Demographic determinants of perception and usage of mobile health services in Australia (Preprint)

2019 ◽  
Author(s):  
Majharul Talukder ◽  
Seyed Sheriffdeen ◽  
Md Irfanuzzaman Khan ◽  
Ali Quazi ◽  
ABM Abdullah
Keyword(s):  
Health Services ◽  
Technology Acceptance ◽  
Mobile Health ◽  
Health Care Services ◽  
Willingness To Accept ◽  
Australian Health ◽  
Care Services ◽  
Government Initiative ◽  
F Statistics

BACKGROUND Mobile health services (mHealth) is an Australian government initiative aiming to improve the quality of health care services. However, little is known about Australian health consumers’ willingness to accept and use mobile health services (mHealth). OBJECTIVE While various factors may impact on users’ willingness to accept mHealth, this research investigates whether users’ demographics have any impact on the implementation of mHealth which has been rarely addressed in an Australian setting in the past METHODS The theoretical framework of this research is firmly rooted in extant technology acceptance frameworks. Data was collected using a survey questionnaire from the residents of the Australian Capital Territory and analyzed using multivariate data analysis techniques. RESULTS The results indicate that the proposed research model explains 13% of the variance in implementation and its associated F statistics indicated that it was significant at the P <.001 level. Findings show that physical progression (P < .001) and intellectual progression (P= 0.05) of users do influence individuals’ attitudes towards mHealth. However, financial capability (P =.175) has no relationship with attitude but has a direct relationship with MHS usage (P= .02). CONCLUSIONS These findings relating to users’ demographics on the attitudes and usage of MHS have both practical and theoretical implications which are highlighted in this paper.

scholarly journals Effectiveness of Essential Health Care Services Delivery in Nepal

1970 ◽  
Vol 6 (2) ◽  
pp. 74-83 ◽  
Author(s):  
B Devkota
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Services ◽  
Health Facility ◽  
Health Care Services ◽  
Health Facilities ◽  
Care Services ◽  
Services Delivery ◽  
Equity And Efficiency

Background: Ensuring delivery of quality health services in a sustainable and equitable manner is a challenge in Nepal. A host of factors may have impeded the access, quality and utilization of the health services particularly by the marginalized and disadvantaged sections of the population. Review essential health care services (EHCS) provided by the public health facilities, level of progress, effectiveness, sustainability, equity and efficiency, quality of care and inclusion of marginalized and disadvantaged populations in health care servicesMethods: A total of 40 VDCs from 10 districts representing five regions and three eco-zones were covered. Altogether 800 mothers with under two year children, 40 health service providers, 145 key informants and 40 exit clients were interviewed. Forty focused group discussions were also conducted. From each district, health records of one hospital, PHCC, HP, SHP and Ayurvedic health facility each were collected.Results: More than two-third (68.2%) of the mothers received antenatal checks, highest in hills (85%) followed by terai (64.5%) and mountain districts (52.8%).Tetanus vaccine coverage (80.7%) seems higher compared to Nepal Demographic Health Survey 2001 (45%). FP use rate in mountain, hill and terai are 57.6%, 54.1% and 49.7%, higher than in DoHS 2003/2004 statistics, which were 26.8%, 36.4% and 45.3% respectively. Nine out of ten patients visiting the health facilities were outpatients. The coverage of DPT 3, Polio 3, BCG and measles are 92.8%, 93.4%, 95.2% and 90.7% respectively. From the service utilization perspective, disparities in terms of gender, ecological regions, season of the year and health facility were revealed.Conclusion: Health sector services are yet to be made responsive to the ecological and district specific health problems, and be made more inclusive linking with doable safety nets.  Key words: Essential health care services; Effectiveness; Sustainability; Equity and efficiency; Quality of care and inclusion  doi: 10.3126/jnhrc.v6i2.2188Journal of Nepal Health Research Council Vol. 6 No. 2 Issue 13 Oct 2008 Page: 74-83 

scholarly journals Quality and accreditation in health care services

2021 ◽  
Vol 12 (2) ◽  
pp. 539-543
Author(s):  
Christos Iliadis ◽  
Aikaterini Frantzana ◽  
Kiriaki Tachtsoglou ◽  
Maria Lera ◽  
Petros Ouzounakis
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Care Quality ◽  
Quality Of Healthcare ◽  
Care Quality ◽  
Healthcare Management ◽  
Policy Makers ◽  
Care Services

