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International Journal of Health Planning and Management

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https://read.qxmd.com/read/30762907/research-evidence-on-strategies-enabling-integration-of-electronic-health-records-in-the-health-care-systems-of-low-and-middle-income-countries-a-literature-review
#1
REVIEW
Manish Kumar, Javed Mostafa
Integration of electronic health records (EHRs) in the national health care systems of low- and middle-income countries (LMICs) is vital for achieving the United Nations Sustainable Development Goal of ensuring healthy lives and promoting well-being for all people of all ages. National EHR systems are increasing, but mostly in developed countries. Besides, there is limited research evidence on successful strategies for ensuring integration of national EHRs in the health care systems of LMICs. To fill this evidence gap, a comprehensive survey of literature was conducted using scientific electronic databases-PubMed, SCOPUS, Web of Science, and Global Health-and consultations with international experts...
February 14, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30762906/identifying-the-health-problems-of-slum-residents-using-social-determinants-of-health-kerman-iran
#2
Mahmood Nekoei-Moghadam, Narges Heidari, Mohammadreza Amiresmaeili, Majid Heidarijamebozorgi
INTRODUCTION: Although slum emerged in industrialized countries, today, all cities in the world are somehow facing this phenomenon. Slums create many problems in different areas, especially health for residents. Therefore, this research was conducted with the aim of identifying the health problems of the slum residents of Kerman city by using the social determinant of health approach. METHOD: The present study is an applied study that was carried out qualitatively using semistructured interviews...
February 14, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30762904/patient-costs-of-hypertension-care-in-public-health-care-facilities-in-kenya
#3
Robinson Oyando, Martin Njoroge, Peter Nguhiu, Fredrick Kirui, Jane Mbui, Antipa Sigilai, Zipporah Bukania, Andrew Obala, Kenneth Munge, Anthony Etyang, Edwine Barasa
BACKGROUND: Hypertension in low- and middle-income countries, including Kenya, is of economic importance due to its increasing prevalence and its potential to present an economic burden to households. In this study, we examined the patient costs associated with obtaining care for hypertension in public health care facilities in Kenya. METHODS: We conducted a cross-sectional study among adult respondents above 18 years of age, with at least 6 months of treatment in two counties...
February 14, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30734974/exploring-relevance-public-perceptions-and-business-models-for-establishment-of-private-well-water-quality-monitoring-service
#4
Kalen K Thomson, Arifur Rahman, Tom J Cooper, Atanu Sarkar
Existing public policies mostly focus on public water systems, leaving aside the quality issues regarding private wells in small and rural locations. Establishment of affordable and accessible water quality monitoring services may ensure acceptable levels of all the parameters. This paper aims to explore (a) health risk because of chemical contaminants of private wells, (b) population perspective on well water quality and monitoring, and (c) to create a business model of a centralized water quality monitoring service...
February 8, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30734968/social-adaptation-and-adaptation-pressure-among-the-drifting-elderly-in-china-a-qualitative-study-in-shanghai
#5
Yuhui Ruan, Demi Zhu, Jun Lu
OBJECTIVE: In China, a population of "drifting elderly" that is mainly composed of older parents who migrate for nonemployment reasons has emerged and developed rapidly. The need to understand their social adaptation after migration is well recognized but neglected, so we explored this in the current study. METHODS: A qualitative study using a grounded theory approach was undertaken involving 53 elderly interprovincial migrants in five districts of Shanghai from July 2016 to May 2018...
February 8, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30734967/role-of-community-resource-persons-in-improving-use-of-modern-family-planning-methods-among-women-of-reproductive-age-in-a-rural-area-in-ebonyi-state-nigeria
#6
Ifeyinwa C Akamike, Chinyere Mbachu, Chika Onwasigwe, Ijeoma Okedo-Alex, Irene Eze, Nelson Eze
BACKGROUND: The study set out to determine the role of community resource persons in improving uptake of modern family planning methods among women of reproductive age in Ebonyi State. METHODS: A non-randomized intervention study with control was done. A multistage sampling technique was used to select a sample of 484 in union women of reproductive age. Data were collected using a pretested structured questionnaire. Community resource persons were trained to provide culturally appropriate information on family planning to men and women in the community...
February 8, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30734966/exploring-trade-offs-between-staffing-levels-and-turnaround-time-in-a-pathology-laboratory-using-discrete-event-simulation
#7
Kanokporn Pongjetanapong, Cameron Walker, Michael O'Sullivan, Margaret Lovell-Smith, Nikolaus Furian
Many health delivery services have required performance targets. Typically, these targets are presented as percentiles of patients to be seen within specified timeframes. These targets present hospital administrators with a resourcing problem complicated by conflicting objectives: How to minimize costs while maximizing throughput to achieve the performance targets? In this paper, we describe the use of a simulation model to evaluate the effect of changes to staff levels in a cytology department, investigating the trade-off between staff levels and turnaround times in light of performance targets specified by government...
