首页 > 最新文献

Health Services Insights最新文献

英文 中文
Healthcare Organizations Management: Analyzing Characteristics, Features and Factors, to Identify Gaps "Scoping Review". 医疗机构管理:分析特点、特征和因素,找出差距 "范围审查"。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-05-03 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231168130
Hatem H Alsaqqa

Background: Studying the organizational characteristics, factors and features in healthcare organizations will have its prompt in achieving the desired outcomes of the provided services. Addressing these variables, the subsequent study conducts a scoping review methodology to systematically evaluate existing information while focusing on conclusions and gaps representing organizational variables that have been shown to influence the management of healthcare organizations.

Methods: A scoping review was performed to shed the light on the healthcare organizations' characteristics, features and factors.

Results: Fifteen articles were included in the final analysis of this study. Among the relevant studies, 12 were research articles and 8 were quantitative studies. Continuity of care, organizational culture, patient trust, strategic factors and operational factors are among the explored features that have an impact in the management of healthcare organizations.

Conclusion: This review shows the gaps in the management practice and in the management studies that address healthcare organizations.

背景:研究医疗机构的组织特征、因素和特点将有助于实现所提供服务的预期结果。针对这些变量,随后的研究采用了范围综述方法,对现有信息进行系统评估,同时重点关注代表组织变量的结论和差距,这些变量已被证明会影响医疗机构的管理:方法:对医疗机构的特点、特征和因素进行了范围界定研究:本研究的最终分析包括 15 篇文章。在相关研究中,12 篇为研究文章,8 篇为定量研究。医疗服务的连续性、组织文化、患者信任、战略因素和运营因素等都是探讨的对医疗机构管理有影响的特征:本综述显示了针对医疗机构的管理实践和管理研究中存在的差距。
{"title":"Healthcare Organizations Management: Analyzing Characteristics, Features and Factors, to Identify Gaps \"Scoping Review\".","authors":"Hatem H Alsaqqa","doi":"10.1177/11786329231168130","DOIUrl":"10.1177/11786329231168130","url":null,"abstract":"<p><strong>Background: </strong>Studying the organizational characteristics, factors and features in healthcare organizations will have its prompt in achieving the desired outcomes of the provided services. Addressing these variables, the subsequent study conducts a scoping review methodology to systematically evaluate existing information while focusing on conclusions and gaps representing organizational variables that have been shown to influence the management of healthcare organizations.</p><p><strong>Methods: </strong>A scoping review was performed to shed the light on the healthcare organizations' characteristics, features and factors.</p><p><strong>Results: </strong>Fifteen articles were included in the final analysis of this study. Among the relevant studies, 12 were research articles and 8 were quantitative studies. Continuity of care, organizational culture, patient trust, strategic factors and operational factors are among the explored features that have an impact in the management of healthcare organizations.</p><p><strong>Conclusion: </strong>This review shows the gaps in the management practice and in the management studies that address healthcare organizations.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/ad/10.1177_11786329231168130.PMC10161313.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9424600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Indigenous Cultural Safety Trainings for Healthcare Professionals Working in Ontario, Canada: Context and Considerations for Healthcare Institutions. 在加拿大安大略省工作的医疗保健专业人员的土著文化安全培训:医疗保健机构的背景和考虑因素。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-04-19 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231169939
Denise Webb, Sterling Stutz, Claire Hiscock, Andrea Bowra, Tenzin Butsang, Sharon Tan, Bryanna Scott-Kay, Angela Mashford-Pringle

Background: Racism and discrimination are realities faced by Indigenous peoples navigating the healthcare system in Canada. Countless experiences of injustice, prejudice, and maltreatment calls for systemic action to redress professional practices of health care professionals and staff alike. Research points to Indigenous cultural safety training in healthcare systems to educate, train, and provide non-Indigenous trainees the necessary skills and knowledge to work with and alongside Indigenous peoples using cultural safe practices grounded in respect and empathy.

Objective: We aim to inform the development and delivery of Indigenous cultural safety training within and across healthcare settings in the Canadian context, through repository of Indigenous cultural safety training examples, toolkits, and evaluations.

Methods: An environmental scan of both gray (government and organization-issued) and academic literature is employed, following protocols developed by Shahid and Turin (2018).

Synthesis: Indigenous cultural safety training and toolkits are collected and described according to similar and distinct characteristics and highlighting promising Indigenous cultural safety training practices for adoption by healthcare institutions and personnel. Gaps of the analysis are described, providing direction for future research. Final recommendations based on overall findings including key areas for consideration in Indigenous cultural safety training development and delivery.

Conclusion: The findings uncover the potential of Indigenous cultural safety training to improve healthcare experiences of all Indigenous Peoples. With the information, healthcare institutions, professionals, researchers, and volunteers will be well equipped to support and promote their Indigenous cultural safety training development and delivery.

