Health Service Managers Research Articles

Healthcare waste management practices in rural state hospitals, Ampara, Sri Lanka

Introduction: Healthcare waste encompasses all waste generated by healthcare facilities, including that from medical procedures. Approximately 10-25% of healthcare waste is hazardous while 75-90% are non-hazardous. Hazardous waste consists of sharp objects, infectious materials, pharmaceuticals, biological substances, cytotoxic agents, chemicals and radioactive materials. Effective management of healthcare waste involves reducing generation, segregating, collecting, transporting, storing, treating and disposing of it properly. Objectives: To assess healthcare waste management practices and state of related healthcare waste management facilities in rural state hospitals in the Regional Director of Health Services (RDHS) Area, Ampara Methods: A cross-sectional study was conducted in all secondary and primary level state hospitals (n=26) in the health region, Ampara. Data collection utilised observational checklists, desk review of relevant documents and interviews with key persons by using an interviewer-administered questionnaire. Descriptive analysis was conducted using relative frequencies, while significant relationships were evaluated through Chi-squared and Fisher’s exact tests. Results: The research achieved a 100% response rate allowing observations, desk reviews and questionnaire administration in all selected hospitals. Only two hospitals demonstrated satisfactory healthcare waste management practices. None of the hospitals had a proper mechanism to transport healthcare waste. Significant associations were found between the healthcare waste management practices of the hospitals and factors such as the presence of a healthcare waste management plan in the hospital (p=0.02), the existence of a focal point for healthcare waste management activities (p=0.03) and the availability of a mechanism for regular staff training (p=0.04). Conclusions & Recommendations: The study recommends developing healthcare waste management plans, appointing focal points, establishing regular training mechanisms, allocating a separate budget, and forming healthcare waste management committees within hospitals.

Factors influencing the unexpected measles outbreak of 2023 in Colombo, Sri Lanka

Introduction: Measles, a highly contagious viral disease remains a significant global public health concern. The resurgence of measles outbreak in 2023 ended the four-year measles-free status in Sri Lanka initially achieved in 2019. Objectives: To examine the risk factors contributing to the unexpected outbreak in the Colombo Regional Director of Health Services (RDHS) area and offer recommendations for public health implications Methods: A cross-sectional study was conducted among all 142 notified cases of fever and maculopapular rash reported for one-year from 1 January 2023 in Colombo RDHS area. Cases were confirmed based on serological, virological, clinical or epidemiological criteria, with incomplete data revisited to ensure accuracy. Information on demographic data, vaccination status, and contact history was collected. Odds ratio (OR) with 95% confidence interval (CI) was calculated to identify risk factors, and multiple logistic regression was performed to adjust for confounders. A p-value of less than 0.05 was considered statistically significant. Results: Of the 142 notified cases of fever and maculopapular rash, 113 were confirmed as measles (79.6%). Of the confirmed cases, 80 (70.8%) were confirmed through blood, throat, or nasal swab testing, 33 (29.2%) were clinically confirmed, and 2 (1.8%) were confirmed based on epidemiological criteria. Among the confirmed cases, 48.7% (n=55) were aged between 3-15 years, and 55.8% (n=63) were female. The highest proportion of cases was identified within the Muslim population (53.1%). A majority (n=92; 81.4%) of confirmed cases were unvaccinated. A history of contact with infected individuals significantly increased the risk of measles (OR=7.50; 95% CI: 2.10-14.4; p=0.002). Children aged 3 years or younger exhibited a lower risk (OR=0.41; 95% CI: 0.25-0.68; p=0.001), while vaccination demonstrated strong protection against infection (OR=16.61; 95% CI: 3.38-20.48; p=0.001). Contact history (adjusted OR=8.46) and non/partial vaccination (adjusted OR=6.61) were the strongest predictors of infection. Conclusions & Recommendations: Measles outbreak in 2023 was predominantly driven by unvaccinated individuals and contact with infected cases. To prevent future outbreaks and enhance immunization coverage, targeted catch-up immunization campaigns focusing on high-risk groups, alongside culturally sensitive educational initiatives are urgently required.

