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Queiroz ABA, Carvalho ALDO, Bezerra JDF, Gaspar IMDP, Titara NML, Cardoso FM, Rosa JV, Santos LMDS. Sexual and reproductive health: analysis of the content published in two Brazilian scientific nursing events. Rev Gaucha Enferm 2024; 45:e20230121. [PMID: 38922231 DOI: 10.1590/1983-1447.2024.20230121.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 11/23/2023] [Indexed: 06/27/2024] Open
Abstract
OBJECTIVE To analyze the content published in the Proceedings of the 71st Brazilian Nursing Congress and the 20th National Research Seminar in the field of sexual and reproductive health. METHOD Qualitative, descriptive study, whose data sources were the annalsof two 2019 events that were related to Sexual and Reproductive Health. Content analysis and lexical typology were carried out with the aid of the IRAMUTEq® software. RESULTS In a universe of 3,433 abstracts, 603 were analyzed and showed a higher prevalence of qualitative studies and experience reports, focusing on the maternal-child area and on the pathologizing and medicalizing processes of women's health, with incipient use of software in the analysis. However, there were signs of health promotion and humanized care. CONCLUSION The dissemination of studies in the field of sexual and Reproductive Health seems to be in a conflict between accommodation and resistance, at the same time that it maintains old imperatives of the hegemonic domain, seeking to overcome them with new methodologies and care based on integrality and equity.
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Affiliation(s)
- Ana Beatriz Azevedo Queiroz
- Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Departamento de Enfermagem Materno Infantil. Rio de Janeiro, Rio de Janeiro, Brasil
| | - Ana Luiza de Oliveira Carvalho
- Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Departamento de Enfermagem Materno Infantil. Rio de Janeiro, Rio de Janeiro, Brasil
| | - Juliana da Fonsêca Bezerra
- Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Departamento de Enfermagem Materno Infantil. Rio de Janeiro, Rio de Janeiro, Brasil
| | - Isabelle Mangueira de Paula Gaspar
- Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Departamento de Enfermagem Materno Infantil. Rio de Janeiro, Rio de Janeiro, Brasil
| | - Natália Moreira Leitão Titara
- Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Departamento de Enfermagem Materno Infantil. Rio de Janeiro, Rio de Janeiro, Brasil
| | - Fernanda Martins Cardoso
- Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Departamento de Enfermagem Materno Infantil. Rio de Janeiro, Rio de Janeiro, Brasil
| | - Júlia Verli Rosa
- Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Departamento de Enfermagem Materno Infantil. Rio de Janeiro, Rio de Janeiro, Brasil
| | - Laira Maria da Silva Santos
- Universidade Federal do Rio de Janeiro (UFRJ). Escola de Enfermagem Anna Nery. Departamento de Enfermagem Materno Infantil. Rio de Janeiro, Rio de Janeiro, Brasil
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von Gerich H, Peltonen LM. Information Management in Hospital Unit Daily Operations: A Descriptive Study With Nurses and Physicians. Comput Inform Nurs 2024:00024665-990000000-00191. [PMID: 38787735 DOI: 10.1097/cin.0000000000001142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2024]
Abstract
Operations management of a hospital unit is a shared activity involving nursing and medical professionals, characterized by suddenly changing situations, constant interruptions, and ad hoc decision-making. Previous studies have explored the informational needs affecting decision-making, but only limited information has been collected regarding factors affecting information management related to the daily operations of hospital units. The aim of this study was to describe the experiences of nursing and medical professionals of information management in the daily operations of hospital units. This qualitative study consists of interviews following the critical incidence technique. Twenty-six nurses and eight physicians working in operational leadership roles in hospital units were interviewed, and the data were subjected to thematic analysis. The data analysis showed that strengths of current systems were organizational operational procedures, general instruments supporting information management, and a digital operations dashboard, whereas opportunities for improvement included the information architecture, quality of information, and technology use. The study findings highlight that despite several decades of efforts to provide solutions to support information management in hospital daily operations, further measures need to be taken in developing and implementing information systems with user-centered strategies and systematic approaches to better support healthcare professionals.