背景:种族主义和歧视是加拿大土著居民在医疗保健系统中面临的现实问题。无数不公正、偏见和虐待的经历要求我们采取系统行动,纠正医疗保健专业人员和工作人员的专业做法。研究表明,医疗保健系统中的土著文化安全培训可以教育、培训非土著受训人员,并为他们提供必要的技能和知识,使他们能够利用基于尊重和同情的文化安全实践与土著人一起工作:我们旨在通过原住民文化安全培训范例、工具包和评估资料库,为加拿大医疗机构内和医疗机构间原住民文化安全培训的发展和实施提供信息:方法:按照沙希德和都灵(2018 年)制定的协议,对灰色文献(政府和组织发布的文献)和学术文献进行环境扫描:收集土著文化安全培训和工具包,并根据相似和不同的特点对其进行描述,突出有前途的土著文化安全培训实践,供医疗机构和人员采用。对分析中的不足之处进行了描述,为今后的研究提供了方向。根据总体研究结果提出最终建议,包括土著文化安全培训开发和实施中需要考虑的关键领域:研究结果揭示了土著文化安全培训在改善所有土著居民医疗保健体验方面的潜力。有了这些信息,医疗保健机构、专业人员、研究人员和志愿者将能够很好地支持和促进土著文化安全培训的开发和实施。
{"title":"Indigenous Cultural Safety Trainings for Healthcare Professionals Working in Ontario, Canada: Context and Considerations for Healthcare Institutions.","authors":"Denise Webb, Sterling Stutz, Claire Hiscock, Andrea Bowra, Tenzin Butsang, Sharon Tan, Bryanna Scott-Kay, Angela Mashford-Pringle","doi":"10.1177/11786329231169939","DOIUrl":"10.1177/11786329231169939","url":null,"abstract":"<p><strong>Background: </strong>Racism and discrimination are realities faced by Indigenous peoples navigating the healthcare system in Canada. Countless experiences of injustice, prejudice, and maltreatment calls for systemic action to redress professional practices of health care professionals and staff alike. Research points to Indigenous cultural safety training in healthcare systems to educate, train, and provide non-Indigenous trainees the necessary skills and knowledge to work with and alongside Indigenous peoples using cultural safe practices grounded in respect and empathy.</p><p><strong>Objective: </strong>We aim to inform the development and delivery of Indigenous cultural safety training within and across healthcare settings in the Canadian context, through repository of Indigenous cultural safety training examples, toolkits, and evaluations.</p><p><strong>Methods: </strong>An environmental scan of both gray (government and organization-issued) and academic literature is employed, following protocols developed by Shahid and Turin (2018).</p><p><strong>Synthesis: </strong>Indigenous cultural safety training and toolkits are collected and described according to similar and distinct characteristics and highlighting promising Indigenous cultural safety training practices for adoption by healthcare institutions and personnel. Gaps of the analysis are described, providing direction for future research. Final recommendations based on overall findings including key areas for consideration in Indigenous cultural safety training development and delivery.</p><p><strong>Conclusion: </strong>The findings uncover the potential of Indigenous cultural safety training to improve healthcare experiences of all Indigenous Peoples. With the information, healthcare institutions, professionals, researchers, and volunteers will be well equipped to support and promote their Indigenous cultural safety training development and delivery.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/01/10.1177_11786329231169939.PMC10126787.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9421727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of Exercise-Based Cardiac Rehabilitation for Heart Transplant Recipients: A Systematic Review and Meta-Analysis. 以运动为基础的心脏康复对心脏移植受者的效果:系统回顾与元分析》。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-03-22 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231161482
Rúben Costa, Emília Moreira, José Silva Cardoso, Luís Filipe Azevedo, João Alves Ribeiro, Roberto Pinto

Background: Heart Transplant (HTx) is the ultimate chance of life for end stage Heart Failure (HF). Exercise training has consistently shown the potential to improve functional capacity in various chronic heart diseases. Still, the evidence in HTx recipients is scarcer. This study aims to systematically review the literature to evaluate the effectiveness and safety of Exercise-based Cardiac Rehabilitation (EBCR) in HTx recipients and to identify possible moderators of success.

Methods: We conducted a systematic review and meta-analysis of randomized controlled trials on the effect and safety of EBCR in adult HTx recipients. The primary outcome was functional capacity, measured by Peak Oxygen Uptake (pVO2). We searched CENTRAL, MEDLINE, Embase, Scopus, and Web of Knowledge databases until December 2020, reviewed references of relevant articles and contacted experts. Usual care (UC), the different dosages of exercise regimens and alternative settings were allowed as comparators. A quantitative synthesis of evidence was performed using random-effects meta-analyses.

Results: A total of 11 studies with 404 patients were included. Nine studies comprising 306 patients compared EBCR with usual care. They showed that EBCR improved pVO2 compared to usual care (Mean Difference [MD] 3.03 mL/kg/min, 95% CI [2.28-3.77]; I 2 = 32%). In the subgroup analysis, including length of intervention and timing of enrollment after HTx, no significant moderator was found. Two trials, with 98 patients total, compared High Intensity Interval Training (HIIT) and Moderate Intensity Continuous Training (MICT). HIIT attained a significant edge over MICT (MD 2.23 mL/kg/min, 95% CI [1.79-2.67]; I 2 = 0%). No major adverse events associated with EBCR were reported.

Conclusion: We found moderate quality evidence suggesting EBCR has a significant benefit on functional capacity improvement HTx recipients at the short-term. HIIT showed superiority when compared to MICT. Research focusing long term outcomes and standardized protocols are needed to improve evidence on EBCR effectiveness.

