scholarly journals Suitability of Video Consultations During the COVID-19 Pandemic Lockdown: Cross-sectional Survey Among Norwegian General Practitioners

10.2196/26433 ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. e26433
Author(s):  
Tor Magne Johnsen ◽  
Børge Lønnebakke Norberg ◽  
Eli Kristiansen ◽  
Paolo Zanaboni ◽  
Bjarne Austad ◽  
...  
Keyword(s):  
General Practitioners ◽  
Life Stress ◽  
Large Scale ◽  
Online Survey ◽  
Health Care Planning ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Relational Continuity

Background The COVID-19 pandemic imposed an acute, sharp rise in the use of video consultations (VCs) by general practitioners (GPs) in Norway. Objective This study aims to document GPs’ experiences with the large-scale uptake of VCs in the natural experiment context of the pandemic. Methods A nationwide, cross-sectional online survey was conducted among Norwegian GPs during the pandemic lockdown (April 14-May 3, 2020). Each respondent was asked to evaluate up to 10 VCs. Basic demographic characteristics of the GPs and their practices were collected. The associations between GPs’ perceived suitability of the VCs, the nature of the patients’ main problems, prior knowledge of the patients (relational continuity), and follow-up of previously presented problems (episodic continuity) were explored using descriptive statistics, diagrams, and chi-square tests. Results In total, 1237 GPs (26% of the target group) responded to the survey. Among these, 1000 GPs offered VCs, and 855 GPs evaluated a total of 3484 VCs. Most GPs who offered VCs (1000/1237; 81%) had no experience with VCs before the pandemic. Overall, 51% (1766/3476) of the evaluated VCs were considered to have similar or even better suitability to assess the main reason for contact, compared to face-to-face consultations. In the presence of relational continuity, VCs were considered equal to or better than face-to-face consultations in 57% (1011/1785) of cases, as opposed to 32% (87/274) when the patient was unknown. The suitability rate for follow-up consultations (episodic continuity) was 61% (1165/1919), compared to 35% (544/1556) for new patient problems. Suitability varied considerably across clinical contact reasons. VCs were found most suitable for anxiety and life stress, depression, and administrative purposes, as well as for longstanding or complex problems that normally require multiple follow-up consultations. The GPs estimate that they will conduct about 20% of their consultations by video in a future, nonpandemic setting. Conclusions Our study of VCs performed in general practice during the pandemic lockdown indicates a clear future role for VCs in nonpandemic settings. The strong and consistent association between continuity of care and GPs’ perceptions of the suitability of VCs is a new and important finding with considerable relevance for future primary health care planning.

scholarly journals Suitability of Video Consultations During the COVID-19 Pandemic Lockdown: Cross-sectional Survey Among Norwegian General Practitioners (Preprint)

2020 ◽  
Author(s):  
Tor Magne Johnsen ◽  
Børge Lønnebakke Norberg ◽  
Eli Kristiansen ◽  
Paolo Zanaboni ◽  
Bjarne Austad ◽  
...  
Keyword(s):  
General Practitioners ◽  
Life Stress ◽  
Large Scale ◽  
Online Survey ◽  
Health Care Planning ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Relational Continuity

