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Ooi ECW, Isa ZM, Manaf MRA, Fuad ASA, Ahmad A, Mustapa MN, Marzuki NM. Factors influencing the intention to use the ICD-11 among medical record officers (MROs) and assistant medical record officers (AMROs) in Ministry of Health, Malaysia. Sci Rep 2024; 14:9926. [PMID: 38688966 PMCID: PMC11061162 DOI: 10.1038/s41598-024-60439-2] [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] [Received: 02/23/2024] [Accepted: 04/23/2024] [Indexed: 05/02/2024] Open
Abstract
The transition of ICD has never been a straightforward initiative. As nations transition to ICD-11, ensuring its acceptance among the users is essential. To our knowledge, there are limited studies about the instrument and ICD-11 adoption. Therefore, the purpose of this study was to design an instrument and investigate the factors influencing the intention to use the ICD-11 among medical record officers (MROs) and assistant medical record officers (AMROs) at Ministry of Health (MOH) Malaysia facilities. Based on the current literature, a model based on the decomposed theory of planned behaviour (DTPB) was proposed. The model consisted of 13 dimensions and 12 hypotheses identified from previous studies. Using PLS-SEM, 185 survey data points were analysed. The study findings showed that ten factors have a significant impact on the suggested model. Users' subjective norm was the most influential factor in their intention to use ICD-11. Unexpectedly, perceived usefulness and was found to have no significant influence. This study is important for policymakers in strategising ICD-11 implementation efforts. This study's novelty lies in applying a DTPB theory model in the context of the intention to use ICD-11.
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Affiliation(s)
- Erwyn Chin Wei Ooi
- Department of Public Health Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
- Health Informatics Centre, Planning Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Zaleha Md Isa
- Department of Public Health Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia.
| | - Mohd Rizal Abdul Manaf
- Department of Public Health Medicine, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
| | - Ahmad Soufi Ahmad Fuad
- Health Informatics Centre, Planning Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Azman Ahmad
- Health Informatics Centre, Planning Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Mimi Nurakmal Mustapa
- Health Informatics Centre, Planning Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Nuraidah Mohd Marzuki
- Health Informatics Centre, Planning Division, Ministry of Health Malaysia, Putrajaya, Malaysia
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Dieudonné J, Jantzen L, Sanwald M, Trompke M, Pieper D, Stegbauer C, Willms G, Buchberger B, Brian Büchter R, Bühn S, Fischer F, Klein K, Kuhn J, Messer M, Wegewitz U, Niederberger M. [What is a public health intervention? Results of a Delphi process in German-speaking countries]. ZEITSCHRIFT FUR EVIDENZ, FORTBILDUNG UND QUALITAT IM GESUNDHEITSWESEN 2023; 182-183:89-97. [PMID: 37625924 DOI: 10.1016/j.zefq.2023.05.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 05/16/2023] [Accepted: 05/27/2023] [Indexed: 08/27/2023]
Abstract
BACKGROUND Internationally, a variety of definitions for public health interventions (PHI) exist. In the German-speaking countries, however, a definition is still outstanding. Therefore, the aim of this study was to derive consensus criteria for the definition of PHI from the expert perspective of science and practice. METHODS A Delphi survey with two online rounds was conducted from December 2022 to February 2023. Six criteria were formulated by a working group and posed for consensus: 1) the intention of the intervention, 2) potential conflicts of interest of the initiators of the intervention, 3) primary vs. secondary/tertiary prevention, 4) costs, 5) targeting, and 6) the reach of the intervention. In both Delphi rounds, experts from academia and practice were recruited through relevant networks and associations throughout the German-speaking world. The judgments were asked about standardized rating scales with the possibility of open justification. RESULTS In the first Delphi round, n = 52 and in the second round n = 43 experts from research, care and administration/management in health care participated. Consensus was reached on four of the six criteria after the second Delphi round: the intention of the intervention, possible conflicts of interest of the initiators of the intervention, primary vs. secondary/tertiary prevention, and the scope of the intervention. From the perspective of the experts interviewed, these are the criteria that distinguish PHI. DISCUSSION AND CONCLUSION Based on the consensus criteria, PHI can be defined more concretely. Thus, the results contribute to a better inter- and transdisciplinary understanding. Ideally, the criteria will make it easier to assign interventions to the public health sector in the future, even if a precise examination will be necessary in individual cases, among other things because the experts disagreed on the criteria of costs and how to address the target group.