背景:心脏移植(HTx)是终末期心力衰竭(HF)患者的最终生存机会。运动训练一直显示出改善各种慢性心脏病患者功能的潜力。然而,有关心脏移植受者的证据仍然较少。本研究旨在系统回顾相关文献,评估基于运动的心脏康复(EBCR)在心力衰竭患者中的有效性和安全性,并确定成功的可能调节因素:方法: 我们对有关心脏康复训练在成年高危人群中的效果和安全性的随机对照试验进行了系统回顾和荟萃分析。主要结果是以峰值摄氧量(pVO2)衡量的功能能力。我们检索了 CENTRAL、MEDLINE、Embase、Scopus 和 Web of Knowledge 等数据库(截至 2020 年 12 月),审阅了相关文章的参考文献并联系了专家。将常规护理(UC)、不同剂量的运动疗法和其他环境作为比较对象。采用随机效应荟萃分析法对证据进行了定量综合分析:结果:共纳入了 11 项研究,404 名患者。其中有 9 项研究将 EBCR 与常规护理进行了比较,共纳入 306 名患者。结果显示,与常规护理相比,EBCR 改善了 pVO2(平均差 [MD] 3.03 mL/kg/min,95% CI [2.28-3.77];I 2 = 32%)。在亚组分析中,包括干预时间的长短和 HTx 后的入组时间,均未发现显著的调节因素。有两项试验对高强度间歇训练(HIIT)和中等强度持续训练(MICT)进行了比较,共有98名患者参加。HIIT 明显优于 MICT(MD 2.23 mL/kg/min,95% CI [1.79-2.67];I 2 = 0%)。没有与 EBCR 相关的重大不良事件的报道:我们发现了中等质量的证据,表明 EBCR 在短期内对改善 HTx 受者的功能能力有显著益处。HIIT与MICT相比更具优势。需要开展以长期结果和标准化方案为重点的研究,以提高 EBCR 的有效性。
{"title":"Effectiveness of Exercise-Based Cardiac Rehabilitation for Heart Transplant Recipients: A Systematic Review and Meta-Analysis.","authors":"Rúben Costa, Emília Moreira, José Silva Cardoso, Luís Filipe Azevedo, João Alves Ribeiro, Roberto Pinto","doi":"10.1177/11786329231161482","DOIUrl":"10.1177/11786329231161482","url":null,"abstract":"<p><strong>Background: </strong>Heart Transplant (HTx) is the ultimate chance of life for end stage Heart Failure (HF). Exercise training has consistently shown the potential to improve functional capacity in various chronic heart diseases. Still, the evidence in HTx recipients is scarcer. This study aims to systematically review the literature to evaluate the effectiveness and safety of Exercise-based Cardiac Rehabilitation (EBCR) in HTx recipients and to identify possible moderators of success.</p><p><strong>Methods: </strong>We conducted a systematic review and meta-analysis of randomized controlled trials on the effect and safety of EBCR in adult HTx recipients. The primary outcome was functional capacity, measured by Peak Oxygen Uptake (pVO2). We searched CENTRAL, MEDLINE, Embase, Scopus, and Web of Knowledge databases until December 2020, reviewed references of relevant articles and contacted experts. Usual care (UC), the different dosages of exercise regimens and alternative settings were allowed as comparators. A quantitative synthesis of evidence was performed using random-effects meta-analyses.</p><p><strong>Results: </strong>A total of 11 studies with 404 patients were included. Nine studies comprising 306 patients compared EBCR with usual care. They showed that EBCR improved pVO2 compared to usual care (Mean Difference [MD] 3.03 mL/kg/min, 95% CI [2.28-3.77]; <i>I</i> <sup>2</sup> = 32%). In the subgroup analysis, including length of intervention and timing of enrollment after HTx, no significant moderator was found. Two trials, with 98 patients total, compared High Intensity Interval Training (HIIT) and Moderate Intensity Continuous Training (MICT). HIIT attained a significant edge over MICT (MD 2.23 mL/kg/min, 95% CI [1.79-2.67]; <i>I</i> <sup>2</sup> = 0%). No major adverse events associated with EBCR were reported.</p><p><strong>Conclusion: </strong>We found moderate quality evidence suggesting EBCR has a significant benefit on functional capacity improvement HTx recipients at the short-term. HIIT showed superiority when compared to MICT. Research focusing long term outcomes and standardized protocols are needed to improve evidence on EBCR effectiveness.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10034295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9191215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intimate Partner Violence Against Brazilian Mothers is Associated With Their Children's Lower Quality-of-Life Scores: A Cross-Sectional Study During the COVID-19 Pandemic. 巴西母亲遭受亲密伴侣暴力与其子女生活质量得分较低有关:COVID-19大流行期间的横断面研究。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-02-28 eCollection Date: 2023-01-01 DOI: 10.1177/11786329231157550
Tainá Ribas Mélo, Luize Bueno de Araujo, Jainy da Costa Rosa, Maryana Arantes, Vera Lúcia Israel, Marcos Claudio Signorelli

The COVID-19 pandemic led to family and routine reorganization, triggering social problems. Women were further exposed to domestic violence, especially intimate partner violence (IPV), with consequences to their and their children's health. However, few Brazilian studies address the issue, especially considering the pandemic and its restrictive measures. The objective was to verify the relationship between mothers'/caregivers' IPV and their children's neuropsychomotor development (NPMD) and quality of life (QOL) during the pandemic. Seven hundred one female mothers/caregivers of children (0-12 years old) responded to the online epidemiological inquiry. NPMD was investigated with the Caregiver Reported Early Development Instruments (CREDI-short version); QOL, with the Pediatric Quality of Life Inventory (PedsQL™); and IPV, with the Composite Abuse Scale (CAS). The independence chi-square test was used, with Fisher's exact statistics, in SPSS Statistics 27®. Children whose mothers were exposed to IPV were 2.68 times as likely to have a "low" QOL score (χ2(1) = 13.144, P < .001; φ = 0.137). This indicates a possible environmental influence on the children's QOL, which may have been aggravated by strict social distancing during the COVID-19 pandemic.

