https://journal.achsm.org.au/index.php/achsm <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> Australasian College of Health Service Management en-US Asia Pacific Journal of Health Management 1833-3818 https://journal.achsm.org.au/index.php/achsm/article/view/6293 <p><strong>Abstract: </strong>This paper analyses the continuity of care determinants in the acute and recovery stages of brain stroke in relation to the effectiveness of communication between health practitioners, integration of health services, accessibility of follow-up services, timeliness of medical services, and involvement of the patient in studying care plans. The research design adopted was a case study based on a cross-sectional study design and the data were collected using a stratified random sampling method on 202 stroke survivors who had been provided with treatment and rehabilitation services by health care institutions within Telangana. The hypothesized relationships between the constructs were tested by Structural Equation Modelling (SEM) and the reliability, convergent validity and confirmatory factor analysis were used to validate the measurement model. The results indicate that the five determinants have a significant and positive effect on continuity of care with communication effectiveness and service integration becoming strong predictors. Provision of follow-up services, timely medical treatments, and engagement of the patients also enhance coordinated and consistent care provision. The structural model exhibited reasonable fit indices and this implies the strength of the proposed framework. The research adds an in-depth empirical model integrating organizational, clinical, and patient-centered aspects to improve continuity of stroke care and provides a useful implication to healthcare managers and policymakers who aim at defying the coordinated delivery of patient-centered services.</p> MADAPANA SURESH Copyright (c) 21 1 https://journal.achsm.org.au/index.php/achsm/article/view/6292 <p class="p1" style="text-align: justify; text-justify: inter-ideograph; line-height: 200%;"><span class="s1"><strong><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">Background</span></strong></span><span class="s1"><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">: Globally, nutrition plays a key role in sustaining and improving cognitive function among the people. Therefore, the general public's knowledge, attitudes, and practices (KAP) on the contribution of nutrition to cognitive performance were essential to addressed. </span></span></p> <p class="p1" style="text-align: justify; text-justify: inter-ideograph; line-height: 200%;"><span class="s1"><strong><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">Objective</span></strong></span><span class="s1"><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">: The aim of this study was to ascertain the general level of knowledge, attitude and practice and its associations with nutrition and cognitive function based on the responses provided by the participants were examined.</span></span><span class="apple-converted-space"><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">&nbsp;</span></span></p> <p class="p1" style="text-align: justify; text-justify: inter-ideograph; line-height: 200%;"><span class="s1"><strong><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">Methods</span></strong></span><span class="s1"><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">: A cross-sectional study was done and an online self-administered questionnaire was used to access the impact nutrition has on cognitive health and to access the knowledge, attitude and practice about nutrition and cognitive function by using cognitive self-assessment rating scale (C-SARS). The effects of variables on cognitive performance, including age, gender, ethnicity, occupation, monthly household income, education level, and several nutritional components were examined. </span></span></p> <p class="p1" style="text-align: justify; text-justify: inter-ideograph; line-height: 200%;"><span class="apple-converted-space"><strong><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">Results</span></strong></span><span class="apple-converted-space"><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">: </span></span><span class="s1"><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">The socio-demographic characteristics of the 303 respondents reveal a diverse group, with a majority aged 18-25 years (50.5%) and predominantly female (52.6%). The knowledge about the role of nutrition in cognitive function is high, with 97.7% aware of its impact. Dietary practices are mixed; while many reduce fat and fast-food intake and prioritize balanced diets and breakfast, 33.3% still exhibit poor dietary habits concerning cognitive health. </span></span></p> <p class="p1" style="text-align: justify; text-justify: inter-ideograph; line-height: 200%;"><span class="s1"><strong><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">Conclusions</span></strong></span><span class="s1"><span style="font-size: 12.0pt; line-height: 200%; font-family: 'Times New Roman',serif;">: Although the significance of nutrition for cognitive function is widely acknowledged, there are notable gaps in several areas. To increase awareness of the advantages of whole grains and leafy greens for cognitive function, targeted educational initiatives were required. </span></span></p> Thin Mon Kyaw Ho Xin Yee Jananii AP Ratha Krishnan Arisya binti Naharuddin Rohshan Lingam Nivedita Nadarajah Copyright (c) 21 1