Jeconiah Louis Dreisbach, Sharon Mendoza-Dreisbach
Background: This article rethinks current public health policies to transdisciplinarily reorient the countries' tourism policies as a preparation to future pandemics. This adds to the public health discourse that West Asian international travel megahubs could be susceptible spaces to high risks of transnational viral transmissions. Method: This is a letter to the editor.Results: The United Arab Emirates, Turkey, and Qatar are the world's leading international travel megahubs, with Saudi Arabia catching up following its efforts in establishing a new national airline to increase international passenger traffic. Collectively, they are connected to more than half of the world's leading international travel destinations. While it can be noted that they were able to successfully mitigate the 2019 coronavirus disease (COVID-19) spread within their territories, these West Asian countries' shift from an oil-dependent to a tourism-oriented economy make their airports susceptible spaces to high risks of transnational viral transmissions. As such, this article rethinks current public health policies to transdisciplinarily reorient the countries' tourism policies as a preparation to future pandemics.
{"title":"Rethinking Tourism and Public Health Policies in International Travel Megahubs for the Post-COVID-19 Era","authors":"Jeconiah Louis Dreisbach, Sharon Mendoza-Dreisbach","doi":"10.56808/2586-940x.1016","DOIUrl":"https://doi.org/10.56808/2586-940x.1016","url":null,"abstract":"Background: This article rethinks current public health policies to transdisciplinarily reorient the countries' tourism policies as a preparation to future pandemics. This adds to the public health discourse that West Asian international travel megahubs could be susceptible spaces to high risks of transnational viral transmissions. Method: This is a letter to the editor.Results: The United Arab Emirates, Turkey, and Qatar are the world's leading international travel megahubs, with Saudi Arabia catching up following its efforts in establishing a new national airline to increase international passenger traffic. Collectively, they are connected to more than half of the world's leading international travel destinations. While it can be noted that they were able to successfully mitigate the 2019 coronavirus disease (COVID-19) spread within their territories, these West Asian countries' shift from an oil-dependent to a tourism-oriented economy make their airports susceptible spaces to high risks of transnational viral transmissions. As such, this article rethinks current public health policies to transdisciplinarily reorient the countries' tourism policies as a preparation to future pandemics.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46434437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michelle H. James, Joanne E. Porter, Vaughan Reimers, V. Prokopiv
Background : Smoking cessation campaigns aim to decrease the prevalence of smoking in the community. However, smoking cessation campaigns can be expensive to develop and implement, therefore is it essential that campaigns have high impact and broad reach to ensure the most ef fi cient use of resources. Method : A systematic review was conducted in October 2020 to assess the ef fi cacy of positively framed and negatively framed messages used in televised smoking cessation advertisements. The search was restricted to quantitative primary research published between 2010 and 2020, yielding 4640 results. Study selection was performed using the PRISMA method. Population was inclusive of all ages and smoking status. A total of 15 articles met the criteria for review. Results : Negative messages were found to increase the likelihood of a smoker intending to quit, attempting to quit, successfully quitting, or calling a quitline, while some studies found that positive messages increased con fi dence to quit and calls to quitline. Combination of negative and positive messages were found to complement one another and were more successful at in fl uencing quit behaviour than using either message type alone. However, fi ndings were not consistent across all studies. Conclusion : The results of this review may be used to inform the development of future smoking cessation advertisements to ensure content is relevant, effective, and cost-ef fi cient. Further exploration of the ef fi cacy of positive and negative messages on target populations would be valuable to advise the design of cessation campaigns.
