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Publisher: RMIT Publishing   (Total: 399 journals)

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Showing 1 - 200 of 399 Journals sorted alphabetically
40 [degrees] South     Full-text available via subscription   (Followers: 2)
Aboriginal and Islander Health Worker J.     Full-text available via subscription   (Followers: 14)
Aboriginal Child at School     Full-text available via subscription   (Followers: 5)
About Performance     Full-text available via subscription   (Followers: 11)
Access     Full-text available via subscription   (Followers: 25)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 10)
Accounting, Accountability & Performance     Full-text available via subscription   (Followers: 17)
ACORN : The J. of Perioperative Nursing in Australia     Full-text available via subscription   (Followers: 17, SJR: 0.198, CiteScore: 0)
Adelaide Law Review     Full-text available via subscription   (Followers: 23, SJR: 0.122, CiteScore: 0)
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 1)
Agenda: A J. of Policy Analysis and Reform     Full-text available via subscription   (Followers: 1)
Agora     Full-text available via subscription   (Followers: 4)
Agricultural Commodities     Full-text available via subscription   (SJR: 0.123, CiteScore: 0)
Agricultural Science     Full-text available via subscription   (Followers: 2)
AIMA Bulletin     Full-text available via subscription   (Followers: 4)
AJP : The Australian J. of Pharmacy     Full-text available via subscription   (Followers: 10, SJR: 0.142, CiteScore: 0)
Analysis     Full-text available via subscription   (Followers: 3)
Ancient History : Resources for Teachers     Full-text available via subscription   (Followers: 6)
Anglican Historical Society J.     Full-text available via subscription   (Followers: 3)
Annals of the Royal Australasian College of Dental Surgeons     Full-text available via subscription   (Followers: 4)
ANZSLA Commentator, The     Full-text available via subscription   (Followers: 4)
Appita J.: J. of the Technical Association of the Australian and New Zealand Pulp and Paper Industry     Full-text available via subscription   (Followers: 14, SJR: 0.168, CiteScore: 0)
AQ - Australian Quarterly     Full-text available via subscription  
Arena J.     Full-text available via subscription   (Followers: 1)
Around the Globe     Full-text available via subscription   (Followers: 1)
Art + Law     Full-text available via subscription   (Followers: 12)
Art Monthly Australia     Full-text available via subscription   (Followers: 10)
Artefact : the journal of the Archaeological and Anthropological Society of Victoria     Full-text available via subscription   (Followers: 3)
Artlink     Full-text available via subscription   (Followers: 5)
Asia Pacific J. of Clinical Nutrition     Full-text available via subscription   (Followers: 10, SJR: 0.697, CiteScore: 2)
Asia Pacific J. of Health Management     Full-text available via subscription   (Followers: 4)
Aurora J.     Full-text available via subscription  
Australasian Biotechnology     Full-text available via subscription   (Followers: 1, SJR: 0.1, CiteScore: 0)
Australasian Catholic Record, The     Full-text available via subscription   (Followers: 5)
Australasian Drama Studies     Full-text available via subscription  
Australasian Epidemiologist     Full-text available via subscription  
Australasian Historical Archaeology     Full-text available via subscription   (Followers: 7, SJR: 0.212, CiteScore: 0)
Australasian J. of Early Childhood     Full-text available via subscription   (Followers: 5, SJR: 0.535, CiteScore: 1)
Australasian J. of Gifted Education     Full-text available via subscription   (Followers: 7, SJR: 0.123, CiteScore: 0)
Australasian J. of Human Security     Full-text available via subscription   (Followers: 1, SJR: 0.144, CiteScore: 0)
Australasian J. of Irish Studies, The     Full-text available via subscription   (Followers: 8)
Australasian J. of Regional Studies, The     Full-text available via subscription   (Followers: 1, SJR: 0.118, CiteScore: 0)
Australasian Law Management J.     Full-text available via subscription   (Followers: 7)
Australasian Leisure Management     Full-text available via subscription   (Followers: 1)
Australasian Musculoskeletal Medicine     Full-text available via subscription   (Followers: 3)
Australasian Music Research     Full-text available via subscription   (Followers: 4)
Australasian Parks and Leisure     Full-text available via subscription   (Followers: 2)
Australasian Plant Conservation: J. of the Australian Network for Plant Conservation     Full-text available via subscription   (Followers: 4)
Australasian Policing     Full-text available via subscription   (Followers: 5)
Australasian Public Libraries and Information Services     Full-text available via subscription   (Followers: 33)
Australasian Review of African Studies, The     Full-text available via subscription   (Followers: 2)
Australian Aboriginal Studies     Full-text available via subscription   (Followers: 10, SJR: 0.13, CiteScore: 0)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Ageing Agenda     Full-text available via subscription   (Followers: 6)
Australian and Aotearoa New Zealand Psychodrama Association J.     Full-text available via subscription  
Australian and New Zealand Continence J.     Full-text available via subscription   (Followers: 3)
Australian and New Zealand Sports Law J.     Full-text available via subscription   (Followers: 9)
Australian Art Education     Full-text available via subscription   (Followers: 8)
Australian Bookseller & Publisher     Full-text available via subscription   (Followers: 1)
Australian Bulletin of Labour     Full-text available via subscription   (Followers: 2)
Australian Canegrower     Full-text available via subscription   (Followers: 2)
Australian Coeliac     Full-text available via subscription   (Followers: 1)
Australian Cottongrower, The     Full-text available via subscription   (Followers: 1)
Australian Educational and Developmental Psychologist, The     Full-text available via subscription   (Followers: 8, SJR: 0.146, CiteScore: 0)
Australian Family Physician     Full-text available via subscription   (Followers: 3, SJR: 0.317, CiteScore: 1)
