Knowledge, Attitude and Practice of Health Information System
Primary health centres (PHCs) serve as the first line of defence against illness and diseases, where health information system (HIS) assists the professionals working at these centres in collecting, analyzing and ensuring the overall quality of data for all health-related decision-making. The study was conducted with an objective to assess the knowledge, attitude and practice of HIS among the staff of PHCs of a district of an eastern state of India The study was conducted among 205 professionals including doctors, nurses, auxiliary nurse midwives (ANMs), pharmacists and clerks of 23 PHCs. A validated and pre-tested structu...
Source: Journal of Health Management - December 10, 2015 Category: Health Management Authors: Sinha, R. K., Sinha, A. Tags: Articles Source Type: research

Performance Evaluation of Public Hospitals in Tamil Nadu: DEA Approach
This study aims to obtain the technical efficiency (TE) of 31 district hospitals in the state, which come under the department of medical sciences. Here, district hospitals in the state of Tamil Nadu are considered as DMUs. The variables chosen included number of beds, staff nurses, assistant surgeons/civil surgeons as inputs, and outpatients treated, major surgeries and total deliveries performed as outputs. An output-oriented Banker, Charnes and Cooper (BCC) model was considered for DEA, allowing variable return to scale (VRS), and units were marked according to the benchmarking approach. Results indicate that nine of th...
Source: Journal of Health Management - December 10, 2015 Category: Health Management Authors: Prakash, V., Annapoorni, D. Tags: Articles Source Type: research

Utilization of Outpatient Health Care among the People of Rural Assam: A Case Study
This study has identified the economic condition of the rural household which the patient belongs to; the level of education of the patient herself and severity of ailment are the major factors which actually guides the decision regarding the utilization of outpatient health care in rural Goalpara. (Source: Journal of Health Management)
Source: Journal of Health Management - December 10, 2015 Category: Health Management Authors: Devi, D. Tags: Articles Source Type: research

Health Revolution: Paving Way for Empowering Rural Women in India
Women’s empowerment is a new buzzword in the vocabulary of gender literature which refers to enhancing the position of women in the power structure of the society. There is a growing recognition among governments and in the private sector that investing in women and girls has a powerful multiplier effect on productivity, efficiency and economic growth. In India, the National Policy for the Empowerment of Women, 2001, presents strategies for economic and social empowerment of women. Women in urban India are at least uplifted and emancipated and granted equal status with men in many spheres of life though not completel...
Source: Journal of Health Management - December 10, 2015 Category: Health Management Authors: Mishra, S. Tags: Articles Source Type: research

Utilization of Outpatient Care Services in Odisha: Factors Determining the Choice of Public or Private Health Care Facility
Conclusion: This study concludes people from the low SES are more likely to visit a public health facility than private. However, due to quality reasons the likelihood of visiting a public health facility is reduced significantly. Further, people incur expenditure out of their pocket on drugs and diagnostic tests in the public health system. Therefore, only physical access may not ensure higher utilization unless quality is ensured to protect the interest of the poor in the public health care system. (Source: Journal of Health Management)
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Rout, S. K. Tags: Articles Source Type: research

Economic Evaluation of a Public-Private Mix TB Project in Tamil Nadu, India
Conclusion: In rapidly growing urban areas with lack of public sector infrastructure, engaging private sector is a short-term measure to improve effectiveness of the TB Control Programme. Developing public sector infrastructure is key to long-term success especially in countries where private sector is largely unregulated. (Source: Journal of Health Management)
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Ramaiah, A. A., Gawde, N. C. Tags: Articles Source Type: research

Reading Perception of the Insured and the Uninsured and Assessment of Factors Influencing Health Insurance Policy Subscription in the Lucknow Region
Health insurance has been acknowledged by researchers as a valuable tool in health financing. In spite its significance, a subscription paralysis has been observed in India for this product. People who possess the economic capacity to afford health insurance products have also been found to be either ignorant or aversive towards it. The present study is designed to investigate three aspects—socio-economic factors, individual health insurance perception and individual behavioural traits—in order to clarify the paradoxes that inhibit people from subscribing to this product. We find that these factors have a signi...
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Mathur, T., Paul, U. K. Tags: Articles Source Type: research

Putting Value to Human Health in Coal Mining Region of India
This article assesses the economic valuation of coal mining in the rural communities in the vicinity of Mahanandi Coal Field Limited (MCL), Anugul, Odisha, India in terms of losses to human health. The data have been collected from 250 households from five mining villages and 50 households from two non-mining (control) villages. The cost-of-illness (COI) approach has been used to analyze the health impact. Evidence based on review of documents and reports, interviews with coal mining officials, doctors, government department officials and field observations has pointed different types of health hazards in the mining villag...
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Mishra, S. K. Tags: Articles Source Type: research

