scholarly journals Impact of COVID-19 Pandemic on Interventional Radiology Practice—A Multicenter Observational Study

2020 ◽  
Vol 4 (03) ◽  
pp. 167-174
Author(s):  
Mathew Cherian ◽  
Pankaj Mehta ◽  
Sitaram Barath ◽  
Manish Yadav ◽  
Muthurajan Pandi ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Health Care Services ◽  
Volume Reduction ◽  
Case Volume ◽  
Gradual Improvement ◽  
Multicenter Observational Study ◽  
Care Services ◽  
Time Period ◽  
Venous Interventions ◽  
The Impact

Abstract Background The COVID-19 pandemic has brought unprecedented challenges to health care services including interventional radiology (IR). Treating COVID-19 infected patients became a priority; furthermore, government policies of differing elective procedures and the public’s fear of contacting COVID-19 have impacted IR workload worldwide. The aim of this study was to evaluate the impact of the COVID-19 pandemic on the workflow in six vascular IR centers located across India. Methods The data were collected retrospectively from April 1 to June 30, 2020. All the six centers were staffed by the alumni of a single parent center located in India. Data was also collected from the same time period in 2019 for comparison. Results A total of 893 patients were treated from April 1 to June 30, 2019, and 419 were treated during the same period in 2020 during the pandemic, a 53% case volume reduction (95% CI:28. 56–129.44; p < 0.001). The month of April had the largest case volume reduction (66%, 95% CI: 13.57–50.43; p < 0.001). Elective procedures showed an 85% reduction (95% CI: 9.62–91.71; p < 0.001). Venous interventions showed the highest reduction of 76% (95% CI: 0.75–67.75; p < 0.001). Neurological emergencies, dialysis-related interventions, and nonvascular procedures did not show a significant change. No patient tested positive for COVID-19 prior to the procedure; however, one patient who was treated emergently was found to be positive later. Conclusion COVID-19 pandemic has severely impacted IR practice across India. Workload reduction was more profound at the beginning of the COVID-19 pandemic with a gradual improvement over time.

The Impact of War on Population Health

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Turkan Ahmet
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Services ◽  
Negative Effects ◽  
The Past ◽  
Care Services ◽  
Physical Environments ◽  
The Social ◽  
Personal Experiences ◽  
The Impact

The past few decades of ongoing war in Iraq has had a dramatic impact on the health of Iraq’s population. Wars are known to have negative effects on the social and physical environments of individuals, as well as limit their access to the available health care services. This paper explores the personal experiences of my family members, who were exposed to war, as well as includes information that has been reviewed form many academic sources. The data aided in providing recommendations and developing strategies, on both local and international levels, to improve the health status of the populations exposed to war.

A Study on the Impact of Demonetization on Utilisation of Private Health Care Services in a South Indian City

2020 ◽  
Vol 11 (2) ◽  
pp. 485
Author(s):  
Vijay K. Yalanchmanchili ◽  
N. Partha Sarathy ◽  
U. Vijaya Kumar ◽  
M. Ravi Kiran ◽  
Kalapala Abhilash
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Private Health Care ◽  
Care Services ◽  
South Indian ◽  
Indian City ◽  
The Impact

Health Communication for Hospice Care through Chinese media: Digital Topic Modeling Approach (Preprint)

2021 ◽  
Author(s):  
Qian Liu ◽  
Zequan Zheng ◽  
Jingsen Chen ◽  
Winghei Tsang ◽  
Jin Shan ◽  
...  
Keyword(s):  
Mass Media ◽  
Health Communication ◽  
Topic Modeling ◽  
Health Care Services ◽  
Hospice Care ◽  
Patient Treatment ◽  
News Reports ◽  
Care Services ◽  
Time Period ◽  
Second Period

BACKGROUND Hospice care, a type of end-of-life care provided for dying patients and their families, has been rooted in China since the 1980s. It can improve receivers’ quality of life as well as ease their economic burden. The Chinese mass media have continued to actively dispel misconceptions of hospice care and deliver the latest information to citizens. OBJECTIVE This study aimed to retrieve and analyze news reports on hospice care to gain insight into whether any differences exist in delivered heath information as time went by and the role the mass media played in health communication in recent years. METHODS We searched the Huike (WiseSearch) database for related news from Chinese mass media between 2014 and 2019. We set January 1, 2014 to December 31, 2016 as the first time period and January 1, 2017 to December 31, 2019 as the second time period. Python was used to complete the data cleaning process. We determined appropriate topic numbers for these two periods based on coherence score and applied the latent Dirichlet allocation topic modeling. Keywords of each topic and corresponding topics’ names were then generated. The topics were plotted into different circles and their distances on the two-dimensional plane was represented by multidimensional scaling. RESULTS After removing the duplicated and irrelevant news articles, we obtained a total of 2227 articles. We chose eight as the suitable topic number for both time periods and generated topics’ name and their keywords. The top three most reported topics in the first period were patient treatment, hospice care stories, and development of health care services and health insurance, accounting for 18.68% (n = 178), 16.58% (n = 158), and 14.17% (n = 135) of the collected reports, respectively. The top three most reported topics in the second period were hospice care stories, patient treatment, and development of health care services, accounting for 15.62% (n = 199), 15.38 (n = 15.38), and 14.27% (n = 182), respectively. CONCLUSIONS Topic modeling of news reports gives us a better understanding of patterns of health communication about hospice care by mass media. Chinese mass media frequently reported on hospice care in April due to a traditional Chinese festival. An increase in coverage in the second period was observed. These two periods share six similar topics, among which patient treatment outstrips hospice care stories as the most-reported topic in the second period, showing the humanistic spirit behind the reports. We suggest stakeholders cooperate with the mass media when planning to update policies.