COVID-19 大流行导致家庭和日常事务重组,引发了社会问题。妇女进一步遭受家庭暴力,特别是亲密伴侣暴力(IPV),对她们及其子女的健康造成了影响。然而,巴西很少有研究涉及这一问题,特别是考虑到这一流行病及其限制性措施。这项研究的目的是验证大流行期间母亲/照顾者的亲密伴侣暴力与其子女的神经心理运动发育(NPMD)和生活质量(QOL)之间的关系。701 名儿童(0-12 岁)的女性母亲/照顾者回复了在线流行病学调查。调查中使用了 "照顾者报告早期发展量表"(CREDI-简版),"儿科生活质量量表"(PedsQL™),以及 "综合虐待量表"(CAS)。在 SPSS Statistics 27® 中使用了独立性卡方检验和费雪精确统计。母亲遭受过 IPV 的儿童的 QOL 得分为 "低 "的可能性是其他儿童的 2.68 倍(χ2(1) = 13.144,P<0.05)。
{"title":"Intimate Partner Violence Against Brazilian Mothers is Associated With Their Children's Lower Quality-of-Life Scores: A Cross-Sectional Study During the COVID-19 Pandemic.","authors":"Tainá Ribas Mélo, Luize Bueno de Araujo, Jainy da Costa Rosa, Maryana Arantes, Vera Lúcia Israel, Marcos Claudio Signorelli","doi":"10.1177/11786329231157550","DOIUrl":"10.1177/11786329231157550","url":null,"abstract":"<p><p>The COVID-19 pandemic led to family and routine reorganization, triggering social problems. Women were further exposed to domestic violence, especially intimate partner violence (IPV), with consequences to their and their children's health. However, few Brazilian studies address the issue, especially considering the pandemic and its restrictive measures. The objective was to verify the relationship between mothers'/caregivers' IPV and their children's neuropsychomotor development (NPMD) and quality of life (QOL) during the pandemic. Seven hundred one female mothers/caregivers of children (0-12 years old) responded to the online epidemiological inquiry. NPMD was investigated with the Caregiver Reported Early Development Instruments (CREDI-short version); QOL, with the Pediatric Quality of Life Inventory (PedsQL™); and IPV, with the Composite Abuse Scale (CAS). The independence chi-square test was used, with Fisher's exact statistics, in SPSS Statistics 27<sup>®</sup>. Children whose mothers were exposed to IPV were 2.68 times as likely to have a \"low\" QOL score (χ<sup>2</sup>(1) = 13.144, <i>P</i> < .001; φ = 0.137). This indicates a possible environmental influence on the children's QOL, which may have been aggravated by strict social distancing during the COVID-19 pandemic.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2e/fc/10.1177_11786329231157550.PMC9978238.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9084550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Billing the Insured: An Assessment of Out-of-Pocket Payment by Insured Patients in Ghana. 向投保人收费:加纳参保病人自付费用评估》。
IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-01-20 eCollection Date: 2023-01-01 DOI: 10.1177/11786329221149397
Eugenia Amporfu, Eric Arthur, Jacob Novignon

Background: The Ghana National Health Insurance Scheme was introduced in 2003 to provide financial protection to the population. While the Scheme has made strides in improving access to healthcare there have been a few challenges including out of pocket charges to insured patients with weak client power. The study investigated the catastrophic nature of the out-of-pocket charges, the factors affecting the charges and the client power.

Methodology: We used primary data collected in 3 administrative regions: Greater Accra, Ashanti and the Northern regions, within the period April and June 2022 to compute catastrophic expenditure of the out-of-pocket healthcare expenditure on household expenditure on food and non-food. In addition, multivariate logistic regressions and a linear regression were run to examine the incidence of the practice and client power.

Results: The results showed that on average the insured paid out-of-pocket charges with a probability of 66%. The probability was highest (80%) in the Greater Accra, followed by Ashanti region (66.6%) and (52.9%) in the Northern region. The out-of-pocket charges were found to be catastrophic with incidence rate between 48.2% and 26.1% for the 5% and 20% thresholds; the overshoots ranged between 34.1% and 26.9% for the thresholds; the poor were more disadvantaged than the rich. Patients reported the out-of-pocket charges to the NHIA with probability of 1.9%, but the NHIA did not respond to 81% of the reported cases. Knowledge of the benefit list is likely to motivate the insured to report out-of-pocket charges, while cordial relationship between the NHIA staff and the insured deters providers from charging out-of-pocket.

Conclusion: The out-of-pocket charges occur extensively across health facilities and is impoverishing. A close collaboration between the NHIA and the insured is needed to reduce the incidence and hold providers accountable.

背景:加纳国家医疗保险计划于 2003 年推出,旨在为民众提供经济保障。虽然该计划在改善医疗服务方面取得了长足进步,但也面临着一些挑战,其中包括向客户能力较弱的投保患者收取自付费用。本研究调查了自付费用的灾难性质、影响自付费用的因素以及客户力量:我们使用了在 3 个行政区域收集的原始数据:研究方法:我们使用了 2022 年 4 月至 6 月期间在大阿克拉、阿散蒂和北部地区收集的原始数据,计算了自付医疗费用对家庭食品和非食品支出的灾难性影响。此外,还进行了多变量逻辑回归和线性回归,以研究这种做法的发生率和客户力量:结果显示,被保险人平均自付费用的概率为 66%。大阿克拉地区的概率最高(80%),其次是阿散蒂地区(66.6%)和北部地区(52.9%)。自付费用被认为是灾难性的,5% 和 20% 临界值的发生率介于 48.2% 和 26.1% 之间;临界值的超调率介于 34.1% 和 26.9% 之间;穷人比富人处于更不利的地位。患者向国家医疗保险局报告自付费用的概率为 1.9%,但国家医疗保险局对 81% 的报告案例没有做出回应。对福利清单的了解可能会促使投保人报告自付费用,而 NHIA 工作人员与投保人之间的友好关系则会阻止医疗服务提供者收取自付费用:结论:自付费用在医疗机构中广泛存在,并造成了贫困。结论:自付费用在各医疗机构中广泛存在,而且会造成贫困。需要国家医疗保险机构和投保人密切合作,以减少自付费用的发生,并追究医疗服务提供者的责任。
{"title":"Billing the Insured: An Assessment of Out-of-Pocket Payment by Insured Patients in Ghana.","authors":"Eugenia Amporfu, Eric Arthur, Jacob Novignon","doi":"10.1177/11786329221149397","DOIUrl":"10.1177/11786329221149397","url":null,"abstract":"<p><strong>Background: </strong>The Ghana National Health Insurance Scheme was introduced in 2003 to provide financial protection to the population. While the Scheme has made strides in improving access to healthcare there have been a few challenges including out of pocket charges to insured patients with weak client power. The study investigated the catastrophic nature of the out-of-pocket charges, the factors affecting the charges and the client power.</p><p><strong>Methodology: </strong>We used primary data collected in 3 administrative regions: Greater Accra, Ashanti and the Northern regions, within the period April and June 2022 to compute catastrophic expenditure of the out-of-pocket healthcare expenditure on household expenditure on food and non-food. In addition, multivariate logistic regressions and a linear regression were run to examine the incidence of the practice and client power.</p><p><strong>Results: </strong>The results showed that on average the insured paid out-of-pocket charges with a probability of 66%. The probability was highest (80%) in the Greater Accra, followed by Ashanti region (66.6%) and (52.9%) in the Northern region. The out-of-pocket charges were found to be catastrophic with incidence rate between 48.2% and 26.1% for the 5% and 20% thresholds; the overshoots ranged between 34.1% and 26.9% for the thresholds; the poor were more disadvantaged than the rich. Patients reported the out-of-pocket charges to the NHIA with probability of 1.9%, but the NHIA did not respond to 81% of the reported cases. Knowledge of the benefit list is likely to motivate the insured to report out-of-pocket charges, while cordial relationship between the NHIA staff and the insured deters providers from charging out-of-pocket.</p><p><strong>Conclusion: </strong>The out-of-pocket charges occur extensively across health facilities and is impoverishing. A close collaboration between the NHIA and the insured is needed to reduce the incidence and hold providers accountable.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/06/10.1177_11786329221149397.PMC9869193.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9177011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ability and Preparedness of Family Physicians to Recognise and Treat Adolescent Mental Health Disorders in Nigeria and Ghana. 尼日利亚和加纳家庭医生识别和治疗青少年心理健康障碍的能力和准备。
IF 2.8 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1177/11786329231166366
Tijani Idris Ahmad Oseni, Magdalene Mensah-Bonsu, Fatima Mohammed Damagun, Tawakalit Olubukola Salam, Kumbert John Sonny, Edwina Beryl Addo Opare-Lokko, Eve Namisango, Onyenwe Chibuike Ephraim

