Financial Staff Research Articles

Assessing trauma readiness costs in level III and level IV trauma centers.

Readiness costs are expenses incurred by trauma centers to maintain essential infrastructure. Although the components for readiness are described in the American College of Surgeons' Resources for Optimal Care of the Injured Patient , the cost associated with each component is not well defined. Previous studies describe readiness costs for levels I and II trauma centers based on these criteria. The purpose of this study was to quantify the cost of levels III and IV trauma center readiness. The state trauma commission, along with trauma medical directors, program managers, and trauma center financial staff, standardized definitions for each component of trauma center readiness costs and developed a survey tool for reporting. Readiness costs were grouped into four categories: Administrative/Program Support Staff, Clinical Medical Staff, and Education/Outreach. A financial auditor analyzed all data to verify consistent cost reporting. Trauma center outliers were evaluated to validate variances. All levels III and IV trauma centers (n = 14) completed the survey on 2019 data. Average annual readiness cost is $1,715,025 for a level III trauma center and $81,620 for level IV centers. Among the costliest components were clinical medical staff for level IIIs and administrative costs for level IVs, representing 54% and 97% of costs, respectively. Although education/outreach is mandated, levels III and IV trauma centers only spend approximately $8,000 annually on this category (0.8-3%). This study defines the cost associated with each readiness component outlined in the Resources for Optimal Care of the Injured Patient manual. The average readiness cost for a level III trauma center is $1,715,025 and $81,620 for a level IV, underscoring the need for additional trauma center funding to meet the requirements set forth by the American College of Surgeons. Economic and Value-Based Evaluations; Level III.

PENGARUH KAPASITAS SUMBER DAYA MANUSIA, PEMANFAATAN TEKNOLOGI INFORMASI, DAN PERAN AUDITOR INTERNAL TERHADAP KUALITAS PELAPORAN KEUANGAN PEMERINTAH DAERAH (STUDI PADA SKPK BANDA ACEH)

This study aims to examine the effect of Human Resource Capacity, Utilization of Information Technology, and the Role of Internal Auditors on the Quality of Local Government Financial Reporting. The population used in this study were 44 Local Government Working Units (SKPK) located in Banda Aceh. Respondents in this study were employees who performed accounting or financial administration functions consisting of the Head of the Finance Subdivision, Revenue Treasurer, Expenditure Treasurer, and Staff of the Finance Section of each SKPK. The data collection method in this study used a questionnaire technique. The validity test used the Pearson Correlation test, while the reliability test used Cronbach's Alpha. The data analysis technique used is simple regression analysis with the help of the latest version of IBM SPSS software. The results of this study indicate that (1) Human Resource Capacity, Utilization of Information Technology, and the Role of Internal Auditors simultaneously affect the Quality of Local Government Financial Reporting, (2) Human Resource Capacity does not affect the Quality of Local Government Financial Reporting, (3) Utilization of Information Technology has a positive effect on the Quality of Local Government Financial Reporting, (4) the role of Internal Auditors does not affect the Quality of Local Government Financial Reporting.

FISCAL MANAGEMENT AND SCHOOL IMPROVEMENT OF SECONDARY IMPLEMENTING UNITS IN THE DIVISION OF LAGUNA : A BASIS FOR FINANCIAL POLICY MAKING

