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Authors:Partha Saha Abstract: Journal of Health Management, Ahead of Print. Maternal and child healthcare (MCH) has always been regarded as one of the important issues globally. The aim of this article is to find out all frequently occurring healthcare service elements along with their availability conditions and their interactions with other health system (HS) elements, when coverage of priority MCH intervention was either poor or moderate or good in any region. Association rule mining technique has been used to understand the probability of occurrences of different healthcare service elements among regions. Along with the proposed analytical framework, an interactive decision support system (DSS) has also been developed on a web platform, which would help healthcare policymakers to integrate the analytical framework easily in their processes of decision-making. The system has been developed by using Shiny package on R software. Data for all variables are collected for 584 Indian districts from the third phase of district-level household and facility survey. From results, it is observed that community healthcare services, sub-centre (SC)-level healthcare services and PHC-level healthcare services of a region are very much interlinked with each other, and their relationships define the healthcare condition of that region. Citation: Journal of Health Management PubDate: 2022-06-21T11:49:43Z DOI: 10.1177/09720634221105331
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Authors:Subhanil Banerjee, Sumita Dave, Imran Nadeem Siddiqui Abstract: Journal of Health Management, Ahead of Print. Following UNICEF’s analysis of National Family Health Survey-III Data (NFHS-III), it was opined that households with access to better sanitation and better access to improved water sources have much better infant survival rates than the others. Sahu et al. (2015, The Indian journal of medical research, 141(5), 709), Arun et al. (2017, International Conference on Cognitive Computing and Information Processing (pp. 81–92), Springer) and Tripathy and Mishra (2017, Journal of Tropical Pediatrics, 63(6), 431–439) supported these findings. However, Banerjee (2020a, Journal of Health Management, 22(1), 57–66), analysing NFHS-IV data, has vehemently criticised such findings and showed using regression with robust standard errors that improved access to better water sources leads to higher infant mortality. In another article published in the same year, Banerjee (2020b, Journal of Health Management, 22(3), 466–471) explained this paradox. Now with NFHS-V data coming out, time is apt to test the robustness of Banerjee’s findings (2002a). However, owing to the incomplete NFHS-V data published so far, unlike Banerjee (2002a) that has used data of 29 states, the present analysis is based on only 17 states. The findings support that the findings of Banerjee (2002a) were robust. Citation: Journal of Health Management PubDate: 2022-06-18T12:03:06Z DOI: 10.1177/09720634221105742
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Authors:Saeed Owais, Javaid Iqbal Khan, Mehak Majeed Abstract: Journal of Health Management, Ahead of Print. Around 60.6% of health expenditure in India originates from private spending or out-of-pocket expenditure. Such large health spending has a tendency to sink sizeable number of people into poverty and deepen the already poor into more appalling conditions. This article makes an attempt to study the impact of health expenditure on poverty levels in the Jammu and Kashmir (J&K) region of India using micro-level data (68th round of National Sample Survey Organisation [NSSO]). First, a region-wise poverty profile is estimated, then, poverty deepening and incidence of catastrophic health expenditure is measured. Finally, socio-economic determinants of catastrophic health expenditure are estimated using logit and probit models. The results show that the poverty levels further increase by around 2% (estimated 185,000 individuals) on account of out-of-pocket health expenditure. Also, poverty gap increases, deepening the economic distress of the poor people. The highest gap is observed in most vulnerable areas, such as hilly and geographically disadvantageous regions. An estimated 9.6% of population in J&K spends catastrophic out-of-pocket health expenditure and 2.6% spend more than their capacity to pay. Married, higher per capita expenditure groups, and socially weaker sections exhibit increased probability of experiencing health catastrophe while as higher levels of education decreases this likelihood. Citation: Journal of Health Management PubDate: 2022-04-13T10:36:13Z DOI: 10.1177/09720634221091013