Background: Management of mental health disorders has not been fully integrated into primary care despite been advocated by the World Health Organisation (WHO) and the World Organisation of Family Doctors (WONCA). This study therefore seeks to assess the ability and preparedness of Family Physicians to recognise and treat mental health disorders in adolescents.

Methodology: A descriptive cross-sectional study of 233 randomly selected Physicians Practicing in Family Medicine Clinics in Nigeria and Ghana was conducted using a semi structured self-administered questionnaire that was developed by the researchers and validated with a Cronbach's alpha coefficient of .85. Data analysis was done with the Statistical Package for Social Sciences™ (IBM Corp, Armonk, NY, USA) version 22.0.

Results: Respondents had a mean age of 43 ± 8 years, were mostly males 130 (55.79%), practised in Nigeria 168 (72.10%) and have been in practice for over 10 years 149 (63.95%). Majority of respondents 153 (65.67%) received at least one Medical Education sessions in mental health in the preceding 12 months of the study. Out of these, 146 (95.42%) said the sessions enhanced their knowledge of mental health, and 121 (79.08%) said the sessions enhanced their abilities and preparedness to attend to patients with mental disorders. Barriers included stigmatisation 156 (66.95%), poor facilities 136 (58.37%), non-conducive environment 135 (57.94%) and non-cooperation from patients 133 (57.08%).

Conclusion: This study showed that a lot of family physicians in Ghana and Nigeria are able and prepared to manage adolescent mental health disorders. They however cited stigmatisation, poor facilities and non-conducive environment as barriers to management of adolescent mental health disorders in primary care. Considering the severity of the disorder, there is a need to increase the training of Family Physicians in the management of adolescent mental health.

背景:尽管世界卫生组织(WHO)和世界家庭医生组织(WONCA)一直提倡将精神健康障碍的管理完全纳入初级保健。因此,本研究旨在评估家庭医生识别和治疗青少年心理健康障碍的能力和准备情况。方法:对尼日利亚和加纳家庭医学诊所随机选择的233名医生进行描述性横断面研究,采用研究人员开发的半结构化自我管理问卷,Cronbach's alpha系数为0.85。数据分析使用Statistical Package for Social Sciences™(IBM Corp, Armonk, NY, USA) version 22.0完成。结果:被调查者平均年龄43±8岁,男性130人(55.79%),在尼日利亚执业168人(72.10%),执业10年以上149人(63.95%)。153名受访者(65.67%)中的大多数在研究前12个月至少接受过一次心理健康医学教育。其中,146人(95.42%)表示,这些课程提高了他们对心理健康的知识,121人(79.08%)表示,这些课程提高了他们照顾精神障碍患者的能力和准备。障碍包括污名化156例(66.95%)、设施差136例(58.37%)、环境不利135例(57.94%)和患者不配合133例(57.08%)。结论:这项研究表明,加纳和尼日利亚的许多家庭医生有能力并准备好管理青少年心理健康障碍。然而,他们指出,污名化、设施差和不利的环境是初级保健管理青少年精神健康障碍的障碍。考虑到这种疾病的严重程度,有必要加强对家庭医生在青少年心理健康管理方面的培训。
{"title":"Ability and Preparedness of Family Physicians to Recognise and Treat Adolescent Mental Health Disorders in Nigeria and Ghana.","authors":"Tijani Idris Ahmad Oseni,&nbsp;Magdalene Mensah-Bonsu,&nbsp;Fatima Mohammed Damagun,&nbsp;Tawakalit Olubukola Salam,&nbsp;Kumbert John Sonny,&nbsp;Edwina Beryl Addo Opare-Lokko,&nbsp;Eve Namisango,&nbsp;Onyenwe Chibuike Ephraim","doi":"10.1177/11786329231166366","DOIUrl":"https://doi.org/10.1177/11786329231166366","url":null,"abstract":"<p><strong>Background: </strong>Management of mental health disorders has not been fully integrated into primary care despite been advocated by the World Health Organisation (WHO) and the World Organisation of Family Doctors (WONCA). This study therefore seeks to assess the ability and preparedness of Family Physicians to recognise and treat mental health disorders in adolescents.</p><p><strong>Methodology: </strong>A descriptive cross-sectional study of 233 randomly selected Physicians Practicing in Family Medicine Clinics in Nigeria and Ghana was conducted using a semi structured self-administered questionnaire that was developed by the researchers and validated with a Cronbach's alpha coefficient of .85. Data analysis was done with the Statistical Package for Social Sciences™ (IBM Corp, Armonk, NY, USA) version 22.0.</p><p><strong>Results: </strong>Respondents had a mean age of 43 ± 8 years, were mostly males 130 (55.79%), practised in Nigeria 168 (72.10%) and have been in practice for over 10 years 149 (63.95%). Majority of respondents 153 (65.67%) received at least one Medical Education sessions in mental health in the preceding 12 months of the study. Out of these, 146 (95.42%) said the sessions enhanced their knowledge of mental health, and 121 (79.08%) said the sessions enhanced their abilities and preparedness to attend to patients with mental disorders. Barriers included stigmatisation 156 (66.95%), poor facilities 136 (58.37%), non-conducive environment 135 (57.94%) and non-cooperation from patients 133 (57.08%).</p><p><strong>Conclusion: </strong>This study showed that a lot of family physicians in Ghana and Nigeria are able and prepared to manage adolescent mental health disorders. They however cited stigmatisation, poor facilities and non-conducive environment as barriers to management of adolescent mental health disorders in primary care. Considering the severity of the disorder, there is a need to increase the training of Family Physicians in the management of adolescent mental health.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/91/10.1177_11786329231166366.PMC10080409.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9276550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Evaluating Inpatient Hospital Charges Associated With Trauma Service Patients Participating in an Accountable Care Organization. 评估住院病人的费用与创伤服务患者参与一个负责任的护理组织。
IF 2.8 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1177/11786329231166367
Richard J Salhany, Daniel Genovese-Scullin, Jasmin A Eversley-Danso, Humroy Mendez, Vladimir Rubinshteyn, Nisha Lakhi