Australian Field Ornithology     Full-text available via subscription   (Followers: 4, SJR: 0.209, CiteScore: 0)
Australian Forest Grower     Full-text available via subscription   (Followers: 4)
Australian Grain     Full-text available via subscription   (Followers: 2)
Australian Holstein J.     Full-text available via subscription   (Followers: 1)
Australian Humanist, The     Full-text available via subscription   (Followers: 3)
Australian Indigenous Law Review     Full-text available via subscription   (Followers: 22)
Australian Intl. Law J.     Full-text available via subscription   (Followers: 23)
Australian J. of Acupuncture and Chinese Medicine     Full-text available via subscription   (Followers: 3, SJR: 0.116, CiteScore: 0)
Australian J. of Adult Learning     Full-text available via subscription   (Followers: 16, SJR: 0.297, CiteScore: 0)
Australian J. of Advanced Nursing     Full-text available via subscription   (Followers: 14, SJR: 0.299, CiteScore: 1)
Australian J. of Asian Law     Full-text available via subscription   (Followers: 4)
Australian J. of Cancer Nursing     Full-text available via subscription   (Followers: 8)
Australian J. of Civil Engineering     Full-text available via subscription   (Followers: 5, SJR: 0.158, CiteScore: 0)
Australian J. of Dyslexia and Learning Difficulties     Full-text available via subscription   (Followers: 8, SJR: 0.1, CiteScore: 0)
Australian J. of Emergency Management     Full-text available via subscription   (Followers: 15, SJR: 0.354, CiteScore: 0)
Australian J. of French Studies     Full-text available via subscription   (Followers: 7, SJR: 0.123, CiteScore: 0)
Australian J. of Herbal Medicine     Full-text available via subscription   (Followers: 4)
Australian J. of Language and Literacy, The     Full-text available via subscription   (Followers: 3, SJR: 0.282, CiteScore: 1)
Australian J. of Legal History     Full-text available via subscription   (Followers: 15)
Australian J. of Mechanical Engineering     Full-text available via subscription   (Followers: 4, SJR: 0.119, CiteScore: 0)
Australian J. of Medical Science     Full-text available via subscription   (Followers: 1)
Australian J. of Multi-Disciplinary Engineering     Full-text available via subscription   (Followers: 2)
Australian J. of Music Education     Full-text available via subscription   (Followers: 5)
Australian J. of Music Therapy     Full-text available via subscription   (Followers: 9, SJR: 0.549, CiteScore: 1)
Australian J. of Parapsychology     Full-text available via subscription   (Followers: 2, SJR: 0.511, CiteScore: 0)
Australian J. of Social Issues     Full-text available via subscription   (Followers: 5, SJR: 0.399, CiteScore: 1)
Australian J. of Structural Engineering     Full-text available via subscription   (Followers: 7, SJR: 0.281, CiteScore: 1)
Australian J. of Water Resources     Full-text available via subscription   (Followers: 5, SJR: 0.156, CiteScore: 0)
Australian J. on Volunteering     Full-text available via subscription   (Followers: 2)
Australian J.ism Review     Full-text available via subscription   (Followers: 8)
Australian Life Scientist     Full-text available via subscription   (Followers: 2)
Australian Literary Studies     Full-text available via subscription   (Followers: 5)
Australian Mathematics Teacher, The     Full-text available via subscription   (Followers: 6)
Australian Nursing J. : ANJ     Full-text available via subscription   (Followers: 6)
Australian Orthoptic J.     Full-text available via subscription  
Australian Primary Mathematics Classroom     Full-text available via subscription   (Followers: 4)
Australian Screen Education Online     Full-text available via subscription   (Followers: 2)
Australian Senior Mathematics J.     Full-text available via subscription   (Followers: 1)
Australian Sugarcane     Full-text available via subscription  
Australian TAFE Teacher     Full-text available via subscription   (Followers: 4)
Australian Tax Forum     Full-text available via subscription   (Followers: 3)
Australian Universities' Review, The     Full-text available via subscription   (Followers: 4)
Australian Voice     Full-text available via subscription   (Followers: 6)
Bar News: The J. of the NSW Bar Association     Full-text available via subscription   (Followers: 6)
Bioethics Research Notes     Full-text available via subscription   (Followers: 14)
BOCSAR NSW Alcohol Studies Bulletins     Full-text available via subscription   (Followers: 4)
Bookseller + Publisher Magazine     Full-text available via subscription   (Followers: 5)
Breastfeeding Review     Full-text available via subscription   (Followers: 18, SJR: 0.183, CiteScore: 0)
British Review of New Zealand Studies     Full-text available via subscription   (Followers: 4)
Brolga: An Australian J. about Dance     Full-text available via subscription   (Followers: 1)
Cancer Forum     Full-text available via subscription   (SJR: 0.115, CiteScore: 0)
Cardiovascular Medicine in General Practice     Full-text available via subscription   (Followers: 7)
Chain Reaction     Full-text available via subscription  
Childrenz Issues: J. of the Children's Issues Centre     Full-text available via subscription  
Chiropractic J. of Australia     Full-text available via subscription   (SJR: 0.111, CiteScore: 0)
Chisholm Health Ethics Bulletin     Full-text available via subscription   (Followers: 1)
Church Heritage     Full-text available via subscription   (Followers: 4)
Commercial Law Quarterly: The J. of the Commercial Law Association of Australia     Full-text available via subscription   (Followers: 5)
Communicable Diseases Intelligence Quarterly Report     Full-text available via subscription   (Followers: 2, SJR: 0.563, CiteScore: 1)
Communication, Politics & Culture     Open Access   (Followers: 14)
Communities, Children and Families Australia     Full-text available via subscription   (Followers: 2)
Connect     Full-text available via subscription   (Followers: 2)
Contemporary PNG Studies     Full-text available via subscription  
Context: J. of Music Research     Full-text available via subscription   (Followers: 8)
Corporate Governance Law Review, The     Full-text available via subscription   (Followers: 7)
Creative Approaches to Research     Full-text available via subscription   (Followers: 13)
