Public Health Management

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https://hdl.handle.net/20.500.11888/18811

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    FACTORS INFLUENCING ACCEPTANCE OF HEALTH INFORMATION SYSTEM AMONG HEALTH CARE PROVIDERS IN PALESTINE MEDICAL COMPLEX –RAMALLAH-PALESTINE
    (An-Najah National University, 2024-02-07) Abu Sofyan, Fayez
    Most of the Palestinian government hospitals have a unified health information system to deal with health care recipients, which is positively reflected on the quality of medical services. To ensure the continuity of providing the best possible care, the factors affecting acceptance to the health information system among health care providers must be studied, as they are the main user of the system, and they have a direct impact on the success of this system and ensure its development. The purpose of the study is to investigate the factors that affecting acceptance to the health information system among health care providers. A quantitative-based cross- sectional study was conducted among health care providers, attending in Palestine medical complex in Ramallah city between September and October of 2022. A structured Self administred questionnaire was administered on participants who were recruited using the systemic random sampling technique. Linear and Binary logistic regression analysis were conducted using statistical package for the social science version 25. Technological factors which included into the system quality, in which (62.3%) of the participants found HIS to provide all the functions included in completing the job to be very high, while (49%) found its ability to integrate with other systems’ information to be low, as well as its fast response time to be low (31.3%) or medium (54.7%), compared to (74.3%) who found its 24/7 support services to be very high as major factors that influenced them acceptance of health information system. In addition, (37%) of the study participants noticed a low level of HIS features that prevent unauthorized persons from accessing data. Technological and human factors are the main factors that influence acceptance of health information system among health care providers in Palestine.
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    ASSESSMENT OF CURRENT PRE-DISCHARGE NEONATAL JAUNDICE SCREENING PRACTICES IN GOVERNMENTAL HOSPITALS OF WEST BANK
    (An-Najah National University, 2024-02-07) Barhoush, Abeer
    About (60%) of mature and (80%) of premature newborns experience jaundice in the first 7 days of life, and about (10%) of themstay jaundiced till one month. Pre-Hospital discharge jaundice screening for early detection of newborns who are at risk is essential. This is the first study to assess the current practice of pre-discharge neonatal jaundice screening in governmental hospitals inthe West Bank. A questionnaire-based quantitative study was conducted among all pediatrician doctors who work at 8 West bank governmental hospitals, between September 2022 and May 2023. A structured Self-administered questionnaire was administered to participants who obtained from Personnel Affairs in selected Palestinian governmental hospitals a month before the data acquisition. A full of 138 pediatrician doctors participated in this study, which showed a relative weakness in adherence to jaundice screening guidelinesand the results of pediatricians' practices regarding the screening of neonatal jaundice were relatively low. pediatricians doctors shows low adherence levels and inadequate practices regarding screening of neonatal jaundice pre-hospital discharge. Studies are needed in our country to evaluate the impact of this practice on infants with jaundice.
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    THE MEDICAL REFERRALS IN THE PALESTINIAN MINISTRY OF HEALTH 2022: A DESCRIPTIVE STUDY
    (An-Najah National University, 2024-03-16) Turkman, Mohammed
    The percentage of purchasing service from outside the Palestinian Ministry of Health during 2022 reached about 37.5% of the total health spending in the Ministry of Health, at a total cost of 974,782,080 NIS. This study aimed to identify and find out the reality and truth of medical referrals in the Palestinian Ministry of Health. Methodology: A descriptive study was conducted that included all the medical referrals carried out, conducted, and made by the Palestinian Ministry of Health during the year 2021 was conducted utilizing simple random technique to recruit 554 referrals from 99,064 referrals. Results: Oncology management ranked the first with the highest number of referrals, (27.6%) of all referrals in 2021. The age group 50 years and older constituted the most medical referrals, with a rate of 48.9%. The unavailability of treatment or the lack of it in the hospitals was the biggest reason for medical referrals, with a rate of 94.9% of the total referrals. 46.2% of the total medical referrals were covered by the Palestinian Ministry of Health within rates ranging from 91-100%. The governorates of the northern West Bank accounted for 28.5% of the total referrals, followed directly by the southern governorates with a percentage of 27.8%. According to the patient’s residency, the Hebron governorate had the highest referral rate with 21.3%, followed by the Jerusalem governorate with 17.7%. 54.7% of the medical referrals were directed and sent to hospitals and health facilities located in Jerusalem Governorate. Based on the findings it has become imperative to work to reduce the costs and burden resulting from medical referrals outside the Palestinian Ministry of Health facilities, by working to localize the medical services in the related hospitals.
