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Article
Publication date: 1 April 1994

L Sabesan, AK Ray, P Mawby and M Towers

Modelling of a Twin ridge waveguide optical Amplifier is reported here. In this paper appropriate physical mechanism such as current spreading, carrier diffusion, waveguiding and…

40

Abstract

Modelling of a Twin ridge waveguide optical Amplifier is reported here. In this paper appropriate physical mechanism such as current spreading, carrier diffusion, waveguiding and switching etc. have been take into consideration and the effects on characteristics and performance as a switch were investigated. With this model, physical phenomenon appropriate to the device can be analysed with respect to electrical, optical and geometrical parameters. Mixture of analytical and numerical techniques were employed.

Details

COMPEL - The international journal for computation and mathematics in electrical and electronic engineering, vol. 13 no. 4
Type: Research Article
ISSN: 0332-1649

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Article
Publication date: 19 July 2024

Reza Salehi, Iravan Masoudi-Asl, Hassan Abolghasem Gorji and Hojatolah Gharaee

A healthcare unit's effectiveness largely depends on how well its interprofessional teams work together. Unfortunately, the strategies used to improve these teams often lack…

182

Abstract

Purpose

A healthcare unit's effectiveness largely depends on how well its interprofessional teams work together. Unfortunately, the strategies used to improve these teams often lack substance. This study analyzed these strategies and found a performance gap.

Design/methodology/approach

This study took a unique mixed-method approach, systematically reviewing both qualitative and quantitative studies that identified strategies to enhance interprofessional teams in healthcare units. To gauge the effectiveness of these strategies, the researcher utilized an Importance-Performance Analysis (IPA) in four specialized clinical training centers in Hamadan province, Iran. The analysis of the IPA involved 35 experts from these centers as the statistical population.

Findings

Based on a systematic review, there are seven categories: contextual, strategic, communication, organizational, individual, Human Resources Management (HRM), and environmental for promoting interprofessional teams with a total of 36 sub-indicator. Based on the IPA, the HRM aspect shows the most extensive performance gap. The individual and organizational aspects fall under resource wastage, and the environmental aspect is within the indifferent zone. Also, some critical sub-indicators, such as incentives/rewards, roles and responsibilities, financial resources, team-initiated innovation, the culture of respect, partner resources, humility, data availability, set expectations, and team availability, are in the weak areas.

Practical implications

This research has identified critical areas for improvement in promoting teamwork in clinical training centers through a comprehensive gap analysis. It also presents practical policy solutions to address these weak points, providing a clear roadmap for enhancing interprofessional teams in healthcare units.

Originality/value

Improving teamwork in healthcare can be challenging, but it is possible with proper strategies and tools. One of the highlights of the recent study was the combination of systematic review studies with IPA to identify areas for improving interprofessional teamwork in clinical training centers.

Details

Journal of Health Organization and Management, vol. 38 no. 6
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 4 February 2022

Jennifer White, Julie Byles and Tom Walley

Telehealth consultations are likely to continue while living with COVID-19 and the risk of other pandemics. Greater understanding of patient perceptions is important in order to…

225

Abstract

Purpose

Telehealth consultations are likely to continue while living with COVID-19 and the risk of other pandemics. Greater understanding of patient perceptions is important in order to inform future integrated care models involving telehealth.

Design/methodology/approach

An interpretative qualitative study. Fifteen, in-depth qualitative interviews were conducted with diverse range of community dwelling patients who attended outpatient clinics at The John Hunter Hospital, Newcastle. Data were analysed using an inductive thematic approach.

Findings

Key themes were identified: (1) telehealth is valuable in a pandemic; (2) telehealth accessibility can be challenging; (3) there are variations in care experiences, especially when visual feedback is lacking; (4) telehealth for acute and complex care needs may lead to gaps and (5) considerations towards the future of telehealth, beyond a pandemic.

Research limitations/implications

There is a shortfall in evidence of the patient experience of integrated care within a telehealth framework. The results provided practical insights into how telehealth services can play a greater role in integrated care.

Practical implications

Apart from the need for affordable access to high-speed data for basic Internet access, the author posit the need for patient and clinician training towards promoting communication that is underpinned by choice, trust and shared decision-making.

Originality/value

Telehealth is important towards keeping patients safe during COVID-19. Key findings extend knowledge of the practical implications need to promote integrated telehealth systems. While there is a benefit in extending telehealth to more preventative activities, there is also a need for greater service coordination and sharing of information between treating clinicians. Overall the results highlight telehealth consultations to be an effective means of treating well-known conditions and for follow-up rather than for acute conditions.