Limitations of District Health Information Software 2 (DHIS2) as a Decision Support Tool for Upazila Health Service Management in Bangladesh

Background: District Health Information Software 2 (DHIS2) is an open source, web-based, health management information system (HMIS) recognized as world's largest HMIS platform, customized for health information system of Bangladesh for decentralized data entry since 2011. Health care managers and employees should be well informed about the health information system for accurate, appropriate, precise, timely, valid information and also interpretation of information which are the basis for policy planning and decision-making at various levels of the organization. The study aimed at exploring the limitations of DHIS2 in decision making process for health service management among the Upazila (Sub district) level health managers of Bangladesh. Methods: The cross sectional study was conducted among the Upazila Health and Family Planning Officers (UH&FPOs) of Bangladesh during the period of January to December 2018. All (482) UH&FPOs of Bangladesh posted as regular, current charge or in-charge were included for the study. Data were collected by a pre-tested semi-structured email-based questionnaire. Results: Response rate was 88.8% (428 out of 482). The mean age of the respondents was 47.08 (±6.33 SD). Mean duration of job experiences as UH&FPO was 1.9 years (±1.635 SD). Regarding limitation, the study revealed that 76.2% (of 424) UH&FPOs think that lack of rrealizing the Importance of DHIS2 by Doctors, Nurses and other Staffs is the most important “Facility Centered Barriers” for using DHIS2 as a decision support tool of Upazila health service management. Beside this 71.2% UH&FPOs think that lack of effective training of the staffs concerned with DHIS2 operation are the second most important barrier. The study also revealed that 59.7% (of 402) UH&FPOs think that absence of the option for automatically displaying the summary reports of various datasets in the respective Upazila dashboard is the most important “Software Centered Barriers” for using DHIS2 as a decision support tool of Upazila health service management beside this 58.5% UH&FPOs think difficulties in identifying the management related data elements from various data sets of DHIS2. Conclusion: So, this study recommends scaling up DHIS2 by redesigning training programs with more focus on the ways of its’ application in the decision making process, create awareness among all categories of health staffs, customization of its contents and more research on this ground. These initiatives will explore several innovative approaches to monitor health indicators by DHIS2, measure and plan health interventions to ensure quality health service and will lead towards achieving Sustainable Development Goal 3 (SDG-3). JOPSOM 2023; 42(2): 43-50

The SDG 3 Enhancement Through Health-Service Management in Post-Conflict Afghanistan: Resource Allocation, Training, Community Engagement, and Data Use

Purpose: This study aims to identify critical factors that enhance health service delivery in post-conflict Afghanistan, focusing on effective resource allocation, comprehensive training programs for healthcare workers, community engagement, and the utilization of Health Management Information Systems (HMIS) data. The novelty of this research lies in its integrative approach to addressing health service delivery in post-conflict settings. Unlike previous studies that have often examined these factors in isolation, this research uniquely combines them to provide a comprehensive framework for improving healthcare outcomes. Method: Using a narrative literature review methodology, this study synthesizes findings from peer-reviewed journals, government reports, and international health organization publications. Results and Discussion: The findings reveal that targeted resource allocation is essential for reducing health inequalities and improving service delivery. Comprehensive training programs enhance the skills and knowledge of healthcare providers, leading to better service quality and management efficiency. Community engagement fosters a sense of ownership and accountability, improving health practices and outcomes. Effective utilization of HMIS data enhances decision-making, monitoring, and resource allocation. The study concludes that a holistic approach, integrating these elements, is necessary to build resilient health systems in post-conflict settings. Research Implications: The implications for policymakers and health managers include prioritizing resource allocation, training, community engagement, and data utilization to improve health outcomes. Future research should focus on developing and implementing strategies that incorporate these factors to strengthen health systems in similar environments. Originality/Value: The novelty or urgency of this study is underscored by the profound disruptions in Afghanistan's healthcare system following the Taliban's takeover in August 2021. Decades of conflict have severely impacted healthcare delivery, exacerbating existing challenges and creating new barriers to accessing essential services. The withdrawal of international aid and restrictive policies have further strained the healthcare infrastructure, particularly affecting vulnerable populations such as women and children. This urgent backdrop justifies the need for a comprehensive analysis to identify strategies that can effectively address these challenges.

