Journal of Hospital Administration

The present study aimed to explore the three domains of health physical, psychological, and social among patients who underwent Total Knee Replacement (TKR) using a Patient-Reported Outcome Measure (PROM) approach. The objectives were to understand the lived experiences of TKR patients during treatment and to analyze their postoperative outcomes. A qualitative, comparative research design was adopted, and the study was conducted at Sun Medical Research Centre, Thrissur. Using convenient sampling, data were collected from five participants who met the inclusion criteria. The PROM toolkit was utilized for data collection, and thematic analysis was employed to interpret the findings. Results indicated that physical problems decreased for 80% of patients, while 20% initially experienced increased limitations related to mobility, pain, and daily activities due to the surgical procedure; however, these issues were resolved within one month. Psychological problems showed a gradual reduction among all participants before discharge, though a slight increase (20%) was noted after one month. In the social dimension, 20% of patients continued to face work-related issues, while social isolation and reduced participation, initially reported by all participants (100%), declined to 40% at discharge and fully resolved after one month. Overall, the study highlights substantial improvements across all health domains following TKR, demonstrating the usefulness of PROMs in understanding patient-centered recovery outcomes.

Introduction: Comprehensive documentation on initial patient assessments is critical in ensuring high-quality patient care and preventing communication lapses among the providers. Inaccurate or incomplete documentation has been associated with medication mistakes and adverse patient outcomes. Identification of the causes of non-compliance with documentation is important for providing focused interventions. Methodology: This research used a descriptive cross-sectional design in evaluating the completeness of initial patient assessment documentation by Resident Medical Officers (RMOs). Data was collected from 400 purposively sampled inpatient records from different departments of the hospital. Results: The most common obstacles are poor training, absence of standardized procedures, and unfavorable patient-to-staff ratios. Resolving these problems by introducing formal training schemes and the utilization of electronic health records has been found to enhance documentation processes. Classifying causes under Man, Machine, Method, and Material (4M) facilitated visualizing how human resource shortages, process inefficiencies, and infrastructural lags all cumulatively led to documentation delay and non-compliance. Conclusion: Clinical documentation, especially new patient assessment, plays a crucial role in hospital operations, patient safety, and quality of care. Yet it is often underappreciated and periodically done, posing clinical, legal, and operational hazards. Based on best practices, the research highly suggests the adoption of an EMR system with organized templates and real- time notifications to enhance compliance, minimize errors, and improve data security and also quality of care.

Objective: This study aims to examine the mental health of India’s ageing population by correlating national trends from the Longitudinal Ageing Study in India (LASI) with local primary data. Specifically, we aim to assess depression, cognitive impairment, loneliness, and the contextual influence of chronic sickness, gender, and socio-economic variables. Method: A cross-sectional comparative design was employed. Secondary LASI survey data were compared with primary data acquired using a LASI-based survey tool given to older adults living in urban and rural areas. Descriptive comparisons and multivariate regression were conducted to assess how socio-economic and health and service-related variables influenced mental well-being. Analysis: The results indicated that the prevalence of depressive symptoms, insomnia, and emotional disconnect in the primary data was greater than expected based on LASI. Older aged women (particularly widows) and older adults who were suffering from chronic disease or restrictive access to services were at increased vulnerability. MANOVA analysis demonstrated consistent linkages between the mental health outcomes to cognizance to ageing-related resources and accessibility to health services, rather than income or education. Conclusions: The research highlights an underlying gap in mental health care among the elderly in India, and particularly among women and rural individuals. This report recommends gender-sensitive community-based mental health interventions, and that psychological care is better integrated with primary geriatric services.

Indian healthcare market was about $180 billion in FY 2023 and is projected to $320 billion worth by FY 2028 at 12% CAGR as per Bains report. India is currently facing epidemiological transition and with rise in life expectancy, lifestyle and non-communicable diseases. Accessibility and affordability is the real challenge in the healthcare services. Objective of the study is to delves into policy documents, programmatic updates, industry analyses and peer reviewed research from 2020 and 2025 for understanding India’s digital health trajectory, as twenty-first century is all about integrating the extensive use of desktop personal computer, internet and mobile phone that leads to e-health that gradually focused on health, instead of treating disease in the last 5 years (notably in the COVID-19 pandemic years of 2020–2022) and extend the reach of care and achieving higher healthcare standards using DHT (Digital Health Technology). Result found that there were four categories of public indicators in digital health category, such as tel-consultation volumes from the National e-Sanjivani Service, mental health helpline utilization via tel-MANAS, routine immunisation digitization through U-WIN and registry-driven interoperability metrics under Ayushman Bharat Digital Mission. Now, India is moving rapidly towards healthcare 4.0 where ‘Health is More than Healthcare approach’ that encompasses spiritual, mental and emotional components of health. If India can develop safe and reliable digital health infrastructure, it will not only improvise the accessibility and affordability of health care services but also will achieve SDG-aligned, people centered care ecosystem.