scholarly journals Understanding the sociodemographic factors associated with intention to receive SMS messages for health information in a rural area of Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fakir M Amirul Islam ◽  
Elisabeth A Lambert ◽  
Sheikh Mohammed Shariful Islam ◽  
M Arzan Hosen ◽  
Bruce R Thompson ◽  
...  
Keyword(s):  
Willingness To Pay ◽  
Mobile Phone ◽  
Health Information ◽  
Rural Area ◽  
Significant Proportion ◽  
Sociodemographic Factors ◽  
Factors Associated ◽  
Rich People ◽  
Education And Awareness ◽  
To Receive

Abstract Background The use of digital interventions for managing chronic diseases is significantly increasing. The aim of this study was to estimate the proportion of ownership of a mobile phone, and factors associated with the ability to read and access SMS delivered health information, and willingness to pay for it among people with hypertension in a rural area in Bangladesh. Methods Data were collected from 307 participants aged 30 to 75 years with hypertension from a rural area in Bangladesh from December 2020 to January 2021. Outcome measures included ownership of a mobile phone, ability to read SMS, willingness to receive and pay for health information by SMS. Associated factors included age, gender, level of education, occupation, and socioeconomic status. We used regression analysis to identify variables associated with the outcome variables. Results Overall, 189 (61.6%) people owned a mobile phone which was higher in men (73.3% vs. 50%, p < 0.001), younger people (82.6% aged 30–39 years vs. 53.5% aged 60–75 years, p < 0.001). Of the total participants, 207 (67.4%) were willing to receive SMS, and 155 (50.5%) were willing to pay for receiving SMS for health information. The prevalence was significantly higher among professionals (odds ratio (OR), 95% confidence interval (CI): 4.58, 1.73–12.1) and businesspersons (OR 3.68, 95% CI 1.49–9.10) compared to farmers, respectively. The median (interquartile range [IQR]) of willingness to pay for health information SMS was 10 (28) Bangladesh Taka (BDT) (1 BDT ~ 0.013 US$), and there were no specific factors that were associated with the willingness of any higher amounts of payment. In terms of reading SMS of people who own a mobile, less than half could read SMS. The proportion of people who could read SMS was significantly higher among men, younger people, educated people, middle class or rich people, professionals or businesspersons. Of people who could read SMS, the majority read SMS occasionally. Conclusion A significant proportion of people are unable to read SMS. However, people are willing to receive and pay to receive SMS for health information. Education and awareness programs should be conducted among targeted groups, including people with low education and women.

scholarly journals Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?

2019 ◽  
Vol 29 (2) ◽  
pp. 103-112 ◽  
Author(s):  
Ryan J Ellis ◽  
Cary Jo R Schlick ◽  
Joe Feinglass ◽  
Mary F Mulcahy ◽  
Al B Benson ◽  
...  
Keyword(s):  
Cancer Care ◽  
Care Delivery ◽  
Blind Spot ◽  
Sociodemographic Factors ◽  
Care Quality ◽  
Hospital Level ◽  
Lung Cancers ◽  
Factors Associated ◽  
Hospital Variation ◽  
To Receive

BackgroundChemotherapy quality measures consider hospitals compliant when chemotherapy is recommended, even if it is not received. This may mask shortcomings in cancer care delivery. Objectives of this study were to (1) identify patient factors associated with failure to receive recommended chemotherapy without a documented contraindication and (2) assess hospital variation in failure to administer recommended chemotherapy.MethodsPatients from 2005 to 2015 with breast, colon and lung cancers who failed to receive recommended chemotherapy were identified using the National Cancer Database. Hospital-level rates of failure to administer recommended chemotherapy were calculated, and patient and hospital factors associated with failure to receive recommended chemotherapy were identified by multivariable logistic regression.ResultsA total of 183 148 patients at 1281 hospitals were analysed. Overall, 3.5% of patients with breast, 6.6% with colon and 10.7% with lung cancers failed to receive recommended chemotherapy. Patients were less likely to receive recommended chemotherapy in all cancers if uninsured or on Medicaid (p<0.05), as were non-Hispanic black patients with both breast and colon cancer (p<0.001). Significant hospital variation was observed, with hospital-level rates of failure to administer recommended chemotherapy as high as 21.8% in breast, 40.2% in colon and 40.0% in lung cancers.Conclusions and relevanceThough overall rates are low, failure to receive recommended chemotherapy is associated with sociodemographic factors. Hospital variation in failure to administer recommended chemotherapy is masked by current quality measure definitions and may define a significant and unmeasured difference in hospital quality.

