scholarly journals The Work Competence of General Practitioners Working in Shanghai’s Community Health Services: A Cross-Sectional Study based on Self-assessment

2021 ◽  
Author(s):  
Tianhao Wang ◽  
Xueying Ru ◽  
Yuan Zhang ◽  
Xiangjie Zhang ◽  
Jian Gong ◽  
...  
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Communication Skill ◽  
Cross Sectional Study ◽  
Community Health Services ◽  
Sectional Study ◽  
Self Assessment ◽  
Cross Sectional ◽  
Teaching Ability ◽  
Coordination Ability

Abstract Background: The aim of the study was to investigate the work competence of GPs in community health services(CHS) in Shanghai, China. Methods: A questionnaire was designed on the basis of a previous capacity evaluation indicator system. We adopted a stratified and proportional cluster sampling method in this self-assessment and cross-sectional study. We collected data on GPs demographic variables and work competence which was separated as patient care ability, teaching ability, communication skill and coordination ability, using the questionnaire. Results: A total of 2954 GPs were sampled from 116 CHS in Shanghai. The median score of patient care ability, teaching ability, communication skill and coordination ability were 80[70-88.75], 76[60-80] and 80[70-85] on a scale of 100, respectively. GPs who were 30-39 years old, worked in urban CHS, and participated in GP trainer’s training or had teaching experience got higher scores in patient care ability. GPs who worked for 5-20 years in CHS, worked in training CHSs and participated in GP trainer’s training program had higher scores in teaching ability. As for communication skill and coordination ability, GPs who were older than 30-39 years old and with a senior professional title, worked in training CHS, participated in GP trainer’s training and had teaching experiences in CHS got higher scores. Conclusions: The work competence of GPs in Shanghai’s CHS largely meets the requirements of daily practice, but there is still great improving space in the aspect of teaching ability.

scholarly journals The work competence of Shanghai’s GPs: a cross-sectional study based on self-assessment

2021 ◽  
Author(s):  
Tianhao Wang ◽  
Xueying Ru ◽  
Yuan Zhang ◽  
Xiangjie Zhang ◽  
Jian Gong ◽  
...  
Keyword(s):  
Patient Care ◽  
Training Program ◽  
Communication Skill ◽  
Teaching Experience ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Self Assessment ◽  
Cross Sectional ◽  
Teaching Ability ◽  
Coordination Ability

Abstract Background: General practitioners(GPs) have taken new challenges as requested in a new model introduced in China recently. Unlike some countries where general medicine are well developed, there is a lack of a standard in China that can be generalized to assess GPs’ work competence. The aim of the study was to investigate work competence of GPs in Shanghai’s community health services(CHS) in China by self-assessment, providing evidences for effectiveness of GPs’ post-education and training. Methods: A stratified and proportional cluster sampling method was adopted in this cross-sectional study from 116 CHS in Shanghai.(n=2954). We collected data on GPs demographic variables and work competence which was separated as patient care ability, teaching ability, communication skill and coordination ability, using a self-designed questionnaire. Results: The mean score of patient care ability, teaching ability, communication skill and coordination ability were 76.93±12.55, 63.47±28.97, and 76.31±20.25 on a scale of 100, respectively. GPs who were 30-39 years old, worked in urban CHSs, and participated in GP trainer’s training or had teaching experience got higher scores in patient care ability. Those GPs who worked for 5-20 years in CHS, especially in training CHSs which is involved in post-graduate GPs training program, and participated in GP trainer’s training program had higher scores in teaching ability. As for communication skill and coordination ability, GPs who were older than 30-39 years old and with a senior professional title, worked in training CHSs, participated in GP trainer’s training and had teaching experiences in CHS can got higher scores.Conclusions: There is a large space to improve the patient care ability, teaching ability, communication skill and coordination ability for GPs in Shanghai’s CHS ,especially in teaching ability.

scholarly journals Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abeer Alharbi ◽  
Joharah Alzuwaed ◽  
Hind Qasem
Keyword(s):  
Saudi Arabia ◽  
Health Services ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Advanced Technology ◽  
Sectional Study ◽  
Cross Sectional ◽  
Technical Problems ◽  
Significant Difference ◽  
Ease Of Access

Abstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultations with their doctors on their smartphones. Objective This study evaluated the effectiveness of the app in improving healthcare delivery by ensuring patient satisfaction with the care given, increasing access to care, and improving efficiency in the healthcare system. Methods A cross-sectional study design was used to assess the perceptions of users of the Seha app and non-users who continued with traditional health services. The data were collected using an online survey via Google Forms between June 2020 and September 2020. Independent t tests and chi-square (χ2) tests were conducted to answer the research questions. Results There was a significant difference between users and non-users in terms of ease of access to health services (t =  − 9.38, p < 0.05), with app users having a higher mean score (4.19 ± 0.91) than non-users (3.41 ± 1.00); satisfaction with health services (t =  − 6.33, p < 0.05), with users having a higher mean score (3.96 ± 0.91) than non-users (3.45 ± 0.94); and efficiency (only one visit needed for treatment) (t =  − 3.20, p < 0.05), with users having a higher mean score (3.71 ± 0.93) than non-users (3.45 ± 0.93). There were significant associations between the use of the Seha app and age (χ2 = 8.79, p < 0.05), gender (χ2 = 22.19, p < 0.05), region (χ2 = 19.74, p < 0.05), and occupation (χ2 = 22.05, p < 0.05). There were significant relationships between the three items (on access, satisfaction, and efficiency) and experiencing technical issues (t = 4.47, t = 8.11, and t = 3.24, respectively, p < 0.05), with users who faced technical problems having significantly lower mean scores for all three items. Conclusion This study provided evidence that the Seha app improved the delivery of healthcare in Saudi Arabia. Users of the app had a better health experience in terms of their perceived ease of access to healthcare services; their satisfaction with healthcare services; and the efficiency of the system, measured by the number of required doctor visits. Other factors that appeared to influence the use of the app included age, gender, usual source of care, and technical difficulties.

Sa1229 Does Self-Assessment Accuracy of Clinical Colonoscopies Differ Among Endoscopists of Varying Levels of Expertise? a Prospective, Cross-Sectional Study

2016 ◽  
Vol 83 (5) ◽  
pp. AB264
Author(s):  
Michael A. Scaffidi ◽  
Samir C. Grover ◽  
Heather Carnahan ◽  
Simon Ling ◽  
Jennifer Amadio ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Self Assessment ◽  
Cross Sectional

scholarly journals Patients’ Perspectives about Lifestyle Behaviors and Health in the Context of Family Medicine: A Cross-Sectional Study in Portugal

2021 ◽  
Vol 18 (6) ◽  
pp. 2981
Author(s):  
Rosália Páscoa ◽  
Andreia Teixeira ◽  
Micaela Gregório ◽  
Rosa Carvalho ◽  
Carlos Martins
Keyword(s):  
Family Medicine ◽  
Family Doctor ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Future Research ◽  
Lifestyle Behaviors ◽  
Sectional Study ◽  
Self Assessment ◽  
Cross Sectional ◽  
The Family

Lifestyle interventions are recognized as essential in the prevention and treatment of non-communicable diseases. Previous studies have shown that Portuguese patients tend to give more importance to diagnostic and laboratory tests than to lifestyle measures, and seem unaware that behavioral risks are the main modifiable risk factors. The study aimed to analyze patients’ perspectives about lifestyle behaviors and health in the context of family medicine in Portugal. A population-based cross-sectional study was carried out in Portugal (the mainland). A total of 900 Portuguese patients aged ≥20 years, representative of the population, were surveyed using face-to-face questionnaires. Participants were selected by the random route method. Descriptive statistics and non-parametric tests were performed to evaluate differences between the personal beliefs and the personal behavior self-assessment, as well as between the level of importance given to the family doctor to address health behaviors and the reported approach implemented by the family doctor, and its association with bio-demographic variables. The results indicate that the vast majority of this Portuguese cohort has informed beliefs regarding lifestyle behaviors, tends to overestimate their own behavior self-assessment, and strongly agrees that it is important that their family doctor asks/advises on these lifestyle behaviors, although the proportion of those who totally agree that their family doctor usually does this is significantly lower. Differences concerning bio-demographic variables were found. Future research directions should focus on the politics, economics, and policy aspects that may have an impact in this area. It will also be important to understand more broadly the relationships between lifestyle behaviors and clinical, physical, and sociodemographic variables.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