BACKGROUND The COVID-19 pandemic imposed an acute, sharp rise in the use of video consultations (VCs) by general practitioners (GPs) in Norway. OBJECTIVE This study aims to document GPs’ experiences with the large-scale uptake of VCs in the natural experiment context of the pandemic. METHODS A nationwide, cross-sectional online survey was conducted among Norwegian GPs during the pandemic lockdown (April 14-May 3, 2020). Each respondent was asked to evaluate up to 10 VCs. Basic demographic characteristics of the GPs and their practices were collected. The associations between GPs’ perceived suitability of the VCs, the nature of the patients’ main problems, prior knowledge of the patients (relational continuity), and follow-up of previously presented problems (episodic continuity) were explored using descriptive statistics, diagrams, and chi-square tests. RESULTS In total, 1237 GPs (26% of the target group) responded to the survey. Among these, 1000 GPs offered VCs, and 855 GPs evaluated a total of 3484 VCs. Most GPs who offered VCs (1000/1237; 81%) had no experience with VCs before the pandemic. Overall, 51% (1766/3476) of the evaluated VCs were considered to have similar or even better suitability to assess the main reason for contact, compared to face-to-face consultations. In the presence of relational continuity, VCs were considered equal to or better than face-to-face consultations in 57% (1011/1785) of cases, as opposed to 32% (87/274) when the patient was unknown. The suitability rate for follow-up consultations (episodic continuity) was 61% (1165/1919), compared to 35% (544/1556) for new patient problems. Suitability varied considerably across clinical contact reasons. VCs were found most suitable for anxiety and life stress, depression, and administrative purposes, as well as for longstanding or complex problems that normally require multiple follow-up consultations. The GPs estimate that they will conduct about 20% of their consultations by video in a future, nonpandemic setting. CONCLUSIONS Our study of VCs performed in general practice during the pandemic lockdown indicates a clear future role for VCs in nonpandemic settings. The strong and consistent association between continuity of care and GPs’ perceptions of the suitability of VCs is a new and important finding with considerable relevance for future primary health care planning.

The characteristics of Queensland private physiotherapy practitioners’ interprofessional interactions: a cross-sectional survey study

2020 ◽  
Vol 26 (6) ◽  
pp. 500
Author(s):  
Jack A. Seaton ◽  
Anne L. Jones ◽  
Catherine L. Johnston ◽  
Karen L. Francis
Keyword(s):  
Private Practice ◽  
Online Survey ◽  
Interprofessional Collaboration ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Face To Face ◽  
Level Of Satisfaction ◽  
Cost Efficient ◽  
High Level

Effective interprofessional collaboration (IPC) contributes to superior patient outcomes, facilitates cost-efficient health care, and increases patient and practitioner satisfaction. However, there is concern that IPC may be difficult to implement in clinical settings that do not conform to formal team-based processes, such as mono-professional physiotherapy private practice facilities. The aim of this study was to describe the characteristics of private physiotherapy practitioners’ interprofessional interactions, including their experiences and perceptions regarding IPC. A custom developed cross-sectional online survey instrument was used to collect data from physiotherapists employed in private practice facilities in Queensland, Australia. In all, 49 (20% response rate) physiotherapists completed the survey. Only a small proportion (14%) indicated that their interprofessional interactions were a daily occurrence, and less than one-third of all respondents (31%) participated in formal, multi-professional face-to-face planned meetings. Most participants (76%) reported a moderate-to-high level of satisfaction regarding their interprofessional interactions. Despite low self-reported levels of interprofessional activity and other data indicating that IPC is necessary for holistic patient care, this study shows that physiotherapists were predominately satisfied when interacting with health practitioners from various professional backgrounds. Further research is required to inform the implementation of robust strategies that will support sustainable models of IPC in physiotherapy private practice.

scholarly journals Exploring experiences of supports for suicide bereavement in Ireland: protocol for a national survey

2021 ◽  
Vol 4 ◽  
pp. 114
Author(s):  
Selena O'Connell ◽  
Eimear Ruane-McAteer ◽  
Caroline Daly ◽  
Clíodhna O’Connor ◽  
Fiona Tuomey ◽  
...  
Keyword(s):  
Large Scale ◽  
Online Survey ◽  
Qualitative Content Analysis ◽  
National Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Suicide Bereavement ◽  
Chi Squared ◽  
Services And Supports ◽  
Insight Into

