«intention to use» electronic medical record system and its predictors among health care providers at referral Hospitals, north-west Ethiopia, 2019: using Unified Theory of Acceptance and Use Technology 2(UTAUT2) model. (Preprint)

2019 ◽  
Author(s):  
Mohammedjud Hassen
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Health Care Providers ◽  
Intention To Use ◽  
Care Providers ◽  
North West ◽  
Performance Expectancy ◽  
Referral Hospitals ◽  
North West Ethiopia ◽  
The Mean

BACKGROUND Electronic Medical Records (EMRs) are systems to store patient information like medical histories, test results, and medications electronically. It is becoming the main system with the vision of giving quality service by improving data handling and communication in healthcare setting. Even though EMR implementation in developing countries increasing exponentially, only few of them are successfully implemented. Among the many factors, «intention to use» EMRs by health care provider is crucial for successful implementation and adoption of EMRs. OBJECTIVE The aim of this study was to assess health care provider’s intention to use and its predictors towards Electronic Medical Record systems (EMRs) at three referral hospitals in north-west, Ethiopia, 2019. METHODS Institutional based cross-sectional quantitative study design was conducted from January to June, 2019. A total of 420 health care providers working at three referral hospitals in north-west Ethiopia were included. Data were analyzed using structural equation model (SEM)., Simple and multiple SEM were used to describe the study objectives and to assess the determinants of health care providers «intention to use» EMRs. Critical ratio and standardized coefficients were used to measure the association of dependent and independent variables, 95% confidence intervals and P-value were calculated to evaluate statistical significance. RESULTS The mean age of the study subjects were 32.4 years ±8.3 SD. Nearly two-third 293(69.8%) of the participants were Male. Among 420 health care providers, only 167 (39.8%) were scored above the mean of «intention to use» EMRs. Factors positively associated with «intention to use» EMRs were performance expectancy (β=0.39,p<0.001), effort expectancy (β=0.24,p<0.001),social influence (β=0.18,p<0.001),facilitating condition (β=0.23,p<0.001), and computer literacy (β=0.08,p<0.001). Among five influencing predictors, performance expectancy was highly associated with «intention to use» EMRs. The result of UTAUT2 model may be used to inform planning, decision-making, and evaluation of EMR implementations before actual utilization of EMRs. CONCLUSIONS Among 420 health care providers, 167 (39.8%) respondents were scored above the mean of intention use. Performance expectancy played a major role in determining health care providers’ intention to use EMRs.

scholarly journals Job satisfaction and its related factors in health care providers and health workers in Esfarayen

2019 ◽  
Author(s):  
Ahmad Sadeghi ◽  
Hasan Jafari ◽  
Hossein Rouhani ◽  
Akram Zhianifard ◽  
Maryam Siavashi
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Organizations ◽  
Health Workers ◽  
Demographic Variables ◽  
Care Providers ◽  
Related Factors ◽  
Care Workers ◽  
The Mean

Introduction: Job Satisfaction in Health care organizations is one of the important pillars of health promotion, due to the role they play in the prevention, care and treatment. The aim of this study was to determine the job satisfaction and its related factors in health workers in Esfarayen. Methods: This descriptive-analytical study was carried out on 140 health care workers in Esfarayen in 2017. Data was collected using Herzberg job satisfaction questionnaire, and data were analyzed using ANOVA and t-test in SPSS21 software. Results: The mean age of participant was 37 ± 8.34. Most of them were female (70%) and married (85.5%). The average of job satisfaction was 61.45 ± 7.65 (out of 100). The highest job satisfaction score was work ability (73.54 ± 1.08) and the lowest score belonged to supervision ( 49.15 ± 5.73). Among the demographic variables, Job satisfaction was significantly associated with Employment Status (P<0.05). Conclusion: Despite employees have job satisfaction, factors that increase job satisfaction of employees should be considered by the relevant authorities. Establishing suitable job standards, fair and reasonable salary, and the creation of facilities in the workplace can lead to improved employee satisfaction and, consequently, improved service quality.

scholarly journals Impact of Health Insurance on Health Care Utilisation and Out-of-Pocket Health Expenditure in Vietnam

2020 ◽  
Vol 2020 ◽  
pp. 1-16
Author(s):  
Nguyen Thi Thu Thuong ◽  
Tran Quang Huy ◽  
Do Anh Tai ◽  
Tran Nhuan Kien
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Providers ◽  
Health Care Utilisation ◽  
Health Coverage ◽  
Care Providers ◽  
Care Utilisation ◽  
The Mean ◽  
Number Of Visits ◽  
Universal Health

