scholarly journals Feedback of patient survey on medication improves the management of polypharmacy: a pilot trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Pilot Trial ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Oral Medications ◽  
Medical Institutions ◽  
Chi Square Test ◽  
Survey Results

Abstract Background Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods After conducting a questionnaire survey of patients in Study 1, we provided its results to the healthcare professionals, and then surveyed the number of polypharmacy patients and oral medications using a before-after comparative study design in Study 2. In Study 1, we examined polypharmacy and its contributing factors by performing logistic regression analysis. In Study 2, we performed a t-test and a chi-square test. Results In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR) = 3.14; 95% confidence interval (CI) = 2.01–4.91), number of medical institutions (OR = 2.34; 95%CI = 1.50–3.64), and patients’ difficulty with asking their doctors to deprescribe their medications (OR = 2.21; 95%CI = 1.25–3.90). After the feedback, the number of polypharmacy patients decreased from 175 to 159 individuals and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p < 0.001, respectively). Conclusions Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients’ difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm

scholarly journals Feedback of patient survey on medication improves the management of polypharmacy: A pilot trial

2021 ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Pilot Trial ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Medical Institutions ◽  
Chi Square Test ◽  
Survey Results ◽  
The Mean

Abstract Background: Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods: We conducted a questionnaire survey of patients in Study 1, while feedback of survey results health professionals, and before-after scrutiny of medical receipt data comprised polypharmacy in Study 2. In Study 1, we examined polypharmacy and its contributing factors by performing logistic regression analysis. In Study 2, we performe a t-test and a chi-square test. Results: In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR)=3.14; 95% confidence interval (CI)=2.01-4.91), number of medical institutions (OR=2.34; 95%CI=1.50-3.64), and patients' difficulty with asking their doctors to deprescribe their medications (OR=2.21; 95%CI=1.25-3.90). After the feedback, the percentage of polypharmacy patients decreased from 21.5% to 20.1% and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p<0.001, respectively). Conclusions: Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients' difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications.

scholarly journals Patient Survey on Polypharmacy in the Clinic and Its Impact on Health Professionals' Management of Polypharmacy: a Before-after Study

2020 ◽  
Author(s):  
Yuta Hirose ◽  
Kiyoshi Shikino ◽  
Yoshiyuki Ohira ◽  
Sumihide Matsuoka ◽  
Chihiro Mikami ◽  
...  
Keyword(s):  
Health Professionals ◽  
Questionnaire Survey ◽  
Patient Survey ◽  
Contributing Factors ◽  
Chi Square ◽  
Medical Institutions ◽  
Before And After ◽  
Chi Square Test ◽  
Survey Results ◽  
The Mean

Abstract Background: Patient awareness surveys on polypharmacy have been reported previously, but no previous study has examined the effects of sending feedback to health professionals on reducing medication use. Our study aimed to conduct a patient survey to examine factors contributing to polypharmacy, feedback the results to health professionals, and analyze the resulting changes in the number of polypharmacy patients and prescribed medications. Methods: Study 1: In July 2016, we conducted a questionnaire survey among adult patients receiving medical care at Minamihama clinic. We examined polypharmacy and its contributing factors by performing logistic regression analysis. Study 2: We sent feedback of survey results to 12 health professionals. Performing a t-test and a chi-square test on medical fee receipts, we analyzed changes in the percentage of polypharmacy patients and the number of prescribed medications during one month before and after the feedback. Results: In the questionnaire survey, significant differences were found in the following 3 items: age (odds ratio (OR)=3.14; 95% confidence interval (CI)=2.01-4.91), number of medical institutions (OR=2.34; 95%CI=1.50-3.64), and patients' difficulty with asking their doctors to deprescribe their medications (OR=2.21; 95%CI=1.25-3.90). After the feedback, the percentage of polypharmacy patients decreased from 21.5% to 20.1% and the mean number of prescribed medications per patient decreased from 8.2 to 7.7 (p<0.001, respectively).Conclusions: Providing feedback to health professionals on polypharmacy survey results may lead to a decrease in the number of polypharmacy patients. Factors contributing to polypharmacy included age (75 years or older), the number of medical institutions (2 or more institutions), and patients' difficulty with asking their physicians to deprescribe their medications. Feedback to health professionals reduced the percentage of polypharmacy patients and the number of prescribed medications. Trial registration: UMIN. Registered 21 June 2020 - Retrospectively registered, https://www.umin.ac.jp/ctr/index-j.htm

scholarly journals Evaluation of Clinical Students' Perspectives and Satisfaction Levels on Practical Practices at the Faculty of Dentistry of Tokat Gaziosmanpaşa University in the Covid-19 Pandemic

