Factors affecting clinicians’ adherence to principles of diagnosis documentation: A concept mapping approach for improved decision-making

2021 ◽  
pp. 183335832199136
Author(s):  
Nafiseh Hosseini ◽  
Sayyed Mostafa Mostafavi ◽  
Kazem Zendehdel ◽  
Saeid Eslami
Keyword(s):  
Concept Mapping ◽  
Clinical Training ◽  
Positive Impact ◽  
International Classification Of Diseases ◽  
Feedback Mechanism ◽  
Influential Factors ◽  
Quality Of Data ◽  
Clinical Coding ◽  
Factors Affecting

Background: The quality of data in electronic health records (EHRs) depends on adherence of clinicians to principles of diagnosis documentation. Objective: A concept mapping (CM) approach was used to extract factors related to quality of clinicians’ documentation that govern EHR data quality. Method: Influential factors extracted from brainstorming sessions were sorted by individual participants, followed by a quantitative analysis using multidimensional scaling and cluster analysis to categorise sorted factors. Finally, a questionnaire was used to elicit the importance-feasibility of the extracted factors. Results were visualised by cluster maps and Go-Zone plots. Result: Factors were classified into seven clusters: “knowledge about International Classification of Diseases and clinical coding,” “need for facilitators and guidelines,” “explaining the importance of the issue and defining responsibilities,” “cooperation of other personnel,” “codify legal requirements,” “workload” and “clinical obstacles,” as ranked by importance. Conclusion: To enhance the quality of EHR data, a collaboration between physicians, nurses, managers and EHR developers is required. CM is an acceptable approach to meet this objective. Our findings highlight the significance of clinical coding knowledge, awareness about its importance and applicability and use of well-structured information systems. In combination, these three factors can have a strong positive impact on the quality of EHR data. Implications: A list of solutions is provided for policymakers, and two interventions suggested, based on the findings of this study, including the adoption of EHRs that incorporate documentation guidelines. We further propose updated clinical training programs and a monitoring and feedback mechanism to facilitate the EHR documentation process.

scholarly journals Health-Related Quality of Life among Cancer Survivors Depending on the Occupational Status

2021 ◽  
Vol 18 (7) ◽  
pp. 3803
Author(s):  
Kisook Kim ◽  
Hyohyeon Yoon
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Cancer Survivors ◽  
Occupational Status ◽  
Influential Factors ◽  
Health Related Quality ◽  
Factors Affecting ◽  
Related Quality ◽  
Health Related

The study aimed to identify and compare the factors affecting health-related quality of life (HRQoL) depending on the occupational status of cancer survivors. This study was a secondary data analysis from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2014 to 2018. Hierarchical multivariate linear regression was used to investigate the factors affecting the HRQoL of each group. Non-working cancer survivors had significantly lower HRQoL than working cancer survivors (p < 0.001). A hierarchical multiple regression model showed that demographic, health-related, and psychological characteristics explained 62.0% of non-working cancer survivors’ HRQoL (F = 4.29, p < 0.001). Among the input variables, health-related characteristics were the most influential factors (ΔR2 = 0.274, F = 9.84, p < 0.001). For working cancer survivors, health-related characteristics were the only variable that was statistically associated with HRQoL (F = 5.556, p < 0.001). It is important to enhance physical activities and manage the chronic disease to improve the HRQoL of working cancer survivors. Further, managing health-related characteristics, including depressive symptoms and suicidal ideation, is necessary for non-working cancer survivors. Regarding working survivors, psychological factors such as depressive symptoms and suicidal tendencies did not affect HRQoL. Therefore, an early and effective return to work program should be developed for the improvement of their HRQoL.

The Effect of Snow on Skis and How They Run1

2019 ◽  
pp. 33-35
Author(s):  
K. B. E. E. Eimeleus
Keyword(s):  
Thin Layer ◽  
Influential Factors ◽  
Factors Affecting ◽  
Two Factors ◽  
Time Of Year ◽  
Bad Weather ◽  
Daily Distance

This chapter shows how the quality of snow and its behavior are the most influential factors affecting a ski run. Both can change depending on the time of year and the weather. As such, a skier's speed and stamina are closely bound to these two factors. Snow and weather exert more influence than one might think: for example, in nice weather a good skier can cover from 80 to 100 versts in a day but in bad weather one's daily distance could be less. The chapter thus categorizes snow briefly as powdery, loose, granulated, thick-packed crust, thin-layer crust, floury, springtime, and waterlogged. Each of these can have varying effects on skis.