Introduction: The quality of health care services is one of the most frequently mentioned terms and concepts regarding principles of health policy and it is currently high on the agenda of National, European and International policy makers. Purpose: The purpose of this descriptive review is to investigate the correlation between quality in health services and the promotion of health care quality provided by health services. Methodology: The study material consisted of recent articles on the subject mainly found in the Medline electronic database and the Hellenic Academic Libraries Association (HEAL-Link). Results: The clinical quality of services is often difficult to be assessed by "clients" even after the service has been provided. This is due to the fact that customers experience illness, pain, uncertainty, fear and perceived lack of control. Thus, clients may be reluctant to "co-produce" because healthcare is a service they need while they may not want it and because the risk to harm their health is prominent. In the field of healthcare management, patients' perception refers to perceived quality, as opposed to the actual or absolute quality that requires critical management. This is why health care managers face constant pressure to provide qualitative health services. Conclusions: Continuous monitoring of health care services for quality assessment is essential, hence, the evaluation of patients' perceptions of quality of healthcare, has received considerable attention in recent years.

scholarly journals Transnasjonale helsepraksiser. Bruk av helsetjenester blant polske arbeidsinnvandrere i Norge

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Jakub Stachowski ◽  
Johan Fredrik Rye
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Care Systems ◽  
Health Practices ◽  
Total Quality ◽  
Labor Migrants ◽  
Care Services ◽  
Care Systems

Transnational Health Practices Among Polish Labor Migrants in NorwayThe article discusses the use of health-care services among Polish labor migrants in Norway. We apply theories of patient–physician relationship, trust, and transnationalism to analyze a material of qualitative in-depth interviews with eleven Polish labor migrants about their health practices. The material demonstrates how and why many Polish labor migrants evaluate Norwegian primary health care negatively. Their main reason for doing so is the non-paternalistic doctor–patient relationship. They therefore supplement Norwegian health services with health services available in their home country. However, the labor migrants tend to evaluate the Norwegian health system more favorably as time passes. In total, the Poles establish creative, reflexive, competent, and dynamic health practices that go beyond national state borders and combine elements of two health-care systems. We argue that these practices enable migrants to enhance the total quality of their health care.

scholarly journals Narrative Study of Shariah Hospitals in Indonesia: A Review of Islamic Brand Communities Innovation for Health Care

2020 ◽  
Author(s):  
Wahyu Sulistiadi ◽  
Sri Rahayu ◽  
Meita Veruswati ◽  
Al Asyary
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Workers ◽  
Code Of Conduct ◽  
Hospital Management ◽  
Hospital System ◽  
Narrative Study ◽  
Care Services

The Ministry of Health evaluates hospital management in accordance with the standard of quality of service. The concept of Shariah hospitals offers management services that exceed the standard of quality of hospital care. The study aims to illustrate the concept of Shariah hospitals in Indonesia. We collect related literature from various media via online search with the keywords “Shariah hospitals,” “implementation of Shariah hospitals,” and “application of Shariah hospitals.” Main findings: The study finds that the Shariah hospitals built by the philosophy of Islam are willing to provide the best health-care services to patients. A code of conduct must be fulfilled by the hospital management in Shariah hospitals: (1) general liability, (2) obligations to society and the environment, (3) obligations to patients, (4) obligations to the leaders, staff, and employees, and (4) relationships with related institutions. The foremost challenges include the improvement of health personnel performance and the quality of services in addition to perceptions that are not inclusive of the system of Shariah hospitals. This implementation should run consistently and with the commitment of all parties. Such insight, in turn, can be counted as an input to an approach to health services, particularly in increasing the performance rates, such as hospital. This study is the first to provide new insight into discussion about shariah hospital by presenting its focuses on Islamic approaches in meeting the quality standards of health services in hospitals so as to obtain more value. However, exclusive principles—Islamization, heterogeneity, and the performance of health workers—challenge the implementation of this hospital system.

scholarly journals Factors influencing decisions of Laotian patients to use health care services in Thailand

2014 ◽  
Vol 8 (5) ◽  
pp. 665-672 ◽  
Author(s):  
Suwaree Charoenmukayananta ◽  
Jiruth Sriratanaban ◽  
Sarunya Hengpraprom ◽  
Chanvit Trarathep
Keyword(s):  
Health Care ◽  
Health Services ◽  
Financial Support ◽  
Health Care Services ◽  
Border Health ◽  
Cross Border ◽  
Care Services ◽  
Factors Influencing ◽  
Use Of Health Care