Burden of Disease and Benefit Incidence of Public Health Expenditure in Northeast India
This article sheds light on reasons for poor utilization of public health facilities and gap in the rich–poor benefit incidence of public health expenditure. The findings of the study indicate non-availability of facilities, long waiting time and poor quality of care as main reasons for non-utilization of public health facilities. As regards benefit incidence of public health expenditure for outpatient, the poor gets the larger share but in totality, the rich benefits more than the poor. The article concludes that multi-prong strategies and reorientation of health system to suit the health care needs of northeast Ind...
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Ngangbam, S., Ladusingh, L. Tags: Articles Source Type: research

Impact of Rashtriya Swasthya Bima Yojna on Below Poverty Line Population: An Interstate Analysis
The study is an endeavour to study the impact of Rashtriya Swasthya Bima Yojna (RSBY) on the below poverty line (BPL) population in 30 states of India. In order to identify the impact, the study focused on four key performance indicators (KPIs)—claims ratio (utility to the beneficiaries), conversion ratio (to measure depth of outreach subject to the quality of the BPL list), hospitalization ratio (to gauge utilization) and total expense ratio (to evaluate profitability to the insurer). These KPIs are analyzed from aggregated state-level data for the first year of operations from 24 states, for the second year from 17...
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Shahi, A. K., Singh, H. Tags: Articles Source Type: research

Patient-family Centred Care: Measuring Perceived Service Quality Following a Critical Care Services Experience
We develop and test a measurement instrument to assess patient-family perceptions of services quality during a critical care service rendering. Our sample consists of patients from medical, surgical and specialty critical care units discharged from a large hospital system. We show that ‘communication and support’, ‘participation’ and ‘tangibles’ are cogent dimensions of our patient-family critical care scale that exhibits internal consistency reliability, convergent and discriminant validity. We examine the predictive validity of the measure by relating its three dimensions to perceived ...
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Westbrook, K. W., Grant, C. C., Rafalski, E., Babakus, E. Tags: Articles Source Type: research

A Critical Review of the Standard Empanelment Process and Identifying Modifications for Improvement
Conclusions: The aim of TPA is to facilitate insurance process to provide best quality service to patients. The modifications identified in our study will improve the process in many ways. (Source: Journal of Health Management)
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Gaikwad, S., Patil, B., Kasat, S., Bhardwaj, G., Yadav, P., Shukla, K. Tags: Articles Source Type: research

On Measuring Technical Efficiency of the Health System in India: An Application of Data Envelopment Analysis
Huge investments have been made in improving the health system of India since early independence, which has resulted in health outcomes such as infant and maternal maternity rates and life expectancy levels to exhibit impressive reductions and increments, respectively. Although at the national level these have been impressive, it is appalling at the state level. States such as Kerala and Tamil Nadu have always topped in displaying low infant and maternal mortality rates associated with high levels of health workers and infrastructure in contrast to states like Bihar and Uttar Pradesh. In the present study, we use data enve...
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Tigga, N. S., Mishra, U. S. Tags: Articles Source Type: research

Factors Affecting Timeliness of Immunization Coverage Among Children of Assam, India: A Cross-sectional Study
This article attempts to estimate timeliness of vaccination coverage and to model the pattern of timeliness of vaccination using techniques of survival analysis in order to trace the determinants of age-appropriate immunization status of children. Multistage cluster sampling has been used to collect information on immunization and other related variables using a pre-tested questionnaire from the universe of children of age between 12 and 36 months of two districts of Assam, India. At first, the Kaplan–Meier product limit estimator has been applied to estimate the age-appropriate immunization coverage. Though the immu...
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Barman, M. P., Nath, K., Hazarika, J. Tags: Articles Source Type: research

Quality of Work Life and Organizational Performance: The Mediating Role of Employee Commitment
Conclusions and Recommendations Findings can be used by health care units’ managers and policy makers to design and implement appropriate initiatives to improve QWL. Better QWL is the key to attract and retain qualified and motivated employees and can possibly lead to enhanced quality of services in health care organizations. (Source: Journal of Health Management)
Source: Journal of Health Management - August 24, 2015 Category: Health Management Authors: Nayak, T., Sahoo, C. K. Tags: Articles Source Type: research