{"title":"The Effect of Positively Framed and Negatively Framed Messages on Televised Smoking Cessation Advertisement Success: A systematic review","authors":"Michelle H. James, Joanne E. Porter, Vaughan Reimers, V. Prokopiv","doi":"10.56808/2586-940x.1019","DOIUrl":"https://doi.org/10.56808/2586-940x.1019","url":null,"abstract":"Background : Smoking cessation campaigns aim to decrease the prevalence of smoking in the community. However, smoking cessation campaigns can be expensive to develop and implement, therefore is it essential that campaigns have high impact and broad reach to ensure the most ef fi cient use of resources. Method : A systematic review was conducted in October 2020 to assess the ef fi cacy of positively framed and negatively framed messages used in televised smoking cessation advertisements. The search was restricted to quantitative primary research published between 2010 and 2020, yielding 4640 results. Study selection was performed using the PRISMA method. Population was inclusive of all ages and smoking status. A total of 15 articles met the criteria for review. Results : Negative messages were found to increase the likelihood of a smoker intending to quit, attempting to quit, successfully quitting, or calling a quitline, while some studies found that positive messages increased con fi dence to quit and calls to quitline. Combination of negative and positive messages were found to complement one another and were more successful at in fl uencing quit behaviour than using either message type alone. However, fi ndings were not consistent across all studies. Conclusion : The results of this review may be used to inform the development of future smoking cessation advertisements to ensure content is relevant, effective, and cost-ef fi cient. Further exploration of the ef fi cacy of positive and negative messages on target populations would be valuable to advise the design of cessation campaigns.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48946016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Budi Aji, Siti Masfiah, S. Harwanti, N. Ulfah, H. Minh
Background : To explore the situation of national health insurance coverage among informal workers and to identify the enrollment strategy for such workers. Method : This study used the descriptive qualitative method. Participants were eight palm sugar farmers and fi fteen stakeholders of national health insurance in the district of Banyumas, Indonesia. This study included a semi-structured informant interview and open-ended questions. A thematic framework analysis was applied to guide the interpretation of the data. Data analysis was facilitated by using MAXQDA 12 software. Results : This study highlighted several interesting issues regarding the efforts to extend health insurance coverage among palm sugar farmers. First, the nature of palm sugar cultivation possesses a higher risk of injury and work-associated diseases, including falls and seasonal diseases. Second, health insurance possession is crucial, but farmers face the problem of how to ensure the continuity of the premium payment amid the uncertainty of palm sugar business revenue. Third, multi-stakeholder initiatives, bringing together government, business, and civil society will solve coverage expansion challenges among these workers. Conclusion : This study suggests that extending health insurance coverage among informal workers needs various and innovative approaches by considering their characteristics to maintain a sustainable membership. This study identi fi es the important role of cross-cutting collaboration between the government with other stakeholders to assure informal workers ’ coverage under the national health insurance program. Further research is needed to explore alternative ways of maintaining the sustainability of health insurance membership.
