scholarly journals Influencing factors of physicians’ prescription behavior in selecting essential medicines: a cross-sectional survey in Chinese county hospitals

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xin Zhou ◽  
Xueting Zhang ◽  
Linsheng Yang ◽  
Xu Hu ◽  
Aizong Shen ◽  
...  
Keyword(s):  
Health Care ◽  
Structural Equation Model ◽  
Influencing Factors ◽  
Structural Equation ◽  
Essential Medicine ◽  
Equation Model ◽  
Essential Medicines ◽  
Actual Behavior ◽  
Cross Sectional ◽  
Factors Affecting

Abstract Background To explore the key factors affecting prescription practices of essential medicines in Chinese county hospital. National essential medicine policy (NEMP) plays important roles in health care system, especially in developing countries. As a fundamental component in the Chinese health system reform, NEMP was implemented in primary health care institutions during the first stage of reform. As it is rolled out, priority usage and zero-mark-up policy of essential medicines are to be applied in every government-run healthcare institution. However, the intention and influence factors of physicians on priority selecting essential medicine remains unclear. Methods Based on the theory of planned behavior, a cross-sectional questionnaire survey was conducted to analyze physicians’ intention, attitude, subjective norms (SNs) and perceived behavioral control (PBC) on prescrictions and their actual behavior on selection of essential medicines. Results Two hundred eighty-two physicians participated in the structural questionnaire interview. The final structural equation model reflected influencing factors affecting physicians’ prescribing behavior (χ2/df = 1.32, GFI = 0.99, IFI = 0.99). Structural equation model analysis showed that attitude, other influencers and institutional environment, and PBC significantly affected behavioral intention. However, the control extent of cognition behavior of physicians prescribing had no significant positive effect on the priority usage of essential medicines. Conclusion Investigation results demonstrate physicians are unaware of NEMP design and implementation plans. To help enhance rational use of essential medicines we suggest educating physicians on the value of NEMP, and integrating the drug shortage report into the essential medicine (EM) bidding system seamless communication with pharmaceutical manufacturers’ credit information system.

Upaya Preventif, Mutu, Kepuasan Dan Loyalitas Ibu Hamil Terhadap Minat Kunjungan Ulang di Klinik Abdi Persada Banjarmasin

2019 ◽  
Vol 2 (1) ◽  
pp. 69-84
Author(s):  
Nur Cahyani Ari Lestari
Keyword(s):  
Structural Equation Model ◽  
Structural Equation ◽  
Equation Model ◽  
Cross Sectional

Upaya preventif dalam kesehatan dan peningkatan mutu pelayanan merupakan salah satu ukuran dari kepuasan pasien dan loyalitas pasien yang mempengaruhi keinginan pasien untuk melakukan kunjungan ulang kembali terhadap penyedia jasa layanan kesehatan tersebut. Penelitian ini bertujuan untuk mengetahui pengaruh langsung maupun tidak langsung serta besaran antara upaya preventif, mutu pelayanan kepuasaan dan loyalitas ibu hamil terhadap minat kunjungan ulang ibu hamil di Klinik Abdi Persada Banjarmasin Tahun 2018. Penelitian ini, menggunakan metode cross sectional. Populasinya adalah ibu hamil yang memeriksakan kehamilannya di Klinik Abdi Persada Banjarmasin. Sampel penelitian ini berjumlah 90 orang ibu hamil. Penelitian ini menggunakan metode analisis Structural Equation Model menggunakan Smart PLS 2.0 dan SPSS 18. Hasil pengujian hipotesis dengan Structural Equation Model (SEM) dengan metode smartPLS menghasilkan temuan penelitian yaitu upaya preventif (24,56%), mutu pelayanan (26,89%), kepuasan (8,13%) dan loyalitas (38,33%). Loyalitas ibu hamil merupakan faktor dominan yang mempengaruhi minat kunjungan ulang ibu hamil di Klinik Abdi Persada Banjarmasin. Model - Model hasil analisis dapat menjelaskan 99,9% keragaman data dan mampu mengkaji fenomena yang dipakai dalam penelitian, sedangkan 0,1% dijelaskan komponen lain yang tidak ada dalam penelitian ini. Dapat disimpulkan bahwa terdapat pengaruh antara upaya preventif, mutu pelayanan, kepuasan dan loyalitas tehadap minat kunjungan ulang ibu hamil. Sarannya sebagai masukkan untuk lebih meningkatkan pelayanan kepada ibu hamil dalam pemeriksaan kehamilannya sehingga memberikan kepuasan ibu hamil agar dapat berkunjung kembali. Kata Kunci: Preventif, Mutu Pelayanan, Kepuasaan, Loyalitas, Kunjungan Ulang

scholarly journals Structural Equation Model for Evaluating Factors Affecting Quality of Social Infrastructure Projects

2018 ◽  
Vol 10 (5) ◽  
pp. 1415 ◽  
Author(s):  
Shahid Hussain ◽  
Zhu Fangwei ◽  
Ahmed Siddiqi ◽  
Zaigham Ali ◽  
Muhammad Shabbir
Keyword(s):  
Structural Equation Model ◽  
Structural Equation ◽  
Equation Model ◽  
Infrastructure Projects ◽  
Social Infrastructure ◽  
Factors Affecting

scholarly journals Factors Affecting University Students’ Perspectives on Cyberbullying Factors Affecting

2021 ◽  
Vol 11 (2) ◽  
pp. 257-264
Author(s):  
Ayşe TAŞTEKİN OUYABA
Keyword(s):  
Health Behaviors ◽  
Structural Equation ◽  
Cross Sectional Study ◽  
Health Sciences ◽  
Equation Model ◽  
Cyber Victimization ◽  
Chi Square ◽  
Cross Sectional ◽  
Behavioral Skills ◽  
Factors Affecting

This research is a cross-sectional study. It was conducted with 340 students studying at the Faculty of Health Sciences of the Afyonkarahisar Health Sciences University. Data were collected through a questionnaire. T-test, Mann Whitney U, and Chi-square test were used to compare the sociodemographic and internet usage characteristics of the students according to their gender. Data were evaluated with Structural Equation Model. Being a woman is associated with better motivation (β: = -.20, p = 0.000) and health behaviors (β= -.22, p = 0.000). High motivation is associated with better behavioral skills (β= .15, p = 0.005) and better health behaviors (β= .28, p = 0.000). Better health behaviors indicate a decrease in cyber victimization (β= -.11, p = 0.042). It was observed that female students’ sensitivity towards preventing and preventing cyberbullying was higher than male students. Students with a high level of motivation have better behavioral skills and health behaviors. Students with better behavioral skills and health behaviors were less exposed to cyber victimization.

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