scholarly journals ANALYSIS OF FACTORS AFFECTING THE DEVELOPMENT OF COMMUNITY TOURISM SERVICES IN HA GIANG PROVINCE

2021 ◽  
pp. 1-6
Author(s):  
Nguyen Thu Thuy ◽  
Nguyen Quang Hop
Keyword(s):  
Positive Impact ◽  
Tourism Industry ◽  
Infrastructure Development ◽  
Factors Affecting ◽  
Organization And Management ◽  
Community Tourism ◽  
Human Resource Training ◽  
Tourism Resources ◽  
Tourism Services

With 450 questionnaires, the authors used SPSS software to analyze and found that the researched factors all had a positive impact on the development of community tourism services in Ha Giang province. In particular, the degree of influence on the development of CBT services in Ha Giang province in the order of importance is as follows: The level of organization and management of the tourism industry (QL), The participation of the community in the development of community tourism (TG), Tourism Resources (TN), Infrastructure Development (HT), Human Resource Training Development (NL). This result is the basis for us to choose appropriate solutions to improve the quality of community tourism services in Ha Giang province in the future.

scholarly journals The Relationship Between Satisfaction with Social Ecological Factors and Quality of Life in Malekan City in 2018

2020 ◽  
Author(s):  
Seyed Saeed Mazloomi Mahmoodabad ◽  
Mahdi Rostampour ◽  
Mahdieh Nemayandeh ◽  
Mohammad Taghi Ghaneian
Keyword(s):  
Quality Of Life ◽  
Ecological Factors ◽  
Influential Factors ◽  
Urban Life ◽  
Life Questionnaire ◽  
Factors Affecting ◽  
Social Ecological ◽  
Item Quality ◽  
And Gender

Introduction: Today, quality of life and its influential factors are among the most important challenges of urban life. Knowing the factors affecting the quality of life and the effort to promote these indices is necessary. In this research, social ecological components have been attempted to address the quality of life of people in Malekan City, Iran. Methods: This descriptive-analytical study was conducted using two questionnaires: the 26-item Quality of Life Questionnaire and the Social Ecological Components Questionnaire developed by the researcher. The multistage sampling method was conducted. In the first stage, the clusters were counted and in the next stage, stratified sampling was performed. Questionnaires were completed in three months. After completing the questionnaires, data were entered into SPSS and statistical analysis was performed using ANOVA. Results: The results showed that age and gender had no relationship with access to social ecological components. However, they were significantly correlated with occupation and education variables (P =0.0001). Regression analysis revealed that quality of life had a significant relationship between satisfaction with social components and access to these components (P = 0.0001). In other words, more access to social ecological components improved the individuals' quality of life. Conclusion: According to the findings, it can be concluded that higher levels of access to social ecological components enhanced the people's quality of life. The ability to improve socioeconomic components improved the individuals' quality of life.

scholarly journals Patterns of Quality Of Life among Older Urban Dwellers with Mobility Disability in Malaysia

2016 ◽  
Vol 1 (2) ◽  
pp. 55
Author(s):  
Nik Nairan Abdullah ◽  
Mohd Shahril Ahmad Saman ◽  
Sabzali Musa Kahn ◽  
Waqar Al-Kubaisy
Keyword(s):  
Quality Of Life ◽  
Publishing House ◽  
Influential Factors ◽  
Urban Elderly ◽  
Future Planning ◽  
Mobility Disability ◽  
Factors Affecting ◽  
International Publishing ◽  
Structured Questionnaire

Mobility disability affects the quality of life for the older urban population. The objectives of this research paper were to determine the burden of mobility disability and explore influential factors affecting the quality of life of urban community aged 50 and above with mobility disability. Total of 481 participants who were randomly selected from two urban health centres have been interviewed using structured questionnaire in December 2014. The prevalence of mobility disability was 23.1%. All domains quality of life of older urbanites with mobility disability were significantly affected as compared with those without. These factors need to be emphasized in future planning for elderly.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Mobility disability; urban; elderly; quality of life

Colostomy irrigation (part 1): impact on quality of life

2021 ◽  
Vol 19 (3) ◽  
pp. 24-29
Author(s):  
Hayley Jones
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Key Factors ◽  
Factors Affecting ◽  
Colostomy Irrigation ◽  
Faecal Continence ◽  
Peristomal Skin ◽  
The Uk ◽  
The Impact

Colostomy irrigation (CI) involves instillation of water via the stoma into the colon, where it stimulates peristalsis, causing expulsion of stool and water from the stoma. CI allows colostomates to regain controlled evacuation and faecal continence. A review of the literature suggests that CI is safe and can have a positive impact on key factors affecting quality of life, including flatus, odour and peristomal skin health. CI is also convenient in avoiding the need for frequent disposal of used appliances. All of this has also been shown to improve psychological wellbeing. However, use of CI in the UK remains relatively low. This first article considers the impact of CI on colostomates' quality of life, and the second will explore the barriers to uptake.