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Affiliation(s)
- Hanna von Gerich
- Author Affiliations: Department of Nursing Science (Ms von Gerich and Dr Peltonen), University of Turku, and Turku University Hospital (Dr Peltonen), Finland
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Alahmari AA, Almuzaini Y, Alamri F, Alenzi R, Khan AA. Strengthening global health security through health early warning systems: A literature review and case study. J Infect Public Health 2024; 17 Suppl 1:85-95. [PMID: 38368245 DOI: 10.1016/j.jiph.2024.01.019] [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: 09/12/2023] [Revised: 01/29/2024] [Accepted: 01/31/2024] [Indexed: 02/19/2024] Open
Abstract
Disease transmission is dependent on a variety of factors, including the characteristics of an event, such as crowding and shared accommodations, the potential of participants having prolonged exposure and close contact with infectious individuals, the type of activities, and the characteristics of the participants, such as their age and immunity to infectious agents [1-3]. Effective control of outbreaks of infectious diseases requires rapid diagnosis and intervention in high-risk settings. As a result, syndromic and event-based surveillance may be used to enhance the responsiveness of the surveillance system [1]. In public health, surveillance is collecting, analyzing, and interpreting data across time to inform decision-making and aid policy implementation [1]. In this review article we aimed to provide an overview of the principles, types, uses, advantages, and limitations of surveillance systems and to highlight the importance of early warning systems in response to the information received by disease surveillance. The study conducted a comprehensive literature search using several databases, selecting, and reviewing 78 articles that covered different types of surveillance systems, their applications, and their impact on controlling infectious diseases. The article also presents a case study from the Hajj gathering, which highlighted the development, evaluation, and impact of early warning systems on response to the information received by disease surveillance. The study concludes that ongoing disease surveillance should be accompanied by well-designed early warning and response systems, and continuous efforts should be invested in evaluating and validating these systems to minimize the risk of reporting delays and reducing the risk of outbreaks.
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Affiliation(s)
- Ahmed A Alahmari
- Global Center of Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia.
| | - Yasir Almuzaini
- Global Center of Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia
| | - Fahad Alamri
- Global Center of Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia
| | | | - Anas A Khan
- Global Center of Mass Gatherings Medicine, Ministry of Health, Riyadh, Saudi Arabia; Department of Emergency Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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Sant'Anna A, Nygren J. A Pragmatic Mapping of Perceptions and Use of Digital Information Systems in Primary Care in Sweden: Survey Study. Interact J Med Res 2023; 12:e49973. [PMID: 37878357 PMCID: PMC10632913 DOI: 10.2196/49973] [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: 06/15/2023] [Revised: 09/01/2023] [Accepted: 09/27/2023] [Indexed: 10/26/2023] Open
Abstract
BACKGROUND Electronic health records and IT infrastructure in primary care allow for digital documentation and access to information, which can be used to guide evidence-based care and monitor patient safety and quality of care. Quality indicators specified by regulatory authorities can be automatically computed and presented to primary care staff. However, the implementation of digital information systems (DIS) in health care can be challenging, and understanding factors such as relative advantage, compatibility, complexity, trialability, and observability is needed to improve the success and rate of adoption and diffusion. OBJECTIVE This study aims to explore how DIS are used and perceived by health care professionals in primary care. METHODS This study used quantitative assessment to gather survey data on the use and potential of DIS in health care in Sweden from the perspectives of primary care personnel in various roles. The digital questionnaire was designed to be short and contained 3 sections covering respondent characteristics, current use of platforms, and perceptions of decision support tools. Data were analyzed using descriptive