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Ramachandran A.,International Institute of Health Management Research
2014 International Conference on Computing for Sustainable Global Development, INDIACom 2014 | Year: 2014

We are in a digital age where knowledge is readily available more than ever before in history. Dynamic advances in information technology have brought about a fundamental redesign of health care processes based on its integration at all levels. Globally people are well connected with each other through phones (landline, mobiles etc), internet and other digital network that supports an easy transition from institution-centric to patient-centric health care. The web is flooded with numerous health and fitness applications (both proprietary and open source) that are easily downloadable and can be utilized to change the way an individual manages his/her health and disease problems. The study was based on a comprehensive literature review, review of m-health applications and requirements gathering using in-depth discussions with doctors involved in chronic disease management and few patients. Based on the inputs obtained a conceptual framework that highlights the essential design features of an application which would help in chronic disease management by the individuals, their providers and also alert stake holders during medical emergencies has been put forth. © 2014 IEEE.

Sharma A.,International Institute of Health Management Research
Journal of Health Management | Year: 2012

Access to care and equity are the two most pertinent issues for policy-makers of the current era. In developing countries, health care is continuously facing budget constraints as central governments' expenditures do not reach peripheral level of health care. Lack of resources and emphasis on systems' sustainability has supported the concept of user charges. However, the World Health Organisation (WHO) has recently urged developing countries to not rely on user fee as a source of fund, based on the economic theory that high prices induce negative demand, especially for vulnerable populations, which invariably raises the issue of user fee widening inequity. This article reviews the evidences from low and middle-income countries to analyze various political agendas supporting user fee policies and their impact on health facilities in terms of utilization and availability of resources in view of barriers to access. The evidences highlighted that access to care is largely affected by unavailability of resources in most African countries whereas India grapples continuously with governance issues for improving efficiency of health care facilities. The success of the concept of user fee lies in careful examination of health care system-capacity issues, providing a support mechanism for the vulnerable and restructuring user fee policy around efficiency rather than cost-recovery mechanism. © 2012 SAGE Publications.

Mathiyazhagan T.,NIHFW | Kaur J.,International Institute of Health Management Research | Devrani G.P.,NIHFW
Health and Population: Perspectives and Issues | Year: 2011

The Red Ribbon Express (RRE), the world's largest mass mobilization project to spread awareness on issues concerning HIV/AIDS to promote safe sex behavioural practices among the general population in India has well recognized. The RRE primarily focuses on rural areas to; (i) disseminate information regarding primary prevention services; (ii) develop an understanding of the disease to reduce stigma and discrimination against people living with HIV/AIDS; (iii) strengthen people's knowledge about the measures to be taken to prevent getting HIV/AIDS; and (iv) adopt healthy habits and lifestyle. Realising the importance of the project, an attempt has been made in this study to find out how far it has been effective in generating awareness among people about HIV/AIDS. The study also documents phase-wise information on Red Ribbon Express, materials and messages developed as part of Red Ribbon Express, activities on platforms and coaches movement of troupes and reactions of the community over the activities of Red Ribbon Express.

Kandoi G.,Delhi Technological University | Nanda A.,International Institute of Health Management Research | Scaria Dr. V.,CSIR - Central Electrochemical Research Institute | Sivasubbu S.,CSIR - Central Electrochemical Research Institute
Indian Pacing and Electrophysiology Journal | Year: 2012

Disorders of the cardiac rhythm are quite prevalent in clinical practice. Though the variability in drug response between individuals has been extensively studied, this information has not been widely used in clinical practice. Rapid advances in the field of pharmacogenomics have provided us with crucial insights on inter-individual genetic variability and its impact on drug metabolism and action. Technologies for faster and cheaper genetic testing and even personal genome sequencing would enable clinicians to optimize prescription based on the genetic makeup of the individual, which would open up new avenues in the area of personalized medicine. We have systematically looked at literature evidence on pharmacogenomics markers for anti-arrhythmic agents from the OpenPGx consortium collection and reason the applicability of genetics in the management of arrhythmia. We also discuss potential issues that need to be resolved before personalized pharmacogenomics becomes a reality in regular clinical practice.

Bhattacharya I.,National Institute of Health and Family Welfare | Ramachandran A.,International Institute of Health Management Research
Human Resources for Health | Year: 2015

Background: Healthcare information technology (HIT) applications are being ubiquitously adopted globally and have been indicated to have effects on certain dimensions of recruitment and retention of healthcare professionals. Retention of healthcare professionals is affected by their job satisfaction (JS), commitment to the organization and intention to stay (ITS) that are interlinked with each other and influenced by many factors related to job, personal, organization, etc. The objectives of the current study were to determine if HIT was one among the factors and, if so, propose a probable retention model that incorporates implementation and use of HIT as a strategy. Methods: This was a cross-sectional survey study covering 20 hospitals from urban areas of India. The sample (n = 586) consisted of doctors, nurses, paramedics and hospital administrators. Data was collected through a structured questionnaire. Factors affecting job satisfaction were determined. Technology acceptance by the healthcare professionals was also determined. Interactions between the factors were predicted using a path analysis model. Results: The overall satisfaction rate of the respondents was 51 %. Based on factor analysis method, 10 factors were identified for JS and 9 factors for ITS. Availability and use of information technology was one factor that affected JS. The need for implementing technology influenced ITS through work environment and career growth. Also, the study indicated that nearly 70 % of the respondents had awareness of HIT, but only 40 % used them. The importance of providing training for HIT applications was stressed by many respondents. Conclusion: The results are in agreement with literature studies exploring job satisfaction and retention among healthcare professionals. Our study documented a relatively medium level of job satisfaction among the healthcare professionals in the urban area. Information technology was found to be one among the factors that can plausibly influence their job satisfaction and intention to stay. Based on the results of the study, a retention strategy has been suggested that utilizes implementation of HIT and provision of training to influence the retention of healthcare workers. © 2015 Bhattacharya and Ramachandran.

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