scholarly journals Prevalence and associated factors of the career plateau of primary care providers in Heilongjiang, China: a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Di Liu ◽  
Xu Yang ◽  
Qinglin Li ◽  
Lei Shi ◽  
Qiaoran Tang
Keyword(s):  
Primary Care ◽  
Sleep Quality ◽  
Associated Factors ◽  
Primary Care Providers ◽  
Heilongjiang Province ◽  
Care Providers ◽  
Effective Response ◽  
Factors Associated ◽  
Career Plateau ◽  
Chi Square Analysis

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.

scholarly journals 115. Factors Associated With Teens Having Time Alone With Their Primary Care Providers

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

Factors associated with job satisfaction by Chinese primary care providers

2013 ◽  
Vol 15 (01) ◽  
pp. 46-57 ◽  
Author(s):  
Leiyu Shi ◽  
Kuimeng Song ◽  
Sarika Rane ◽  
Xiaojie Sun ◽  
Hui Li ◽  
...  
Keyword(s):  
Primary Care ◽  
Job Satisfaction ◽  
Primary Care Providers ◽  
Care Providers ◽  
Factors Associated

scholarly journals Changes in primary care provider utilization by phase of care for women diagnosed with breast cancer: a CanIMPACT longitudinal cohort study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
K. Decker ◽  
◽  
R. Moineddin ◽  
C. Kendell ◽  
R. Urquhart ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cohort Study ◽  
Cancer Diagnosis ◽  
Primary Care Providers ◽  
Care Providers ◽  
High User ◽  
Factors Associated ◽  
Prevention And Early Detection ◽  
Canadian Provinces

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.

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 ◽  
...  
Keyword(s):  
Primary Care ◽  
Language Proficiency ◽  
English Language ◽  
Primary Care Providers ◽  
English Language Proficiency ◽  
Care Providers ◽  
Self Assessment ◽  
Factors Associated

scholarly journals Patient Satisfaction with Doctor-Patient Interaction using SKIP-11 and Its Associated Factors among Type 2 Diabetics in Primary Care.

2021 ◽  
Vol 20 (4) ◽  
Author(s):  
Siti Suhaila Mohd Yusoff ◽  
George Wong Pah Kiam ◽  
Lili Husniati Yaacob ◽  
Nani Draman
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Associated Factors ◽  
Primary Care Providers ◽  
University Hospital ◽  
Care Providers ◽  
Related Factors ◽  
Patient Interactions ◽  
Patient Interaction

ABSTRACT Introduction: The quality of diabetes care is widely suboptimal, and most of the interventions depend on the active involvement and participation of patients. Understanding and determining patient related factors can help primary care providers pay more attention and give greater care to those patients. This will improve patient satisfaction, which further enhances compliance with or adherence to diabetic treatment. Therefore, this study aims to determine patient satisfaction with doctor-patient interaction and its associated factors among patients with type 2 diabetes mellitus. Materials and Methods: This cross-sectional study was performed among adults who had had diabetes for at least six months. Participants were selected by systemic random sampling in the outpatient clinic of the University Hospital. Patient satisfaction with doctor-patient interaction was measured using 11- items with a three-domain version of the “Skala Kepuasan Interaksi Perubatan-11” questionnaire. The total scores ranged from 11 to 55, and those who scored 44 and above (> 80%) were considered satisfied. Results: A total of 417 patients were recruited in the study. 60% were satisfied with their doctor-patient interactions. Among the subtypes in the satisfied group, the domain of rapport had the highest percentage of satisfaction at 77.7%. HbA1c was found to be significant associated with patient satisfaction with doctor-patient interaction (95% CI: 0.81, 0.97; p = 0.008) Conclusion: 60% of the participants clearly illustrated positive feedback and were more satisfied with their doctor-patient interactions. HbA1c was found to be significantly associated with patient satisfaction concerning doctor-patient interaction  

scholarly journals Coping With the Oncology Workforce Shortage: Transitioning Oncology Follow-Up Care to Primary Care Providers

2010 ◽  
Vol 6 (4) ◽  
pp. 203-205 ◽  
Author(s):  
David Debono
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Cancer Center ◽  
Care Providers ◽  
Effective Response ◽  
Medical Societies ◽  
Community Oncology ◽  
Follow Up Care ◽  
Oncology Providers

An effective response to the impending shortage of oncology services will require different actions from governmental bodies, academic cancer center leaders, medical societies, and community oncology providers.

scholarly journals Poor concordance between reason for consultation and parental expectations in behavioral referrals

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e56-e57
Author(s):  
Sarah Gander ◽  
Sarah Campbell ◽  
Andrew Borodovski
Keyword(s):  
Primary Care ◽  
Risk Factor ◽  
Low Socioeconomic Status ◽  
Parental Expectations ◽  
Primary Care Providers ◽  
Primary Objective ◽  
Patient Communication ◽  
Care Providers ◽  
Prescribing Practices ◽  
Chi Square Analysis

Abstract BACKGROUND Behavioural conditions such as Attention-deficit/hyperactivity disorder (ADHD) are present in up to 5% of children across the world. This is a common reason for referral from primary care to paediatricians. When a primary care provider refers a patient to a specialist, they often create a set of expectations in the patient. These expectations may have a strong effect on the patient relationship with the specialist. It has been shown that parental expectations can influence prescribing practices in paediatrics. Low socioeconomic status, a risk factor for behavioural conditions is also a risk factor for poor physician-patient communication. If patient expectations set up in primary care are not reflected in the referral question sent to the paediatrician, this may hinder paediatrician-patient communication and impact care. OBJECTIVES The primary objective of this project was to determine the level of concordance between physician referrals and parent expectations in the consultant paediatrician’s office. A secondary objective was to examine demographic and socio-economic trends within this population. DESIGN/METHODS A clinic nurse conducted almost 500 pre-appointment intake interviews of guardians in children with a referral related to a behavioural concern and asked them their expectations for the consultation. The referral question and parental expectations were categorized by question of behavioural diagnosis, learning difficulties, medical complaint or unknown. Chi sqaured analysis was performed to measure concordance. RESULTS Among this population, 70.4% were male, with 54% coming from single parent families. Chi-square analysis indicated a small-moderate level of concordance on issues relating to attention, behaviour and academics, (59.9%, p<0.001; 57.3%, p<0.001; 62.6%, p=0.001), and high concordance but low correlation for social and medical issues (80.1%, p=0.002, 91.6%, p=0.06). CONCLUSION This study demonstrates how we could improve our patient-centered approach by being clear in what is being offered by paediatric consultation. When primary care providers consult paediatrics for behavior referrals there should be clear commnication of the concern at hand and management of the expectations for the visit with the family. This will improve efficiency and lessen dealys or barriers to access to care allowing approriate triage of referrals and patient satisfaction.

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