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Affiliation(s)
- Jessica Dieudonné
- Forschungsmethoden in der Gesundheitsförderung und Prävention, PH Schwäbisch Gmünd, Schwäbisch Gmünd, Deutschland
| | - Lisa Jantzen
- Forschungsmethoden in der Gesundheitsförderung und Prävention, PH Schwäbisch Gmünd, Schwäbisch Gmünd, Deutschland
| | - Michelle Sanwald
- Forschungsmethoden in der Gesundheitsförderung und Prävention, PH Schwäbisch Gmünd, Schwäbisch Gmünd, Deutschland
| | - Michaela Trompke
- Forschungsmethoden in der Gesundheitsförderung und Prävention, PH Schwäbisch Gmünd, Schwäbisch Gmünd, Deutschland
| | - Dawid Pieper
- IVGF - Institut für Versorgungs- und Gesundheitssystemforschung, Fakultät für Gesundheitswissenschaften, Medizinische Hochschule Brandenburg; Zentrum für Versorgungsforschung Brandenburg, Medizinische Hochschule Brandenburg, Neuruppin, Deutschland
| | - Constance Stegbauer
- aQua - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH, Göttingen, Deutschland
| | - Gerald Willms
- aQua - Institut für angewandte Qualitätsförderung und Forschung im Gesundheitswesen GmbH, Göttingen, Deutschland
| | | | - Roland Brian Büchter
- Institut für Forschung in der Operativen Medizin (IFOM), Fakultät für Gesundheit, Department für Humanmedizin, Universität Witten/Herdecke, Witten, Deutschland
| | - Stefanie Bühn
- Deutsche Allianz Klimawandel und Gesundheit e.V. (KLUG), Berlin, Deutschland
| | - Florian Fischer
- Bayerisches Zentrum Pflege Digital, Hochschule für angewandte Wissenschaften Kempten, Kempten, Deutschland
| | - Katharina Klein
- Charité-Universitätsmedizin Berlin, Geschlechterforschung in der Medizin; Deutsche Krebsgesellschaft e.V., Berlin, Deutschland
| | - Joseph Kuhn
- Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Erlangen, Deutschland
| | - Melanie Messer
- Abteilung Pflegewissenschaft II, Universität Trier, Trier, Deutschland
| | - Uta Wegewitz
- Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, Aalen, Deutschland
| | - Marlen Niederberger
- Forschungsmethoden in der Gesundheitsförderung und Prävention, PH Schwäbisch Gmünd, Schwäbisch Gmünd, Deutschland.
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Smith ML, Racoosin J, Wilkerson R, Ivey RM, Hawkley L, Holt-Lunstad J, Cudjoe TKM. Societal- and community-level strategies to improve social connectedness among older adults. Front Public Health 2023; 11:1176895. [PMID: 37213616 PMCID: PMC10192856 DOI: 10.3389/fpubh.2023.1176895] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 04/11/2023] [Indexed: 05/23/2023] Open
Affiliation(s)
- Matthew Lee Smith
- School of Public Health, Texas A&M University, College Station, TX, United States
- Center for Community Health and Aging, Texas A&M University, College Station, TX, United States
- Center for Health Equity and Evaluation Research, Texas A&M University, College Station, TX, United States
- *Correspondence: Matthew Lee Smith
| | - Jillian Racoosin
- Foundation for Social Connection, Washington, DC, United States
- Coalition to End Social Isolation and Loneliness, Washington, DC, United States
- Global Initiative on Loneliness and Connection, Washington, DC, United States
| | | | - Ronald Matthew Ivey
- The Human Flourishing Program, The Institute for Quantitative Social Sciences, Harvard University, Cambridge, MA, United States
| | - Louise Hawkley
- Academic Research Centers, NORC at the University of Chicago, Chicago, IL, United States
| | - Julianne Holt-Lunstad
- Foundation for Social Connection, Washington, DC, United States
- Global Initiative on Loneliness and Connection, Washington, DC, United States
- Departments of Psychology and Neuroscience, Brigham Young University, Provo, UT, United States
| | - Thomas K. M. Cudjoe
- Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, United States
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What Are Complex Interventions in Suicide Research? Definitions, Challenges, Opportunities, and the Way Forward. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148591. [PMID: 35886443 PMCID: PMC9315522 DOI: 10.3390/ijerph19148591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 07/11/2022] [Accepted: 07/12/2022] [Indexed: 12/10/2022]
Abstract
It has been argued that effective action towards addressing a complex concern such as suicide requires a combination of evidence-based strategies. While these complex public health approaches have recently gained importance, little is known about their characteristics and what contributes to their complexity. The use of interchangeable terms such as multilevel, multicomponent, community based, and inconsistent definitions of these approaches creates confusion around what it is and what it is not. In practice, this disorder is reflected in a substantial variation in the design, implementation, and evaluation of complex approaches in suicide research. While it is impossible to resolve all existing inconsistencies in terminology, this review explores a range of terms and definitions to connote complex interventions. It aims to unpack multiple meanings of these terms and their diverse usage in suicide literature. The potential implications of this fluidity and plausible pathways to make sense of this complexity for suicide research are also discussed. With a shared understanding of what constitutes a complex intervention, we can expect to see an improved representation of the real-world complexities in our efforts to address suicide. This common language can also contribute toward quality implementation and dissemination and thereby advance our understanding of complex interventions.
