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Implementation of the Value-Based Healthcare (VBHC) Concept with a Focus on Outcome Measurement
Adriana Dacheva,
Yoanna Vutova,
Evgeny Mekov,
Marta Malinova-Encheva,
Nick Guldemond,
Slaveyko Djambazov
Issue:
Volume 8, Issue 3, September 2022
Pages:
170-179
Received:
1 July 2022
Accepted:
29 July 2022
Published:
5 August 2022
DOI:
10.11648/j.jher.20220803.11
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Abstract: Value-based healthcare (VBHC) is a service improvement approach developed at Harvard Business School (HBS) that explores the best practices for reorganizing and coordinating healthcare that aim to achieve the outcomes that are important to patients. An implementation of value-added services for patients diagnosed with age-related macular degeneration (AMD) and macular edema using value-based healthcare (VBHC) was introduced in a Bulgarian ophthalmic clinic. Human resources were freed using time-driven activity-based costing (TDABC) methodology and were then reinvested in patient-related outcome measurement activity. A change in the way health-related outcomes are administrated was necessary to make an appropriate outcome analysis and to reduce additional administrative burden to medical staff. Processes should be included as a part of the routine clinical practice, which will also ensure their execution. It is important to build a clearly defined strategy for structuring the process. Objectives and steps should be outlined clearly, starting with a specific indication and gradually expanding the scope. The choice of standard sets and periodisation for data collection is important. There is a need for constant communication between team members, who will be responsible for the measuring, collecting, analyzing, and processing data, regular meetings of all members, and ongoing training.
Abstract: Value-based healthcare (VBHC) is a service improvement approach developed at Harvard Business School (HBS) that explores the best practices for reorganizing and coordinating healthcare that aim to achieve the outcomes that are important to patients. An implementation of value-added services for patients diagnosed with age-related macular degenerati...
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The Role of Social Media in the Prevalence of Substance Abuse Among Secondary School Students in Ikere Local Government Area of Ekiti State
Aribamikan Collins Gboyega
Issue:
Volume 8, Issue 3, September 2022
Pages:
180-185
Received:
15 December 2021
Accepted:
23 May 2022
Published:
17 August 2022
DOI:
10.11648/j.jher.20220803.12
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Abstract: This study investigated the role of social media in reducing the prevalence of substance abuse among secondary school students in Ikere local government area of Ekiti State. This was necessitated by the observed growing influence of social media on the substance use among teenagers in the study area. The descriptive type of research design was used for the study. A total of 360 persons were included in the sample. The technique used was simple random sampling. To test the hypotheses at the 0.05 level of significance, the data obtained from the administered questionnaire was analyzed using inferential statistics of Pearson Product Moment Correlation (PPMC) and regression analysis. It was found that there was significant relationship between social media and substance use; there was significant influence of social media on sensitizing the students about the risk of substance use; there was significant in creating awareness of health implications of substance use; there was significant influence of information gained on social media in eradicating substance use and finally, social media significantly helped to increase the effectiveness of substance use prevention among secondary school students in the study area. It was therefore recommended that information, programmes and podcasts that dissuades teenagers and adolescents from substance abuse should be made to go viral on social media and any information on substance abuse to be passed across to teenagers and adolescents in the society should be made through social media platforms as a larger percentage of teenagers are social media users.
Abstract: This study investigated the role of social media in reducing the prevalence of substance abuse among secondary school students in Ikere local government area of Ekiti State. This was necessitated by the observed growing influence of social media on the substance use among teenagers in the study area. The descriptive type of research design was used...
