Do patients’ characteristics influence their healthcare concerns?—A hospital care survey

Background Hospital performance is often monitored by surveys that assess patient experiences with hospital care. Certain patient characteristics may shape how some aspects of hospital care are viewed and reported on surveys. Objective The aim of the study was to examine factors considered important to patients and determine whether there were differences in answers based on age, gender, or educational level. Methods Cross-sectional study based on a hospital survey developed via literature review and specialist recommendations. This study included randomly selected patients 18 years or older who were recently admitted to the hospital or admitted more than 50 days before the survey was being applied. Survey domains included age, gender, educational level, factors considered important for the health care in a hospital setting and sources of information about hospital quality used by each subject. Answers description and statistical analysis using Fisher exact test were performed. Results The survey was applied to 262 patients who were admitted under different services. The most important concern reported was the risk of getting a hospital-acquired infection (67.18%), followed by understanding explanation from the doctors’ plans (64.12%) and doctors’ ability to listen carefully (58.78%). Women are more concerned about their risk of falling (p = 0.03). Patients older than 65 years find important that the doctors explain everything in a way they can easily understand (p = 0.02), while lower educated patients consider most if the doctor treats them with courtesy and respect (p = 0.0027). Conclusion Patient characteristics have an effect on how hospital care is perceived. Regardless of the characteristics of the population, the risk of getting an infection was the main concern overall, so it is important that hospitals promote actions to prevent it and share them with patients.

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Safe intra-hospital care in context of vulnerability to socio-environmental disasters: implications for nursing

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0223 ◽

2021 ◽

Vol 74 (1) ◽

Author(s):

Mayra Wilbert Rocha ◽

Alexandre Barbosa de Oliveira ◽

Diego Freitas de Araújo ◽

Ana Beatriz Azevedo Queiroz ◽

Graciele Oroski Paes

Keyword(s):

Hospital Care ◽

Hospital Setting ◽

Hierarchical Classification ◽

Cross Sectional Study ◽

Structured Interviews ◽

Environmental Disaster ◽

Cross Sectional ◽

Environmental Disasters ◽

Disaster Assistance ◽

Human Material

ABSTRACT Objectives: to analyze the factors involved in safe intra-hospital care, in a context of vulnerability to socio-environmental disasters and their implications for nursing. Methods: a cross-sectional study of a descriptive and exploratory nature. Semi-structured interviews were conducted with 49 nursing professionals from a hospital in the mountainous region of the state of Rio de Janeiro (Brazil), which suffered a significant impact from a socio-environmental disaster in January 2011. Data were processed by software IRaMuTeQ. Results: aspects related to disaster assistance were presented through a thematic chunk with four classes, through descending hierarchical classification. Conclusions: for better nursing response in socio-environmental disasters, in an intra-hospital setting, investments for training and continuing education should be prioritized; adequate provision and provision of human, material and technological resources; psychological support for professionals after such events; appropriation of nursing competencies for the development of advanced practices in disasters and effective risk management.

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A cross sectional study on assessment of risk of diabetes mellitus using Indian diabetic risk score in a medical college teaching hospital

International Journal of Pharmacometrics and Integrated Biosciences ◽

10.26452/ijpib.v5i2.1292 ◽

2020 ◽

Vol 5 (2) ◽

pp. 32-40

Author(s):

Singam Sivasankar Reddy ◽

Syeda Rahath ◽

Rakshitha H N ◽

Godson K Lal ◽

Swathy S ◽

...

Keyword(s):

Diabetes Mellitus ◽

High Risk ◽

Risk Score ◽

Hospital Setting ◽

College Teaching ◽

Cross Sectional Study ◽

Diabetic Patients ◽

Cross Sectional ◽

Patient Counselling ◽

Related Quality

The objective of the study was to evaluate the risk of diabetes mellitus in elderlywith age above 20 years in a hospital setting using Indian Diabetes risk score and to provide patient counselling regarding their life style modifications and health related quality of life among participants with high risk of developing diabetes.A total of 125 non diabetic patients were interviewed with a pre designed selfstructured questionnaire (IDRS). Participants were chosen voluntarily and a written consent was obtained before the administration of the questionnaire from individual patients. In our study we observed that out of 125 patients,males 26[59%]and 18[41%] females were at high risk, males 39[58.2%] and 28[41.8%] females were at moderate risk, males 5[35.7%] and 9[64.3%] females were at low risk of developing diabetes mellitus.