Background: The Medicare Accountable Care Organization (ACO) Program has created a vehicle for providers who practice cost containment and exceed quality for the Medicare population. The success of ACO's nationwide have been well documented. However, there is little research evaluating if there is a cost saving benefit in trauma care with respect to participating in an ACO. Thus, the primary objective of this study was to evaluate inpatient hospital charges associated with trauma service utilization of patients participating in the ACO compared to non-ACO patients.

Methods: This case-control retrospective study includes a comparison of inpatients charges of ACO patients (cases) and general trauma patients (controls) presenting to our trauma center in Staten Island, New York from January 1st, 2019 to December 31st, 2021. A 1:1 matching of case to control was performed based on age, sex, race, and injury severity score. Statistical analysis was performed with IBM SPSS, with P < .05 as significant.

Results: A total of 80 patients were included in the ACO cohort and 80 matched in the General Trauma cohort. Patient demographics were similar. Comorbidities were similar with the exception of a higher in incidence of hypertension (75.0% vs 47.5%, P < .001) and cardiac disease (35.0% vs 17.5%, P = .012) in the ACO cohort. Both the ACO and general trauma cohort had similar Injury Severity Scores, number of visits and lenght of stay. Both charge total ($76 148.93 vs $70 916.82, P = .630) receipt total ($15 080.26 vs $14 180, P = .662) charges were similar between ACO and General Trauma patients.

Conclusion: In spite of increased incidence of hypertension and cardiac disease in ACO trauma patients, mean Injury Severity Score, number of visits, length of hospital stay, ICU admission rate and charge total was similar compared to general trauma patients presenting to our Level 1 Adult Trauma Center.

背景:医疗保险责任医疗组织(ACO)计划已经创建了一个工具的提供者谁实行成本控制和医疗保险人口超过质量。全国范围内ACO的成功已经有了充分的记录。然而,很少有研究评估是否有创伤护理方面的成本节约效益与参与ACO。因此,本研究的主要目的是评估参加ACO的患者与非ACO患者的住院费用与创伤服务利用的关系。方法:本病例-对照-回顾性研究包括比较2019年1月1日至2021年12月31日在纽约史坦顿岛创伤中心就诊的ACO患者(病例)和普通创伤患者(对照组)的住院费用。根据年龄、性别、种族和损伤严重程度评分,将病例与对照组进行1:1匹配。结果:共有80例患者被纳入ACO队列,80例患者被纳入普通创伤队列。患者人口统计数据相似。ACO组的合并症相似,但高血压发病率较高(75.0% vs 47.5%, P = 0.012)。ACO组和普通创伤组的损伤严重程度评分、就诊次数和住院时间相似。ACO和General Trauma患者的总收费(76 148.93美元vs 70 916.82美元,P = 0.630)和总收费(15 080.26美元vs 14 180美元,P = 0.662)相似。结论:尽管ACO创伤患者高血压和心脏疾病的发生率增加,但与到我们一级成人创伤中心就诊的普通创伤患者相比,平均损伤严重程度评分、就诊次数、住院时间、ICU住院率和总收费相似。
{"title":"Evaluating Inpatient Hospital Charges Associated With Trauma Service Patients Participating in an Accountable Care Organization.","authors":"Richard J Salhany,&nbsp;Daniel Genovese-Scullin,&nbsp;Jasmin A Eversley-Danso,&nbsp;Humroy Mendez,&nbsp;Vladimir Rubinshteyn,&nbsp;Nisha Lakhi","doi":"10.1177/11786329231166367","DOIUrl":"https://doi.org/10.1177/11786329231166367","url":null,"abstract":"<p><strong>Background: </strong>The Medicare Accountable Care Organization (ACO) Program has created a vehicle for providers who practice cost containment and exceed quality for the Medicare population. The success of ACO's nationwide have been well documented. However, there is little research evaluating if there is a cost saving benefit in trauma care with respect to participating in an ACO. Thus, the primary objective of this study was to evaluate inpatient hospital charges associated with trauma service utilization of patients participating in the ACO compared to non-ACO patients.</p><p><strong>Methods: </strong>This case-control retrospective study includes a comparison of inpatients charges of ACO patients (cases) and general trauma patients (controls) presenting to our trauma center in Staten Island, New York from January 1st, 2019 to December 31st, 2021. A 1:1 matching of case to control was performed based on age, sex, race, and injury severity score. Statistical analysis was performed with IBM SPSS, with <i>P</i> < .05 as significant.</p><p><strong>Results: </strong>A total of 80 patients were included in the ACO cohort and 80 matched in the General Trauma cohort. Patient demographics were similar. Comorbidities were similar with the exception of a higher in incidence of hypertension (75.0% vs 47.5%, <i>P</i> < .001) and cardiac disease (35.0% vs 17.5%, <i>P</i> = .012) in the ACO cohort. Both the ACO and general trauma cohort had similar Injury Severity Scores, number of visits and lenght of stay. Both charge total ($76 148.93 vs $70 916.82, <i>P</i> = .630) receipt total ($15 080.26 vs $14 180, <i>P</i> = .662) charges were similar between ACO and General Trauma patients.</p><p><strong>Conclusion: </strong>In spite of increased incidence of hypertension and cardiac disease in ACO trauma patients, mean Injury Severity Score, number of visits, length of hospital stay, ICU admission rate and charge total was similar compared to general trauma patients presenting to our Level 1 Adult Trauma Center.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ca/ea/10.1177_11786329231166367.PMC10090541.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9311102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relative Importance of Hospital Discharge and Patient Composition in Changing Post-Acute Care Utilization and Outcomes Among Medicare Beneficiaries. 出院和患者组成在改变医疗保险受益人急性后护理利用和结果中的相对重要性。
IF 2.8 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1177/11786329231166522
Ying Jessica Cao, Yang Wang, John Mullahy, Marguerite Burns, Yao Liu, Maureen Smith