{"title":"Situational Analysis of the Extending National Health Insurance Coverage to Informal Sector in Indonesia: A Case Study among Palms Sugar farmers","authors":"Budi Aji, Siti Masfiah, S. Harwanti, N. Ulfah, H. Minh","doi":"10.56808/2586-940x.1017","DOIUrl":"https://doi.org/10.56808/2586-940x.1017","url":null,"abstract":"Background : To explore the situation of national health insurance coverage among informal workers and to identify the enrollment strategy for such workers. Method : This study used the descriptive qualitative method. Participants were eight palm sugar farmers and fi fteen stakeholders of national health insurance in the district of Banyumas, Indonesia. This study included a semi-structured informant interview and open-ended questions. A thematic framework analysis was applied to guide the interpretation of the data. Data analysis was facilitated by using MAXQDA 12 software. Results : This study highlighted several interesting issues regarding the efforts to extend health insurance coverage among palm sugar farmers. First, the nature of palm sugar cultivation possesses a higher risk of injury and work-associated diseases, including falls and seasonal diseases. Second, health insurance possession is crucial, but farmers face the problem of how to ensure the continuity of the premium payment amid the uncertainty of palm sugar business revenue. Third, multi-stakeholder initiatives, bringing together government, business, and civil society will solve coverage expansion challenges among these workers. Conclusion : This study suggests that extending health insurance coverage among informal workers needs various and innovative approaches by considering their characteristics to maintain a sustainable membership. This study identi fi es the important role of cross-cutting collaboration between the government with other stakeholders to assure informal workers ’ coverage under the national health insurance program. Further research is needed to explore alternative ways of maintaining the sustainability of health insurance membership.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42287518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fadly Syah Arsad, Sharifah Saffinas Syed Soffian, Puteri Sofia Nadira Megat Kamaruddin, Nor Akmar Nordin, Mohd Hafiz Baharudin, Ummi Mirza Baharudin, M. R. Hassan, Azmawati Mohamed Nawi, Norfazilah Ahmad
Background : Electronic health (eHealth) is the application of information communication technologies across all ranges of functions involved in the practice and delivery of health care. The rapid development of informatics and the Internet do not parallel eHealth interventions, and the knowledge gap needs to be explored. We aimed to identify and review the impact of eHealth applications (apps) on healthcare interventions. Method : We used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) review protocol and formulated the research question based on PICO (Population or Problem, Interest, Context). The selected databases were Ovid, Web Of Science, PubMed, SAGE and EBSCOhost. Following thorough identi fi cation, screening and eligibility evaluation, a total of 10 articles were included in this study. The articles were ranked according to quality with the MMAT (Mixed Method Appraisal Tool). Results : The results were organized according to the bene fi ts and issues among patients and health care workers. Standardized eHealth improved patient health literacy and aided disease self-management. eHealth provided cost-effective measures via online consultation, improved awareness and motivation to comply with treatment and with declaring clinical symptoms. Low socioeconomic status impeded the implementation of eHealth among patients due to the expensive equipment needed to access eHealth material. User-oriented content in eHealth apps was essential for good acceptance among patients. Conclusion : Good implementation of eHealth is an effective alternative for addressing the healthcare needs of society through empowerment.
背景：电子健康（eHealth）是信息通信技术在医疗保健实践和提供过程中的所有功能中的应用。信息学和互联网的快速发展与电子健康干预措施并不平行，需要探索知识差距。我们旨在确定和审查电子健康应用程序（应用程序）对医疗干预的影响。方法：我们使用PRISMA（系统评价和荟萃分析的首选报告项目）审查方案，并根据PICO（群体或问题、兴趣、背景）制定研究问题。选定的数据库包括Ovid、Web Of Science、PubMed、SAGE和EBSCOhost。经过彻底的鉴定、筛选和资格评估，本研究共纳入10篇文章。采用MMAT（Mixed Method Assessment Tool，混合方法评价工具）对文章进行质量排名。结果：结果是根据患者和医护人员的利益和问题进行组织的。标准化的电子健康提高了患者的健康素养，并有助于疾病自我管理。eHealth通过在线咨询提供了具有成本效益的措施，提高了遵守治疗和宣布临床症状的意识和动机。由于获取电子健康材料所需的设备昂贵，社会经济地位低下阻碍了患者实施电子健康。eHealth应用程序中面向用户的内容对于患者的良好接受至关重要。结论：电子健康的良好实施是通过赋权来满足社会医疗需求的有效替代方案。
