Oncologists’ knowledge and perspectives on the use of biosimilars.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 35-35
Author(s):  
John Peipert ◽  
Karen Kaiser ◽  
Sheetal Mehta Kircher ◽  
George J. Greene ◽  
Sara Shaunfield ◽  
...  
Keyword(s):  
The United States ◽  
Access To Information ◽  
Cancer Treatments ◽  
Structured Input ◽  
Academic Practices ◽  
Knowledge Barriers ◽  
Barriers To Use ◽  
Basic Features ◽  
Future Education ◽  
Question Survey

35 Background: Despite the increasing availability of biosimilar cancer treatments, little is known about oncologists’ knowledge and concerns about biosimilar use in the United States. We conducted a survey of oncologists to examine their knowledge, attitudes, and experience with biosimilars. Methods: Using the ASCO Survey Research Pool (10-6-20 to 11-16-20), clinical oncologists completed a 29-question survey designed with structured input from clinical and health care system experts and literature review. Results: Of the 269 respondents, most ( n= 236, 88%) treated with biosimilars and reported that biosimilars were required at their institution. The table summarizes participants’ knowledge, barriers to use, preferences for and access to information around biosimilars, and interest in training. Conclusions: Despite high uptake of biosimilars, knowledge about basic features of biosimilars was low, and oncologists in community and private practice settings were more often concerned about safety and efficacy than those in academic practices. This information provides targets for future education about biosimilars.[Table: see text]

Manual Therapy in Preadolescent Children: A Delphi Investigation of Physical Therapists in the United States

2021 ◽  
Author(s):  
Jenifer L Dice ◽  
Doug Dendy ◽  
Phillip S Sizer ◽  
Chad E Cook ◽  
Sara Feuling ◽  
...  
Keyword(s):  
United States ◽  
Manual Therapy ◽  
Physical Therapists ◽  
Initial Step ◽  
The United States ◽  
Group Differences ◽  
Electronic Survey ◽  
Craniosacral Therapy ◽  
Barriers To Use ◽  
Composite Scores

ABSTRACT Objective Limited research has investigated the use of manual therapy to treat the preadolescent (0–12 years of age) population with musculoskeletal and neurological impairments. The purpose of this study was to identify the following among physical therapists holding advanced credentials in pediatrics, neurodevelopmental treatment, or manual therapy: (1) consensus regarding effective techniques in the preadolescent population, (2) differences in opinion, and (3) perceived decision-making barriers and factors regarding use of manual therapy techniques. Methods Credentialed physical therapists in the United States were recruited for a 3-round Delphi investigation. An electronic survey in Round 1 identified musculoskeletal and neurological impairments and the manual techniques considered effective to treat such conditions, in addition to factors and barriers. Responses were used to create the second round, during which a 4-point Likert scale was used to score each survey item. A third round of scoring established consensus. Descriptive statistics and composite scores were calculated for each manual technique by impairment. Between-group differences were calculated using Mann–Whitney U with Bonferroni correction. Results Consensus was determined for several concepts. First, neuromuscular techniques were considered effective across all impairments, and joint mobilizations (grades I-IV) were believed to be effective to treat joint and muscle and myofascial impairments. Second, visceral manipulation and craniosacral therapy were considered ineffective in treating most impairments. There was lack of consensus and clear differences of opinion regarding the use of grade V mobilizations and dry needling. Significant barriers to use of manual therapy were: lack of knowledge, lack of evidence, and fear of litigation and harming patients. Conclusion This study is an initial step for developing manual therapy guidelines, research, and educational opportunities regarding manual therapy in pediatric physical therapy.

