Changing perceptions of telemedicine in a surgical outpatients clinic

2022 ◽  
Vol 28 (1) ◽  
pp. 22-25
Author(s):  
Mark Sammut ◽  
Matthew Sammut ◽  
Daniel M Chircop ◽  
Kurt-Lee Chircop ◽  
Craig Muscat ◽  
...  

Background/Aims Before the COVID-19 pandemic, telemedicine was not widely used in surgical departments. Despite its increased use during the pandemic, there is a lack of data on the patient perspective. This study investigated patients' views of telemedicine in a surgical outpatients clinic setting. Method A single-centre cross-sectional study was performed, involving patients who were due to attend the surgical outpatients clinic of one surgical team. Independent investigators contacted the patients by telephone after their virtual telephone consultation to administer the questionnaire. Patient satisfaction rates were recorded using the PSQ-18 questionnaire. Patient consultation preferences were recorded and analysed. Results A total of 223 patients participated in this study. The majority of patients' perceptions shifted in favour of virtual consultations after the onset of the pandemic (P<0.05). Sub-group analysis showed no significant differences between the preferences of older and younger patients before or after the onset of the pandemic. Overall, patients reported high satisfaction rates with their virtual consultations. Conclusions Patient perceptions are changing in favour of virtual telemedicine consultations. Training healthcare providers in this method of service delivery is essential to maintain a good quality of care.

Author(s):  
Dr. Waleed A. AlRajban ◽  
Dr. Khaldoon A. AlJerian ◽  
Dr. Zainab Z. AlZaher ◽  
Dr. Wijdan M. AlEithan ◽  
Dr. Lujain H. AlAmoudi

Numerous studies have been published assessing physicians’ satisfaction regarding the quality of pathology departments, which have led to further enhancement. Our objective is to estimate the satisfaction level between histopathologists and healthcare providers in Saudi Arabia in terms of turnover time in histopathology laboratories and communication, that is, quality of reporting between the two groups. In this cross-sectional study, we developed a questionnaire covering the areas identified in the literature regarding evaluating the satisfaction between histopathologists and their clients. The questionnaire was conducted in 5 hospitals in Saudi Arabia, each of which has its histopathology unit accredited by the College of American Pathologists. In our study, we report the results of 129 clients and 30 histopathologists. On the satisfaction scale (1 out 5, where is 1= very unsatisfied and 5= very satisfied), the clients reported medians of 3.40, 3.83, and 4.00 for turnover time, communication with histopathologists, and quality of reports. Histopathologists reported medians of 4.00, 4.41, and 4.16 for turnover time, communication with their clients, and request style and its sufficiency. Our conclusion is there is an inclination toward satisfactory results in the examined categories between the histopathologists and their clients.


2018 ◽  
Author(s):  
Chioma Stella Ejekam ◽  
Ifeoma Peace Okafor ◽  
Chimezie Anyakora ◽  
Ebenezer A. Ozomata ◽  
Kehinde Okunade ◽  
...  

AbstractBackgroundPost-Partum Hemorrhage (PPH), is a leading cause of maternal mortality in Nigeria and most low and middle income countries(LMIC). The World Health Organization(WHO) strongly recommends oxytocin as effective, affordable and the safest drug of first choice in the prevention and treatment of PPH in the third stage of labor. However, there are concerns about its quality. Very high prevalence of poor-quality oxytocin, especially in Africa and Asia has been reported in literature. Excessive and inappropriate use is also common with oxytocin in low-resource settings.ObjectiveTo assess clinical experiences with quality of oxytocin used by healthcare providers in Lagos State Nigeria.MethodsIt was a descriptive cross-sectional study done in 2017. Seven hundred and five respondents (doctors and nurses) who use oxytocin for obstetrics and gynaecological services were recruited from 195 health facilities (public and registered private) across Lagos State. Data collection was quantitative, using a pretested self-administered questionnaire. Data analysis was done using IBM SPSS version 21. Statistical significance was set at 5%(p<0.05). Ethical approval was obtained from Lagos University Teaching Hospital Health Research Ethics Committee. Funding support was provided by the Promoting the Quality of Medicines, a program funded by the U.S. Agency for International Development and implemented by the U.S. Pharmacopeia Convention.ResultsOnly 52 percent of the respondents knew oxytocin should be stored at 2°C to 8°C. About 80% of the respondents used oxytocin for augmentation of labor; 68% for induction of labor, 51% for stimulation of labor and 78% for management of PPH. Forty-one percent used 20IU and as much as 10% used 30IU to 60IU for management of PPH. About 13% of the respondents have experienced use of an ineffective brand of oxytocin in their practice. Just over a third (36%) of the respondents had an available means of documenting or reporting perceived ineffectiveness of drugs in their facility. Of these, only about 12% had pharmacovigilance forms available in their facilities to report the ineffectiveness.ConclusionThe inappropriate and inconsistent use of oxytocin especially overdosing likely led to the spuriously high perception of medicine effectiveness among respondents. This is also coupled with lack of suspicion of medicine ineffectiveness by clinicians as a possible root cause of poor treatment response or disease progression. Poor knowledge of oxytocin storage and consequent poor storage practices could have contributed to the ineffectiveness reported by some respondents. There is need for the establishment of a unified protocol for oxytocin use with strict compliance to the guidelines. Continued training of healthcare providers in medicines safety monitoring is advocated.


