Yazar "Maimaiti, Namaitijiang" seçeneğine göre listele
Listeleniyor 1 - 4 / 4
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe Assessing the burden of pneumonia using administrative data from Malaysia, Indonesia, and the Philippines(Elsevier Sci Ltd, 2016) Azmi, Soraya; Aljunid, Syed Mohamed; Maimaiti, Namaitijiang; Ali, Al-Abed; Nur, Amrizal Muhammad; De Rosas-Valera, Madeleine; Encluna, JoyceObjectives: To describe the incidence, mortality, cost, and length of stay (LOS) of hospitalized community-acquired pneumonia (CAP) and hospital-acquired pneumonia (HAP) in three Southeast Asian countries: Malaysia, Indonesia, and the Philippines. Methods: Using Casemix system data from contributing hospitals, patients with International Classification of Diseases 10th revision (ICD-10) codes identifying pneumonia were categorized into CAP or HAP using a logical algorithm. The incidence among hospitalized patients, case fatality rates (CFR), mean LOS, and cost of admission were calculated. The population incidence was calculated based on Malaysian data. Results: For every 100 000 discharges, CAP and HAP incidences were 14 245 and 5615 cases, respectively, in the Philippines, 4205 and 2187, respectively, in Malaysia, and 988 and 538, respectively, in Indonesia. The impact was greatest in the young and the elderly. The CFR varied from 1.4% to 4.2% for CAP and from 9.1% and 25.5% for HAP. The mean LOS was 6.1-8.6 days for CAP and 6.9-10.2 days for HAP. The cost of hospitalization was between USD 254 and USD 1208 for CAP and between USD 275 and USD 1482 for HAP. Conclusions: The burden of CAP and HAP is high. Results varied between the three countries, likely due to differences in socio-economic conditions, health system differences, and ICD-coding practices. (C) 2016 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.Öğe Ayaktan Hasta Memnuniyeti Ölçeği Geliştirme Çalışması(2018) Kaya, Şerife Didem; Maimaiti, NamaitijiangBu çalışmanın amacı, poliklinik hizmeti almak için ayaktan hastaneye başvuran hastalarınmemnuniyet düzeylerini belirleyebilmek amacıyla veri elde edilmesini sağlayacak ölçme aracınıgeliştirmek, geçerlilik ve güvenirliliğini test etmektir. Metodolojik tipteki araştırmada üç faz ve onadımdan oluşan ölçek geliştirme modeli kullanılmıştır. Örneklem, 531 katılımcıdan oluşmaktadır.Verilerin analizinde SPSS ve Lisrel programları kullanılmıştır. Veriler; Kapsam Geçerlilik İndeksi,ortalama, standart sapma, Pearson Momentler Çarpımı, Cronbach’s Alpha, t-testi, tek yönlü ANOVA,Açımlayıcı Faktör Analizi (AFA) ve Doğrulayıcı Faktör Analizi (DFA) ile değerlendirilmiştir. KaiserMeyer-Olkin(KMO) örneklem yeterliliği testi sonucu değer 0,95 dir. Bartlett’s Testi analizi sonucu kikare değeri (X2)8019,90; serbestlik derecesi (sd)528 (p0,05) bulunmuştur. AFA sonucunda 29maddelik 5 faktörlü bir yapı elde edilmiştir. 5 faktörlü yapı; randevu, etkin muayene, bekleme süresive danışmanlık, çalışanların tutumu ve genel memnuniyet şeklinde isimlendirilmiştir. Ölçeğin toplamortalama puanı 3,55, standart sapması 0,76, test tekrar test katsayısı r0,96 (p0,01), Cronbach’sAlpha değeri 0,95, yarıya bölme katsayısı r 0,94 (p0,01) bulunmuştur. DFA sonucu elde edilenp0,00; X2891,17, sd367; X2/sd sonucu 2,43 dür. RMSEA0,09, GFI0,75, AGFI0,70,NNFI0,85, CFI0,86, SRMR0,06 şeklindedir. DFA sonucunda ölçeğin iyi uyum ölçütlerine sahipolduğu ve kabul edilebilir değerler arasında olduğu ortaya çıkmıştır. Sonuç olarak, Ayaktan HastaMemnuniyeti Ölçeği’nin geçerli ve güvenilir bir ölçme aracı olduğu tespit edilmiştir.