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Fung KW, Xu J, Ameye F, Burelle L, MacNeil J. Evaluation of the International Classification of Health Interventions (ICHI) in the coding of common surgical procedures. J Am Med Inform Assoc 2021; 29:43-51. [PMID: 34643710 DOI: 10.1093/jamia/ocab220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 10/27/2021] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE : To evaluate the International Classification of Health Interventions (ICHI) in the clinical and statistical use cases. MATERIALS AND METHODS : We identified 300 most-performed surgical procedures as represented by their display names in an electronic health record. For comparison with existing coding systems, we coded the procedures in ICHI, SNOMED CT, International Classification of Diseases (ICD)-10-PCS, and CCI (Canadian Classification of Health Interventions), using postcoordination (modification of existing codes by adding other codes), when applicable. Failure analysis was done for cases where full representation was not achieved. The ICHI encoding was further evaluated for adequacy to support statistical reporting by the Organisation for Economic Co-operation and Development (OECD) and European Union (EU) categories of surgical procedures. RESULTS : After deduplication, 229 distinct procedures remained. Without postcoordination, ICHI achieved full representation in 52.8%. A further 19.2% could be fully represented with postcoordination. SNOMED CT was the best performing overall, with 94.3% full representation without postcoordination, and 99.6% with postcoordination. Failure analysis showed that "method" and "target" constituted most of the missing information for ICHI encoding. For all OECD/EU surgical categories, ICHI coding was adequate to support statistical reporting. One OECD/EU category ("Hip replacement, secondary") required postcoordination for correct assignment. CONCLUSION : In the clinical use case of capturing information in the electronic health record, ICHI was outperformed by the clinically oriented procedure coding systems (SNOMED CT and CCI), but was comparable to ICD-10-PCS. Postcoordination could be an effective and efficient means of improving coverage. ICHI is generally adequate for the collection of international statistics.
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Affiliation(s)
- Kin Wah Fung
- National Library of Medicine, National Institutes of Health, Bethesda, Maryland, USA
| | - Julia Xu
- National Library of Medicine, National Institutes of Health, Bethesda, Maryland, USA
| | - Filip Ameye
- National Institute for Health and Disability Insurance, Brussels, Belgium
| | - Lisa Burelle
- Canadian Institute for Health Information, Ottawa, Canada
| | - Janice MacNeil
- Canadian Institute for Health Information, Ottawa, Canada
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Wübbeler M, Geis S, Stojanovic J, Elliott L, Gutierrez-Ibarluzea I, Lenoir-Wijnkoop I. Coding Public Health Interventions for Health Technology Assessments: A Pilot Experience With WHO's International Classification of Health Interventions (ICHI). Front Public Health 2021; 9:620637. [PMID: 34222165 PMCID: PMC8242241 DOI: 10.3389/fpubh.2021.620637] [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: 10/23/2020] [Accepted: 04/23/2021] [Indexed: 11/29/2022] Open
Abstract
Introduction: An important requirement for successful public health interventions is a standardized classification in order to make these health technologies comparable in all contexts and recognized by all parties. The WHO International Classification of Health Interventions (ICHI), including an integrated public health component, has been developed to propose such an international standard. Methods: To test (a) the translation of public health interventions to ICHI codes and (b) the technical handling and general coding in public health, we used a set of public health interventions from a recent cross-sectional survey among Health Technology Assessment professionals. Results: Our study showed that handling of the ICHI interface is stable, that there is a need for specificity and adequate detail of intervention descriptions and desired outcomes to code adequately with ICHI and that the professional background of the coder, as well as his/her sex might influence the selection of codes. Conclusion: International Classification of Health Interventions provides a good coverage of public health interventions. However, the broader character of system wide interventions, often involving a variety of institutions and stakeholders, may present a challenge to the application of ICHI coding. Based on this experience, we would tailor future surveys more specifically to the needs of the classification and we advise training for health professionals before coding with ICHI. Standards of reporting will likely strengthen insights about the efficiency of primary prevention interventions and thus benefit long-term health of populations and structured HTA reporting process.
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Affiliation(s)
- Markus Wübbeler
- Department of Nursing Science, University of Applied Sciences, Bochum, Germany
| | - Sebastian Geis
- Department of Nursing Science, University of Applied Sciences, Bochum, Germany
| | - Jovana Stojanovic
- Department of Health, Kinesiology, and Applied Physiology, Faculty of Arts and Science, Concordia University, Montreal, QC, Canada.,Montreal Behavioural Medicine Centre, CIUSSS du Nord-de-l'Ile-de-Montréal, Montréal, QC, Canada
| | - Lise Elliott
- Centre for Guidelines, National Institute for Health and Care Excellence, Manchester, United Kingdom
| | - Iñaki Gutierrez-Ibarluzea
- Basque Foundation for Health Innovation and Research (BIOEF), Barakaldo, Spain.,Basque Office for HTA (Osteba), Barakaldo, Spain
| | - Irene Lenoir-Wijnkoop
- Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Utrecht, Netherlands
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