scholarly journals Do Justice and Trust Affect Acceptability of Indonesian Social Health Insurance Policy? A cross-sectional survey of laypeople and health care workers

2019 ◽  
Author(s):  
Rizqy Amelia Zein ◽  
Nuzulul Kusuma Putri ◽  
Ilham Akhsanu Ridlo
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health System ◽  
Health Care Workers ◽  
Political Party ◽  
Health Care Services ◽  
Health Workers ◽  
Care Services ◽  
Care Workers ◽  
Party Support

Our research attempted to investigate whether justice, trust in health care services, the confidence level of the health system and institutions, political party support and evaluation of health care services post- Jaminan Kesehatan Nasional (JKN) affected policy acceptability in our health workers (N=95) and laypeople (N=308) sample. We performed a two-level linear mixed-effects model to test our hypothesis that trust, perceived justice, confidence in healthcare services, and national health system evaluation could impact policy acceptability in our health workers and laypeople sample. We calculated the effect sizes by comparing level-2 variances and residuals of the null model and the random-intercept model. Our findings suggested that health care workers with high concern on justice would be more likely to hold negative acceptability to JKN. The findings implied that health workers tend to associate JKN with unfairness. On the other hand, JKN acceptability in laypeople sample was found to be positively associated with the evaluation of health care service post-JKN, while justice or political party support did not affect JKN acceptability. It might indicate that laypeople motives for joining JKN scheme could be essentially pragmatic. We administered our questionnaire using an online platform and circulated it through social media and IMS, so that this research poses a problem of self-selection bias, which potentially leads to biased estimates. We also oversampled female participants, especially in laypeople samples. Aiming at a universal health coverage in 2019, JKN will cover almost 300 million Indonesians and be one of the biggest single-payer national health insurance scheme in the world. Our research might offer insight into how health workers and laypeople respond to the policy.

Promoting Health in Rural India: Enhancing Job Performance of Lay Health Care Activists

2019 ◽  
Vol 9 (2) ◽  
pp. 226-242 ◽  
Author(s):  
Jatin Pandey ◽  
Manjari Singh ◽  
Biju Varkkey ◽  
Dileep Mavalankar
Keyword(s):  
Health Care ◽  
Job Performance ◽  
Community Health ◽  
Health Care Workers ◽  
Rural Areas ◽  
Health Care Services ◽  
Rural India ◽  
Community Health Care ◽  
Care Services ◽  
Care Workers

The health of people in a nation is a potential indicator of its development. Over and above that, the job performance of people involved in the delivery and facilitation of health care services within a nation reflects the actual health conditions in it. In developing countries, where a large chunk of the population lives in rural areas, the job performance of grass-roots health care workers gains significant importance in order to ensure effective and efficient delivery of health care services to the masses and marginalized communities. The present study takes the case of Accredited Social Health Activists (ASHAs) in difficult rural areas of India to identify factors that affect their job performance and suggests interventions through which it could be enhanced. Fifty-five ASHAs were interviewed and five focused group discussions (FGDs) were conducted. Additionally, triangulation was done by interviewing other stakeholders, while studying relevant documents. Through content analysis of these interviews and documents, this study identifies the demands, resources and stressors that affect the job performance of these important intermediaries in the health care supply chain (in the Indian context). The study also suggests policy-level decisions that could help in enhancing job performance of ASHAs by managing demands, increasing resources and reducing stressors. Key Messages We have developed a model that delineates the demands, resources and stressors that affect job performance of women workers in rural India. We have studied Accredited Social Health Activists (ASHAs) who are part of community health care sector. However, our findings are applicable to a wider set of similar job roles. We have studied the nuances of factors affecting job performance for a category of community health care workers who are not full-time employees, have received minimal training and work in close proximity of their residence in a closely knit society. We have looked at job performance of ASHAs who are women community health workers, with low educational qualifications, based in rural setting of a developing country. We have recommended policy implications that would aid in enhancing the performance of ASHAs and thus improve the health care situation in rural India.

scholarly journals Can Health Care Services Attract Retirees And Contribute to the Economic Sustainability of Rural Places?

