanned over 13 months from January 2016 to February 2017. During the pilot program, a series of interventions occurred to introduce the approach, such as seminars on the 5S and KAIZEN approach, consultation visits and progress report meetings. Data and information were collected through conducting interviews, observing directly and evaluating the implementation progress of 5S-KAIZEN-TQM activities. FINDINGS The study identified the following factors in effective and efficient dissemination of 5S-KAIZEN-TQM activities in the Egyptian health sector: restructuring the quality management structure to establish Quality Improvement Teams and Work Improvement Teams in hospitals, generating strong leadership and commitment among leaders, conducting effective in-house trainings on the 5S-KAIZEN-TQM approach, monitoring and following up on 5S-KAIZEN-TQM activities and introducing the 5S-KAIZEN-TQM approach using non-clinical sections, which could also influence the sustainability of the activities. ORIGINALITY/VALUE This study holds value in its clarification of meaningful ways to disseminate and encourage the sustainability of the 5S-KAIZEN-TQM approach in Egyptian public health facilities. Moreover, officials from the Ministry of Health and Population and hospital managers in Egypt can use the findings to plan and disseminate this approach nationwide.
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Affiliation(s)
- Hisahiro Ishijima
- Department of Research and Planning, Fujita Planning Co., Ltd, Tokyo, Japan
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145
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Ernawaty E, Wardhani K K, Supriyanto S, Putri NK, Husniyawati YR. Brand equity analysis to increase health care utilization. J Public Health Res 2020; 9:1821. [PMID: 32728565 PMCID: PMC7376459 DOI: 10.4081/jphr.2020.1821] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Accepted: 06/13/2020] [Indexed: 11/23/2022] Open
Abstract
Background: Health care utilization is one of the key indicators in measuring performance of health care services. Strong brand equity suggests positive correlation with great attraction for consumers to use a product. Design and Methods: A cross-sectional study was conducted to identify the effects of brand equity to health care utilization. 381 students were selected by simple random sampling. Multiple logistic regression tests were used to analyze the influence between variables. Results: Findings showed that there was an influence between brand equity and health care utilization (P=0.001). In the three attributes, brand equity was known to have an influence to the utilization of health care. The highest influence of the three attributes was brand association (Exp (B) = 2.501). Conclusions: It can be concluded that brand equity affects patient visits to AHCC showing that the brand equity significantly influence patient visits. Promotion to create familiarity and good impression was required to enhance brand equity and increase health care utilization. Significance for public health In a study reports on the utilization of University health care center it was found that more than one-third (36.5%) of students have never used the service. One of the reasons contributing to the suboptimal utilization of health care services was the brand factor. Components of brand equity include brand awareness, brand association, and brand loyalty. The highest influence of the three attributes is brand association. Promotion to create familiarity and good impression is required to enhance brand equity and increase the University health care utilization. This paper describes the influence of brand equity to University health care utilization.
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Affiliation(s)
- Ernawaty Ernawaty
- Departement of Health Policy and Administration.,Harapan Keluarga Hospital, Mataram
| | | | | | - Nuzulul Kusuma Putri
- Departement of Health Policy and Administration.,Harapan Keluarga Hospital, Mataram
| | - Yeni Rahmah Husniyawati
- Master Program in Health Policy and Administration, Faculty of Public Health, Universitas Airlangga, Indonesia
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146
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Bilal HSM, Amin MB, Hussain J, Ali SI, Hussain S, Sadiq M, Razzaq MA, Abbas A, Choi C, Lee S. On computing critical factors based healthy behavior index for behavior assessment. Int J Med Inform 2020; 141:104181. [PMID: 32559726 DOI: 10.1016/j.ijmedinf.2020.104181] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Revised: 04/28/2020] [Accepted: 05/18/2020] [Indexed: 12/18/2022]
Abstract
OBJECTIVE Ubiquitous computing has supported personalized health through a vast variety of wellness and healthcare self-quantification applications over the last decade. These applications provide insights for daily life activities but unable to portray the comprehensive impact of personal habits on human health. Therefore, in order to facilitate the individuals, we have correlated the lifestyle habits in an appropriate proportion to determine the overall impact of influenced behavior on the well-being of humans. MATERIALS AND METHODS To study the combined impact of personal behaviors, we have proposed a methodology to derive the comprehensive Healthy Behavior Index (HBI) consisting of two major processes: (1) Behaviors' Weight-age Identification (BWI), and (2) Healthy Behavior Quantification and Index (HBQI) modeling. The BWI process identifies the high ranked contributing behaviors through life-expectancy based weight-age, whereas HBQI derives a mathematical model based on quantification and indexing of behavior using wellness guidelines. RESULTS The contributing behaviors are identified through text mining technique and verified by seven experts with a Kappa agreement level of 0.379. A real-world user-centric statistical evaluation is applied through User Experience Questionnaire (UEQ) method to evaluate the impact of HBI service. This HBI service is developed for the Mining Minds, a wellness management application. This study involves 103 registered participants (curious about the chronic disease) for a Korean wellness management organization. They used the HBI service over 12 weeks, the results for which were evaluated through UEQ and user feedback. The service reliability for the Cronbach's alpha coefficient greater than 0.7 was achieved using HBI service whereas the stimulation coefficient of the value 0.86 revealed significant effect. We observed an overall novelty of the value 0.88 showing the potential interest of participants. CONCLUSIONS The comprehensive HBI has demonstrated positive user experience concerning the stimulation for adapting the healthy behaviors. The HBI service is designed independently to work as a service, so any other wellness management service-enabled platform can consume it to evaluate the healthy behavior index of the person for recommendation generation, behavior indication, and behavior adaptation.
