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IJHE no. 6 – 2016

IJHE no. 6/2016

Current Volume articles

1. TABLE OF CONTENTS

Pages: • 2

2. Editorial 

Pages: • 3|5
Authors: • Conf. Ph.D. Camelia Cojocaru

3. Determining Health Problems for Patients Suffering from Osteoporosis Caused by Drinking Water in Palestine

Pages:   • 6|18

Authors:   Fulla Sharaf, Head of Primary health Care Information Department, Palestinian Health Information Centre, Ministry of Health, Gaza Strip, Palestine; Abdelnaser Omran, School of Economics, Finance and Banking, College of Business, Universiti Utara Malaysia, Sintok, Kedah, Malaysia, naser_elamroni@yahoo.co.uk

Osteoporosis is a recognized major public-health problem in both developed and developing countries. With increased age span, osteoporosis has become the most common disease in the elderly. This study discusses osteoporosis disease for people aged (40) years and above. The study was conducted in Gaza strip, Palestine, with patients who are suffering from osteoporosis. A questionnaire survey was used to collect data where a total number of 54 questionnaires were used for analysis. Survey result revealed that the respondents had limited or insufficient knowledge on many important issues related to this type of disease or even on the water that they drink.

IJHE_No. 6_November 2016 – 3

4. Income inequalities and health expenditures in Republic of Bulgaria – major economic factors of health accessibility

Pages:   • 19|32

Authors: Nikolay Georgiev Atanasov, Medical University – Plovdiv, Bulgaria, Department of Health Care Management, Health Economics and General Medicine, Faculty of Public Health, nik.atanasov@abv.bg

The health outcomes are closely related to the efficiency of resources invested in the health system, but on the other hand the accessibility to the system caused by inequalities between individuals is also critically important concerning the distribution of consumed health services. The author aims to study the accessibility to the health system through empirical analysis of key economic factors like household income inequalities (with Gini index and household income by decile groups) and health expenditures (public and household). The analyzed period is 2000 to 2014 when the funding of the health system was rebuilt separately from the government budget. The results are that appears growing income inequality in recent years. The gap between the richest decile group and the poorest is increased from 2.7 times. In the same time the weight of public expenditures on health have a slow growth compared with private ones. It causes more sensible financial burden of health on the households in resent years. There is found also an increasing gap between the health costs and their sources of funding. The main conclusion is that these processes threaten the access to health goods and create more unsatisfied health needs.

IJHE_No. 6_November 2016 – 4

5. Factors Affecting Employees’ Satisfaction in Health Sectors in Gaza Strip

Pages:   • 33|43

Authors: Fulla Sharaf , Head of Primary health Care Information Department, Palestinian Health Information Centre, Ministry of Health, Gaza Strip, Palestine, Abdelnaser Omran, School of Economics, Finance and Banking, College of Business, Universiti Utara Malaysia, Sintok, Kedah, Malaysia, naser_elamroni@yahoo.co.uk

Employee job satisfaction can improve service quality and increase employee satisfaction. The main aim to identify the factors affecting the job satisfaction of employees in different departments and office in health sector. Questionnaire was carried out to collect the data where out of 130 sets of questionnaire distributed, only 115 sets were completely returned analysed, yielding a response rate of 88.4%.  The results found that the factor of “employee’ satisfaction work relationships with the people around him/her” had a high impact in health sector in Gaza strip, Palestine with a mean ranking of 3.57 was ranked as the top most satisfaction factors. This paper provided several useful recommendations, one of these are (i) creating favourable work conditions for the sectors, (ii) guiding the employee to communicate effectively, and (iii) building a good interpersonal environment within the departments and offices can create good work conditions.

IJHE_No. 6_November 2016 – 5

6. The Impact of Life Expectancy on Economic Growth in Nigeria

Pages:   • 44|56

Authors: Akintunde, T.S. (Ph.D), Department of Economics, Osun State University, Nigeria, temitope.akintunde@uniosun.edu.ng, Satope, B.F. (Ph.D), Department of Economics, Redeemers University, Nigeria, Akanbi, B.E. (Ph.D), Department of Economics, Osun State University, Nigeria

Health is an important aspect of human capital development. Hence, the study investigates the influence of life expectancy on economic growth in Nigeria. The study covers the period of 1980 to 2012. The study used descriptive statistics to analyse the trends of life expectancy in Nigeria. Vector Auto Regression (VAR) was employed to examine the contributions of life expectancy on economic growth. The variables used were per capita income, gross capital formation, life expectancy at birth, primary school enrolment and carbon dioxide emissions. The variables were stationary at levels. Findings from the study show that life expectancy at birth has not improved significantly over the years because of high mortality rate caused by Malaria, HIV/AIDS, and maternal mortality and so on. The result from the VAR shows that life expectancy has a positive and significant relationship with economic growth in Nigeria. Nigeria needs to improve its health status in order to boost its growth performance.

IJHE_No. 6_November 2016 – 6

7. Examining the Critical Success Factors Affecting Human Resources in The Malaysian Construction Organizations

Pages:   • 57|70

Authors: Abdelnaser Omran, School of Economics, Finance and Banking, College of Business, Universiti Utara Malaysia, Sintok, Kedah, Malaysia, naser_elamroni@yahoo.co.uk

Construction organizations are struggling with low level performance from employees and construction labor productivity has decreased compared to the starting time and most of Malaysia companies try to recruit talent. The aim of this study was to examine the critical success factors affecting human resource in the Malaysia construction organization. Data were collected through the mail or handout questionnaire from human resource within the construction industry in Malaysia. A total of 71 useable questionnaires were successfully collected and analyzed.  As results, the top critical success factors affecting human resource were (1) knowledge and qualification of people in company, working conditions, health and safety and employee benefits and incentives; (2) attitude of people in the company; (3) wages and salaries; (4) leadership skills of top management; and (5) motivation. The subsequent 5 are discerned to be an effective method to enhance employee productivity: (1) recognition of achievement and contribution; (2) enhancement of career growth through technical and educational opportunities; (3) concern of the safety and health of employees; (4) equal employment opportunity; and (5) improving job satisfaction.

IJHE_No. 6_November 2016 – 7

8. Healthcare Efficiency of California Counties: The Results are not what they Seem

Pages:   • 71|95

Authors: RICHARD GEARHART, rgearhart1@csub.edu, California State University, Bakersfield, NYAKUNDI MICHIEKA, nmichieka@csub.edu, California State University, Bakersfield

This paper examines cross-county healthcare efficiency rankings using modern non-parametric estimators. It finds that using an input-output specification leads to drastically different rankings than are found in input-only or output-only specifications. In fact, counties that are commonly thought of as being some of the worst healthcare providers in California, such as Kern County, are much more efficiently producing healthcare than in these previous analyses, largely because of the low levels of healthcare inputs that these counties have. This paper finds that when using only years of life lost as an output, most counties in California show productivity improvement in healthcare delivery since 2011. If you include additional outputs, then nearly all counties show productivity regression, hinting that changes in the structure of healthcare delivery since 2011 may not have altered health outcomes, but opinions of healthcare delivery as a whole. It lastly finds that some common demographic indicators, such as being having more individuals who are Hispanic, who are not proficient in English, and who are young lead to more efficient healthcare delivery systems. This is likely due to the fact that these demographic groups do not utilize the healthcare system or seek cheap treatments for rather common ailments.

IJHE_No. 6_November 2016 – 8

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