scholarly journals Assessing Mobile Phone Access and Willingness for Text-Based mHealth Intervention to Improve Prenatal Care at Primary Care Centers in North West Ethiopia: a Cross-sectional Study (Preprint)

2017 ◽  
Author(s):  
Berhanu F Endehabtu ◽  
Adane N Weldeab ◽  
Martin Were ◽  
RIchard Lester ◽  
Binyam Tilahun
Keyword(s):  
Prenatal Care ◽  
Mobile Phone ◽  
Pregnant Women ◽  
Cross Sectional ◽  
Mobile Phone Use ◽  
North West ◽  
Factors Associated ◽  
Mhealth Intervention ◽  
North West Ethiopia ◽  
To Receive

BACKGROUND Maternal mortality remains high in many low- and middle-income countries (LMIC) where limited access to health services is linked to low antenatal care (ANC) utilization. Effective communication and engagement with care providers is vital for the delivery and receipt of sufficient health care services. There is strong evidence to show that simple text-based interventions can improve prenatal care utilization but most mHealth interventions doesn’t go to scale because of lack of context. OBJECTIVE The aim of this study was to determine access to mobile phones by pregnant women attending ANC, willingness to receive an SMS-based mHealth intervention for ANC services and to identify its associated factors among pregnant women attending ANC clinic in Gondar Town administration, North West Ethiopia. METHODS A cross sectional quantitative study was conducted among 422 pregnant women attending ANC from March 27- April 28, 2017. Data were collected using structured interviewer-administered questionnaires. Data entry and analysis were done using Epi-Info version 7 and SPSS version 20 respectively. Descriptive statistics, bivariable and multivariable logistic regression analysis was done. Odds ratio with 95% confidence interval was used to identify factors associated with willingness to receive SMS based mHealth intervention. RESULTS A total of 416 (98.6 % response rate) respondents were included in the analysis. About 76.7% (319/416) of respondents owned a mobile phone, and 71.2% (296/416) were willing to receive SMS. Factors associated with willingness were: Youth age group (AOR = 2.869, 95 % CI: [1.451-5.651], having Secondary and above education level (AOR = 4.995, 95 % CI: [1.489-14.773] and frequency of mobile phone use (AOR = 0.319, 95 % CI: [0.141-0.718]). CONCLUSIONS A high proportion of pregnant women in an ANC clinic in this remote setting have mobile phone and are willing to receive SMS based mHealth intervention. Age, educational status and frequency of mobile phone use are significantly associated with willingness to receive SMS based mHealth interventions.

scholarly journals Death in hospital following ICU discharge: insights from the LUNG SAFE study

2021 ◽  
Author(s):  
Fabiana Madotto ◽  
Bairbre McNicholas ◽  
Emanuele Rezoagli ◽  
Tài Pham ◽  
John Laffey ◽  
...  
Keyword(s):  
Significant Proportion ◽  
Severe Respiratory Failure ◽  
Factors Associated ◽  
Icu Discharge ◽  
Severity Scores ◽  
Hospital Patients ◽  
Multicenter Prospective Cohort Study ◽  
To Receive ◽  
International Multicenter ◽  
Multicenter Prospective Cohort

Abstract Background: To determine the frequency of, and factors associated with, death in hospital following ICU discharge to the ward.Methods: The Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study was an international, multicenter, prospective cohort study of patients with severe respiratory failure, conducted across 459 ICUs from 50 countries globally. This study aimed to understand the frequency and factors associated with death in hospital in patients who survived their ICU stay. We examined outcomes in the subpopulation discharged with no limitations of life sustaining treatments (‘treatment limitations’), and the subpopulations with treatment limitations.Results: 2,186 (94%) patients with no treatment limitations discharged from ICU survived, while 142 (6%) died in hospital. 118 (61%) of patients with treatment limitations survived while 77 (39%) patients died in hospital. Patients without treatment limitations that died in hospital after ICU discharge were older, more likely to have COPD, immunocompromise or chronic renal failure, less likely to have trauma as a risk factor for ARDS. Patients that died post ICU discharge were less likely to receive neuromuscular blockade, or to receive any adjunctive measure, and had a higher pre- ICU discharge non-pulmonary SOFA score. A similar pattern was seen in patients with treatment limitations that died in hospital following ICU discharge.Conclusions: A significant proportion of patients die in hospital following discharge from ICU, with higher mortality in patients with limitations of life-sustaining treatments in place. Non-survivors had higher systemic illness severity scores at ICU discharge than survivors.Trial Registration: ClinicalTrials.gov NCT02010073

scholarly journals Sociodemographic factors associated with the first administration of anti-seizure medication in patients with focal epilepsy in Western China

