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Effect of transitioning from a pilot universal health coverage program on workload in select government-owned hospitals in Nyeri, Kenya 从全民医保试点计划过渡对肯尼亚尼耶里部分政府所有医院工作量的影响
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-12-20 DOI: 10.1080/20479700.2023.2294243
John Njuguna
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引用次数: 0
Inspecting smoking addiction in youth in Türkiye: A latent class analysis using the Turkish version of the cigarette dependence scale 检查土耳其青少年吸烟成瘾情况:使用土耳其版香烟依赖量表进行潜类分析
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-12-20 DOI: 10.1080/20479700.2023.2288974
Elif Ünal Çoker, Ali Mertcan Köse
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引用次数: 0
Adolescent fertility and its impact on educational attainment in Nigeria: A propensity score matching approach 尼日利亚青少年生育率及其对教育程度的影响:倾向得分匹配法
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-12-20 DOI: 10.1080/20479700.2023.2295113
M. Ayadi, Grace Onodipe, Omolola E. Adepoju
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引用次数: 0
Predicting one-year readmission of adult patients with pneumonia using machine learning approaches: A case study in the Philippines 利用机器学习方法预测成年肺炎患者一年后的再入院情况:菲律宾案例研究
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-12-15 DOI: 10.1080/20479700.2023.2294242
J. Landicho
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引用次数: 0
Patient initiated violence on physicians: Bibliometric analysis 病人主动对医生施暴:文献计量分析
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-12-14 DOI: 10.1080/20479700.2023.2290778
Puja Bansal, A. Verma
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引用次数: 0
Impact of a quality improvement project addressing freezing time and temperature in cryoballoon atrial fibrillation treatment 针对冷冻球囊心房颤动治疗中冷冻时间和温度的质量改进项目的影响
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-12-11 DOI: 10.1080/20479700.2023.2290341
G. V. van Steenbergen, J. Vermeer, D. Schulz, Mileen R D van de Kar, Maarten van den Broek, Alexandre Ouss, Tim Simmers, D. van Veghel, Lukas Dekker
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引用次数: 0
Minimum requirements for the introduction of immuno-oncology medicines in low-and lower middle-income countries 在低收入和中低收入国家引入免疫肿瘤药物的最低要求
IF 2.1 Q4 HEALTH POLICY & SERVICES Pub Date : 2023-12-11 DOI: 10.1080/20479700.2023.2284464
Tosin Adeyemo, T. Wilsdon, Michael Hartevelt, Jobin Joseph Kalappura, Alexander Roediger, Sjaak Vink, Tom Roane, Yusuf Rasool, Robert Whitehill, Patrick Tung, Augusto Cesar Cordebel, Lee Robson, Morten Hjulsager, Miguel Korte
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引用次数: 0
The impact of open native aortic valve replacement procedure on survival and costs in two hospitals: A multivariate analysis 两家医院主动脉瓣置换术对患者生存和费用的影响:多变量分析
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-10 DOI: 10.1080/20479700.2023.2279037
Raquel Vázquez-Mourelle, Gonzalo Rivas Costa, Eduardo Carracedo-Martínez, Carmen Canedo Romero, Jose Antonio Bravo Ricoy
ABSTRACTObjective To compare the survival and costs of native aortic valve replacement by open approach in two hospitals.Methods We analyzed 1,472 hospital discharges from two hospitals between 2017 and 2021. We followed mean post-operative length of stay and survival at 30 days, one year and five years. The variables under study were sex, age, type of prosthesis, complexity, hospital, cost of the valve, date of intervention, discharge and exitus if present. A bivariate and a multivariate analysis were performed.Results The two hospitals have baseline characteristics with no significant differences. One of the hospitals had a higher mean unit price, in both biological (96%) and mechanical prostheses (11%) (p1); this higher mortality did not reach statistical significance in the multivariate analysis.In both hospitals, older age was associated with lower survival at one year (HR = 1.299 CI = 1.035–1.630) and at five years (HR = 1.228, 95%CI = 1.023–1.476). Greater complexity is associated with lower survival in all three periods.Conclusions Higher costs for open aortic heart valves does not lead to better survival outcomes. There is room for improvement in hospital management of these resources.KEYWORDS: Heart valve prosthesiscardiac surgerysutureless bioprosthesissurvival ratecost analysis Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsRaquel Vázquez-MourelleRaquel Vázquez-Mourelle is a doctor in epidemiology and public healh and deputy directorate general in hospital management of Galician Health Service (Servicio Gallego de Salud- SERGAS), Spain.Gonzalo Rivas CostaGonzalo Rivas-Costa is the head of hospital management service of Galician Health Service (Servicio Gallego de Salud- SERGAS), Spain.Eduardo Carracedo-MartínezEduardo Carracedo-Martínez is a PhD epidemiology and public healh and a comunity pharmacist in Hospital of Santiago de Compostela (Servicio Gallego de Salud- SERGAS), Spain.Carmen Canedo RomeroCarmen Canedo Romero is the health proffesionals (doctors) with expertise in hospital care management of the Galician Health Service (Servicio Gallego de Salud- SERGAS), Spain.Jose Antonio Bravo RicoyJosé Antonio Bravo Ricoy is the health proffesionals (doctors) with expertise in hospital care management of the Galician Health Service (Servicio Gallego de Salud- SERGAS), Spain.
