Letting Compassion Open the Door: Battered Women's Disclosure to Medical Providers

1995 ◽  
Vol 4 (4) ◽  
pp. 459-465 ◽  
Author(s):  
Heidi M. Bauer ◽  
Michael A. Rodriguez
Keyword(s):  
Healthcare Providers ◽  
Clinical Settings ◽  
Abused Women ◽  
Women Patients ◽  
Medical Providers ◽  
Physically Abused ◽  
Physical Injuries ◽  
Marital Abuse ◽  
Psychiatric Problems ◽  
Significant Health

Domestic violence is an important social problem that strongly impacts the healthcare system. It is estimated that two to four million women are physically abused each year by their husbands, ex-husbands, or boyfriends. Many of these abused women enter the medical system as patients with physical injuries, somatic symptoms, or psychiatric problems. These patients represent a large proportion of women patients in a variety of clinical settings: 22–35% of women presenting to emergency departments, up to 37% of obstetric patients, and over 25% of women seeking primary care. Despite the significant health implications of marital abuse, healthcare providers often fail to identify and treat this problem when signs are present.

Expectations about pain and analgesic treatment depend on medical providers’ facial appearances

2020 ◽  
Author(s):  
Elizabeth A. Necka ◽  
Carolyn Amir ◽  
Troy C. Dildine ◽  
Lauren Yvette Atlas
Keyword(s):  
Patient Outcomes ◽  
Visual Information ◽  
Healthcare Providers ◽  
Medical Procedures ◽  
Medical Providers ◽  
Analgesic Treatment ◽  
Digital Services ◽  
Receive Treatment ◽  
Facial Images ◽  
Trait Impressions

There is a robust link between patients’ expectations and clinical outcomes, as evidenced by the placebo effect. These expectations are shaped by the context surrounding treatment, including the patient-provider interaction. Prior work indicates that the provider’s behavior and characteristics, including warmth and competence, can shape patient outcomes. Yet humans rapidly form trait impressions of others prior to any in-person interaction. Here, we tested whether trait-impressions of hypothetical medical providers, based purely on facial images, influence participants’ choice of medical providers and expectations about their health following hypothetical medical procedures performed by those providers in a series of vignettes. Across five studies, participants selected providers who appeared more competent, based on facial visual information alone. Further, providers’ apparent competence predicted participants’ expectations about post-procedural pain and medication use. Participants’ perception of their similarity to providers also shaped expectations about pain and treatment outcomes. Our results suggest that humans develop expectations about their health outcomes prior to even setting foot in the clinic, based exclusively on first impressions. These findings have strong implications for health care, as individuals increasingly rely on digital services to choose healthcare providers, schedule appointments, and even receive treatment and care, a trend which is exacerbated as the world embraces telemedicine.

scholarly journals Knowledge and Practice of Health Professionals in the Management of Dysphagia

2021 ◽  
Vol 18 (4) ◽  
pp. 2139
Author(s):  
Eduardo Sánchez-Sánchez ◽  
Ylenia Avellaneda-López ◽  
Esperanza García-Marín ◽  
Guillermo Ramírez-Vargas ◽  
Jara Díaz-Jimenez ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Clinical Settings ◽  
Sectional Study ◽  
Swallowing Disorder ◽  
Cross Sectional ◽  
Anonymous Questionnaire ◽  
Knowledge And Practice ◽  
Definition Of ◽  
Management Of Dysphagia

The aim of this study was to determine healthcare providers’ knowledge and practices about dysphagia. A descriptive cross-sectional study was carried out based on a self-administered and anonymous questionnaire addressed to healthcare providers in Spain. A total of 396 healthcare providers participated in the study. Of these, 62.3% knew the definition of dysphagia as a swallowing disorder. In addition, up to 39.2% of the participants reported that they did not know whether the EatingAssessmentTool (EAT-10) dysphagia screening test was usedin their own clinical settings. Similarly, up to 49.1% of them did not know the ClinicalExaminationVolume-Viscosity (MECV-V) method. Nearly all participants (98.8%) reported that thickeners must be used forall liquids administered to patients. A higher percentage of respondents based the choice of texture on patient’s tolerance (78.2%) rather than on the MECV-V result (17.3%). In addition,76.4% of the professionals had witnessed a bronchoaspiration; after it, 44.4% (n = 175) of them reported the appearance of pneumonia, and 14.5% (n = 57) the death of the patient (p = 0.005). The participants revealeda moderate/low knowledge ofthe definition, diagnosis, and clinical management of liquid dysphagia, which indicates some room for improvements.