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Affiliation(s)
- Hafiz Syed Muhammad Bilal
- Department of Computer Science and Engineering, Kyung Hee University, Seocheon-dong, Giheung-gu, South Korea; National University of Sciences and Technology, Pakistan.
| | | | - Jamil Hussain
- Department of Computer Science and Engineering, Kyung Hee University, Seocheon-dong, Giheung-gu, South Korea.
| | - Syed Imran Ali
- Department of Computer Science and Engineering, Kyung Hee University, Seocheon-dong, Giheung-gu, South Korea.
| | - Shujaat Hussain
- Department of Computer Science, National University of Computer and Emerging Sciences, Islamabad, Pakistan.
| | - Muhammad Sadiq
- Department of Computer Science and Engineering, Kyung Hee University, Seocheon-dong, Giheung-gu, South Korea.
| | - Muhammad Asif Razzaq
- Department of Computer Science and Engineering, Kyung Hee University, Seocheon-dong, Giheung-gu, South Korea.
| | - Asim Abbas
- Department of Computer Science and Engineering, Kyung Hee University, Seocheon-dong, Giheung-gu, South Korea.
| | - Chunho Choi
- Korea Institute of Industrial Technology, South Korea.
| | - Sungyoung Lee
- Department of Computer Science and Engineering, Kyung Hee University, Seocheon-dong, Giheung-gu, South Korea.
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Beckers T, Jaeqx-van Tienen L, Willems R, Koopmans M, Corstens D. Personal-recovery-oriented community mental healthcare: qualitative evaluation of a developmental project. BMJ Open 2020; 10:e035709. [PMID: 32503871 PMCID: PMC7279651 DOI: 10.1136/bmjopen-2019-035709] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES Mental healthcare is commonly aimed at reducing symptoms in individual service users. When only symptomatic recovery is addressed, not all service users experience sufficient recovery, and when care is aimed only at individuals (instead of the neighbourhood), not all people in need of mental healthcare are reached. This study evaluated a project that aimed to improve mental healthcare in a neighbourhood, by improving healthcare providers' outreach to the residents living in the neighbourhood, by improving collaboration among healthcare providers and focussing on the residents' personal recovery. This project was carried out by several public health services. It aimed to change the goal of mental healthcare provided in the neighbourhood from symptom reduction to personal recovery. DESIGN The study included qualitative focus groups and inductive content analysis. SETTING Primary and secondary mental healthcare that healthcare workers from different healthcare services provided. PARTICIPANTS The evaluation was conducted through three focus group interviews with services users, their friends and relatives, neighbourhood residents, neighbourhood representatives and the healthcare services that were involved (n = 24). RESULTS Evaluation indicated that the most valued part of the project was the utilisation of peer workers at the initiation of mental healthcare. Improved communication among healthcare providers that the project fostered was also highly regarded. The aim of the project to align it with existing initiatives in the neighbourhood was also considered important, although it was difficult to achieve. CONCLUSIONS The project did not find a panacea for recovery-oriented community mental healthcare. A variety of its components did, however, contribute to the mental health of the community residents.