【摘要】目的比较两家医院开放入路主动脉瓣置换术的生存率和费用。方法对2017 - 2021年两家医院1472例出院患者进行分析。术后平均住院时间和生存时间分别为30天、1年和5年。研究的变量包括性别、年龄、假体类型、复杂性、医院、瓣膜费用、干预日期、出院和出院(如果存在)。进行了双变量和多变量分析。结果两家医院的基线特征无显著差异。其中一家医院的生物假体(96%)和机械假体(11%)的平均单价较高(p1);这种较高的死亡率在多变量分析中没有达到统计学意义。在这两家医院,年龄越大,1年生存率越低(HR = 1.299 CI = 1.035-1.630), 5年生存率越低(HR = 1.228, 95%CI = 1.023-1.476)。在这三个时期,复杂性越高,存活率越低。结论:高成本的心脏主动脉瓣开窗术并不能带来更好的生存结果。医院对这些资源的管理还有改进的余地。关键词:心脏瓣膜假体心脏手术无缝线生物假体存活率成本分析披露声明作者未报告潜在利益冲突。其他信息资金作者报告没有与本文所述工作相关的资金。关于供稿人的说明raquel Vázquez-MourelleRaquel Vázquez-Mourelle是西班牙加利西亚卫生局(Servicio Gallego de Salud- SERGAS)的流行病学和公共卫生博士和医院管理副局长。Gonzalo Rivas- costa是西班牙加利西亚卫生局(Servicio Gallego de Salud- SERGAS)医院管理服务的负责人。Eduardo Carracedo-MartínezEduardo Carracedo-Martínez是西班牙圣地亚哥德孔波斯特拉医院(Servicio Gallego de Salud- SERGAS)的流行病学和公共卫生博士和社区药剂师。Carmen Canedo Romero是西班牙加利西亚卫生局(Servicio Gallego de Salud- SERGAS)医院护理管理方面的专业卫生人员(医生)。jos Antonio Bravo Ricoy是西班牙加利西亚卫生局(Servicio Gallego de Salud- SERGAS)具有医院护理管理专业知识的卫生专业人员(医生)。
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引用次数: 0
Impact of virtual reality on performance among undergraduate healthcare professionals: A cross-sectional study 虚拟现实对本科医疗专业人员绩效的影响:一项横断面研究
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-10 DOI: 10.1080/20479700.2023.2281066
Sabrina Chevalier, Méryl Paquay, Jonathan Goffoy, Jean-Christophe Servotte, Samuel Stipulante, Alexandre Ghuysen
ABSTRACTIn recent years, Virtual Reality (VR) has been increasingly used to train healthcare professionals. However, certain aspects of its application, such as the relationship between VR environments, training, and Sense of Presence (SoP), have yet to be explored. SoP impacts learners’ performances in certain learning situations, whereas in others, it does not. This study aimed to investigate the impact of VR, including SoP, on immersive mass incident simulation performances. A cross-sectional study was performed by immersing 83 undergraduate students (ambulance attendants, student nurses, and medical students) in a VR simulation. Questionnaires were administered before, during, and after the simulation to assess variables impacting non-technical skills. The results revealed that SoP was not associated with performance (P = 0.66). However, performance was associated with the learners’ perceptions of the VR environment (P = 0.008). Therefore, the impact of environmental perception on performance should be considered, allowing instructors to promote optimal training in VR. Moreover, SoP may impact performance in certain types of learning, like emotional skills training. Thus, VR should be chosen as a simulation modality to encourage reflexivity through rapid feedback and learning skills in the affective domain.KEYWORDS: Numerical simulationaptitudedisaster medicineteachingeducation Disclosure statementNo potential conflict of interest was reported by the author(s).Additional informationFundingThe author(s) report that no funding was associated with the work featured in this article.Notes on contributorsSabrina ChevalierSabrina Chevalier, MSc, RN: Mrs Chevalier works as nurse in intensive care unit. She is a nurse with a specialization in