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Authors:L. M. Singh, Ankita Siddhanta, Ajay K. Singh, Shankar Prinja, Atul Sharma, Himanshu Sikka, Latashree Goswami Abstract: Journal of Health Management, Ahead of Print. Background:Urban poor face a disproportionate burden of ill health and high out-of-pocket expenditure (OOPE), creating a severe unmet need for affordable and quality health care. This article highlights the impact of health insurance on OOPE and catastrophic healthcare expenditure among the urban poor of India.Methods:The study uses randomly collected household data from a baseline survey conducted in the states of Rajasthan and Uttar Pradesh. Separate Insurance impact models have been generated for the analysis.Results:Mean out-of-pocket health expenses is higher in the private health facility for the inpatient care but in case of outpatient care, the expenditure was more in public. Expenditure on medicine constitutes the largest part of the total OOPE. Insurance impact model shows that coverage on medicine alone can reduce medical impoverishment by 85% in the case of Outpatient Deparment (OPD) and 71% in the case of Inpatient Department (IPD). The urban poor preferred private facility for treatment in case of illness, albeit when it comes to delivery, they prefer public facilityConclusions:Study findings indicate overt reliance on private health care must be regulated, to reduce OOPE among the urban poor. Also, effective universal health insurance can go a long way in reducing the OOPE with availability of free medicines and diagnostics in the public health facilities. Citation: Journal of Health Management PubDate: 2022-04-11T06:53:21Z DOI: 10.1177/09720634221088425
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Authors:Kheya Melo Furtado, Anita Kar Abstract: Journal of Health Management, Ahead of Print. Disease estimates from surveillance in mixed health systems is affected by lack of data from the private sector. We aimed to characterize private sector engagement and reporting to a disease surveillance network, and determine the implications on dengue case detection. We developed and set up a public–private network (CODREN—Community Disease Detection and Response Network) with recruitment of eligible health resources (n = 462) in a municipal ward of Pune city, India (population 209,331). Dengue cases reported through CODREN were compared with reports of the local dengue surveillance (LDS) over 1 year. Private clinics constituted the majority of eligible providers (60%, 276). Retention of participants was 81.7% with 13.9% reporting dengue cases. Phone call was the preferred reporting method (85.5%, 564 reports). CODREN captured a higher number of cases than LDS (78.9%, 251 vs 50.6%, 161), increasing case detection by 18% due to increased private reporting points. A twofold lower number of cases was reported by LDS from shared reporting points with CODREN, due to discrepancies in case definitions and diagnostic test preferences among private providers. We conclude that private sector engagement can improve dengue case detection with the selective inclusion of providers, sustained contact, feedback and simple reporting methods. Testing guidelines and case definitions adopted by the LDS need to address heterogeneity of private practice in mixed health systems, in order to improve dengue estimates in India. Citation: Journal of Health Management PubDate: 2022-04-09T06:54:02Z DOI: 10.1177/09720634221091011
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Authors:Ankita Zaveri, Pintu Paul, Ranjan Roy, Pradip Chouhan Abstract: Journal of Health Management, Ahead of Print. The use of adequate reproductive healthcare services is critical to mothers and newborn babies. This study aimed to examine the facilitators and barriers to maternal healthcare utilisation in the Empowered Action Group (EAG) states. Data were drawn from the fourth round of the National Family Health Survey, 2015–16 (n = 103,984). In this study, full antenatal care (ANC), delivery assistance by the skilled birth attendant (SBA) and postnatal care (PNC) within 2 days of delivery were taken as indicators of maternity care. Overall, approximately 13% of women received full ANC, 69.4% were delivered by SBA and 57.7% had PNC within 2 days of delivery. The findings of this study reveal that urban residence, higher education, wealthier economic status, exposure to mass media and contraceptive use are the facilitators of maternal healthcare utilisation. On the contrary, low levels of education, poverty, marriage during childhood, having a large number of children, belonging to socioeconomically backward castes, having difficulties related to healthcare-seeking and unwanted pregnancies are some of the major barriers to the use of maternity care. This study suggests that policymakers and public health practitioners should design proper healthcare policies and programs to provide quality reproductive healthcare services, particularly among socio-economically vulnerable women. Citation: Journal of Health Management PubDate: 2022-04-05T10:25:21Z DOI: 10.1177/09720634221088359
