scholarly journals Patient Preferences for Physician Attire in Ophthalmology Practices

2019 ◽  
Vol 11 (01) ◽  
pp. e36-e42 ◽  
Author(s):  
Lindsey B. De Lott ◽  
Joseph F. Panarelli ◽  
David Samimi ◽  
Christopher Petrilli ◽  
Ashley Snyder ◽  
...  
Keyword(s):  
Patient Preferences ◽  
Primary Outcome ◽  
Female Physician ◽  
The United States ◽  
White Coat ◽  
Emergency Rooms ◽  
Chi Square ◽  
Convenience Sample ◽  
Composite Scores ◽  
One Way Anova

Importance Interest is growing in targeting physician attire to improve the patient experience. Few studies in ophthalmology have examined patient preferences for physician attire. Objective To understand patient preferences for physician attire in ophthalmology practices in the United States. Design Survey-based, cohort study. Setting Two private and two academic ophthalmology practices. Participants A convenience sample of patients receiving ophthalmic care between June 1, 2015 and October 31, 2016. Methods A questionnaire containing 22 questions and photographs of a male and female physician in seven forms of attire were presented to patients; 14 unique questionnaires were randomly distributed. Patient preference for physician attire was the primary outcome determined by summing ratings of how knowledgeable, trustworthy, caring, approachable, and comfortable the pictured physician made the respondent feel. One-way ANOVA assessed differences in mean composite scores. Comparisons between respondent demographics, practice type, and attire preferences were assessed by chi-square tests. Patient satisfaction was assessed by agreement with questions about importance of physician attire and whether this influences happiness with care. Results In total, 1,297 of 1,826 (71.0%) questionnaires were completed. Physician attire was rated as “important” by 62.9% of participants. A total of 43.6% of participants indicated that physician attire influenced how happy they were with their care. Overall, formal attire with white coat was preferred to casual, formal, and business attire (all comparisons, p < 0.05). No differences in composite scores between formal attire with white coat, scrubs alone, scrubs with white coat, or casual attire with white coat were observed. However, compared with formal attire with white coat, physicians wearing scrubs without white coat appeared less knowledgeable (mean [standard deviation]: 8.2 [1.8] vs. 7.4 [2.1]; p < 0.05) and trustworthy (8.3 [1.8] vs. 7.6 [2.1]; p < 0.05). Additionally, casual attire with white coat was rated as less knowledgeable compared with formal attire with white coat (7.4 [2.0] vs. 8.2 [1.8]; p < 0.05). Preferences for attire varied by clinical setting: patients preferred surgeons (45.2%) and physicians in emergency rooms (41.7%) in scrubs rather than formal attire with white coat. Conclusions Physician attire is important to patients receiving ophthalmic care. Policies aimed at physician attire in ophthalmology practices should be considered.

scholarly journals Pulse Knowledge, Attitudes, Practices, and Cooking Experience of Midwestern US University Students

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3499
Author(s):  
Donna M. Winham ◽  
Elizabeth D. Davitt ◽  
Michelle M. Heer ◽  
Mack C. Shelley
Keyword(s):  
College Students ◽  
Self Efficacy ◽  
Online Survey ◽  
Daily Intake ◽  
The United States ◽  
Chi Square ◽  
Convenience Sample ◽  
Attitudes And Practices ◽  
Positive Attitudes ◽  
Chi Square Analysis

Many American college students fail to meet dietary guideline recommendations for fruits, vegetables, and fiber. Pulses are a subgroup of legumes, harvested solely for dry grain seeds within a pod. Commonly consumed pulses include dry beans, dry peas, lentils, and chickpeas. Pulses are high in shortfall nutrients and could fill some nutritional gaps of college students. However, little is known about pulse intakes among young adults. The study aims were: (1) to identify knowledge, attitudes, and practices regarding pulse consumption; and (2) to describe experiences of preparing dry pulses among college students. A convenience sample of 1433 students aged 18–30 enrolled at a Midwestern university in the United States completed an online survey in April 2020. Demographic and attitude variables were compared by the monthly count of pulse types eaten using chi-square, analysis of variance, and logistic regression modeling to predict pulse type intakes. Higher numbers of pulse types eaten was associated with being White, vegetarian/vegan, higher cooking self-efficacy, positive attitudes toward pulses, and greater daily intake of fruits, vegetables, and fiber. Knowledge and experience of cooking dry pulses was low, with canned pulses purchased more often. College students may not be consuming pulses due to unfamiliarity with them, low knowledge of nutrition benefits, and a general lack of cooking self-efficacy. Increased familiarization and promotion surrounding pulses may increase their consumption.