scholarly journals Implementation of HIV pre-exposure prophylaxis for women of color: Perspectives from healthcare providers and staff from three clinical settings

2020 ◽  
Vol 19 (4) ◽  
pp. 299-319
Author(s):  
Allison L. Kimmel ◽  
Lisa J. Messersmith ◽  
Angela R. Bazzi ◽  
Meg M. Sullivan ◽  
Jacqueline Boudreau ◽  
...  
Keyword(s):  
Women Of Color ◽  
Healthcare Providers ◽  
Clinical Settings ◽  
Exposure Prophylaxis

scholarly journals The Neglect and Fast Spread of Some Arboviruses: A Note for Healthcare Providers in Nigeria

Diseases ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 99
Author(s):  
Olatunji Kolawole ◽  
Adebimpe Seriki ◽  
Ahmad Irekeola ◽  
Jeremiah Ogah
Keyword(s):  
Rift Valley Fever ◽  
Healthcare Providers ◽  
Epidemiological Data ◽  
Valley Fever ◽  
Health Burden ◽  
Depth Analysis ◽  
Health Practitioners ◽  
Missed Diagnosis ◽  
Significant Health ◽  
Diagnosis Of Diseases

Arboviruses are distributed worldwide and constitute significant health burden globally. Outbreaks of arboviruses have been reported in Africa and beyond. In Nigeria, like in many other countries, arbovirus infections are more often than not neglected. As the early clinical features of arbovirus infections are generally nonspecific, most healthcare providers mistake them for other diseases. Outbreaks have been reported in Africa and beyond. The consequence of missed diagnosis of diseases cannot be overstated. In this review, some epidemiological data, classical syndromes, and risk factors for five human arboviruses (yellow fever YF, dengue DENV, chikungunya CHIKV, Rift Valley fever RVF, and West Nile virus WNV) found in Nigeria are presented. Health practitioners should ensure in-depth analysis rather than a superficial diagnosis of diseases before declaring a course of treatment.

scholarly journals Network Bioinformatics Analysis Provides Insight into Drug Repurposing for COVID-2019

2020 ◽  
Author(s):  
Xu Li ◽  
Jinchao Yu ◽  
Zhiming Zhang ◽  
Jing Ren ◽  
Alex E. Peluffo ◽  
...  
Keyword(s):  
Bioinformatics Analysis ◽  
Drug Repurposing ◽  
Clinical Settings ◽  
Clinical Knowledge ◽  
Phase 3 ◽  
Module Detection ◽  
Novel Drug ◽  
Insight Into ◽  
Old Drugs ◽  
Significant Health

The COVID-2019 disease caused by the SARS-CoV-2 virus (aka 2019-nCoV) has raised significant health concerns in China and worldwide. While novel drug discovery and vaccine studies are long, repurposing old drugs against the COVID-2019 epidemic can help identify treatments, with known preclinical, pharmacokinetic, pharmacodynamic, and toxicity profiles, which can rapidly enter Phase 3 or 4 or can be used directly in clinical settings. In this study, we presented a novel network based drug repurposing platform to identify potential drugs for the treatment of COVID-2019. We first analysed the genome sequence of SARS-CoV-2 and identified SARS as the closest disease, based on genome similarity between both causal viruses, followed by MERS and other human coronavirus diseases. Using our AutoSeed pipeline (text mining and database searches), we obtained 34 COVID-2019-related genes. Taking those genes as seeds, we automatically built a molecular network for which our module detection and drug prioritization algorithms identified 24 disease-related human pathways, five modules and finally suggested 78 drugs to repurpose. Following manual filtering based on clinical knowledge, we re-prioritized 30 potential repurposable drugs against COVID-2019 (including pseudoephedrine, andrographolide, chloroquine, abacavir, and thalidomide) . We hope that this data can provide critical insights into SARS-CoV-2 biology and help design rapid clinical trials of treatments against COVID-2019.

