scholarly journals Determination of the relationship between physician trust, medical mistrust, and self-confidence in the health services provided in Turkey

2020 ◽  
Vol 17 (4) ◽  
pp. 1222-1234
Author(s):  
Halil Şengül ◽  
Arzu Bulut

Objectives: A sense of trust is of great importance for professional professions. Failure to establish trust, especially in an industry where information asymmetry is too high, such as the health sector, also poses important problems for both employees and society. In this study, we aimed to identify variables that affect the distrust of the health system and trust in the physician. Material and Method: This study was carried out in the descriptive design. The study group consisted of 561 people living in different cities of Turkey and whose ages ranged from 18-70 years. “Personal data form”, “ Medical mistrust scale”, “Physician trust scale” and “generalized trust inventory infrastructure scale” were used as data collection tools prepared by the researcher. As a data collection method, the test method performed in a computer environment was used. One-way analysis of variance from parametric test statistics and Pearson correlation analysis test statistics were used to compare data. P<0.050 and p<0.001 were determined for the significance level. Results: In our study, medical mistrust decreased as trust in the physician increased. As a person's level of self-trust increases, medical mistrust increases, and confidence in the physician also decrease. Dissatisfaction with the health service increases medical mistrust, while also reducing trust in the physician. Based on the preferred type of hospital, the level of medical mistrust of patients going to private hospitals is greater than the level of medical mistrust of patients going to public hospitals. Conclusion: This study reveals the importance of trust in the health sector and the factors that affect it. More detailed studies on practices that will increase confidence in the importance of this issue and measures that will reduce distrust will make a great contribution to this issue.

2020 ◽  
Vol 36 (5) ◽  
Author(s):  
Luiz Gustavo da Silva Dias ◽  
Ricardo Dias da Silva ◽  
Letícia de Oliveira Baliana ◽  
Lorena Campos Mendes ◽  
Elizabeth Barichello

Prostate cancer is the second most common type of cancer among men, being considered a cancer of the elderly because about three quarters of cases worldwide occur in individuals aged 65 and over. Anxiety, depression and stress are three emotional states understood as psychological morbidity factors, and they interfere with the patient's adaptation to the diagnosis. The present study aimed to identify anxiety, depression and stress levels in men with prostate cancer, describing sociodemographic and clinical characteristics and investigating whether the influence of such characteristics on the emotional symptoms of patients is significant. Cross-sectional study with a quantitative approach performed in two public hospitals with patients preoperatively for prostatectomy. Two instruments were used, one covering sociodemographic and clinical aspects of the patients, and the other was the Depression Anxiety and Stress Scale (DASS-21)-Short Form. In the statistical analysis, the Pearson correlation test and the Mann-Whitney U test were used to evaluate the variables of interest, considering the significance level of 0.05. As a preliminary study, 31 patients were interviewed. The results indicated a predominant age of 60 years or older (72.4%), 71% of men had low level of education, and 51.6% did not have partner. The mean scores obtained in the DASS-21 were 2.84 (SD = 3.925) for depression; 3.68 (SD = 3.655) for anxiety; and 6.71 (SD = 6.92) for stress. The results revealed no significant correlation between these constructs and the variables of interest. However, a descriptive analysis of the data showed a minimal correlation of anxiety (r = 0.191) and stress (r = 0.149) with the numerical variable time since diagnosis. In conclusion, the results presented important questions related to prostate cancer diagnosis, involving patients' marital status, religion and cancer staging.


2020 ◽  
Vol 17 (4) ◽  
pp. 974-985
Author(s):  
Halil Şengül ◽  
Arzu Bulut ◽  
Musab Abdullah Adalan

Objectives: COVID-19 pandemic has affected public health to a large extent. The rapid contamination of the disease has necessitated social distance and lockdown. Musculoskeletal discomforts are the most common complaints among routine medical complaints. Restraints caused by the pandemic and psycho-social effects have caused such complaints increase. In the present study, the aim is to determine whether there is a difference between the Musculoskeletal System Discomforts of the people before and during the COVID-19 pandemic and to reveal the factors affecting such a difference. Material and Method: This study was carried out in descriptive design. In the study, the study group consisted 1138 people living at different cities of Turkey who accepted to participate in the study. As the data collection tool, the personal information form prepared by the researcher and the “Cornell Musculoskeletal Discomfort Questionnaire (T-CMDQ)”, which was developed by Cornell and translated into Turkish by Erdinç et al. who also tested the validity and adaptation of the questionnaire, were used in the study. The test method conducted in computer environment was used as the data collection method. In the study, decision of the ethics committee was taken for the non-interventional practices (Dated 2020 with no. 06). Paired Sample t-Test statistics was used for data comparison in the study. Significance level was accepted as p <0.001. In the study, Cronbach alpha value of the total score of Musculoskeletal Discomfort Questionnaire was found as 0.92. Results: It was determined that there was a statistically significant difference between the total mean scores of the participants before COVID-19 and during COVID-19 (p <0.001). There was a statistically significant difference between the total mean scores of the participants regarding the pain level before COVID-19 and during COVID-19 (p <0.001). Conclusion: During COVID-19, it is determined that there is a decrease in the frequency of feeling pain, aches, and discomfort in body regions, but an increase in the severity of the emergent discomforts.