This study aimed to identify the relationship between Fiscal Management and School Improvement of Secondary Implementing Units in the Division of Laguna during the Fiscal Year 2015-2017. This study was limited to the total population of thirty (30) School Heads, at least thirty (30) Financial Staff and five hundred thirty six (536) teachers representing the twenty percent (20%) of the total population of teachers in Secondary Implementing Units in the Division of Laguna, Region IV-CALABARZON. The independent variables included the following: Fiscal Management in terms of Budgeting, Planning, Procurement, Accounting and Disbursement. The researcher correlated the mentioned variables on school improvement in terms of Faculty and Staff which includes seminar, trainings and research Students which includes enrolment rate, drop-out rate, awards and recognitions School in terms of Physical Facilities Development, NAT Results, SBM Level and PBB Level and Current Operating Expenditures in terms of Personal Services (PS) and Maintenance and Other Operating Expenses (MOOE). The data gathered from this study were tabulated and analyzed using the following statistical treatments: 1. To determine the level of school heads fiscal management in terms of budgeting, planning, procurement, accounting and disbursement as perceived by the School Heads and the Financial Staff and to distinguish the level of school improvement as perceived by the School Heads and Teachers in terms of Faculty and Staff, students, School development and Current Operating Expenditures, mean and standard deviation were used. To determine the level of School Improvement as perceived by the School Heads as respondents in terms of SBM and PBB Level, mean, standard deviation, Frequency Distribution and Percentage were utilized To determine the significant difference on Fiscal Management as perceived by the School Heads and by the Financial Staff and the significant difference on School Improvement as perceived by School Heads and Teachers of Secondary Implementing Units in the Division of Laguna, T-test was used. Lastly, to determine the significant relationship between Fiscal Management and School Improvement as perceived by the School Heads of Secondary Implementing Units in the Division of Laguna, the researcher used Pearson Product-Moment Correlation Coefficient and Spearmans rank correlation coefficient. On the basis of the foregoing findings and hypotheses posited in this study, the following conclusions were drawn: (1) The hypothesis stating that there is no significant difference on Fiscal Management as perceived by the School Heads and by the Financial Staff of Secondary Implementing Units in the Division of Laguna is rejected (2) The hypothesis stating that there is no significant difference on School Improvement as perceived by the School Heads and by the Teachers of Secondary Implementing Units in the Division of Laguna is rejected and (3) The hypothesis stating that there is no significant relationship between the Fiscal Management and the School Improvement as perceived by the School Heads of Secondary Implementing Units in the Division of Laguna is partially accepted.

Sistem Informasi Perincian Tarif Rawat Inap Berbasis Website di Puskesmas Maurole

Currently, information systems and technology have developed very rapidly. One of the fields that are highly demanded to take advantage of developments in technology and information is the health sector. Information system is a network of procedures that are interconnected and work together to process certain data and turn it into a more useful form called information. Maurole Public Health Center is one of the health centers in the Ende district which currently still uses the conventional information system for the breakdown of inpatient rates. In providing services, puskesmas earn income from the services and facilities provided, one of which is inpatient services, where the income for these services comes from the tariffs that must be paid by inpatient service users. To be able to produce detailed information on inpatient rates, puskesmas are required to be able to carry out operational needs efficiently according to the functions carried out so that their goals are achieved by utilizing technological and information developments. The purpose of this study is that researchers want to build a website-based information system for inpatient rates. The research method used is a type of quantitative research. Data collection techniques by means of observation, interviews and literature study. The system development method uses waterfall and the test uses blackbox testing. This system can simplify and assist finance staff in the breakdown of rates to generate total costs.

USE OF IFMIS IN BUDGETARY CONTROLS AND FINANCIAL ACCOUNTABILITY IN COUNTY GOVERNMENTS IN WESTERN KENYA

<p>The purpose of this study was to determine the influence of the use of IFMIS in budgetary controls on the financial accountability of county Governments in Western Kenya. The study adopted a correlational research design. Primary data was collected using questionnaires. The study target population was 1110 county staff comprising Cabinet executive officers, IFMIS directors, finance staff, revenue officers, and planning and procurement staff. Simple random sampling was used to select 294 respondents. Reliability was tested through Cronbach Alpha, validity was tested through expert analysis and principal component factor analysis. SPSS was used to analyze descriptive and inferential statistics. Descriptive statistics consisted of frequencies. Inferential statistics consisted of Binary logistic regression analysis. Cox & Snell R Square was established as 0.699. Wald statistic was significant with p values of 0.19. Correlation analysis showed r = of 0.814. The binary logistic regression coefficient was β = 2.049, p-value .019 and Exp (β)= 7.76 for budgetary controls. It was recommended that the implementation of IFMIS should be strengthened and regularly reviewed to identify loopholes that still exist that reduce effectiveness. This would improve fiscal discipline by a very high percentage as shown by the odds ratio of budgetary controls which is greater than one. The government should enforce the use of IFMIS in budgetary controls. This will lead to minimal budget variance and budget deficits. Better ways that can make IFMIS adhered to in budgeting should therefore be enforced this will improve financial accountability as evidenced by the odd ratio of budgetary controls.</p><p><strong>JEL:</strong> G21; G29; G38</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0919/a.php" alt="Hit counter" /></p>

Is Use of IFMIS in Financial Reporting the Solution to Financial Accountability? Answers from County Governments in Western Kenya

