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International Scientific Journals from Jaypee
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International Journal of Research Foundation of Hospital and Health Care Administration
Current Issue : Volume 5, Issue 1, January-June 2017
 
 
1.  Editorial
Legal and Ethical Challenges in Healthcare Ecosystem
Shakti Kumar Gupta, Sunil Kant
[Pages No:iv]
Full Text PDF | Abstract | FREE

ABSTRACT

In recent times the print and social media is galore with adverse news regarding health sector such as doctor-pharma nexus, violence against doctors, medical negligence, cost of drugs/stents, kidney marriages, surrogacy and so on. Prime issues such as doctor-patient ratio, availability of health infrastructure, funding of healthcare system, etc. are generally not addressed. Healthcare industry is growing rapidly, however, some core ingredients such as care, compassion, empathy, trustworthiness and ethical considerations are losing their position of priority.

 
2.  Guest Editorial
Relections on Quality and Patient Safety at 2015: Progress and Opportunities
Sharon Kleefield
[Pages No:v-vii]
Full Text PDF | Abstract | FREE

ABSTRACT

It is a great privilege for me to share my personal and professional reflections on the current efforts to improve the quality and safety of patient care across borders. After completing my position as Director of Clinical Quality Improvement at an 800-bed tertiary care hospital affiliated with Harvard Medical School, in 2002, I was afforded the opportunity to collaborate with some Indian hospitals for designing quality management standards into their operating plan.

 
3.  ORIGINAL ARTICLE
Determining Organizational Learning Capability: A Study in Private Health Care Organizations
Serkan Deniz, Mesut Cimen, Seyit Kaya
[Pages No:1-7]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10035-1069 | FREE

ABSTRACT

Introduction: Due to the fast-changing and developing business environment, knowledge has become a very important resource for organizations. However, reaching and obtaining knowledge is difficult, the level of organizational learning capability (OLC) perception within the organization is a key for this. This is also true for health organizations. If health care organizations can increase their OLC levels, they might achieve an increase in organizational performance, patient satisfaction, competitive advantage, and employee satisfaction.

Objective: In this study, it is aimed to determine the level of OLC perception of employees working in private health care organizations. It is also aimed to examine whether this perception level shows variance according to demographic differences.

Materials and methods: Research was done between January 2017 and March 2017 in private health care organizations operating in Turkey. The population of the study includes both administrative staff and health staff working in these organizations. Survey method was used to collect data, and 111 valid questionnaires were collected at the end of data collection period.

Results and conclusion: According to the findings, employees perceive their organizations’ OLC level positively both for general OLC and for OLC subdimensions. However, it is also concluded that this perception level could be increased as well. In order to achieve this, health care organizations are required to encourage their employees toward learning, investigating, communication, risk taking, and participation.

Keywords: Health care organizations, Organizational learning, Organizational learning capability.

How to cite this article: Deniz S, Cimen M, Kaya S. Determining Organizational Learning Capability: A Study in Private Health Care Organizations. Int J Res Foundation Hosp Healthc Adm 2017;5(1):1-7.

Source of support: Nil

Conflict of interest: None

 
4.  ORIGINAL ARTICLE
Community-oriented Primary Care Services Model: Can it improve Morbidity Status in India? An Impact Evaluation Study
Sanjeev Davey, Pradeep K Kapoor, Meenu Bala, Jai V Singh, Santosh K Raghav, Nirankar Singh
[Pages No:8-14]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10035-1070 | FREE

ABSTRACT

Introduction: The community-oriented primary care (COPC) services model is an approach prescribed by the Medical Council of India for existing medical colleges in India from their respective urban and rural health training centers (RHTCs). However, the evidence of whether it is better as compared with pure primary health care approach in the Indian context is lacking in the literature. Therefore, it becomes imperative to study this area for its further expansion.

Materials and methods: The study was done in the catchment area of RHTC and neighboring primary health center (PHC; Makhiyali) attached to the medical college in the district of Western Uttar Pradesh in India. Three surveyed villages out of six villages from July 1, 2016, to December 31, 2016, were taken in this study. Finally, the COPC vs primary health care approach comparison was done on four outcome parameters.

Results: The utilization of COPC services from RHTC area as compared with primary health care services from PHC area was significantly better for all diseases combined (p < 0.005) and also in the category of management of upper respiratory tract infections (p < 0.0001) and nutritional deficiencies (p < 0.05). On further applying COPC services model, it was also found that RHTC services were significantly better as compared with PHC services in terms of socioeconomic impact on health from services (p < 0.0000), identification of health needs from services (p < 0.0000), and participation in health care services (p < 0.05).

Conclusion: The COPC services model appears to be successful in the delivery of health care services from RHTC of a medical college as compared with pure primary health care approach delivered from a PHC. However, authors suggest more in-depth multicentric studies on this issue before generalization of COPD model usage across the world.

Keywords: Community-oriented primary care, Primary health care, Primary health center, Rural area, Rural health training center.