Perceptions of the impact of health-care services provided to palliative care clients and their carers 274

2010 ◽  
Vol 16 (6) ◽  
pp. 274-284 ◽  
Author(s):  
Tanya Connell ◽  
Ritin S Fernandez ◽  
Rhonda Griffiths ◽  
Duong Tran ◽  
Meera Agar ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Services ◽  
Care Services ◽  
The Impact

Evaluation of Health Care Services Provided in Political Public Meetings in Turkey: A Forgotten Detail in Politics

2018 ◽  
Vol 33 (6) ◽  
pp. 607-613
Author(s):  
Mehmet Ali Ceyhan ◽  
Gültekin Günhan Demir ◽  
Gamze Babur Güler
Keyword(s):  
Health Care ◽  
Political Parties ◽  
Health Care Services ◽  
Heat Index ◽  
Election Campaign ◽  
Medical Conditions ◽  
Public Meetings ◽  
Care Services ◽  
Number Of Patients ◽  
The Impact

AbstractBackgroundPolitical parties in Turkey execute political public meetings (PPMs) during their election campaign for members of the parliament (MoP). A great number of people attend these meetings. No guidelines exist regarding preparation and organization of health care services provided during these meetings. Furthermore, there is no study evaluating health care problems encountered in previous PPMs.ObjectivePolitical parties arranged PPMs in 2015 during the election campaign for general election of MoP. The present study aimed to investigate the context of health care services, the distribution of assigned health staff, as well as the number and the symptoms of patients admitted in health care tents in these PPMs.MethodsTwo general elections for MoP were done in Turkey on June 7, 2015 and November 1, 2015. Health care services were provided by the City Emergency Medical Services Department (CEMSD) in the cities. Demographic characteristics, symptoms, comorbid conditions, treatment, discharge, and hospital transfer of the patients were obtained from patient medical registration records. Information about the distribution and the number of the assigned staff was received from local CEMSDs. The impact of variables such as the number of attendees, heat index, humidity, and the day of the week on the number of patients and the patient presentation rate (PPR) were analyzed.ResultsA total of 97 PPMs were analyzed. The number of total attendees was 5,265,450 people. The number of patients seeking medical help was 1,991. The PPR was 0.5 (0.23-0.91) patients per 1,000 attendees. Mean age of the patients was 40 (SD=19) years old while 1,174 (58.9%) of the patients were female. A total of 1,579 patients were treated in the tents and returned to the PPM following treatment. Two-hundred and three patients were transferred to a hospital by ambulance. Transfer-to-hospital ratio (TTHR) was 0.05 (0.0-0.13) patients per 1,000 attendees. None of the patients suffered sudden cardiac death (SCD) or cardiac arrest. Medical conditions were the main cause for admission. The most common symptoms were dizziness, low blood pressure, fatigue, and hypertension, respectively. The most commonly used medical agents included pain killers and myorelaxants. The number of attendees, heat index, and weekend days were positively correlated with the number of the patients.Conclusion: The majority of medical conditions encountered in PPMs are easily treatable in health care tents settled in the meeting area. The number of attendees, heat index, and weekend days are factors associated with the number of patients.CeyhanMA, DemirGG, GülerGB. Evaluation of health care services provided in political public meetings in Turkey: a forgotten detail in politics. Prehosp Disaster Med. 2018;33(6):607–613.

scholarly journals The Association of Residence Permits on Utilization of Health Care Services by Migrant Workers in China

2021 ◽  
Vol 18 (18) ◽  
pp. 9623
Author(s):  
Haochuan Xu ◽  
Han Yang ◽  
Hui Wang ◽  
Xuefeng Li
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Access ◽  
Migrant Workers ◽  
Health Care Services ◽  
Public Health Care ◽  
Chinese Government ◽  
Care Access ◽  
Care Services ◽  
The Impact