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Authors:Özlem Özer, Okan Özkan, Sümeyye Özmen, Ümit Çirakli Abstract: Journal of Health Management, Ahead of Print. This study aims to examine the relationships between occupational safety, work stress and happiness perceptions of nurses and other healthcare workers working in a university hospital. No sample was selected in the study, the data collection tool was distributed to all employees who agreed to participate in the study and 195 usable questionnaires have been obtained. According to the correlation analysis results, there are negative and weak relationships between occupational safety and work stress, positive and weak relationships between occupational safety and happiness, and negative and weak relationships between work stress and happiness. According to the regression analysis results, it has been determined that perceived occupational safety explains 4.1% of the total variance on work stress, 8.4% of the total variance on happiness and perceived work stress explains 12.4% of the total variance on happiness. The study also found that the variable affecting perceived happiness the most is work stress. Citation: Journal of Health Management PubDate: 2022-02-14T11:32:18Z DOI: 10.1177/09720634221078413
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Authors:Ali Zackery, Mohammad Mahdi Zolfagharzadeh, Mahdi Hamidi Abstract: Journal of Health Management, Ahead of Print. The concept of technological catch-up can be used as a theoretical platform to design policies for the management of the healthcare sector in developing countries. In this article, initially, the factors affecting a technological catch-up process were collected through a conceptual literature review and prioritised using a fuzzy Delphi survey. The interdependences among important contributory factors were investigated as well. They were then used to create some policy recommendations for the management of the healthcare sector in developing countries through an interdisciplinary integration of the literature of technological catch-up and healthcare. Some exemplary projects/initiatives using these policies were collected too. The quality of human resources, a comprehensive knowledge management system, interactive learning and innovation-encouraging culture were rated as the most important contributing factors to an effectual technological catch-up in the healthcare sector in developing countries. Also, the creation of distributed health social networks, development of systematic knowledge management systems, forming strategic partnerships and designing path-creating technological catch-up processes by focusing on indigenous innovation were the final policy recommendations. All in all, the healthcare sector in developing countries should stop chasing frontiers, should try taking detours and flying a balloon by adopting a strategy of differentiation. Citation: Journal of Health Management PubDate: 2022-02-14T11:25:58Z DOI: 10.1177/09720634221076964
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Authors:Palash Dutta, Sayesta Akhtari Abstract: Journal of Health Management, Ahead of Print. Evaluation of humans’ health risk is an essential and most demanding aid in relevance to the process of decision-making. Accumulation of quality knowledge on the attributes of each and every available data, information and model parameters, involved in risk assessment, plays a crucial role in the process of evaluation. It is important to note that, most frequently, model parameters are imprecise due to the availability of limited data and knowledge. Under such circumstances, probability theory (PT) and the theory of fuzzy sets can be brought forth to deal with the emerging uncertainties. There is also a need to devise an amalgamate technique to perform health risk assessment under uncertainty. Although some different approaches are available in this regard, all approaches are situation or problem dependent and fail to address some specific issues. Therefore, this article presents a general amalgamate technique to address all the concerned issues, and, finally, health risk is carried out using this approach. Citation: Journal of Health Management PubDate: 2022-02-11T04:52:29Z DOI: 10.1177/09720634211072596