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Physical Activity Patterns of Women with a Twin Pregnancy—A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18157724 ◽

2021 ◽

Vol 18 (15) ◽

pp. 7724

Author(s):

Katarzyna Kwiatkowska ◽

Katarzyna Kosińska-Kaczyńska ◽

Izabela Walasik ◽

Agnieszka Osińska ◽

Iwona Szymusik

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Twin Pregnancy ◽

Activity Patterns ◽

Multiple Pregnancy ◽

Cross Sectional Study ◽

Sources Of Information ◽

Sectional Study ◽

Cross Sectional ◽

Physically Active

Background: No specific physical activity guidelines are available for women in multiple pregnancy. Aim of the study was to assess the knowledge and experience of women regarding physical activity during their latest twin pregnancy. Methods: A cross-sectional study including women after a twin delivery was conducted in Poland. A questionnaire was distributed in 2018 via web pages and Facebook groups designed for pregnant women. Results: 652 women filled out the questionnaire completely. Only 25% of women performed any physical exercises during twin gestation. The frequency of preterm delivery was similar in physically active and non-active participants. 35% of the respondents claimed to have gained information on proper activity from obstetricians during antenatal counselling while 11% claimed to be unable to identify the reliable sources of information. 7% of women admitted to feel discriminated by social opinion on exercising during a twin pregnancy. Conclusions: The population of women with a twin gestation is not sufficiently physically active and is often discouraged from performing exercises during gestation. Therefore, it is crucial to inform obstetricians to recommend active lifestyle during a twin gestation and to provide reliable information on physical activity to pregnant women. Further research on this topic is necessary in order for obstetric providers to counsel women on appropriate exercise with a twin pregnancy.

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Patterns of patient reluctance to receive complementary-medicine treatments in a hospital setting: A cross-sectional study

Complementary Therapies in Medicine ◽

10.1016/j.ctim.2021.102694 ◽

2021 ◽

Vol 58 ◽

pp. 102694

Author(s):

Asaf Dan ◽

Samuel Attias ◽

Rachel Woitiz ◽

Zahi Arnon ◽

Yael Keshet ◽

...

Keyword(s):

Complementary Medicine ◽

Hospital Setting ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

To Receive

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Family involvement and patient-experienced improvement and satisfaction with care: a nationwide cross-sectional study in Danish psychiatric hospitals

BMC Psychiatry ◽

10.1186/s12888-021-03179-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Marie Louise Svendsen ◽

Trine Ellegaard ◽

Karoline Agerbo Jeppesen ◽

Erik Riiskjær ◽

Berit Kjærside Nielsen

Keyword(s):

Psychiatric Hospital ◽

Hospital Care ◽

Psychiatric Hospitals ◽

Cross Sectional Study ◽

Satisfaction With Care ◽

Sectional Study ◽

Cross Sectional ◽

Caregiver Relationship ◽

Patient Reported ◽

Caregiver Involvement

Abstract Background Randomised controlled trials suggest that family therapy has a positive effect on the course of depression, schizophrenia and anorexia nervosa. However, it is largely unknown whether a positive link also exists between caregiver involvement and patient outcome in everyday psychiatric hospital care, using information reported directly from patients, i.e. patient-reported experience measures (PREM), and their caregivers. The objective of this study is to examine whether caregiver-reported involvement is associated with PREM regarding patient improvement and overall satisfaction with care. Methods Using data from the National Survey of Psychiatric Patient Experiences 2018, we conducted a nationwide cross-sectional study in Danish psychiatric hospitals including patients and their caregivers who had been in contact with the hospital (n = 940 patients, n = 1008 caregivers). A unique patient identifier on the two distinct questionnaires for the patient and their caregiver enabled unambiguous linkage of data. In relation to PREM, five aspects of caregiver involvement were analysed using logistic regression with adjustment for patient age, sex and diagnosis. Results We consistently find that high caregiver-reported involvement is statistically significantly associated with high patient-reported improvement and overall satisfaction with care with odds ratios (OR) ranging from 1.69 (95% confidence interval (CI) 0.95–2.99) to 4.09 (95% CI 2.48–6.76). This applies to the following aspects of caregiver-reported involvement: support for the patient-caregiver relationship, caregiver information, consideration for caregiver experiences and the involvement of caregivers in decision making. No statistically significant association is observed regarding whether caregivers talk to the staff about their expectations for the hospital contact. Conclusion This nationwide study implies that caregiver involvement focusing on the patient-caregiver relationship is positively associated with patient improvement and overall satisfaction with care in everyday psychiatric hospital care.