Background: The COVID-19 pandemic changed care delivery. But the mechanisms of changes were less understood.

Objectives: Examine the extent to which the volume and pattern of hospital discharge and patient composition contributed to the changes in post-acute care (PAC) utilization and outcomes during the pandemic.

Research design: Retrospective cohort study. Medicare claims data on hospital discharges in a large healthcare system from March 2018 to December 2020.

Subjects: Medicare fee-for-service beneficiaries, 65 years or older, hospitalized for non-COVID diagnoses.

Measures: Hospital discharges to Home Health Agencies (HHA), Skilled Nursing Facilities (SNF), and Inpatient Rehabilitation Facilities (IRF) versus home. Thirty- and ninety-day mortality and readmission rates. Outcomes were compared before and during the pandemic with and without adjustment for patient characteristics and/or interactions with the pandemic onset.

Results: During the pandemic, hospital discharges declined by 27%. Patients were more likely to be discharged to HHA (+4.6%, 95% CI [3.2%, 6.0%]) and less likely to be discharged to either SNF (-3.9%, CI [-5.2%, -2.7%]) or to home (-2.8% CI [-4.4%, -1.3%]). Thirty- and ninety-day mortality rates were significantly higher by 2% to 3% points post-pandemic. Readmission were not significantly different. Up to 15% of the changes in discharge patterns and 5% in mortality rates were attributable to patient characteristics.

Conclusions: Shift in discharge locations were the main driver of changes in PAC utilization during the pandemic. Changes in patient characteristics explained only a small portion of changes in discharge patterns and were mainly channeled through general impacts rather than differentiated responses to the pandemic.

背景:COVID-19大流行改变了医疗服务。但变化的机制却鲜为人知。目的:研究在大流行期间,出院的数量和模式以及患者组成对急性后护理(PAC)利用和结果的变化的影响程度。研究设计:回顾性队列研究。2018年3月至2020年12月,大型医疗保健系统的医疗保险索赔数据。受试者:65岁或以上,因非covid诊断住院的医疗保险服务收费受益人。衡量标准:出院到家庭保健机构(HHA)、熟练护理机构(SNF)和住院康复机构(IRF)的患者与家庭的比较。30天和90天的死亡率和再入院率。结果在大流行之前和期间进行了比较,并根据患者特征和/或与大流行发病的相互作用进行了调整。结果:疫情期间,医院出院率下降27%。患者更有可能出院到HHA (+4.6%, 95% CI[3.2%, 6.0%]),更不可能出院到SNF (-3.9%, CI[-5.2%, -2.7%])或回家(-2.8% CI[-4.4%, -1.3%])。大流行后,30天和90天的死亡率显著高出2%至3%。再入院率无显著差异。高达15%的出院模式变化和5%的死亡率变化可归因于患者特征。结论:大流行期间,出院地点的变化是PAC使用变化的主要驱动因素。患者特征的变化仅解释了出院模式变化的一小部分,并且主要是通过一般影响而不是对大流行的差异化反应来实现的。
{"title":"The Relative Importance of Hospital Discharge and Patient Composition in Changing Post-Acute Care Utilization and Outcomes Among Medicare Beneficiaries.","authors":"Ying Jessica Cao,&nbsp;Yang Wang,&nbsp;John Mullahy,&nbsp;Marguerite Burns,&nbsp;Yao Liu,&nbsp;Maureen Smith","doi":"10.1177/11786329231166522","DOIUrl":"https://doi.org/10.1177/11786329231166522","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic changed care delivery. But the mechanisms of changes were less understood.</p><p><strong>Objectives: </strong>Examine the extent to which the volume and pattern of hospital discharge and patient composition contributed to the changes in post-acute care (PAC) utilization and outcomes during the pandemic.</p><p><strong>Research design: </strong>Retrospective cohort study. Medicare claims data on hospital discharges in a large healthcare system from March 2018 to December 2020.</p><p><strong>Subjects: </strong>Medicare fee-for-service beneficiaries, 65 years or older, hospitalized for non-COVID diagnoses.</p><p><strong>Measures: </strong>Hospital discharges to Home Health Agencies (HHA), Skilled Nursing Facilities (SNF), and Inpatient Rehabilitation Facilities (IRF) versus home. Thirty- and ninety-day mortality and readmission rates. Outcomes were compared before and during the pandemic with and without adjustment for patient characteristics and/or interactions with the pandemic onset.</p><p><strong>Results: </strong>During the pandemic, hospital discharges declined by 27%. Patients were more likely to be discharged to HHA (+4.6%, 95% CI [3.2%, 6.0%]) and less likely to be discharged to either SNF (-3.9%, CI [-5.2%, -2.7%]) or to home (-2.8% CI [-4.4%, -1.3%]). Thirty- and ninety-day mortality rates were significantly higher by 2% to 3% points post-pandemic. Readmission were not significantly different. Up to 15% of the changes in discharge patterns and 5% in mortality rates were attributable to patient characteristics.</p><p><strong>Conclusions: </strong>Shift in discharge locations were the main driver of changes in PAC utilization during the pandemic. Changes in patient characteristics explained only a small portion of changes in discharge patterns and were mainly channeled through general impacts rather than differentiated responses to the pandemic.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9b/e2/10.1177_11786329231166522.PMC10108411.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9383493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ChatGPT: A Double-Edged Sword? ChatGPT:双刃剑?
IF 2.8 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1177/11786329231174338
Deepu Palal, Swati Ghonge, Vallari Jadav, Hetal Rathod
{"title":"ChatGPT: A Double-Edged Sword?","authors":"Deepu Palal,&nbsp;Swati Ghonge,&nbsp;Vallari Jadav,&nbsp;Hetal Rathod","doi":"10.1177/11786329231174338","DOIUrl":"https://doi.org/10.1177/11786329231174338","url":null,"abstract":"","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/e3/10.1177_11786329231174338.PMC10201134.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9888131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Perception of Risk and Compliance With COVID-19 Safety Guidelines: A Cross-Sectional Survey Among Healthcare Workers in Ghana. 风险认知和COVID-19安全指南的遵守:加纳医护人员的横断面调查
IF 2.8 Q2 Medicine Pub Date : 2023-01-01 DOI: 10.1177/11786329231180773
Esinam Afi Kayi, Doris Ottie-Boakye, Gloria Akosua Ansa, Nana Nimo Appiah-Agyekum