Depression, anxiety and its predictor among internally displaced person in metekel Ethiopia, 2023: using a structural equation model

IntroductionThese individuals face psychological and physical trauma, loss of jobs, and emotional isolation, which may lead to the development of depression and anxiety. In 2022, 120 countries had over 71 million IDPs, a 20% increase from the previous year. In sub-Saharan Africa, natural disasters accounted for 40% of all new IDPs worldwide.MethodAn institutional-based cross-sectional study was conducted in Ethiopia. A systematic random sampling method was used to select 997 respondents. Data were collected using a structured interview questionnaire. STATA Version 17 and Amos Version 21 were used for the analysis. Descriptive statistics were summarized using frequency, percentage, table, graph, chart, figure, and summary statistics. Structural equation modeling was employed to assess the relationship.ResultThe overall prevalence of depression and anxiety was 79.64% (95% CI: 77.02 82.03) and 74.62% (95% CI =71.83%, 77.23%) respectively. age (adjusted β = 0.0034, 95% CI: 0.0012, 0.0056), history of the death of a loved one (adjusted β = 0.132, 95% CI: 0.0803, 0.185), had formal education (β = -0.164, 95% CI: -0.229, -0.098) occupation other (adjusted β = -0.183, 95% CI: -0.261, -0.105), Not having medically confirmed mental illness (adjusted β = -0.185, 95% CI: (-0.325, -0.045), PTSD score (adjusted β = 0.0082, 95% CI: 0.0048, 0.012) associated with anxiety.ConclusionDisplacement medically confirmed mental illness, death of a loved one, and post-traumatic stress disorder (PTSD) significantly impact anxiety. Policymakers should provide greater access to mental health management and prevention services, and medical practitioners should understand the connection between depression and anxiety.

Revamping field practicum: insights for future health services management professionals

BackgroundThe effectiveness of Health Services Management curricula relies heavily on practical experiences that reflect the evolving needs of the healthcare sector. This study focuses on revising Field Practicum 4 for undergraduate students to better prepare them for leadership roles in healthcare.MethodsThis qualitative and cross-sectional case study was conducted during the 2022–2023 academic year at Zabol University of Medical Sciences. Data were collected through semi-structured, in-depth interviews and document analysis of the undergraduate curriculum. Purposeful sampling was used to select a diverse group of interviewees, including faculty members, healthcare managers, graduates, and current students, with a total of 38 interviews conducted until data saturation was reached. Thematic analysis was performed using MAXQDA software version 11. The CIPP (Context, Input, Process, Product) evaluation model was applied to systematically assess and enhance the practicum program.For the quantitative data analysis, SPSS version 23 was utilized.ResultsThe central finding from this study was the enhancement of productivity in Field Practicum 4. Thirteen core issues were identified and categorized into primary codes, including causal, contextual, intervening, focal, strategies, and outcomes. To achieve desirable outcomes through a fundamental revision strategy, it was decided that, in addition to students’ presence in hospitals (including the office of senior hospital managers and the quality improvement and accreditation unit), students should also be present in the deputyships and central units of Zabol University of Medical Sciences (treatment, resource development and management, food and drug administration, and the center for management of medical emergencies). Furthermore, students should engage with the county health insurance organization and a private insurance company to gain comprehensive familiarity with their operations. The level of consensus among the faculty members of the Health Services Management Department was at least 90%. The findings indicate that both students and internship supervisors generally rated the program positively (Mean > 4.5), although areas for improvement are highlighted, particularly in aspects of process and product.ConclusionsThe study concludes that revising Field Practicum 4 using the CIPP model provides a structured approach to enhancing practical training for Health Services Management students. Implementing these modifications in the apprenticeship syllabus is expected to improve the capabilities of graduates, better preparing them to meet the needs of healthcare system.

Determinants of traditional Korean medicine utilization by individuals with physical disabilities: inference of causal relationships using Korea health panel data

