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International Journal of Health Planning and Management

Shivendra Sangar, Varun Dutt, Ramna Thakur
INTRODUCTION: The high share of out-of-pocket (OOP) health expenditure imposes an extreme financial burden on households, and they have to incur a substantial amount of expenditure to avail health care services. This study analyses the inter-state differentials in the economic burden of OOP health expenditure, resultant impoverishment impact, and sources of finance used as coping mechanisms. MATERIALS AND METHODS: The study is based on health expenditure survey, namely the 71st Round on "Key Indicators of Social Consumption in India: Health," (2014) conducted in India by the National Sample Survey Organisation...
September 19, 2018: International Journal of Health Planning and Management
Mu'taman Jarrar, Mohd Sobri Minai, Mohammad Al-Bsheish, Ahmed Meri, Mustafa Jaber
BACKGROUND: There is no clear evidence that can guide decision makers regarding the appropriate shift length in the hospitals in Malaysia. Further, there is no study that explored the value of patient-centered care of nurses working longer shifts and its impact on the care outcomes. OBJECTIVE: The study aims to investigate the effect of the hospital nurse shift length and patient-centered care on the perceived quality and safety of nurses in the medical-surgical and multidisciplinary wards in Malaysia...
September 17, 2018: International Journal of Health Planning and Management
Sıdıka Kaya, Gulay Sain Guven, Seda Aydan, Onur Toka
OBJECTIVE: This study aimed to identify predictors of internal medicine patients' readmission to hospital, using Andersen's behavioral model. METHODS: This prospective cohort study included 2622 patients aged ≥18 years, who were admitted to internal medicine wards at a university hospital between 1 February 2015 and 31 January 2016. Independent variables were divided into four groups (predisposing, enabling, need, and utilization), based on Andersen's model, and included in stepwise logistic regression analysis...
September 17, 2018: International Journal of Health Planning and Management
Ejemai Amaize Eboreime, John Eyles, Nonhlanhla Nxumalo, Oghenekome Lauretta Eboreime, Rohit Ramaswamy
BACKGROUND: Effective implementation processes are essential in achieving desired outcomes of health initiatives. Whereas many approaches to implementation may seem straightforward, careful advanced planning, multiple stakeholder involvements, and addressing other contextual constraints needed for quality implementation are complex. Consequently, there have been recent calls for more theory-informed implementation science in health systems strengthening. This study applies the quality implementation framework (QIF) developed by Meyers, Durlak, and Wandersman to identify and explain observed implementation gaps in a primary health care system improvement intervention in Nigeria...
September 14, 2018: International Journal of Health Planning and Management
Paulo Ferrinho, Maria da Luz Lima Mendonça, António Pedro Delgado
Cape Verde is a small island developing state (SIDS). The health sector is guided by strategic and programmatic documents of the Ministry of Health. The objective of this paper is to understand the planning capacity and experience of its Public Health Officers. A questionnaire was applied to 27 Cape Verdean public health officers in order to collect data on participation in health sector planning: 17 were returned and analyzed. This study identifies a youthful, medically trained, but poorly differentiated, public health cadre, without the technical competences to plan the changes needed for the health sector...
September 13, 2018: International Journal of Health Planning and Management
Yi-Ting Lee, Yen-Han Lee, Warren A Kaplan
National Health Insurance (NHI) was implemented in Taiwan in 1995, and has significantly increased coverage to 99% of the population. The implementation of NHI has had large impacts on health disparities. Despite that, the NHI faces multiple challenges, including the condition of "coverage without access" among the Taiwanese aboriginal population, mostly residing in mountainous townships and experiencing lower socioeconomic status, decreased health outcomes, and limited access to adequate high-quality health care services...
September 13, 2018: International Journal of Health Planning and Management
Bakhtiar Piroozi, Arash Rashidian, Amirhossein Takian, Mohammad Amerzadeh, Minoo Alipouri Sakha, Obeidollah Faraji, Ghobad Moradi
OBJECTIVE: The study aims to assess the impact of health transformation plan (HTP) as a major health system reform on hospitalization rate in Iran. Health transformation plan adopted different measures to increase the coverage of basic health insurance, increase the quality of outpatient visit care, improve and expand the family physician program, expand health services to suburban areas, reduce out-of-pocket (OOP) payments for inpatient services, and update tariffs to more realistic ones...