2007 ◽  
Vol 36 (1) ◽  
pp. 95-106 ◽  
Author(s):  
James F. Oehmke ◽  
Satoshi Tsukamoto ◽  
Lori A. Post
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Health Care Services ◽  
Health Care Industry ◽  
Economic Sustainability ◽  
Care Services ◽  
Care Workers ◽  
Aging Populations ◽  
Rural Places ◽  
Positive Effect

The search for engines to power rural economic growth has gone beyond the traditional boundaries of the food and fiber sector to industries such as tourism and to schemes such as attracting metropolitan workers to commuter communities with rural amenities. A group that has been somewhat overlooked is retirees, who may wish to trade in urban or suburban lifestyles for a more peaceful rural retirement. An industry that has been neglected is the health care industry, which is the most rapidly growing industry nationally and of particular interest to retirees and aging populations. This paper examines the importance of rural health care services in attracting migrants age 65+ to rural counties in Michigan. Results indicate that the number of health care workers has a positive effect on net in-migration, and that this effect is large and statistically significant for the 70+ age group. Implications for rural development strategies are discussed.

scholarly journals Health care worker’s perception about the quality of health care at the outpatient department in Mwananyamala Hospital in Dar es Salaam, Tanzania

2015 ◽  
Vol 18 (1) ◽  
Author(s):  
Kudra Khamis ◽  
Bernard Njau
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Workers ◽  
Health Care Services ◽  
Intrinsic Factors ◽  
Staffing Levels ◽  
Care Services ◽  
Care Workers ◽  
Physical Infrastructure

Background: Quality of care is a complex issue influenced by many factors. It is fundamental in assessing health care delivery in health facilities in developing countries. Health care workers’ perceptions help policy makers and planners to identify bottlenecks in the system to improve utilisation and sustainability of health care services in the population. The objective of this study was to explore health care workers’ perception about the quality of health care delivered at the outpatient department in Mwananyamala Hospital in Dar es Salaam, Tanzania.  Methods: A cross-sectional qualitative study was conducted from April to May 2013.  Results: Health care workers’ mentioned extrinsic as well as intrinsic factors, which may influence the quality of health care services. Extrinsic factors included poor physical infrastructure, unavailability of medical equipment and/or essential drugs and poor staffing levels. Intrinsic factors mentioned were motivation for health care workers and workplace training opportunities.Conclusion: Multiple factors influencing perceived quality of health care Mwananyamala hospital have been identified to include physical infrastructure, availability of medical equipment and essential medicines, staffing levels, remuneration and promotion.

scholarly journals Career commitment and career entrenchment among Primary Health Care workers

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Luciano Garcia Lourenção ◽  
Jacqueline Flores de Oliveira ◽  
Francisco Rosemiro Guimarães Ximenes Neto ◽  
Carlos Leonardo Figueiredo Cunha ◽  
Sandra Verónica Valenzuela-Suazo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Health Care Services ◽  
Career Commitment ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Health ◽  
Care Workers

ABSTRACT Objective: Assess levels of career commitment and career entrenchment among Primary Health Care workers. Methods: This Cross-sectional study addressed 393 workers using the Brazilian versions of the Career Commitment Measure (CCM) and Career Entrenchment Measure (CEM). Results: Levels of Career commitment [75.5-77.5] were higher (p<0.001) than Career Entrenchment [66.7-69.2]. Identity levels [82.7-85.5] were higher (p<0.001) than Investment levels [60.4-65.0]. Career resilience levels [75.1-79.2] were higher (p<0.001) than Emotional costs [69.0-72.1]. Planning levels [64.2-67.1] were lower (p<0.001) than levels of limitedness of career alternatives [68.1-71.0]. Conclusion: The highest scores were obtained in Career commitment, showing the workers’ identification and positive relationship with their careers, that is, these workers remain in Primary Health Care services because they identify themselves with their professions.

scholarly journals A Phenomenological Experience of Trainer with COVID-19 Training: A Tertiary Level Institution Experience with Simulation

2021 ◽  
Author(s):  
Kusum K Rohilla ◽  
Arun Varghese ◽  
C Vasantha Kalyani ◽  
Neha Singh ◽  
Shalinee Rao
Keyword(s):  
Health Care ◽  
Training Program ◽  
Health Care Workers ◽  
Health Workers ◽  
Tertiary Care ◽  
Tertiary Level ◽  
Safety Skills ◽  
Care Services ◽  
Care Workers ◽  
Level Institution

