scholarly journals The state of multiple sclerosis: current insight into the patient/health care provider relationship, treatment challenges, and satisfaction

2016 ◽  
Vol Volume 11 ◽  
pp. 33-45 ◽  
Author(s):  
Mar Tintoré ◽  
Maggie Alexander ◽  
Kathleen Costello ◽  
Martin Duddy ◽  
David E Jones ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
The State ◽  
Patient Health ◽  
Insight Into

scholarly journals Psychometrics of the Computer-Based Relationships With Health Care Provider Scale in Older Adults

2011 ◽  
Vol 19 (1) ◽  
pp. 3-16 ◽  
Author(s):  
Elizabeth H. Anderson ◽  
Patricia J. Neafsey ◽  
Sheri Peabody
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Patient Adherence ◽  
Internal Consistency Reliability ◽  
Scientific Data ◽  
Patient Health ◽  
Computer Based

The type and quality of the provider–patient health care relationship impacts patient adherence. The study purpose was to convert the 5-item paper and pencil Relationships With Health Care Provider Scale (RHCPS) to a reliable and valid computer-based scale for use with older adults. Outpatient adults (N = 121) older than 59 years were recruited. The RHCPS underwent several iterations documenting internal consistency reliability, content and factorial validity, and scale usability in a computer tablet format. A total of 5 expert judges rated all 5 items as valid, which resulted in a scale content validity index of 1. Cronbach’s standardized alpha was .81. Principal components analysis extracted 1 factor (eigenvalue > 1; confirmed by scree plot) as anticipated. Computer-based RHCPS has the potential to reveal valuable clinical and scientific data on patient–provider relationships among older adults.

Diabetes Self-Care Behaviors and Barriers to Clinical Care During COVID-19 Pandemic for Marshallese Adults

2022 ◽  
pp. 263501062110653
Author(s):  
Rachel S. Purvis ◽  
Ramey A. Moore ◽  
Britni L. Ayers ◽  
Holly C. Felix ◽  
Sheldon Riklon ◽  
...  
Keyword(s):  
Health Care ◽  
Social Media ◽  
Health Education ◽  
Health Care Provider ◽  
Care Provider ◽  
Clinical Care ◽  
A Priori ◽  
Self Care ◽  
Qualitative Descriptive ◽  
Insight Into

Purpose: The purpose of the study was to explore experiences of Marshallese adults related to diabetes self-care behaviors during the COVID-19 pandemic. Methods: A qualitative descriptive design was utilized to understand participants’ diabetes self-care behaviors during the pandemic. Nine focus groups with 53 participants were held via videoconference and conducted in English, Marshallese, or a mixture of both languages. A priori codes based on diabetes self-care behaviors provided a framework for analyzing and summarizing participant experiences. Results: Both increases and decreases in healthy eating and exercise were described, with improvements in health behaviors attributed to health education messaging via social media. Participants reported increased stress and difficulty monitoring and managing glucose. Difficulty obtaining medication and difficulty seeing their health care provider regularly was reported and attributed to health care provider availability and lack of insurance due to job loss. Conclusions: The study provides significant insight into the reach of health education campaigns via social media and provides important information about the reasons for delays in care, which extend beyond fear of contracting COVID-19 to structural issues.

scholarly journals Patient–Health Care Provider Conversations About Prenatal Genetic Screening

2016 ◽  
Vol 127 (6) ◽  
pp. 1145-1152 ◽  
Author(s):  
Laura C. Colicchia ◽  
Cynthia L. Holland ◽  
Jill A. Tarr ◽  
Doris M. Rubio ◽  
Scott D. Rothenberger ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Genetic Screening ◽  
Patient Health

Unmet Expectations in Health Care Settings: Experiences of Transgender and Gender Diverse Adults in the Central Great Plains

2019 ◽  
Vol 30 (3) ◽  
pp. 409-422 ◽  
Author(s):  
Heather M. Meyer ◽  
Richard Mocarski ◽  
Natalie R. Holt ◽  
Debra A. Hope ◽  
Robyn E. King ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Great Plains ◽  
Care Provider ◽  
Community Based Participatory Research ◽  
The United States ◽  
Unmet Expectations ◽  
Gender Diverse ◽  
Patient Health ◽  
And Gender

Transgender and gender diverse (TGD) individuals face a long-term, multifaceted process if they choose to begin a gender affirmation journey. Decisions to go on hormone therapy and/or have a surgical procedure necessitate the TGD individual to set up an appointment with a health care provider. However, when TGD patients interact with health care practitioners, problems can arise. This article documents and categorizes the types of unmet expectations that are common in the TGD patient–health care provider social dynamic in the Central Great Plains of the United States. Utilizing a community-based participatory research model, qualitative in-depth interviews were conducted with 27 TGD individuals about their health care experiences. From this, the researchers identified four main themes of unmet expectations: probing, gatekeeping, stigmatizing stance, and misgendering/deadnaming. Steps that can be taken by both the health care provider and the TGD individual to have a more successful encounter are discussed.

scholarly journals A Rapid Review of the Impact of Systems-Level Policies and Interventions on Population-Level Outcomes Related to the Opioid Epidemic, United States and Canada, 2014-2018

2020 ◽  
Vol 135 (1_suppl) ◽  
pp. 100S-127S ◽  
Author(s):  
Bahareh Ansari ◽  
Katherine M. Tote ◽  
Eli S. Rosenberg ◽  
Erika G. Martin
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
The United States ◽  
Health Insurer ◽  
Pain Clinic ◽  
Rapid Review ◽  
Opioid Use ◽  
Patient Health

Objectives In the United States, rising rates of overdose deaths and recent outbreaks of hepatitis C virus and HIV infection are associated with injection drug use. We updated a 2014 review of systems-level opioid policy interventions by focusing on evidence published during 2014-2018 and new and expanded opioid policies. Methods We searched the MEDLINE database, consistent with the 2014 review. We included articles that provided original empirical evidence on the effects of systems-level interventions on opioid use, overdose, or death; were from the United States or Canada; had a clear comparison group; and were published from January 1, 2014, through July 19, 2018. Two raters screened articles and extracted full-text data for qualitative synthesis of consistent or contradictory findings across studies. Given the rapidly evolving field, the review was supplemented with a search of additional articles through November 17, 2019, to assess consistency of more recent findings. Results The keyword search yielded 535 studies, 66 of which met inclusion criteria. The most studied interventions were prescription drug monitoring programs (PDMPs) (59.1%), and the least studied interventions were clinical guideline changes (7.6%). The most common outcome was opioid use (77.3%). Few articles evaluated combination interventions (18.2%). Study findings included the following: PDMP effectiveness depends on policy design, with robust PDMPs needed for impact; health insurer and pharmacy benefit management strategies, pill-mill laws, pain clinic regulations, and patient/health care provider educational interventions reduced inappropriate prescribing; and marijuana laws led to a decrease in adverse opioid-related outcomes. Naloxone distribution programs were understudied, and evidence of their effectiveness was mixed. In the evidence published after our search’s 4-year window, findings on opioid guidelines and education were consistent and findings for other policies differed. Conclusions Although robust PDMPs and marijuana laws are promising, they do not target all outcomes, and multipronged interventions are needed. Future research should address marijuana laws, harm-reduction interventions, health insurer policies, patient/health care provider education, and the effects of simultaneous interventions on opioid-related outcomes.

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