{"title":"The Impact of eHealth Applications In Healthcare Intervention: A Systematic Review","authors":"Fadly Syah Arsad, Sharifah Saffinas Syed Soffian, Puteri Sofia Nadira Megat Kamaruddin, Nor Akmar Nordin, Mohd Hafiz Baharudin, Ummi Mirza Baharudin, M. R. Hassan, Azmawati Mohamed Nawi, Norfazilah Ahmad","doi":"10.56808/2586-940x.1020","DOIUrl":"https://doi.org/10.56808/2586-940x.1020","url":null,"abstract":"Background : Electronic health (eHealth) is the application of information communication technologies across all ranges of functions involved in the practice and delivery of health care. The rapid development of informatics and the Internet do not parallel eHealth interventions, and the knowledge gap needs to be explored. We aimed to identify and review the impact of eHealth applications (apps) on healthcare interventions. Method : We used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) review protocol and formulated the research question based on PICO (Population or Problem, Interest, Context). The selected databases were Ovid, Web Of Science, PubMed, SAGE and EBSCOhost. Following thorough identi fi cation, screening and eligibility evaluation, a total of 10 articles were included in this study. The articles were ranked according to quality with the MMAT (Mixed Method Appraisal Tool). Results : The results were organized according to the bene fi ts and issues among patients and health care workers. Standardized eHealth improved patient health literacy and aided disease self-management. eHealth provided cost-effective measures via online consultation, improved awareness and motivation to comply with treatment and with declaring clinical symptoms. Low socioeconomic status impeded the implementation of eHealth among patients due to the expensive equipment needed to access eHealth material. User-oriented content in eHealth apps was essential for good acceptance among patients. Conclusion : Good implementation of eHealth is an effective alternative for addressing the healthcare needs of society through empowerment.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48904438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zahra Chegini, I. Kolawole, Prashant V. Singh, F. Alikhah, Yalda Rasti, Z. Motazedi
Background : Compliance rate of hand hygiene practice by healthcare workers has been observed to be universally low despite its importance, simplicity and cost-effectiveness in preventing the spread of infectious diseases in the healthcare settings. This study aimed to improve healthcare workers ’ knowledge, attitudes, and compliance with hand hygiene by using reminder cards displayed by patients. Method : This before-after interventional study was carried out in 2019 among healthcare workers of a hospital in Tabriz, Iran. The intervention was a ‘ Reminder Card ’ showed by patients to remind healthcare workers to clean their hands. Participants ' knowledge and attitude about hand hygiene and compliance to hand hygiene were assessed before and after the intervention. Descriptive statistics were presented and the inferential statistics were calculated using the paired t -test. Results : Participants reported moderate knowledge (mean ± SD: 17.47 ± 3.03; n ¼ 25) and attitude (mean ± SD: 68.65 ± 10.99; n ¼ 96) at baseline. We observed improvements following the intervention for knowledge and attitude, respectively (mean ± SD: 21.81 ± 1.69; 79.23 ± 7.83; P < 0.001). Overall, hand hygiene compliance was 25.7% at baseline. Compliance increased to 58.8% after the intervention. The moment ‘ after contact with body fl uids ' had the highest compliance rate before and after intervention (56.7% vs. 76.8%). Conclusion : The use of a ‘ Reminder Card ’ was shown to improve hand hygiene compliance in this study. Patient participation in prompting staff to clean their hands may assist in achieving hand hygiene compliance among healthcare workers ensuring quality, safe care, and infection prevention in the hospital.