scholarly journals Using Intervention Mapping to Develop a Provider Intervention to Increase HPV Vaccination in a Federally Qualified Health Center

2020 ◽  
Vol 8 ◽  
Author(s):  
Jessica D. Austin ◽  
Serena A. Rodriguez ◽  
Lara S. Savas ◽  
Tina Megdal ◽  
Lois Ramondetta ◽  
...  
Keyword(s):  
Health Center ◽  
Hpv Vaccine ◽  
Hpv Vaccination ◽  
Intervention Mapping ◽  
Healthcare Providers ◽  
Skills Training ◽  
Clinical Settings ◽  
Strong Recommendation ◽  
Federally Qualified Health Center ◽  
Planning Group

Introduction: A healthcare provider's ability to give a strong recommendation for the HPV vaccine is of utmost importance in increasing HPV vaccination. To reduce the burden of HPV-related cancers, there is a critical need to develop and implement theory-based interventions aimed at strengthening healthcare providers' communication about the HPV vaccine.Methods: We used Intervention Mapping (IM) steps 1–5 to develop and implement a provider-level intervention that aligns with the priorities and needs of a large, urban Federally Qualified Health Center (FQHC).Results: In step 1, a diverse planning group identified barriers to HPV vaccination in clinical settings and generated process maps and a logic model of the problem. Step 2 outlined outcomes and provider performance objectives of the intervention and identified knowledge, skills, self-efficacy, outcome expectations, and normative beliefs as modifiable targets that need to change for providers to deliver strong recommendations for the HPV vaccine to parents and patients. In step 3, the planning group mapped the methods of persuasive communication, information, and modeling and skills training to behavioral targets and outlined the program practical applications (strategies) components, scope, and sequence. In steps 4 and 5, the planning group produced the intervention and planned for program implementation. The iterative and participatory process of IM resulted in modifications to the initial intervention that aligned with the needs of the FQHC.Discussion: IM provided a systematic, participatory, and iterative approach for developing a theory-based provider-level intervention aimed at strengthening healthcare providers' ability to provide a strong recommendation for the HPV vaccine to eligible patients and parents served by a large FQHC. IM assisted with the identification of behavioral targets and methods that move beyond HPV knowledge and reminders to create behavior change. IM can help researchers and planners describe the processes and rational behind developing interventions and may help to facilitate implementation in real-world clinical settings by tailoring intervention components to the needs of the population.

Webcare in healthcare: providers' responses to patients' online reviews

2019 ◽  
Vol 25 (10) ◽  
pp. 1-7
Author(s):  
Sandra Zwier
Keyword(s):  
Health Professionals ◽  
Healthcare Providers ◽  
Online Reviews ◽  
The Other ◽  
Reputation Management ◽  
Professional Conduct ◽  
Medical Providers ◽  
Customer Reviews ◽  
Other Hand

Background/Aims Providers face a paradox between professional conduct and reputation management when they respond to patients' online reviews. This article aims to establish when and how health professionals respond to patients' online reviews, and how these reviews differ compared to other, non-medical, industries, such as driving schools and jewellery stores. Methods Predictors of providers' responses to 180 patient reviews on NHS Choices were identified and compared against the predictors of responses to 180 customer reviews by non-medical providers. Results Responses to patients' online reviews could be significantly predicted by the number of patient reviews received on NHS Choices and the providers' response routines, but not by characteristics of the patients' reviews. The non-medical providers, on the other hand, were responsive to characteristics of the online reviews and particularly the rating stars allocated to the provider. Conclusions Responses to reviews seem to be a distinctive way of ‘responding without reacting’.

scholarly journals Response hierarchy models and their application in health and medicine: understanding the hierarchy of effects

2020 ◽  
Vol 20 (S1) ◽  
Author(s):  
James K. Elrod ◽  
John L. Fortenberry
Keyword(s):  
Market Share ◽  
Patient Engagement ◽  
Healthcare Providers ◽  
Customer Engagement ◽  
Important Process ◽  
Medical Providers ◽  
Detailed Understanding ◽  
Hierarchy Of Effects ◽  
Institutional Viability ◽  
Response Hierarchy

