scholarly journals Psychological and somatic distress in Chinese outpatients at general hospitals: a cross-sectional study

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Nana Xiong ◽  
Jing Wei ◽  
Kurt Fritzsche ◽  
Rainer Leonhart ◽  
Xia Hong ◽  
...  
2014 ◽  
Vol 71 (5) ◽  
pp. 481-490
Author(s):  
Srmena Krstev ◽  
Jelena Marinkovic ◽  
Snezana Simic ◽  
Ana Jovicevic ◽  
Ljiljana Markovic-Denic

Background/Aim. Bearing in mind a high smoking prevalence in Serbia (34% in adult population; men 38%, women 30%) and leading role of health professionals in intervention and prevention, a cross-sectional study was performed smong the representative sample of health professionals in Serbia. The aim of the study was to identify predictors of smoking and smoking cessation prior to the total smoking ban in November 2010. Methods. In this nationwide study, 3,084 physicians and nurses from 4 types of institutions and four geographical regions were selected and 2,282 included (response rate 74.0%). Data were collected using a self-administered structured questionnaire. Standard statistical methods were used to calculate prevalence rates, and multivariate logistic regressions to evaluate independent predictors of smoking pattern. Risks were expressed as odds ratios (OR) which represent approximation of relative risks of exposed persons with 95% confidence intervals (95% CI). Results. We found a high smoking prevalence of 38.0%, the same for women and men (37.8% and 37.6%, respectively; p = 0.138), higher among nurses (41.7%) than physicians (29.1%) (p = 0.000), as well as among those employed in general hospitals (42.6%) and institutes of public health (43.8%) (p = 0.000). Significantly increased risk of being an ever or current smoker was noticed for nurses (OR = 1.75, 95% CI 1.42-2.14; and OR = 1.91, 95% CI 1.52-2.40, respectively), those employed in general hospitals (OR = 1.37, 95% CI 1.09-1.73 and OR = 1.40, 95% CI 1.09-1.79, respectively), and with worse self-estimated health (OR = 1.15, 95% CI 1.02-1.30; and OR = 1.17, 95% CI 1.02-1.34, respectively). Intentions to quit smoking or to reduce the number of cigarettes were more frequent in women (OR = 1.51, 95% CI 1.01-2.27) and participants who worse evaluated their health (OR = 1.74, 95% CI 1.39- 2.18). Conclusion. High smoking prevalence in health professionals could be a barrier for the full implementation of smoking ban in health institutions in Serbia. Smoking cessation programs at workplaces, formal education in smoking cessation techniques, and better Law enforcement by health administrations should be implemented.


2009 ◽  
Vol 63 (3) ◽  
pp. 329-335 ◽  
Author(s):  
Kotaro Hatta ◽  
Hiroyuki Nakamura ◽  
Chie Usui ◽  
Takafumi Kobayashi ◽  
Yoshito Kamijo ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019232
Author(s):  
Viktor Dombrádi ◽  
Barnabás Margitai ◽  
Csaba Dózsa ◽  
Orsolya Karola Bárdos-Csenteri ◽  
János Sándor ◽  
...  

ObjectiveQuantitative studies have shown the various benefits for having accreditation in hospitals. However, neither of these explored the general conditions before applying for an accreditation. To close this gap, this study aimed to investigate the possible association between joining an accreditation programme with various hospital characteristics.DesignA cross-sectional study was implemented using the databases of the 2013 Hungarian hospital survey and of the Hungarian State Treasury.SettingPublic general hospitals in Hungary.ParticipantsThe analysis involved 44 public general hospitals, 14 of which joined the preparatory project for a newly developed accreditation programme.Main outcome measuresThe outcomes included the percentage of compliance in quality management, patient information and identification, internal professional regulation, safe surgery, pressure sore prevention, infection control, the opinions of the heads of quality management regarding the usefulness of quality management and clinical audits, and finally, the total debt of the hospital per bed and per discharged patient.ResultsAccording to our findings, the general hospitals joining the preparatory project of the accreditation programme performed better in four of the six investigated activities, the head of quality management had a better opinion on the usefulness of quality management, and both the debt per bed number and the debt per discharged patient were lower than those who did not join. However, no statistically significant differences between the two groups were found in any of the examined outcomes.ConclusionsThe findings suggest that hospitals applying for an accreditation programme do not differ significantly in characteristics from those which did not apply. This means that if in the future the accredited hospitals become better than other hospitals, then the improvement could be solely contributed to the accreditation.


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