2020 ◽  
Vol 4 (1) ◽  
pp. 51-63
Author(s):  
Peter Neuhaus ◽  
Chris Jumonville ◽  
Rachel A. Perry ◽  
Roman Edwards ◽  
Jake L. Martin ◽  
...  

AbstractTo assess the comparative similarity of squat data collected as they wore a robotic exoskeleton, female athletes (n=14) did two exercise bouts spaced 14 days apart. Data from their exoskeleton workout was compared to a session they did with free weights. Each squat workout entailed a four-set, four-repetition paradigm with 60-second rest periods. Sets for each workout involved progressively heavier (22.5, 34, 45.5, 57 kg) loads. The same physiological, perceptual, and exercise performance dependent variables were measured and collected from both workouts. Per dependent variable, Pearson correlation coefficients, t-tests, and Cohen's d effect size compared the degree of similarity between values obtained from the exoskeleton and free weight workouts. Results show peak O2, heart rate, and peak force data produced the least variability. In contrast, far more inter-workout variability was noted for peak velocity, peak power, and electromyography (EMG) values. Overall, an insufficient amount of comparative similarity exists for data collected from both workouts. Due to the limited data similarity, the exoskeleton does not exhibit an acceptable degree of validity. Likely the cause for the limited similarity was due to the brief amount of familiarization subjects had to the exoskeleton prior to actual data collection. A familiarization session that accustomed subjects to squats done with the exoskeleton prior to actual data collection may have considerably improved the validity of data obtained from that device.


2018 ◽  
Vol 7 (4) ◽  
pp. 42-49 ◽  
Author(s):  
Korkmaz YİĞİTER ◽  
Hakan TOSUN

The aim of this study is to investigate the effects of participation in a 1-week summer camp on thehopelessness and self-esteem of the university students attending Sport Sciences Faculty. Participants were 36university students assigned to experiment group using a random procedure. Coopersmith Self-esteem and Beck Hopelessness Scales were completed at the beginning and end of the summer camp by designed the university. The obtained data were analysed in the SPSS 18.0 program and the significance level was taken as 0.05. The descriptive statistics, independent simple t test, paired simple t test and Pearson correlation were used for analyse the data in the study. According to the results of the research, no significant difference was observed in the comparison of the hopelessness and self-esteem levels between pre and post-test. In addition, there was a significant difference in the hopelessness level of male and female students but any significant difference was not observed in terms of self-esteem. There was a significant relationship between hopelessness and self-esteem pre and post-test. These result shows that a 1-week summer camp cannot change the hopelessness or self-esteem level. However, as the self-esteem rises, the rate of despair decreases whereas as the despair rises, the selfesteem decreases.


2020 ◽  
Author(s):  
Cátia Santos-Pereira

BACKGROUND GDPR was scheduled to be formally adopted in 2016 with EU member states being given two years to implement it (May 2018). Given the sensitive nature of the personal data that healthcare organization process on a 24/7 basis, it is critical that the protection of that data in a hospital environment is given the high priority that data protection legislation (GDPR) requires. OBJECTIVE This study addresses the state of Public Portuguese hospitals regarding GDPR compliance in the moment of GDPR preparation period (2016-2018) before the enforcement in 25 May 2018, and what activities have started since then. The study focuses in three GDPR articles namely 5, 25 and 32, concerning authentication security, identity management processes and audit trail themes. METHODS The study was conducted between 2017 and 2019 in five Portuguese Public Hospitals (each different in complexity). In each hospital, six categories of information systems critical to health institutions were included in the study, trying to cover the main health information systems available and common to hospitals (ADT, EPR, PMS, RIS, LIS and DSS). It was conducted interviews in two phases (before and after GDPR enforcement) with the objective to identify the maturity of information systems of each hospital regarding authentication security, identity management processes and traceability and efforts in progress to avoid security issues. RESULTS A total of 5 hospitals were included in this study and the results of this study highlight the hospitals privacy maturity, in general, the hospitals studied where very far from complying with the security measures selected (before May 2018). Session account lock and password history policy were the poorest issues, and, on the other hand, store encrypted passwords was the best issue. With the enforcement of GDPR these hospitals started a set of initiatives to fill this gap, this is made specifically for means of making the whole process as transparent and trustworthy as possible and trying to avoid the huge fines. CONCLUSIONS We are still very far from having GDPR compliant systems and Institutions efforts are being done. The first step to align an organization with GDPR should be an initial audit of all system. This work collaborates with the initial security audit of the hospitals that belong to this study.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kate McBride ◽  
Daniel Steffens ◽  
Christina Stanislaus ◽  
Michael Solomon ◽  
Teresa Anderson ◽  
...  