scholarly journals Concussion Symptom Characteristics and Resolution in 20 United States High School Sports, 2013/14-2017/18 Academic Years

Neurosurgery ◽  
2020 ◽  
Vol 87 (3) ◽  
pp. 573-583
Author(s):  
Avinash Chandran ◽  
Zachary Y Kerr ◽  
Patricia R Roby ◽  
Aliza K Nedimyer ◽  
Alan Arakkal ◽  
...  
Keyword(s):  
United States ◽  
High School ◽  
The United States ◽  
Return To Play ◽  
Health Concern ◽  
Loss Of Consciousness ◽  
Chi Square ◽  
Convenience Sample ◽  
Contact Sports ◽  
Symptom Prevalence

Abstract BACKGROUND High school (HS) sport-related concussions (SRCs) remain a public health concern in the United States. OBJECTIVE To describe patterns in symptom prevalence, symptom resolution time (SRT), and return-to-play time (RTP) for SRCs sustained in 20 HS sports during the 2013/14-2017/18 academic years. METHODS A convenience sample of athletic trainers reported concussion information to the HS RIOTM surveillance system. Symptom prevalence, average number of symptoms, and SRT and RTP distributions were examined and compared by event type (practice, competition), injury mechanism (person contact, nonperson contact), sex, and contact level (collision, high contact, and low contact) with chi-square tests and Wilcoxon rank-sum tests. RESULTS Among all SRCs (n = 9542), headache (94.5%), dizziness (73.8%), and difficulty concentrating (56.0%) were commonly reported symptoms. On average, 4.7 ± 2.4 symptoms were reported per SRC. Overall, 51.3% had symptoms resolve in &lt;7 d, yet only 7.9% had RTP &lt; 7 d. Differential prevalence of amnesia was seen between practice and competition-related SRCs (8.8% vs 13.0%; P &lt; .001); nonperson-contact and person-contact SRCs (9.3% vs 12.7%; P &lt; .001); and female and male SRCs in low-contact sports (5.8% vs 17.5%; P &lt; .001). Differential prevalence of loss of consciousness was seen between practice and game-related SRCs (1.3% vs 3.2%; P &lt; .001); and female and male SRCs in high contact sports (1.2% vs 4.0%; P &lt; .001). Differential longer SRT (&gt;21 d) was seen between new and recurrent SRCs (9.4% vs 15.9%; P &lt; .001). CONCLUSION Headache was the most commonly reported symptom. Notable group differences in the prevalence of amnesia, loss of consciousness, and SRT may be associated with more severe SRCs, warranting further attention.

scholarly journals Patient Preferences for Physician Attire: A Multicenter Study in Japan

2020 ◽  
pp. 204-210
Author(s):  
Kazuhiro Kamata ◽  
Akira Kamata ◽  
Veneet Chopra ◽  
Sanjay Saint ◽  
Nathan Houchens ◽  
...  
Keyword(s):  
Patient Preferences ◽  
Older Patients ◽  
Female Physician ◽  
Japanese Patients ◽  
Cross Sectional Study ◽  
White Coat ◽  
Satisfaction With Care ◽  
Clinical Settings ◽  
Sectional Study ◽  
Cross Sectional

BACKGROUND: Previous studies have shown that patients have specific expectations regarding physician dress. Japan has a cultural background that is in many ways distinct from western countries. Thus, physician attire may have a different impact in Japan. METHODS: We conducted a multicenter, cross-sectional study to examine patients’ preferences for and perceptions of physician attire in Japan. The questionnaire was developed using photographs of either a male or female physician dressed in seven different forms of attire, and it was randomly distributed to inpatients and outpatients. Respondents were asked to rate the provider pictured; they were also asked to provide preferences for different forms of attire in varied clinical settings. Preference was evaluated for five domains (knowledgeable, trustworthy, caring, approachable, and comfortable). We also assessed variation in preferences for attire by respondent characteristics. RESULTS: A total of 1,233 (61%) patients indicated that physician dress was important, and 950 (47%) patients agreed that it influenced their satisfaction with care. Compared with all forms, casual attire with a white coat was the most preferred dress. Older patients more often preferred formal attire with a white coat in primary care and hospital settings. In addition, physician attire had a greater impact on older respondents’ satisfaction and experience. CONCLUSION: The majority of Japanese patients indicated that physician attire is important and influenced their satisfaction with care. Geography, settings of care, and patient age appear to play a role in patient preferences.