intensive care and urgent medical assistance and a master’s degree in public health. She is also certified to work as a simulation instructor. She is an assistant at the University of Liege in the master’s in science of nursing. Mrs Chevalier has started a PhD on simulation in the master’s in science of nursing.Méryl PaquayMéryl Paquay, MSc, RNCC, RN: Mrs Paquay works as a quality and safety care manager. She is a nurse with a specialization in community health and a master’s degree in public health. She is also certified to work as a simulation instructor. Mrs Paquay is finalizing her PhD on patient safety and clinical debriefings. Her area of expertize covers topics related to hospital management, patient safety and the impact of the work environment on the quality of care.Jonathan GoffoyJonathan Goffoy, MSc, RN: Mr Goffoy works as nurse perfusionist in the operating room. He is a nurse with a specialization in intensive care and urgent medical assistance and a master’s degree in public health. He is also certified to work as a simulation instructor. He is working on various research projects in the Simulation Center of Liège.Jean-Christophe ServotteJean-Christophe Servotte, PhD, MSc, RN: Dr Servotte is a teach
近年来,虚拟现实(VR)越来越多地用于培训医疗保健专业人员。然而,其应用的某些方面,如虚拟现实环境、训练和存在感(SoP)之间的关系,还有待探索。SoP在某些学习情境中会影响学习者的表现,而在其他情境中则不会。本研究旨在探讨包括SoP在内的VR对沉浸式大规模事件模拟性能的影响。横断面研究通过将83名本科生(救护车服务员、实习护士和医学生)沉浸在VR模拟中进行。在模拟之前、期间和之后进行问卷调查,以评估影响非技术技能的变量。结果显示,SoP与工作表现无显著相关性(P = 0.66)。然而,表现与学习者对VR环境的感知相关(P = 0.008)。因此,应该考虑环境感知对表现的影响,使教师能够在VR中促进最佳训练。此外,SoP可能会影响某些类型的学习表现,如情感技能培训。因此,应该选择VR作为一种模拟方式,通过快速反馈和情感领域的学习技能来鼓励反身性。关键词:数值模拟;能力;灾害医学;;其他信息资金来源作者报告,没有资金与本文所述的工作相关。萨布丽娜·谢瓦利埃萨布丽娜·谢瓦利埃,理学硕士,注册护士:谢瓦利埃夫人在重症监护室工作。她是一名护士,专攻重症监护和紧急医疗援助,拥有公共卫生硕士学位。她还获得了模拟讲师的认证。她是列日大学护理学硕士助理。Chevalier女士已经开始攻读模拟博士学位和护理学硕士学位。ms . Paquay, MSc, RNCC,注册护士:ms . Paquay是一名质量和安全护理经理。她是一名护士,拥有社区卫生专业和公共卫生硕士学位。她还获得了模拟讲师的认证。帕奎夫人正在完成她关于病人安全和临床报告的博士学位。她的专业领域涉及医院管理、患者安全和工作环境对护理质量的影响。乔纳森·戈夫伊,理学硕士,注册护士:戈夫伊先生是手术室的护士灌注师。他是一名护士,专攻重症监护和紧急医疗援助,拥有公共卫生硕士学位。他还获得了模拟讲师的认证。他在生命模拟中心从事各种研究项目。Jean-Christophe Servotte,博士,理学硕士,注册护士:Servotte博士是Henallux医院辅助医疗部门的教师兼研究员。他是一名护士,专攻重症监护和紧急医疗援助,拥有公共卫生硕士学位。他的博士论文题为“对理解不同模拟模式对健康学习的影响的贡献”。如今,他是一名模拟培训师和研究项目经理。Samuel托兰特,博士,理学硕士,注册护士:他是一名护士,专攻重症监护和紧急医疗援助,拥有公共卫生硕士学位。他的博士论文是关于心肺骤停的。自2007年以来,他一直负责里昂热的112安全中心。他是列日大学护理学硕士教授。他是几篇博士论文的发起人,特别是在高级实践护士领域。Alexandre Ghuysen,医学博士,1992年获得里昂热大学医学博士资格,1997年获得内科培训,1999年获得急诊医学培训,2006年获得生物医学和实验科学博士学位。他是几篇博士论文的发起人,特别是在急诊和急性护理医学领域。目前,他是li大学急症医学教授,该大学医学模拟中心主任和CHU li大学急诊科主任。
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引用次数: 0
Professional self-esteem and experiences of nurses on organizational involvement: A mixed methods study 护士职业自尊与组织参与经验:一项混合方法研究
Q4 HEALTH POLICY & SERVICES Pub Date : 2023-11-10 DOI: 10.1080/20479700.2023.2280740
Sevilay Şenol Çelik, Seda Sarıköse, Yunus Şimşek
