Asia Pacific Journal of Health Management <p>The Asia Pacific Journal of Health Management (APJHM) is a peer-reviewed journal for managers of organisations offering healthcare and aged care services. The APJHM aims to promote the discipline of health management throughout the region by facilitating the transfer of knowledge among readers by widening the evidence base for management practices.<br /><br />*Print 1(1);2006 - 5(1);2010 Online 4(2);2009 - current<br />*ISSN 2204-3136 (online); ISSN 1833-3818 (print) </p> en-US (Yaping Liu) (Yaping Liu) Sun, 27 Jun 2021 17:45:14 -0700 OJS 60 Convergence of Comorbidity and COVID-19 Infection to Fatality: An Investigation Based on Health Assessment and Vaccination among Older Adults in Kerala <p><strong>Objective</strong></p> <p>To investigate the impact of age, comorbidity, and vaccination in the fatality of older COVID-19 patients in the state of Kerala, India.</p> <p><strong>Methods</strong></p> <p>It is a cross sectional study adopting a mixed method approach, conducted among the older population in Kerala.&nbsp; To study the health profile, 405 older people were surveyed, and 102 people were interviewed in-depth at their households, between June to November 2020.&nbsp; The results of the study were triangulated with elderly COVID-19 fatality data, available from the citizen-science dashboards of the research team and Department of Health, Kerala. Vaccination data was retrieved from to study its impact. The data was analyzed using the IBM SPSS version 22.0.</p> <p><strong>Results</strong></p> <p>Age is a predictor of COVID-19 fatality. Diabetes, hypertension, CAD, CKD and COPD are the significant predictors of elderly COVID-19 fatality in Kerala.&nbsp; The current comorbidity profile of the total older population matches with the comorbidities of the COVID-19 elderly death cases. CFR and IFR have declined even when the CMR is high in the second wave of COVID-19 with more deaths. This is attributable to vaccination even though there exists a lesser chance for breakthrough infection.</p> <p><strong>Conclusions</strong></p> <p>Age and comorbidities can predict potential fatality among older COVID-19 patients. Timely and accurate health data and better knowledge of high-risk factors such as comorbidity can easily guide the healthcare system and authorities to efficient prevention and treatment methodologies. Knowledge on prevailing NCDs can drive early preparedness before it converges with an epidemic like the present zoonotic disease. Vaccination is an effective tool in preventing infection compared to the unvaccinated even though the chance for breakthrough infection is there, particularly, in people with comorbidities.&nbsp;</p> Sindhu Joseph, Jijo Pulickiyil Ulahannan, Parvathy A J Copyright (c) Preface: The Special Issue of the 1st International Conference in Healthcare Management <p>We are very happy to present the special issue coming out of our 1st International Conference in Healthcare Management 2021in collaboration with Asia Pacific Journal of Healthcare Management. The theme of the conference was “Future of Healthcare Post COVID-19”. The conference intended to cover the challenges and issues posed by COVID 19 on economies, and particularly healthcare sector. It also focused on identifying and capturing the changes brought out by new technologies and new business models which emerged in post COVID scenario. The papers presented covered diverse topics such as digital healthcare, mental health, public health and health economics as well as healthcare marketing and health caregiving. Few selected papers are getting published in this special issue.</p> Prof Prema Basargekar , Prof Monica Khanna , Dr. Pramod Prabhakakran Copyright (c) 2021 Prof Prema Basargekar , Prof Monica Khanna , Dr. Pramod Prabhakakran