{"title":"Improving knowledge, attitude, and compliance of hand hygiene of Iranian healthcare workers: A pilot study using Reminder Card","authors":"Zahra Chegini, I. Kolawole, Prashant V. Singh, F. Alikhah, Yalda Rasti, Z. Motazedi","doi":"10.56808/2586-940x.1011","DOIUrl":"https://doi.org/10.56808/2586-940x.1011","url":null,"abstract":"Background : Compliance rate of hand hygiene practice by healthcare workers has been observed to be universally low despite its importance, simplicity and cost-effectiveness in preventing the spread of infectious diseases in the healthcare settings. This study aimed to improve healthcare workers ’ knowledge, attitudes, and compliance with hand hygiene by using reminder cards displayed by patients. Method : This before-after interventional study was carried out in 2019 among healthcare workers of a hospital in Tabriz, Iran. The intervention was a ‘ Reminder Card ’ showed by patients to remind healthcare workers to clean their hands. Participants ' knowledge and attitude about hand hygiene and compliance to hand hygiene were assessed before and after the intervention. Descriptive statistics were presented and the inferential statistics were calculated using the paired t -test. Results : Participants reported moderate knowledge (mean ± SD: 17.47 ± 3.03; n ¼ 25) and attitude (mean ± SD: 68.65 ± 10.99; n ¼ 96) at baseline. We observed improvements following the intervention for knowledge and attitude, respectively (mean ± SD: 21.81 ± 1.69; 79.23 ± 7.83; P < 0.001). Overall, hand hygiene compliance was 25.7% at baseline. Compliance increased to 58.8% after the intervention. The moment ‘ after contact with body fl uids ' had the highest compliance rate before and after intervention (56.7% vs. 76.8%). Conclusion : The use of a ‘ Reminder Card ’ was shown to improve hand hygiene compliance in this study. Patient participation in prompting staff to clean their hands may assist in achieving hand hygiene compliance among healthcare workers ensuring quality, safe care, and infection prevention in the hospital.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45617686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Vanoh, A. F. Mat Ludin, S. Shahar, Shahrul Azman Mohd Noah, Z. Abdul Manaf, Noorlaili Mohd Tohit
{"title":"Development of WEFIT Screening Tool for Assessing Pre-exercise Fitness Level for Older Adults in Peninsular Malaysia","authors":"D. Vanoh, A. F. Mat Ludin, S. Shahar, Shahrul Azman Mohd Noah, Z. Abdul Manaf, Noorlaili Mohd Tohit","doi":"10.56808/2586-940x.1006","DOIUrl":"https://doi.org/10.56808/2586-940x.1006","url":null,"abstract":"","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45097976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background : Acute coronary syndrome (ACS) is currently the leading cause of morbidity and mortality worldwide. The prognosis of ACS treatment outcome depends on the speed of reperfusion after a heart attack; wherein, one of the associated factors is pre-hospital time. Method : A retrospective study was conducted in ACS patients, who visited the emergency room of a tertiary hospital; from 1st January to 31st December 2020. The primary outcome was pre-hospital time; and secondary outcome was factors associated with delayed pre-hospital time ( ≥ 2 h) that were analyzed by using logistic regression. Results : The Median age of patients was 64 years (Q1, Q3 ¼ 56, 73), with 75.8% being male. The median pre-hospital time was 2.5 h (Q1, Q3 ¼ 1.0, 6.0), 63.4% of acute coronary events were delayed pre-hospital time, and 90.1% of events were transported to the hospital by private car. The factors signi fi cantly associated with delayed pre-hospital time consisted of adult patients [OR (95%CI) ¼ 2.20 (1.05 e 4.61)], events occurring on weekdays [OR (95%CI) ¼ 2.08 (1.04 e 4.14)] and inside their home [OR (95%CI) ¼ 5.01 (1.67 e 15.06)], fi nal diagnosis with NSTEMI [OR (95%CI) ¼ 2.74 (1.24 e 6.05)], and taking isosorbide in previously diagnosed MI patients [OR (95%CI) ¼ 4.32 (1.42 e 13.17)]. Conclusion : Patients with ACS still delayed seeking treatment, and underutilized emergency medical service systems. Interventions to increase awareness and knowledge of ACS is required to improve the treatment outcomes of ACS patients.