Critical Care and Resuscitation     Full-text available via subscription   (Followers: 19, SJR: 1.032, CiteScore: 1)
Cultural Studies Review     Full-text available via subscription   (Followers: 15)
Culture Scope     Full-text available via subscription   (Followers: 4)
Current Issues in Criminal Justice     Full-text available via subscription   (Followers: 11)
Dance Forum     Full-text available via subscription   (Followers: 3)
DANZ Quarterly: New Zealand Dance     Full-text available via subscription   (Followers: 3)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Deakin Law Review     Full-text available via subscription   (Followers: 15)
Developing Practice : The Child, Youth and Family Work J.     Full-text available via subscription   (Followers: 19)
Early Days: J. of the Royal Western Australian Historical Society     Full-text available via subscription  
Early Education     Full-text available via subscription   (Followers: 8)
EarthSong J.: Perspectives in Ecology, Spirituality and Education     Full-text available via subscription   (Followers: 1)
East Asian Archives of Psychiatry     Full-text available via subscription   (Followers: 3, SJR: 0.36, CiteScore: 1)
Educare News: The National Newspaper for All Non-government Schools     Full-text available via subscription  
Educating Young Children: Learning and Teaching in the Early Childhood Years     Full-text available via subscription   (Followers: 20)
Education in Rural Australia     Full-text available via subscription   (Followers: 1)
Education, Research and Perspectives     Full-text available via subscription   (Followers: 11)
Educational Research J.     Full-text available via subscription   (Followers: 17)
Electronic J. of Radical Organisation Theory     Full-text available via subscription   (Followers: 3)
Employment Relations Record     Full-text available via subscription   (Followers: 2)
English in Aotearoa     Full-text available via subscription   (Followers: 2)
English in Australia     Full-text available via subscription   (Followers: 2, SJR: 0.18, CiteScore: 0)
Essays in French Literature and Culture     Full-text available via subscription   (Followers: 7)
Ethos: Official Publication of the Law Society of the Australian Capital Territory     Full-text available via subscription   (Followers: 5)
Eureka Street     Full-text available via subscription   (Followers: 5)
Extempore     Full-text available via subscription  
Family Matters     Full-text available via subscription   (Followers: 10, SJR: 0.228, CiteScore: 1)
Federal Law Review     Full-text available via subscription   (Followers: 23)
Fijian Studies: A J. of Contemporary Fiji     Full-text available via subscription   (Followers: 1)
Focus on Health Professional Education : A Multi-disciplinary J.     Full-text available via subscription   (Followers: 7)
Food New Zealand     Full-text available via subscription   (Followers: 4)
Fourth World J.     Full-text available via subscription   (Followers: 1)
Frontline     Full-text available via subscription   (Followers: 18)
Future Times     Full-text available via subscription   (Followers: 2)
Gambling Research: J. of the National Association for Gambling Studies (Australia)     Full-text available via subscription   (Followers: 5)
Gay and Lesbian Law J.     Full-text available via subscription   (Followers: 2)
Gender Impact Assessment     Full-text available via subscription   (Followers: 1)
Geographical Education     Full-text available via subscription   (Followers: 2)
Geriatric Medicine in General Practice     Full-text available via subscription   (Followers: 8)
Gestalt J. of Australia and New Zealand     Full-text available via subscription   (Followers: 2, SJR: 0.1, CiteScore: 0)
Globe, The     Full-text available via subscription   (Followers: 3)
Government News     Full-text available via subscription   (Followers: 2)
Great Circle: J. of the Australian Association for Maritime History, The     Full-text available via subscription   (Followers: 7)
Grief Matters : The Australian J. of Grief and Bereavement     Full-text available via subscription   (Followers: 10)
He Puna Korero: J. of Maori and Pacific Development     Full-text available via subscription   (Followers: 4)
Headmark     Full-text available via subscription   (Followers: 2)
Health Inform     Full-text available via subscription  
Health Issues     Full-text available via subscription   (Followers: 2)
Health Promotion J. of Australia : Official J. of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8, SJR: 0.531, CiteScore: 1)
Health Voices     Full-text available via subscription  
Heritage Matters : The Magazine for New Zealanders Restoring, Preserving and Enjoying Our Heritage     Full-text available via subscription   (Followers: 2)
High Court Quarterly Review, The     Full-text available via subscription   (Followers: 3)
History of Economics Review     Full-text available via subscription   (Followers: 9)
HIV Australia     Full-text available via subscription   (Followers: 3)
HLA News     Full-text available via subscription   (Followers: 3, SJR: 0.438, CiteScore: 1)
Hong Kong J. of Emergency Medicine     Full-text available via subscription   (Followers: 4, SJR: 0.19, CiteScore: 0)
Idiom     Full-text available via subscription   (Followers: 1)
Impact     Full-text available via subscription   (Followers: 1)
InCite     Full-text available via subscription   (Followers: 17)
Indigenous Law Bulletin     Full-text available via subscription   (Followers: 19)
InPsych : The Bulletin of the Australian Psychological Society Ltd     Full-text available via subscription   (Followers: 2)
Inside Film: If     Full-text available via subscription   (Followers: 6)
Institute of Public Affairs Review: A Quarterly Review of Politics and Public Affairs, The     Full-text available via subscription   (Followers: 11)
Instyle     Full-text available via subscription   (SJR: 0.116, CiteScore: 0)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 8)
Interaction     Full-text available via subscription   (Followers: 3)
Intl. Employment Relations Review     Full-text available via subscription   (Followers: 2)
Intl. J. of Disability Management Research     Full-text available via subscription   (Followers: 2)
Intl. J. of e-Business Management     Full-text available via subscription  