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Authors:Mohd Zulkifli Abdullah, Abdul Kadir Othman, Muhammad Iskandar Hamzah, Annurizal Anuar, Siti Noraini Mohd Tobi, Naliza Solat Abstract: Journal of Health Management, Ahead of Print. Healthcare service quality has been extensively studied over the past few decades. However, the topic remains imperative as it is the main contributor to patients’ satisfaction. It is considered as the yardstick to examine the desired service level that should be delivered to patients. Due to its importance, research was initiated to examine the influence of healthcare service quality on patients’ satisfaction by looking at the moderating effect of trust. The study was conducted in UiTM Selangor, Malaysia, involving 1,894 respondents who have experienced using the healthcare service provided by the institution. Based on the multiple regression analysis, all dimensions of healthcare service quality, namely reliability, assurance, tangibles, empathy and responsiveness, are significant to influence satisfaction and behavioural intention of patients. For satisfaction, trust moderates the relationship between empathy and satisfaction. For behavioural intention, trust moderates the relationship between tangibles and behavioural intention and the relationship between empathy and behavioural intention. The implications of the study are highlighted in this article. Citation: Journal of Health Management PubDate: 2022-02-11T04:32:46Z DOI: 10.1177/09720634221076886
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Authors:Mariana Guerra, Beatriz Fátima Morgan, Micael Conoring D’Assumpção Alves First page: 175 Abstract: Journal of Health Management, Ahead of Print. The literature on data envelopment analysis (DEA) of hospital efficiency has used absolute data to approach financial and operating indicators, either separate or combined. This study stratifies a sample of Brazilian hospitals using financial and operating indicators to investigate their performance, based on financial liquidity ratios and levels of indebtedness against their profitability and return on investments. The models obtained in the analysis show that the level of indebtedness and the operating margin are determinants of efficiency, but they may be overrun by debt capital and return on investments, depending on installed capacity. Citation: Journal of Health Management PubDate: 2022-04-04T07:25:11Z DOI: 10.1177/09720634221088056
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Authors:K. Avina, Rajesh Kumar Sinha First page: 187 Abstract: Journal of Health Management, Ahead of Print. Background:Infection control systems allow the healthcare facility to detect, manage, prevent and control the infection or risk of infection. It helps to improve healthcare quality by allowing hospital infection control (HIC) team to focus on prevention and intervention efforts during the outbreaks.Objectives:To design, develop and implement an automated HIC surveillance Toolkit for Infection Prevention and Control Department based on user requirements.Methods:This study was carried out in a multi-speciality hospital in Southern India. The study was carried out in four phases; the first phase included the observation of current documentation practice of Infection Prevention and Control Department. During the second phase, a formal discussion was conducted with the infection control team to collect the data to add to the HIC surveillance toolkit. The third phase included the design and development of the toolkit using ASP.NET and Standard Query Language (SQL) database server. During the fourth phase, a prospective cross-sectional survey was conducted to assess the end-user satisfaction towards the Toolkit using a structured and validated checklist based on 5-point Likert scale from extremely satisfied to not satisfied (score 5–1).Results:Based on the observation of existing documentation and reporting practice, a discussion was carried out with the infection control team to identify the templates to be added to the toolkit. Once identified, a web-based toolkit was designed and developed using ASP.NET and stored using SQL database server. The developed toolkit was implemented in the hospital and provided to the HIC team to use. The finding of the assessment of 15 features of HIC surveillance toolkit indicated that the end-users were very satisfied with the support of toolkit in documenting and reporting of infection-related data.Conclusion:HIC surveillance toolkit, allows the HIC team to capture, store, manage data, compare, and calculate the infection control rate and compliance rate. It also increases the ease of surveillance and reporting. It aids in reducing hospital-acquired infection (HAI) rates, simplifies the workflow of HIC and improves healthcare quality. Citation: Journal of Health Management PubDate: 2022-04-01T11:33:07Z DOI: 10.1177/09720634221088442