statistics, nonparametric hypothesis testing, ordinal coefficient α, and confirmatory factor analysis. RESULTS The study collected responses from participants across 10 regions of Sweden, comprising 31.9% (n=22) from private clinics and 68.1% (n=47) from public clinics. Participants included administrators (18/69, 26.1%), a medical strategist (1/69, 1.4%), and physicians (50/69, 72.5%). Usage frequency varied as follows: 11.6% (n=8) used DIS weekly, 24.6% (n=17) monthly, 27.5% (n=19) a few times a year, 26.1% (n=18) very rarely, and 10.1% (n=7) lacked access. Administrators used DIS more frequently than physicians (P=.005). DIS use centered on quality improvement and identifying high-risk patients, with differences by role. Physicians were more inclined to use DIS out of curiosity (P=.01). Participants desired DIS for patient follow-up, lifestyle guidance, treatment suggestions, reminders, and shared decision-making. Administrators favored predictive analysis (P<.001), while physicians resisted immediate patient identification (P=.03). The 5 innovation attributes showed high internal consistency (α>.7). These factors explained 78.5% of questionnaire variance, relating to complexity, competitive advantage, compatibility, trialability, and observability. Factors 2, 3, and 4 predicted intention to use DIS, with factor 2 alone achieving the best accuracy (root-mean-square=0.513). CONCLUSIONS Administrators and physicians exhibited role-based DIS use patterns highlighting the need for tailored approaches to promote DIS adoption. The study reveals a link between positive perceptions and intention to use DIS, emphasizing the significance of considering all factors for successful health care integration. The results suggest various directions for future studies. These include refining the trialability and observability questions for increased reliability and validity, investigating a larger sample with more specific target groups to improve generalization, and exploring the relevance of different groups' perspectives and needs in relation to decisions about and use of DIS.
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Affiliation(s)
| | - Jens Nygren
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
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Yoon K, Kim HK, Choi M, Lee M, Jakovljevic M. Analyzing the Effectiveness of Data-Linked Projects for Health Promotion in Public Health Centers of South Korea. Risk Manag Healthc Policy 2023; 16:1101-1117. [PMID: 37346248 PMCID: PMC10281271 DOI: 10.2147/rmhp.s413630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 06/10/2023] [Indexed: 06/23/2023] Open
Abstract
Purpose The purpose of this study lies in verifying the effectiveness of the health promotion project which the public health center at the local level conducted by systematically linking the health examination results from the Health Insurance Corporation. We intend to emphasize the importance of linking the health-related public data. Methods A survey was conducted to measure the effect of improving health behavior using EQ-5D-5L and demographic variables. Results As a result of the analysis, the residents (3.13) who had experienced the use of public health centers recognized more necessity for the service linked systematically with health checkup data than those (2.93) who had not. In addition, the residents who had experienced the use of public health centers responded that their chronic diseases had improved compared to a year ago (2.78→2.93). Next, those (3.04) who had experienced the services linked with health checkup data recognized that their chronic diseases and health conditions had been improved compared to those (2.81) who had not. However, in EQ-5D-5L, after using the service, mobility showed no difference between those who had used the service and those who had not. Furthermore, even in terms of self-management, daily life, etc., the management ability was further improved compared to those who had not used it, before using the service. Conclusion This study showed the improved health level when the health promotion service of the public health center was provided by systematically linking the health checkup data of the Health Insurance Corporation in Korea. In order to increase the effectiveness of health data-linked projects, it is necessary to prepare guidelines for linking the public health data and to expand the data-linked project. It will be needed to further subdivide the health checkup results to provide customized services, and to secure dedicated personnel to reinforce the system link.