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Journal Cover
Asia Pacific Journal of Health Management
Number of Followers: 4  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 0833-3818
Published by RMIT Publishing Homepage  [399 journals]
  • Volume 13 Issue 2 - Dental emergency attendance at an Australia tertiary
           children's hospital
    • Abstract: Aminian, Parmis; Kruger, Estie; Winters, John; Nicholls, Wendy; Tennant, Marc
      Objective: Objective: Dental emergencies are a significant impact on the health system. The resource needs are complex and consume services in the tertiary health sector. It is important that we examine the reasons and types of attendances to look for ways to mitigate this demand. The aim was to identify the rate of dental emergencies according to age groups, genders and Indigenous status.

      Method: A retrospective analysis of dental emergencies at the Princess Margaret Hospital (PMH; tertiary children hospital in Perth) was performed.

      Setting: The study included data from hard-copy files of patients admitted to the PMH.

      Main outcome measures: Main outcome measures: The records of 239 children who attended the PMH in Perth with dental emergency problems during the first 3 months of 2017 were analyzed.

      Findings: The major reasons for dental emergencies were infection and trauma. The most common age group was children between 3 to 6 years old. In this age group, boys attended more than girls due to dental injury. Although there were equal presentations of dental infection and dental trauma cases, dental infection cases mostly required hospitalization and treatment under general anesthetic.

      Conclusion: While some dental emergencies are unavoidable, increasing awareness about dental hygiene, regular checkups and early dental treatments in children could decrease emergency visits and prevent conditions such as dental infections.

      PubDate: Wed, 17 Oct 2018 17:13:01 GMT
       
  • Volume 13 Issue 2 - The roles of managers in addressing Sustainable
           Development Goals and addressing the burden of chronic disease
    • Abstract: Briggs, DS
      PubDate: Wed, 17 Oct 2018 17:13:01 GMT
       
  • Volume 13 Issue 2 - The ingredients for innovation: Impacts for practice
           and the education of health service managers
    • Abstract: Lloyd, Sheree; Low, Sarah; Win, Su Lei; Fitzgerald, Gerard; Cliff, Cynthia; Collie, Jean
      Background: Innovation is associated with improvement, however, there is little published about the 'ingredients' for successful innovation in healthcare, and the skills required of Health Service Managers (HSMs) who facilitate change in their organisations.

      Aim: This paper synthesizes the findings of a literature review performed to describe the organizational and contextual factors that enable and sustain innovation in healthcare settings. Implications for the practice of Health Service Management and curriculum development have been extrapolated as innovation has been identified as a solution to escalating health system demands in a rapidly changing environment.

      Approach: A literature review used a systematic approach to source articles from the Scopus and Emerald databases over the period of 1993 to February 2016. Papers were also retrieved from a BMC Health Services Research weekly alert. Snowballing from relevant articles identified additional and significant papers. Grey literature, peer-reviewed papers and reports were similarly reviewed to incorporate contemporary perspectives on this topic across the business, health and University sectors, and to facilitate discussion of the skills and competencies for HSMs practice and education in relation to this topic.

      Context: Innovation is crucial to the sustainability and viability of Australia's world class health system. There is potential for innovation to lead to more cost-effective and efficient ways to address the challenges of limited health budgets and increasingly complex morbidities in an ageing population.

      Main Findings: Successful innovation according to the literature, is determined by a complex interaction of determinants including organizational culture, support and resourcing for innovation, leadership and a clear and shared vision. An organizational culture supportive of innovation includes strong transdisciplinary communication, engaged and invested staff and recognition of the role of innovation in health improvement and outcomes. A setting that is open to identifying, testing and evaluating initiatives for innovation requires capabilities to establish and maintain the working relationships, team dynamics and to prioritise resourcing to facilitate and sustain new ways of working, services, products or technologies. Recent research on the skills required for health service management employability and career success was also examined and identified the importance of skills such as communication, creativity and problem solving. These skills are critical and linked to the role of the HSM in accelerating innovation in their organisations.

      Conclusion: The key ingredients for successful innovation in health were inferred from the literature. HSMs are well positioned to support innovation as they possess the necessary technical and professional skillsets. The literature suggests that the development of graduate skills in the areas of communication, problem solving, and team work is critical to meet industry needs and for HSMs to enable innovation. Universities educating health service managers strive to ensure that graduates are professionals equipped to lead and manage health services. HSM graduates can foster the organizational and contextual factors that sustain and sanction innovative ideas to flourish and progress to implementation. Current research advocates that strong industry and higher education collaboration is important to further develop the graduate attributes necessary for innovation.

      PubDate: Wed, 17 Oct 2018 17:13:01 GMT
       
  • Volume 13 Issue 2 - How are Continuous Quality Improvement (CQI)
           approaches used in evaluating management development programs': A
           literature review
    • Abstract: Onnis, Leigh-Anne; Hakendorf, Marcia; Tsey, Komla
      Aim: The aim of the review was to examine the characteristics of studies that use CQI approaches to evaluate management development programs; and to synthesise the findings to understand how CQI approaches are being used to evaluate the effectiveness of management development programs.

      Method: A scoping review of the literature was conducted in a manner consistent with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The matches were screened by title and abstract using the inclusion criteria, leading to a full paper review of 48 papers. Of these, the 14 papers found to meet the inclusion criteria for the scoping review were independently reviewed and analysed by two of the authors.

      Findings: The review revealed the ways in which CQI approaches were used in evaluating management development programs highlighting the role of context, predetermined competencies and participatory CQI approaches. Participatory CQI approaches including on-the-job application of learning provided opportunities for participants to learn through CQI activities associated with action learning and CQI feedback cycles.

      Conclusion The authors concluded that evaluations using participatory CQI approaches are better positioned to report more comprehensively on the benefits of management development programs when they include the competencies required to be successful in the context within which the manager is working. Future directions for research in this area include an examination of the microsystem context to determine whether the required management competencies associated with remoteness differ from other contexts.

      PubDate: Wed, 17 Oct 2018 17:13:01 GMT
       
  • Volume 13 Issue 2 - Service navigators in the workforce: An ethical
           framework for practice
    • Abstract: Donovan, Jennifer; Hampson, Ralph; Connolly, Marie
      Aim and Context: This paper explores the current growth of service navigators in complex health and human services and details the development of the Service Navigation Relational Autonomy Framework as a guide to assist practitioners and managers implementing this role.

      Approach: The framework was developed using a research into action process. The three-stage process included knowledge inquiry: bringing together existing knowledge in practice fields and research; knowledge synthesis: debate and exchange of practitioner insights and messages from research; and knowledge framework: framework creation based on the key elements of evidence-informed best practice.

      Main Findings: The framework centres on four practice domains: reinforcing ethical practices; fostering self-determination; supporting transitions and wellbeing; and mobilising service systems. It incorporates the concept of relational autonomy as a foundation for navigator practice by recognising the nature of relationships and power dynamics in the provision of care, and the central importance of self-determination.

