The Increasing Importance of the e-Health System after the COVID-19 Outbreak with New Healthcare Expectations

Aim: The health system is undergoing a rapid transformation with the constantly developing world. The Covid-19 pandemic that threatens humanity seems to change the health system as in every field. The study aimed to determine the use of the e-Health system before and after the pandemic and how health services have changed after the pandemic. Methods: The study was designed with a mixed method that includes analysis of qualitative and quantitative data. The quantitative data of the study were collected with the help of a questionnaire before the pandemic. Qualitative data acquisition and analysis were carried out after the pandemic. Results: According to the results of the study, the rate of participants who did not use the e-Health system before the pandemic was 73.5% (n=155). When asked about the reasons for not using the e-Health system; 43.2% of the participants (n=67) stated that they did not need it, 28.4% (n=44) were not aware of the system and 28.4% (n=44) stated that they did not know how to use the system. According to the qualitative data results, five main themes were obtained after the Covid -19 outbreak. The themes were; getting health information and guidance remotely during the pandemic is the best alternative, creating a sense of trust, compliance with the new situation, expectations from the health system in the new period, and expectations for guidance in accessing e-health information. Conclusion: The most important result of this study, the increase in the use of distance health and e-health, seems to be the framework of the new health service. When the results are read in this context, it can be predicted that a large share of the investments in the field of health will be shifted to digital health systems. Keywords: e-Health, digital health, COVID-19, expectations, pandemics

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Psikoeduakasi C4ME Untuk Mengatasi Gangguan Sindrom Pramenstruasi Pada Taruni Militer

Jurnal Psikologi Teori dan Terapan ◽

10.26740/jptt.v11n1.p32-46 ◽

2020 ◽

Vol 11 (1) ◽

pp. 32

Author(s):

Eunike Setiawati ◽

Andri Adi Wijaya ◽

Sri Wahyuningsih

Keyword(s):

Premenstrual Syndrome ◽

Quantitative Data ◽

Qualitative Data ◽

Military Education ◽

Health Counseling ◽

Randomized Design ◽

Behavioral Techniques ◽

Before And After ◽

Knowledge And Attitude ◽

The Military

Different situations and lifestyles in the military education academy require the women Navy cadets to adapt to high levels of stress. Stress can potentially disrupt the menstrual cycle and worsen the symptoms of premenstrual syndrome (PMS) which can reduce their performance as military cadets. This study aims to determine the effect of psychoeducation of Care For Menstruation (C4ME) on overcoming PMS problems in the Navy Academy. C4ME covers health counseling activities that provide information about menstruation and involves interventions based on cognitive-behavioral techniques to cope with PMS symptoms. This quasi-experiment used non-randomized one-group pretest-posttest design. Fifteen women Navy cadets were recruited. Quantitative data were collected using questionnaires of knowledge and attitude towards menstruation and were analyzed using a parametric statistical t-correlated sample. Qualitative data were collected from interviews before and after the intervention and were analyzed using a content analysis. The results show that C4ME psychoeducation is effective in increasing knowledge of menstruation (p = 0.01), changing participants' attitudes toward menstruation being more positive (p <0.01) and decreasing the symptoms of PMS experienced by participants.Keywords: C4ME Psychoeducation, premenstrual syndrome, women navy cadet Abstrak: Perbedaan situasi dan gaya hidup di akademi pendidikan militer menuntut para taruni Akademi Angkatan Laut (AAL) untuk beradaptasi dengan level stres yang tinggi. Stres berpotensi dapat mengganggu siklus menstruasi dan memperparah gejala sindrom pramenstruasi (PMS) yang dapat menurunkan produktifitas taruni. Penelitian ini bertujuan untuk menguji pengaruh psikoedukasi Care For Menstruation (C4ME) dalam mengatasi masalah PMS pada taruni AAL. Program psikoedukasi meliputi kegiatan penyuluhan kesehatan dan intervensi dengan teknik kognitif-perilaku untuk mengatasi gejala PMS. Metode kuasi-eksperimen dengan non-randomized design one-grup pretest-posttest digunakan. Partisipan penelitian adalah lima belas orang taruni AAL. Data kuantitatif tentang pengetahuan dan sikap terhadap menstruasi diukur menggunakan kuesioner, sedangkan data kualitatif diperoleh melalui wawancara sebelum dan sesudah dilakukan intervensi. Data kuantitatif dianalisis dengan statistik parametrik t-correlated sample, sedangkan data kualitatif dianalisis menggunakan analisis konten. Hasil menunjukkan bahwa psikoedukasi tentang menstruasi efektif dalam meningkatkan pengetahuan (p=0,01), mengubah sikap partisipan menjadi lebih positif terhadap menstruasi (p<=0,01), dan menurunkan gejala PMS pada para taruni.