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Affiliation(s)
- Kichan Yoon
- The Institute for Democracy, Seoul, Republic of Korea
| | - Han-Kyoul Kim
- Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, Republic of Korea
- National Traffic Injury Rehabilitation Research Institute, National Traffic Injury Rehabilitation Hospital, Yang-Pyeong, Republic of Korea
| | - Mankyu Choi
- Department of Health Policy & Management, College of Health Science, Korea University, Seoul, Republic of Korea
- BK21 FOUR R&E Center for Learning Health Systems, Korea University, Seoul, Republic of Korea
| | - Munjae Lee
- Department of Medical Science, Ajou University School of Medicine, Suwon, Republic of Korea
| | - Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St Petersburg, 195251, Russia
- Institute of Comparative Economic Studies, Hosei University, Tokyo, 194-0298, Japan
- Department of Global Health Economics and Policy, University of Kragujevac, Kragujevac, 34000, Serbia
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Implementing Electronic Health Records in Germany: Lessons (Yet to Be) Learned. Int J Integr Care 2023. [DOI: 10.5334/ijic.6578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023] Open
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Saigí-Rubió F. Promoting telemedicine in Latin America in light of COVID-19. Rev Panam Salud Publica 2023; 47:e17. [PMID: 36909805 PMCID: PMC9976263 DOI: 10.26633/rpsp.2023.17] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 08/01/2022] [Indexed: 03/06/2023] Open
Abstract
The Faculty of Health Sciences at the Universitat Oberta de Catalunya (Barcelona, Spain) was officially designated a 'World Health Organization (WHO) Collaborating Centre in eHealth' on 5 April 2018. The Centre aims to provide support to countries willing to develop new telemedicine services; to promote the use of eHealth; and to study the adoption and use of mobile health in countries of both the Region of the Americas and Europe. On 11 March 2020, WHO declared COVID-19 a global pandemic given the significant increase in the number of cases worldwide. Since then, the Centre has played an important role in addressing COVID-19 by undertaking fruitful cooperative activities. Lockdowns and social distancing in response to the high contagion rate of COVID-19 were the main triggers for a challenging digital transformation in many sectors, especially in healthcare. In this extreme crisis scenario, the rapid adoption of digital health solutions and technological tools was key to responding to the enormous pressure on healthcare systems. Telemedicine has become a necessary component of clinical practice for the purpose of providing safer patient care, and it has been used to support the healthcare needs of COVID-19 patients and routine primary care patients alike. This article describes the Centre's contribution to the work of the Pan American Health Organization (PAHO) and WHO in supporting Latin American and European countries to develop new telemedicine services and guidance on how to address COVID-19 through digital health solutions. Future actions are also highlighted.
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Affiliation(s)
- Francesc Saigí-Rubió
- Faculty of Health Sciences Universitat Oberta de Catalunya (UOC) Barcelona Spain Faculty of Health Sciences, Universitat Oberta de Catalunya (UOC), Barcelona, Spain
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Barbazza E, Verheij RA, Ramerman L, Klazinga N, Kringos D. Optimising the secondary use of primary care prescribing data to improve quality of care: a qualitative analysis. BMJ Open 2022; 12:e062349. [PMID: 35863830 PMCID: PMC9310167 DOI: 10.1136/bmjopen-2022-062349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVES To explore available data sources, secondary uses and key considerations for optimising the actionability of primary care prescribing data to improve quality of care in the Dutch context. DESIGN An exploratory qualitative study was undertaken based on semi-structured interviews. We anchored our investigation around three tracer prescription types: antibiotics; benzodiazepines and opioids. Descriptive and explanatory themes were derived from interview data using thematic analysis. SETTING Stakeholders were sampled from across the micro (clinical), meso (organisational) and macro (policy) contexts of the Dutch primary care system. PARTICIPANTS The study involved 28 informants representing general practitioners (GPs), community pharmacists, regional chronic care networks (care groups), academia and research institutes, insurers, professional associations, electronic health record (EHR) vendors and national authorities. RESULTS In the Netherlands, three main sources of data for improving prescribing in primary care are in use: clinical data in the EHRs of GP practices; pharmacy data in community pharmacy databases and claims data of insurers. While the secondary use of pharmacy and claims data is well-established across levels, the use of these data together with EHR data is limited. Important differences in the types of prescribing information needed by micro-meso-macro context are found, though the extent to which current indicators address these varies by prescription type. Five main themes were identified as areas for optimising data use: (1) measuring what matters, (2) increasing data linkages, (3) improving data quality, (4) facilitating data sharing and (5) optimising fit for use analysis. CONCLUSIONS To make primary care prescribing data useful for improving quality, consolidated patient-specific data on the indication for a prescription and dispensed medicine, over time, is needed. In the Netherlands, the selection of indicators requires further prioritisation to better signal the appropriateness and long-term use of prescription drugs. Prioritising data linkages is critical towards more actionable use.
