Asia-Pacific Journal of Health Management 2020-01-24T18:28:31-08:00 Yaping Liu Open Journal Systems <p><span style="font-size: larger;"><span style="color: #000000;"><img src="/public/site/images/rdosoruth/ACHSM-stacked-name_colour.png"> <img src="/public/site/images/rdosoruth/shape_logo.gif" width="96" height="98"><br></span></span></p> <p>The&nbsp;<em>Asia Pacific Journal of Health Management</em>&nbsp;(<em>APJHM</em>) is a peer reviewed journal for managers of organisations offering health and aged care services. It was launched as the official journal of the Australasian College of Health Service Management in 2006. It is currently published as a collboration between ACHSM and the Society for Health Administration Programs in Education (SHAPE), following <a href="">a Memorandum of Understanding signed in July 2019</a>.</p> <p>The mission of the&nbsp;<em>APJHM</em>&nbsp;is to advance understanding of the management of health and aged care service organisations within the Asia Pacific region through the publication of empirical research, theoretical and conceptual developments and analysis and discussion of current management practices.</p> <p>The&nbsp;<em>APJHM</em>&nbsp;aims to promote the discipline of health management throughout the region by:</p> <ul> <li class="show">facilitating transfer of knowledge among readers by widening the evidence base for management practices;</li> <li class="show">contributing to the professional development of health and aged care managers; and</li> <li class="show">promoting ACHSM and the discipline to the wider community.</li> </ul> <p><em>&nbsp;*Print 1(1);2006 - 5(1);2010&nbsp; Online 4(2);2009 - current</em></p> <p><em>* ISSN 2204-3136 (online); ISSN 1833-3818 (print)</em></p> <p>&nbsp;</p> In this Issue 2020-01-24T18:28:27-08:00 David Briggs <p>In this issue continues to explore the theme of health reform by traversing some recent experiences of the Editor in rural health contexts that traverse big data, technology, the social capital of health professionals all currently operating in drought and fire ravaged circumstances. After we pass the current circumstances there will be a need to rebuild rural communities and sustainable health services and workforce should be part of the community building......</p> 2019-12-09T00:00:00-08:00 ##submission.copyrightStatement## Rural Health Services: Data, technology and the social capital of local health professionals, time to invest! 2020-01-24T18:28:28-08:00 David S Briggs <p>Recent editorials have had some focus on health policy and health reform and included commentary about the variability of output from public policy research institutes, based on their respective philosophical and ideological position. Recently, a group Global Access Partners (GAP) published a report entitled ‘Australia’s Health 2040: GAP Taskforce Report’. [1] This organisation is said to be an independent non-profit institute, established in 1997 and is a member of the TCG Group, described as a diverse and growing network of Australian-owned companies. [1,2].....</p> 2019-12-09T00:00:00-08:00 ##submission.copyrightStatement## Mapping Isolation of Risk for Sporadic Conditions: Oral cellulitis in Western Australia 2020-01-24T18:28:31-08:00 Abed Aktam Anjrini Estie Kruger Marc Tennant <p>The aim of this study was to apply geographic information system (GIS) models to predict risk of oral cellulitis. A risk isolation model using Western Australian real hospitalisation data for oral cellulitis from 1999 to 2009 (10 years), and socio-economic indicators, age and Indigenous status as risk indicators was developed. The fully integrated database was then computer geo-coded to allow the visualization of the data at three levels (core of the capital city Perth, Greater Metropolitan Perth, and State of Western Australia). Correlation coefficient analysis between the number of cases (over 10 years) and the relative risk location indicator was carried out. The GIS maps derived from application of the developed risk location indicator, demonstrate that the risk categorization paralleled the number of cases over the decade. Correlation coefficient analysis demonstrated moderate positive relationship (R2=0.55) between the number of cases (over 10 years) and the risk location indicator in metropolitan Perth.</p> 2019-11-17T00:00:00-08:00 ##submission.copyrightStatement## Feasibility of eHealth Implementation in India Learning from Global Experience 2020-01-24T18:28:29-08:00 Rakesh Kumar Sharma RAKESH.KUMAR@THAPAR.EDU Rohtash Prashar <p>The present paper explores the factors for the effective implementation of eHealth in India by taking into account the diverse benefits and challenges at organization and practitioner’s level. The present study is exploratory in nature which has been carried out after comparing the study across the globe. Various benefits and challenges explored from previous studies are used to discover the factors for effective implementation of ehealth in India. Findings of study centered to identify factors for effective implementation of eHealth at four different levels: Practitioners’ level, Organizational Level, Patients’ Level, and Government level. The most important factors at practitioners level are an alignment of the practitioners with objectives and making adequate arrangements for training of the practitioners. The important factors required to overcome problems at practitioners level are perceived usefulness, perceived ease of use and attitude to use eHealth. At the organization level, important factors are an alignment of stakeholders with current goals, skills set of staff, the relationship among healthcare professionals, capacity for implementation, training and development and employees motivations. At this level, important factors to deal with these challenges are customer value, to build trust in the healthcare provider, interoperability among different healthcare providers, characteristics and mindset of healthcare providers. At the government level, the imperative factors as required to handle different challenges are government policies, sources of funds, reliable health infrastructure and engagement of various stakeholders. Other important factors at this level are the status of eHealth readiness in different areas and levels, social influences and human development index.