Browsing by Author "Jha, Jay Bhushan"
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Publication Admission Rate of Patients Visiting Emergency Department in a Tertiary Care Center in Kathmandu: A Descriptive Cross-sectional Study(Nepal Medical Association, 2024) Tiwari, Sanjeeb; Tiwari, Jyotshna Sharma; Jha, Jay Bhushan; Regmi, Sushant; Yadav, Dhirendra; Kafle, Ravi; Khanal, Inesh; Shrestha, Aakripa Rani; Shrestha, Shubham; Shakya, Yagya Laxmi; Maharjan, Ramesh Kumar; Gupta, Sanjaya KumarAbstract Introduction: Emergency departments serve as the initial point of contact for patients with a wide range of conditions. Not all patients visiting get admitted to the hospital. The admission rate varies from 20% in the United States to 40.83% in Nepal. Given the variability in these results across different regions, there is a need to better understand the admission rates from the Emergency Department. Methods: A descriptive cross-sectional study was conducted after obtaining ethical approval( Reference Number: 58 (6-11)E2 081/082) in the Emergency Department of a tertiary health care center. Retrospective data was collected from the data register. The data from April 2023 to April 2024 was collected. A sample size of 222 was calculated and convenience sampling was done. Demographic details like age, sex, and data regarding admission status were collected. Data was collected in MS Excel and was analyzed using JASP software. Results: Out of 222 patients that presented to the emergency department, 53 (23.87%)(18.26-29.47,95 % Confidence Interval) were admitted to the ward or intensive care unit of the hospital, whereas 167 (75.23) got discharged, 1 (0.45%) was brought dead and 1 (0.45%) expired. The median age of patients was 43 (IQR: 26-62). The admission rate of females was 20 (17.24%), whereas for males it was 33 (31.13%). Conclusions: The prevalence of admission of patients visiting the emergency department was higher than similar US based studies. There was a higher percentage of female patients presenting to theemergency department, while those being admitted were mostly males.Publication Health Beyond Health: Insights and Implications from the Fourth National Health Summit of Nepal, 2024(Nepal Medical Association, 2025) Jha, Jay Bhushan; Karki, Anil Bikram; Tiwari, SanjeebAbstract The 4th National Health Summit in Nepal, themed "Health Beyond Health," explored the interconnections between health and social, economic, and environmental factors, emphasizing the role of health as a driver of national progress. The summit brought together diverse stakeholders, including policymakers, healthcare professionals, researchers, and civil society leaders, to address transformative health strategies. With subthemes ranging from universal health coverage to the impact of climate change on health, the event highlighted the importance of a holistic, intersectoral approach to health system strengthening. This viewpoint reflects on the summit's outcomes, its inclusive and participatory approach, and the critical need for translating recommendations into actionable strategies to achieve health equity and resilience for Nepal's future.Publication Navigating Authorship Ethics in Research: Challenges and Responsibilities(Nepal Medical Association, 2024) Jha, Jay BhushanPublication Tracking Progress of National Health Summit Declarations - Health Policy Analysis: A Qualitative Study(Nepal Medical Association, 2025) Shrestha, Ashis; Poudel, Lisasha; Tikhatri, Dipesh; Regmi, Sushant; Jha, Jay Bhushan; Baniya, Shreya; Phuyal, Mandish Prasad; Prasai, Akanshya; Kunwar, Sunil; Chand, Amit; Karki, Prakriti; Tamrakar, Nurusha; Sapkota, Ritu; Yadav,k RamanAbstract Introduction: The National Health Summit is a policy discussion platform that advocates the policy statement stated by National Health Policy 2019 which results in a set of declarations to address issues in the health system. This study’s objective is to monitor the extent of declaration’s implementation, its facilitators-barriers, and to formulate recommendation for future National Health Summit declarations and implementation strategies. Methods: This is a qualitative study conducted by Nepal Medical Association. in November-December 2024. Ethical approval from Nepal Health Research Council, Ethical Review Board (Reference number: 1069). The study was designed using the Realistic Evaluation Framework to look into the “context” which are the external factors impacting implementation of the declarations, the “mechanism” which are key elements facilitating or hindering policy changes, and the “outcome” which were the tangible results of NHS declarations. Results: Review and analysis of the participant responses identified policy influene and advocacy as contexts. The mechanisms identified were political and bureaucratic challenges, collaboration, finaicial hurdles, commitment, accountability, leadership, evidence based practices. The outcome discussed were health system strengthening, health workforce, governance, innovation, advocacy and digaital transformations. Conclusions: Implementation of declaration is challenging, with fragmentation as major health issues, however, continuous advocacy has had a synergistic effect in implementation and prioritization of the policy.