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Affiliation(s)
- Erica Barbazza
- Department of Public and Occupational Health, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands
| | - Robert A Verheij
- Learning Health Systems Research Programme, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
| | - Lotte Ramerman
- Learning Health Systems Research Programme, Netherlands Institute for Health Services Research, Utrecht, The Netherlands
| | - Niek Klazinga
- Department of Public and Occupational Health, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands
| | - Dionne Kringos
- Department of Public and Occupational Health, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands
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Assessing the Use of Hospital Information Systems (HIS) to Support Decision-Making: A Cross-Sectional Study in Public Hospitals in the Huíla Health Region of Southern Angola. Healthcare (Basel) 2022; 10:healthcare10071267. [PMID: 35885793 PMCID: PMC9322972 DOI: 10.3390/healthcare10071267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 06/17/2022] [Accepted: 07/01/2022] [Indexed: 11/16/2022] Open
Abstract
Hospital information systems could be relevant tools to inform hospital managers, support better management decisions in healthcare, and increase efficiency. Nonetheless, hospital managers’ effective use of these systems to support decision-making in Angola is unknown. Our study aimed to analyse the use of hospital information systems as a tool to support decision-making by hospital managers in Huíla, Angola. It was a descriptive, cross-sectional study inducted between July and September 2017 in seven hospitals in Huíla Province, Angola, specifically in the cities of Lubango and Matala. Thirty-six members of the hospital boards filled out a self-questionnaire that consisted of twenty questions based on the following issues: Characterisation of the interviewee’s profile; availability of information in the institution; and quality and usefulness of the available operational information. At least two thirds of the participants reported being unsatisfied or relatively satisfied with each assessed hospital information systems-specific feature. More than 50% have rarely or never used the health information system to support decision-making. Most managers do not use hospital information systems to support management-related decision-making in Angola. Improving the ability of hospital information systems to compute adequate indicators and training for hospital managers could be targets for future interventions to support better management-related decision-making in Angolan healthcare.
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Garcia AP, De La Vega SF, Mercado SP. Health Information Systems for Older Persons in Select Government Tertiary Hospitals and Health Centers in the Philippines: Cross-sectional Study. J Med Internet Res 2022; 24:e29541. [PMID: 35156927 PMCID: PMC8887638 DOI: 10.2196/29541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 06/17/2021] [Accepted: 07/05/2021] [Indexed: 11/26/2022] Open
Abstract
Background The rapid aging of the world’s population requires systems that support health facilities’ provision of integrated care at multiple levels of the health care system. The use of health information systems (HISs) at the point of care has shown positive effects on clinical processes and patient health in several settings of care. Objective We sought to describe HISs for older persons (OPs) in select government tertiary hospitals and health centers in the Philippines. Specifically, we aimed to review the existing policies and guidelines related to HISs for OPs in the country, determine the proportion of select government hospitals and health centers with existing health information specific for OPs, and describe the challenges related to HISs in select health facilities. Methods We utilized the data derived from the findings of the Focused Interventions for Frail Older Adults Research and Development Project (FITforFrail), a cross-sectional and ethics committee–approved study. A facility-based listing of services and human resources specific to geriatric patients was conducted in purposively sampled 27 tertiary government hospitals identified as geriatric centers and 16 health centers across all regions in the Philippines. We also reviewed the existing policies and guidelines related to HISs for OPs in the country. Results Based on the existing guidelines, multiple agencies were involved in the provision of services for OPs, with several records containing health information of OPs. However, there is no existing HIS specific for OPs in the country. Only 14 (52%) of the 27 hospitals and 4 (25%) of the 16 health centers conduct comprehensive geriatric assessment (CGA). All tertiary hospitals and health centers are able to maintain medical records of their patients, and almost all (26/27, 96%) hospitals and all (16/16, 100%) health centers have data on top causes of morbidity and mortality. Meanwhile, the presence of specific disease registries varied per hospitals and health centers. Challenges to HISs include the inability to update databases due to inadequately trained personnel, use of an offline facility–based HIS, an unstable internet connection, and technical issues and nonuniform reporting of categories for age group classification. Conclusions Current HISs for OPs are characterized by fragmentation, multiple sources, and inaccessibility. Barriers to achieving appropriate HISs for OPs include the inability to update HISs in hospitals and health centers and a lack of standardization by age group and disease classification. Thus, we recommend a 1-person, 1-record electronic medical record system for OPs and the disaggregation and analysis across demographic and socioeconomic parameters to inform policies and programs that address the complex needs of OPs. CGA as a required routine procedure for all OPs and its integration with the existing HISs in the country are also recommended.