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qiong Zhu ◽  
Yi Guo ◽  
Shuai Ma ◽  
Lili Yang ◽  
Zhonghua Lin ◽  
...  
Keyword(s):  
Higher Education ◽  
Initial Treatment ◽  
Focal Epilepsy ◽  
Sociodemographic Factors ◽  
Education Level ◽  
Disposable Income ◽  
Western China ◽  
Factors Associated ◽  
Household Disposable Income ◽  
To Receive

Abstract Background Epilepsy is a severe chronic neurologic disease with a prevalence of 0.7% worldwide; anti-seizure medications (ASMs) are the mainstay of epilepsy treatment. The effects of sociodemographic factors on the characteristics of initial treatment in patients with newly diagnosed focal epilepsy in Western China are unknown. This study was conducted to explore sociodemographic factors associated with initial treatment characteristics. Methods Patients with focal epilepsy on continuous ASM treatment who visited to our epilepsy center at Sichuan Provincial People’s Hospital between January 2018 and December 2019 were recruited. Data on initial treatment status and sociodemographic variables were obtained from the patients with a questionnaire designed by our researchers. We examined whether sociodemographic factors were associated with epileptic patients’ access to neurologists and prescriptions of individual ASMs. Results A total of 569 patients completed this study. We found that patients with a higher education level, aged < 16 years, and with a higher household disposable income were more likely to receive treatment from a neurologist than their counterparts. Patients with a lower personal income level and who were treated at a junior hospital were more likely to receive prescriptions for carbamazepine, and those who were younger than 16 years were less likely to receive prescriptions for carbamazepine and oxcarbazepine. Patients with a higher education level, with a higher household disposable income level, who were younger than 16 years, and who were treated at a senior hospital were more likely to receive prescriptions for levetiracetam than their counterparts. Adult, female patients with focal epilepsy treated at a senior hospital were more likely to receive prescriptions for lamotrigine. Conclusions This observation suggests that sociodemographic characteristics are associated with access to neurologists and prescriptions of individual antiepileptic drugs. These data may help public health officials establish guidelines for doctors and distribute resources according to the needs of different patient groups.

scholarly journals Death in Hospital Following ICU Discharge: Insights from the LUNG SAFE Study

2020 ◽  
Author(s):  
Fabiana Madotto ◽  
Bairbre McNicholas ◽  
Emanuele Rezoagli ◽  
Tài Pham ◽  
John Laffey ◽  
...  
Keyword(s):  
Significant Proportion ◽  
Severe Respiratory Failure ◽  
Factors Associated ◽  
Icu Discharge ◽  
Severity Scores ◽  
Hospital Patients ◽  
Multicenter Prospective Cohort Study ◽  
To Receive ◽  
International Multicenter ◽  
Multicenter Prospective Cohort

Abstract Background: To determine the frequency of, and factors associated with, death in hospital following ICU discharge.Methods: The Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study was an international, multicenter, prospective cohort study of patients with severe respiratory failure, conducted across 459 ICUs from 50 countries globally. This current study aimed to understand the frequency and factors associated with death in hospital in patients who survived their ICU sta. We examined outcomes in the subpopulation discharged with no limitations of life sustaining treatments (‘treatment limitations’), and the subpopulations with treatment limitations.Results: 2,186 (94%) patients with no treatment limitations discharged from ICU survived, while 142 (6%) died in hospital. 118 (61%) of patients with treatment limitations survived while 77 (39%) patients died in hospital. Patients without treatment limitations that died in hospital after ICU discharge were older, more likely to have COPD, immunocompromise or chronic renal failure, less likely to have trauma as a risk factor for ARDS. Patients that died post ICU discharge were less likely to receive neuromuscular blockade, or to receive any adjunctive measure, and had a higher pre- ICU discharge non-pulmonary SOFA score. A similar pattern was seen in patients with treatment limitations that died in hospital following ICU discharge.Conclusions: A significant proportion of patients die in hospital following discharge from ICU, with higher mortality in patients with limitations of life-sustaining treatments in place. Non-survivors had higher systemic illness severity scores at ICU discharge than survivors. Trial Registration: ClinicalTrials.gov NCT02010073

scholarly journals Death in hospital following ICU discharge: insights from the LUNG SAFE study