Abstract Background Successful patient engagement pursuits naturally require healthcare providers to possess a detailed understanding of their target audiences, with one of the most important processes to comprehend being the manner in which they learn about particular establishments and decide to extend their patronage. While health services patronage pathways vary between and among consumers, general patronage patterns exist which can provide enlightenment regarding this important process. Achieving knowledge on this front can help healthcare providers maximize opportunities to engage audiences and acquire all-important market share. Discussion The discipline of marketing, in part, focuses on customer engagement practices and, in describing the patronage process, it often uses what are referred to as response hierarchy models. Also known as hierarchy of effects models, these representations can help healthcare providers to understand the course through which individuals become customers of given establishments, aiding them particularly in devising appeals that can accelerate the patronage process. This particular article describes response hierarchy models, presents examples, and discusses the benefits that they offer healthcare institutions in their efforts to engage patients. Conclusions As institutional viability and vitality are predicated on abilities to successfully attract and retain patients, healthcare establishments must direct keen attention toward developing associated skills. This necessitates that health and medical providers possess a detailed understanding of their target audiences, notably including the stages through which they pass on their way to becoming patrons. Response hierarchy models present the patronage process, depicting given stages, permitting insights which can assist healthcare providers in their quests to hasten desired exchange and capture market share.

Heightened malpractice risk for hospitalist physicians in the USA: what to know and what to do

2019 ◽  
Vol 95 (1128) ◽  
pp. 531-533
Author(s):  
Zachary R Paterick ◽  
Timothy Edward Paterick
Keyword(s):  
Nurse Practitioners ◽  
Quality Care ◽  
Healthcare Providers ◽  
Hospital Medicine ◽  
Physician Assistants ◽  
Medical Providers ◽  
Professional Liability ◽  
Optimal Patient Care ◽  
The Usa ◽  
Unique Relationship

Hospitalists, nurse practitioners, physician assistants and institutions are all at risk for the potential professional liability issues. The unique relationship between healthcare providers and their sponsoring institution generates complex and evolving legal issues for all participants. The law has played a great role integrating quality care and patient safety with physicians, while providing an avenue for relief when a medical error occurs. The intersection of law and medicine, while allowing for optimal patient care, exposes participating medical providers and the sponsoring institutions to specific professional liability issues. This article addresses the heightened medical practice risk that hospitalist physicians’ encounter in today’s practice of hospital medicine.

Distance Traveled to Access Knowledgeable Trans-Related Healthcare Providers

2020 ◽  
Vol 1 (2) ◽  
pp. 83-95
Author(s):  
Shanna K. Kattari ◽  
Joseph Grange ◽  
Kristie L. Seelman ◽  
Matthew Bakko ◽  
Vern Harner
Keyword(s):  
Health Knowledge ◽  
Educational Achievement ◽  
Healthcare Access ◽  
Healthcare Providers ◽  
Medical Providers ◽  
Chi Square ◽  
Gender Diverse ◽  
Logistic Regressions ◽  
And Gender ◽  
Tests Of Independence

Transgender and gender diverse (TGD) individuals experience a variety of disparities regarding healthcare and healthcare access. While many of these disparities are interpersonal, such as discrimination and experiences of violence at the hands of medical providers, there are also systemic issues that contribute to these inequities. One such issue is that of finding and accessing providers who are knowledgeable about trans-related care. This study examines how far TGD people are traveling to access providers with more trans-related health knowledge and explores gender differences regarding distance traveled. Data from the 2015 U.S. Transgender Survey are used, with an analytic sample of N = 5,639. Findings from the chi-square tests of independence and logistic regressions indicate there is a relationship between highly knowledgeable care and distance traveled, such that certain groups of TGD individuals (across race, income level, and educational achievement) are taking on the burden of having to travel further in order to access the most knowledgeable healthcare providers, with few significant differences across genders. Overall, 34.5% of TGD individuals have to travel over 25 miles to access providers knowledgeable about trans-related care. While much of the discussion about increasing trans-affirming healthcare has centered on reducing interpersonal issues, the hardship potentially caused by traveling further to get knowledgeable care should certainly be part of this conversation.

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