Purpose: The implementation of Integrated Financial Management Information System (IFMIS) is aimed at increasing the effectiveness and efficiency of state financial management and facilitate the adoption of modern public expenditure practices in keeping with international standards and benchmarks. Despite IFMIS being implemented, many county governments’ still face accountability challenges. The purpose of this study was to evaluate the influence of financial reporting on financial accountability of county Governments in western Kenya.
 Methodology: The study was guided by Agency theory, Accountability theory and Technological Acceptance model. The study adopted correlational research design. Primary data was collected using questionnaires. The study target population was 1110 county staffs comprising of Cabinet executive officers, IFMIS directors, finance staff, revenue officers, planning and procurement staffs. Simple random sampling was used to select 294 respondents. Reliability was tested through Cronbach Alpha, validity was tested through expert analysis and principal component factor analysis. SPSS was used to analyze descriptive and inferential statistics. Descriptive statistics consisted of frequencies. Inferential statistics consisted of Binary logistic regression analysis.
 Findings: Cox & Snell R Square was established as 0.699. Wald statistic was significant with p values of 0.00, and 0.022 for financial reporting. Correlation analysis for financial reporting and internal controls was r = 0.944. The binary logistic regression coefficient was β of 6.17, p value .000 and Exp (β) = 479.88 for financial reporting. Data was presented using tables.
 Recommendation: It was recommended that implementation of IFMIS should be strengthened and regularly reviewed to identify loop holes that still exist that reduce effectiveness. This would improve fiscal discipline by a very high percentage as shown by the odds ratio of budgetary controls, financial reporting and internal controls which are all greater than one. There will be improved adherence to statutory regulations, unsupported expenditures would reduce and Misappropriations and budget variances will be minimal.

Ethical Decision-Making in Indigenous Financial Services: QSuper Case Study

This case study details how and why integrating storytelling, empathy, and inclusive practice shifted QSuper, a large Australian finance organisation, from minimal awareness to moral awareness then moral capability in the delivery of services to Indigenous customers. During the Royal Commission into Misconduct in the Banking, Superannuation, and Financial Services Industry, QSuper were recognised for their exemplary service with Indigenous customers (Hayne, Interim report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2018; Transcript of Proceedings, 13 August, Commonwealth of Australia, 2018). This position was in stark contrast to the inaccessible service offerings of other financial organisations where some used predatory practices to sell unethical financial products to Indigenous Australians (Hayne, Interim report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2018; Hayne, Final report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2019a). Storytelling garned from visiting customers in remote communities and other meaningful activities involving inclusive practice to facilitate ethical decision-making in finance is different to standard functionalist finance approaches (Schinckus, Int Rev Financ Anal 40:103–106, 2015). Two empathetic questions asked within QSuper complementing the storytelling, were: “What is the right thing to do by the customer?” and “How would I feel if this were my mother?” Exploration into the lived reality of moral capacity is important based on the Commission finding many of the 490,000 finance staff do not know how to provide ethical services to vulnerable customers, in particular remote Indigenous customers (Australian Bureau of Statistics. Labour force, Australia, detailed. ABS. Retrieved from https://www.abs.gov.au/statistics/labour/employment-and-unemployment/labour-force-australia-detailed/latest-release, 2021; Hayne, Final report: Royal commission into misconduct in the banking, superannuation and financial services industry, Volume 1. Commonwealth of Australia, 2019a). Furthermore, there is minimal literature on the role of Indigenous storytelling to heighten moral awareness in the finance industry which was found to lead to better ethical outcomes.

Pengaruh Sistem Informasi Akuntansi Dan Standar Akuntansi Pemerintah Terhadap Kualitas Laporan Keuangan Daerah

This study aims to examine the Effect of Accounting Information Systems and Government Accounting Standards on the Quality of Financial Reports (empirical study on Sijunjung Regency). While the research sample is the Head, Treasurer, and Financial Staff in the OPD (Regional Apparatus Organization) Sijunjung Regency, amounting to 81 respondents. The type of data used is primary data. The sampling technique used is total sampling by distributing questionnaires.The results showed that the Accounting Information System (X1) had an effect on the Quality of Financial Statements (Y). This result is evidenced by the significance value of t of 0.000 < 0.05. while the Government Accounting Standards (X2) affect the Quality of Financial Statements (Y).

