scholarly journals Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016

2019 ◽  
Vol 134 (5) ◽  
pp. 477-483
Author(s):  
Ann Winters ◽  
Maryam Iqbal ◽  
Isaac Benowitz ◽  
Jennifer Baumgartner ◽  
Neil M. Vora ◽  
...  
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Health Care Providers ◽  
York City ◽  
Ebola Virus ◽  
Virus Disease ◽  
Ebola Virus Disease ◽  
Health Staff ◽  
Care Providers

During 2014-2016, the largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa. The New York City Department of Health and Mental Hygiene (DOHMH) worked with health care providers to prepare for persons under investigation (PUIs) for EVD in New York City. From July 1, 2014, through December 29, 2015, we classified as a PUI a person with EVD-compatible signs or symptoms and an epidemiologic risk factor within 21 days before illness onset. Of 112 persons who met PUI criteria, 74 (66%) sought medical care and 49 (44%) were hospitalized. The remaining 38 (34%) were isolated at home with daily contact by DOHMH staff members. Thirty-two (29%) PUIs received a diagnosis of malaria. Of 10 PUIs tested, 1 received a diagnosis of EVD. Home isolation minimized unnecessary hospitalization. This case study highlights the importance of developing competency among clinical and public health staff managing persons suspected to be infected with a high-consequence pathogen.

Reporting of False Data During Ebola Virus Disease Active Monitoring—New York City, January 1, 2015-December 29, 2015

2017 ◽  
Vol 15 (5) ◽  
pp. 509-518 ◽  
Author(s):  
Anna Tate ◽  
Ifeoma Ezeoke ◽  
David E. Lucero ◽  
Chaorui C. Huang ◽  
Alhaji Saffa ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Ebola Virus ◽  
Virus Disease ◽  
Ebola Virus Disease ◽  
Active Monitoring

Active Monitoring of Travelers for Ebola Virus Disease—New York City, October 25, 2014-December 29, 2015

2018 ◽  
Vol 16 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Alhaji Saffa ◽  
Anna Tate ◽  
Ifeoma Ezeoke ◽  
Jasmine Jacobs-Wingo ◽  
Maryam Iqbal ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
York City ◽  
Ebola Virus ◽  
Virus Disease ◽  
Ebola Virus Disease ◽  
Active Monitoring

Preparing the Health System to Respond to Ebola Virus Disease in New York City, 2014

2016 ◽  
Vol 11 (3) ◽  
pp. 370-374 ◽  
Author(s):  
Jay K. Varma ◽  
David J. Prezant ◽  
Ross Wilson ◽  
Celia Quinn ◽  
Glenn Asaeda ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
New York ◽  
New York City ◽  
Emergency Response ◽  
York City ◽  
Ebola Virus ◽  
Virus Disease ◽  
Public Health Emergency ◽  
Public Health Emergency Response

AbstractThe world’s largest outbreak of Ebola virus disease began in West Africa in 2014. Although few cases were identified in the United States, the possibility of imported cases led US public health systems and health care facilities to focus on preparing the health care system to quickly and safely identify and respond to emerging infectious diseases. In New York City, early, coordinated planning among city and state agencies and the health care delivery system led to a successful response to a single case diagnosed in a returned health care worker. In this article we describe public health and health care system preparedness efforts in New York City to respond to Ebola and conclude that coordinated public health emergency response relies on joint planning and sustained resources for public health emergency response, epidemiology and laboratory capacity, and health care emergency management. (Disaster Med Public Health Preparedness. 2017;11:370–374).