      Conclusion A navigation framework is critical for practice guidance and to ensure service navigators and organisations have the capacity to meet the needs of service users and their families. The framework presented in this paper seeks to encourage debate about service navigation, its implementation, and its future in health and human service organisations.

      PubDate: Wed, 17 Oct 2018 17:13:01 GMT
       
  • Volume 13 Issue 2 - Evaluating health literacy environments in Australian
           health services
    • Abstract: Neil, Sarah; Murphy, Kylie; Chapman, Glenda
      The term 'health literacy' refers to the knowledge and skills used by an individual to make decisions about his or her own health. However, the environment in which health decisions are made is increasingly recognised as a critical component of health literacy. The health literacy environment can help to moderate the typical relationship between low individual health literacy and poor health. Becoming a more health literate healthcare organisation may require only meager financial investment for relatively large effectiveness gains. In this article, a review of Australian government health policies identifies three major foci relevant to the health literacy environment: the complexity of health services, the content of health information, and the physical environment. An overarching theme identified in this review is the importance of consumer input in evaluating all aspects of the health literacy environment. Despite major policy imperatives and the ongoing need to ensure health investments are socially equitable and cost-effective, there is little published evidence of Australian healthcare services evaluating their own health literacy environment. This article establishes the importance of evaluating the health literacy of Australian healthcare services and reviews four potentially useful evaluation tools.

      PubDate: Wed, 17 Oct 2018 17:13:01 GMT
       
  • Volume 13 Issue 2 - Factors affecting motivation and retention of village
           health workers and recommended strategies: A systematic review from 11
           developing countries
    • Abstract: Tshering, Dolley; Tejativaddhana, Phudit; Briggs, David; Wangmo, Neyzang
      Introduction: Motivation and retention of village health workers (VHWs) are crucial for the continuity, sustainability, and success of health programs. VHWs are the first point of contact for rural communities, providing health services to improve access and health coverage which, for a variety of logistical reasons, cannot be reached by the district health care system. Thus VHWs are critical for ultimately ensuring universal health coverage. However, systematic review revealed that there are numerous factors that affects their motivation and retention, leading to high dropout rates and hampering the delivery of health services to the community. This review intends to examine contextual factors affecting motivation and retention of VHWs in their roles and identify recommendations and strategies to motivate and retain them in the systems.

      Method: Five electronic databases and two search engines were accessed. Nineteen studies met the inclusion criteria for the final review. An in-depth reading of all the articles was undertaken to gather and compile the relevant themes. Content analysis was done based on the list of specific categories that are relevant to motivation and retention.

      Result: Findings from the systematic review revealed different levels of factor affecting motivation and retention of village health workers. It was finally contextualized and categorized into four main domains such as individual, family, social or community and organizational or systems levels. Financial incentives under the organizational factors was highlighted for the demotivation and the discontentment for the VHWs.

      Conclusion: Financial factors under the organization were often key in the studies reviewed. However, there were also many other factors, sometimes surprising or unintuitive, influencing the motivation and retention of village health workers.

      PubDate: Wed, 17 Oct 2018 17:13:01 GMT
       
  • Volume 13 Issue 2 - In This issue
    • PubDate: Wed, 17 Oct 2018 17:13:01 GMT
       
  • Volume 13 Issue 1 - Publish or perish: Perspectives from the APJHM for
           health managers
    • Abstract: Briggs, DS
      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 13 Issue 1 - In this issue
    • PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 13 Issue 1 - Organisational climate for change and innovativeness:
           A social capital perspective
    • Abstract: Black, Helen; Fitzgerald, Anneke
      Purpose: Acute health services around the world are increasingly required to respond to accreditation institutes, the changing needs and expectations of patients and societal values that demand continuous improvement in quality and efficiencies. Many change initiatives and innovative attempts have failed or resulted in lower performance than expected. The purpose of this paper is to increase understanding of the organisational contextual factors such as social capital and organisational climate that interact with the change implementation processes and provide a new perspective for change management in the unique environment of acute health care.

      Methodology: This mixed methods study was executed in three different sized operating theatre suites. A survey and in-depth interviews were used to reveal a current organisational climate for innovativeness through team member perspectives. The strength of each organisational climate was assessed with reference to the level of disparity in the participant responses. In-depth interviews and observations provided understanding of how social capital is developed and maintained, then examined in context with the climate for innovativeness to understand how contextual factors, social capital and climate interact.

      Findings: It has been demonstrated that social capital in the operating theatre suite has bearing on the organisational climate for change and innovativeness. Size and structure of an organisation influence how social networks develop; policies and management practices influence how different networks interact; and, the combination of contextual factors and social capital influences the organisational climate for innovativeness.

      Originality/value: Managing social capital can offer a people-focused perspective through which to design and implement change and enhance an organisational climate for innovativeness.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 13 Issue 1 - Patterns of utilisation of material healthcare
           services in Haryana, India
    • Abstract: Katyal, Sonal
      Background: Despite being a relatively smaller state, Haryana's per capita Gross State Domestic Product (GSDP) is high. The statistical data on the status of women has a different story to share.

      Objective: This study analyzes the maternal healthcare situation in Haryana to examine the differential in utilization of maternal health care service i.e. antenatal care on the basis of socio economic and socio demographic indicators such as Women's age at Birth, Birth order, Education, Residence, Religion, Wealth index and Caste.

      Methodology: The present study uses the third round of the National Family Health Survey (NFHS) data which is similar to the Demographic and Health Surveys (DHS). DHS collects, disseminates national data on health and population in developing countries.

      Findings: indicate that economic status, husband's education and caste have effect on the utilization of antenatal care services.

      Conclusion: The present study demonstrates several socio economic and demographic factors affecting the utilization of antenatal care services in Haryana. Efforts need to be taken at community and household level to improve utilization.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 13 Issue 1 - Does consultation time influence patient perception of
           provider communication style, patient satisfaction and word of mouth
           recommendation in India': A mediation analysis
    • Abstract: Mehra, Payal
      Background: In medically underserved developing countries such as India, the length of the consultation is often compromised; providers, it appears, have lost their natural empathetic tendencies and try to substitute talk with techniques and procedures. Despite this, surprisingly, patient satisfaction is high in India. This raises questions on the importance of understanding how patients feel about the clinical consultation length and the way it affects their satisfaction. In this context, this study analysed if the time spent with the patient predicted different changes to patient satisfaction with the provider and word of mouth recommendation.