Is Vascularized Composite Allograft Transplantation Experimental or an Accepted Surgical Procedure: Results from a National Survey

2020 ◽  
Vol 36 (04) ◽  
pp. 276-280
Author(s):  
Salih Colakoglu ◽  
Seth Tebockhorst ◽  
David Woodbridge Mathes
Keyword(s):  
Clinical Investigation ◽  
The United States ◽  
Representative Sampling ◽  
Electronic Survey ◽  
Internal Review ◽  
Vascularized Composite Allograft ◽  
American Society ◽  
Question Survey ◽  
Internal Review Board

Abstract Background More than 85 patients have received over 100 hand/arm transplants and more than 35 patients have received full or partial face transplants at institutions around the world. Given over two decades of experience in the field and in the light of successful outcomes with up to 17 years follow up time, should we still consider vascularized composite allograft (VCA) as a research/clinical investigation? We present the results of a nationwide electronic survey whose intent was to gather institutional bias with regard to this question. Methods An 11 question survey that was developed by VCA advisory committee of American Society of Transplantation was sent to all identified Internal Review Board chairs or directors in the United States. Results We received a total of 54 responses (25.3%) to the survey. The majority (78%) of responses came from either the chairperson, director, or someone who is administratively responsible for an IRB. Conclusion Though certainly not an exhaustive investigation into each institution's preference, we present a representative sampling. The results of which favor VCA as an accepted clinical procedure given the appropriate setting. Further research is needed to fully ascertain practices at each individual institution.

Accountability Challenges in Networks and Partnerships: Evidence from Educational Partnerships in the United States

2004 ◽  
Vol 70 (2) ◽  
pp. 331-344 ◽  
Author(s):  
Muhittin Acar ◽  
Peter J. Robertson
Keyword(s):  
United States ◽  
Public Schools ◽  
Field Research ◽  
The United States ◽  
Public Private Partnerships ◽  
Interorganizational Networks ◽  
Access To Information ◽  
Educational Partnerships ◽  
Non Profit ◽  
K 12

The study from which this article is drawn constitutes one of the first attempts to remedy the paucity of research on accountability in the context of interorganizational networks and public–private partnerships. The data for the study were drawn from field research focusing particularly on partnerships formed between K-12 public schools and private and/or non-profit organizations in the United States. The most frequently cited difficulties associated with accountability in partnerships were the availability of and access to information, sectoral and personal differences, and frequent changes in personnel, resources, and partners.

Propping up the parents: An environmental scan of childcare programs available to cancer patients in North America.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18805-e18805
Author(s):  
Katherine Preston ◽  
Mackenzie MacDonald ◽  
Meredith Elana Giuliani ◽  
Barbara L. Melosky ◽  
Bonnie Leung ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Current Knowledge ◽  
Grey Literature ◽  
The United States ◽  
Care Needs ◽  
Cancer Treatments ◽  
Environmental Scan ◽  
Pediatric Hospitals ◽  
Current State ◽  
Increased Risk

e18805 Background: Approximately 20% of newly diagnosed cancer patients are between the ages of 20 and 54, and many of these patients are also the primary caregivers of children. Qualitative studies focusing on this demographic indicate that patients who are parents struggle to balance their own care needs with those of their children. Further, a lack of childcare support during cancer treatments can negatively impact compliance and increase existing psychological stress for patients. In the efforts to establish a child-minding program at a major Canadian cancer centre, we carried out an environmental scan to evaluate the current state of childcare support for cancer patients. Methods: Firstly, a literature scan was conducted in order to assess current knowledge about childcare and cancer patients, which included the use of search engines, directed internet searches, a review of oncology conference proceedings and websites of oncology associations. Literature was selected based on pre-determined criteria. Secondly, 12 representatives from major Canadian cancer centres (CCC) completed a questionnaire assessing current childcare strategies at their respective institutions. Finally, a broad scan of the grey literature was conducted by investigating 161 Canadian and American hospitals for on-site childcare services, using lay-accessible searching techniques (hand-searching hospital websites, phone and email correspondences). Results: The literature scan identified seventeen primary articles, which focused largely on exploring the role strain faced by patients who are also parents. A single study explored the instrumental challenges of being a parent with cancer, and formally assessed the childcare needs of these patients. The questionnaire results indicated that only two of the twelve investigated CCCs had established an approach to child-minding for patients. The grey literature scan identified twenty-six on-site, patient-accessible child-minding centres at hospitals in Canada and the US based on pre-determined inclusion criteria. Of these, 76.9% of centres were associated with pediatric hospitals, and 69.2% were located in the United States. Most centres (76.9%) were open for over 30 hours per week, and 88.5% of centres were free of charge to users. Conclusions: These findings generally indicate that a minority of Canadian and American hospitals and cancer centres have formal childcare services in place to support patients who are also parents. As cancer patients are at increased risk for financial toxicity, they may be particularly in need of this kind of instrumental support. This highlights the importance of carrying out a targeted needs assessment in order to fully elucidate the need for patient-accessible childcare services at CCCs.