Although healthcare professionals are on the "frontline" of providing effective and quality healthcare delivery, they face several occupational risks when giving care, particularly during a global health crisis. This study examines healthcare workers' compliance with COVID-19 safety protocols and identifies factors associated with their perceived risk of COVID-19. Between October and December 2020, this cross-sectional survey utilized online and paper-type questionnaires in data collection. Non-probability sampling techniques were used in selecting clinical and non-clinical healthcare workers in various health facilities within 4 regions of Ghana. Logistic regression analysis was performed to identify the factors associated with the perceived risk of COVID-19. The results showed that healthcare workers are highly compliant with hand hygiene practices and wearing PPE. The category of health professional, number of working years, type of health facility, region of work, frequency of COVID-19 test, and compliance with hand hygiene practices were significantly associated with healthcare workers' perception of risk of COVID-19 at P < .05. Findings suggest that both individual and health system factors are significant in increasing the risk of COVID-19 among healthcare workers. Efforts at enforcing strict compliance with infection prevention should be implemented to protect all healthcare personnel.

尽管卫生保健专业人员处于提供有效和优质卫生保健服务的“第一线”,但他们在提供护理时面临若干职业风险,特别是在全球卫生危机期间。本研究调查了医护人员对COVID-19安全协议的遵守情况,并确定了与他们感知的COVID-19风险相关的因素。在2020年10月至12月期间,这项横断面调查在数据收集中使用了在线问卷和纸质问卷。采用非概率抽样技术在加纳4个地区的各种卫生设施中选择临床和非临床卫生保健工作者。进行Logistic回归分析以确定与COVID-19感知风险相关的因素。结果表明,卫生工作者高度遵守手卫生习惯并佩戴个人防护装备。卫生专业人员类别、工作年限、卫生设施类型、工作区域、COVID-19检测频率和手卫生习惯依从性与P医院卫生工作者对COVID-19风险的认知显著相关
{"title":"Perception of Risk and Compliance With COVID-19 Safety Guidelines: A Cross-Sectional Survey Among Healthcare Workers in Ghana.","authors":"Esinam Afi Kayi,&nbsp;Doris Ottie-Boakye,&nbsp;Gloria Akosua Ansa,&nbsp;Nana Nimo Appiah-Agyekum","doi":"10.1177/11786329231180773","DOIUrl":"https://doi.org/10.1177/11786329231180773","url":null,"abstract":"<p><p>Although healthcare professionals are on the \"frontline\" of providing effective and quality healthcare delivery, they face several occupational risks when giving care, particularly during a global health crisis. This study examines healthcare workers' compliance with COVID-19 safety protocols and identifies factors associated with their perceived risk of COVID-19. Between October and December 2020, this cross-sectional survey utilized online and paper-type questionnaires in data collection. Non-probability sampling techniques were used in selecting clinical and non-clinical healthcare workers in various health facilities within 4 regions of Ghana. Logistic regression analysis was performed to identify the factors associated with the perceived risk of COVID-19. The results showed that healthcare workers are highly compliant with hand hygiene practices and wearing PPE. The category of health professional, number of working years, type of health facility, region of work, frequency of COVID-19 test, and compliance with hand hygiene practices were significantly associated with healthcare workers' perception of risk of COVID-19 at <i>P</i> < .05. Findings suggest that both individual and health system factors are significant in increasing the risk of COVID-19 among healthcare workers. Efforts at enforcing strict compliance with infection prevention should be implemented to protect all healthcare personnel.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/c9/10.1177_11786329231180773.PMC10285691.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Health Services Insights
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1