Process of Vendor Bill Payment

The purpose of this study is to find out the vendor bill payment process, to find out the obstacles during the vendor bill payment process and to find solutions in dealing with obstacles during the vendor bill payment process. The research methodology used is Qualitative Descriptive which aims to describe the conditions and analyze the vendor bill payment process. In this study, data relating to the author's study are sourced from library studies, field studies, and documentation techniques. The results of the research on the Vendor Bill Payment Process are as follows: the vendor bill payment process at the company has been going well, starting from receiving Purchase Orders (POs) by finance staff and from purchasing staff to the finance & accounting director's signature on demand deposits and Multipurpose Forms. (FM) as an approval, payment will be made, and payment will be made by the finance supervisor. Constraints that occur during the vendor bill payment process can be overcome by fairly good solutions to the obstacles encountered, ranging from problems when receiving documents provided by purchasing staff, which are often not in accordance with the attachments or incomplete documents, staff inaccuracies. finance at the time of data input, the lack of information obtained regarding the presence of new employees or vendors, and the use of systems that have not been effective. The company's solutions to problems during the vendor bill payment process have been able to resolve existing problems in accordance with the stages of the bill payment process, but require cooperation from the relevant divisions.

Factors Influencing Adherence to Ethical Values: A Case Study of Accountants in the Zambian Public Sector

Financial scandals continue to negatively impact businesses all over the globe with Zambia not being an exception. The financial accounts of businesses are handled by accountants who are members of professional bodies and are governed by a code of ethics put in place to regulate professional conduct. This study aimed to establish the relationship between factors influencing ethical values and the accountants’ adherence to the code of ethics. The study employed a quantitative approach with the use of structured questionnaires on a population sample comprising of finance and accounting staff from the Zambian public sector. To determine the respondents, simple random sampling was used to identify the population of interest. The outcome from the study showed remuneration of accountants, internal controls within organisations and independence of accountants to be among the factors that influence adherence to ethical values. It was found that there is a positive relationship between remuneration of accountants, internal controls, independence of accountants and the accountants’ adherence to ethical values. It is therefore expected that the higher the remuneration of the accountant, the stronger the internal controls, the higher the independence of the accountant, the easier it is for the accountant to adhere to ethical values. This study contributes towards enhancing measures put in place to address the shortcomings attributed to compliance with the code of ethics for public sector accountants. It will also be beneficial to accountants as it will echo the need for accountants to uphold ethical values.

IMPLEMENTATION OF ACCOUNTING INFORMATION SYSTEM IN BLUD UPT PUSKESMAS PAHANDUT PALANGKA RAYA POST TRANSFER OF STATUS

Accounting information systems are so important. In services (JasPel) the workforce at BLUD UPT Puskesmas Pahandut still often occurs in calculation errors because there is no latest report on the rank of the workforce itself so that the incentives given are not in accordance with what the workforce should get based on their respective ranks or years of service. respectively. The aims of this study are to (1) describe the application of the cash disbursement cycle for labor services at the BLUD UPT Puskesmas Pahandut Palangka Raya, and to (2) describe the impact of changing the status of the BLUD UPT Puskesmas Pahandut Palangka Raya from UPTD to BLUD on the expenditure cycle.
 This research is a field research, with a descriptive approach. The method used in this study is a qualitative method. The subjects in this study were the Head of the TU (KASUBAG TU), the BLUD Expenditure Treasurer, financial staff other contract personnel. The data collection techniques were observation, interviews, and documentation which were then analyzed using data collection techniques, data reduction, data presentation, and drawing conclusions.
 The result of this research is that the BLUD UPT Puskesmas Pahandut has been able to implement an accounting information system quite well during the status transition. It's just that there are obstacles that often occur and can lead to calculation errors. The impact of the change in status led to adjustments from the puskesmas and their workforce, decreased service incentive income, and the source of funds came from BLUD revenues.
 
 Keywords: Implementation; BLUD; Transfer Status

Transparency and Accountability of Managing School Financial Resources

Transparency and accountability are essentials to the operation of governments regardless of political systems. They are tools to prevent corruption. Transparency and accountability are twin requirements in managing school financial resources. Transparency as a requirement ensures that sound and efficient utilization of resources is maintained while transparency makes opportunity for greater accountability. The study looks into the behavior of school heads on how they manage financial resources of their schools using the parameters of transparency and accountability. The locale of the study is in the province of Nueva in the Philippines. The findings showed that most school heads and finance staff possess graduate-level educational qualification and experienced financial managers. The least accountability parameter of the respondents is in the domain of asset management while it showed the least scores for transparency domain in the area of budgeting. School financial managers encountered challenges which include policy-related procedures, differences in the market prices of supplies and equipment against the programmed budget, and limited opportunities for seminars/trainings regarding school financial management. The late release of budget allocation to schools, lack of adequate skilled manpower essential for effective budget utilization, engagement of school management on different duties, lack of planning and performance of school activities together with stakeholders and interferences of school principals are among the critical challenges that may render ineffective financial resource utilization in secondary schools.