scholarly journals Financial burden associated with the residency match in neurological surgery

2017 ◽  
Vol 126 (1) ◽  
pp. 184-190 ◽  
Author(s):  
Nitin Agarwal ◽  
Phillip A. Choi ◽  
David O. Okonkwo ◽  
Daniel L. Barrow ◽  
Robert M. Friedlander
Keyword(s):  
United States ◽  
Medical School ◽  
Financial Burden ◽  
The United States ◽  
Residency Position ◽  
Application Process ◽  
Rank List ◽  
The Mean ◽  
Neurological Surgery ◽  
Question Survey

OBJECTIVE Application for a residency position in neurosurgery is a highly competitive process. Visiting subinternships and interviews are integral parts of the application process that provide applicants and programs with important information, often influencing rank list decisions. However, the process is an expensive one that places significant financial burden on applicants. In this study, the authors aimed to quantify expenses incurred by 1st-year neurosurgery residents who matched into a neurosurgery residency program in 2014 and uncover potential trends in expenses. METHODS A 10-question survey was distributed in partnership with the Society of Neurological Surgeons to all 1st-year neurosurgery residents in the United States. The survey asked respondents about the number of subinternships, interviews, and second looks (after the interview) attended and the resultant costs, the type of program match, preferences for subinternship interviews, and suggestions for changes they would like to see in the application process. In addition to compiling overall results, also examined were the data for differences in cost when stratifying for region of the medical school or whether the respondent had contact with the program they matched to prior to the interview process (matched to home or subinternship program). RESULTS The survey had a 64.4% response rate. The mean total expenses for all components of the application process were US $10,255, with interview costs comprising the majority of the expenses (69.0%). No difference in number of subinternships, interviews, or second looks attended, or their individual and total costs, was seen for applicants from different regions of the United States. Respondents who matched to their home or subinternship program attended fewer interviews than respondents who had no prior contact with their matched program (13.5 vs 16.4, respectively, p = 0.0023) but incurred the same overall costs (mean $9774 vs $10,566; p = 0.58). CONCLUSIONS Securing a residency position in neurosurgery is a costly process for applicants. No differences are seen when stratifying by region of medical school attended or contact with a program prior to interviewing. Interview costs comprise the majority of expenses for applicants, and changes to the application process are needed to control costs incurred by applicants.

Disaster preparedness and response: Implications for public health nurses

2006 ◽  
Vol 4 (2) ◽  
pp. 48
Author(s):  
Andrea Jennings-Sanders, Dr.PH, RN
Keyword(s):  
Public Health ◽  
United States ◽  
Health Services ◽  
Disaster Preparedness ◽  
The United States ◽  
Local State ◽  
Public Health Nurses ◽  
Access To Information ◽  
Public Health Officials ◽  
Disaster Preparedness And Response

Disasters are becoming more of an integral aspect of life in the United States and in other countries. Public health nurses are in the forefront of providing health services to people affected by disasters. Thus, it is essential that all public health nurses have access to information that will assist them in disaster situations. The purpose of this paper is to illustrate how the Framework for Public Health Nurses: Interventions Model can be utilized for planning and responding to disasters. The interventions in the model are directly applicable to disaster situations and, in addition, raise questions on issues that need to be addressed by local, state, and federal public health officials.

EAD Twenty Years Later: A Retrospective of Adoption in the Early Twenty-first Century and the Future of EAD

2019 ◽  
Vol 82 (2) ◽  
pp. 303-330
Author(s):  
Jennifer G. Eidson ◽  
Christina J. Zamon
Keyword(s):  
The United States ◽  
Archival Description ◽  
First Century ◽  
The Past ◽  
Time Period ◽  
Early Twenty ◽  
Rapid Changes ◽  
Finding Aids ◽  
Initial Survey ◽  
Question Survey