Compliance with Patients' End-of-Life Wishes by Nursing Homes in New York City with Conscience Policies

2002 ◽  
Vol 44 (1) ◽  
pp. 57-76 ◽  
Author(s):  
Cynthia K. Hosay
Keyword(s):  
New York ◽  
New York City ◽  
Nursing Homes ◽  
End Of Life ◽  
Health Care Providers ◽  
York City ◽  
New York State ◽  
Care Providers ◽  
Nursing Home Patients ◽  
Right To Refuse Treatment

Nursing home patients have a constitutional right to refuse treatment. The Patient Self-Determination Act confirmed that right. State laws address the obligations of health care providers and facilities to honor that right. The New York State law is more specific than those of many other states. It allows exemptions for “reasons of conscience” and imposes a number of requirements on nursing homes claiming such an exemption, including the transfer of a patient to a home that will honor an end-of-life wish. This study, conducted by FRIA,1 investigated the refusal of some nursing homes in New York City to carry out patients' end-of-life wishes because of conscience-based objections. The study also investigated the willingness of homes which did not have such policies to accept patients transferring from a home with a policy so that the patient's end-of-life wishes would be honored. Implications for administrators, policy makers, and regulators are discussed.

scholarly journals Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: Retrospective Cohort Study

10.2196/20786 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e20786 ◽  
Author(s):  
Ashwin Ramaswamy ◽  
Miko Yu ◽  
Siri Drangsholt ◽  
Eric Ng ◽  
Patrick J Culligan ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cohort Study ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
York City ◽  
Academic Medical Center ◽  
Disruptive Innovation ◽  
Future Research ◽  
Care Providers

Background New York City was the international epicenter of the COVID-19 pandemic. Health care providers responded by rapidly transitioning from in-person to video consultations. Telemedicine (ie, video visits) is a potentially disruptive innovation; however, little is known about patient satisfaction with this emerging alternative to the traditional clinical encounter. Objective This study aimed to determine if patient satisfaction differs between video and in-person visits. Methods In this retrospective observational cohort study, we analyzed 38,609 Press Ganey patient satisfaction survey outcomes from clinic encounters (620 video visits vs 37,989 in-person visits) at a single-institution, urban, quaternary academic medical center in New York City for patients aged 18 years, from April 1, 2019, to March 31, 2020. Time was categorized as pre–COVID-19 and COVID-19 (before vs after March 4, 2020). Wilcoxon-Mann-Whitney tests and multivariable linear regression were used for hypothesis testing and statistical modeling, respectively. Results We experienced an 8729% increase in video visit utilization during the COVID-19 pandemic compared to the same period last year. Video visit Press Ganey scores were significantly higher than in-person visits (94.9% vs 92.5%; P<.001). In adjusted analyses, video visits (parameter estimate [PE] 2.18; 95% CI 1.20-3.16) and the COVID-19 period (PE 0.55; 95% CI 0.04-1.06) were associated with higher patient satisfaction. Younger age (PE –2.05; 95% CI –2.66 to –1.22), female gender (PE –0.73; 95% CI –0.96 to –0.50), and new visit type (PE –0.75; 95% CI –1.00 to –0.49) were associated with lower patient satisfaction. Conclusions Patient satisfaction with video visits is high and is not a barrier toward a paradigm shift away from traditional in-person clinic visits. Future research comparing other clinic visit quality indicators is needed to guide and implement the widespread adoption of telemedicine.

scholarly journals Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: Retrospective Cohort Study (Preprint)

2020 ◽  
Author(s):  
Ashwin Ramaswamy ◽  
Miko Yu ◽  
Siri Drangsholt ◽  
Eric Ng ◽  
Patrick J Culligan ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cohort Study ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
York City ◽  
Academic Medical Center ◽  
Disruptive Innovation ◽  
Future Research ◽  
Care Providers