scholarly journals COVID-19 Vaccination Uptake and Hesitancy Among Current Tobacco Users

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110680
Author(s):  
Nicolle M Krebs ◽  
Gail D’Souza ◽  
Candace Bordner ◽  
Sophia I Allen ◽  
Andrea L Hobkirk ◽  
...  
Keyword(s):  
Adult Population ◽  
The United States ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
P Value ◽  
Current Cigarette Smoking ◽  
Chi Square ◽  
Convenience Sample ◽  
Increased Risk ◽  
Current Tobacco

Novel mRNA vaccines have been developed and were first distributed to high-risk individuals (including smokers) in the United States starting in December 2020 to combat the coronavirus (COVID-19) pandemic. Over one-half of the U.S. adult population has received at least 1 dose of a COVID-19 vaccine, but many others have reported hesitation about becoming vaccinated. We examined COVID-19 vaccine uptake and hesitancy from a convenience sample of Pennsylvanian adult smokers in April 2021, approximately 3 months after tobacco users were eligible to receive vaccination in the state. Participants (n = 231) were 23.4% male, 90.5% white, and had a mean age of 48.1 (SD = 11.9) years. All participants were current tobacco users, with the majority reporting current cigarette smoking (90.9%) with an average of 16 (SD = 8.1) cigarettes smoked per day. Nearly 60% (n = 137) reported receiving at least 1 dose of the vaccine and of those who did not (n = 94), 84% (n = 79) said they were somewhat or very unlikely to get a vaccine. Those who were unvaccinated were more likely to not consume news about COVID-19 (chi-square P-value < .01) and less likely to believe government news sources as reliable information for COVID-19 (chi-square P-value < .01). Qualitative responses among those who were vaccine hesitant expressed concerns about the lack of research on the vaccine, distrust of the safety of the vaccine, and fears about side effects. Understanding vaccine hesitancy among tobacco users can help develop targeted communication strategies and directly address concerns to promote vaccination among this population who may be at an increased risk of severe complications from COVID-19.

scholarly journals PDA Use by Clinicians has a Positive Impact on Clinical Decision Making

2006 ◽  
Vol 1 (2) ◽  
pp. 40
Author(s):  
Suzanne Pamela Lewis
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Care ◽  
Clinical Decision ◽  
The United States ◽  
Teaching Hospitals ◽  
Chi Square ◽  
Convenience Sample ◽  
Attending Physicians ◽  
The Impact

A review of: Dee, Cheryl R., Marilyn Teolis, and Andrew D. Todd. “Physicians’ use of the personal digital assistant (PDA) in clinical decision making.” Journal of the Medical Library Association 93.4 (October 2005): 480-6. Objective – To examine how frequently attending physicians and physicians in training (medical students, interns and residents) used PDAs for patient care and to explore physicians’ perceptions of the impact of PDA use on several aspects of clinical care. Design – User study via a questionnaire. Setting – Teaching hospitals in Tennessee, Florida, Alabama, Kentucky, and Pennsylvania in the United States. Subjects – A convenience sample of fifty-nine attending physicians and forty-nine physicians in training (108 total), spread unevenly across the five states. Methods – Subjects were recruited by librarians at teaching hospitals to answer a questionnaire which was distributed and collected at medical meetings, as well as by email, mail, and fax. The subjects were required to have and use a PDA, but prior training on PDA use was not a requirement, nor was it offered to the subjects before the study. Most of the questions required the respondent to choose from five Likert scale answers regarding frequency of PDA use: almost always, often, a few times, rarely, or never. In the reporting of results, the options ‘almost always’ and ‘often’ were combined and reported as ‘frequent’, and the options ‘a few times’ and ‘rarely’, were combined and reported as ‘occasional’. Subjects could also record comments for each question, but only for affirmative responses. Subjects were asked about their frequency of PDA use before, during, or after a patient encounter. They were also asked if PDA use had influenced one or more of five aspects of clinical care – decision making, diagnosis, treatment, test ordering, and in-patient hospital length of stay. Data analysis included chi square tests to assess differences between attending physicians and physicians in training regarding frequency of PDA use and the influence of PDA use on the five aspects of clinical care. The subject population was also divided into frequent and occasional users of PDAs, and chi square testing was used to assess differences between these two groups regarding the influence of PDA use on clinical care. A significance value of P