September 12, 2018: International Journal of Health Planning and Management
Hanadi Hamadi, Emma Apatu, Chung-Ping Albert Loh, Hyett Farah, Kirk Walker, Aaron Spaulding
The shift from a fee-for-service payment to a value-based payment scheme, sparked by the Patient Protection and Affordable Care Act, introduced pay-for-performance programs such Hospital Value Based Purchasing. Previous inquiry has not considered how local community factors may affect hospital system performance. This study investigated the association between local health performance and minority population in a hospital referral region (HRR). The primary objective was to ascertain whether community diversity levels are significantly associated to local health performance guided by the ecological model...
September 12, 2018: International Journal of Health Planning and Management
Marina Damián Sanz, José A Yagüe-Fabra, Rosa Gracia Matilla
The purpose of this study was to improve the organization of work, reduce physical effort, and obtain greater satisfaction of workers in the Pre-analytical Area of the Clinical Biochemistry Service at the Miguel Servet University Hospital of Zaragoza, in Spain, by applying Lean techniques. Such techniques were applied in two steps to obtain a final situation where the reduction of the space occupied, the required physical effort, and the work time is clear. The satisfaction of the workers was analyzed during the whole process by means of surveys, concluding that the sum of all the improvements managed to increase the satisfaction of the professionals...
September 11, 2018: International Journal of Health Planning and Management
Feng-Yuan Chu, Yin-Mei Chao, Li-Fang Chou, Tzeng-Ji Chen
INTRODUCTION: International medical graduates (IMGs) play an important role in many Western countries because of globalization and physician shortages. While the IMGs investigated in most studies were immigrants, few studies have considered the situation in which people native to a given country have studied medicine abroad and then returned to practice in their home country. To illustrate that situation, our study aimed to investigate practicing IMGs in Taiwan by comparing practicing physicians' nationalities to the countries in which the medical schools the IMGs graduated from are located...
September 11, 2018: International Journal of Health Planning and Management
Camilla Lawaetz Wimmelmann
Governments of welfare states are firmly committed to public health, resulting in a substantial number of public health policies. Given the multilevel structure of most welfare systems, the influence of a public health policy is related to its ability to spread geographically and move across organisational levels. Visiting, observing, and interviewing 15 policy workers from 10 municipalities during a 2-year period, this study investigated what happened to a Danish national health promotion policy as it was put into practice and managed in the Danish municipalities...
September 10, 2018: International Journal of Health Planning and Management
Diogo Cunha Ferreira, Alexandre Morais Nunes
The present study aims to analyse the efficiency scores of hospital units, with reference to the five Portuguese health administrative regions (North, Centre, Lisbon and Tagus Valley, Alentejo, and Algarve). This paper contextualizes the process of decentralization of health in Portugal (started 1993) as well as the hospitals' corporatization and merging reforms (started 2002). These reforms aimed to meet health care needs by optimizing costs, improving efficiency, and broadening both access and quality in health services...
September 10, 2018: International Journal of Health Planning and Management
Oyunchimeg Erdenee, Indermohan S Narula, Chiho Yamazaki, Satomi Kameo, Hiroshi Koyama
Nearly half of the countries in the world are in the process of reforming and strengthening their health care systems. More recently, even low-income and middle-income countries such as Mongolia have focused increasing attention on achieving universal health coverage (UHC). At this critical point, it is necessary to track recent progress and adjust health care strategies and planning. Therefore, this study analyzed changes in the health sector toward achieving UHC based on relevant literature, government documents, and framework analysis...
September 6, 2018: International Journal of Health Planning and Management
Andrew J Mirelman, Antonio J Trujillo, Louis W Niessen, Sayem Ahmed, Jahangir A M Khan, David H Peters
When facing adverse health from noncommunicable disease (NCD), households adopt coping strategies that may further enforce poverty traps. This study looks at coping after an adult NCD death in rural Bangladesh. Compared with similar households without NCD deaths, households with NCD deaths were more likely to reduce basic expenditure and to have decreased social safety net transfers. Household composition changes showed that there was demographic coping for prime age deaths through the addition of more women...