2015 ◽  
Vol 28 (2) ◽  
pp. 209 ◽  
Author(s):  
Maria João Martins ◽  
Inês Laíns ◽  
Bruno Brochado ◽  
Manuel Oliveira-Santos ◽  
Pedro Pinto Teixeira ◽  
...  

<strong>Introduction:</strong> The satisfaction with the medical profession has been identified as an essential factor for the quality of care, the wellbeing of patients and the healthcare systems’ stability. Recent studies have emphasized a growing discontent of physicians, mainly as a result of changes in labor relations.<br /><strong>Objectives: </strong>To assess the perception of Portuguese medical residents about: correspondence of residency with previous expectations; degree of satisfaction with the specialty, profession and place of training; reasons for dissatisfaction; opinion regarding clinical practice in Portugal and emigration intents.<br /><strong>Material and Methods:</strong> Cross-sectional study. Data collection was conducted through the “Satisfaction with Specialization Survey”, created in an online platform, designed for this purpose, between May and August 2014.<br /><strong>Results: </strong>From a total population of 5788 medical residents, 804 (12.25 %) responses were obtained. From this sample, 77% of the responses were from residents in the first three years. Results showed that 90% of the residents are satisfied with their specialty, 85% with the medical profession and 86% with their place of training. Nevertheless, results showed a decrease in satisfaction over the final years of residency. The overall assessment of the clinical practice scenario in Portugal was negative and 65% of residents have plans to emigrate after completing their residency.<br /><strong>Conclusion:</strong> Portuguese residents revealed high satisfaction levels regarding their profession. However, their views on Portuguese clinical practice and the results concerning the intent to emigrate highlight the need to take steps to reverse this scenario.


2021 ◽  
Vol 8 ◽  
pp. 237437352110331
Author(s):  
Alhadi M. Jahan ◽  
Ali E. Rwaiha ◽  
Sara R. Gusaibat ◽  
Nisrin A. Al-Ahwal ◽  
Zaineb M. Al-Jafairi ◽  
...  

Patient satisfaction (PS) is an essential indicator of the quality of physiotherapy services. However, regarding Libya, there has been a dearth of research on PS. This cross-sectional study aimed to measure PS with outpatient physiotherapy services and to examine the sociodemographic factors that influence the levels of satisfaction in Libya. Patient satisfaction with physiotherapy services was assessed using a reliable, valid, and structured questionnaire. Data were collected from 501 patients, and the participants’ ages ranged from 18 to 79 (mean ± standard deviation = 47.19 ± 12.8), with more females (n = 312) than males (n = 189). Participants were satisfied or very satisfied with the physiotherapy they received in the domains that measure PS. The highest percentage of satisfaction was in the physiotherapists’ attributes and ability to provide detailed explanations to their patients. Patient satisfaction was also associated with gender and occupation, with females and unemployed patients reporting higher satisfaction rates. This highlights the value of surveys administered to patients during treatments, as well as the value of strategies to address the influential factors for the improvement of PS in public physiotherapy clinics in Libya.


2021 ◽  
Author(s):  
Jansi Rani Natarajan ◽  
Mickael Antoine Joseph ◽  
Rashid Mohammed Al Alawi ◽  
Taimoor Al Balushi ◽  
Ibrahim Al Alawi ◽  
...  