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Affiliation(s)
- Thijs Beckers
- Research Group Social Psychiatry and Mental Health Nursing, Hogeschool Arnhem Nijmegen University of Applied Science, Schinveld, The Netherlands
- MET ggz, Roermond, Limburg, The Netherlands
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Mogakwe LJ, Ally H, Magobe NBD. Reasons for non-compliance with quality standards at primary healthcare clinics in Ekurhuleni, South Africa. Afr J Prim Health Care Fam Med 2020; 12:e1-e9. [PMID: 32501028 PMCID: PMC7284153 DOI: 10.4102/phcfm.v12i1.2179] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 03/13/2020] [Accepted: 03/21/2020] [Indexed: 11/17/2022] Open
Abstract
Background The South African Minister of Health stated that compliance with quality standards in health services is non-negotiable as it is fundamental in improving South Africa’s current poor health outcomes, restoring patient and staff confidence in the public healthcare system, achieving widespread sustainable development and providing basic quality healthcare in South Africa. Non-compliance with quality standards, as evidenced by increased quality-related queries from the community, prompted the researcher to explore and describe the reasons for such at primary healthcare clinics in Ekurhuleni. Aim This study sought to explore and describe the reasons for non-compliance with quality standards at the primary healthcare in Ekurhuleni in order to propose recommendations to facilitate compliance with quality standards. Setting The study was conducted at primary healthcare clinics in Ekurhuleni, one of the metropolitan districts, situated in an area east of the Gauteng province. Methods A qualitative, exploratory, descriptive and contextual research design was used for this study. Participants were purposefully selected from the population and consisted of individuals who willingly consented to participate. Twelve semi-structured individual interviews were conducted. Results The study findings revealed challenges with management practices, for example, non-involvement in decision-making, lack of support and poor internal communication practices. In addition, challenges with human, material and financial resources were stated as reasons for non-compliance with quality standards. Conclusion Recommendations to facilitate compliance with quality standards were described, which included implementation of effective management practices and allocation of adequate healthcare resources required to facilitate such compliance.
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Affiliation(s)
- Lebuile J Mogakwe
- Department of Nursing Science, Faculty of Health Sciences, University of Johannesburg, Johannesburg.
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The Impact of Service Quality on Patient Satisfaction and Revisiting Intentions: The Case of Public Emergency Departments. Qual Manag Health Care 2020; 28:200-208. [PMID: 31567843 DOI: 10.1097/qmh.0000000000000232] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND AND OBJECTIVES This study attempts to (a) identify the main quality indicators that affect "service quality" and (b) examine the effect of "patient satisfaction" on patient "revisiting intentions." METHODS The sample includes patients of 2 hospitals, 1 urban and 1 provincial. The comparative analysis of 2 emergency departments (EDs) with different characteristics aims at understanding their diverse problems and their specific needs from a patient point of view. Empirical data were collected in the fall of 2015. Three hundred questionnaires were distributed in person. A total of 169 valid questionnaires, 80 from hospital A and 89 from hospital B, were returned, with a response rate of 56.3%. RESULTS The Structural Equation Modeling technique revealed that overall satisfaction is strongly influenced by "perceived service quality" (β = .79), while it positively affects patient "behavioral intentions" (β = .39). Also, "perceived waiting time" proved to have a more intense impact on "perceived service quality" (β = -.59), rather than on "perceived technical and functional quality" (β = .18). Moreover, it was determined that patients visiting the urban ED pay more attention in waiting times, while patients visiting the provincial ED care about receiving both quality and timely health care services. Overall, the study provides insight about the main factors affecting "perceived service quality" and "overall satisfaction." These factors fall into 2 distinct categories: "perceived technical and functional quality" and "perceived waiting time." CONCLUSIONS The study concludes that "overall satisfaction" acts as a mediator between "perceived service quality" and patient "behavioral intentions," while "perceived waiting time" is the most significant indicator of service quality and the most crucial predictor of ED patient satisfaction. Moreover, it offers empirical evidence concerning the differences in the way patients rate the services offered by a hospital, based on the hospital size and the region it is located (urban or provincial).
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Dickson C, McVittie C, Smith MC. Being conductor of the orchestra: an exploration of district nursing leadership. Br J Community Nurs 2020; 25:214-221. [PMID: 32378465 DOI: 10.12968/bjcn.2020.25.5.214] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The purpose of the present study was to gain insight into how district nurses understand their leadership role. Data were generated through interviews and audio-journals and analysed using interpretive phenomenological analysis. Findings suggested that district nurses managing teams and caseloads experienced a burden of responsibility. Being creative problem solvers, they adopted facilitative ways of engaging with patients but directive approaches to team management. District nurses sharing leadership with multidisciplinary colleagues did not appear to experience this burden. Their leadership drew on their facilitative approaches to care-giving. If nurses enabled, rather than directed teams, they could create a context for developing autonomy and growth, easing the burden of responsibility.
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Affiliation(s)
- Caroline Dickson
- Senior Lecturer in Community Nursing, Queen Margaret University, Edinburgh; Associate Member Centre for Person-centred Practice Research
| | - Chris McVittie
- Director Centre for Applied Social Sciences, Queen Margaret University, Edinburgh
| | - Margaret Coulter Smith
- Senior Lecturer, Queen Margaret University, Edinburgh; Member Centre for Person-centred Practice Research/Centre for Applied Social Sciences
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