scholarly journals Factors Associated With Accuracy of Self-Assessment Compared With Tested Non–English Language Proficiency Among Primary Care Providers

Medical Care ◽  
2019 ◽  
Vol 57 (5) ◽  
pp. 385-390 ◽  
Author(s):  
Lisa Diamond ◽  
Marcela Toro Bejarano ◽  
Sukyung Chung ◽  
Warren Ferguson ◽  
Javier Gonzalez ◽  
...  
Medical Care ◽  
2014 ◽  
Vol 52 (5) ◽  
pp. 435-438 ◽  
Author(s):  
Lisa Diamond ◽  
Sukyung Chung ◽  
Warren Ferguson ◽  
Javier Gonzalez ◽  
Elizabeth A. Jacobs ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Aimy H. L. Tran ◽  
Danny Liew ◽  
Rosemary S. C. Horne ◽  
Joanne Rimmer ◽  
Gillian M. Nixon

AbstractGeographic variation of paediatric tonsillectomy, with or without adenoidectomy, (A/T) has been described since the 1930s until today but no studies have investigated the factors associated with this variation. This study described the geographical distribution of paediatric A/T across the state of Victoria, Australia, and investigated area-level factors associated with this variation. We used linked administrative datasets capturing all paediatric A/T performed between 2010 and 2015 in Victoria. Surgery data were collapsed by patient residence to the level of Local Government Area. Regression models were used to investigate the association between likelihood of surgery and area-level factors. We found a 10.2-fold difference in A/T rates across the state, with areas of higher rates more in regional than metropolitan areas. Area-level factors associated with geographic variation of A/T were percentage of children aged 5–9 years (IRR 1.07, 95%CI 1.01–1.14, P = 0.03) and low English language proficiency (IRR 0.95, 95% CI 0.90–0.99, P = 0.03). In a sub-population analysis of surgeries in the public sector, these factors were low maternal educational attainment (IRR 1.09, 95% CI 1.02–1.16, P < 0.001) and surgical waiting time (IRR 0.99635 95% CI 0.99273–0.99997, P = 0.048). Identifying areas of focus for improvement and factors associated with geographic variation will assist in improving equitable provision of paediatric A/T and decrease variability within regions.


2019 ◽  
Vol 64 (2) ◽  
pp. S60
Author(s):  
Fatima Al-Shimari ◽  
Elizabeth Parker ◽  
Carolyn McCarty ◽  
Mary OConnor ◽  
Laura Richardson

2013 ◽  
Vol 15 (01) ◽  
pp. 46-57 ◽  
Author(s):  
Leiyu Shi ◽  
Kuimeng Song ◽  
Sarika Rane ◽  
Xiaojie Sun ◽  
Hui Li ◽  
...  

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
K. Decker ◽  
◽  
R. Moineddin ◽  
C. Kendell ◽  
R. Urquhart ◽  
...  

Abstract Background Primary care providers (PCPs) have always played an important role in cancer diagnosis. There is increasing awareness of the importance of their role during treatment and survivorship. We examined changes in PCP utilization from pre-diagnosis to survival for women diagnosed with breast cancer, factors associated with being a high user of primary care, and variation across four Canadian provinces. Methods The cohorts included women 18+ years of age diagnosed with stage I-III invasive breast cancer in years 2007–2012 in British Columbia (BC), Manitoba (MB), Ontario (ON), and Nova Scotia (NS) who had surgery plus adjuvant chemotherapy and were alive 30+ months after diagnosis (N = 19,589). We compared the rate of PCP visits in each province across phases of care (pre-diagnosis, diagnosis, treatment, and survival years 1 to 4). Results PCP use was greatest during treatment and decreased with each successive survival year in all provinces. The unadjusted difference in PCP use between treatment and pre-diagnosis was most pronounced in BC where PCP use was six times higher during treatment than pre-diagnosis. Factors associated with being a high user of primary care during treatment included comorbidity and being a high user of care pre-diagnosis in all provinces. These factors were also associated with being a higher user of care during diagnosis and survival. Conclusions Contrary to the traditional view that PCPs focus primarily on cancer prevention and early detection, we found that PCPs are involved in the care of women diagnosed with breast cancer across all phases of care.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Di Liu ◽  
Xu Yang ◽  
Qinglin Li ◽  
Lei Shi ◽  
Qiaoran Tang

Abstract Background Primary care providers are pillars of China’s medical and health sectors. However, due to the gap between career expectations and reality, they enter a career plateau phase through excessive pressure. This study aims to examine the prevalence and associated factors of the career plateau of primary care providers in Heilongjiang Province, China, and proposes strategies to improve and promote their career advancement. Methods Based on city-level GDP growth in the province, a questionnaire survey was conducted among 1500 primary care providers (effective response rate = 85.8%). Pearson’s chi-square analysis and binary logistic regression were used to analyse the factors associated with their career plateau. Results The prevalence rate of career plateau was 61.8% among primary care provider respondents. The factors associated with a career plateau included having a spouse (OR = 1.394, 95%CI = 1.056–1.839), working more than 40 h per week (OR = 1.473, 95%CI = 1.146–1.893); working for 11–20 years (OR = 1.607, 95%CI = 1.150–2.246); working for more than 20 years (OR = 2.818, 95%CI = 1.938–4.097); having an average monthly income of 3001–4000 yuan (OR = 1.886, 95%CI = 1.197–2.969) or 4001–5000 yuan (OR = 2.104, 95%CI = 1.256–3.524); and reporting unsatisfactory or very unsatisfactory sleep quality (OR = 1.838, 95%CI = 1.317–2.567). Conclusions Primary care providers in Heilongjiang Province face a high career plateau, with marital status, weekly working hours, number of years employed, monthly average income, and sleep quality considered associated factors. To eliminate negative factors of the career plateau, it is necessary to provide support to primary care providers in four domains: individual, organisation, society, and policy.


2016 ◽  
Vol 10 ◽  
Author(s):  
Nigar G. Khawaja ◽  
Sabrina Yang ◽  
Wendell Cockshaw

Taiwanese migrants who have settled in Brisbane, Australia (N= 271) completed a questionnaire battery available in both Mandarin and English. A series of multiple and hierarchical regression analyses were used to investigate the factors associated with these migrants’ acculturation and indicators of psychological wellbeing. Results indicated that various personal factors (age, English language proficiency, and duration of stay) were associated with acculturation and indicators of psychological wellbeing. Acculturation was not associated with wellbeing. Social support was associated with the indicators of the participants’ wellbeing. The outcome indicated that although associated with similar personal and environmental factors, acculturation and psychological wellbeing occurred separately. The study highlights the significance of certain personal resources and social support.


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