Background. In recent years, health insurance (HI) has been chosen by many low- and middle-income countries to obtain an important health policy target—universal health coverage. Vietnam has recently introduced the Revised Health Insurance Law, and the effects of the voluntary health insurance (VHI) and heavily subsidised health insurance (HSHI) programmes have not yet been analysed. Therefore, this study is aimed at examining the impact of these HI programmes on the utilisation of health care services and out-of-pocket health expenditure (OOP) in general and across different health care providers in particular. Methods. Using the two waves of Vietnam Household Living Standard Surveys 2014 and 2016 and the difference-in-difference method, the impacts of VHI and HSHI on health care utilisation and OOP in Vietnam were estimated. Results. For both the VHI and HSHI groups, we found that HI increased the probability of seeking outpatient care, the mean number of outpatient visits, the total number of visits, and the mean number of visits at the district level of health care providers in the last 12 months. However, there was no evidence that the HSHI programmes increased the mean number of inpatient visits and the number of visits at the provincial hospital. We also found that while the VHI programme reduced OOP for both outpatient and inpatient care, the HSHI scheme did not result in a reduction in OOP for hospitalisation, although HI lowered the total OOP. Similarly, we found that for both groups, HI reduced OOP when the insured visited district and provincial hospitals. However, the statistically significant impact was not demonstrated when the enrolees of HSHI programmes visited provincial hospitals. Conclusion. The study offers evidence that the Vietnamese HI scheme increased health care service utilisation and decreased OOP for the participants of the VHI and HSHI programmes. Therefore, the government should continue to consider improving the HI system as a strategy to achieve universal health coverage.

scholarly journals Hepatitis B virus genotype E infection among Egyptian health care workers

2017 ◽  
Vol 5 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Reem Elmaghloub ◽  
Ashraf Elbahrawy ◽  
Gamal El Didamony ◽  
Ahmed Elwassief ◽  
Abdel-Gawad Saied Mohammad ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Hbv Infection ◽  
Care Work ◽  
Care Providers ◽  
Health Care Work ◽  
Care Workers ◽  
The Mean

AbstractBackground and ObjectivesHealth Care Workers (HCWs) are at a high risk of needle stick injuries and HBV infection in Egypt; this problem is further aggravated by low Hepatitis B (HB) vaccination coverage. Limited data are available on the prevalence of HBV infection in Egyptian HCWs. In this study, we aimed to assess the HBV infection rate and genotypes among Egyptian HCWs.MethodsFive hundred and sixty-four (564) HCWs were included. Of them, 258 (45.74%) were health care providers and 306 (54.25%) were non-health care providers. All HCWs completed both the study questionnaires and provided a blood sample for HBV testing. Indeed, all HCWs were tested for Hepatitis B surface antigen (HBsAg) and antibody to Hepatitis B core antigen (anti-HBc), by enzyme-linked immunosorbent assay. HBVDNA was checked for HCWs who tested positive for HBsAg and/or anti-HBc, by nested Polymerase Chain Reaction (PCR). HBVDNA positive HCWs were further subjected to HBV genotyping.ResultsThe mean age of included HCWs was 33.0 ± 9.8 years, of whom 319 (56.56%) were males. The mean duration of health care work was 9.3 ± 6.7 years. The frequency of HBsAg and anti-HBc were 1.4%, and 24.5%, respectively. Old age and prolonged duration of health care work were significantly associated with anti-HBc seropositivity. Among 140 HCWs positive for HBsAg and/or anti-HBc, 14 (10 %) had positive HBVDNA by PCR. HBV/E (n= 7), HBV/D (n= 3) and co-infection with E and D (n= 4) genotypes were detected.ConclusionEgyptian HCWs have a significantly high rate of HBV exposure. The detection of HBV/E genotype among Egyptian HCWs suggests prevalent transmission of HBV/E among Egyptian populations.

scholarly journals Stress, Resilience and Moral Distress among Health Care Providers During COVID-19 Pandemic

Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Ahmed Latif ◽  
◽  
Sobia Yaqub ◽  
Qudsia Anwar Dar ◽  
Umer Sultan Awan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
High Stress ◽  
Care Providers ◽  
Online Questionnaire ◽  
Stress Resilience ◽  
Stress Scale ◽  
Distress Score ◽  
The Mean