背景：急性冠状动脉综合征（ACS）是目前全球发病率和死亡率的主要原因。ACS治疗结果的预后取决于心脏病发作后再灌注的速度；其中，所述相关因素之一是住院前时间。方法：对某三甲医院急诊室就诊的ACS患者进行回顾性研究；2020年1月1日至12月31日。主要结果是住院前时间；次要转归是与住院前时间延迟（≥2小时）相关的因素，采用逻辑回归分析。结果：患者的中位年龄为64岁（Q1，Q3¼56，73），其中75.8%为男性。中位住院前时间为2.5小时（Q1，Q3¼1.0，6.0），63.4%的急性冠状动脉事件延迟了住院前时间，90.1%的事件通过私家车送往医院。与院前时间延迟显著相关的因素包括成年患者[OR（95%CI）¼2.20（1.05 e 4.61）]、工作日发生的事件[OR（95%CI）¼2.08（1.04 e 4.14）]和家中发生的事件/OR（95%CI¼5.01（1.67 e 15.06）]、NSTEMI的最终诊断[OR（95%CI）¼2.74（1.24 e 6.05）]，以及在先前诊断的MI患者中服用异山梨醇[OR（95%CI）¼4.32（1.42 e 13.17）]。结论：ACS患者仍然延迟寻求治疗，并且未充分利用紧急医疗服务系统。需要采取干预措施来提高对ACS的认识和知识，以改善ACS患者的治疗结果。
{"title":"Delayed pre-hospital time in acute coronary syndrome patients and associated factors in a hospital in Southern Thailand","authors":"Thareerat Ananchaisarp, Siriwimon Tantarattanapong, Kamonluk Thepuatrakul, Nuteua Techapattanakorn, Noppawit Limwattanalert, Nitchada Mettraiyasakul, Siwa Rattanakitkoson, Supakit Satayukun, Abhisit Chuaboon","doi":"10.56808/2586-940x.1004","DOIUrl":"https://doi.org/10.56808/2586-940x.1004","url":null,"abstract":"Background : Acute coronary syndrome (ACS) is currently the leading cause of morbidity and mortality worldwide. The prognosis of ACS treatment outcome depends on the speed of reperfusion after a heart attack; wherein, one of the associated factors is pre-hospital time. Method : A retrospective study was conducted in ACS patients, who visited the emergency room of a tertiary hospital; from 1st January to 31st December 2020. The primary outcome was pre-hospital time; and secondary outcome was factors associated with delayed pre-hospital time ( ≥ 2 h) that were analyzed by using logistic regression. Results : The Median age of patients was 64 years (Q1, Q3 ¼ 56, 73), with 75.8% being male. The median pre-hospital time was 2.5 h (Q1, Q3 ¼ 1.0, 6.0), 63.4% of acute coronary events were delayed pre-hospital time, and 90.1% of events were transported to the hospital by private car. The factors signi fi cantly associated with delayed pre-hospital time consisted of adult patients [OR (95%CI) ¼ 2.20 (1.05 e 4.61)], events occurring on weekdays [OR (95%CI) ¼ 2.08 (1.04 e 4.14)] and inside their home [OR (95%CI) ¼ 5.01 (1.67 e 15.06)], fi nal diagnosis with NSTEMI [OR (95%CI) ¼ 2.74 (1.24 e 6.05)], and taking isosorbide in previously diagnosed MI patients [OR (95%CI) ¼ 4.32 (1.42 e 13.17)]. Conclusion : Patients with ACS still delayed seeking treatment, and underutilized emergency medical service systems. Interventions to increase awareness and knowledge of ACS is required to improve the treatment outcomes of ACS patients.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":"1 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41915986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Blankenship, Manideepthi Pemmaraju, E. Mitchel, Tiffanie M Markus, M. Griffin, J. Castilho
Background : Accurate data are critical for public health surveillance yet can be challenging to ensure. The Tennessee (TN) HPV Vaccine IMPACT Project aims to assess the effectiveness of the human papillomavirus (HPV) vaccine in prevention of cervical cancer and high-grade dysplasia through laboratory reporting of pathology results among Davidson County women. This project assessed feasibility and value of use of administrative sources for improved data quality and completeness of high-grade cervical events in TN HPV-IMPACT between 2013 and 2017. Method : We queried three administrative data systems (Hospital Discharge Data System, Ambulatory Surgical Treatment Center, and Tennessee Medicaid [TennCare]) for eligible women with cervical pre-cancer diagnostic and procedural codes from 2013 to 2017. We assessed data completeness from standard surveillance practices and from the addition of cases identi fi ed and veri fi ed through linkage with administrative data. Additionally, eligible women were linked to TennCare to inform missing demographic, insurance, and vaccination data elements. Results : Overall, use of administrative data systems increased the number of women identi fi ed with cervical pre-cancer by 5% during the study years. Linkage to TennCare improved data completeness on race/ethnicity, insurance, and vaccination status by 10% e 20%. Conclusion : Linkage with administrative databases is a feasible and effective method to improve public health data quality.