Background A suicide death impacts upon the wellbeing of close family members and friends but has also been shown to affect many people outside of this immediate circle. This will be the first large-scale national study of adults bereaved or affected by suicide in Ireland, using a cross-sectional online survey. The overarching aim will be to gain insight into the experiences of supports received by people bereaved or affected by suicide and to identify the barriers to engagement following their loss. Methods A cross-sectional survey will be conducted among adults in Ireland who have been bereaved or affected by suicide. This project will seek to represent people with different demographics and backgrounds in the Irish population using a multifaceted approach to survey recruitment. A range of validated measures will be used to examine participants’ current wellbeing and grief experience. A combination of closed and open-ended questions will provide participants the opportunity to share their individual experiences, the services and supports available to them, and barriers and enablers to accessing supports. Results Quantitative data will be analysed using descriptive statistics. Chi-squared tests will be used to compare subgroups within categorical data items, and multivariable regression models will be used to examine differences in psychosocial and physical wellbeing across key groups. Qualitative content analysis will be used for qualitative responses to open-ended questions. Conclusions The survey will provide an in-depth understanding of the psychosocial and mental health impacts of suicide bereavement in Ireland; insight into the range of informal and formal supports accessed; and will identify unmet needs and challenges of accessing appropriate and timely supports. The findings will inform current national actions aimed at ensuring the standardisation and quality of the services and supports for those bereaved or affected by suicide.

scholarly journals KNOWLEDGE, ATTITUDES, AND PRACTICES TOWARD CORONAVIRUS DISEASE-19 INFECTION AMONG RESIDENTS OF DELHI NCR, INDIA: A CROSS-SECTIONAL SURVEY BASED STUDY

2020 ◽  
pp. 110-116
Author(s):  
UBADA AQEEL ◽  
MOHAMMAD DAUD ALI ◽  
ZEENAT IQBAL ◽  
MOHD. AAMIR MIRZA
Keyword(s):  
General Population ◽  
Large Scale ◽  
Online Survey ◽  
Social Stigma ◽  
Insurance Coverage ◽  
Personal Hygiene ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Attitudes And Practices

Objective: In the given study, we have carried out a survey among general population of Delhi NCR (India) for the knowledge, perceptions, and attitude toward coronavirus disease (COVID-19) and also attempted to reach to a few conclusions in the form of recommendations. Methods: A cross-sectional questionnaire based online survey (using Google Forms) was conducted between April 2020 and May 2020 to investigative knowledge, perceptions, and attitude toward COVID-19. Chi-square test was used for the computation of p-value. Results: There were total 823 respondents, with 43.01% females and 56.98% males. Around 73.74% respondents believe that it has become a social stigma. About 75.09% were of the opinion that sneezing etiquettes can help in curbing the infection. About 93.43% of study population follows the personal hygiene, 24.78% wished to get insurance coverage. Similarly, interesting data were collected over different aspects of COVID-19. Conclusions: The current pandemic is the first exposure at such a large scale to the existing population but with the progression of time, authorities and general population are collating knowledge about the same. It is to be fought at all the fronts such as medical, social, economic, and psychological. Hence, this type of survey becomes an important tool in decision making.

FP1-2 Implementation of duty of candor regulation within neurosurgery: a national cross-sectional survey

2019 ◽  
Vol 90 (3) ◽  
pp. e22.3-e22
Author(s):  
HJ Marcus ◽  
P Sayal ◽  
N Kitchen ◽  
B Surajit ◽  
L Thorne
Keyword(s):  
Adverse Events ◽  
Online Survey ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Statutory Duty ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Survey Responses ◽  
Almost All

ObjectivesStatutory Duty of Candor was introduced in 2014 for NHS bodies in England. Contained within the regulation were definitions regarding the threshold for what constitutes a notifiable patient safety incident. The aim of this survey was to evaluate the interpretation of these definitions by British neurosurgeons.MethodsFull members of the SBNS were electronically invited to participate in an online survey. Surgeons were presented with 15 cases and asked to decide in each one whether they would trigger the process of Duty of Candor. Cases were stratified according to their likelihood and severity.ResultsIn all, 106/357 (29.7%) members participated in the survey. Responses varied widely with almost no members triggering the process of Duty of Candor in cases where adverse events were likely (>10% likelihood) and required only outpatient follow up (7/106; 6.6%), and almost all members doing so in cases where adverse events were rare (<0.1% likelihood) and resulted in death (102/106; 96.2%). However, there was clear equipoise in triggering the process of Duty of Candor in cases where adverse events were unlikely (0.1%–10% likelihood) and resulted in moderate harm (38/106; 35.8%), severe harm (57/106; 53.8%), or death (49/106; 46.2%).ConclusionsThere is considerable nationwide variation in the interpretation of definitions regarding the threshold for Duty of Candor; this has important implications with some providers at risk of penalties, and others unduly burdened by the associated administrative processes.