Öğe Cost-effectiveness of HPV vaccination regime: comparing twice versus thrice vaccinations dose regime among adolescent girls in Malaysia(Biomed Central Ltd, 2016) Aljunid, Syed; Maimaiti, Namaitijiang; Nur, Amrizal M.; Noor, Mohd Rushdan Md; Puteh, Sharifa Ezat WanBackground: The HPV vaccine was introduced to Malaysian national immunization programme in 2010. The current implementation age of HPV vaccination in Malaysian is at the age of 13 years school girls, given according to a 3 doses protocol which may complicate implementation and compliance. Aim of the study is to determine the cost-effectiveness of HPV vaccination regime comparing twice versus thrice HPV vaccinations dose regime among adolescent girls in Malaysia. Methods: A Markov cohort model reflecting the natural history of HPV infection accounting for oncogenic and low-risk HPV was adapted for 13 year old Malaysian girls cohort (n = 274,050). Transition probabilities, utilities values, epidemiological and cost data were sourced from published literature and local data. Vaccine effectiveness was based on overall efficacy reported from 3-doses clinical trials, with the assumption that the 2-doses is non-inferior to the 3-doses allowing overall efficacy to be inferred from the 3-doses immunogenicity data. Price parity and life-long protection were assumed. The payer perspective was adopted, with appropriate discounting for costs (3 %) and outcomes (3 %). One way sensitivity analysis was conducted. The sensitivity analysis on cost of vaccine, vaccine coverage and discount rate with a 2-doses protocol was performed. Result: The 3-doses and 2-doses regimes showed same number of Cervical Cancers averted (361 cases); QALYs saved at 7,732,266. However, the lifetime protection under the 2-doses regime, showed a significant cost-savings of RM 36, 722,700 compared to the 3-doses scheme. The MOH Malaysia could vaccinate 137,025 more girls in this country using saving 2-doses regime vaccination programme. The model predicted that 2-doses HPV vaccination schemes can avoid additional 180 Cervical Cancers and 63 deaths compare to 3-doses. Conclusion: A 2-doses HPV vaccination scheme may enable Malaysian women to be protected at a lower cost than that achievable under a 3-doses scheme, while avoiding the same number of Cervical Cancer cases and deaths. Using the saving money with 2-doses, more Cervical Cancers and deaths can be avoided.Öğe Economic impact of surgery cancellation in a general hospital, Iran(Addis Ababa Univ, Dept Community Health, 2016) Maimaiti, Namaitijiang; Rahimi, Azam; Aghaie, Leila AfzalBackground: Cancellation of surgical procedures creates a financial burden to health providers and patients. It also causes a potential emotional stress and a negative impact on perception of quality of care. It should be a priority to identify risks of surgery cancellations in view of modification to assure timely and efficient delivery of care. Objective: To identify and estimate costs borne by cancelation of elective surgeries in a general hospital. Methods: Data were collected from a general hospital of social security organization of Iran. In-patient medical records were reviewed for all patients scheduled for elective surgeries in a period of 1 year, starting from 21stof March 2011 to 20th of March 2012. The costing data were collected in 2014. Patients undergoing out-patient surgery and emergency surgical procedures were excluded from the study. Results: During the study period, 14,687 cases were scheduled to undergo inpatient elective surgical procedures. Of those 274 cases were cancelled, among the cancelled cases, 242 were cancelled during the preparation in the surgery ward and 32 cases were cancelled in operation room. The total cost of surgery cancellation was US$ 92, 049.0. Out of this: US$ 42,668.0 (46.4%) was related to bed expense; 32,363.0$US (35.1%) for direct costs related to resources and supplies; and US$ 16,569 (18.5%) was related to physician visits. Conclusion: The study demonstrated that cost of surgery cancelation was considerably high in the studied general hospital. More than half of the cost (62.1%) of surgery cancelation was due to avoidable reasons.