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Evaluating the Impact of COVID-19 Pandemic on Dental Academics and the Future of Dental Education Across India

Journal of Medical Education ◽

10.5812/jme.113186 ◽

2021 ◽

Vol 20 (2) ◽

Author(s):

Rameshwari Singhal ◽

Anil Chandra ◽

Shuchi Tripathi ◽

Pavitra Rastogi ◽

Richa Khanna

Keyword(s):

Quantitative Data ◽

Online Teaching ◽

Qualitative Data ◽

Dental Education ◽

Descriptive Statistics ◽

The Future ◽

Current Scenario ◽

Dental Schools ◽

The Impact ◽

New Situation

Background: The outbreak of coronavirus disease 2019 (COVID-19) pandemic has led to the transition of dental education from chair-side clinical teachings to virtual didactic lectures. The future of dental education is not clear in these uncertain times. Objectives: This survey-based study aimed to evaluate the current scenario and preparedness of dental colleges/universities and faculty in adapting to the new situation and understanding the challenges faced during this phase. The survey also explored the opinions, limitations, and possible solutions in dental academics through open-ended qualitative questions. Methods: This survey-based study utilized exploratory mixed methods through both open- and closed-ended questions. The survey was distributed electronically to the majority of dental colleges across India to be answered voluntarily by the dental academicians involved in COVID-19 planning. The survey was inspired by the pre-existing questionnaire proposed by the Association of Dental Education in Europe (ADEE), and it was modified by the committee consisting of the study authors. Validation and piloting of the study were done through in-house dental faculty. Quantitative data were analyzed using descriptive statistics and expressed in percentages. Broad themes for qualitative data were derived by two independent authors and collated by the third author to finalize the results. Results: The questionnaire was answered by 89 dental schools from all parts of the country with varying stages of COVID-19 prevalence. Quantitative data revealed 100% adaptation of dental schools to online teaching, uncertainty regarding online (31.46%) and offline (10.11%) exams, and assessment of clinical competence. Qualitative analysis indicated uncertainty, ambiguity, and lack of direction among study respondents regarding how best to deal with the current situation. Conclusions: According to our results, collaborative effort from governing bodies was urgently required at this point to prevent dental education from being divided into multi-directional, incoherent, and isolated units.

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The Affect Of The Asean China Free Trade Agreement (Acfta) On The SME’s Performance

JBMP (Jurnal Bisnis Manajemen dan Perbankan) ◽

10.21070/jbmp.v5i1.2043 ◽

2019 ◽

Vol 5 (1) ◽

pp. 30

Author(s):

Wisnu Panggah Setiyono ◽

Dewi Andriyani ◽

Boy Isma Putra

Keyword(s):

Financial Performance ◽

Free Trade ◽

Mixed Method ◽

Quantitative Data ◽

Free Trade Agreement ◽

Qualitative Data ◽

Trade Agreement ◽

Paired Samples ◽

Library Research ◽

Before And After

This research is aimed to analyze the influence of ASEAN-China Free Trade Agreement (ACFTA) on the financial performance of SMEs in Sidoarjo. The financial performance of SMEs in this study was measured by the level of sales comparation between the period before and after ACFTA. This research applied mix method technique with squids mixed method strategy, especially sequential explanatory strategy. It is a strategy for the researchers to combine the data that was found from one method with the other method. The steps were begun with the researcher collecting the quantitative data by performing different test or Paired samples T-test then continued with collecting the qualitative data by doing library research. The results show that there are significant differences in financial performance; first, it is seen from the sales between before and after ACFTA, and second, it is proven that that the existence of ACFTA significantly affects the sales rate of SMEs.

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Digital Health and Inequalities in Access to Health Services in Bangladesh: Mixed Methods Study

JMIR mhealth and uhealth ◽

10.2196/16473 ◽

2020 ◽

Vol 8 (7) ◽

pp. e16473

Author(s):

Tanvir Ahmed ◽

Syed Jafar Raza Rizvi ◽

Sabrina Rasheed ◽

Mohammad Iqbal ◽

Abbas Bhuiya ◽

...

