by Judella Haddad-Lacle, Brittney Costello, Charles J Haddad, Jessica-O'Vaughn Lance, Alexanderia Burwell, Amy McCoy and Kelly Gray-Eurom
A Clinical Study
The Centers for Medicare and Medicaid Services (CMS) in 2013 began offering payment to ambulatory practices for the transitional care management (TCM) service to address readmission rates. The adoption of a successful TCM model is needed to improve patient outcomes and lower readmission rates. At UF Health Jacksonville, we formed a dedicated TCM team whose role was exclusive to the completion of the TCM non-face-to-face process (NF2F). The team elected to utilize the Define, Measure, Analyze, Improve, and Control (DMAIC) model as the process improvement methodology to guide the project. UF Health Jacksonville has eliminated many of the barriers facing Academic Center Safety-net Hospitals as it relates to readmissions by implementing this approach. After the implementation of the dashboard and all of the improvements, there was an immediate return on investment increase of 81.06 percent exceeding the projected goal of 75 percent and decrease in readmission rate to as low as 5 percent.
American Journal of Public Health Research. 2022, 10(1), 32-35. DOI: 10.12691/ajphr-10-1-6
Pub. Date: January 23, 2022
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by Mona Hamdy Soliman, Roqaya Ali Alqahtani, Bashyer Alhothali, Soulaf Alsaeed and Soha Aly Elmorsy
Original Research
Aims/hypothesis: This study aims to test the effect of health coaching and education on the control of Type 2 diabetes in terms of HbA1c. Methods: We enrolled 123 participants; (61 control and 62 intervention). This randomized controlled trial compared usual care with an intervention that entailed health-coaching skills. The inclusion criteria as follows: age 18 years, HbA1c 6.5 or more and diagnosed with Type 2 diabetes. The data were collected from the outcome measures at baseline and after three months of follow up. The primary outcome was HbA1c; secondary outcome was BMI (Body Mass Index). The data were analyzed using linear regression. Results: The participants in the intervention group had significant improvements in HbA1c (Diabetes Empowerment Scale, with a mean difference of 1.78 % compared to that of the control group (p=0.032) and a decrease in BMI (with a mean difference of 0.9 kg/m2 compared to that of the control group, p <0.001). Conclusions: Diabetes health coaching has an Major role in healthcare that facilitates self-care, behavior change and offers frequent follow up and support. Health coaching for those with diabetes is an effective intervention for improving glycemic control.
American Journal of Public Health Research. 2022, 10(1), 27-31. DOI: 10.12691/ajphr-10-1-5
Pub. Date: January 11, 2022
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by Umnia Hasib and Fatih Sekercioglu
Original Research
Between March 2020 to March 2021, SARS-CoV-2 (COVID-19) exposed the readiness and reactivity of global healthcare systems. Analyzing various countries in each continent showed a delayed strict response to the novel respiratory virus had more considerable consequences with COVID-19 related cases, intensive care unit admissions and deaths than nations with strict and swift lockdown procedures. It is a stark reminder for countries to dedicate public health protocols and have unified government responses and supply chains that can quickly adapt to minimize damage to their citizens' social, economic, and physical health and well-being. This is already relevant with the rise of variant strains, particularly with the impact of the rising wave of the COVID-19 and its variants.
American Journal of Public Health Research. 2022, 10(1), 22-26. DOI: 10.12691/ajphr-10-1-4
Pub. Date: December 20, 2021
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by Virginia C. Hughes
Original Research
The policies which dictate the scope of embryonic stem cell research around the world are diverse reflecting primarily the country’s culture and posture on the status of a human embryo and beneficent duty in healing persons afflicted with disease. In this retrospective comparative study utilizing logistic regression six national factors were analyzed for their effect on permissive or restrictive human embryonic stem cell policies in fifty countries. These are literacy, age of citizens, type and size of government, religion, and funding. It was hypothesized that a high literacy rate, younger age of citizens, public funding, lower number of legislators, and unicameral government would favor a permissive policy whereas a higher percentage of Catholics, older age of citizens, private funding, greater number of legislators, bicameral government, and low literacy rate would favor a restrictive policy. The variables which were found to be statistically significant (P<.05) were funding and Catholicism. Results indicated public funding had a direct effect on permissive policies and percentage of Catholics in each country had an inverse effect on permissive policies surrounding embryonic stem cell research utilizing logistic regression. Culture will continue to influence the trajectory of embryonic stem cell policy navigating between the moral imperative of protection of the human embryo and curing those afflicted with disease.
American Journal of Public Health Research. 2022, 10(1), 11-21. DOI: 10.12691/ajphr-10-1-3
Pub. Date: December 16, 2021
by Waad Alhothaly and Mohamed Alhanawi
Original Research
Background: In recent years, accountability has become a key component of public service reform. Improving accountability has been cited as a factor in improving the health system's efficiency. In health care sector we need to identify the factors influencing accountability in health care organizations those that should be improved. Objective: The goal of this research is to identify the accountability in health care organization from patients’ perceptions. Subjects and Methods: The type of study was a Descriptive “Cross-Sectional Design”. Taken from a special hospital, Makkah, Saudi Arabia. A sample was collected from the 440 patients who was visited in King Abdullah Medical City (KAMC) outpatient department by using online self-made survey questionnaires. Results: Considering the patients’ perceptions on health care organization's accountability, most of the participants agree each statement in all dimensions. When proving the hypothesis, the finding shows that there is significant relationship between accountability in healthcare and dimensions such as professionals in healthcare, Government actions, legal and ethical concerns, and administration and management actions. The correlation matrix and regression analysis show that all the four dimensions have strong correlation with accountability in healthcare settings. Conclusion and Recommendations: Health care leaders will be able to implement the findings of this study to new strategic plan to improve accountability of the patients in healthcare settings in Saudi Arabia. In order to institutionalize improvement of patient’s accountability, Policies, organizations, and procedures must be aligned and integrated. The study findings have important in policy makers to maximize their accountability by focusing on quality, processes, information, involvement, and communication to patients This study strongly recommending to for further multicenter comparative study level, which can include government hospitals and private hospitals.
American Journal of Public Health Research. 2022, 10(1), 3-10. DOI: 10.12691/ajphr-10-1-2
Pub. Date: December 09, 2021
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by Cameron Y. S. Lee and Jon B. Suzuki
American Journal of Public Health Research. 2022, 10(1), 1-2. DOI: 10.12691/ajphr-10-1-1
Pub. Date: December 07, 2021
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