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Authors:Ashmith Relia Da Cruz, Aileen J. First page: 203 Abstract: Journal of Health Management, Ahead of Print. BackgroundCost analysis in central sterile supply department (CSSD) helps to achieve financial sustainability and improved efficiency for optimal field operations. This research intends to propose strategies to reduce re-sterilization of CSSD items and formulate alternatives for direct purchase of consumable items by suggesting in-house manufacture of these items.MethodsAn observational prospective study using cost analysis tools such as activity-based costing and cost–benefit analysis was conducted in a tertiary care corporate hospital. Primary data collection was done with the help of semi-structured interview questions and checklist.ResultsThe analysed data indicated that on an average 150 sets per month were sent back for steam re-sterilisation which incurred the cost for re-packing, re-sterilisation and re-storage. Additionally, crucial study findings indicate that gauze swabs and dressing pads (consumable items) have been consumed in large quantities per month (20,000 Qty) leading to profligacy.ConclusionIn-house preparation of dressing pads and gauze swabs has amassed sufficient amount of savings of about ₹70,377 and ₹24,104 per month on an average with the available resources. Moreover, techniques to avoid re-sterilization will help decrease resource consumption that includes electricity and exhaustive use of manpower. Citation: Journal of Health Management PubDate: 2022-05-07T11:41:32Z DOI: 10.1177/09720634221088062
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Authors:Niaz Makhdum, Naznin Islam, Maruf Hasan Rumi, Md Harunur Rashid First page: 213 Abstract: Journal of Health Management, Ahead of Print. Antibiotic resistance is a serious global health problem. This study endeavours to assess the current knowledge, attitude, and practice (KAP) regarding antibiotic usage among the rural people of Meherpur district, Bangladesh. This study followed quantitative approach and used social survey method to collect data from 399 respondents of Meherpur district. Results reveal that the respondents had a moderate knowledge of antibiotic usage but a negative attitude towards following the guideline and poor practice in using antibiotics made the situation worse for them. The findings of this study will help for the policymakers to develop the current awareness level of the rural people regarding antibiotic use and will provide a guideline for the improvement of current community clinics health-care providers’ efficiency on their service provision. Citation: Journal of Health Management PubDate: 2022-04-09T09:27:19Z DOI: 10.1177/09720634221088067
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Authors:Pritam Datta, Chetana Chaudhuri First page: 222 Abstract: Journal of Health Management, Ahead of Print. Indian healthcare system is dominated by private sector; its importance is growing with implementation of ‘Ayushman Bharat’, flagship programme of Indian government. Though 62% and 75% of inpatient and outpatient cases in India are treated in private sector, the information about the economy of private healthcare providers is very limited. To the author’s best knowledge, this is the first attempt to address the issue with empirical evidence for the private healthcare providers from a nationally representative survey data for India. Private healthcare sector is estimated to provide employment to 2.34 million persons annually and generate gross value added (GVA) of ₹473.3 billion. Treatment cost on an average is much high in private sector as compared to the public sector. But supply-side data show that average annual receipt per annum is six times higher than average operating cost per annum for unincorporated private healthcare providers in India, indicating underlying profit motive. Analysis of factor payments shows that 55% of GVA of unincorporated private hospitals is gross operating surplus (or profit), followed by emoluments paid to employees and workers (42%). These factors potentially cause over-charging in private sector. Context-specific and appropriate regulatory mechanisms are very much needed to ensure quality of services and control medical inflation. Citation: Journal of Health Management PubDate: 2022-04-21T05:07:10Z DOI: 10.1177/09720634221088064
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Authors:Fatima Dsilva, Sumi Mathew, Gincy Joseph First page: 233 Abstract: Journal of Health Management, Ahead of Print. Background:Healthcare-associated infections, a significant burden to patients and public health, are a major cause of increased mortality in critically ill patients. They not only cause increased functional disability and emotional stress but also cause a huge burden financially. Many healthcare professionals have found that education programmes and use of prevention bundles have resulted in decreased incidence of these infections. The present study was a quality improvement initiative by the investigator to improve the knowledge and practices of nurses related to prevention of central line–associated bloodstream infection.Methods:A before–after research design was used. Nurses (n = 51) working in critical care areas of a 1,200-bedded tertiary care hospital were recruited by purposive sampling. The intervention comprised of a structured self-instructional module which included general information on central line catheters as well as specific information on infection prevention in central line catheters. The Centres for Disease Control and Prevention guideline on prevention of 2011 update formed the basis of the module development. A 28-item knowledge questionnaire and an observational checklist were the tools utilised in the study.Results:The post-test mean knowledge and practice scores were significantly higher than the pretest scores (P < 0.05). There was a 36% increase in knowledge, and the competencies had enhanced by 41% post-intervention. Hand hygiene compliance, which was 47.1% pre-intervention, had increased to 78.4% post-intervention.Conclusion:Frequent ongoing education programmes on infection control are essential for improving the knowledge as well as practices of nurses working in critical care areas. Citation: Journal of Health Management PubDate: 2022-04-04T07:21:31Z DOI: 10.1177/09720634221087809