Abstract Background: Thailand has been facing a gradual increase in use of cross-border health care. Nevertheless, no evidence regarding factors influencing cross-border use of health care by Laotian patients in public Thai hospitals among this group has been established. Objectives: To assess the use of cross-border health care by Laotian patients, and factors that may influence health services in public Thai hospitals along the border. Methods: This study consisted of two parts. (1) Site-visits to 53 Thai public hospitals along the Thai-Laos border during May to July 2011 and collection of data regarding the use of health care services by Laotian patients. (2) A structured questionnaire survey was conducted via face interviews by trained researchers. Findings were analyzed using descriptive statistics and multiple logistic regression. Results: The most common conditions for which treatment was sought were common diseases and basic operative procedures. All hospitals had been facing substantial financial burden, particularly for inpatient care. The analysis of use indicated that a perception of differences in the quality of health services, ability to pay for treatment anywhere, and distance to health services were three major factors affecting the decision of Laotian patients to cross the border to obtain health care in Thailand. Interviews with hospital directors and staff revealed that more financial support and a clear policy for care of Laotian patients was needed. Conclusions: The perception of better quality of health care in Thailand by Laotian patients was the major factor affecting cross-border use of health care services. Assistance to improve healthcare in Laos and financial support for subsidizing care for the indigent Laotian patients is needed.

Access to health care and Informal Patient Payments for health care in Serbia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Buch Mejsner ◽  
S Lavasani Kjær ◽  
L Eklund Karlsson
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Local Population ◽  
Civil Servants ◽  
Care Providers ◽  
Care Services ◽  
Access To Health

Abstract Background Evidence often shows that migrants in the European region have poor access to quality health care. Having a large number of migrants seeking towards Europe, crossing through i.e. Serbia, it is crucial to improve migrants' access to health care and ensure equality in service provision Aim To investigate what are the barriers and facilitators of access to health care in Serbia, perceived by migrants, policy makers, health care providers, civil servants and experts working with migrants. Methods six migrants in an asylum center and eight civil servants in the field of migration were conducted. A complementary questionnaire to key civil servants working with migrants (N = 19) is being distributed to complement the data. The qualitative and quantitative data will be analysed through Grounded Theory and Logistic Regression respectively. Results According to preliminary findings, migrants reported that they were able to access the health care services quite easily. Migrants were mostly fully aware of their rights to access these health care services. However, the interviewed civil servants experienced that, despite the majority of migrants in camps were treated fairly, some migrants were treated inappropriately by health care professionals (being addressed inappropriately, poor or lacking treatment). The civil servants believed that local Serbs, from their own experiences, were treated poorer than migrants (I.e. paying Informal Patient Payments, poor quality of and access to health care services). The interviewed migrants were trusting towards the health system, because they felt protected by the official system that guaranteed them services. The final results will be presented at the conference. Conclusions There was a difference in quality of and access to health care services of local Serbs and migrants in the region. Migrants may be protected by the official health care system and thus have access to and do not pay additional fees for health care services. Key messages Despite comprehensive evidence on Informal Patient Payments (IPP) in Serbia, further research is needed to highlight how health system governance and prevailing policies affect IPP in migrants. There may be clear differences in quality of and access to health care services between the local population and migrants in Serbia.

scholarly journals Implementing an Integrated Large-Scale Clinical Information System for ISSSTE’s Hospital Network in Mexico

2021 ◽  
Vol 3 (2) ◽  
pp. 444-453
Author(s):  
Arturo Cervantes Trejo ◽  
Sophie Domenge Treuille ◽  
Isaac Castañeda Alcántara
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Services ◽  
Large Scale ◽  
Clinical Information System ◽  
Clinical Information ◽  
Public Hospitals ◽  
Care Services ◽  
Cost Reductions

AbstractThe Institute for Security and Social Services for State Workers (ISSSTE) is a large public provider of health care services that serve around 13.2 million Mexican government workers and their families. To attain process efficiencies, cost reductions, and improvement of the quality of diagnostic and imaging services, ISSSTE was set out in 2019 to create a digital filmless medical image and report management system. A large-scale clinical information system (CIS), including radiology information system (RIS), picture archiving and communication system (PACS), and clinical data warehouse (CDW) components, was implemented at ISSSTE’s network of forty secondary- and tertiary-level public hospitals, applying global HL-7 and Digital Imaging and Communications in Medicine (DICOM) standards. In just 5 months, 40 hospitals had their endoscopy, radiology, and pathology services functionally interconnected within a national CIS and RIS/PACS on secure private local area networks (LANs) and a secure national wide area network (WAN). More than 2 million yearly studies and reports are now in digital form in a CDW, securely stored and always available. Benefits include increased productivity, reduced turnaround times, reduced need for duplicate exams, and reduced costs. Functional IT solutions allow ISSSTE hospitals to leave behind the use of radiographic film and printed medical reports with important cost reductions, as well as social and environmental impacts, leading to direct improvement in the quality of health care services rendered.

Sign in / Sign up

Export Citation Format

Share Document