scholarly journals Patient Attitudes Toward Telepsychiatry During the COVID-19 Pandemic: A Nationwide, Multisite Survey

10.2196/24761 ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. e24761
Author(s):  
Daniel Guinart ◽  
Patricia Marcy ◽  
Marta Hauser ◽  
Michael Dwyer ◽  
John M Kane
Keyword(s):  
Service Use ◽  
Descriptive Statistics ◽  
Patient Attitudes ◽  
Length Of Service ◽  
Us States ◽  
Number Of Patients ◽  
Report Data ◽  
Remote Treatment ◽  
Clinic Hospital ◽  
Question Survey

Background The COVID-19 pandemic and its associated movement restrictions forced a rapid and massive transition to telepsychiatry to successfully maintain care continuity. Objective The aim of this study is to examine a large number of patients’ experiences of, use of, and attitudes toward telepsychiatry. Methods An anonymous 11-question survey was delivered electronically to 14,000 patients receiving telepsychiatry care at 18 participating centers across 11 US states between the months of April and June 2020, including questions about their age and length of service use, as well as experience and satisfaction with telepsychiatry on a 5-point Likert scale. Descriptive statistics were used to analyze and report data. Results In total, 3070 patients with different age ranges participated. The overall experience using telepsychiatry was either excellent or good for 1189 (82.2%) participants using video and 2312 (81.5%) using telephone. In addition, 1922 (63.6%) patients either agreed or strongly agreed that remote treatment sessions (telephone or video) have been just as helpful as in-person treatment. Lack of commute (n=1406, 46.1%) and flexible scheduling/rescheduling (n=1389, 45.5%) were frequently reported advantages of telepsychiatry, whereas missing the clinic/hospital (n=936, 30.7%) and not feeling as connected to their doctor/nurse/therapist (n=752, 24.6%) were the most frequently reported challenges. After the current pandemic resolves, 1937 (64.2%) respondents either agreed or strongly agreed that they would consider using remote treatment sessions in the future. Conclusions Telepsychiatry is very well perceived among a large sample of patients. After the current pandemic resolves, some patients may benefit from continued telepsychiatry, but longitudinal studies are needed to assess impact on clinical outcomes and determine whether patients’ perceptions change over time.

scholarly journals Patient Attitudes Toward Telepsychiatry During the COVID-19 Pandemic: A Nationwide, Multisite Survey (Preprint)

2020 ◽  
Author(s):  
Daniel Guinart ◽  
Patricia Marcy ◽  
Marta Hauser ◽  
Michael Dwyer ◽  
John M Kane
Keyword(s):  
Service Use ◽  
Descriptive Statistics ◽  
Patient Attitudes ◽  
Length Of Service ◽  
Us States ◽  
Number Of Patients ◽  
Report Data ◽  
Remote Treatment ◽  
Clinic Hospital ◽  
Question Survey

BACKGROUND The COVID-19 pandemic and its associated movement restrictions forced a rapid and massive transition to telepsychiatry to successfully maintain care continuity. OBJECTIVE The aim of this study is to examine a large number of patients’ experiences of, use of, and attitudes toward telepsychiatry. METHODS An anonymous 11-question survey was delivered electronically to 14,000 patients receiving telepsychiatry care at 18 participating centers across 11 US states between the months of April and June 2020, including questions about their age and length of service use, as well as experience and satisfaction with telepsychiatry on a 5-point Likert scale. Descriptive statistics were used to analyze and report data. RESULTS In total, 3070 patients with different age ranges participated. The overall experience using telepsychiatry was either excellent or good for 1189 (82.2%) participants using video and 2312 (81.5%) using telephone. In addition, 1922 (63.6%) patients either agreed or strongly agreed that remote treatment sessions (telephone or video) have been just as helpful as in-person treatment. Lack of commute (n=1406, 46.1%) and flexible scheduling/rescheduling (n=1389, 45.5%) were frequently reported advantages of telepsychiatry, whereas missing the clinic/hospital (n=936, 30.7%) and not feeling as connected to their doctor/nurse/therapist (n=752, 24.6%) were the most frequently reported challenges. After the current pandemic resolves, 1937 (64.2%) respondents either agreed or strongly agreed that they would consider using remote treatment sessions in the future. CONCLUSIONS Telepsychiatry is very well perceived among a large sample of patients. After the current pandemic resolves, some patients may benefit from continued telepsychiatry, but longitudinal studies are needed to assess impact on clinical outcomes and determine whether patients’ perceptions change over time.