Details

Journal of Integrated Care, vol. 30 no. 4
Type: Research Article
ISSN: 1476-9018

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Article
Publication date: 24 May 2021

John Adie, Wayne Graham, Kerron Bromfield, Bianca Maiden, Sam Klaer and Marianne Wallis

This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland.

682

Abstract

Purpose

This case study describes a community-based urgent care clinic in a general practitioner (GP) super clinic in South East Queensland.

Design/methodology/approach

This retrospective chart audit describes patient demographic characteristics, types of presentations and management for Sundays in 2015.

Findings

The majority of patients (97%) did not require admission to hospital or office investigations (95%) and presented with one condition (94%). Of the presentations, 66.5% were represented by 30 conditions. Most patients received a prescription (57%), some were referred to the pathology laboratory (15%) and some were referred to radiology (12%). A majority (54%) of patients presented in the first three hours. Approximately half (51%) of patients presenting were aged under 25. More females (53%) presented than males. A majority (53%) lived in the same postcode as the clinic. The three most common office tests ordered were urinalysis, electrocardiogram (ECG) and urine pregnancy test. Some patients (19%) needed procedures, and only 3% were referred to hospital.

Research limitations/implications

The study offers analysis of the client group that can be served by an urgent care clinic in a GP super clinic on a Sunday. The study provides an option for emergency department avoidance.

Originality/value

Despite calls for more research into community-based urgent care clinics, little is known in Australia about what constitutes an urgent care clinic. The study proposes a classification system for walk-in presentations to an urgent care clinic, which is comparable to emergency department presentations.

Details

Journal of Health Organization and Management, vol. 35 no. 8
Type: Research Article
ISSN: 1477-7266

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Article
Publication date: 8 February 2016

Parminder Singh

The aim of the paper is to shed light on the use of chitosans and chitooligosaccharides as biopreservatives in various foods animal. Foods of animal and aquatic origin (milk…

758

Abstract

Purpose

The aim of the paper is to shed light on the use of chitosans and chitooligosaccharides as biopreservatives in various foods animal. Foods of animal and aquatic origin (milk, meat, fish, eggs, sea foods, etc) become contaminated with a wide range of microorganisms (bacteria, molds and yeasts) during harvesting, transporting, processing, handling and storage operations. Due to the perishable nature of these foods, their preservation is of utmost importance. Though many synthetic chemicals are available, yet their use is quite restricted due to their hazardous effects on human health.

Design/methodology/approach

Within the domain of food industry, traditionally chitosan is used for biopreservation of foods, which is well known for its nutritional and medicinal properties in human nutrition. However, chitooligosaccharides also possess a number of nutraceutical and health promoting properties in addition to their preservative effect and shelf-life extension of foods. In this study, the comparative effects of both chitosan and chitooligosaccharides on preservation of foods of animal and aquatic origin have been summarized.

Findings

Though chitosan has been extensively studied in various foods, yet the use of chitooligosaccharides has been relatively less explored. Chitooligosaccharides are bioactive molecules generated from chitosan and have several advantages over the traditional use of chitosan both in food products and on human health. But unfortunately, little or no literature is available on the use of chitooligosaccharides for preservation of some of the foods of animal origin. Notable examples in this category include cheese, beef, pork, chicken, fish, sea foods, etc.

Originality/value

This paper focuses on the effects of chitosans and chitooligosaccharides on the processing and storage quality of foods of animal and aquatic origin, which offers a promising future for the development of functional foods.

Details

Nutrition & Food Science, vol. 46 no. 1
Type: Research Article
ISSN: 0034-6659

Keywords

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Article
Publication date: 8 February 2022

Chris Griffiths, Kate Walker, Andy Willis and Lorraine Pollard

Depression, physical health, well-being, sleep and physical activity are interlinked. Healthy levels of physical activity and effective night-time sleep can reduce depressive…

356

Abstract

Purpose

Depression, physical health, well-being, sleep and physical activity are interlinked. Healthy levels of physical activity and effective night-time sleep can reduce depressive symptoms. In the context of their lives and symptoms of depression, this paper aims to understand participants’ experiences of using a Fitbit, physical activity and sleep and the barriers and facilitators for healthy sleep and physical activity.