      Methods: This cross sectional study comprised a sample of working Indian adults (N=501), completing communication competence measures and indicating their satisfaction and word of mouth recommendation potential. The four step Baron and Kenny's model of mediation analysis, apart from the GLM and factor analysis, was used for the analysis.

      Results: Findings showed that the communication style of the providers positively influenced the health outcomes such as patient satisfaction and word of mouth recommendation, and the length of direct consultation time mediated this relationship. Gender wise, male patients were more likely to complain about poor communication competency of the providers and less consultation time than female patients.

      Conclusion: We conclude that patients positively associate a longer clinical consultation time with empathetic and competent providers and be willing to recommend him/her to others. However due to extreme paucity of qualified providers in India, patients generally ignore or suffer problems related to time or communication style.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 13 Issue 1 - A comparison of three payment systems for public
           paediatric dental services
    • Abstract: Conquest, Jennifer Hanthorn; Skinner, John; Kruger, Estie; Tennant, Marc
      Objective: This study investigated the delivery of paediatric (0-17 years) government dental services in New South Wales (NSW), Australia through public dental clinics and the commissioned payments models of Fee-for-Service and Capped-Fee.

      Method: De-identified patient data from government provided dental care and the commissioned services was sourced from NSW Oral Health Data Warehouse for evaluation and interpretation using descriptive analysis during the period 1 January 2012 to 31 December 2013.

      Result: The breakdown of dental care provided the associated cost analysis for the study's cohort that resulted in both years, more than 50 percent dental services offered to paediatric patients were preventive care in all payment systems. The most common preventive items offered were fluoride treatment, dietary advice, oral health education and fissure sealants.

      Conclusion: There was little difference in the mix of dental care provided between study years and age groups through the three payment systems in NSW. The difference between the government services and those provided via the Fee-for-Service and Capitation payment systems was negligible. This has important implications for the delivery of dental care to public dental care, particularly when patients may not live close to a public dental clinic and also with the interest nationally in giving patients greater choice.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 13 Issue 1 - The impact of shared versus individual office space on
           therapist appraisal of their work environment
    • Abstract: Rogers, Shane L; Edwards, Stephen J; Perera, Rebecca
      Objective: The primary objective was to investigate the impact of shared versus individual office space on therapist appraisal of the work physical and social environment, and overall appraisal of working conditions.

      Method: Therapists (n = 59) from Child and Adolescent Mental Health Services in Western Australia were surveyed about their appraisal of the social and physical work environment, in addition to their overall appraisal of working conditions.

      Results: Compared to therapists with individual offices, therapists occupying shared office space reported lower appraisal of the work physical environment and lower overall appraisal of working conditions. No difference was found between groups for appraisal of the work social environment. Additionally, when statistically controlling for office space, both the appraisal of the social and physical environment made an independent contribution to the prediction of overall work satisfaction.

      Conclusion: This research reveals that shared office space can negatively impact therapist appraisal of their work environment and reduce overall appraisal of working conditions. Additionally, results reveal the high importance of the physical environment for staff satisfaction in a mental health service.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - In this issue
    • PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - Guidelines for contributors
    • PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - Library bulletin
    • PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - A recipe for success: Localism and bounded rationality
           in lobbying for radiation therapy services in north west Tasmania
    • Abstract: West, S; Shannon, E; Crisp, E; Barnett, T
      Objective: Describes where bounded rationality and localism are evident in the debate over the introduction of radiation therapy services in North West Tasmania and how this affected the delivery of the message from each side.

      Design: Semi-structured interviews with stakeholders and patients/family over an eight month period in 2016 are contrasted with viewpoints identified via document analysis.

      Setting: North West Tasmania.

      Main Outcome Measures: The mechanisms for policy change and the policy beliefs of each side are examined with the intention of understanding how bounded rationality and a sense of localism can combine to effect policy change.

      Results: In the instance of radiation therapy services in North West Tasmania, a policy debate was originally waged between medical professionals and policy makers opposed to a local service on one side and a handful of policy actors advocating for a local service on the other. Those in favour of a local radiation therapy service harnessed a sense of localism to project the perception of widespread community support for the proposal and secured funding commitments during the 2010 Federal Election campaign.

      Conclusions: There is evidence of bounded rationality from both the stakeholder and patient groups, as well as a strong sentiment of localism expressed by patients and community advocates. Through understanding this particular case, health service managers can determine how to better time and target messages to the general public and to policy makers during periods of proposed changes to health services.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - Beyond the numbers: On the road to achieving public
           value in community support organisations
    • Abstract: Girkin, F; Shannon, E; Zimitat, C; Elliot, K
      Objective: To explore public value as a management tool for measuring outcomes, in Community Support Organisations (CSOs) and determine if further research is warranted.

      Design: A literature review on public value and outcome measurement in the community service sector was conducted to evaluate how public value best fits with CSOs.

      Setting: Public value has not previously been applied to measuring outcomes in CSOs and could provide beneficial information to assist in obtaining government funding as fiscal resources decline.

      Main outcome measures: The following question was considered; Can a public value framework be used as a management tool by CSOs to measure the value of their service' A flow chart applying a public value framework to outcome measurement of CSOs was developed.

      Results: Key elements identified were indicators, measures and outcomes. Stakeholders included; government, community sector, CSOs and consumer. A public value framework has the potential to be used for measuring outcomes in the community sector however realworld application is still required.

      Conclusion: This study provided preliminary application for a larger study and has provided evidence of a public value framework having the potential to be applied as an outcome measurement tool for CSOs.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - The desirability of zero tolerance for procrastination
    • Abstract: Leeder, Stephen
      In a recent speech to the European Central Bank, Ben Bernanke, former chairman of the United States Federal Reserve Bank, described how recent political events had cast a bright light 'on disturbing economic and social trends in the US.'