Association of Organizational Attributes With Human Resource Disclosure: Evidence From Bangladeshi Banks

2019 ◽  
Vol 9 (2) ◽  
pp. 99
Author(s):  
Mohammad Ali ◽  
Tania Ahmed
Keyword(s):  
Content Analysis ◽  
Human Resource ◽  
Multiple Linear Regression Model ◽  
Descriptive Statistics ◽  
The Other ◽  
Annual Reports ◽  
Length Of Service ◽  
Bank Profitability ◽  
Organizational Attributes ◽  
The Impact

This paper aims to investigate the extent to which organizational attributes are associated with the human resource disclosure of banking organizations. Content analysis is used to collect the data from annual reports available on the bank’s website and unweighted disclosure index is employed to record the score of HR items. Descriptive statistics is used to analyse the extent of HR disclosure and multiple linear regression model is carried out to analyse the impact of the determinants including length of service, size of the bank, profitability, total number of employees and total number of pages on the explained variable. The study endorses that the highest reported item is the description of the staff whereas the least reported item is the performance of the employee. The result approves that only two attributes including the profitability of the banks and the total number of pages of the annual reports are significantly and positively associated with the level of human resource disclosure of banks. But the other attributes including length of service, size of the bank and total number of employees have no significant impact on HR disclosure.

scholarly journals Patient satisfaction with telemedicine for prechemotherapy evaluation during the COVID-19 pandemic

2021 ◽  
Author(s):  
Ajithraj Sathiyaraj ◽  
Hannah Lopez ◽  
Rakesh Surapaneni
Keyword(s):  
Patient Satisfaction ◽  
Descriptive Statistics ◽  
Patient Attitudes ◽  
Survey Tool ◽  
Survey Questions ◽  
Different Types

Aims: This project aims to address the question of whether patients were satisfied with using a video visit for prechemotherapy evaluation during the COVID-19 pandemic. Methods and materials: This project used a survey tool with patients undergoing prechemotherapy evaluation that was administered at the time of chemotherapy; 70 surveys were collected. Descriptive statistics of survey questions are presented. Results: 73% of patients reported satisfaction with their video visit experience. 65% of patients reported that they prefer in-person visits as their preferred choice for prechemotherapy evaluation. Conclusion: Patient satisfaction was favorable, but not consistent with results from prior published studies. Patients also mostly preferred an in-person visit for prechemotherapy evaluation. Further research is needed to determine patient attitudes to telemedicine for different types of consultations.

scholarly journals Costs and Consequences of Traffic Fines and Fees: A Case Study of Open Warrants in Las Vegas, Nevada

2021 ◽  
Vol 10 (11) ◽  
pp. 440
Author(s):  
Foster Kamanga ◽  
Virginia Smercina ◽  
Barbara G. Brents ◽  
Daniel Okamura ◽  
Vincent Fuentes
Keyword(s):  
Las Vegas ◽  
State Legislators ◽  
Descriptive Statistics ◽  
Traffic Stops ◽  
Us States ◽  
Marginalized Communities ◽  
Vehicle Registration ◽  
Traffic Violations ◽  
Municipal Court