Due to the limitations in the verifiability of individual identity, migrant workers have encountered some obstacles in access to public health care services. Residence permits issued by the Chinese government are a solution to address the health care access inequality faced by migrant workers. In principle, migrant workers with residence permits have similar rights as urban locals. However, the validity of residence permits is still controversial. This study aimed to examine the impact of residence permits on public health care services. Data were taken from the China Migrants Dynamic Survey (CMDS). Our results showed that the utilization of health care services of migrant workers with residence permits was significantly better than others. However, although statistically significant, the substantive significance is modest. In addition, megacities had significant negative moderating effects between residence permits and health care services utilization. Our research results emphasized that reforms of the household registration system, taking the residence permit system as a breakthrough, cannot wholly address the health care access inequality in China. For developing countries with uneven regional development, the health care access inequality faced by migrant workers is a structural issue.

scholarly journals The Influence of Doctors’ Online Reputation on the Sharing of Outpatient Experiences: Empirical Study (Preprint)

2019 ◽  
Author(s):  
Yang Wang ◽  
Hong Wu ◽  
Xueqin Lei ◽  
Jingxuan Shen ◽  
Zhanchun Feng
Keyword(s):  
Disease Severity ◽  
Health Care Services ◽  
Post Treatment ◽  
Theory And Practice ◽  
Moderating Effects ◽  
Care Services ◽  
Medical Quality ◽  
Health Communities ◽  
Online Reputation ◽  
The Impact

BACKGROUND The internet enables consumers to evaluate products before purchase based on feedback submitted by like-minded individuals. Displaying reviews allows customers to assess comparable experiences and encourages trust, increased sales, and brand positivity. Customers use reviews to inform decision making, whereas organizations use reviews to predict future sales. Prior studies have focused on manufactured products, with little attention being paid to health care services. In particular, whether patients prefer to use websites to discuss doctors’ reputation has so far remained unanswered. OBJECTIVE This study aims to investigate how patient propensity to post treatment experiences changes based on doctors’ online reputation (medical quality and service attitude) in delivering outpatient care services. Further, this study examines the moderating effects of hospitals’ (organizational) online reputation and disease severity. METHODS Fractional logistic regression was conducted on data collected from 7183 active doctors in a Chinese online health community to obtain empirical results. RESULTS Our findings show that patients prefer to share treatment experiences for doctors who have a higher medical quality and service attitude (β<sub>service attitude</sub>=.233; <i>P</i>&lt;.001 and β<sub>medical quality</sub>=.052; <i>P</i>&lt;.001) and who work in hospitals with a higher online reputation (β=.001; <i>P</i>&lt;.001). Patients are more likely to share experiences of doctors who treat less severe diseases, as opposed to those treating severe diseases (β=−.004; <i>P</i>=.009). In addition, hospitals’ online reputation positively (negatively) moderates the relationship between medical quality (service attitude) and patient propensity to post treatment experiences, whereas the moderating effects of disease severity on doctors’ online reputation are negative. CONCLUSIONS Our research contributes to both theory and practice by extending the current understanding of the impact of individual reputation on consumer behavior. We investigate the moderating effects of organizational reputation and consumer characteristics in online health communities.

scholarly journals Community Residents’ Awareness of Family Doctor Contract Services, Signing With Family Doctor, Willingness to Use Community Health Care Centers: A Community-Based Analysis in Shenzhen, China

2020 ◽  
Author(s):  
Qingming Zheng ◽  
Lu Shi ◽  
Tiantian Pang ◽  
Willie Leung
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Health Care Services ◽  
Family Doctor ◽  
Disease Status ◽  
Care Services ◽  
Community Health Care Centers ◽  
Primary Health Care Services ◽  
Willingness To Use ◽  
The Impact

Abstract Background: Family doctor contracted services (FDCS) began in China in 2016. Shenzhen, one of the most developed cities in China, implemented a family doctor (FD) policy in 2017. The objectives of this study were to identify the impact of the awareness of the FD and signing with a FD on health care seeking behavior, as well as the impact of chronic disease status on the awareness of FDs and signing with a FD. Methods: Cross-sectional secondary data based on residents living in Luohu district was used for analysis. Linear probability models (LPM) were used to determine the relationship between willingness to use community health care centers (CHCs) and awareness of the FDCS, as well as the association between willingness to use CHCs and signing with a FD. LPM was also used to estimate the association between chronic disease status and awareness of the FDCS, as well as the association between chronic disease status and signing with a FD.Results: Among 1205 adults included in analysis, 27% of the participants knew the FDCS, 5% signed with FD, and 20% had chronic disease. Both awareness of the FDCS and signing with a FD significantly increased the probability of using CHCs. The results indicated that participants with chronic disease were more likely to be aware of the FDCS and sign with a FD.Conclusions: Consequently, this study provided evidence that awareness of FDCS and signing with a FD had positive impact on utilization of primary health care services in the at community level. Also, individuals with chronic disease tend to use FDCS. More interventions to improve awareness of FDCS can help to increase the utilization of primary health care services.

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