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The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041792 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1792

Author(s):

Chih-Yen Chang ◽

Shou-Jen Lan ◽

Chiao-Lee Chu ◽

Ching-Sung Ho

Keyword(s):

Educational Level ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Clinic Visit ◽

Clinical Dementia Rating ◽

Score Distribution ◽

Chi Square ◽

Cross Sectional ◽

Central Taiwan ◽

Severity Of Dementia

Introduction: This study analyzes the severity of dementia status with clinical dementia rating (CDR) score distribution among patients according to various family functional and sociodemographic issues. Methods: A cross-sectional study was performed in a regional hospital in Central Taiwan. The sample consisted of 318 patients who came to the clinic from May 2018 to April 2019, and who were diagnosed by the physicians with CDR scores ≧ 0.5. The Chi-Square test and binary logistic regression analyses were performed for inferential statistical analysis. Results: The mean age of the sample was 78.7 ± 8.51 years, and 61.6% of the samples’ CDR scores were equal or less than 1.0. Patients visiting the clinic were accompanied by spouses (21.7%), sons or daughters-in-law (40.6%), daughters (23.6%). Of the sample, 142 (44.3%) patients live with sons. Patients with a lower educational level had higher CDR scores. Compared to the patients who went to the clinic by themselves, the higher OR values of CDR scores ≧ 2 are found in patients who were accompanied by other relatives (OR = 18.871, 95% C.I. = 3.117–114.237, p = 0.001), or spouse (OR = 10.783, 95% C.I. = 1.996–58.245, p = 0.006). Conclusion: The family member who accompanied the patient to a clinic visit and the patient’s educational level are both significant issues relating to the severity of dementia.

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Experiences of Australian podiatrists working through the 2020 coronavirus (COVID-19) pandemic: an online survey

Journal of Foot and Ankle Research ◽

10.1186/s13047-021-00449-9 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Cylie M. Williams ◽

Anna Couch ◽

Terry Haines ◽

Hylton B. Menz

Keyword(s):

Online Survey ◽

Demographic Data ◽

Medical Officer ◽

Cross Sectional Study ◽

Infection Prevention And Control ◽

Sources Of Information ◽

Cross Sectional ◽

Business Decisions ◽

Working Through ◽

Novel Coronavirus

Abstract Background On the 19th of January, 2020, the Chief Medical Officer of Australia issued a statement about a novel coronavirus, or SARS-CoV-2. Since this date, there have been variable jurisdictional responses, including lockdowns, and restrictions on podiatry practice. This study aimed to describe impacts of the SARS-CoV-2 pandemic on the podiatry profession in Australia. Methods This was a cross sectional study of Australian podiatrists using demographic data collected between 2017 and 2020, and pandemic-related question responses collected between 30th March and 31st August, 2020. Data were collected online and participants described their work settings, patient funding types, business decisions and impacts, and information sources used to guide practice decisions during this time-period. Inductive thematic analysis was used to analyse open-ended questions about their practice impact of SARS-CoV-2. Results There were 732 survey responses, with 465 Australian podiatrists or podiatric surgeons providing responses describing pandemic impact. From these responses, 223 (49% of 453) podiatrists reported no supply issues, or having adequate supplies for the foreseeable future with personal protective equipment (PPE) or consumables to support effective infection prevention and control. The most frequent responses about employment, or hours of work, impact were reported in the various categories of “business as usual” (n = 312, 67%). Participants described most frequently using the local state and territory Department of Health websites (n = 347, 75%), and the Australian Podiatry Association (n = 334, 72%) to make decisions about their business. Overarching themes which resounded through open-ended comments was that working through the pandemic was likened to a marathon, and not a sprint. Themes were: (i) commitment to do this, (ii) it’s all in the plan, but not everything goes to plan, (iii) my support team must be part of getting through it, (iv) road blocks happen, and (v) nothing is easy, what’s next? Conclusion Podiatrists in Australia reported variable pandemic impact on their business decisions, PPE stores, and their valued sources of information. Podiatrists also described their “marathon” journey through the pandemic to date, with quotes describing their challenges and highlights. Describing these experiences should provide key learnings for future workforce challenges, should further restrictions come into place.

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Knowledge on postnatal care among postpartum mothers during discharge in maternity hospitals in Asmara: a cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-019-2694-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Ghirmay Ghebreigziabher Beraki ◽

Eyasu H. Tesfamariam ◽

Amanuel Gebremichael ◽

Berhanemeskel Yohannes ◽

Kessete Haile ◽

...