February 8, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30729610/hospital-productivity-the-role-of-efficiency-drivers
#8
Manhal Ali, Reza Salehnejad, Mohaimen Mansur
A major feature of health-care systems is substantial variation in hospital productivity. Hospital productivity varies widely across countries. The presence of such variation suggests potential areas for improvement, which can substantially lower health-care costs. This research aims to investigate factors that may explain variations in hospital productivity by constructing a longitudinal data (panel) on English NHS hospital trusts. It also seeks to explore possible interactions among the factors in a data-driven manner...
February 6, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30729577/administrators-health-service-providers-and-consumers-perspectives-of-functions-of-district-health-care-systems-in-oromia-region-ethiopia-a-qualitative-study
#9
Elias Ali Yesuf, Eva Grill, Günter Fröschl, Daniela Koller, Damen Haile-Mariam
The practice of functions of district health-care systems in Ethiopia is not clear. The aim of this study was to investigate the perspectives of administrators, health service providers, and health-care consumers regarding functions of district health-care systems as currently practiced. Grounded theory approach was applied using interviews and desk review of documents. This study was set up in Oromia National Regional State, Ethiopia. Inductive analysis of interviews was done. Interviews and document reviews were mirrored...
February 6, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30729574/early-effect-of-the-fear-of-terrorism-on-a-hospital-s-emergency-department-use-and-on-the-incidence-of-cardiovascular-events-a-turkish-multicenter-study
#10
Mehmet Hursitoglu, Gulcin Sahingoz Erdal, Esra Akdeniz, Hakan Kocoglu, Nursel Kocamaz, Isil Ozbas Tevetoglu, Haluk Yucel, Ozlem Harmankaya, Aytekin Guven, Murat Akarsu, Tufan Tukek, Guzin Ozturk, Halil Dogan, Banu Karakus Yilmaz, Mehmet Emin Gunes, A Baki Kumbasar
BACKGROUND: To our knowledge, the early effect of the fear caused by terrorism on human health, especially its effect on the number of visits to medical emergency departments (EDs), has not yet been studied. OBJECTIVES: To observe the effect of fear from terrorist alerts on the use of EDs and on the rate of cardiovascular (CV) and/or cerebrovascular events. SETTING: In Istanbul, Turkey, there was a terror alert on the weekend of 19 and 20 March 2016...
February 6, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30706968/measuring-the-effect-of-health-on-the-income-of-people-living-in-extreme-poverty-a-comparative-cross-sectional-analysis
#11
Xuejiao Liu, Liang Zhang, Ruibo He, Zhong Li, Yue Wu, Boyang Li
BACKGROUND: Through a review of the literature, we have observed that existing studies primarily focus on defining and measuring poverty, identifying the factors that affect poverty, and proposing anti-poverty strategies. The impact of health on income in the context of extreme poverty has not been adequately studied. In China, 30 million people live below the poverty line, and poverty caused by illness accounts for nearly 44% of the total number of recorded incidents. Health impaired by disease has become the largest obstacle to escaping extreme poverty...
February 1, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30706967/examining-the-organizational-factors-that-affect-health-workers-attendance-findings-from-southwestern-uganda
#12
Miriam N Mukasa, Ozge Sensoy Bahar, Fred M Ssewamala, Gwyn KirkBride, Apollo Kivumbi, Flavia Namuwonge, Christopher Damulira
Sub-Saharan Africa experiences human resources crisis in the health sector. Specifically, Uganda faces significant shortages in health care workforce at all levels. However, there is limited literature on factors contributing to health care workforce absenteeism. This study aims to explore reasons for absenteeism among health workers in rural Uganda. Data were collected using a demographic questionnaire and focus groups. Eight focus groups were conducted with participants (n = 27) selected from 39 selected health centers...
February 1, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30680806/is-china-facing-the-social-risks-associated-with-reliance-on-hospitalization-for-the-care-of-the-elderly-with-chronic-diseases
#13
Weidong Dai
This study aims to investigate if China is facing the social risks associated with reliance on hospitalization for the care of the elderly with chronic diseases. Textual studies and big data analysis indicate the following outcomes: (1) The elderly population suffering from chronic diseases is expanding rapidly, while the prevalence rate also shows a growing trend; (2) the reliance on hospitalization for the care of the elderly patients exists and has caused three new social risks; and (3) these social risks are wasted health resources, poverty between individuals and families, and relative increase in the disability rate of the elderly after hospital admission...
