Kasturi Shukla
@sihs.edu.in
Associate Professor
Symbiosis Institute of Health Sciences, Pune
EDUCATION
BHA, MHA, Ph.D.
RESEARCH, TEACHING, or OTHER INTERESTS
Health (social science), Health Professions, Marketing
Scopus Publications
Scholar Citations
Scholar h-index
Scholar i10-index
Scopus Publications
Kasturi Shukla, Yogesh B. Patil, Ronald C. Estoque, and Pedro Lopez de Haro
IGI Global
The negative impact of climate change on Quality of Life (QoL) has become an issue of major concern that transcends national boundaries. Unprecedented changes in the Earth's climate have created a variety of effects at different geographical locations, thus impacting the welfare of inhabitants. The impacts are wide ranging—from severe weather that interrupts livelihoods to rising sea levels that endanger coastal towns. Furthermore, food security, water availability, and public health are all impacted by ecological changes brought on by climate change. In order to solve these complex concerns and promote a shared commitment to resilience and sustainable practices, international collaborative efforts are crucial. This will eventually protect the QoL on a global scale from the growing risks posed by climate change. This introductory chapter of the book provides a global perspective on the impact of climate change on the quality of life both in urban and rural settings.
Surabhee Satheesh and Kasturi Shukla
IGI Global
Globalization and industrialization have exposed the world to the exacerbating issue of sustainability. With the occurrences of climate related extreme events increasing the world over in the last decade, climate change has come to be recognized as the most profound concern staring in the face of mankind. There have been many separate studies addressing climate change and an equally good number of research in the domain of quality of life. But there is a dearth of research linking climate variability and quality of life. Climate uncertainties have led to loss of lives. Settlements and employments, material living conditions, physical and economic security, natural environment, health, basic rights, and social exchanges among communities stand impacted. All of these metrics are important determinants of quality of life (QoL). Also, alarming is the fact that QoL indicators remain poorly connected to climate change related concerns. This is an important research gap and calls for urgent attention.
Kasturi Shukla, Sayali Shilewant, and Beauty Sinha
IGI Global
Climate change is a long-term shift in temperature and weather patterns. The United Nations states that since the late 18th century, human activities - primarily the combustion of fossil fuels like coal, oil, and gas - have been the primary cause of climate change. Across the different sectors, the greenhouse effect is most prominent which forms a blanket wrapped around the Earth, trapping the sun's heat and raising temperatures. According to the UN, clearing of land and deforestation is responsible for increased carbon dioxide levels in the environment. The main sectors responsible for greenhouse gas emission are energy, transport, construction, agriculture, healthcare, and high land use. The healthcare industry is the largest source of greenhouse gasses, accounting for almost 5% of global greenhouse emissions. This chapter reviews the theories and models proposed by national and international organizations like United Nations and World Health Organization to explore and explain the impact of hospitals on climate change and the short-term and long-term impact on sustainability.
Kasturi Shukla and Avadhut Patwardhan
Emerald Publishing Limited
Swati Bankar and Kasturi Shukla
Emerald Publishing Limited
Kasturi Shukla, Vivek Phalke, PuneetKumar Gupta, Ketki Bandawane, Aparna Dixit, and Hem Chandra
Medknow
BACKGROUND: The purpose of the study was to analyze the public perception toward COVID Appropriate Behavior (CAB) obedience and to identify the factors associated with declining CAB. MATERIALS AND METHODS: It is a mixed methods study conducted from November 2021 to September 2022 in Pune city, India. A set of 15-CAB guidelines published by the Ministry of Health and Family Welfare, Government of India (GoI), were used as a base document to design the instruments of qualitative and quantitative study. Using a one-sample Kolmogorov–Smirnov test, CAB scores were tested for normality and distribution. Comparisons of various parameters were done using z test for proportion and paired t-test (statistical significance level was 0.05). Thematic content analysis was conducted for qualitative data analysis and verbatims are reported where applicable. RESULTS: The main motivation for people to get vaccinated was family and personal safety and a higher proportion of people felt safer post-vaccination which was linked to a reduced likelihood of CAB obedience. Qualitative results showed that people's lack of empathy and concern for others leads to undesirable personal behaviors such as spitting in public places, not wearing masks, etc., The need for socialization is high but discomfort with the use of masks/face shields and habituation with the disease were prominent causes of CAB disobedience. CONCLUSION: We conclude that reduced fear and gradual habituation have led to reduced CAB obedience. There is a need to reinforce empathy and concern for others to improve adherence to CAB like maintaining social distancing and wearing masks in public places for personal and social safety from the disease.
Kasturi Shukla, Avadhut Patwardhan, and Gourab Talapatra
Informa UK Limited
Kasturi Shukla and Aditi Kane
Diva Enterprises Private Limited
Nupur Desai, Kasturi Shukla, and Neha Ahire
Diva Enterprises Private Limited
Kasturi Shukla and Shrishti Upadhyay
SAGE Publications
Background: Delayed discharge is a frequent issue in majority of the hospitals as discharge Turn Around Time (TAT) for insured patients is higher than uninsured patients. The present study was conducted on insured in-patients to identify the predictors of discharge delays. Second, the impact of TAT of various steps of discharge process was analyzed on the overall discharge TAT. Finally, the intermediate TATs having highest predicting effect on the overall TAT were identified. Methods: This cross-sectional study was done on insured in-patients of a corporate hospital in Pune city from May to July 2015. TAT of the six steps of discharge process and the overall TAT was tracked and analyzed across Length of Stay (LOS) and discharge type using independent t-test. The six TATs were analyzed for predicting effect on overall TAT using correlation and linear regression. Results: The mean discharge TAT for insured patients ( n = 443) was 390 (±122.03) minutes. Intervening TATs for submitting discharge summary to TPA department and the final bill approval from insurance company had highest predicting effect on overall TAT through statistical analysis. Discharge TAT did not vary significantly for planned/unplanned discharge but significantly increased by 1 hour for high LOS patients ( p-value < 0.001). Conclusion: Discharge delay for insured patients is a common phenomenon. Hospitals and insurance companies must make combined efforts to control the delay. Further the delay from hospitals must be checked by timely submission of discharge summary and required reports as well as sending a quick reply to the generated queries.