Distress and impaired functioning, coping mechanisms and barriers to access mental health services among Syrian refugees and Jordanian adults after eight years of Syrian crisis: a cross-sectional study (Preprint)

2021 ◽  
Author(s):  
Yousef Khader ◽  
Ahmad Bawaneh ◽  
Zaid Al-Hamdan
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Significant Proportion ◽  
Cross Sectional Study ◽  
Coping Mechanisms ◽  
Syrian Refugees ◽  
Sectional Study ◽  
Cross Sectional ◽  
Barriers To Access

BACKGROUND The Syrian conflict started in 2011 and resulted ever since in a large displacement of Syrians. Conflict-related violence coupled with displacement related stressors such as poverty, poor access to health services, loss of family support and discrimination had a significant impact on the mental health and psychosocial wellbeing of Syrian refugee OBJECTIVE This study aimed to identify the perceived symptoms of severe distress and impaired functioning, identify coping mechanisms and identify the barriers to access mental health services among Syrian refugees and Jordanian adults. METHODS This cross-sectional study study took place in 14 randomly selected sites in Jordan where Syrian refugees are concentered and from Za’tari refugee camp. A toolkit for humanitarian settings was used for data collection. RESULTS Of the 1424 participants, 43.4% had distress; 38.9% among host population, 57.0% among refugees in urban communities, and 23.0% among refugees in camp (p <0.005). Overall, finding comfort in faith and spiritual beliefs was the most common coping mechanism reported by those who perceived to be experiencing distress. CONCLUSIONS A significant proportion of Syrian refugees had distress symptoms. It is recommended to incorporate mental health services into broad-based community settings, such as schools, primary prevention or case management programs.

scholarly journals A cross-sectional study to assess the health profile of street sweepers and sanitary workers in a zone of Greater Chennai Corporation, Tamil Nadu, India

2018 ◽  
Vol 5 (10) ◽  
pp. 4357 ◽  
Author(s):  
Joy Patricia Pushparani ◽  
Chitra A. ◽  
Kalpana J.
Keyword(s):  
Health Services ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Health Profile ◽  
Sectional Study ◽  
Cross Sectional ◽  
Respiratory Problems ◽  
Utilization Of Health Services ◽  
Musculoskeletal Problems

Background: Sweepers and sanitary workers are getting exposed to hazardous dust during their work. The health profile of the sanitary workers and utilization of health services are not clearly known. This study aimed to assess the health profile and associated risk factors among street sweepers and sanitary workers.Methods: A community based cross sectional study was conducted among 73 street sweepers and sanitary workers in a zone of Greater Chennai Corporation by multistage sampling method, during November 2016 to December 2016 using a semi structured questionnaire.Results: Among the respondents 67.1% were females, 2/3rd of them belonged to the age group of 30-40 years. Majority of them (82.2%) had reported to have musculoskeletal problems followed by respiratory problems (61.6%), ophthalmic problems (53.4%), skin problems (38.4%), mental health problems (39.7%). Most of the respondents had multiple problems. Musculoskeletal problems were more common among the female workers (p=0.002). Health problems like headache, fatigue, giddiness were more common among the workers who worked for >5 years (p=0.006). The utilization of health services was better among those workers who had formal school education (p=0.042).Conclusions: This study concludes majority of them have musculoskeletal problems followed by respiratory problems and ophthalmic problems. Usage of personal protective equipments and utilization of health services by the sweepers and sanitary workers were poor. Hence steps have to be taken to improve the health status by subjecting them to periodic screening and sensitization programs on usage of PPE.

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