Abstract Background: Highly infectious diseases like COVID-19, which are rapidly disseminating and exceedingly contagious, require vital safety skills to be followed by all health professionals. These safety skills need to be taught to all individuals working in the health care sector, by qualified trainers. The present study describes the experiences of COVID-19 trainers who were involved in providing this intensive training to health workers, in a tertiary level institution. The hospital was providing services to COVID positive patients, as well as emergency and tertiary care services during the COVID-19 pandemic. Most of the participants in the study were high risk groups who were in direct interaction with COVID positive patients.Methods: The COVID-19 training program was conducted for more than three months, with the aim of training all the health care workers at a tertiary care institute, during the Corona virus pandemic. Twenty trainers, who had completed at least 30 or more sessions of training more than 2700 health workers, were included in this study. These trainers were interviewed for an average of thirty minutes per participant and were asked 30 open ended questions each. Results: The mean age of the trainers was 28.9 years, and 75% of them were females. The interview of the COVID-19 trainers highlighted four important factors, which according to them were the pillars of this successful and effective training program. These factors included: The use of video demonstration and simulation for the training; Regular updating of the skill of the trainers in this program; Ease of communication to address the challenges faced by the trainers; and strong administrative support for the training. Conclusion: The results of this study reveal that if health workers are provided a conducive environment for training, as well as full support for updating their knowledge and skills, they can provide optimal health care services to their patients and fellow healthcare workers, even during a challenging time like the COVID-19 pandemic. The trainers in this study provided training to all the health care workers of the hospital, who were posted in COVID wards, even at a time when everyone had the fear of contracting the infection.

scholarly journals Knowledge, Attitude and Perception of the National Health Insurance Amongst Health Workers in Ugu District, Kwa-Zulu Natal, South Africa in 2017

2020 ◽  
Vol 13 (1) ◽  
pp. 763-770
Author(s):  
Nagammal Govender ◽  
Ozayr Mahomed
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Health Care Workers ◽  
Health Workers ◽  
Successful Implementation ◽  
Detailed Knowledge ◽  
Care Workers

Background: South Africa aims to progress towards universal health coverage by implementing the National Health Insurance (NHI). The perception and actions of health care workers influence the successful implementation of any intervention. Aim: The aim of the study was to establish the knowledge, attitude and perception of National Health Insurance amongst health care workers in Ugu in 2017 Methods: A descriptive cross-sectional study using self -administered questionnaires were used to gather information from 380 conveniently selected respondents between October 2017 and December 2017 across all health facilities in Ugu Health District. To establish associations between demographic factors and knowledge, attitude and perception on NHI, Chi- Square (X2) test and multivariate logistic regression were analysed. Results: Most respondents were aware of National Health Insurance (96.84%). However, only 33% had detailed knowledge of the objectives of National Health Insurance. There was a significant relationship between age less than 45 years and more than 10 years of experience on knowledge of National Health Insurance. The overall perception of National Health Insurance was good (61.92%), despite 60% of respondents believing that there was no proper communication regarding National Health Insurance by the government. Healthcare workers who live in the urban residential area had a better perception of National Health Insurance. The attitude towards NHI was positive, as 77.84% of respondents were willing to comply with the requirements of National Health Insurance. Conclusion: A targeted approach for communicating information about the National Health Insurance and an increased investment could improve its credibility and effective application.

The photovoice method: researching the experiences of Aboriginal health workers through photographs

2010 ◽  
Vol 16 (3) ◽  
pp. 231 ◽  
Author(s):  
Alice Wilkin ◽  
Pranee Liamputtong
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Workers ◽  
Service Industry ◽  
Health Workers ◽  
Aboriginal Health ◽  
Indigenous Communities ◽  
Aboriginal Woman ◽  
Australian Health ◽  
Care Workers

This paper discusses the methodological framework and perspectives that were used in a larger study aiming at examining the experience of working life among female Aboriginal health care workers. Currently, the voice of Aboriginal women who work in the Australian health system has not received much attention. In comparison to other occupations and backgrounds, there is virtually no literature on Aboriginal woman health care workers despite 15% of health care and social service industry employees in Australia being Aboriginal. In this study, we selected female participants because of the fact that of these 15% of health workers in the Victorian health system, 76% of them are women. This paper outlines some of the barriers in researching Indigenous communities. These barriers were overcome in this study by framing the research in feminist theory, decolonising theory, empowerment and by employing the photovoice method. The photovoice method was used because it is relatively unobtrusive and has the capacity to be empowering. All data was extrapolated from the participants’ own narratives that were prompted by the photographs they had taken. The data produced were rich descriptions and narratives that were oral as well as visual. Finally, the article discusses the experience of using the photovoice method from the researcher and participants’ perspective.

scholarly journals Creating and sustaining healthy work environment for professional advancement in health care institutions: a case study of nursing students’ clinical posting in Abia State