Kasturi Shukla and Sameer Muthal
Diva Enterprises Private Limited
Kasturi Shukla, V. Deepika, and Disha Ojha
Diva Enterprises Private Limited
K Shukla, S Shahane, and W D’Souza
Medknow
Background: Considering a huge working population in health sector faced with stressful work life, limited autonomy in work and declining work contentment calls for an overemphasis on evaluating and monitoring their satisfaction associated with work-related quality of life (WRQoL). This study evaluates WRQoL of hospital employees and validates the bilingual (English and Marathi) version of WRQoL scale. Methods: The study was conducted during March–April’2014 on employees of a corporate hospital of Pune, India after ethical approval and informed consent from employees. The bilingual WRQoL scale has been tested for reliability and validity, and WRQoL scores have been reported. Results: A total of 132 hospital employees (mean age 31 [±8] years, 55% males) who participated in the study reported overall moderate WRQoL scores. The scale showed high internal consistency (Cronbach's alpha = 0.82, P < 0.0001) and moderate to high validity. WRQoL did not significantly vary across marital status, family size, and gender. “Stress at work” score of WRQoL increased with age of employees. Higher work experience, employment at higher positions and those working in clinical and diagnostic departments reported a higher WRQoL. Conclusion: WRQoL scale is a reliable and valid instrument. Better WRQoL in employees placed in higher organizational positions indicates a need for focused measures to enhance WRQoL of employees in lower hierarchical levels, especially in control at work and home life interface domains. WRQoL needs regular monitoring for employees in lower positions and aging employees.
Sandip Gaikwad, Bharat Patil, Sachhin Kasat, Geeta Bhardwaj, Pravin Yadav, and Kasturi Shukla
SAGE Publications
Objective: To study the standard empanelment process for Provider Management (PM) Department, MD India Healthcare Services (third party administrator (TPA)) Private Limited; to identify improvements in the empanelment process. Methods: This was a cross-sectional study conducted through quantitative and qualitative methods. The study was conducted at the head office of MD India Healthcare Services (TPA) Private Limited, Vadgaonsheri, Nagar Road, Pune. Results: In addition to the standard criteria of MD India (MDI) for empanelment of hospitals, there are specific criteria for new empanelment which include requirement of the network hospital in that location like a registered hospital with minimum 25 bed strength and hospital having good non-cashless business. For new hospitals to be empanelled, there are two ways: either the hospital approaches the head office/service branch of TPA or the TPA approaches the hospital for empanelment. Our study identifies some modification to improve this empanelment process. Conclusions: The aim of TPA is to facilitate insurance process to provide best quality service to patients. The modifications identified in our study will improve the process in many ways.
S. Awasthi, K. Agnihotri, S. Thakur, U. Singh, and H. Chandra
Oxford University Press (OUP)
OBJECTIVE
To evaluate if quality of care (QoC) provided by hospital is a determinant of ill-hospitalized adolescent's health-related quality of life (HRQoL) from parent's perspective.
DESIGN
Prospective cross-sectional study conducted at a tertiary care hospital of Northern India after institutional ethical approval.
SETTING
Hospital in pediatric department of a tertiary care, teaching medical University in Lucknow, northern India.
PARTICIPANTS
Sick adolescents aged between 10 and 19 years and hospitalized for four categories of illnesses, namely, acute infective; chronic infective, non-hemopoetic; hemopoetic disorders and miscellaneous.
INTERVENTION
QOC assessment was done using 'Pyramid instrument' and HRQoL by culturally modified WHOQOL-BREF (World Health Organization Quality of Life-BREF). The Pyramid instrument comprises 43 questions to collect information about awareness of eight indices: namely illness, routines, accessibility, medical treatment, care processes, staff attitude, participation and staff work environment and scored on 1-4 Likert scale. WHOQOL-BREF has four domains: physical, psychological, social relations and environment and scored on 1-5 Likert scale.
RESULTS
From January 2008 to December 2008, 300 adolescents with a mean age of 12.5 ± 2.6 years and 61.3% males were included. The pyramid instrument showed a substantial internal consistency (α = 0.88, P-value < 0.0001). The mean QoC was highest for medical treatment (0.76 ± 0.13) and lowest for participation (0.54 ± 0.16). The mean parent's report of child's HRQoL was highest for physical (42.8 ± 7.4) and lowest for environment domain (37.2 ± 7.1). Four QoC indices namely, medical treatment, care processes, staff attitude and participation had significant associations with the mean HRQoL. In a hierarchical linear regression, staff attitude was the only significant determinant of HRQoL (β coefficient: 23.16, 95% confidence interval: 15.8-30.5, P-value < 0.0001).
CONCLUSION
The Pyramid instrument is a reliable instrument for assessing parent's perception of QoC provided to hospitalized adolescents in Indian context. QoC was positively associated with HRQoL, thus, an increased focus on QoC especially staff attitude is likely to enhance adolescent's overall HRQoL.
Kasturi Agnihotri and Shally Awasthi
Springer Science and Business Media LLC