Factors Affecting Student's Satisfaction with the Financial Management System of Public Universities in Vietnam

In the context of state budget cuts and increasingly fierce competition, the increase in student satisfaction with the financial management system is one of the revenue growth goals of the Vietnamese public university. This study aims to examine the factors affecting student satisfaction with the financial management system. The multiple regression model was applied to test the proposed hypotheses. Participating in the study were 200 students from universities in Hanoi. The study period is May 2022. The research results show that financial information equipment and process factors affect students' satisfaction with the financial management system with the highest regression coefficient (β = 0.366, sig =0.000); next is the accessibility to financial support services factor (β =0.220, sig =0.000) and the lowest is financial services support staff factor (β =0.161, sig =0.006). This result implies that public universities in Vietnam need to focus on developing financial staff to meet the increasingly demanding expectations of students.

Pengaruh Trust, Gaya Kepemimpinan, Sistem Pengendalian Manajemen dan Kompetensi Sumber Daya Manusia terhadap Kinerja Keuangan Koperasi (Studi Kasus Pada Koperasi di Kecamatan Selaparang Kota Mataram)

This study aims to analyze the influence of trust, leadership style, management control systems and human resource competencies on the financial performance of cooperatives in Selaparang District of Mataram City. This research method uses quantitative research methods with primary data obtained from a Likert scale questionnaires. The population used is all members of 119 cooperatives in Selaparang district of Mataram City. The sample of this research is the finance staff and supervisors whose numbers are determined using the Slovin formula so that a total of 98 people is obtained as the study sample. The results of this study indicate that (1) Quality of Trust has a significant negative effect on the financial performance of cooperatives in Selaparang district of the Mataram city. (2) Leadership style has a significant positive effect on the financial performance of cooperatives in Selaparang district of the Mataram city. (3) The management control system has a significant positive effect on the financial performance of cooperatives in Selaparang district of the Mataram city. (4) Human resource competence has a significant positive effect on the financial performance of cooperatives in Selaparang district of the Mataram city

Essays in Human Side of the Enterprise: Management Systems, Financial Planning and Employees’ Reactions in a Developing Economy of the 21st Century

An enterprise's survival and goal achievement to a greater extent depend on its management system, financial planning strategies and employees’ reactions. The management system (authoritarian or humanistic) portrays the firm as a composite entity of a goal-setting machine (top management) and a goal-achieving machine (subordinates and employees) in an organisational context. The type of management system and its associated financial planning strategy are admittedly of significant effect in the life of any firm. This is because the goal of the organisation (for the period the financial plan covers) is contained in the financial plan. Goals must not only be set but strategies must be evolved to achieve the goals contained in the financial plan. Financial plans (autocratic or participatory) express the expectations of the enterprise from its members and specifies the employees’ duties and rights (if any) for that period. Financial plan, therefore, is an important instrument for enterprise goal achievement. This paper was necessitated by the unconcerned attitude of enterprise management with current researches in financial planning theory and practice. Available Accounting, finance and Business literature support the assertion that authoritarian management systems and their associated financial planning strategy do not always work. Rather than bringing improved performance, such a system generates anxiety, mistrust, interdepartmental strifes, quarrel with finance staff, demotivation, corrupt activities, poor productivity and other dysfunctional attitudes and behaviour which are inimical to enterprise growth and survival. On the contrary, a humanistic management system relative to its financial planning strategy triggers employees’ morale, motivation and productivity. Such a system boosts corporate existence and enhances continued goal achievement. This system is believed to serve as a panacea: a cure for all the many ills associated with the authoritarian management system and its related autocratic financial planning strategy.

Pilihan rasional alumni ilmu perpustakaan pada pekerjaan non-pustakawan

Introduction. The establishment of Library Science Schools is expected to prepare professionals in library fields. In fact, there are many graduates who choose non-librarian jobs, therefore, it is necessary to examine their rational choices of the jobs.
 Research methods. This study uses a qualitative narrative to explore the rational choices of seven informants.
 Data analysis. Data were analysed by summarizing the results of interviews and sorting them based on the topics and presented in a narrative way. Interviews were conducted from April 2019 to March 2020.
 Results and Discussion. The non-librarian jobs selected were lecturers, heads of academic division, book editors, finance staff, entrepreneurs, and the drafting and reporting staff. The decisions were made by considering opportunities to learn new things, public recognition, income, and job comfort. This study found that some of the knowledge gained from library sciences (management, communication, marketing, classification, and cataloging) can be applied to non-librarian jobs.
 Conclusion and suggestions. The choice of non-librarian jobs are selected based on considerations for further learning, social appreciation, salary, and environment. The consequence is to learn new knowledge and skills. The results of this study may be a reference for future research on job selection by using rational theory and motivation theory.