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Affiliation(s)
- Angely P Garcia
- Institute on Aging, National Institutes of Health, University of the Philippines Manila, Manila, Philippines
| | - Shelley F De La Vega
- Institute on Aging, National Institutes of Health, University of the Philippines Manila, Manila, Philippines.,College of Medicine, University of the Philippines Manila, Manila, Philippines
| | - Susan P Mercado
- National Telehealth Center, National Institutes of Health, University of the Philippines Manila, Manila, Philippines
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Chmielewska M, Stokwiszewski J, Markowska J, Hermanowski T. Evaluating Organizational Performance of Public Hospitals using the McKinsey 7-S Framework. BMC Health Serv Res 2022; 22:7. [PMID: 34974831 PMCID: PMC8721990 DOI: 10.1186/s12913-021-07402-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2021] [Accepted: 12/10/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study examined non-financial aspects of the organizational performance of public hospitals from the perspective of hospital physicians; the obtained results were analyzed to identify the necessary improvements in organizational performance. METHODS This was a cross-sectional study of multidisciplinary public hospitals on a group of 249 randomly selected physicians from 22 in-patient departments or clinics operating in the Warsaw region. The study data was collected using the structured World Health Organization questionnaires (to be filled out by respondents) assessing the hospital's organizational performance variables qualified according to the McKinsey 7-S Framework. Epidata software version 3.1 was used for data entry, and the analysis was carried out in the SPSS software, version 19. The results of the organization evaluation are presented in the McKinsey 7-S Framework diagram. Key elements of the performance factors were grouped into 'stens', and the sten values were expressed as arithmetic means. Normal distribution of the stens was validated with the Kolmogorov-Smirnov test. 95% confidence intervals were calculated. The significance of differences between the analyzed stens was compared with the paired Student t-test. The interdependence of the variables was determined using the Pearson's correlation coefficient. RESULTS The results revealed a significant difference (p <0.05) in the respondents' assessment of social (a mean score of 2.58) and technical (a mean score of 2.80) organizational aspects of the hospital operation. Scores for all variables were low. The social elements of an organization with the lowest score included 'staff', and in it the aspect - 'efforts are made to inspire employees at the lowest levels of the organization', 'skills' involving the learning style followed by the management/managerial staff, and 'management style' (average scores of 2.38, 2.56, 2.61, respectively). CONCLUSION Consistently with the existing literature, social factors were shown to play a more significant role in the management and they therefore deserve careful attention and more recognition when identifying and improving the key aspects affecting the organizational performance of public hospitals. Technical elements (strategy, structure, system) are important, but were demonstrated to have limited effect on the organizational operations geared towards ensuring effective functioning of a public hospital.