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - Progressing health reform through collaboration and
           community engagement
    • Abstract: Briggs, DS
      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - Assessing the competence of evidence-informed
           decision-making amongst health service managers
    • Abstract: Liang, Z; Howard, P; Wollersheim, D
      Objective: Evidence-informed decision-making (EIDM) amongst health service managers has been positively linked to better decision outcome, hence more effective healthcare provision. Efforts to improve EIDM practice are required to meet the current challenging healthcare environment. One key step to improve such practices is skill enhancement. The purpose of the study is the measure the competence of mid-level managers in two Victorian hospitals in applying EIDM in their roles.

      Design: The competence of 25 mid-level managers in applying EIDM in their roles was assessed via a 360 degrees process using an online management competency assessment tool (MCAP Tool) and case-study objective assessment tool.

      Setting: Mid-level managers working in Victorian hospitals were selected.

      Main outcome measures: The competence of mid-level managers in applying the competency of EIDM was assessed. This paper discusses the areas of improvement identified in enhancing the competence of EIDM amongst mid-level managers in the group, organisational and individual levels.

      Results: EIDM is an important competency for health service managers. Managers who participated in the assessment are competent in applying EIDM in their roles, but require guidance and improvements. Strengths and weaknesses of managers in applying EIDM in their roles varied between organisations.

      Conclusion: This paper suggests that not only improvement of specific aspects of evidenceinformed decision-making amongst health service managers are required, additional more systematic changes at the organisational and individual management level are essential to achieve competent evidence-informed decision-making practices amongst health service managers.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - Healthcare workforce in Indonesia
    • Abstract: Boyle, M; Plummer, V
      Introduction: Imbalanced distribution of healthcare providers between urban and rural areas is one of the difficulties facing health service provision in Indonesia. Several regulations have been made by the government to solve the problem. The objective of this paper is to describe the provision of human resources for healthcare services in Indonesia.

      Methodology: A review of medical related electronic databases, CINAHL and Ovid MEDLINE, was undertaken from their commencement date until the end of January 2017. The grey literature from the Indonesian government, the World Health Organisation and the World Bank websites was also searched.

      Results: There were 92 articles identified from the CINAHL and 222 articles from the Ovid MEDLINE databases. Five articles were included from the two databases and five documents from grey literature with ten articles to be reviewed.

      Discussion: Nurses and midwives account for the largest proportion of healthcare providers in Indonesia. The ratio of healthcare providers in Indonesia is lower than the average of South-East Asian and other lower-middle income countries. More than half of the healthcare providers in Indonesia provide care in community health centres. Several regulations have been proclaimed to improve the imbalanced proportion of healthcare providers across the country.

      Conclusion: Indonesia continues to develop strategies towards successful distribution of healthcare providers across the country. A study investigating the impact of the programs reducing the imbalanced distribution of healthcare providers on health outcomes is essential for Indonesia.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 3 - Effects of clinical placements on paramedic students'
           learning outcomes
    • Abstract: Wongtongkam, N; Brewster, L
      Background: Clinical placements are of major importance in students' learning processes through creating supportive environments and fostering independence into paramedic professional roles. The study aimed to explore whether clinical experiences in out-of-hospital emergency services affected students' learning outcomes and satisfaction.

      Methods: A retrospective study was carried out using preceptors' evaluations (n=160) and students' feedback forms (n=21). Descriptive and non-parametric inferential statistics were used to analyse quantitative items, and open-ended questions were analysed using content analysis.

      Results: Findings showed that more than 70% of students were satisfied with the quality of preceptors and the fieldwork atmosphere. Preceptors reported that students' clinical skills across all categories improved significantly in the last two weeks of training. Qualitative data indicated that students displayed appropriate behaviour and professional socialisation and were keen to learn, and demonstrated competence in paramedic skills.

      Conclusion: A supportive atmosphere and positive student-preceptor relationships are key attributes for clinical placements if students are to accomplish learning outcomes in out-ofhospital environments.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - Do you feel disempowered' It seems you should be
    • Abstract: Briggs, DS
      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - Entry points to the health system: A review of the
           emerging community models for management of non-life threatening urgent
           conditions relevant to Australia
    • Abstract: Adie, J; Graham, W; Wallis, M
      Problem: The number of presentations to Emergency Departments (EDs) is increasing at levels above population growth rates and these increases are becoming unsustainable.

      Objective: To review evidence for emerging entry points to the health system for patients with non-life threatening urgent conditions (NLTUC) in order to consider more effective healthcare services in Australia.

      Methods: An in-depth review of the Emerald, Medline, CINAHL, Web of Science, Proquest Business and Medical databases from January 2005 to April 2016 matching 'acute care' or 'urgent care' with general practice and other health providers found thirteen entry point models with five currently relevant to Australia.

      Results: Studies examining five emerging entry points were found including urgent care community pharmacy, new prehospital practitioner community care, advanced nurse enhancement of primary care, designated urgent care clinics and integrated primary care centers. Evidence for these emerging models of community healthcare is presented including emerging initiatives, cost implications, subsequent admission to hospital, satisfaction, mortality, care, treatment time, subsequent referrals, testing and health outcomes.

      Conclusion: These emerging models of community healthcare need to be trialed and studied in the Australian context to evaluate whether they provide patients with NLTUC with a safe cost-effective option with similar outcomes to EDs. Implementation of these models can be examined further to determine their effectiveness in potentially reducing the increasing rate of presentation to EDs.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - Attracting future health workforces in geographically
           remote regions: Perspectives from current remote health professionals
    • Abstract: Onnis, L
      Objective: The aim of this study was to identify what has previously attracted health professionals to work in geographically remote regions, to identify the incentives that managers are currently using to attract health professionals to remote regions, and to determine whether they are comparable.

      Design: This article examines the data from two separate, yet complementary, research studies. The first study used qualitative methods to investigate why health professionals choose to work in geographically remote regions through current remote health workforces. The second study investigated whether information communicated through recruitment advertising contained information congruent with the themes that attracted the current remote health professionals through a content analysis of recruitment advertisements. The findings from these two studies are then compared and contrasted and Psychological Contract Theory is used to examine the implications for health service managers.