Encoded Archival Description (EAD) was adopted as the first standard for encoding finding aids using archival description in 1998. Since then, rapid changes in technology and archival standards have influenced access, use, and adoption of EAD across a variety of institutions. This article was inspired by an initial survey conducted by one of the authors. The results led to a broader survey and a twenty-year literature review surrounding EAD and online finding aids. The authors developed a twenty-five-question survey to reach a broader audience and delve deeper into the initial questions. The purpose was to answer the following questions: Is there a specific year or time period when a mass adoption of the standard can be identified? What factors influenced whether or not an institution adopted the standard? To what extent has technology influenced the usage of EAD? By surveying archivists across the United States, we gathered their input as to why they did or did not use EAD and how changes in technology and tools influenced their adoption and usage of EAD over the past twenty years. This article explores past trends and predictions, as well as current thoughts by archivists about the past, present, and future of this standard.

A Survey of Mobile Phone Use in Older Adults

2007 ◽  
Vol 51 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Young Seok Lee
Keyword(s):  
Older Adults ◽  
Mobile Phone ◽  
Older Adult ◽  
Mobile Phones ◽  
Adult Population ◽  
The United States ◽  
Mobile Phone Use ◽  
Usage Patterns ◽  
Basic Features ◽  
Older Adult Population

Mobile phone adoption by older adults is radically increasing. As a part of multiple empirical studies to improve older adults' experiences with mobile phones, a survey was conducted to investigate a number of specific aspects of mobile phone use in the older adult population including motives of ownership, usage patterns, preferences on mobile phone features, and perceived usability of their own phones. A total of 154 older adults from 20 states of the United States who owned a mobile phone participated in this study. Results indicated that participants used a few basic features of mobile phones since they used them mainly for personal communication and safety reasons. Overall, participants perceived that their current phones offered marginal “ease of use”, but they found most usability problems with understanding error messages, inputting text, and understanding user manuals. The majority of older adults (over 50%) desired a phone with basic features that include making /receiving a call, phonebook, emergency call, voice message checking, speed dial, ringer change, and clock. However, effects of age and gender were found on mobile phone usage patterns and design preferences, which suggest a need of focusing on diverse groups within the older adult population.

scholarly journals Contemporary Theory of Public Administration in the USA: from Post-Bureaucracy Paradigm by B. Armajani and M. Barzeley to Postmodern Concept by Ch. Fox and H. Miller

2019 ◽  
Vol 11 (1) ◽  
pp. 53-61
Author(s):  
Volodymyr Tsvykh ◽  
Dmytro Nelipa
Keyword(s):  
United States ◽  
Public Administration ◽  
Direct Democracy ◽  
The United States ◽  
Educational Process ◽  
Practical Significance ◽  
Inductive Method ◽  
Modern Theory ◽  
Key Characteristics ◽  
Basic Features

The purpose of the article is to study comprehensively the content of the leading newest concepts in the field of public administration in the United States, identify their basic features, as well as clarify key characteristics of the contemporary American theory of public administration. The study used a set of logical methods (synthesis, analysis, inductive method, etc.) and such general scientific approaches as system, structural-functional and bibliographic ones. The article presents a systematic study of modern theory of public administration in the United States, analyzes the leading concepts, reveals their essence, principles and features. In particular, the principles of transition from bureaucratic to post-bureaucratic management, developed by B. Armajani and M. Barzeley, are analyzed; ten principles of entrepreneurial government by T. Gaebler and D. Osborne; the content of recursive practices, due to which the construction of reality takes place, including public and political, based on the scientific views of Ch. Fox and H. Miller; the essence of R. Denhardt's new civil service, which relies on the instruments of direct democracy and recognizes public activity above market instruments in the context of achieving public interests; main directions (managerial, political and legal) of integrated public administration by D. Rosenbloom; argumentation of P. Nutt and R. Backoff regarding the expediency of using strategic management in public administration. The key characteristics (trends) of the modern theory of public administration in the US are revealed, namely: debureaucratization; marketization; managerization; servicing; postmodernization. The preconditions and content of these tendencies are identified. The scientific novelty of the article is to conduct a thorough study of the main new concepts in the field of public administration in the United States, as well as to identify general relevant characteristics of the American theory of public administration. The practical significance of the article is related to the possibility of further use of its materials in the educational process, research and practical field, taking into account clear applied orientation of modern theory of public administration in the United States.

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