2021 ◽  
pp. 20-22
Author(s):  
Işıl Sarıkaya
Keyword(s):  
Statistical Analysis ◽  
Online Survey ◽  
Practical Training ◽  
Dental Practice ◽  
Chi Square ◽  
Face To Face ◽  
Chi Square Test ◽  
Survey Results ◽  
5Th Grade ◽  
Academic Year

Aim: It was aimed to reveal the perspectives and satisfaction levels of 4th and 5th grade-clinical students who go on practice education at Tokat Gaziosmanpaşa University Faculty of Dentistry in the 2020-2021 Academic Year. Methods: Within the scope of the study, 146 students in total, who did their face-to-face internship between October 5 and December 11, 2020, were asked to participate in an online survey with 10 questions. Clinical students were asked about their perspective on Covid-19 infection, whether they felt safe in their dental practice, their families' level of anxiety about their internship, and whether they voluntarily chose dentistry. Results: According to the survey results; 15.1% of the students agree (TA), 27.4% agree (A), 37% partially agree (PA), 13% disagree (D) with the statement “I am pleased to have internships since the beginning of the term” 7.5% of them answered, “Strongly disagree” (SD). Pearson’s chi-square test was used in the statistical analysis of the answers given by 4th and 5th-grade students to the first 9 questions of the questionnaire consisting of the same questions. According to the survey results, it was also observed that most students chose the dentistry profession of their own will (TA 39%, A 36.3%, PA 13.7%). The number of students who think they feel safe in terms of infection control during their internship is 60% in total (TA 5.5%, A 17.1%, PA 37.7%). Conclusion: Despite the increasing number of cases until today, it is thought that the process has been successfully managed and that the students have gained experience in practical training, albeit limited.

scholarly journals A Study to Assess Contributing Factors of Teenage Pregnancy in Sunsari District of Nepal

2020 ◽  
Vol 07 (02) ◽  
pp. 5-11
Author(s):  
Laxmi Gautam ◽  
Keyword(s):  
Teenage Pregnancy ◽  
Health Facilities ◽  
Early Marriage ◽  
Contributing Factors ◽  
Chi Square ◽  
Teenage Girls ◽  
Inadequate Knowledge ◽  
Child Bearing ◽  
Planning Methods ◽  
Chi Square Test

Background: Early child bearing is a widely observed phenomenon in Nepal. However, little information is available in regard to its contributing factors. Teenage pregnancy is major contributing factor of maternal and child health and a challenging issue of public in developed and developing countries. This study explores the contributing factors of teenage pregnancy and knowledge about its consequences. Methodology: A descriptive study was conducted to find out contributing factors of teenage pregnancy among 102 pregnant teenagers at selected health facilities of Sunsari district. Pregnant teenagers visiting health facilities for antenatal check-up during study period were interviewed using pre-designed questionnaire. Data was managed using SPSS software. Descriptive statistics and chi square test were used. Result: The mean age of teenage pregnancy was 18±1.04 years and age at marriage 16.69±1.09 years. Majority were Muslim, 86.3% were homemaker, 31.4% had positive history of teenage pregnancy in family either-side, 38.2% had married at an age of 17 years, 31.4% were pregnant with their first child. Inadequate knowledge about teenage pregnancy, cultural acceptance, illiteracy, lack of knowledge on consequence of teenage pregnancy, difficulty to get information and access on family planning methods were major contributing factors and school dropout was reported as consequences of teenage pregnancy. Ethnicity, religion and education were associated with knowledge of teenage pregnancy. Conclusion: Knowledge about the risk and drawbacks of early marriage and early pregnancy should be increased not only among teenage girls but also to their parents and in-laws to change the attitude and practice of early marriage and teenage pregnancy.

scholarly journals PENGARUH USIA DAN JENIS KELAMIN PADA KEPATUHAN PASIEN DIABETES MELITUS MENGGUNAKAN OBAT ANTIDIABETES DI PERUM KETAPANG SOKARAJA KULON

2019 ◽  
Vol 10 (2) ◽  
pp. 76-81
Author(s):  
Ikhwan Yuda Kusuma
Keyword(s):  
Drug Information ◽  
Third Place ◽  
Chi Square ◽  
The Third ◽  
Central Java ◽  
The World ◽  
Chi Square Test ◽  
Survey Results ◽  
Central Java Province ◽  
Diabetes Melitus