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Fabiana Madotto ◽  
◽  
Bairbre McNicholas ◽  
Emanuele Rezoagli ◽  
Tài Pham ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Significant Proportion ◽  
Factors Associated ◽  
Icu Discharge ◽  
Severity Scores ◽  
Hospital Patients ◽  
Large Observational Study ◽  
Multicenter Prospective Cohort Study ◽  
To Receive ◽  
Multicenter Prospective Cohort

Abstract Background To determine the frequency of, and factors associated with, death in hospital following ICU discharge to the ward. Methods The Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE study was an international, multicenter, prospective cohort study of patients with severe respiratory failure, conducted across 459 ICUs from 50 countries globally. This study aimed to understand the frequency and factors associated with death in hospital in patients who survived their ICU stay. We examined outcomes in the subpopulation discharged with no limitations of life sustaining treatments (‘treatment limitations’), and the subpopulations with treatment limitations. Results 2186 (94%) patients with no treatment limitations discharged from ICU survived, while 142 (6%) died in hospital. 118 (61%) of patients with treatment limitations survived while 77 (39%) patients died in hospital. Patients without treatment limitations that died in hospital after ICU discharge were older, more likely to have COPD, immunocompromise or chronic renal failure, less likely to have trauma as a risk factor for ARDS. Patients that died post ICU discharge were less likely to receive neuromuscular blockade, or to receive any adjunctive measure, and had a higher pre- ICU discharge non-pulmonary SOFA score. A similar pattern was seen in patients with treatment limitations that died in hospital following ICU discharge. Conclusions A significant proportion of patients die in hospital following discharge from ICU, with higher mortality in patients with limitations of life-sustaining treatments in place. Non-survivors had higher systemic illness severity scores at ICU discharge than survivors. Trial Registration: ClinicalTrials.gov NCT02010073.

scholarly journals Death in hospital following ICU discharge: insights from the LUNG SAFE study

2020 ◽  
Author(s):  
Fabiana Madotto ◽  
Bairbre McNicholas ◽  
Emanuele Rezoagli ◽  
Tài Pham ◽  
John Laffey ◽  
...  
Keyword(s):  
Significant Proportion ◽  
Word Count ◽  
Factors Associated ◽  
Icu Discharge ◽  
Severity Scores ◽  
Hospital Patients ◽  
Multicenter Prospective Cohort Study ◽  
To Receive ◽  
International Multicenter ◽  
Multicenter Prospective Cohort

Abstract Background: To determine the frequency of, and factors associated with, death in hospital following ICU discharge to the ward.Methods: The Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study was an international, multicenter, prospective cohort study of patients with severe respiratory failure, conducted across 459 ICUs from 50 countries globally. This study aimed to understand the frequency and factors associated with death in hospital in patients who survived their ICU stay. We examined outcomes in the subpopulation discharged with no limitations of life sustaining treatments (‘treatment limitations’), and the subpopulations with treatment limitations.Results: 2,186 (94%) patients with no treatment limitations discharged from ICU survived, while 142 (6%) died in hospital. 118 (61%) of patients with treatment limitations survived while 77 (39%) patients died in hospital. Patients without treatment limitations that died in hospital after ICU discharge were older, more likely to have COPD, immunocompromise or chronic renal failure, less likely to have trauma as a risk factor for ARDS. Patients that died post ICU discharge were less likely to receive neuromuscular blockade, or to receive any adjunctive measure, and had a higher pre- ICU discharge non-pulmonary SOFA score. A similar pattern was seen in patients with treatment limitations that died in hospital following ICU discharge.Conclusions: A significant proportion of patients die in hospital following discharge from ICU, with higher mortality in patients with limitations of life-sustaining treatments in place. Non-survivors had higher systemic illness severity scores at ICU discharge than survivors. (Word count 251)Trial Registration: ClinicalTrials.gov NCT02010073

scholarly journals Understanding the determinants of COVID-19 vaccination intention and willingness to pay: findings from a population-based survey in Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rajon Banik ◽  
Md. Saiful Islam ◽  
Mamun Ur Rashid Pranta ◽  
Quazi Maksudur Rahman ◽  
Mahmudur Rahman ◽  
...  
Keyword(s):  
Willingness To Pay ◽  
Health Belief ◽  
Population Based ◽  
Considerable Proportion ◽  
Related Information ◽  
Awareness Programs ◽  
Education And Awareness ◽  
Belief Model ◽  
Age Range ◽  
To Receive