Abstract Background: A chronic wound is one that has failed to proceed through the normal phases of wound healing in an orderly manner. Chronic wounds are a common problem around the world. They can be distressing to the patients causing physical, social and emotional damage such as decreased activities of daily living, pain, discomfort, unpleasant odor, and insomnia. Wellbeing, quality of life and satisfaction of these patients with chronic wounds can be impaired by a complex set of aspects. The purpose of this article is to describe the impact of chronic wounds on the wellbeing, quality of life and satisfaction of Omani patients with chronic wounds. Methods: This is a descriptive cross-sectional study of 275 patients with chronic wounds attending three tertiary care hospitals in Muscat city, Sultanate of Oman. Adult patients of 18 years and above with wounds of duration of more than 4weeks were chosen by consecutive non-probability sampling. A pre-tested, semi-structured self-reported questionnaire was provided to each patient to complete. Data was analysed using SPSS IBM version 23.Results: The average age of the patients was 47.13±16.917 and the majority of them (64.7%) were males. Most of them (29.1%) had diabetic ulcers and 45.8% of them presented with mildly severe wounds based on Bates-Jensen wound assessment scale. Patients with chronic wounds reported a poor wellbeing scores (M=10.47, SD= 1.813), moderate quality of life (M=5.22, SD= 2.388) and satisfaction scores (M=6.89, SD= 2.388). Significant mean differences were reported with age, gender, educational level, and type of wound at p<.05 levels.Conclusion: These findings demonstrated that chronic wounds could influence the wellbeing, quality of life and overall satisfaction with the quality of life of patients suffering with it. These results also suggest a need to pay increased attention by the healthcare providers to the patients suffering from chronic wounds on the aspects of wellbeing and quality of life along with treating the physical symptoms.


BJGP Open ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. bjgpopen19X101672
Author(s):  
Alhan Haji

BackgroundPrinted health education (HE) materials are commonly provided in primary health care (PHC). However, little is known about their use by PHC visitors.AimThis study explored patients’ opinions and use of printed HE materials in order to determine an ideal output format for HE.Design & settingThis was a cross-sectional study, which was conducted in three PHC centres at King Abdulaziz Medical City in Riyadh, Saudi Arabia.MethodData were collected through a self-administered questionnaire.ResultsFifty-five point two per cent of participants obtained printed HE materials from PHC waiting areas. The majority read one or more materials and found it helpful and memorable. Seventy-seven point two per cent applied the written message, 24.0% of participants regularly read HE materials, and more than half spent time reading them in the PHC centre’s waiting area. Around half (51.1%) put the material back in its place after reading it. The preferred format was card with text and graphs. The preferred content was healthy lifestyle advice.ConclusionPatients do use printed HE materials in a positive way. More efforts are needed to improve the quality of the materials. Different healthcare providers should contribute more in HE.


2021 ◽  

Background: Communication between cancer patients and healthcare providers plays a vital role towards providing quality of life for cancer patients. However, it remains as a debatable issue in the society. This study discovered that the communication in cancer care are affected by socio-demographic characteristics of cancer patients. Objectives: To determine the quality of communication (QOC) between cancer patients and doctors, and its associated factors. Methods: A cross-sectional study was performed at a teaching hospital, with 600 cancer patients in the oncology clinic and admited to oncology ward as participants. Results: The mean score for the overall doctor’s QOC was 8.23 ± 0.74. This indicated that the level of Doctor Communication was close to very good communication. The following factors contribute remarkably on the scores of quality of communication with doctors; aged 71 years old and above (β = 6.27, p<0.001), secondary school qualification holder (β = 1.99, p<0.001.), diploma and degree holder (β =4.14, p<0.001. ), government sector employees (β = 14.85 p<0.001.), private sector, factory or estate employees, and self-employed (β = 10.31 p<0.001), had been diagnosed for over a year (β = 7.07, p<0.001), no monthly income (β = 12.25, p<0.001), and do not stay with family (β = 2.51, p<0.003). Conclusions: Study found that socio-demographic factors including age, level of education,employment status, working sector, illness duration and income of cancer patients can affect the communication, and most of the time, negatively. This issue should be taken seriously for the improvement of the care of cancer patients.


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