ABSTRACT The WHO survey results show that the number of DM patients in Indonesia is ranked the 4th largest in the world. DM causes death by 5% every year. Deaths from DM are expected to increase by 50% in the next ten years. The results of the 2007 Central Java RISKESDAS showed that the prevalence of DM in Central Java province was 0.8% and overall was 1.3%. The highest prevalence is found in Cilacap Regency (3.9%), second place is Tegal City Regency (3.1%), for the third place is Surakarta (2.8%), fourth place is Pemalang (2.1%), and fifth place is occupied by Banyumas (1.9%) (Ministry of Health, 2009). This study used an experimental design by treating the group of cases. The research instruments in this study were interview guides about the number of remaining antidiabetic drugs to check the compliance and MMAS questionnaires that had been validated and translated into Indonesian versions (Setyaningsih, 2013). The results of data analysis using the Chi-Square test were obtained p = 0.220 (p> 0.05) based on the MMAS questionnaire, this indicates that this indicates that this study of age has a significant influence on the adherence of antidiabetic use in DM patients in Perum Ketapang Sokaraja Kulon.   Keywords: Age, Diabetes Mellitus, Drug Information          

scholarly journals RELATIONSHIP BETWEEN BENEFITS AND CONSTRAINTS PERCIEVED WITH THE HABIT OF SMOKING IN HEALTH PROFESSIONALS IN LATAMBAGA SUB-DISTRICT KOLAKA DISTRICT

2021 ◽  
Vol 3 (1) ◽  
pp. 108-114
Author(s):  
Martina Pingak ◽  
Tasnim Tasnim ◽  
Herianto Wahab
Keyword(s):  
Health Professionals ◽  
Health Workers ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Test Analysis ◽  
Significance Level ◽  
Constraint Variable ◽  
Chi Square Test ◽  
Preliminary Study

Background:From the results of a preliminary study conducted at the Kolakaasi Puskesmas and Latambaga Puskesmas, through direct interviews and direct observation that out of 10 (ten) health workers who were observed, 7 (seven) were active smokers and 3 (three) were non-smokers. Therefore, through this research, the researcher wants to conduct in-depth research related to the smoking habits of health workers in which a health worker should be able to provide a good example for the community. Methods:This research is an analytical survey using a cross-sectional approach. The population in this study were 106 all health workers in Latambaga District, with a sample size of 84 respondents using the sampling techniqueSimple random sampling. Result:Based onanalysis of the chi square test for the benefit variable having a significance level of 95% was obtained p-value = 0.000 <? = 0.05, so Ho is rejected. The constraint variable based on the chi square test analysis has a significance level of 95%, the obtained p-value = 0,000 <? = 0.05, so Ho is rejected. Conclusion:There is a relationship between perceived benefits and constraints with habits smoking health personnel in the Latambaga District, Kolaka Regency.

scholarly journals Online grocery shopping: the customers´ perspective in the Czech Republic

Equilibrium ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. 679-695
Author(s):  
Ottó Bartók ◽  
Vratislav Kozák ◽  
Radka Bauerová
Keyword(s):  
Czech Republic ◽  
Questionnaire Survey ◽  
Quantitative Research ◽  
Online Shopping ◽  
Statistical Evaluation ◽  
Value Added ◽  
Chi Square ◽  
The Czech Republic ◽  
Correlation Test ◽  
Chi Square Test

Research background: Online shopping is becoming popular among most customers thanks to quickness and easy shopping, and also due the COVID pandemic. Companies are aware of the great interest of customers and, as a consequence, e-commerce is expanding. There has been a significant increase in online grocery purchases due to economic growth in the past few years. Online shopping attracts a lot of research interest, individual authors and this is a widely discussed topic. It should be borne in mind that online purchasing of food has its own peculiarities compared to the segment of electronics or fashion from the perspective of everyday needs. Purpose of the article: The aim of the study is to analyze specific consumer behaviour in online purchasing of groceries. This study takes into account the age and purchasing preferences of online grocery purchasers. Methods: The study was conducted using quantitative research. Data (n = 171) was obtained by using a questionnaire survey done in the Czech Republic. The questionnaire survey contained 17 questions. For the statistical evaluation, Chi-square test and Pearson's correlation test were used. For the statistical evaluation, Chi-square test and Pearson´s correlation test were used. Findings & value added: The results of the study indicate that there is a relationship between the age of customers and online purchase in the grocery field. However, customers who use the         e-shop for grocery purchase are still reluctant to buy perishable goods (meat, pastries) and prefer goods that are packed directly by the manufacturer. The study sheds light on understanding the customers? purchasing behaviour and their preferences in terms of quality of service, payment terms, delivery conditions, and range of assortment.