BackgroundThe demand for health management services has grown among individuals with physical disabilities. It is noteworthy that a significant proportion of this demographic has sought the services of traditional Korean medicine (TKM). Nevertheless, there is a lack of research on the characteristics of TKM utilization within this population. Therefore, this study aims to explore the characteristics of individuals with physical disabilities who utilize TKM services, to support future policy development in TKM for enhancing the health and quality of life for individuals with physical disabilities.MethodsThe study utilized a dataset from the Korea Health Panel (KHP) version 1.7, from the years 2008 to 2018. A panel analysis was conducted to analyze the correlation between the characteristics of participants and their influence of the TKM utilization.ResultsBased on the panel logistic regression analysis, the probability of TKM utilization was higher for individuals with physical disabilities who were female (p < 0.001), had a chronic musculoskeletal disorder (p < 0.001), Charlson Comorbidity Index of 1 (p = 0.025), and multiple chronic conditions (p = 0.025). Based on the panel hybrid regression analysis, those covered with Medical Aid spent less on TKM than those covered with National Health Insurance (p < 0.001), while those who were female (p < 0.001), had chronic musculoskeletal disorders (p = 0.007), or multiple chronic conditions (p = 0.007) had higher medical expenses for TKM utilization.ConclusionsIndividuals with physical disabilities accompanying nonfatal chronic musculoskeletal disorders or other chronic conditions frequently utilized TKM services. Those covered by Medical Aid spent less on TKM, while females and individuals with chronic musculoskeletal disorders or multiple chronic conditions incurred higher medical expenses for TKM. These results suggest the need for targeted interventions and policy changes to improve TKM access and address financial burdens for people with disabilities.

Designing a competency model for the succession of nursing managers, using the Fuzzy Inference System

Background &amp; Aim: Identifying competencies is fundamental for effective succession planning. Studies show that achieving a suitable succession planning model for mid-level nursing managers/supervisors can be helpful in achieving the desired goals of top-level nursing managers/matrons. Thus, this study aimed to design a competency model for the succession of mid-level nursing managers from the perspective of top-level nursing managers using the Fuzzy Inference System. Methods &amp; Materials: This health services management research was conducted during 2020-2021. Participants in this study included top-level nursing managers/matrons working in the hospitals affiliated with the Tehran University of Medical Sciences. A census sampling method was used in this study with 14 matrons participating as experts. A three-level Fuzzy Inference System was designed by a competency model for mid-level nursing managers/supervisors, using the previous study. Input and output variables were defined, and fuzzy questionnaires were designed using pair-wise comparison matrices to gather expert opinions on fuzzy rules. These rules were analyzed using MATLAB (R 2019 b) software to compare the effect of each criterion on other levels. Results: The results showed that managerial experience, equipment management, emotional intelligence, influence and impact on others, self-confidence, and strategic thinking in the first Fuzzy Inference System level, as well as management abilities, influencing skills, and leading management development in the second level, were more influential. In the third- level, the perceptual, relational, and technical variables had higher priorities, respectively. Conclusion: Senior managers could use the proposed model as a checklist/questionnaire to make strategic planning for the succession of nursing managers.

The capacity and training needs of primary health care workers in Nyeri and Nakuru counties of Kenya: a cross-sectional study.

Health systems based on primary healthcare (PHC) have reduced costs and are effective for improved health outcomes. Kenya's health system grapples with providing equitable access to essential health services, but there is increasing commitment by the government to strengthen primary healthcare. The aim of this paper is to provide a baseline assessment of the capacity and training needs of healthcare workers (HCWs) in Nakuru and Nyeri Counties and identify priorities for intervention. A cross-sectional study was carried out among 171 healthcare workers in Nyeri and Nakuru counties. Multistage sampling was employed to select sub-counties in the first stage and health facilities by level within each sub-county in the second level. Systematic random sampling was then employed to select HCWs from each level of facility. We targeted healthcare workers of all cadres within the health facilities, and included all who consented to participating. Structured self-administered pen-and-paper questionnaires were used for data collection, and a five-point Likert scale was used to measure the perceived capacity of the healthcare workers to provide primary healthcare. As for the training needs data, the participants selected any of the 12 components that they needed training in. Descriptive statistics was employed, and stacked bar charts were used to visualize the capacity and training needs for the components of PHC adopted in Kenya. In total, we obtained questionnaires from 95 participants in Nakuru and 76 participants in Nyeri. Nakuru HCWs rated themselves higher than their Nyeri counterparts in maternal and newborn child healthcare, local endemic disease control, appropriate treatment of common diseases and injuries, provision of essential basic medication, dental health, HIV/AIDs & TB management, and primary eye care. In both counties, there were significant differences in capacity between the different levels of health facilities. We observed substantial capacity gaps for HIV/AIDs & TB management, mental health and dental health services in both counties. This study found a substantial capacity gap in several of the elements of PHC, especially in Nyeri County. Critical areas for intervention are HIV/AIDs & TB management and mental health training for both counties. Within the health system, there is need to strengthen the capacity of HCWs in lower-level health facilities to reduce the volume of referrals to secondary care facilities. We strongly recommend training programs in dental health, mental health, primary eye care, nutritional services and HIV/AIDs &TB management, that are carefully designed to emphasize skills and abilities.