Transforming Public Higher Education through Financial Behavioral Drivers Models

The purpose of this research is to investigate the correlation and causation of theories of planned behavior, present bias, iNcentives, Understanding mappings, Defaults, Giving feedback, Expecting error, and Structuring complex choices (NUDGES), and financial literacy for the university financial staff. This research investigates the staff's behaviors and outcomes and observes any changes over time. We make use of a survey questionnaire as well as data acquired from 285 financial staff at 28 public universities. The authors developed the warp partial least squares structural equation modeling (PLS-SEM) technique, which was used to analyze the data and test the proposed model. The results of this study indicate that financial management behavioral intention can be controlled by various psychological variables such as the theory of planned behavior, present bias, financial literacy, and NUDGES as the strongest predictor. The research findings underscore the importance of the system strength factor (shown by NUDGES) in monitoring and shaping financial management behavior. This research contributes to the current literature by investigating the relationship between financial management behavior intention and the theory of planned behavior, present bias, NUDGES, and financial literacy. In addition, this research has become an enrichment in the conversations of stakeholders at public universities to demonstrate the findings of this study as a basis for strengthening the financial management system through the six elements of the NUDGES factor.

“Power does not exist, what exists is influence”: How mid‐level business and finance staff in private colleges navigate the higher education landscape

AbstractIn this chapter, the experiences of mid‐level business and finance staff positions in private colleges are explored to illuminate how they engage the campus environment as they help navigate their institutional fiscal vitality through the lens of empowerment theory. Through qualitative interviewers, findings include how they negotiate shared governance with members of the community who have tenure and how they empower those around them.

Senjangan Anggaran Dipengaruhi Oleh Partisipasi Anggaran dan Komitmen Organisasi Di SKPD Provinsi Sumatera Barat

The Impact of Budget Participation and Organizational Commitment on Slack Budgeting (SKPD Province West Sumatera Case Study.) In fact, all local government agencies, as well as the central government, must have adequate and effective budgets. The SKPD (Regional Work Unit) in West Sumatra is a regional government agency that manages all existing budgets. The aim of this study was first to find out how budget participation affects budget congestion. Second, understand the impact of organizational participation on budget congestion in the SKPD in West Sumatera. The population in this study is a sub-program and finance of the SKPD in West Sumatra. The sampling technique in this study used targeted sampling. The sample for this study included 18 program department managers and all departmental and finance staff involved in budgeting. The results of this study show that: 1) Family participation has a significant positive impact on family idleness. The value of the budget participation coefficient is 2,907 > t Table 1,998, with a significance level of 0.005 (<0.05). 2) Organizational engagement negatively and significantly affects budget underutilization. The value of the organizational commitment coefficient was -4.376 < t Table 1.998 with a significance level of 0.000 (< 0.05).

Work-related support in clinical care for patients with a chronic disease: development of an intervention

BackgroundPatients with a chronic disease are more vulnerable in the labor market, and work-related support in clinical care would enhance the timely support greatly needed in each phase of their working life. This paper describes the development of a generic stay-at-work intervention to provide work-related support in clinical care to patients with a chronic disease.MethodsSteps 1–4 of Intervention Mapping (IM) were combined with action research principles. A needs assessment (Step 1) involved the project group formation, a literature review, qualitative studies with healthcare professionals (HCPs; n = 9) and patients (n = 10), consultation with financial staff and testing, and resulted in objectives (Step 2). Guided by methods and applications (Step 3), the intervention was developed, tested and finalized (Step 4).ResultsThe needs assessment revealed the importance of behavioral change in HCPs, including changing attitude, self-efficacy, and social influence. For that purpose, a pathway and training sessions were developed. Testing these unveiled the need for practical tools and intervision. The final intervention comprises a care pathway as part of working routines, including screening, risk stratification, and tailored support. Practical tools, training sessions, and intervision for HCPs were developed.ConclusionsCombining IM with action research principles resulted in a generic stay-at-work intervention in clinical care via behavioral change in HCPs. A generic care pathway, practical tools, training sessions, and intervision were developed. More specific alignment to specific patient groups is possible. To implement the intervention in another hospital, the local context, (financial) resources, and the national legislation should be considered.