scholarly journals EVALUATION OF THE INFECTION AWARENESS OF DENTISTS DURING COVID-19 PANDEMIC

2021 ◽  
Author(s):  
SANAZ SADRY ◽  
Zeynep Sapan
Keyword(s):  
Infection Control ◽  
Key Words ◽  
Working Conditions ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Years Of Experience ◽  
Test Results ◽  
Chi Square ◽  
Chi Square Test ◽  
Survey Results

Background: The present study aims to investigate the state of sterilization, disinfection and infection control of dentists during the COVID-19 pandemic. Methods: The study involved 310 dentists, who were asked to fill in a 19-question, multiple-choice survey on sterilization, disinfection and infection control. The survey results were evaluated statistically using chi-square test. Results: An investigation of the changes in working conditions and occupational experience during the pandemic period showed that 86.7% of the physicians who quit are the ones with occupational experience of 0 to 6 years. 89.3% of the physicians who answered “No idea” to the question about sterilization methods consist of physicians with over 20 years of experience, while 7.1% of them are physicians with 6-10 years of experience. Conclusion: Dentistry is the highest risk profession in the COVID-19 pandemic. And dentists need to reduce this risk by utilizing personal protective equipment and adopting the most appropriate disinfection and sterilization measures. Key Words: Disinfection, dentistry, sterilization.

Teachers of Visually Handicapped Students with Multiple Disabilities: Perceptions of Adequacy

1990 ◽  
Vol 84 (1) ◽  
pp. 16-20
Author(s):  
J. Erin ◽  
W. Daugherty ◽  
K. Dignan ◽  
N. Pearson
Keyword(s):  
Teacher Preparation ◽  
Teacher Perception ◽  
Multiple Disabilities ◽  
Chi Square ◽  
Handicapped Children ◽  
Significant Relationships ◽  
Chi Square Test ◽  
Survey Results ◽  
Visually Handicapped ◽  
Physically Handicapped

Partial results of a national survey of teachers of visually handicapped students on their service delivery to severely multiply handicapped children are presented. Responses in two of the three areas examined, respondent information and teacher preparation, are based on returns from 134 teachers in 41 states, as are frequencies for teacher variables. Relationships between teacher perception of adequacy of preparation and experience, level of degree, type of certification, setting, and year certified were evaluated through a chi-square test. Significant relationships were found between perception of adequacy and level of degree and additional certification in mental retardation, physically handicapped, and multiply handicapped. Survey results support a need for better preparation of teachers of visually handicapped children who work with severely multiply handicapped students.

scholarly journals A Novel Study to Predict Trends and Policies for Mobile Communication in Multienvironment Regions

2018 ◽  
Vol 2018 ◽  
pp. 1-11
Author(s):  
Shah Jahan Khattak ◽  
Bakhtair Khan
Keyword(s):  
Mobile Phone ◽  
Mobile Communication ◽  
Large Dataset ◽  
Chi Square ◽  
The People ◽  
Chi Square Test ◽  
Mobile Phone Applications ◽  
Survey Results ◽  
Mobile Phone Usage ◽  
Voice Data

The research community has growing interest in the field of mobile phone applications due to its extensive usage in voice, data, video, and their combinations including data-voice and voice-video. The trends of mobile usage have paramount significance to formulate effective policies, to analyze human behavior, reliable prediction, and planning, for development and prosperity of any region in the globe. In this research, we explore the usage of mobile communication to analyze these trends; for this, we select Khyber Pakhtunkhwa (KPK), Pakistan, a multienvironment based on farmers, students, employees, and businessmen. A field survey is carried out by designing a detailed structural questionnaire for viable collection of data to have superior analysis of different multienvironment based classes. A statistical analysis is performed through hypotheses and chi-square test on a large dataset based on sufficient number of observations collected through primary survey for each class. The survey results are provided in number of graphical and numerical illustrations to predict the mobile usage trends, evidently and effectively, of the people of KPK. This study has practical and significant implications in understanding the behavioral intensions of the individuals making policies about mobile phone usage.

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