Keyword(s):

Breast Feeding ◽

Educational Level ◽

Postnatal Care ◽

Knowledge Score ◽

Cross Sectional Study ◽

Postnatal Period ◽

Danger Sign ◽

Cross Sectional ◽

Maternity Hospitals ◽

Postpartum Mothers

Abstract Background The early postnatal period is a dangerous time for both mother and baby where morbidity and mortality are highly prevalent if proper care is not done. Post natal care (PNC) knowledge has significant role in reducing such complications. In this study, the knowledge of postpartum mothers on PNC and its determinants were determined. Methods A cross-sectional quantitative study was conducted in postpartum mothers (PpM) who attended all maternal delivery services in Asmara. Data was collected by a structured questionnaire. All (n = 250) PpM who gave birth in December, 2017 were included in the study. Independent samples t-test and one way ANOVA were used to compare the scores in knowledge across categories of background characteristics using SPSS. Bonferroni post-hoc test was performed for variables that were found to be significant while using ANOVA tool. P-values less than 0.05 were considered as significant. Results The percentage of PpM who cited vaginal bleeding, as a maternal danger sign, and fever, as a baby danger sign, were 83.2 and 58.8%, respectively. The majority (96%) of PpM responded the correct answer on where to go if they note any danger signs. In addition, more than nine tenth of PpM correctly identified injectable contraceptives (92.7%) and oral contraceptive (91.5%). The percentages of knowledge in recognizing the necessary nutrients ranged from 87.6% for carbohydrates to 46% for minerals. The percentages of correct knowledge regarding first baby bath, frequency of breast feeding, umbilical care, duration of exclusive breast feeding, need and purpose of vaccine were 40.1, 81.9, 77.4, 94.8, and 99.2% respectively. The mean PNC knowledge score was 24.89/60. The score of knowledge on postnatal care was found to significantly differ across the categories of residence (p < 0.001) and ethnicity (p = 0.015). An increasing trend of knowledge score was observed with increase in age group (p < 0.001), educational level (p = 0.021), gravida (p < 0.001) and para (p < 0.001). Conclusion Considerable gaps in knowledge regarding postnatal care among postpartum mothers were evident. Special attention should be laid on rural residents, single/living together, junior/below in educational level, primigravida/para, non-Tigrigna ethnicity, and 17 to 25 years old mothers.

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Acetabular Chondral Lesions in Hip Arthroscopy: Relationships Between Grade, Topography, and Demographics

The American Journal of Sports Medicine ◽

10.1177/0363546517708192 ◽

2017 ◽

Vol 45 (11) ◽

pp. 2501-2506 ◽

Cited By ~ 18

Author(s):

Carlos Suarez-Ahedo ◽

Chengcheng Gui ◽

Stephanie M. Rabe ◽

Sivashankar Chandrasekaran ◽

Parth Lodhia ◽

...

Keyword(s):

Traumatic Injury ◽

Demographic Factors ◽

Patient Characteristics ◽

Cross Sectional Study ◽

Chondral Lesion ◽

Level Of Evidence ◽

Cross Sectional ◽

Chondral Lesions ◽

Chondral Damage ◽

Male Sex

Background: Hip pain remains a challenge given the multiple factors that can cause damage to the articular cartilage, such as traumatic injury, metabolic damage, and morphologic variations such as femoroacetabular impingement (FAI) and that can contribute to progression of osteoarthritis. However, a direct relationship between patient characteristics, the extent of acetabular chondral damage, and topologic characteristics of chondral lesions has not been established. Purpose: To compare the grade of acetabular chondral damage, measured in terms of acetabular labrum articular disruption (ALAD) classification, to the size and position of the chondral lesions, matching patients’ demographic factors such as age and body mass index (BMI). Study Design: Cross-sectional study; Level of evidence, 3. Methods: This study included all hip arthroscopies performed by the corresponding author from August 7, 2008, to November 19, 2014, in which acetabular chondral lesions were intraoperatively identified and measured in terms of ALAD grade, clockface location, and size. Bivariate analyses and multiple logistic regression were used to identify the demographic factors, characteristics of the acetabular chondral lesion, and other anatomic characteristics that were related to the ALAD grade of the acetabular chondral lesion. Results: Acetabular chondral lesions were measured in 1502 patients during the study period. Multivariate analysis showed that higher ALAD grade of acetabular chondral damage was significantly related to male sex, more advanced age, the area of the acetabular chondral lesion, anterior extension of the acetabular chondral lesion within the anterosuperior quadrant, labral detachment from the acetabular cartilage, and posterior extension of the labral tear. Conclusion: Higher grades of acetabular chondral damage were related to male sex, increased age, height, weight, BMI, and the size of the lesion. Chondral lesions were generally found in the anterosuperior region of the acetabulum, consistent with labral lesions and the weightbearing area of the acetabulum.

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