</p> <p>This paper highlights the eHealth experiences across the globe and identifies various benefits and challenges in the implementation of eHealth, which will help the decision makers at a different level in India to successfully integrate information technology with healthcare..</p> 2019-12-01T00:00:00-08:00 ##submission.copyrightStatement## To Remain, Migrate Abroad or Resettle: A complex dynamic process affecting Pakistani physicians’ career decisions 2020-01-24T18:28:29-08:00 Muhammad Arif Mary Cruickshank John Fraser <p><em><strong>Objective:&nbsp;</strong></em>This study investigated Pakistani physicians’ decision-making concerning their decisions to stay in Pakistan, migrate abroad, or resettle back into their country after working abroad.</p> <p><em><strong>Methods:&nbsp;</strong></em>This qualitative study employed a phenomenological research design. Thirteen Pakistani physicians characterised as ‘stayers’, ‘leavers’ and ‘resettlers’ were interviewed via telephone to explore their lived experience in 2008-2009.</p> <p><em><strong>Results:&nbsp;</strong></em>Results show a dynamic nature of the physicians’ career decision-making depending on their constant weighing of complex personal, family, professional and societal factors. Stayers, leavers and resettlers are not mutually exclusive groups but rather individual physicians’ can move between these groups at different stages of career and life. Physicians vary in their decision making. Stayers and resettlers place more emphasis on personal and family reasons and societal factors providing there is a permanent job for them. Leavers focus on health system problems and recent societal problems of personal and societal insecurity.</p> <p><em><strong>Conclusions:&nbsp;</strong></em>The findings of this study indicates that physician migration, retention and resettlement is a complex issue and there are multiple personal, social, political and economic factors that affect their decisions to stay, move abroad or resettle back into their countries. Therefore, it is recommended that future research focusing on health workers retention, migration and resettlement issues look at it from a holistic perspective rather than focusing only on the economic and professional imperatives. The findings of this study have international implications for health care managers dealing with a highly mobile international medical workforce. Strategies considering different stages of the physician career/ life cycle need to highlight the importance of identity, belonging and place as doctors weigh this with career goals.</p> 2019-11-24T00:00:00-08:00 ##submission.copyrightStatement## The Implementation of Open Disclosure in Asian Culture in Singapore: A systematic literature review 2020-01-24T18:28:30-08:00 Jade Esswood Richard Olley <div class="page" title="Page 2"> <div class="layoutArea"> <div class="column"> <p><strong><em>Objective:</em></strong> Open Disclosure is the process of open and honest discussion between a clinician and the patient and family when an adverse clinical event occurs while the patient is in care or treatment. While open disclosure is now a mandatory practice in many developed countries like the United Kingdom, Australia, the United States and Canada, it has yet to be made mandatory in Singapore. In most healthcare institutions in Singapore, the Clinical Governance or Quality Service Management Department manages the governance of patient safety and medical errors. This systematic literature review aims to understand the effect of Asian culture relating to apologies because of the implementation of Open Disclosure in Singapore's healthcare system.</p> <p><strong><em>Method:</em></strong> The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was used to review and synthesize the contemporary literature qualitatively.&nbsp;</p> <p><strong><em>Results:</em></strong> This study identified that there are links between culture and apologies and in particular, the expression and acceptance of the apology. This study explored and identified the effects of Asian culture on open disclosure, specifically on apologies, and established that Asian and western cultures offer and accept apologies differently. Also, the study established the public's view and demand for open disclosure and the impact of culture on how a person presents oneself in delivering an apology.</p> <p><strong><em>Conclusion:</em></strong> The study could only identify five high-quality articles in this systematic literature review; there were no papers on the mindset and perceptions of Asian healthcare professionals on apologies and open disclosure found. This present study has demonstrated a significant research gap that is a significant opportunity for future research.</p> </div> </div> </div> 2019-11-24T00:00:00-08:00 ##submission.copyrightStatement## Library Bulletin 2020-01-24T18:28:26-08:00 Yaping Liu 2019-12-15T00:00:00-08:00 ##submission.copyrightStatement##