{"title":"Administrative Data Improves Quality of Cervical Pre-cancer Surveillance in Davidson County, Tennessee, United States","authors":"S. Blankenship, Manideepthi Pemmaraju, E. Mitchel, Tiffanie M Markus, M. Griffin, J. Castilho","doi":"10.56808/2586-940x.1002","DOIUrl":"https://doi.org/10.56808/2586-940x.1002","url":null,"abstract":"Background : Accurate data are critical for public health surveillance yet can be challenging to ensure. The Tennessee (TN) HPV Vaccine IMPACT Project aims to assess the effectiveness of the human papillomavirus (HPV) vaccine in prevention of cervical cancer and high-grade dysplasia through laboratory reporting of pathology results among Davidson County women. This project assessed feasibility and value of use of administrative sources for improved data quality and completeness of high-grade cervical events in TN HPV-IMPACT between 2013 and 2017. Method : We queried three administrative data systems (Hospital Discharge Data System, Ambulatory Surgical Treatment Center, and Tennessee Medicaid [TennCare]) for eligible women with cervical pre-cancer diagnostic and procedural codes from 2013 to 2017. We assessed data completeness from standard surveillance practices and from the addition of cases identi fi ed and veri fi ed through linkage with administrative data. Additionally, eligible women were linked to TennCare to inform missing demographic, insurance, and vaccination data elements. Results : Overall, use of administrative data systems increased the number of women identi fi ed with cervical pre-cancer by 5% during the study years. Linkage to TennCare improved data completeness on race/ethnicity, insurance, and vaccination status by 10% e 20%. Conclusion : Linkage with administrative databases is a feasible and effective method to improve public health data quality.","PeriodicalId":15935,"journal":{"name":"Journal of Health Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45675132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-13Epub Date: 2021-02-18DOI: 10.1108/jhr-02-2020-0049
Kamonthip Tanglakmankhong, Benjamin M Hampstead, Robert J Ploutz-Snyder, Kathleen Potempa
Purpose –: The purpose of this paper is to examine the reliability and validity of the Abbreviated Mental Test (AMT) and the agreement with the Mini-Mental State Examination (MMSE).
Design/methodology/approach –: This cross-sectional study included 446 older adults who were recruited by cluster sampling from 200,481 adults aged more than 60 years. For each participant, the AMT was administered by village health volunteers and, on a separate day, by a trained professional who also administered the MMSE. Descriptive statistics, Bland and Altman levels of agreement, and Receiver Operator Curves (ROCs) were used to analyze data.
Findings –: Administration of the AMT by village health volunteers during the annual health screening found cognitive impairment in only 1.12% of the sample. When the AMT was given to these same individuals by trained professionals, the rate of cognitive impairment was almost 24 times greater. Two items in the Thai AMT may require modification due to markedly elevated failure rates. At the cut score of 8, the sensitivity and specificity of the AMT relative to the MMSE were moderate (78.83 and 66.67%, respectively). The degree of agreement between AMT and MMSE was 0.49 (p < 0.001) and the correlation between the difference scores and the mean is exceptionally low (0.048).
Originality/value –: Reliable and valid cognitive screening assessment requires the administrator to be well trained and the tools to be appropriate for the population. Although AMT is short and easy for a nonprofessional to administer, some items were not suitable due to construct validity and contextual issues.
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Pub Date : 2021-10-29DOI: 10.21203/rs.3.rs-1028178/v1
K. Lee, Yaman Walid Kassab, N. A. Taha, Z. A. Zainal
Purpose: This study was aimed to systematically identify and review studies conducted using simulated client/patients that examine medicine selling prices in healthcare settings, including pharmacies, clinics, and hospitals. The quoted drug pricing information, including the dispensing fees and healthcare financing system of the countries involved, were also compared.Design/methodology/approach: We searched Pubmed, OVID, Scopus, Ebsco (Medline) and ProQuest for papers reporting on simulated patient studies in various medical settings, specifying drug or pharmaceutical pricings. Randomized controlled trials, non-randomized controlled trials, longitudinal studies, cohort or case–control studies, and descriptive studies were included. The quality of included studies was checked using a validated tool.Findings: A total of 19 papers from 13 countries from all regions of the world were included in this systematic review. Various ,edical conditions that were presented by the simulated patients, such as cancer, back pain, insomnia and diarrhoea. Information on certain prescription and non-prescription drugs such as buprenorphine, methadone and antibiotics were reported in four studies. Most healthcare facilities adhere to prescribed selling prices, according to the medicine selling price trend examined in this study. Only around half of the research found that medicine prices were higher than the typical selling price. Some countries that practise price control policies were found to have higher drug selling prices than those that do not.Originality/value: This review, for the first time, revealed that simulated patient method is a practical solution to obtain pharmaceutical price information from healthcare provider and most healthcare facilities adhere to the recommended selling prices.
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