January 24, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30680799/factors-influencing-the-selection-of-a-picture-archiving-and-communication-system-a-qualitative-study
#14
Misagh Zahiri Esfahani, Jamileh Farokhzadian, Kambiz Bahaadinbeigy, Reza Khajouei
BACKGROUND: Picture Archiving and Communication System (PACS) is an evolving technology in health care domains that is used for storage, management, retrieval, transfer, and delivery of medical images. Some medical centers in Iran have installed the PACS in recent years but have not used it appropriately. One of the problems in implementing this system is inability to select appropriate PACS. Several factors are involved in the selection process. The objective of this study was to determine the factors that influence PACS selection...
January 24, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30680789/integrating-reproductive-and-child-health-services-enables-access-to-modern-contraception-in-sierra-leone
#15
Ami S Koroma, Sonya K Ghatahora, Mariama Ellie, Anita Kargbo, Umu H Jalloh, Abdulai Kandeh, Henry Alieu, Mariama Y Bah, Hamid Turay, Mustapha Sonnie, Santigie Sesay, Mary H Hodges, David Doledec
BACKGROUND: From mid-2015, reproductive and child health interventions were integrated into a routine 6-month contact point: vitamin A supplementation, nutrition counseling with the mother's participation in the preparation of a complementary food, and confidential family planning counseling with provision of modern forms of contraceptives. By mid-2017, these services had reached 28% of health facilities nationwide. OBJECTIVE: To evaluate awareness and uptake of modern contraception and complementary feeding practices...
January 24, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30680786/patient-safety-policies-guidelines-and-protocols-in-bhutan
#16
Rinchen Pelzang, Alison M Hutchinson
OBJECTIVE: The aim of the study was to explore what policies and guidelines related to patient safety have been developed and operationalized in the Bhutanese healthcare system. METHODS: The study was conducted as a qualitative exploratory descriptive inquiry using policy and guidelines document review/analysis. Quality care and patient safety policy and guidelines documents were manually collected from the Ministry of Health and three different levels of hospitals (national referral, regional referral, and district hospitals) and reviewed...
January 24, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30675744/patient-safety-attitude-in-primary-health-care-settings-in-giza-egypt-cross-sectional-study
#17
Arwa Mohamed Hosney El Shafei, Mouchira Amin Zayed
BACKGROUND: Although there is increasing interest in patient safety, yet there is a general lack of awareness of the problem. This study aims to investigate patient safety attitudes among health care providers in primary health care (PHC) facilities in Egypt through employing the Safety Attitudes Questionnaire in order to explore the areas of deficiency and opportunities for improvement concerning patients' safety. METHODS: A cross-sectional study was conducted in an urban PHC and one rural unit where 130 working team at the time of the study was interviewed with response rate of 63...
January 23, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30657206/a-grounded-theory-study-of-the-narrative-behind-indian-physiotherapists-global-migration
#18
Kate Grafton, Frances Gordon
It is estimated that an additional 6.4 million allied health professionals are required to address India's health challenges. Physiotherapy is amongst the largest of these professions. Over the last decade, thousands of Indian physiotherapists have sought to study and work overseas. In this study, 19 physiotherapists from across India were interviewed. Data were collected and analysed using construct+ivist grounded theory methods. The findings indicate that the Indian physiotherapy profession faces many political and clinical hierarchical challenges within the Indian healthcare infrastructure...
January 18, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30657201/women-s-right-to-health-in-iran-domestic-implementation-of-international-human-rights-law
#19
Fatemeh Kokabisaghi
In Iran, discrimination based on gender in enjoyment of the right to health is prohibited. Making health services physically and financially accessible to the entire population and removing social and cultural barriers of women's access to health services are main considerations of the health laws and policies of Iran. The health of Iranian women has improved considerably in recent years. But there are disparities in health status and access of women to health services around the country. Some groups of women, including the poor, the elderly, the disabled, the illegal immigrant, and those without an appropriate male guardian, and rural women have limited access to health services in Iran...
January 18, 2019: International Journal of Health Planning and Management
https://read.qxmd.com/read/30657200/understanding-factors-influencing-home-delivery-in-the-context-of-user-fee-abolition-in-northern-ghana-evidence-from-2014-dhs
#20
John Kuumuori Ganle, Musah Salifu Mahama, Ernest Maya, Abubakar Manu, Kwasi Torpey, Richard Adanu
User-fee exemption for skilled delivery services has been implemented in Ghana since 2003 as a way to address financial barriers to access. However, many women still deliver at home. Based on data from the 2014 Ghana Demographic and Health Survey, we estimated the prevalence of home delivery and determined the factors contributing to homebirths among a total of 622 women in the Northern region in the context of the user-fee exemption policy in Ghana. Binary and multivariate logistic regression analyses were employed...
January 18, 2019: International Journal of Health Planning and Management
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