Organisational Factors Affecting the Quality of Hospital Clinical Coding

2008 ◽  
Vol 37 (1) ◽  
pp. 25-37 ◽  
Author(s):  
Suong Santos ◽  
Gregory Murphy ◽  
Kathryn Baxter ◽  
Kerin M Robinson
Keyword(s):  
Clinical Coding ◽  
Factors Affecting ◽  
Organisational Factors

scholarly journals ANALISIS IMPLEMENTASI APLIKASI SISTEM INFORMASI MANAJEMEN DAERAH (SIMDA) DI PEMERINTAH KABUPATEN SARMI

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Dastrianti Syarifuddin
Keyword(s):  
Information Systems ◽  
Positive Impact ◽  
Data Gathering ◽  
Management Support ◽  
Quality Of Data ◽  
Research Results ◽  
Regional Authority ◽  
Local Board ◽  
Positive Effect

This study examines the influence of Summit Management Support and Quality of Data on the Information Systems of the Sarmi's District. The population of this research is an employee of the local government. Testing initiated on the sample of 71 respondents. We selected the data from the community using purposive sampling. Data gathering collected with the direct survey. To test our hypotheses, we employed multiple regression. The research results prove that partially proven a low - affection rate affects a positive effect against the implant information on the regional board of the region. The summon management support has a positive impact on the implant to the region information on the government's local authority. Research results also discovered that the quality of the effects is a positively influential impact against the regionals information of region management registered on the government's regional authority. Research results suggesting that a level of users, uh, peaceful management support and quality of essential influences and significant significance of implementation of the local board of region management registered in the regional, regional registry of the district geographical region of Sarmi (Y).Keywords: summit management support, data quality, Information systems.

scholarly journals Factors affecting customers' satisfaction on service quality – the case of Duong Vy service trading limited company

2020 ◽  
Vol 4 (3) ◽  
pp. First
Author(s):  
Nguyen Anh Tuan ◽  
Nguyen Thi Vien Ly
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Quantitative Methods ◽  
Positive Impact ◽  
Data Sets ◽  
Logistics Industry ◽  
Factors Affecting ◽  
Five Factors ◽  
Business Efficiency

This study analyzes the factors affecting customer satisfaction about the service quality of businesses operating in the field of logistics, using the case study conducted at Duong Vy company. From the SERVQUAL model of Parasuraman, this study develops a model to measure the satisfaction of logistics service quality which consists of five factors, including (1) reliability, (2) responsiveness, (3) assurance, (4) empathy, and (5) tangibles. The study used quantitative methods (linear regression) to analyze data sets collected from 256 customers of Duong Vy to test the research hypotheses. The results show that responsiveness, assurances, and empathy have a positive impact on customer satisfaction. This comes from the characteristics of logistics industries that require assurance and accurate responsiveness. Therefore, the study offers some solutions for Duong Vy as well as the logistics industry to improve the quality of logistics services, such as (1) invest to improve the assessment of tangible value and customer trust; and (2) promote assurance, responsiveness, and empathy to increase customer satisfaction and enhance business efficiency.

scholarly journals The Effect of Audit Knowledge, Audit Document Complexity and Auditor Experience towards Audit Judgement of Internal Auditor in West Aceh Inspectorate Office, Indonesia

2019 ◽  
Vol 1 (2) ◽  
pp. 111-117
Author(s):  
Wardah Muharriyanti Siregar ◽  
Jumadil Saputra ◽  
Mursyidin ◽  
Zikri Muhammad
Keyword(s):  
Social Sciences ◽  
Financial Reporting ◽  
Accounting Standards ◽  
Influential Factors ◽  
Primary Data ◽  
Cross Sectional ◽  
Internal Auditor ◽  
Factors Affecting ◽  
Knowledge Audit

The audit is a process of overseeing financial reporting and disclosure by evaluating a relatively large amount of alternative information and determining whether it meets accounting standards. Auditors are responsible for issuing audit judgements. The quality of the audit judgement indicates how well the auditors performed their duties. This study examines the effect of audit knowledge, audit document complexity and auditor’s experience on the audit judgements of the internal auditor in the Inspectorate office West Aceh, Indonesia. A quantitative analysis through cross-sectional data was performed to achieve the objective of this study. The primary data were collected through questionnaires administered to 40 auditors comprising 28 auditors with structural positions and 12 auditors with functional positions and analysed using descriptive and inferential statistics involving multiple regression analysis using the Statistical Package for Social Sciences-22. The result of this study showed that the audit knowledge, audit document complexity and auditor experience have a significant effect on the audit judgement of the internal auditor in the Inspectorate office West Aceh, Indonesia. Further, this study found that audit knowledge is the most influential factors affecting the audit judgement of the internal auditor.

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