September 5, 2018: International Journal of Health Planning and Management
Muhammad Ahmed Alshyyab, Gerard FitzGerald, Kaeleen Dingle, Joseph Ting, Paula Bowman, Frances B Kinnear, Erika Borkoles
Patient safety culture is a critical component of modern health care. However, the high-paced, unpredictable nature of the emergency department (ED) environment may impact adversely on it. The aim of this paper is to explore the concept of patient safety culture as it may apply to emergency health care, and to propose a conceptual framework that could form the basis for interventions designed to improve it. This is a systematic review of the literature. A search was undertaken of common electronic bibliographic databases using key words such as safety culture, safety climate, and Emergency Department...
September 5, 2018: International Journal of Health Planning and Management
Roksana Dela, Katarzyna Dubas-Jakóbczyk, Ewa Kocot, Christoph Sowada
Cancer is one of the leading causes of morbidity and mortality worldwide with a significant economic impact which has been increasing in recent decades. Numerous expert groups and/or international organizations have developed guidelines on how to build effective cancer control mechanisms, while in the European Union the majority of countries have developed national programmes. In Poland, cancer is the second leading cause of death. Compared with other European countries, Poland is characterized by a relatively low cancer incidence ratio, yet in terms of mortality and survival ratios, the situation is much worse than the average...
September 5, 2018: International Journal of Health Planning and Management
Susan Higman, Vikas Dwivedi, Alpha Nsaghurwe, Moses Busiga, Hermes Sotter Rulagirwa, Dasha Smith, Chris Wright, Ssanyu Nyinondi, Edwin Nyella
BACKGROUND: Enterprise Architecture (EA) integrates business and technical processes in health information systems (HIS). Low-income and middle-income countries (LMIC) use EA to combine management components with disease tracking and health care service monitoring. Using an EA approach differs by country, addressing specific needs. METHODS: Articles in this review referenced EA, were peer-reviewed or gray literature reports published in 2010 to 2016 in English, and were identified using PubMed, Scopus, Web of Science, and Google Scholar...
September 5, 2018: International Journal of Health Planning and Management
Limei Jing, Kun Liu, Xuhong Zhou, Li Wang, Yao Huang, Zhiqun Shu, Jiquan Lou, Jincheng Fan, Xiaoming Sun
To tackle the shortage of health personnel in the rural areas of Pudong New Area of Shanghai, the local government issued an incentive policy as one of the medical reforms. The current investigation focused on the relevant incentive measures and their corresponding effects and problems with a view to providing referential and useful experiences for those who are engaged in addressing the same problem at home and abroad. The details of the incentive policy were derived from the government document, and the related data about the flow of the rural community health care providers, from the institutional investigation...
August 31, 2018: International Journal of Health Planning and Management
Won Lee, So Yoon Kim, Sang-Il Lee, Sun Gyo Lee, Hyung Chul Kim, Insook Kim
We explored the barriers to reporting patient safety incidents experienced by nurses and resident physicians while working in tertiary hospitals in South Korea. Sixteen in-depth interviews with 10 nurses and 6 resident physicians, all of whom had experienced patient safety incidents, were conducted. The interviews were analyzed using directed content analysis in accordance with a coding scheme developed in this study, which contains 4 categories (incidents and reporters, reporting procedures and systems, feedbacks, and reporting culture) and 9 subcategories...
August 30, 2018: International Journal of Health Planning and Management
Saad Ahmed Javed, Sifeng Liu, Amin Mahmoudi, Muhammad Nawaz
PURPOSE: The study aims to evaluate the comprehensive relationship between patient satisfaction and five dimensions of health care service quality in Pakistani public/private health care sectors, using a novel grey relational analysis (GRA) models and the Hurwicz criteria of decision making under uncertainty. DESIGN/METHODOLOGY/APPROACH: Data were collected from private and public health care facilities of Pakistan through an improved SERVQUAL instrument. Deng's GRA, absolute GRA, and the second synthetic GRA models were applied to address the problem under study...
August 30, 2018: International Journal of Health Planning and Management
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