ABSTRACTProfessional nursing organizations (PNOs) contribute to improving the quality of nursing services while raising occupational awareness. This study aimed to describe the professional self-esteem levels of nurses and their experiences with PNOs membership. This study used a mixed methods design. A survey was administered to 453 participants, and focus group interviews were held with the participation of 30 nurses during the quantitative and qualitative phases. Data were collected using the ‘Professional Self-Esteem Scale’ and a ‘Semi-Structured Interview Form.’ Stepwise regression analysis and content analysis were utilized for data analysis. Interview data were analysed in two categories (perception of PNOs and membership in PNOs). The regression analysis revealed that opinions about the effectiveness of the activities of PNOs, the type of institution, the job position, and the type of the unit as the workplace acted on the professional self-esteem of nurses. Most nurses were not members of PNOs, and their professional self-esteem levels were moderate. Political awareness needs to be promoted; students need to be brought together with leaders of PNOs and nurse leaders; the increased focus should be enabled on concepts of leadership, policymaking, and the awareness of legal rights should be raised.KEYWORDS: Membershipmixed methodsnursingassociationsprofessional self-esteem AcknowledgementsAuthorship contribution: S. Ş. Çelik: Conceptualization, Data Curation, Methodology, Investigation, Visualization, Writing – Review & Editing Original Draft; S. Sarıköse: Methodology, Investigation, Writing – Review & Editing; Y. Şimşek: Methodology, Investigation, Writing – Original Draft.Disclosure statementNo potential conflict of interest was reported by the author(s).Source of funding statementThis research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.Data availability statementData available on request from the authors.Ethical approvalKoç University Committee on Human Research approved the research (2022.076.IRB3.029).Additional informationFundingThe author(s) reported there is no funding associated with the work featured in this article.Notes on contributorsSevilay Şenol ÇelikS. Ş. Çelik is a Professor at Koç University School of Nursing.Seda SarıköseS. Sarıköse is a Ph.D. Candidate and Teaching Assistant at Koç University Graduate School of Health Sciences.Yunus ŞimşekY. Şimşek is a Nurse at İstanbul University Cerrahpaşa Florence Nightingale Faculty of Nursing.
摘要专业护理组织在提高职业意识的同时,也有助于提高护理服务质量。本研究旨在描述护士的职业自尊水平及其加入PNOs的经验。本研究采用混合方法设计。在定量和定性两个阶段,对453名参与者进行调查,并对30名护士进行焦点小组访谈。数据收集使用“职业自尊量表”和“半结构化访谈表”。数据分析采用逐步回归分析和内容分析。访谈数据分为两类(PNOs的感知和PNOs的成员)进行分析。回归分析发现,护理人员活动的有效性、机构类型、工作岗位、工作单位类型对护士的职业自尊有影响。大多数护士不是PNOs的成员,其职业自尊水平中等。需要提高政治意识;学生需要与pno的领导和护士领导一起;应该更加注重领导和决策的概念,并提高对法律权利的认识。关键词:会员资格混合方法护理协会职业自尊致谢作者贡献:S. Ş。Çelik:概念化,数据管理,方法论,调查,可视化,写作-审查和编辑原稿;S. Sarıköse:方法论、调查、写作-审查与编辑;Y. Şimşek:方法论,调查,写作-原稿。披露声明作者未报告潜在的利益冲突。资金来源声明本研究未获得任何公共、商业或非营利部门的资助机构的特别资助。数据可用性声明应作者要求提供的数据。伦理approvalKoç大学人类研究委员会批准了该研究(2022.076.IRB3.029)。其他信息资金作者报告没有与本文所述工作相关的资金。关于贡献者的说明sevilay Şenol ÇelikS。Ş。Çelik是Koç大学护理学院的教授。Seda Sarı科斯。Sarıköse博士研究生,Koç大学健康科学研究生院助教。尤努斯ŞimşekY。Şimşek是İstanbul cerrahpa大学佛罗伦萨南丁格尔护理学院的一名护士。
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引用次数: 0
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International Journal of Healthcare Management
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