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    PERSONAL TRAITS, MOTIVATION, AND JOB PERFORMANCE OF PHYSICIANS AND NURSES IN PALESTINE
    (An-Najah National University, 2024-11-14) Farah, Abu Hait
    One of the most critical factors in determining access and quality of treatment for individuals or communities is the effectiveness of healthcare professionals. Against the backdrop of persistent challenges and amazing resilience in Palestine's unique sociopolitical situation, understanding the intricate links between personality traits and capacity to work among healthcare workers is critical. The im of this study is to examine the relationship between personality traits, motivation, and job performance of employee (physicians/nurses) at governmental and commercial hospitals in the northern West Bank. A cross-sectional study was conducted using a convenience sampling method among physicians and nurses from hospitals in the northern West Bank, 498 participants. The results were indicated that there was a statistically significant relationship at p ≤ 0.05 between demographic variables due to (the variable type of hospital and years of experience) and personal traits, motivation, and job performance. Furthermore, the study's findings showed that a positive correlation between the personality traits of Palestinian physicians and nurses (extroversion, agreeableness, openness, and conscientiousness) and their levels of motivation and job performance, with correlation values ranging from 0.22 to 0.41 (p ≥ 0.01). Additionally, the results showed a negative correlation (r = -0.13, -0.17, and p ≤ 0.05) between the traits of neuroticism, motivation, and job performance. Additionally, the results showed that the primary factor influencing Palestinian physicians and nurses' motivation is their conscience (R2 = 0.171; p ≤ 0.05). However, the combination of extraversion and conscientiousness was the second factor affecting Palestinian nurses' and physicians’ motivation (R2 = 0.197). While. 0the primary factor influencing how well Palestinian physicians and nurses perform on the workplace is their agreeableness (R2 = 0.156; p > 0.05). Furthermore, the combination of conscientiousness and agreeableness represented the second factor affecting how well Palestinian nurses and physicians performed on the workplace (R2 = 0.194; p < 0.05) .Personality traits such as conscientiousness, extraversion, and agreeableness play a significant role in enhancing motivation and job performance among healthcare workers, while neuroticism negatively impacts performance, particularly among doctors, highlighting the importance of targeted support and development programs in improving workplace outcomes
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    KNOWLEDGE AND ATTITUDES OF PHYSICIANS AND NURSES TOWARDS MENTAL DISORDERS AND RELATED HEALTH SERVICES: A CROSS-SECTIONAL STUDY IN PALESTINE
    (An-Najah National University, 2024-10-23) Qattawi, Ayat
    Background: The provision of mental health services faces several financial and health challenges, while the healthcare professionals (HCPs) should acquire the appropriate levels of knowledge and attitude towards mental disorders and mentally ill patients, which the current study aimed to identify, as well as the most common demographic and professional factors that related to them. Method: The study utilized a cross-sectional, quantitative design, in which the researcher recruited a convenient sample of 89 doctors and 232 nurses from private and governmental hospitals and primary health clinics (PHC) in Nablus – Palestine. The study questionnaire consisted of demographic data, Mental Health Knowledge Schedule (MAKS) and Attitude to Mental Disorders (AMI) tools, which were analyzed using SPSS. Results: The median age of recruited HCPs was 31 years old (IQR = 8), 46.4% males, 60.4% married, 58.3% of more than 5 years of experience, and 60.1% not received a course on mental disorders. The median knowledge score was 68.42% (IQR = 12.63), with 69.5% having a moderate knowledge level, which was not significantly related to any factor (p-value > 0.05). The median attitude level was 63.70% (IQR = 11.85), with 62.0% having moderate attitude level, and was significantly higher in females (p-value < 0.001), lower income (p-value = 0.002), other social status (p-value = 0.016) and non-hospital workplace type (p-value < 0.001). A significant, moderate, positive correlation between knowledge and attitude was found (r = 0.252, p-value < 0.001). Conclusion: The Palestinian nurses and doctors in Nablus city have moderate knowledge and attitude levels towards mental disorders. More focus on mental disorders is needed and recommended by the policymakers, health sector, universities and HCPs themselves. Further research is needed in the Palestinian context, including longitudinal and qualitative approaches. Keywords: mental health, mental disorders, psychiatric disease, knowledge, awareness, perception, attitude, doctors, physicians, nurses.