scholarly journals Depressive symptoms associated with COVID-19 preventive practice measures, daily activities in home quarantine and suicidal behaviors: Findings from a large-scale online survey in Bangladesh

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Md. Saiful Islam ◽  
Rafia Tasnim ◽  
Md. Safaet Hossain Sujan ◽  
Most. Zannatul Ferdous ◽  
Md. Tajuddin Sikder ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Large Scale ◽  
Online Survey ◽  
Daily Activities ◽  
Hierarchical Regression ◽  
Suicidal Behaviors ◽  
Health Issues ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Preventive Practice

Abstract Background The world is facing a public health emergency situation caused by the COVID-19 pandemic. Psychological wellbeing among individuals worldwide has been negatively affected by the pandemic especially in low- and middle-income countries such as Bangladesh. The present study aimed to assess the estimate of depressive symptoms and investigated its associations with COVID-19 preventive practice measures, daily activities in home quarantine, and suicidal behaviors in a large-scale Bangladeshi online survey. Methods An online-based cross-sectional survey was widely distributed to Bangladeshi citizens. A total of 13,654 participants (61.0% male; mean age = 24.0 years [SD = 6.0]; age range 18–65 years) completed the survey between May and June (2020). The survey included socio-demographics and COVID-19-related questions, along with lifestyle, suicidal, and psychometric measures. Hierarchical regression was performed to determine significant associations between depression and examined variables. Results The estimate of depressive symptoms during the COVID-19 pandemic was 43.5%. Based on hierarchical regression analysis, depression was significantly associated with not engaging in COVID-19 preventive measures, daily activities in home quarantine (e.g., playing videogames), and suicidal behaviors. Conclusions Depressive symptoms appeared to be high during the COVID-19 pandemic in Bangladesh. To fight against the pandemic, mental health issues as well as physical health issues need to be taken into consideration.

scholarly journals A gender comparison of the psychological distress of medical students in Nigeria during the Coronavirus pandemic: A cross-sectional survey

2020 ◽  
Author(s):  
Oluwaseun Mercy Idowu ◽  
OyinOluwa Gloria Adaramola ◽  
Boluwatife Samson Aderounmu ◽  
Ifeoluwa Delight Olugbamigbe ◽  
Olaoluwa Ezekiel Dada ◽  
...  
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
At Risk ◽  
Psychological Distress ◽  
Medical Students ◽  
Large Scale ◽  
Online Survey ◽  
General Health Questionnaire ◽  
Cross Sectional Survey ◽  
Cross Sectional

AbstractBackgroundThe Coronavirus disease (COVID-19) pandemic as a large scale stressor could have negative distress on the mental health on medical students. Since gender differences in mental health may exist between males and females, it would prove interesting to see if a large scale stressor such as the pandemic will cause variances in the psychological distress between both genders.This study assessed and compared the psychological distress of COVID-19 among male and female medical students in medical schools in South-Western NigeriaMaterials and methodsA cross-sectional online survey using was carried out among 1010 medical students from three largest universities in south western Nigeria during the COVID-19 pandemic. The respondents were purposively selected, data was obtained on participants demographic and psychological distress was assessed using the General Health Questionnaire 12 (GHQ-12). Data was analyzed using the SPSS version 21 statistical software, chi square was used to assess gender differences, multivariate regression analysis assessed the predictors of psychological distress among both gendersand p values less than 0.05 were considered significant.ResultsFemale medical students are at a higher risk of psychological distress compared to their male counterparts (p<0.005). Females were almost twice at risk of psychological distress during the COVID-19 pandemic than males (OR=1.534, 95% p=0.003). Females with a positive history of mental illness were five times more at risk of psychological distress during the COVID-19 pandemic compared to females with no previous mental health history (OR=5.102, p=0.002)ConclusionFemales were at higher risk of psychological distress compared to male students. Gender specific interventions addressing psychological distress among medical students are recommended.