Abstract Background A barrier to the uptake of robotic-assisted surgery (RAS) continues to be the perceived high costs. A lack of detailed costing information has made it difficult for public hospitals in particular to determine whether use of the technology is justified. This study aims to provide a detailed description of the patient episode costs and the contribution of RAS specific costs for multiple specialties in the public sector. Methods A retrospective descriptive costing review of all RAS cases undertaken at a large public tertiary referral hospital in Sydney, Australia from August 2016 to December 2018 was completed. This included RAS cases within benign gynaecology, cardiothoracic, colorectal and urology, with the total costs described utilizing various inpatient costing data, and RAS specific implementation, maintenance and consumable costs. Results Of 211 RAS patients, substantial variation was found between specialties with the overall median cost per patient being $19,269 (Interquartile range (IQR): $15,445 to $32,199). The RAS specific costs were $8828 (46%) made up of fixed costs including $4691 (24%) implementation and $2290 (12%) maintenance, both of which are volume dependent; and $1848 (10%) RAS consumable costs. This was in the context of 37% robotic theatre utilisation. Conclusions There is considerable variation across surgical specialties for the cost of RAS. It is important to highlight the different cost components and drivers associated with a RAS program including its dependence on volume and how it fits within funding systems in the public sector.


2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Kok-Seng Wong ◽  
Myung Ho Kim

The Internet of Things (IoT) is now an emerging global Internet-based information architecture used to facilitate the exchange of goods and services. IoT-related applications are aiming to bring technology to people anytime and anywhere, with any device. However, the use of IoT raises a privacy concern because data will be collected automatically from the network devices and objects which are embedded with IoT technologies. In the current applications, data collector is a dominant player who enforces the secure protocol that cannot be verified by the data owners. In view of this, some of the respondents might refuse to contribute their personal data or submit inaccurate data. In this paper, we study a self-awareness data collection protocol to raise the confidence of the respondents when submitting their personal data to the data collector. Our self-awareness protocol requires each respondent to help others in preserving his privacy. The communication (respondents and data collector) and collaboration (among respondents) in our solution will be performed automatically.


2021 ◽  
Vol 9 (3) ◽  
pp. 132-143
Author(s):  
Albert Lumbu ◽  
Bonefasius Y Boy ◽  
Muhamad Akbar

This study aims to determine whether there are: 1) the influence of learning styles on physics learning outcomes, 2) the influence of interest in learning on physics learning outcomes, 3) the influence of learning styles and interest in learning together on physics learning outcomes in class X SMA Negeri 1 Nimboran . This research was conducted at SMA Negeri 1 Nimboran in April - May 2021. The subjects in this study were all 52 students of class X majoring in science and the objects of research were learning styles, interest in learning and physics learning outcomes. The instruments used are questionnaires and documentation. Data analysis was carried out using the Pearson correlation test with a significance level of 0.05 and a regression test which resulted in conclusions as a result of the study. The results showed that, 1) there was a significant influence of learning style on physics learning outcomes with a contribution of 50.8%, 2) there was a significant influence of interest in learning on physics learning outcomes with a contribution of 60.9%, 3) there were significant influence of learning style and interest in learning, together on the learning outcomes of physics with a contribution of 64.3% influence


2018 ◽  
Vol 192 ◽  
pp. 02047
Author(s):  
Yopy Arfan ◽  
Dwita Sutjiningsih

Urbanization and industrialization lead to the change of land cover from pervious into impervious. This can impact environmental problems such as water quality degradation that affects human health and water ecosystems. The study aimed to develop a regression-correlation model between impervious cover in Ciliwung watershed and water quality indices in Ciliwung river. The correlation-regression model can be used to predict changes in the status of Ciliwung river water quality due to impervious cover changes. Methods of assessing the indices of water quality are CCME-WQI, NSF-WQI, and STORET within the period of 2005-2016. Monitoring locations from the most upstream to downstream are Atta’awun, Katulampa, Kedung Halang, Pondok Rajeg, Panus Bridge, Kelapa Dua, Condet, Kalibata, MT Haryono and Manggarai. Impervious cover data for each water quality monitoring location is processed using ArcGIS Software. Test of correlation significance between percentage of impervious cover and water quality indices using Pearson Correlation test method. The result of correlation test is significantly a strong inverse relationship between impervious cover and water quality indices. The result of regression test is trend line between impervious cover change and water quality indices that can be used to predict the change of water quality status in Ciliwung River.


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