Home ownership in Saudi Arabia: Spatial Dimensions

2018 ◽  
Author(s):  
Asharaf Abdul Salam
Keyword(s):  
Saudi Arabia ◽  
Standard Deviation ◽  
Detailed Analysis ◽  
Statistical Methods ◽  
Home Ownership ◽  
Ownership Type ◽  
Chi Square ◽  
Spatial Dimensions ◽  
One Way Anova

<p>This paper undertakes a detailed analysis of 2010 Census Population and Household Tables (Final), to assess governorate wise variations in home ownership, type of living accommodations and housing infrastructure - material used for construction, electricity, water and sewage facilities.</p> <p>The data published by the Ministry of Economics and Planning in its “Population and Housing, 2010 Census” analyzed in detail using SPSS20, applying statistical methods such as, cross tabulations and chi-square; mean and standard deviation; and One-Way ANOVA. Governorates classified into small, medium and large, according to the number of Saudi persons, have been analyzed across 13 regions quantifying homeownership status. Further governorates are classified according to the percentage of owning homes in order to analyze the type of living accommodations, built up material of housing, source of electricity, water and sewage facilities. </p> <br>

Home ownership in Saudi Arabia: Spatial Dimensions

2018 ◽  
Author(s):  
Asharaf Abdul Salam
Keyword(s):  
Saudi Arabia ◽  
Standard Deviation ◽  
Detailed Analysis ◽  
Statistical Methods ◽  
Home Ownership ◽  
Ownership Type ◽  
Chi Square ◽  
Spatial Dimensions ◽  
One Way Anova

<p>This paper undertakes a detailed analysis of 2010 Census Population and Household Tables (Final), to assess governorate wise variations in home ownership, type of living accommodations and housing infrastructure - material used for construction, electricity, water and sewage facilities.</p> <p>The data published by the Ministry of Economics and Planning in its “Population and Housing, 2010 Census” analyzed in detail using SPSS20, applying statistical methods such as, cross tabulations and chi-square; mean and standard deviation; and One-Way ANOVA. Governorates classified into small, medium and large, according to the number of Saudi persons, have been analyzed across 13 regions quantifying homeownership status. Further governorates are classified according to the percentage of owning homes in order to analyze the type of living accommodations, built up material of housing, source of electricity, water and sewage facilities. </p> <br>

scholarly journals 144. Little evidence of same-day, oral antibiotic prescribing at ambulatory surgery centers

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S82-S83
Author(s):  
Laura M King ◽  
Lauri Hicks ◽  
Sarah Kabbani; Sharon Tsay ◽  
Katherine E Fleming-Dutra
Keyword(s):  
Surgical Procedures ◽  
Ambulatory Surgery ◽  
Antibiotic Use ◽  
Antibiotic Prescribing ◽  
Oral Antibiotic ◽  
Chi Square ◽  
Convenience Sample ◽  
Ambulatory Surgery Centers ◽  
National Public Health ◽  
Course Length

Abstract Background The objective of our study was to describe oral antibiotic prescriptions associated with procedures in ambulatory surgery centers (ASC) to evaluate if there are major national opportunities to improve antibiotic use in this setting. Methods We identified surgical procedures in ASCs and oral antibiotic prescriptions in the IBM® MarketScan® Commercial 2018 database, a large convenience sample of privately-insured individuals aged &lt; 65 years. We excluded visits with same-day hospitalizations and those with infectious diagnoses that may warrant antibiotic treatment. We included only antibiotic prescriptions dispensed on the same day as an ASC visit. We calculated the number of visits and oral antibiotic prescriptions and the percent of visits with oral antibiotic prescriptions overall, and by patient age group (&lt; 18 and 18–64 years), antibiotic class, and procedure type. We also calculated median antibiotic course length. Across-group comparisons were evaluated using chi-square tests. Results In 2018, 918,127 ASC visits with surgical procedure codes were captured, of which 37,032 (4.0%) were associated with same-day oral antibiotic prescriptions. The percent of visits with antibiotic prescriptions was significantly higher among children compared to adults (9.4% vs 3.8%; p&lt; 0.01); however, adults accounted for 89% of prescriptions. Respiratory/nasal and urinary tract system procedures were most frequently associated with antibiotic prescriptions (Figure). Median course length was 5 (interquartile range 3–7) days. The most common antibiotic class was cephalosporins (49.6% of prescriptions), followed by penicillins (12.6%) and fluoroquinolones (10.9%). Figure. Percent of ambulatory surgery center visits with same-day antibiotic prescriptions by procedure category, IBM® MarketScan® Commercial Database, 2018 Conclusion Only 4% of ASC procedures were associated with same-day oral antibiotic prescriptions, suggesting antibiotics are not commonly prescribed in ASCs on the day of surgical procedures. Additionally, the observed 5-day median duration may suggest that some of these courses are intended for treatment rather than prophylaxis. Our estimates represent lower bounds for oral antibiotic prescriptions in this setting, as we only captured same-day prescriptions. However, our findings suggest that ASC facilities may not be high-impact targets for national, public health antibiotic stewardship efforts. Disclosures All Authors: No reported disclosures