Design/methodology/approach

Qualitative methods were used to conduct interviews with 19 patients (4 male; 15 female) diagnosed with treatment-resistant depression undergoing transcranial magnetic stimulation (TMS) treatment for depression. Reflexive thematic analysis was used.

Findings

Healthy sleep and physical activity levels are interlinked and reduce depressive symptoms as well as improving well-being and physical health. A Fitbit is useful to enhance physical activity, self-awareness, motivation, healthier lifestyles and effective sleep. Barriers to healthy sleep and physical activity levels included depressive symptoms, environmental factors and anxieties. Facilitators for healthy sleep and physical activity levels included knowledge of the benefits, support from family and friends and applying sleep hygiene.

Practical implications

There is a need to provide interventions using wearable activity trackers that build on the links between increased physical activity, improved sleep, enhanced well-being, better physical health and lower depressive symptoms.

Originality/value

To the best of the authors’ knowledge, this is the first time that patients undergoing TMS have had their experiences of sleep, activity and using a Fitbit investigated and reported.

Details

Mental Health Review Journal, vol. 27 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

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Article
Publication date: 4 September 2023

Akanksha Mishra and Neeraj Pandey

This study aims to map and analyze health-care pricing information research. This work highlights current gap in pricing information research in health care and proposes future…

423

Abstract

Purpose

This study aims to map and analyze health-care pricing information research. This work highlights current gap in pricing information research in health care and proposes future research avenues to academia and industry professionals.

Design/methodology/approach

A bibliometric method was adopted to analyze extant literature on pricing information asymmetry. Semistructured interviews were conducted with key stakeholders in health care to triangulate the findings.

Findings

Pricing information is crucial for all stakeholders including health-care consumers, providers and regulators. The popular research areas were the rising health-care cost, cost-saving, outcome-based pricing, price based on service supply and demand, insurance and out-of-pocket spending. Cost–quality perceived linkages, cost–demand correlation in health-care service and cost–price interlinked drivers were the dominant themes in extant literature. The study highlighted that pricing information asymmetry pushed patients from weaker sections into a debt trap due to unplanned out-of-pocket health-care expenses. The study suggests areas of research to minimize this pricing information asymmetry.

Practical implications

The emerging themes in health pricing asymmetry will help key stakeholders to identify areas for improvement and take remedial actions in the health-care domain.

Originality/value

This study is a pioneering effort to summarize extant literature published in the health-care information pricing domain and analyze it from a bibliometric perspective. The study also triangulates the finding with primary data from key stakeholders and highlights emerging research areas.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 17 no. 4
Type: Research Article
ISSN: 1750-6123

Keywords

Available. Open Access. Open Access
Article
Publication date: 11 August 2020

Wawan Kurniawan, Agus Suwandono, Bagoes Widjanarko, Ari Suwondo, Wayan Tunas Artama, Zahroh Shaluhiyah, Mateus Sakundarno Adi and Muchlis Achsan Udji Sofro

The purpose of this study was to apply the OH-SMART approach on dengue vector control and assess the influence on knowledge, attitude, practice (KAP) amongst elementary students…

2192

Abstract

Purpose

The purpose of this study was to apply the OH-SMART approach on dengue vector control and assess the influence on knowledge, attitude, practice (KAP) amongst elementary students in Majalengka as well as check the dengue serotypes distribution.

Design/methodology/approach

This study was designed by sequential exploration. An OH-SMART workshop involving local government institutions, schools, colleges and health professional organizations was conducted. A total of 334 elementary students, chosen by cluster sampling, participated including 171 in the intervention group and 163 in the control group. A self-administered questionnaire was used to assess the differences in the subject's KAP. Dengue serotypes were analyzed by reverse transcription–polymerase chain reaction (RT-PCR), and the distribution was measured by GPS. Descriptive statistics, paired t-test and the Wilcoxon rank test were used for data analysis.

Findings

There were eight gaps in Dengue vector control in Majalengka and three main recommendations after the OH-SMART workshop i.e. the formation of OH-teams, the preparation of module training, and training of vector control in the schools. After the program, there were statistically significant differences between the intervention and control groups (p = 0,001, CI 95%). All differences in the intervention group were higher than in the control. The most commonly found dengue serotype was DEN-1.

Originality/value

OH-SMART has never been applied in Indonesia, especially in a local government setting but is recognized as an effective approach in the prevention of vector-borne disease and zoonotic.

Details

Journal of Health Research, vol. 35 no. 1
Type: Research Article
ISSN: 0857-4421

Keywords

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