Objective: This study aims to determine level of stress, resilience and moral distress among health care providers during covid-19 pandemic. Methods: This is a cross-sectional study performed using an online questionnaire. Data was collected from Health Care Providers, working in various tertiary care hospitals of Lahore, using an online questionnaire. Perceived stress scale (PSS), Connor-Davidson Resilience Scale (CD-RISC 10) and Moral Distress Thermometer were used to determine level of stress, resilience and moral stress respectively among the HCPs. Scores on the PSS can range from 0 to 40 with scores of 0-13, 14-26 and 27-40 being considered as low, moderate and high stress respectively. The Moral Distress Thermometer has scores ranging from 0-10 with value of ≥4 considered high. Data was analyzed using SPSS version.23.Descriptive variables were reported as means and frequencies. Intergroup analysis was done using Chi square test with p<0.05 taken as significant. Results: A total of 278 (n=278) HCPs participated in study. According to the PSS (Perceived Stress Scale) scores, 5.03% (14) reported low, 86.69% (241) moderate and 8.27% (23) high stress levels. The mean stress score is 21.56+/-4.32. Providing patient care (mean = 2.28+/-1.15 SD) and transmitting infection to others (mean = 3.02+/-1.10 SD) were deemed major causes of stress. The mean CD-RISC score was 23.14+/-7.81 SD. Only 10.8% (30) had a score of ≥ 32. The mean Moral Distress score was 4.2+/-2.98 SD, with 53.2% (149) participants reporting high Moral distress (score ≥4). Conclusion: The high level of stress among HCPs during COVID-19 pandemic highlights the need of urgent measures to overcome this psychological issue which if left un-addressed can affect performance of HCPs. Key Words: Stress, Resilience, HCPs How to cite: Latif A., Yaqub S., Dar A.Q., Awan S.U., Farhat Hina., Khokhar A.M., Stress, Resilience and Moral Distress among Health care Providers during COVID-19 pandemic. Esculapio 2021;17 (01):79-82

scholarly journals Frequency of hepatitis B and C in health care providers at three referral hospitals in Libya

2020 ◽  
Vol 37 ◽  
Author(s):  
Abdel-Naser Elzouki ◽  
Rafat Lubbad ◽  
Islam Elzouki ◽  
Ahmed Elhaddad ◽  
Abdulfattah Ibrahim
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Health Care Providers ◽  
Care Providers ◽  
Referral Hospitals

scholarly journals FACTORS INFLUENCING CLINICAL MANAGEMENT OF CRYPTOCOCCAL MENINGITIS AMONG HEALTH CARE PROVIDERS AT TWO REFERRAL HOSPITALS IN KISUMU COUNTY, KENYA

2021 ◽  
Vol 7 (1) ◽  
pp. 74-84
Author(s):  
Robina Ogendo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cryptococcal Meningitis ◽  
Clinical Management ◽  
Scale Up ◽  
World Health ◽  
Unique Contribution ◽  
Care Providers ◽  
Factors Influencing ◽  
Referral Hospitals

Purpose: Cryptococcal meningitis is one of the most common and lethal opportunistic infections among human immune virus infected clients/patients before initiation of antiretroviral therapy. It is majorly associated to morbidity and early mortality among human immunodeficiency virus infected patients in resource limited countries. The main objective of this study was to investigate the factors influencing clinical management of cryptococcal meningitis in adults among health care providers at two referral hospitals in Kisumu County, Kenya. Methodology: A cross-sectional study using quantitative approach was used targeting 119 health care providers. Collection of data was through pretested self- administered questionnaires to examine factors influencing clinical management of cryptococcal meningitis. Data obtained was analyzed using the statistical package for social science version 25. Descriptive analysis was done using frequencies, percentages and means. Inferential analysis was conducted using bivariate logistic regression to determine relationships among the variables, p-values of at or below 0.05 were considered statistically significant. Results: The major factor associated positively with clinical management of cryptococcal meningitis was the acknowledgement by the health care providers that the world health organization guidelines lead to a better patient outcome (97%, n=113) and inadequate supplies and resources to facilitate management (78%, n=90) was the major factor associated negatively. Health care providers with an experience of five years or less were 40% more likely to agree that the factors were influencing clinical management of cryptococcal meningitis in contrast to those with an experience of six years or more (OR: 0.6; 95%CI: 0.1 – 0.74; p=0.04). Unique contribution to theory, practice and policy:  The clinical management of cryptococcal meningitis in adults in the study area is majorly negatively influenced by inadequate supplies and resources to facilitate the process of management. The study recommends that the policy makers in the County government of Kisumu and the two hospital management teams need to scale up a timely and constant provision of adequate resources, facilities and supplies, which will promote effective clinical management of cryptococcal meningitis in the study area

scholarly journals Preparedness and Approaches of Health Care Providers to Tackle the Transmission of COVID-19 Among South Gondar Zone Hospitals, Amhara, Ethiopia, 2020.

2020 ◽  
Author(s):  
Minale Bezie Ambie ◽  
Habtamu Gebrehana Belay ◽  
Dagne Addisu Sewyew
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Overall Response Rate ◽  
Response Rate ◽  
Health Providers ◽  
Care Providers ◽  
Good People ◽  
The Mean ◽  
Age Range ◽  
South Gondar

Abstract Objective: Preparedness and approaches of health care providers to tackle the transmission of covid-19 among South Gondar zonal hospitals 2020Result: In this study a total of 422 health providers were interviewed from south Gondar zonal hospitals and overall response rate was 100%. The mean range 35 ± 6 and minimum and maximum ranges of age were between 23 to 50 years and more than three fourth of the providers age range was > 35 years. Regarding professions 203(48.1%), 112(26.5%) were nurses and midwifes respectively. The result over all was not good; people were not prepared preparedness of essential materials, equipments including psychological buildings of health providers in each hospital.

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