2017 ◽  
Vol 5 (9) ◽  
pp. 3798
Author(s):  
Enwereji Ezinne E. ◽  
Ezeama Martina C. ◽  
Enwereji Kelechi O.
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Work Environment ◽  
Health Care Workers ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Team Work ◽  
Care Services ◽  
Care Workers ◽  
Healthy Work

Background: The need for nursing students to care and support patients especially those living positively with HIV and AIDS as well as those with terminal diseases should not be underestimated. By training, nursing students are expected to interact cordially with patients and other health care professionals but most times, the reverse is the case. Inter-professional and interpersonal education prepare nursing students on clinical posting to provide quality health care services to all patients irrespective of their ages and health conditions. Therefore, creating healthy work environment by encouraging team work, integrating treatment and prevention services to promote good health is imperative in ensuring patients’ safety, and enhanced inter-professional relationship.Methods: A two-day pre-clinical seminar which centered on professionalism, teamwork, interpersonal and inter-professional relationships, as well as effective communication to guarantee healthy work environments was carried out. The pre-clinical seminar was also used to prepare 186 nursing students on their expected roles during the twelve weeks’ clinical posting in health institutions. At the end of the students’ posting, two days post-clinical seminar aimed to harness students’ experiences, views and performances, as well as the teachers’ observations during the clinical posting was conducted. Thereafter, all comments on performances, observations, experiences and other remarks from the teachers and students were grouped together and analyzed qualitatively and quantitatively.Results: A good proportion of the students 142 (76.3%) established good interpersonal relationship with the patients who are HIV positive while 135 (72.6%) had effective inter-professional interaction with health care workers. Also 135 (72.6%) had good team work relationship with other health care professionals. There were better health care services to clients as evidenced by 95 (51.1%) of students who shared case managements with the health care workers and 122 (65.6%) of the students who used mobilization and advocacy to identify pressing challenges like inter-professional conflicts, poor uptake of messages about treatment and referrals as well as malnutrition among children. A respectable number of the students, 144 (77.4%) collaborated with colleagues to provide nutrition to malnourished children to improve their nutritional status, while 75 (40.3%) assisted in resolving some inter-professional conflicts.Conclusions: Students’ initiatives in management of cases, inter-professional and interpersonal learning experiences during clinical postings increased students’ understanding of teamwork and professionalism as well as promoted friendlier environments that guaranteed better health care services to patients.

Do justice and trust affect acceptability of Indonesian social health insurance policy?

2020 ◽  
Vol 25 (1) ◽  
pp. 78-92
Author(s):  
Rizqy Amelia Zein ◽  
Nuzulul Kusuma Putri ◽  
Ilham Akhsanu Ridlo
Keyword(s):  
Health Insurance ◽  
Health System ◽  
National Health ◽  
Political Party ◽  
Health Workers ◽  
National Health System ◽  
Healthcare Services ◽  
Health Coverage ◽  
Content Type ◽  
Party Support

PurposeThe purpose of this paper is to investigate whether justice, trust in healthcare services, the confidence level of the health system and institutions, political party support and evaluation of healthcare services post-Jaminan Kesehatan Nasional (JKN) affected policy acceptability (PA) in the health workers (n=95) and laypeople (n=308) sample.Design/methodology/approachThe authors performed a two-level, linear mixed-effects model to test the hypothesis that trust, perceived justice, confidence in healthcare services and national health system evaluation could impact PA in the health workers and laypeople sample. The authors calculated the effect sizes by comparing Level 2 variances and residuals of the null model and the random intercept model.FindingsThe findings suggested that healthcare workers with high concern for justice would be more likely to hold negative acceptability to JKN. The findings implied that health workers tend to associate JKN with unfairness. Also, JKN acceptability in laypeople sample was found to be positively associated with the evaluation of healthcare service post-JKN, whereas justice or political party support did not affect JKN acceptability. It might indicate that laypeople motives for joining JKN scheme could be essentially pragmatic.Research limitations/implicationsThe authors administered the questionnaire using an online platform and circulated it through social media and IMS, so that this research poses a problem of self-selection bias, which potentially leads to biased estimates. The authors also oversampled female participants, especially in laypeople sample.Originality/valueAiming at universal health coverage in 2019, JKN will cover almost 300m Indonesians and be one of the biggest single-payer national health insurance scheme in the world. The research might offer insight into how health workers and laypeople respond to the policy.

Sign in / Sign up

Export Citation Format

Share Document