      Setting: This study was conducted in northern Australia, a remote tropical setting with geographically challenging working conditions.

      Results: The findings revealed that recruitment advertisements contained information comparable with the themes that had attracted health professionals to work in remote regions. Most importantly, they highlight opportunities to better align recruitment practices, and provide insight into how unrealistic expectations lead to psychological contract breaches.

      Conclusions: This study found that while recruitment advertisements are using appropriate content to attract health professionals to remote regions, there is considerable scope for improvement so that attraction translates into improved retention.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - Health assistant in nursing: A Victorian health
           service pilot
    • Abstract: Davies, S; Keenan, CM; Redley, B
      Objective: Develop and evaluate pilot of a new role to support nursing care delivery in hospital settings. Design: A naturalistic, three-stage pre-post, multimethod pilot design used data collected from hospital administrative datasets, and surveys and focus groups with staff participants.

      Setting: Three wards at three hospital sites of a large tertiary health service in Victoria, Australia. Subjects: Staff performing the new role and registered nurses working on participating wards.

      Intervention: Pilot of a new Health Assistant in Nursing (HAN) role.

      Main outcome measures: Staff outcomes were work satisfaction and workload of registered nurses; quality outcomes included reported patient falls and medication errors; organisational outcomes included service costs and sick leave.

      Results: Work satisfaction and workload of registered nurses remained stable after introducing the new role. The frequency of reported patient falls reduced in two of the three wards. Costing outcomes suggested potential for cost benefits attributed to reduced falls in acute wards.

      Conclusions: This pilot identified the new HAN role has capacity to contribute to improved patient quality and safety outcomes without compromising nurse job satisfaction and workload. Potential cost benefits of the new role warrant further consideration in the acute care sector.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - The cost of waiting on an orthopaedic waiting list: A
           scoping review
    • Abstract: Morris, J; Twizeyemariya, A; Grimmer, K
      Background: Approximately 30% Australians suffer from arthritis and other musculoskeletal disorders. From 2003-2033 there is a predicted 223% increase in expenditure on health management of musculoskeletal disorders. There is evidence of increasing prevalence of orthopaedic complaints, in longer waiting lists for specialist consultations in public hospital outpatient clinics. Little is known about the costs and ramifications of waiting for orthopaedic consultations.

      Aim: Establish what is known about the direct and indirect costs of being placed on a waiting list for an orthopaedic consultation.

      Method: Patient and Outcome search strategy of Medline, Embase, Pubmed, NHS Economic evaluation database (NHS-EED) from each database inception date. Handsearching of reference lists of included papers also occurred. A realist synthesis framework underpinned the review, using a ubiquitous patient journey to map available literature on the impact of waiting. Hierarchy of evidence was reported using NHMRC criteria and articles critically appraised using either the PEDRo or CASP criteria (relevant to the design). A purpose-built data extraction instrument was developed.

      Results: We identified 786 studies, of which 139 were relevant, including a systematic review (Hoogeboom et al) with 15 included articles which were added to the list of eligible papers (and the review itself deleted), leaving 153 included articles; 17 were relevant to the review. Fourteen papers reported on quality of life and four reported on costs, two of these papers reported on both and all were of low to moderate quality. The research was not based on a comprehensive understanding of the stages of waiting, and there were inconclusive outcomes for quality of life and cost.

      Conclusion: There is scant evidence of the impact on quality of life and costs of waiting for orthopaedic outpatient appointments. Future research should aim for improved methodological quality and use patient-focused quality of life measures, and validated measures of cost.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - What happens when patients with an orthopaedic
           complaint 'wait'': Setting the scene in one Australian tertiary
           hospital
    • Abstract: Morris, J; Twizeyemariya, A; Pillen, H; Grimmer, K
      This paper presents reflections about 'waiting' for healthcare, in particular outpatient 'waiting' for specialist orthopaedic surgical appointments. Waiting for healthcare is a substantial and growing problem across the globe. There is significant interest from Western governments to make waiting time for services publicly available and measured against defined targets. As yet there is little consistency in how waiting is defined and monitored, and therefore little is understood about the impact of waiting on patients, in defined targets. As yet there is little consistency in how waiting is defined and monitored, and therefore little is understood about the impact of waiting on patients, in terms of health, social and financial aspects. This paper explores current understandings of waiting list impacts for patients with an orthopaedic complaint, drawing on initiatives to manage orthopaedic waiting lists from one Australian public hospital.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - Library bulletin
    • PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - Health workers' perspectives on infrastructure to
           support maternal health services in rural areas of Vietnam
    • Abstract: Nguyen, THT; Wilson, A; McDonald, F
      Background: One common governance issue faced by developing countries is the establishment and maintenance of infrastructure to support the delivery of primary health services. This qualitative study explores the perspective of maternal health workers on how infrastructure impacts the provision of maternity services in rural areas in Vietnam.

      Methods: Forty-one health workers and health managers at the commune, district and provincial levels of the Vietnamese public health system were interviewed. Questions focused on the impact of various organisational factors, including the impact of infrastructure on the performance of the health workforce, which provides publicly funded primary care. All interviews were recorded, transcribed and coded for thematic analysis.

      Findings: Participants noted that infrastructure directly affected their ability to perform certain tasks and could both directly and indirectly negatively impact their motivation. In general, participants noted a lack of investment in infrastructure for the provision of primary care services in rural areas. They identified that there were deficits in the availability of utilities and the adequacy of facilities.

      Conclusion: This research contributes to understanding the barriers to the provision of primary care in developing countries and in particular. The current inadequacy of facility buildings and inadequacy of clean water supply are issues for health workers in meeting the technical requirements of the standards as set out in the National Guidelines on reproductive health, and lead to safety concerns for the quality of maternal health services provided in commune health centres and District Health Centres.

      PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
  • Volume 12 Issue 2 - Guidelines for contributors
    • PubDate: Tue, 9 Oct 2018 13:42:42 GMT
       
 
 
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