Management in Health 

About: Management in Health is an academic journal. The journal publishes majorly in the area(s): Health care & Population. It has an ISSN identifier of 2067-7561. Over the lifetime, 215 publications have been published receiving 1971 citations.

Health Belief Model

Abstract: This article presents an introduction to the Health Belief Model (HBM). The HBM states that the perception of a personal health behavior threat is influenced by at least three factors: general health values, interest and concern about health; specific beliefs about vulnerability to a particular health threat; and beliefs about the consequences of the health problem. Once an individual perceives a threat to his health and is simultaneously cued to action, if his perceived benefits outweighs his perceived costs, then the individual is most likely to undertake the recommended preventive health action. Key words: health promotion, health belief model, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacy. Content available only in Romanian.

Reducing waiting time in outpatient services of large university teaching hospital - a six sigma approach

Abstract: This papar presents the results of a project of improving the quality of services provided in an outpatient department of an university hospital in India. The project was conducted on the basis of the six sigma methodology and aimed to reduce waiting times in outpatient cardiology office. Significant reduction in waiting time was achieved in the outpatient services of the Cardiology department by using the six sigma approach. In addition to the overall reduction in waiting time for cardiac medical consultation significant reduction in waiting time for getting the lab results was also achieved. As an off shoot of the study nine registration counters were started, registration forms were modified, usherers were appointed to guide patients, additional staff were appointed to handle the telephones in the Cardiology OPD and they were also taught basic telephone etiquette, dedicated biochemistry analyser was provided for the cardiology department and an alert system was put in place for patients waiting for more than one hour. Further data collection through VOC will help to monitor and control any variance.

Access and quality of health care system by opinion of patients in ten european countries

Abstract: The aim of the study is to evaluate the access and quality of health care systems by the opinion of the patients in 10 European countries. Methods. Systematic review and comparative analysis of the data from the European surveys, published since 2007 till 2010 were used in order to compare the indicators of patient’s satisfaction with the access and quality of health care system in 10 EU countries: Austria, Germany, Denmark, Sweden, Estonia, Latvia, Lithuania, Romania, UK and Slovenia. The systematic review inclusion criteria were: systematic review has to be performed in the latest available year, but not earlier than 2007, representative sample of the public opinion survey; the study had to be performed on an international scale (i.e. in all comparative countries), target groups of the study had to be the all users of health care services. Two groups of indicators were assessed: access and quality by the variables examined in the selected studies. Overall evaluation was made by the value for money adjusted evaluation score using scatter diagram in the SPSS statistical package program. Facts and findings. The majority of the respondents in Austria and Sweden rate their healthcare system as good, but only a quarter of respondents in Romania and less than a half in Lithuania consider the quality of healthcare in their country as good or very good. It could be possible, that the financial and economic crisis has influenced those results. The access to health care is best evaluated by patients in Austria and Germany, the worst - in Latvia, Romania, Lithuania and Estonia. Sweden provides the worst access to family doctors, Estonia - to the hospitals among the all evaluated countries. Conclusion. The overall assessment of quality and access in ten selected European countries considering value for money-adjusted evaluation shows that the leading countries in terms of health care quality are Austria, Denmark and Germany, whereas the worst quality is evaluated in Latvia, Romania, Lithuania and Estonia. In terms of health care access the leading three countries are still the same - Germany Austria and Denmark, while Lithuania, Latvia and Romania are estimated as most lagging behind.

Population perception on corruption, informal payments and introduction of co-payments in the public health system in Romania

Abstract: This article presents the results of an opinion study realized in 2009 and representative at national level regarding population perception regarding corruption in the health system, informal payments and introducing co-payments for medical services in the public health system, in addition to the existing ones According to the study findings one of every five respondents considers corruption as the main problem of the Romanian medical system The vast majority of the participants in the study is against the informal payments and considers that the introduction of co-payments will not necessary lead to corruption or informal payments reduction in the health system, nor to the increase of the health services quality if they are not accompanied by measured directly addressed to these services Keywords: Public health system, Romania, corruption, informal payments, co-payments

Occupational Stress Management

Abstract: The problem of occupational stress has been extensively studied mainly due to the negative effects it has on the organization and employees. Some organizations have programs designed to help physical and mental health workers to prevent problems due to stress and to help "make do" with work-related stress. Stress management is an important part of maintaining good physical and emotional health and healthy relationships with others. This article presents some strategies to prevent and reduce stress both at the organizational level as well as individually. With rare exceptions, Romanian stress Management programs have not known a great success, the reasons behind this being related to mentality. The occupational stress problem in Romania is still an open question, waiting to be solved. Key words: occupational stress, stress management