BACKGROUND New York City was the international epicenter of the COVID-19 pandemic. Health care providers responded by rapidly transitioning from in-person to video consultations. Telemedicine (ie, video visits) is a potentially disruptive innovation; however, little is known about patient satisfaction with this emerging alternative to the traditional clinical encounter. OBJECTIVE This study aimed to determine if patient satisfaction differs between video and in-person visits. METHODS In this retrospective observational cohort study, we analyzed 38,609 Press Ganey patient satisfaction survey outcomes from clinic encounters (620 video visits vs 37,989 in-person visits) at a single-institution, urban, quaternary academic medical center in New York City for patients aged 18 years, from April 1, 2019, to March 31, 2020. Time was categorized as pre–COVID-19 and COVID-19 (before vs after March 4, 2020). Wilcoxon-Mann-Whitney tests and multivariable linear regression were used for hypothesis testing and statistical modeling, respectively. RESULTS We experienced an 8729% increase in video visit utilization during the COVID-19 pandemic compared to the same period last year. Video visit Press Ganey scores were significantly higher than in-person visits (94.9% vs 92.5%; <i>P</i>&lt;.001). In adjusted analyses, video visits (parameter estimate [PE] 2.18; 95% CI 1.20-3.16) and the COVID-19 period (PE 0.55; 95% CI 0.04-1.06) were associated with higher patient satisfaction. Younger age (PE –2.05; 95% CI –2.66 to –1.22), female gender (PE –0.73; 95% CI –0.96 to –0.50), and new visit type (PE –0.75; 95% CI –1.00 to –0.49) were associated with lower patient satisfaction. CONCLUSIONS Patient satisfaction with video visits is high and is not a barrier toward a paradigm shift away from traditional in-person clinic visits. Future research comparing other clinic visit quality indicators is needed to guide and implement the widespread adoption of telemedicine.

scholarly journals University Students’ Perception of Ebola Virus Disease

2020 ◽  
pp. 132-140
Author(s):  
Muhammad Shahid Iqbal ◽  
Salah-Ud-Din Khan ◽  
Muhammad Zahid Iqbal
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ebola Virus ◽  
Virus Disease ◽  
Healthcare Providers ◽  
Dental Students ◽  
Ebola Virus Disease ◽  
Care Providers ◽  
Future Health ◽  
Future Health Care

Objective: The present study was conducted to appraise future healthcare providers' perceptions in medical, dental, and pharmacy students on Ebola virus disease (EVD) in university in Malaysia. Methodology: A cross-sectional observational study was conducted between healthcare students from the medical pharmacy and dental faculties using a self-developed and pre-validated research tool. A stratified convenient sampling technique was used to calculate the sample size. SPSS version 24 was used for data analysis. Results: A total of 273 future healthcare providers from the medical pharmacy and dental faculty participated in the current study.  The medical and pharmacy student shows move appropriate perception as compared to the dental students. Gender does not have any significant impact on future health care providers on Ebola virus disease. Conclusion: The present study concluded varied reactions from the future health care providers regarding the perception of EVD in a university in Malaysia.

scholarly journals Educating Health Care Providers in Treatment of Patients With Ebola Virus Disease

2016 ◽  
Vol 36 (5) ◽  
pp. e8-e13 ◽  
Author(s):  
Ellen J. Eckes ◽  
Debbie Gutierrez ◽  
Ann Peterson ◽  
Melissa Hubbard ◽  
Kevin Barrett ◽  
...  
Keyword(s):  
Nursing Education ◽  
Infectious Diseases ◽  
Health Care Providers ◽  
Nursing Care ◽  
Ebola Virus ◽  
Virus Disease ◽  
Multidrug Resistant ◽  
Ebola Virus Disease ◽  
Expert Advice ◽  
Care Providers

Nurses manage patients with common infectious diseases by following institutional guidelines based on expert advice, evidence in the literature, and a wealth of experience. Today nurses are challenged to provide care to patients with multidrug-resistant organisms and virulent infectious diseases such as Ebola virus disease. Management of some patients with virulent infectious diseases occurs in the context of minimal experience with the pathogen, course of infection, diagnostics, nursing care, and treatment. Limited evidence exists in the US or international literature about direct nursing care of patients with virulent infectious diseases in the community, clinic, or hospital. Workplaces may have insufficient supplies, equipment, and knowledge of the management of patients with these diseases. At the National Institutes of Health Clinical Center in Bethesda, Maryland, nursing education strategies for enhanced experiential learning are used to prepare staff to care for patients with virulent infectious diseases, especially Ebola virus disease.

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