Research on the Demand for Postpartum Health Management and its Influencing Factors in Yulin

This study investigated mothers’ postpartum health management needs in Yulin City to study ways to improve maternal health management services. An electronic questionnaire survey was conducted on the postpartum follow-up of women in the First People’s Hospital of Yulin City, the Red Cross Hospital of Yulin City and the postpartum outpatient clinic of Guinan Hospital of Yulin City. The overall score of postpartum health management needs of the surveyed mothers was (4.34 ± 0.53) points. The average score of the required items was from high to low, which were (4.42 ± 0.56) points in the dimension of neonatal care needs, (4.33 ± 0.68) points in the dimensions of social support needs, and (4.27 ± 0.59) points in the dimensions of maternal physical and mental recovery needs. The main factors influencing the need for postpartum health management were education level, delivery experience, pregnancy complications/complications, and postpartum sleep (P &lt; 0.05).

MHealth knowledge and usage in maternal healthcare delivery: perspectives and experiences of healthcare practitioners in Ghana

ObjectivesThis study explored the knowledge and experiences of health practitioners regarding the use of mobile health (mHealth) for maternal healthcare delivery.DesignUnderpinned by the Unified Theory of Acceptance and Use of...

Influencing factors of the participation of patients with severe mental disorders in community health service management.

This study aimed to explore the participation of patients with severe mental disorders in community health service management and its influencing factors in Wuxi. The data of patients with severe mental disorders were extracted from the Jiangsu Provincial Management System between 2019 and 2021. The participation of patients in community health service management was analyzed. A univariate stratified analysis will be used to assess the impact of various factors on inclusion in community management. Logistic regression modeling will be employed to identify influencing factors. Ultimately, negative factors affecting participation in community health management will be identified, followed by targeted qualitative analysis through interviews. A total of 27,977 individuals were included in the analysis, with 25,744 participants enrolled in community health service management, resulting in a management rate of 92.02%. Multivariate logistic regression analysis revealed the following negative factors influencing participation in community health service management: Age group 31-40 years (OR = 0.532, 95% CI: 0.434-0.653), Age group 41-50 years (OR = 0.557, 95% CI: 0.468-0.663), Age group 51-60 years (OR = 0.746, 95% CI: 0.635-0.877), Age group >60 years (OR = 0.840, 95% CI: 0.719-0.969), Duration of illness 6-10 years (OR = 0.376, 95% CI: 0.307-0.461), Duration of illness 11-15 years (OR = 0.312, 95% CI: 0.249-0.390), Duration of illness 16-20 years (OR = 0.702, 95% CI: 0.529-0.932), Duration of illness >20 years (OR = 0.701, 95% CI: 0.514-0.957), Education level of college or above (OR = 0.719, 95% CI: 0.560-0.923), Current student status (OR = 0.565, 95% CI: 0.419-0.760), Absence of social welfare benefits (OR = 0.643, 95% CI: 0.572-0.723), History of violent or harmful behavior (OR = 0.553, 95% CI: 0.442-0.692), Non-participation in community rehabilitation activities (OR = 0.170, 95% CI: 0.101-0.284). Conversely, the following factors were identified as positive influences on participation: Being a farmer (OR = 1.423, 95% CI: 1.215-1.665), Widowhood (OR = 2.355, 95% CI: 1.583-3.503), Divorce (OR = 2.992, 95% CI: 2.093-4.278). Qualitative analysis indicated that stigma associated with the illness, concerns over information disclosure, lack of social support, impacts on family members (e.g., children's education or marriage prospects), perceived ineffectiveness of community services, lack of awareness about available community health services, and the belief that services were unnecessary contributed to non-participation in community health service management. The participation rate of patients with severe mental disorders in health service management is relatively low in the Wuxi. Special attention should be given to patients with severe mental disorders who exhibit negative factors, such as being middle-aged or young, having a long duration of illness, a history of violent or harmful behavior, higher education levels (college and above), student status, or lack of social welfare benefits. Efforts should focus on providing social support activities, reducing stigma associated with the illness, and further improving the management rate.