Traffic stops and tickets often have far-reaching consequences for poor and marginalized communities, yet resulting fines and fees increasingly fund local court systems. This paper critically explores who bears the brunt of traffic fines and fees in Nevada, historically one of the fastest growing and increasingly diverse states in the nation, and one of thirteen US states to prosecute minor traffic violations as criminal misdemeanors rather than civil infractions. Drawing on legislative histories, we find that state legislators in Nevada increased fines and fees to raise revenues. Using descriptive statistics to analyze the 2012–2020 open arrest warrants extracted from the Las Vegas Municipal Court, we find that 58.6% of all open warrants are from failure to pay tickets owing to administrative-related offenses—vehicle registration and maintenance, no license or plates, or no insurance. Those issued warrants for failure to pay are disproportionately for people who are Black and from the poorest areas in the region. Ultimately, the Nevada system of monetary traffic sanctions criminalizes poverty and reinforces racial disparities.

scholarly journals Analisis Sistem Antrian Pada Pelayanan Poli Jantung RSUD Kota Langsa

2021 ◽  
Vol 3 (2) ◽  
pp. 297-308
Author(s):  
Fazrina Saumi ◽  
◽  
Rizki Amalia ◽  
Amelia Amelia ◽  
Nurviana Nurviana
Keyword(s):  
Waiting Time ◽  
System Analysis ◽  
Single Channel ◽  
Time Of Arrival ◽  
City Hospital ◽  
Length Of Service ◽  
Queue System ◽  
Hospital Design ◽  
Number Of Patients ◽  
First In First Out

Queuing is an activity where parties are waiting to get service. A queuing process starts from the time of arrival to the time of service. Queuing problems are often encountered in everyday life, including in Langsa City Hospital, especially in the cardiac clinic, which has the most patients. The majority of patients in the queue system are elderly (elderly), so good service is needed considering the physical condition of patients who have entered a vulnerable age. The queuing system analysis aims to determine the average number of patients waiting in the system and the length of service at the heart clinic of Langsa City Hospital. In addition, the queue system analysis can help the Langsa City Hospital design an operational service system so that the service process can run optimally. The queue structure model used is a single channel-single phase with the discipline type First In First Out (FIFO). From the queue model analysis results obtained, the cardiac poly care system has an average number of patients waiting at most occurs in the period 08.00-10.00, namely 14 people with a waiting time of about 56.28 minutes. This time is the busy working hour at cardiac poly with a busyness rate of 93%. From the simulation results with two servers using the same model, a busy rate of 50% was obtained with a reduction in the number of people waiting by 12.8 people with a waiting time of about 1.2 minutes.

scholarly journals Access to Breast Cancer Care in Jos, North Central

2020 ◽  
pp. 1-7
Author(s):  
Alexander Femi Ale ◽  
Mercy Wakili Isichei ◽  
Michael Ayedima Misauno
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Care ◽  
Demographic Data ◽  
Descriptive Statistics ◽  
University Teaching ◽  
Treatment Modalities ◽  
Breast Cancer Care ◽  
Number Of Patients ◽  
Health Care Centers

Aims: This paper seeks to evaluate the extent to which breast cancer patients from two tertiary health care centers in Jos were able to access the different components of breast cancer care. Background: Breast cancer in low- and middle-income countries is associated with poor outcomes when compared with high-income countries. Numerous studies have identified factors responsible for this, one of them being a lack of access to the various components of breast cancer care. Breast cancer care requires a multimodal approach involving prevention, early detection, diagnosis and treatment, rehabilitation and palliative care. Access to the various modalities of care is key to a good outcome. Study Design: This study is a retrospective study. Place and Duration of the Study: The study was carried out at Jos University Teaching Hospital, and FOMAS Hospital which are both tertiary health care centers located in the city of Jos, Plateau State, Nigeria. The study spanned January 2016 to June 2019.We applied descriptive statistics for data analysis. Methodology: We included all patients who were diagnosed with breast cancer between January 2016 and December 2017. Patients were followed up for a minimum of one and a half years (from January 2018 to June 2019). The project team performed a review of medical records and charts for data elements which included; sex, age, site of tumor, stage of tumor at presentation, and access to the different treatment modalities. Data was entered into a pre-designed proforma and analyzed on the SPSS 20 Chicago, Illinois. We applied descriptive statistics to the demographic data and clinical information of patients. Results: The total number of patients was 110. Forty-four (40%) patients had access to immunohistochemistry (IHC). Eighty-nine (81%) patients were eligible for chemotherapy. Twenty-one (19%) patients were not fit for chemotherapy. Ten (9%) patients received radiotherapy.  A total of 73 (66%) patients had different forms of breast surgeries. Three (3%) patients declined surgery, while 34 (31%) were not fit for surgery. Thirty-four (31%) patients were treated with hormonal therapy. Conclusion: This study examined access to the various components of breast cancer care within two tertiary health centers. It shows that in our environment, there is limited access to immunohistochemistry, chemotherapy, radiotherapy and targeted therapy.