Abstract Background Several coronavirus disease (COVID-19) vaccines have already been authorized and distributed in different countries all over the world, including Bangladesh. Understanding public acceptance of such a novel vaccine is vital, but little is known about the topic. Objectives This study aimed to investigate the determinants of intention to receive a COVID-19 vaccine and willingness to pay (WTP) among people in Bangladesh. Methods An anonymous and online-based survey of Bangladeshi people (mean age = 29.96 ± 9.15 years; age range = 18–60 years) was conducted using a self-reported questionnaire consisting of socio-demographics, COVID-19 experience, and vaccination-related information as well as the health belief model (HBM). Multivariable logistic regression was performed to determine the factors influencing COVID-19 vaccination intent and WTP. Results Of the 894 participants, 38.5% reported a definite intention to receive a COVID-19 vaccine, whereas 27% had a probable intention, and among this intent group, 42.8% wanted to get vaccinated as soon as possible. Older age, feeling optimistic about the effectiveness of COVID-19 vaccination, believing that vaccination decreases worries and risk of COVID-19 infection, and being less concerned about side effects and safety of COVID-19 vaccination under the HBM construct were found to be significant factors in COVID-19 vaccination intention. Most of the participants (72.9%) were willing to pay for a COVID-19 vaccine, with a median (interquartile range [IQR]) amount of BDT 400/US$ 4.72 (IQR; BDT 200–600/US$ 2.36–7.07) per dose. Factors associated with higher WTP were younger age, being male, having higher education, residing in an urban area, having good self-rated health status, positivity towards COVID-19 vaccination's effectiveness, and being worried about the likelihood of getting infected with COVID-19. Participants who were COVID-19 vaccination intent preferred an imported vaccine over a domestically-made vaccine (22.9% vs. 14.8%), while 28.2% preferred a routine immunization schedule. Conclusion The findings indicate a considerable proportion of Bangladeshi people intended to get vaccinated and had WTP for the COVID-19 vaccine. However, urgent education and awareness programs are warranted to alleviate public skepticism regarding the COVID-19 vaccination.

scholarly journals Death in hospital following ICU discharge: insights from the LUNG SAFE study

2020 ◽  
Author(s):  
Fabiana Madotto ◽  
Bairbre McNicholas ◽  
Emanuele Rezoagli ◽  
Tài Pham ◽  
John Laffey ◽  
...  
Keyword(s):  
Significant Proportion ◽  
Severe Respiratory Failure ◽  
Factors Associated ◽  
Icu Discharge ◽  
Severity Scores ◽  
Hospital Patients ◽  
Multicenter Prospective Cohort Study ◽  
To Receive ◽  
International Multicenter ◽  
Multicenter Prospective Cohort

Abstract Background: To determine the frequency of, and factors associated with, death in hospital following ICU discharge to the ward.Methods: The Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study was an international, multicenter, prospective cohort study of patients with severe respiratory failure, conducted across 459 ICUs from 50 countries globally. This study aimed to understand the frequency and factors associated with death in hospital in patients who survived their ICU stay. We examined outcomes in the subpopulation discharged with no limitations of life sustaining treatments (‘treatment limitations’), and the subpopulations with treatment limitations.Results: 2,186 (94%) patients with no treatment limitations discharged from ICU survived, while 142 (6%) died in hospital. 118 (61%) of patients with treatment limitations survived while 77 (39%) patients died in hospital. Patients without treatment limitations that died in hospital after ICU discharge were older, more likely to have COPD, immunocompromise or chronic renal failure, less likely to have trauma as a risk factor for ARDS. Patients that died post ICU discharge were less likely to receive neuromuscular blockade, or to receive any adjunctive measure, and had a higher pre- ICU discharge non-pulmonary SOFA score. A similar pattern was seen in patients with treatment limitations that died in hospital following ICU discharge.Conclusions: A significant proportion of patients die in hospital following discharge from ICU, with higher mortality in patients with limitations of life-sustaining treatments in place. Non-survivors had higher systemic illness severity scores at ICU discharge than survivors. Trial Registration: ClinicalTrials.gov NCT02010073

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