How to cite this article: Davey S, Kapoor PK, Bala M, Singh JV, Raghav SK, Singh N. Community-oriented Primary Care Services Model: Can it improve Morbidity Status in India? An Impact Evaluation Study. Int J Res Foundation Hosp Healthc Adm 2017;5(1):8-14.

Source of support: Nil

Conflict of interest: None

 
5.  ORIGINAL ARTICLE
Policies and Procedures for Sound-alike and Look-alike Medications
Sheetal Singh, Angel R Singh
[Pages No:15-20]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10035-1071 | FREE

ABSTRACT

The sound-alike and look-alike (SALA) drug is one of the most common causes of medication error and is of fear globally. Thus, the probability for error due to confusing drug names is very high. The SALA drug names have become a significant challenge to pharmacists, nurses, patients, and doctors . With thousands of drugs currently on the market, the probability for error is significant. The purpose of this article is to formulate a policy that would help in minimizing medication errors arising with the use of SALA medications.

Keywords: Medication errors, Medication management, Patient safety, SALA medications

How to cite this article: Singh S, Singh AR. Policies and Procedures for Sound-alike and Look-alike Medications. Int J Res Foundation Hosp Healthc Adm 2017;5(1):15-20.

Source of support: Nil

Conflict of interest: None

 
6.  ORIGINAL ARTICLE
Cross-sectional Study on Utilization of Radiology and Imaging Equipment in the District Hospitals of Bangladesh
Md Mofazzal Hossain, Papia Sultana, M Shahjahan
[Pages No:21-28]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10035-1072 | FREE

ABSTRACT

A quality diagnosis mostly depends on the availability and proper utilization of radiology and imaging equipments in the modern medical technology. Every year, huge amount of revenue is spent to purchase costly and sophisticated radiology and imaging equipments for the district hospitals of Bangladesh. But radiology and imaging equipments are underutilized in most of the developing Asian and African countries, including Bangladesh. This descriptive cross-sectional study was conducted to find the functional status, workload, utilization, and factors affecting the utilization of radiology and imaging equipments in the district hospitals of Bangladesh. Interviewer-administered questionnaire was used to take interview of relevant human resources. Work time study method was applied where multiple checklists were used to measure consumed time for each procedure and daily actual work time of radiology and imaging equipments. In this study, 46.9% radiology and imaging equipments were found functional, 40.6% radiology and imaging equipments nonfunctional, and 12.5% radiology and imaging equipments functional but not in use. This study revealed that 53% of total radiology and imaging equipments of district hospitals were nonfunctional, and functional but not in use, where 8 equipments became nonfunctional before 10 years due to unavailability of spare parts and inadequate maintenance fund. Work time in radiography identified 83.51% and in ultrasonography (USG) 71.08% among the respondents of radiology and imaging department in the district hospitals. Utilization rate of general radiography equipments was found to be 67.01%, portable radiography equipments 16.5%, and USG equipments 71.08%. Average utilization rate of radiology and imaging equipments was found to be 51.53% in the district hospitals of Bangladesh. Utilization rate of radiology and imaging equipments more than 50% is considered as standard utilization. Current status of utilization rate needs to accelerate to get maximum turnover of the equipments among the district hospitals of Bangladesh. Important factors affecting the utilization of radiology and imaging equipments were observed - shortage of manpower, inadequate physical infrastructure, and less incorporation of advanced technology with existing facility.

Keywords: District hospital, Functional status, Radiology and imaging equipments, Utilization, Workload.

How to cite this article: Hossain MM, Sultana P, Shahjahan M. Cross-sectional Study on Utilization of Radiology and Imaging Equipment in the District Hospitals of Bangladesh. Int J Res Foundation Hosp Healthc Adm 2017;5(1):21-28.

Source of support: Nil

Conflict of interest: None

 
7.  ORIGINAL ARTICLE
Accreditation is not a One-time Process: Quality Assessment of Intensive Care Unit during Post-NABH Accreditation Period in a Tertiary Care Hospital
VK Tadia, Monalisa, Suneeta Dubey
[Pages No:29-41]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10035-1073 | FREE

ABSTRACT

Accreditation is an integral part of quality and it is not a onetime process. This study was done to know the extent to which hospitals maintain the standards after obtaining accreditation. This study tries to find out the gaps in standards during the postaccreditation period. The objective of the study was to assess the policies of the intensive care unit (ICU) with reference to standard protocols of the National Accreditation Board for Hospital and Health Care Providers (NABH) and measures taken by the management to maintain the standards. Data was collected from a 285-bedded NABH-accredited hospital that had five ICUs and four recovery rooms by means of nonparticipant observation, semistructured interviews. Data on indicators was collected by using the hospital management information system; the questionnaire on satisfaction was filled by 30 patients/relatives who were admitted in the ICU for more than a week. Quality team was interviewed to know the perception of the management toward quality and accreditation. To know the compliance of the staff to the NABH standards, a surprise check was done in three ICUs of the hospital.
Data analysis showed that the organization was not able to maintain the standards, as it had done at the time of accreditation. The quality team strongly accepted that accreditation helps in maintaining and improving quality, whereas the data from ICUs showed a wide variation in compliance. Three ICUs from the same hospital were having different compliance rates for standards, which shows that staff was not aware about the standard protocol to be followed. The patient-satisfaction questionnaire also showed that the patients were not satisfied with the services given.