scholarly journals Role of age of incidence, parity, body mass index and socioeconomic class in endometrial carcinoma

2020 ◽  
Vol 9 (2) ◽  
pp. 762
Author(s):  
Neha A. Nimbark
Keyword(s):  
Body Mass Index ◽  
Endometrial Carcinoma ◽  
Body Mass ◽  
Descriptive Statistics ◽  
Age Group ◽  
Socioeconomic Class ◽  
Frequency Table ◽  
Number Of Patients ◽  
A Prospective Study

Background: Endometrial carcinoma is the most common gynecologial malignancy in world. The main aim is to study epidemiological factors of Ca body uterus in our hospital. The present study was designed to evaluate the age of incidence of carcinoma body uterus and study role of parity, body mass index and socioeconomic class in carcinoma body.Methods: This is a prospective study of 50 cases of endometrial carcinoma who were treated in a single unit of the hospital from April 2010 to March 2012 (2 years) conducted at the department of gynaecological oncology G. C. R. I., Ahmedabad. Observational study was done. All these data were combined and tabulated in frequency table simple percentage analysis is used for frequency and percentage analysis is applied to create a contingency table from the frequency distribution and represent the collected data for better understanding. Descriptive statistics were obtained for all variable.Results: Maximum number of patients were in age group of 50-59 years. Mean age was 58 years. Maximum patients were multiparous (54%). 4 patients were nulligravida (9%). 70% were overweight and obese. Majority of patients (72%) belong to middle and higher socio-economic class.Conclusions: It was noted that the incidence for ca endometrium is related to age, parity, BMI and socioeconomic class at our centre.

Medical consultations of acute psychiatric inpatients: differences due to age

2011 ◽  
Vol 26 (S2) ◽  
pp. 399-399
Author(s):  
B. Serván Rendón- Luna ◽  
M.D. Morón Nozaleda ◽  
O. Bautista Garrido ◽  
M. Machín Vázquez-Illá ◽  
H. Trebbau López ◽  
...  
Keyword(s):  
Clinical Course ◽  
Statistical Significance ◽  
Medical Problems ◽  
Number Of Patients ◽  
Medical Consultations ◽  
Mental Diseases ◽  
Influential Variable ◽  
Image Position ◽  
San Carlos ◽  
Clinic Hospital

IntroductionPatients suffering serious mental diseases have more medical comorbidity and a higher mortality than the general population, something that has important clinical an economical impact. Age is an influential variable in a patient’s clinical course.ObjectivesDescriptive retrospective study from September 2007 to May 2010. Centralized database explotation. Center: San Carlos Clinic Hospital, Madrid. Variables: number of patients, mean age, median stay, number of visits, % resolved in first visit, mortality and delay.Three groups of comparison are established depending on the age: 18–44, 45–75 and > 75 years of age. A p≤0,05 has statistical significance.Results606 patients are included. Table 1 shows all variables for the three groups.ConclusionsStatistical significance exists for all variables analyzed and for every comparison established apart from mortality. Mortality is very low (just one death in group age >75). Group age 45–75 years presents major number of consultations to internal medical liaison Unit. Age is a decisive variable in the clinical course of patients with medical problems.