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Authors:Ilona Hrudey First page: 240 Abstract: Journal of Health Management, Ahead of Print. Cancer care represents a challenge for the healthcare systems of OECD member states. This also applies to the Netherlands, as cancer is the leading cause of death. High quality of care is essential to effectively tackle the burden of disease caused by cancer. According to the WHO health systems framework, quality is an intermediate goal of health systems, alongside safety, access and coverage. This study aimed to assess the quality of cancer care in the Netherlands, especially in terms of effectiveness. To assess the quality of cancer care in the Netherlands, participation rates in screening and 5-year survival rates for breast, cervical and colorectal cancer were used. The Netherlands is interested in ensuring quality healthcare, and quality is one of the three main objectives of the healthcare system. The 5-year survival rates for breast, cervical and colorectal cancer were above the respective OECD averages in 2014, but some countries are better positioned. Participation in screening for cervical cancer was relatively low in the Netherlands in 2017, below the OECD average. It can be concluded that the Netherlands has high-quality, effective cancer care and is striving to continuously improve it. However, there is room for improvement , especially with regard to participation in cervical cancer screening, transparency about the quality of healthcare and regional differences in the quality of care. Citation: Journal of Health Management PubDate: 2022-04-08T11:29:16Z DOI: 10.1177/09720634221088055
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Authors:Stephen Victor, Ayesha Farooq First page: 248 Abstract: Journal of Health Management, Ahead of Print. In recent years, there has been a tremendous leap in the usage of data in its different forms. Big data has grown exponentially and so have the tools that enable culling out meaningful data that have the potential to transform business establishments. Tools that make use of big data like Cloud Computing, Data Warehousing, Dashboards and Mobile Apps have found application in several fields including healthcare. These applications provide real-time data to aid business establishments in making timely decisions. However, data need to be presented in an appropriate format like ones shown in the balanced scorecard (BSC) which has undergone a number of refinements since the 1990s. Since the BSC includes the provision of both financial and non-financial key performance indicators (KPI), it serves the long-term interests of an organisation. The efficacy and profitability of the BSC can be scaled up with the aid of data analytics which provides all inputs for a decision support system. This article explores the various possibilities of using data analytics in providing and updating meaningful inputs to each of the perspectives of the BSC to enhance healthcare delivery. Citation: Journal of Health Management PubDate: 2022-04-09T07:03:03Z DOI: 10.1177/09720634221088119
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Authors:Hardik Bhatia, Sreedhar Dharmagadda First page: 256 Abstract: Journal of Health Management, Ahead of Print. The implementation of a universal healthcare coverage by the Indian government has forced a relook into the existing systems of healthcare decision-making. Health technology assessment (HTA) is being looked at to provide efficient decision-making and helping in priority setting for the policymakers. The Ministry of Health and Family Welfare has, therefore established a Medical Technology Assessment Board as a way of institutionalising the HTA framework and methodology in India. Despite some challenges, the future looks bright for HTA in India. Citation: Journal of Health Management PubDate: 2022-03-29T06:43:21Z DOI: 10.1177/09720634221087787