DISEASE PREVENTION AND TREATMENT THROUGH PUBLIC HEALTH INTERVENTION PROGRAM: FOCUS ON ROTARY CLUBS IN RURAL COMMUNITIES OF OGUN STATE, NIGERIA

The severity and magnitude of deadly diseases around the world have shown that the management and delivery of health services to the vulnerable populace can no longer be the sole responsibility of governments but requires the support of non-governmental organizations. History have recognized that international non-governmental organizations like Rotary International, which focuses on combating diseases, such as malaria, HIV/AIDS, Alzheimer’s, multiple sclerosis, diabetes and polio, have implemented several health intervention programs aimed at preventing and treating communicable and non-communicable diseases in order to improve health and well-being of rural dwellers. Such measures have also covered a wide range of social interventions that are designed to improve living conditions in rural communities. However, an examination of the existing studies indicates that the Rotary’s activities in Ogun State, particularly in the area of disease prevention and treatment, have not been properly documented. In view of this, this paper investigated the efforts of Rotary clubs on disease prevention and treatment through public health intervention program in rural communities of Ogun State using historical research design. It is found that Rotary clubs in Ogun State have undertaken health education or awareness programs, facilitated blood transfusion, testing, screening and treatment, donated and renovated health facilities, and provided training, counselling and immunization services. It also identified the challenges that the organization faced during the implementation of these programs. The paper concludes that Rotary clubs should intensify efforts to strengthen their health intervention programs to cover the underserved rural areas in Ogun State.

Multidisciplinary Partnership to Upgrade Patient Satisfaction and Healthcare Performance

Healthcare systems today demand a collaborative approach to meet the rising expectations of patient satisfaction and healthcare performance. This article examines the pivotal roles of Medical Device Specialists, Radiology Technologists, Midwives, Family Medicine Practitioners, Anesthesia Technicians, Medical Secretaries, Health Services Managers, and Nursing Scientists in achieving these goals. Each profession contributes distinct expertise that ensures high-quality, patient-centered care across various healthcare settings. Through a synergistic partnership, these roles address complex challenges such as workflow efficiency, diagnostic precision, and patient safety. The review provides actionable strategies for fostering multidisciplinary teamwork, optimizing healthcare delivery, and enhancing clinical outcomes.

User Experience Evaluation of e-Puskesmas in Payakumbuh City using the User Experience Questionnaire Method

Puskesmas in Indonesia are responsible for providing primary health services to the local community. The Community Health Centers (Puskesmas) in Indonesia utilise e-Puskesmas, a web-based system that enables electronic data management and patient services. The newest version, e-Puskesmas Next Generation (NG), was made to allow online interactions, but it has had some technical problems, including duplicate medical data and wrong medication dosages because it doesn't have an allergy detection feature. The UEQ method will be used to rate the user experience of e-Puskesmas. The UEQ measures six factors: attractiveness, efficiency, perspicuity, dependability, stimulation, and novelty. Twenty-one people participated in the evaluation, and the results show that all variables were close to neutral. This means that using the system doesn't make people very happy or sad, but instead stays at an average level. This study confirms that, although e-Puskesmas has the potential to be an effective tool, there is still significant room for improvement, especially in terms of feature customisation and user interface. The "poor" score in the benchmark evaluation indicates that significant improvements in the system's design and functionality are necessary to enhance user satisfaction and healthcare service efficiency. It is hoped that these findings can encourage further development that addresses the existing shortcomings and effectively improves the management of health services at the community health centre

Using Machine Learning Approaches to Enhance Heatwave Measurement for Vulnerability Assessment and Timely Management of Heat-related Health Services

Climate change is one of the most critical challenges facing Australia and the global community today. Data from the Australian Bureau of Meteorology (BoM) indicates that Australia has been experiencing rising temperatures, particularly since the late 20th century. The frequency, duration, and intensity of heatwaves are projected to continue increasing . Since national records began in 1910, Australia has warmed by an average of 1.47°C (±0.24°C), with the highest official temperature recorded at 50.7 degrees Celsius in Onslow, Western Australia (WA), on January 13, 2022. Furthermore, a recent unprecedented high temperature of +41.6°C was recorded during winter on August 26, 2024, in Yampi Sound, WA. Among all natural disasters in Australia, heatwave (HW) represents a leading silent killer and pose a significant public health threat. However, innovative methods for assessing vulnerability for HW-related health services remain limited.