scholarly journals Attending Physician Perceptions of the Benefits and Disadvantages of Teaching Medical Students on Clinical Clerkships at a Regional Medical Campus

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
William Cathcart-Rake
Keyword(s):  
Job Satisfaction ◽  
Medical Students ◽  
Underserved Populations ◽  
Online Questionnaire ◽  
Healthcare Needs ◽  
Number Of Patients ◽  
Regional Medical ◽  
Attending Physicians ◽  
The Impact ◽  
Clinic Hospital

BACKGROUND: North American medical schools are now creating regional medical campuses (RMCs) to train more physicians to meet the healthcare needs of rural and underserved populations. Part-time and volunteer faculty must be recruited and retained to teach medical students engaged in clinical experiences at these RMCs. Physician educators report being positively motivated by the presence of medical students but also report increased time constraints. There is a paucity of information regarding the impact on attending physicians of teaching medical students at RMCs. The aim of this study was to investigate the benefits and disadvantages for attending physicians at a rural regional medical campus on having medical students on their services during clinical rotations. METHODS: An online questionnaire was sent to 62 Kansas University School of Medicine-Salina (KUSM-S) clinical faculty members that supervised third and/or fourth year medical students in clinics and/or the hospital. Physicians were queried as to the benefits and disadvantages of supervising medical students. RESULTS: Thirty-six physicians completed the survey, yielding a response rate of 58%. The majority of respondents felt positively about having medical students on their service: 92% of respondents enjoyed having medical students in clinic/hospital, 81% agreed that having a medical student working with them was personally beneficial, and 72% agreed that the presence of medical students increased their job satisfaction. Fifty-six percent of respondents reported that having medical students with them in the clinic/hospital decreased the number of patients they were able to see and that additional incentive would encourage them to remain a teaching faculty member. CONCLUSIONS: Attending physicians at KUSM-S report that they enjoy having medical students on their service and that it increases job satisfaction; however, teaching medical students is time consuming and may decrease productivity. Adequate financial compensation for physician teachers at RMCs may be necessary to ensure successful delivery of the educational product.

scholarly journals Using Population-Level Data to Assess Need for and Use of Long-Term Services and Supports in California

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 504-504
Author(s):  
Kathryn Kietzman ◽  
Lei Chen ◽  
Rebecca Allen
Keyword(s):  
Service Use ◽  
Population Level ◽  
Routine Care ◽  
California Health Interview Survey ◽  
Care Needs ◽  
Level Data ◽  
Share Data ◽  
Report Data ◽  
Services And Supports

Abstract In response to aging and disability stakeholder advocacy in California, the state’s 2018-19 budget included support for the development of a study of Californians with needs for long-term services and supports (LTSS). Existing data on LTSS most typically represents those who already use specific programs or services. Yet many programs do not uniformly collect and report data, or have little capacity to share data across different delivery systems. In response to these gaps, we developed a 15-minute follow-on survey to the 2019-2020 California Health Interview Survey (CHIS), gathering statewide population-level data to assess LTSS needs and use by Californians 18 years of age and older. This paper reports on preliminary findings from the 2019 CHIS-LTSS survey conducted with a sample of 1097 respondents. Screening questions identified respondents reporting difficulties with concentrating, remembering, or making decisions (60%), performing basic daily activities such as dressing or bathing (26%), or getting out of the house to shop or to see the doctor (52%). Nearly half of respondents (45%) reported needing help with routine care needs while 16% needed help with personal care needs. Additional findings illustrate specific LTSS needs, service use, consequences of unmet needs, financial concerns, and consumer experiences. At a time when California policy makers, program planners, and advocates are engaged in implementing a 10-year Master Plan for Aging, these findings can be used to identify and address gaps in the types of services and supports that are essential to meet the LTSS needs of older adults and people with disabilities.

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