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Evaluation of the Physico-chemical Quality of Drinking Water in the City of Daloa (Mid-West of Côte d'Ivoire) - Effects on Human Health
Lebe Prisca Marie-Sandrine Kouakou,
Amadou Kouyate,
Ali Sanou,
Aka Eric Koffi,
Mougo Andre Tigori,
Namory Meite,
Koffi Jean-Paul Bohoussou,
Brou Dibi
Issue:
Volume 8, Issue 3, September 2022
Pages:
186-196
Received:
13 June 2022
Accepted:
29 August 2022
Published:
14 September 2022
DOI:
10.11648/j.jher.20220803.13
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Abstract: Water is the main water requirement of the human body. However, 80% of water-related diseases affect people in developing countries. Physicochemical analyzes (nutrient salts, mineral salts, physical parameters) were carried out on water points (springs, boreholes, wells and taps) in order to assess the level of contamination of drinking water in the city of Daloa. A total of 18 drinking water quality parameters were determined using standard water analysis techniques and the values obtained were compared to the drinking water standards recommended by the World Health Organization (WHO) and the Environmental Protection Agency (EPA). The descriptive analysis of the parameters showed that the waters have an acid pH with a more pronounced acidity in groundwater (pH 4.25 – 5.88). That made them non-compliant with the WHO standard (6.5 – 8.5). In addition, the temperature of the waters studied (25.2 – 28.4°C) is higher than the standard (25°C) for all the water points except tap R1 (24.3°C). Furthermore, these waters are weakly mineralized with conductivities (0.73 – 4.28 mg/L) and levels of total dissolved solids (0.32 – 2.41 mg/L) which meet WHO standards. Also, 4 water points (44.44%) are contaminated by nitrites; 8 (88.88%) are contaminated with ammonium and all the water points (100%) have chemical oxygen demand values above the WHO standard (10 mg/L). However, calcium (0.276 – 0.601 mg/L), magnesium (0.205 – 0.256 mg/L), sodium (20.37 – 37.13 mg/L), potassium (0.198 – 0.433 mg/L), sulfates (0.69 – 15.98 mg/L), chlorides (8.88 – 26.63 mg/L), orthophosphates (0.01 to 0.26 mg/L), nitrates (0. 93 – 28.13 mg/L) and turbidity (0.16 – 4.16) comply with WHO standards for drinking water which are respectively 100 mg/L, 50 mg/L, 200 mg/ L, 12 mg/L, 250 mg/L, 250 mg/L, 0.5 mg/L, 50 mg/L and 5 NTU. Moreover, all the waters sampled have a total nitrogen level (0.22 to 0.56 mg/L) that comply with the EPA standard (10 mg/L) for human consumption. In general, the physico-chemical quality of the waters sampled is acceptable but in some cases, it requires a specific treatment (filtration, adsorption, etc) before consumption.
Abstract: Water is the main water requirement of the human body. However, 80% of water-related diseases affect people in developing countries. Physicochemical analyzes (nutrient salts, mineral salts, physical parameters) were carried out on water points (springs, boreholes, wells and taps) in order to assess the level of contamination of drinking water in th...
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Assessment of Magnitude and Associated Factors of Road Traffic Accidents Among Minibus Taxi Drivers in Megenagna, Torhailoch and Saris, Addis Ababa, Ethiopia
Frewengel Melake Weldeslassie,
Tewodros Kassahun Tarekegn,
Teame Kiflom Gaim,
Salem Sium Mesfin,
Bemnet Kassaye Ketsela,
Solomon Endale Dagnachew,
Amanuel Girma Balcha,
Mohammed Abdurahman Yassin,
Fortuna Melake Weldeslassie
Issue:
Volume 8, Issue 3, September 2022
Pages:
197-211
Received:
7 August 2022
Accepted:
17 September 2022
Published:
29 September 2022
DOI:
10.11648/j.jher.20220803.14
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Abstract: Road Traffic accidents (RTA) are one of the main leading cause of morbidity and mortality throughout the world. According to the report of the statistics of WHO, RTA take lives of millions of people annually, ranging higher in the developing countries, particularly in the sub Saharan region. In Ethiopia RTA caused losses of thousands of people and high economic damage, and categorized as one of the top national health burdens. Objective: the aim of the study was to assess the magnitude of the road traffic accidents and associated risk factors among taxi drivers. Methods: A cross-sectional quantitative study was conducted among 840 Taxi drivers in selected zones of Addis Ababa (Saris, Torhailoch and Megenagna), from 1st September to 20th December, 2021. The drivers selected randomly from all the minibus taxi drivers in the selected regions. The questionnaire was first prepared in English and then translated to Amharic. To check the validity of the questionnaire, pretest was conducted. Data was collected by distributing self-administered questionnaires and SPSS version 20 was used for data entry and analysis. Result: From the total 840 participants, more than half (56.9%, 478) were having history of RTA. Accordingly, 39.3%, 21.8%, 18.8% and 20.1% of the respondents who previously involved in RTA explained their accident was caused by over speeding, drunk driving, passing traffic lights and other predisposing factors, respectively. And majority of them (93.3%) drove more than 7 hours per day, whilst few (6.7%) drove less than 7 hours. Most of the accidents (41.0%) occurred at market places, and the least (10.0%) happened around recreational areas. And most of the accidents (46.8%) were carried out by the less experienced drivers. Conclusion: The magnitude of RTA among Minibus taxi drivers is high in this study. Most of the accidents happened on minibus taxies without mechanical defects and on asphalt with good road condition, and this indicate there is behavioral and awareness problem that might attributed from economic status, substance use and lack of awareness about traffic rules. Recommendation: The community should be given enough awareness about road safety measures and we strongly advise the Ministry of Transport to give special concern for the ethical issues of the traffic police officers and the way driver licenses are issued.
Abstract: Road Traffic accidents (RTA) are one of the main leading cause of morbidity and mortality throughout the world. According to the report of the statistics of WHO, RTA take lives of millions of people annually, ranging higher in the developing countries, particularly in the sub Saharan region. In Ethiopia RTA caused losses of thousands of people and ...
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