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Affiliation(s)
- Malgorzata Chmielewska
- Department of Forensic Pharmacy, Pharmacy Division, Medical University of Warsaw, 81, Żwirki i Wigury Str, 02-091, Warsaw, Poland.
| | - Jakub Stokwiszewski
- National Institute of Public Health - National Institute of Hygiene, 24, Chocimska Str, 00-791, Warsaw, Poland
| | - Justyna Markowska
- Department of Forensic Pharmacy, Pharmacy Division, Medical University of Warsaw, 81, Żwirki i Wigury Str, 02-091, Warsaw, Poland
| | - Tomasz Hermanowski
- Department of Forensic Pharmacy, Pharmacy Division, Medical University of Warsaw, 81, Żwirki i Wigury Str, 02-091, Warsaw, Poland
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Barbazza E, Ivanković D, Davtyan K, Poldrugovac M, Yelgezekova Z, Willmington C, Meza-Torres B, Bos VL, Fernandes ÓB, Rotar A, Nuti S, Vainieri M, Carinci F, Azzopardi-Muscat N, Groene O, Novillo-Ortiz D, Klazinga N, Kringos D. The experiences of 33 national COVID-19 dashboard teams during the first year of the pandemic in the World Health Organization European Region: A qualitative study. Digit Health 2022; 8:20552076221121154. [PMID: 36060614 PMCID: PMC9434660 DOI: 10.1177/20552076221121154] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 08/03/2022] [Indexed: 12/04/2022] Open
Abstract
Background Governments across the World Health Organization (WHO) European Region have
prioritised dashboards for reporting COVID-19 data. The ubiquitous use of
dashboards for public reporting is a novel phenomenon. Objective This study explores the development of COVID-19 dashboards during the first
year of the pandemic and identifies common barriers, enablers and lessons
from the experiences of teams responsible for their development. Methods We applied multiple methods to identify and recruit COVID-19 dashboard teams,
using a purposive, quota sampling approach. Semi-structured group interviews
were conducted from April to June 2021. Using elaborative coding and
thematic analysis, we derived descriptive and explanatory themes from the
interview data. A validation workshop was held with study participants in
June 2021. Results Eighty informants participated, representing 33 national COVID-19 dashboard
teams across the WHO European Region. Most dashboards were launched swiftly
during the first months of the pandemic, February to May 2020. The urgency,
intense workload, limited human resources, data and privacy constraints and
public scrutiny were common challenges in the initial development stage.
Themes related to barriers or enablers were identified, pertaining to the
pre-pandemic context, pandemic itself, people and processes and software,
data and users. Lessons emerged around the themes of simplicity, trust,
partnership, software and data and change. Conclusions COVID-19 dashboards were developed in a learning-by-doing approach. The
experiences of teams reveal that initial underpreparedness was offset by
high-level political endorsement, the professionalism of teams, accelerated
data improvements and immediate support with commercial software solutions.
To leverage the full potential of dashboards for health data reporting,
investments are needed at the team, national and pan-European levels.
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Affiliation(s)
- Erica Barbazza
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Damir Ivanković
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Karapet Davtyan
- Division of Country Health Policies and Systems, WHO Regional Office for Europe, Copenhagen, Denmark
| | - Mircha Poldrugovac
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Zhamin Yelgezekova
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Claire Willmington
- Laboratorio Management e Sanità, Institute of Management and Department EMbeDS, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Bernardo Meza-Torres
- Department of Clinical and Experimental Medicine, University of Surrey, Surrey, UK
- Nuffield Department of Primary Care and Health Services, University of Oxford, Oxford, UK
| | - Véronique L.L.C. Bos
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Óscar Brito Fernandes
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
- Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
| | - Alexandru Rotar
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Sabina Nuti
- Laboratorio Management e Sanità, Institute of Management and Department EMbeDS, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Milena Vainieri
- Laboratorio Management e Sanità, Institute of Management and Department EMbeDS, Scuola Superiore Sant'Anna, Pisa, Italy
| | - Fabrizio Carinci
- Department of Statistical Sciences, University of Bologna, Bologna, Italy
- National Agency for Regional Health Services (AGENAS), Rome, Italy
| | - Natasha Azzopardi-Muscat
- Division of Country Health Policies and Systems, WHO Regional Office for Europe, Copenhagen, Denmark
| | | | - David Novillo-Ortiz
- Division of Country Health Policies and Systems, WHO Regional Office for Europe, Copenhagen, Denmark
| | - Niek Klazinga
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
| | - Dionne Kringos
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands
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