Keywords: Accreditation, Continuous quality improvement, Postaccreditation, Quality.

How to cite this article: Tadia VK, Monalisa, Dubey S. Accreditation is not a One-time Process: Quality Assessment of Intensive Care Unit during Post-NABH Accreditation Period in a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2017;5(1):29-41.

Source of support: Nil

Conflict of interest: None

 
8.  ORIGINAL RESEARCH
Patient Satisfaction in Tertiary Private Hospitals in Najran, Kingdom of Saudi Arabia
Jordan H Llego, Mohammad O Al Shirah
[Pages No:42-46]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10035-1074 | FREE

ABSTRACT

Aim: This study is aimed to assess the level of satisfaction of patients in tertiary private hospitals in Najran, Kingdom of Saudi Arabia.

Materials and methods: This study used descriptive crosssectional design through a survey questionnaire.

Results: A great majority (57%) of respondents are male. Almost half (46.7%) of the respondents are 26 to 35 years old, some (30.3%) are more than 35 years old. The majority (54.5%) of hospitalized patients are married. Some (35.8%) of them reached the secondary level and some (31.5%) completed college. A great majority (57.6%) of the respondents’ salary was below 5,000 SR. A great majority pay their hospitalization by themselves (60.6%). Mean scores revealed: For facilities, the mean was 4.12, standard deviation (SD) = 0.85. For general services, the mean was = 4.13, SD= 0.77. The physician services scored mean = 4.06, SD= 0.88. The highest level of satisfaction according to mean is nursing services with mean= 4.22, SD= 0.80 and the lowest among the variables is convenience with mean= 4.05, SD= 0.84. The overall level of patient satisfaction with the services they received indicated by the mean is 3.91, SD= 1.1.

Conclusion: Researchers conclude that patients catered by the private tertiary hospitals in Najran Saudi Arabia are more of males, at middle adulthood, and are married who reached the secondary level and have an income of below 5,000 SR and have no health insurance. The level of satisfaction of patients in the private tertiary hospitals is satisfactory and that nursing service has the highest satisfaction level, which is very satisfactory.

Clinical significance: The findings of this study are beneficial to the success of the organization. A patient who is satisfied will spread his experience to other people. A satisfied patient will also equate to return of investment. Meeting satisfaction of patients will also decrease the risk of malpractice lawsuits.

Keywords: Malpractice lawsuits, Patient satisfaction, Tertiary private hospitals.

How to cite this article: Llego JH, Al Shirah MO. Patient Satisfaction in Tertiary Private Hospitals in Najran, Kingdom of Saudi Arabia. Int J Res Foundation Hosp Healthc Adm 2017;5(1):42-46.

Source of support: Nil

Conflict of interest: Noen

 
9.  ORIGINAL RESEARCH
Analyzing Competencies of Indian Health Care Leaders: Way Forward for Next Generation
SK Patnaik, Shakti K Gupta, S Kant, R Pillay
[Pages No:47-53]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10035-1075 | FREE

ABSTRACT

Introduction: Indian health care is experiencing a paradigm shift in terms of requirement of resources and changing demographic patterns. The customer-oriented and quality-conscious competitive environment has intensified the need for health care organizations to attain higher levels of organizational performance. Competencies of health care leaders play a pivotal role in deciding the organizations’ way forward and competencies are the cornerstone of organizational performance and quality standards. A cross-sectional study of select health care leaders of India was done from various hospitals and other health delivery agencies to identify and analyze the gaps in competencies.

Materials and methods: A cross-sectional study was planned amidst health care leaders of India so as to assess their leadership competencies. Health care leaders of India were identified after focused group discussion and senior health care leaders, such as directors, deans, CEOs, and principals were shortlisted for this study. Two structured questionnaires were administered to health care leaders of various hospitals in India. The ratings in the questionnaire were on a Likert scale ranging from very poor to excellent. Respondents were asked to self-evaluate various competencies and the same were analyzed using Statistical Package for the Social Sciences statistical software. Interpretation of results of data analysis was done.

Results: A total of 300 questionnaires were sent of which 106 questionnaires were completed and returned by select health care leaders. About 78 were doctors and 28 were nursing executives. The study has been able to identify deficiencies in the perceived “existing competency” and “required competency” levels in the selected competencies.

Conclusion: The findings of this study suggest that there is deficiency in perceived “existing competency” and “required competency” levels in the selected competencies of health care leaders. Indian health care leaders are operating at operational levels and have not graded themselves highly in transformational roles. There is a need for training to bridge the competency gap of Indian health care leaders.

Keywords: Accountability, Competencies, Health care, Health leaders, Medical technology, Process management, Strategic orientation.

How to cite this article: Patnaik SK, Gupta SK, Kant S, Pillay R. Analyzing Competencies of Indian Health Care Leaders: Way Forward for Next Generation. Int J Res Foundation Hosp Healthc Adm 2017;5(1):47-53.

Source of support: Nil

Conflict of interest: None

 
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