Keyword(s):

Health Care ◽

Health System ◽

Health Information ◽

Mobile Phones ◽

Access To Health Care ◽

Digital Health ◽

Electronic Devices ◽

Technical Skill ◽

Integrating Technology ◽

Access To Health

Background Globally, the rapid growth of technology and its use as a development solution has generated much interest in digital health. In line with global trends, Bangladesh is also integrating technology into its health system to address disparities. Strong political endorsement and uptake of digital platforms by the government has influenced the rapid proliferation of such initiatives in the country. This paper aims to examine the implications of digital health on access to health care in Bangladesh, considering who uses electronic devices to access health information and services and why. Objective This study aims to understand how access to health care and related information through electronic means (digital health) is affected by sociodemographic determinants (ie, age, gender, education, socioeconomic status, and personal and household ownership of mobile phones) in a semiurban community in Bangladesh. Methods A cross-sectional survey of 854 households (between October 2013 and February 2014) and 20 focus group discussions (between February 2017 and March 2017) were conducted to understand (1) who owns electronic devices; (2) who, among the owners, uses these to access health information and services and why; (3) the awareness of electronic sources of health information; and (4) the role of intermediaries (family members or peers who helped to look for health information using electronic devices). Results A total of 90.3% (771/854) of households (471/854, 55.2% of respondents) owned electronic devices, mostly mobile phones. Among these, 7.2% (34/471) used them to access health information or services. Middle-aged (35-54 years), female, less (or not) educated, and poorer people used these devices the least (α=.05, α is the level of significance). The lack of awareness, discomfort, differences with regular care-seeking habits, lack of understanding and skills, and proximity to a health facility were the main reasons for not using devices to access digital health. Conclusions Although influenced by sociodemographic traits, access to digital health is not merely related to device ownership and technical skill. Rather, it is a combination of general health literacy, phone ownership, material resources, and technical skill as well as social recognition of health needs and inequity. This study’s findings should serve as a basis for better integrating technology within the health system and ensuring equitable access to health care.

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Training Model for Attacking in Football of 16 Years Old

JUARA Jurnal Olahraga ◽

10.33222/juara.v5i1.600 ◽

2019 ◽

Vol 5 (1) ◽

pp. 8-18

Author(s):

Valentino Hary ◽

Bahtiar Firdiansyah

Keyword(s):

Motor Skills ◽

Quantitative Data ◽

Qualitative Data ◽

Exercise Program ◽

Training Model ◽

P Value ◽

School Students ◽

Before And After ◽

Small Test ◽

The Difference

The aim of this research is to produce a training model for attacking football and also to refute its effectiveness for children aged 16 years. As for the steps in developing the research, the Borg and Gall steps involved 15 subjects for the small test and 60 for the large test. Qualitative data were obtained from observations, documentation and interviews; meanwhile, for the quantitative data using the effectiveness test. The trial of this study used pre and post tests with 10 opposing criteria. In mathematical calculations the significance of the difference t-count = -28.971, db = 43 and p-value = 0.00 <0.05, which means it contains significance before and after giving treatment. It can be concluded that the model is applied effectively to improve the ability for attacking amongst school students aged 16 years. Thus, representing the differences in motor skills highlights the principle of specificity for attacking training at the age of 16 must be considered that the load of portions in the exercise program can be maximized.

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Title: Perspectives on an Iterative and Bidirectional Information System in Western Kenya and Its Role in Improving Health Outcomes

10.21203/rs.3.rs-174324/v1 ◽

2021 ◽

Author(s):

Beverly M. Ochieng ◽

Dan C. Kaseje

Keyword(s):

Information System ◽

Information Systems ◽

Health Outcomes ◽

Health System ◽

Information Sharing ◽

Health Information ◽

Qualitative Data ◽

Health Information System ◽

Health Facilities ◽

And Control

Abstract Background A perennial problem in information systems is the unidirectional flow of information. Bidirectional information systems are mechanisms by which consumers and providers generate, discuss and use information at each level of data collection. This paper describes opportunities in the health service delivery system for bidirectional information flow that can be established as part of the health information system to inform decisions, planning, and action by both providers and consumers of care. Methods The study was quasi-experimental and involved pre and post-intervention, cross-sectional surveys at intervention and control sites. The intervention was a Community Based Health Information System. Quantitative and qualitative data were collected. The surveys covered five health facilities in the intervention sites and five in the control sites in each of the six study districts. Five clients were interviewed at each intervention and control health facility. Communities served by the selected health facilities were included in household cluster sample surveys. Thirty clusters of 10 households, each with under-five children, were included in each community served by the selected health facilities. Quantitative data were cross-tabulated to compare health outcomes at intervention and control sites. A content analysis was performed on the qualitative data; themes and sub-themes that identified opportunities for bidirectional information-sharing were identified. Results We identified five nodal points in the health system that provide opportunities for bidirectional information sharing at the household, community, and health facility levels. Immunization coverage, skilled delivery, water treatment, and latrine use improved more at the intervention than control sites. Where all of the mechanisms were implemented, there was better performance in outcomes. Conclusion A conscious engagement of service providers and consumers in dialogue, using available health system information to iteratively inform decisions and actions, improves health outcomes.

