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实施普拉丹·曼特里·贾恩·阿罗吉亚计划的意识与准备情况:印度东部一家三级护理医院医护人员的横断面研究

Awareness and Readiness To Implement the Pradhan Mantri Jan Arogya Yojana: A Cross-Sectional Study Among Healthcare Workers of a Tertiary Care Hospital in Eastern India.

作者信息

Nirala Santosh K, Kumar Purushottam, Naik Bijaya N, Pandey Sanjay, Singh Chandramani, Rao Rajath, Bhardwaj Mohit

机构信息

Community and Family Medicine, All India Institute of Medical Sciences, Patna, Patna, IND.

Community Medicine, Government Medical College & Hospital, Aurangabad, Aurangabad, IND.

出版信息

Cureus. 2022 Apr 28;14(4):e24574. doi: 10.7759/cureus.24574. eCollection 2022 Apr.

DOI:10.7759/cureus.24574
PMID:35651396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9138266/
Abstract

Background The Indian government announced "Ayushman Bharat" for a New India 2022 during the 2018-19 parliament budget sessions, which includes the national health protection scheme presently known as "Pradhan Mantri Jan Arogya Yojana (PMJAY)" to facilitate access to secondary and tertiary healthcare services. This study aimed to see how well healthcare workers (HCWs) understood the PMJAY and how prepared they were to administer it. Materials and methods With an anticipated sample size of 411, this hospital-based analytical, cross-sectional study was done among treating faculty, resident doctors, and nursing officers as study participants. Participants completed a self-administered, pre-tested, semi-structured questionnaire to determine their level of awareness and readiness to adopt PMJAY. SPSS Version 22 software (SPSS Inc., Chicago, IL, USA) was used to analyze the data. Results The overall mean (SD) awareness score and mean readiness score among HCWs were found to be 5.52 (1.82) and 18.49 (4.5), respectively. There was a significantly high awareness score among doctors compared to nursing officers. The relation between awareness score and readiness score showed a weak positive significant correlation (r=0.174, p=0.001). The linear regression model demonstrated an increase of 0.432 units in readiness for every unit increase in awareness score. Conclusion The doctor's mean awareness score was little over half of the maximum attainable score. Faculty members were more aware of the scheme than the residents and nursing officers. The readiness to implement PMJAY improves as the awareness grows. Frequent workshops on PMJAY for stakeholders are required for better readiness.

摘要

背景 印度政府在2018 - 19年议会预算会议期间宣布了“2022年新印度的阿育吠陀使命”,其中包括目前被称为“总理全民健康保险计划(PMJAY)”的国家健康保护计划,以促进获得二级和三级医疗服务。本研究旨在了解医护人员对PMJAY的理解程度以及他们实施该计划的准备情况。材料与方法 本基于医院的分析性横断面研究预期样本量为411,研究对象为治疗科室教员、住院医生和护理人员。参与者完成一份自行填写、经过预测试的半结构化问卷,以确定他们对采用PMJAY的认知水平和准备程度。使用SPSS 22版软件(美国伊利诺伊州芝加哥市SPSS公司)分析数据。结果 医护人员的总体平均(标准差)认知得分和平均准备得分分别为5.52(1.82)和18.49(4.5)。与护理人员相比,医生的认知得分显著较高。认知得分与准备得分之间的关系显示出微弱的正相关(r = 0.174,p = 0.001)。线性回归模型表明,认知得分每增加一个单位,准备程度增加0.432个单位。结论 医生的平均认知得分略高于可达到的最高得分的一半。教员比住院医生和护理人员对该计划的了解更多。随着认知度的提高,实施PMJAY的准备程度也会提高。需要为利益相关者举办关于PMJAY的频繁研讨会,以提高准备程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a5/9138266/f3403117a8e9/cureus-0014-00000024574-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a5/9138266/f3403117a8e9/cureus-0014-00000024574-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a5/9138266/f3403117a8e9/cureus-0014-00000024574-i01.jpg

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本文引用的文献

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Awareness and readiness of health care workers in implementing Pradhan Mantri Jan Arogya Yojana in a tertiary care hospital at Rishikesh.瑞诗凯诗一家三级护理医院的医护人员对实施普拉丹·曼特里·贾恩·阿罗吉亚计划的认知与准备情况。
Nepal J Epidemiol. 2020 Jun 30;10(2):865-870. doi: 10.3126/nje.v10i2.27941. eCollection 2020 Jun.
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Performance of India's national publicly funded health insurance scheme, Pradhan Mantri Jan Arogaya Yojana (PMJAY), in improving access and financial protection for hospital care: findings from household surveys in Chhattisgarh state.印度国家公共资助的医疗保险计划——总理贾恩·阿罗格亚·约哈纳(PMJAY)在改善医院护理的可及性和财务保障方面的表现:恰蒂斯加尔邦家庭调查的结果。
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