Welcome to the Final Issue of the College’s Asia Pacific Journal of Health Management for 2024

I want to take this opportunity to thank all the volunteers who support the Australasian College of Health Service Management. It is the work of dedicated volunteer College members, alongside our hardworking staff, which ensure we can continue to deliver the multitude of free and other programs that support the development of health managers and leaders, wherever our members are. Without those willing to give of their time, we would not be able to offer such a volume and variety of support. To the Branch Councils, to the Committee members, to those who offer their time as a Mentor – we thank you.

Perbedaan Manajemen Konflik pada Organisasi Kemahasiswaan Bem Fikes dan Bem Feishum di Universitas ‘Aisyiyah Yogyakarta

This study aims to examine the influence of service quality (SERVQUAL) on revisit intention and electronic Word of Mouth (eWoM) in dental clinics in several cities in Indonesia. This study uses an extended SERVQUAL model to analyze the relationship between these variables by considering additional factors such as cost-effectiveness and staff-related factors, as well as the role of patient satisfaction as a mediator. Through a quantitative approach, this study examines the extent to which service quality, additional factors, and patient satisfaction affect revisit intent and eWoM. The findings of this study are expected to provide insights for dental clinic management in improving service quality and patient satisfaction, as well as encouraging patient loyalty through digital social media. This research also contributes to the development of literature in the field of health service management, especially in the context of dental health services.

Parents' Role as Care Managers During and After Adolescent Suicide Crises.

Adolescent suicide crises usually require mental health services (inpatient and/or outpatient) to address their needs. Navigating the health care system, especially around suicide crises, is difficult and parents of adolescents usually manage their treatment access and engagement. Little research has examined how parents take on this care management role, vital to maintaining safety and improving adolescent menta health, and the barriers and facilitators they experience in these processes. To explore parents' experiences around adolescent suicide crises, with a focus on care management and barriers/facilitators to this role. Interviews were conducted with 18 parents of adolescents in the United States who had suicide crises in the previous 3 years. Using a family-systems lens and thematic analysis, researchers identified three themes and three subthemes. Relevant themes and subthemes were Care Manager Role Transition (subtheme: Home Safety); Barriers after Barriers (subthemes: Logistical and System Barriers; Poor Communication); and Facilitating Engagement. Parents had a sudden transition to the role of care manager during the adolescent's suicide crisis. They experienced difficulty in managing safety and navigating health care systems. Parents of adolescents with eating disorders had more difficulty in navigating systems and managing safety. Policies and clinical practice must recognize the role and value of parents as care managers of adolescent's mental health services, especially around transitions out of acute care settings. Psychiatric nurses are well positioned to assist parents with this role transition so that parents can better support adolescents during and after suicide crises.

The Employee Performance Management of the Regional Technical Implementation Unit (UPTD) of the Animal Health and Veterinary Public Health Center of Seruyan Regency in Improving Public Services.

This research aims to analyze the quality of animal health service management at the Regional Technical Implementation Unit (UPTD) Animal Health Center of Seruyan Regency using the POAC (Planning, Organizing, Actuating, Controlling) management approach. Conducted from June 1 to September 1, 2024, this study employs a qualitative method with descriptive analysis. Data were collected through literature reviews, direct observations, and interviews with staff and management involved in the service delivery process. The findings reveal that the service planning at the UPTD Animal Health Center and Veterinary Public Health has not effectively engaged farmers, which has resulted in a disconnect between the programs offered and the actual needs of the farming community. Although the internal organization of the center is assessed as practical, the accessibility of services for farmers residing in remote areas remains a significant concern that requires attention. The execution of veterinary health services showcases the competence and skills of health workers. However, there are notable deficiencies in communication and the availability of information that hinder effective service delivery. Furthermore, the existing control system does not adequately accommodate user feedback, highlighting an urgent need for enhanced communication channels. Overall, this research aims to provide actionable recommendations to improve the quality of veterinary health services in Seruyan Regency, ultimately fostering a more responsive and user-centered service environment. The insights gained from this study will contribute to the ongoing efforts to align veterinary health services with the community's needs, ensuring better health outcomes for livestock and the farming population.