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Authors:Nursanti Anwar, Andi Masyitha Irwan, Ariyanti Saleh, Suharno Usman First page: 260 Abstract: Journal of Health Management, Ahead of Print. Background:Globally, the prevalence of hypertension, especially in older people, is relatively high and increasing annually. In addition to hypertension, many older people also experience anxiety. Interventions are needed to reduce blood pressure and overcome anxiety, one of which is foot massage.Objective:To determine the effect of foot massage on reducing blood pressure and anxiety in older people with hypertension.Method:This study was a one-group pre-test–post-test design with a time-series design for measuring blood pressure and assessing the degree of anxiety after foot massage intervention for 12 sessions. Thirty older people with hypertension and anxiety participated in this study.Results:A significant decrease in anxiety was observed after the 6th and 12th sessions of foot massage intervention (P < 0.05). A significant decrease was observed in systolic blood pressure after the 12th intervention compared to baseline and 8th intervention (P < 0.05).Conclusion:Foot massage intervention is effective in reducing blood pressure and anxiety in older people with hypertension. Citation: Journal of Health Management PubDate: 2022-04-09T06:56:00Z DOI: 10.1177/09720634221087786
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Authors:Dhara Kairav Shah First page: 268 Abstract: Journal of Health Management, Ahead of Print. Emotional intelligence has been extensively studied in healthcare practices worldwide. It is requisite for a reliable and valid instrument to measure the emotional intelligence of healthcare professionals in India. The Wong and Law emotional intelligence scale (WLEIS) has been a widely used tool to measure trait emotional intelligence. This study examines the validity of this scale in the healthcare context. The original 16 items WLEIS scale has been administered to 98 doctors of the Ahmedabad region of Gujarat. Two competing models, single factor and four factors have been tested against each other. Fit indices of four-factor model (χ2 (98) = 111.61, (p> 0.001), CMIN/df = 1.139, CFI = 0.987, SRMR = 0.059, RMSEA = 0.038 and PClose = 0.714) has excellent goodness of fit. Results of confirmatory factor analysis support the original four-factor model. The model also has acceptable reliability, convergent and discriminant validity. Further, in order to establish EI construct underneath four factors, secondary factor analysis has been performed. Standardized regression weight of only one dimension, that is, ‘Regulation of emotion’ is acceptable. All fit indices of the second-order model have an excellent fit. WLEIS is a valid instrument to measure the emotional intelligence of health professionals. Citation: Journal of Health Management PubDate: 2022-04-06T04:47:04Z DOI: 10.1177/09720634221088057
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Authors:S. Dubey, D. John, A K Arora, Umang Mathur, A K Singh First page: 275 Abstract: Journal of Health Management, Ahead of Print. Background:Quality management in healthcare is critical for hospitals and everyone in the loop —from physicians to support staff—needs to be aware of and involved in this process.Objectives:To assess the perception of employees about the quality management system (QMS) implemented at a tertiary care eye hospital in north India and to use it to identify scope for further improvement.Methods:This cross-sectional mixed-method study involved both questionnaire-based survey and an in-depth interview by a third party. The questionnaire had 12 questions to assess the changes in culture, infrastructure, environment, system, operation theatre and outpatient department. Employees shared their opinion about improvements brought by the QMS in eight years. Respondents were divided into five groups based on their job description: (i) doctors, (ii) technical staff (nursing/operation theatre/laboratory), (iii) optometrists/opticians/audiologists, (iv) patient care executives and (v) human resources/administration/others.Results:Of the 73 employees interviewed, 94.5% perceived an improved treatment and care process and 91.8% perceived improved treatment results. According to 83.6% of the employees, they were encouraged to report patient safety concerns and 71.2% saw improved incidence and adverse event management. The QMS has increased patient satisfaction according to 83%, while 91.8% felt it improved the profile of the hospital. The employees stated no negative effects of the QMS except a long waiting time of the patients and the duplication of paperwork.Conclusion:QMS has brought many positive changes across the hospital. Still, there is scope to reduce the patient waiting time and paperwork duplication. Citation: Journal of Health Management PubDate: 2022-04-21T08:52:01Z DOI: 10.1177/09720634221087788