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Steel Structure Building Market Demand and Applied Talents on Teaching Reform for the Course of Steel Structure

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.368-373.1487 ◽

2011 ◽

Vol 368-373 ◽

pp. 1487-1490

Author(s):

Yun Peng Chu ◽

Yong Yao ◽

Li Li Zhou

Keyword(s):

Steel Structure ◽

Steel Structures ◽

Market Demand ◽

New Era ◽

Teaching Content ◽

New Period ◽

Building Market ◽

Current Design ◽

The New Period ◽

New Situation

Some domestic colleges and universities have been made some effect in the steel structure teaching reforms, but there are some deficiencies in China in the new period. In view of the new era of our steel structures has increased, The design, construction and technical personnel is a serious shortage of steel , and can’t meet the number in current design institute and the construction units. So puts forward the teaching material, the demand in classroom teaching mode, teaching content and graduation design for the reform, the steel structure to provide a reference for personnel training of the new situation.

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Virtual Community Engagement to Advance Interoperability in Digital Health

Healthcare Policy and Reform ◽

10.4018/978-1-5225-6915-2.ch009 ◽

2019 ◽

pp. 163-180

Author(s):

Gina DeBenedetti ◽

Kelly Kuru ◽

Peter Picton ◽

Linda Monico ◽

Tasha Shaw-Verbic

Keyword(s):

Health System ◽

Community Engagement ◽

Health Information ◽

Case Studies ◽

Success Factors ◽

Virtual Communities ◽

Digital Health ◽

Virtual Community ◽

Lessons Learned ◽

Critical Success

This chapter will provide an overview of InfoCentral, a virtual community platform launched for advancing digital health information in Canada. Developed and hosted by Canada Health Infoway, InfoCentral has become a hub and resource for stakeholders in digital health to discuss, consider, and evaluate common challenges among digital health system compatibility across the country (i.e., interoperability). A synopsis of the role Infoway contributes toward advancing Canadian digital health, the background and considerations for InfoCentral, along with a series of three flourishing virtual community case studies will be examined. Critical success factors and lessons learned in establishing, supporting and growing productive virtual communities conclude this chapter.

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Virtual Community Engagement to Advance Interoperability in Digital Health

Advances in Healthcare Information Systems and Administration - Novel Applications of Virtual Communities in Healthcare Settings ◽

10.4018/978-1-5225-2958-3.ch006 ◽

2018 ◽

pp. 148-170

Author(s):

Gina DeBenedetti ◽

Kelly Kuru ◽

Peter Picton ◽

Linda Monico ◽

Tasha Shaw-Verbic

Keyword(s):

Health System ◽

Community Engagement ◽

Health Information ◽

Case Studies ◽

Success Factors ◽

Virtual Communities ◽

Digital Health ◽

Virtual Community ◽

Lessons Learned ◽

Critical Success

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Digital Health

Science, Technology, and Innovation for Sustainable Development Goals ◽

10.1093/oso/9780190949501.003.0014 ◽

2020 ◽

pp. 288-309

Author(s):

Simon K. Poon ◽

Yiren Liu ◽

Ruihua Guo ◽

Mu Li

Keyword(s):

Health System ◽

Health Information ◽

Digital Health ◽

Economic Status ◽

Medical Science ◽

System Perspective ◽

Information Platform ◽

Four Dimensions ◽

Measurement Framework ◽

Urban Rural

Digital health is the intersection of information, computer, and medical science and healthcare, which focusses on adopting information technology (IT) within clinical and healthcare processes. In this chapter, a maturity measurement framework of digital health in China is developed. The framework is applied to contextualize different aspects of the recent progress, opportunities, and challenges of digital health in China; more specifically, to identify its potential in improving the quality and delivery of healthcare (SDG3) and the way health information is shared through new value chains in the health system. The demand of quality education, digital health literacy, and expansion of complementary skills among health professionals, patients, and the general population will become more important to ensure inclusive and equitable education and to promote lifelong learning (SDG4). Transforming health service supply through digitization (automating processes) as well as digitalization (changing to new model of care deliveries) will enable better access in rural regions and help prevent the urban–rural divide faced by many people. Progress in digital health can facilitate equality between populations and reduce inequality among different groups of population by location, health, or economic status (SDG10). This chapter discusses the recent establishment of the Chinese National Health Information Platform, also known as the 4631-2 project, and then takes a system perspective to assess the impacts by covering four dimensions: translation, education, transformation, and technology. Finally, the chapter provides future projections on the basis of the literature synthesis, including opportunities and challenges for a sustainable digital health system in China.

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