scholarly journals Orthostatic Hypotension and Falls in Hospitalized Older Adults

2021 ◽  
pp. 105477382098668
Author(s):  
Kathleen Schell ◽  
Denise Lyons ◽  
Barry Bodt
Keyword(s):  
Older Adults ◽  
Orthostatic Hypotension ◽  
Electronic Medical Records ◽  
Fall Prevention ◽  
Medical Records ◽  
The Elderly ◽  
Chi Square ◽  
Convenience Sample ◽  
Chi Square Test ◽  
Hospitalized Older Adults

The aim of this retrospective study was to determine the prevalence of orthostatic hypotension (OH) among a convenience sample of older adults on two Acute Care of the Elderly (ACE) units of the ChristianaCare™ in Delaware. Another aim was to determine if subjects with documented OH experienced falls. Retrospective de-identified data was obtained from electronic medical records for the years 2015 to 2018. Among all patients who had valid first orthostatic vital sign (OVS) readings ( n = 7,745), 39.2% had orthostatic hypotension on the first reading. Among the patients, 42.8% were found to be hypotensive during OVS. Thirty-one (0.9%) of those with OH fell at some point during their stay. The odds ratio for falls in the presence of OH was 1.34 with a 95% confidence interval (0.82, 2.21), but a chi-square test failed to find significance ( p = .2494). The results could not determine if OVS should be mandatory in fall prevention protocols.

scholarly journals Training Preferences of School Food Service Staff Vary by Role in the School Nutrition Program

2020 ◽  
Vol 18 (1) ◽  
pp. 50
Author(s):  
Leia Flure ◽  
Melissa Pflugh Prescott ◽  
Whitney Ajie ◽  
Trinity Allison ◽  
Jennifer McCaffrey
Keyword(s):  
Professional Development ◽  
The United States ◽  
School Nutrition ◽  
Training Needs ◽  
Learning Method ◽  
Learning Methods ◽  
Chi Square ◽  
Job Experience ◽  
Training Topic ◽  
And Training

Professional development has been identified as a critical component for school nutrition professionals (SNPs) to successfully implement school meal standards in the United States. However, training needs may vary based on different factors. This study examined (1) the topics of highest priority for SNPs; (2) preferred learning methods; (3) where and when trainings should be conducted; and (4) whether responses differ according to important factors including position type, school locale (urban vs. rural), or job experience. Participants completed surveys that included questions on demographics and preferences for learning methods and training topics (n = 492). Descriptive statistics characterized survey responses. Chi square tests assessed differences in learning method and training topic preferences by participant role, locale, and job experience; Cramer’s V assessed the strength of association for each chi square result. Qualitative responses to open-ended questions were analyzed using an inductive thematic analysis method. Nearly all training topic preferences were significantly different (p < 0.001 using Bonferroni method) when stratified by role. Significant differences were also observed for school locale and years of experience, but to a lesser degree. There was less variation in learning method preferences across staff role. Qualitative results (n = 93) identified three key themes related to training needs: role-specific trainings, innovative learning methods, and geographic access. The combination of quantitative and qualitative analysis indicate that professional development for SNPs should mostly be conducted in-person, be easily accessible, and include hands-on activities. Further, training should be tailored by job role and address situational barriers unique to the geographic area.

Sign in / Sign up

Export Citation Format

Share Document