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Authors:Selahattin Akyüz, Yusuf Çelik First page: 290 Abstract: Journal of Health Management, Ahead of Print. This study aims at developing scale measuring attitudes of physicians against clinical practice guidelines (CPGs) and investigate whether the attitude of physicians against CPGs has an effect on the use of CPGs. ‘The Physicians’ Attitudes Against CPGs and The Use of CPGs’ was developed and used to collect data from the physicians working in a public education and research hospital. Physicians’ attitudes that were constructed as an upper latent variable were significant, positive and highly effective on the use of CPGs. Furthermore, the attitude upper latent variable explained 30% of the variance in the observed variable for the use of CPGs. The attitude upper latent variable was affected significantly, positively and at a remarkably high level by positive attitude latent variable while it was affected significantly, negatively and at a remarkably high level by negative attitude latent variable. Physicians’ attitudes against CPGs were found to be a highly important factor in the use of CPGs. And it was also observed that physicians’ positive attitudes against CPGs affected the use of CPGs in a positive way while negative attitudes had negative effect on use of CPGs. Citation: Journal of Health Management PubDate: 2022-04-09T07:02:04Z DOI: 10.1177/09720634221088109
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Authors:Neetu Purohit, Seema Mehta, Md M. Hossain First page: 298 Abstract: Journal of Health Management, Ahead of Print. Discussion of ethics in the public health arena has primarily focused on the practices of public health doctors and professionals. The community could not get the required attention in terms of their role in compliance with the communication in the form of public health advisory in times of public health crisis. Even though public health is the societal approach to protecting and promoting health, ethics in public health have prioritised behaviours of and moral dilemmas faced by public health professionals only. Leaving out the community’s responsibility makes the entire gamut of public health efforts incomplete and deficient. Amid the COVID-19 pandemic, non-compliance to the public health advisory raised an important aspect of expectation of ethical behaviour by the community and what could facilitate and hinder compliance of ethical behaviour ensuring the safety of self and others. Public health ought to consider the community as not only an important but also responsible stakeholder in its pursuit of promotion of health and prevention of disease. Citation: Journal of Health Management PubDate: 2022-04-13T10:35:15Z DOI: 10.1177/09720634221088065
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Authors:Vijayetta Sharma, Pawan K. Kamra First page: 304 Abstract: Journal of Health Management, Ahead of Print. The value information leads to effective utilisation of services. The study identifies the gap in information about maternal health services and their utilisation. The information which has led to utilisation of services can be assiduously labelled as value information or value awareness. The relationship has been explored between awareness about maternal health services and service utilisation among Janani Suraksha Yojana (JSY) beneficiaries in Punjab, a high-performing state in India as per NRHM. Further, an assessment of impact of demographics on beneficiaries with information and those who utilised the services has been explored. Information received and utilisation of ante-natal checkups (ANC), delivery care and post-natal checkups (PNC) services have been studied for two districts in the state of Punjab, India. Chi-square test has been applied to know the association between the maternal health services and the select districts with respect to information and services utilised. Impact of demographic variables such as age, education, income and caste have been evaluated for information and utilisation of maternal health services. The dispersed information that has not triggered in utilisation of services by JSY beneficiaries have been used as an ingredient to explore and understand the deterring factors in non-utilisation of maternal care services in the rural areas of developing country like India. Results highlight that a significant association exists between the utilisation of maternal health services among the select districts in the state of Punjab (χ2 = 8.73, p-value = 0.0127); however, there is no association between the informed beneficiaries and the districts for the maternal health services. No impact of demographic variables has been found on the beneficiaries with information about maternal health services and those who utilised the services. The gap in awareness and utilisation of services throws light on the lurking concerns of unrecognised benefits, uncaring attitude towards health, prejudices about institutional delivery and PNC being considered an unimportant service among the beneficiaries. Citation: Journal of Health Management PubDate: 2022-05-03T11:04:49Z DOI: 10.1177/09720634221088128
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