scholarly journals 日本における新型コロナウイルス感染症をめぐる心理・行動に関する調査 ―予防行動・将来の見通し・情報拡散に焦点を当てた検討―

2020 ◽  
Author(s):  
Ryota Sakakibara ◽  
Hiroki Ozono
Keyword(s):  
Risk Perception ◽  
Large Scale ◽  
Online Survey ◽  
Information Dissemination ◽  
Subjective Evaluation ◽  
Infection Risk ◽  
Preventive Behaviors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The World

The COVID-19 pandemic is a serious problem all over the world in 2020. In this study, a large-scale online survey was conducted in Japan to explore the determinants of infection preventive behaviors. In addition, this survey collected data on various attitudes and behaviors in this pandemic situation, including optimistic/pessimistic views and information dissemination behavior on social networking sites (SNS). The results showed that the infection risk perception of self and others were both associated with the preventive behaviors, but the social pressure was not. The results were unclear in regard to optimistic/pessimistic views for infection risk perception and prospect for the end of coronavirus outbreak. Surprisingly, information spreading via SNS was negatively associated with knowledge of COVID-19, which calls attention to the credibility of information on SNS. In addition, subjective evaluation of achievement in regard to preventive behaviors was higher for self than for other people. This suggests that a self-enhancement tendency may contribute to the evaluation of preventive behaviors. Despite limitations such as employing a cross-sectional survey design and using data collected only in Japan, our study provides useful insights into the determinants of infection preventive behaviors, information dissemination, and the self-enhancement tendency in the evaluation of preventive behaviors. These findings should be useful in preventing the spread of COVID-19 around the world and in preparing for a possible future pandemic.

Evaluation of a Large Scale Advance Care Planning Co-Design Education Program for Chinese-Speaking People in Australia

2021 ◽  
pp. 104990912110148
Author(s):  
Aaron Kee Yee Wong ◽  
Anna Collins ◽  
Andrew Ng ◽  
Luke Buizen ◽  
Jennifer Philip ◽  
...  
Keyword(s):  
Advance Care Planning ◽  
Design Education ◽  
Large Scale ◽  
The United States ◽  
Care Planning ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Telephone Interviews ◽  
Advance Care

Background: Advance care planning (ACP) is important, however ethnic minorities have half the completion rates in the United States compared to Caucasian counterparts, and in Australia only 3.5% of advance directives were completed by those overseas-born.Educational intervention improves ACP knowledge and subsequent uptake. We evaluated immediate and longer-term outcomes of a co-designed ACP education toolkit in Chinese-speaking people in Victoria, Australia. Methods: We conducted a cross-sectional survey of Chinese-speaking community members who participated in a co-designed Chinese ACP educational workshop. A self-selected subgroup were subsequently contacted 6 months later to determine longer-term outcomes. Results: Of 519 attendees across 17 workshops, 325 (63%) completed the evaluation. The majority (63%;n = 206) were previously unaware of ACP. Perception of receipt of useful information positively correlated with motivation to undertake ACP ( r = 0.3486, p < 0.001). Of the 70 participants who consented to follow up, 36% (n = 26) agreed to participate in structured telephone interviews. English speakers were more likely to have undertaken ACP (n = 6 vs n = 3). ACP completion was not associated with being a carer or suffering from cancer or chronic illness. Conclusions: This first Australian study evaluating ACP co-design education implementation outcomes in Chinese-speaking people supports that motivation to undertake ACP is related to knowledge, albeit a modest ACP uptake in a small follow up sample. Clinicians should note that this assists with ACP uptake, with likely downstream improved health outcomes. This co-designed toolkit could be helpful in increasing ACP uptake. Future engagement by Chinese language societies to overcome further barriers to ACP is needed.

scholarly journals The accuracy, completeness and timeliness of discharge medication information and implementing medication reconciliation: A cross-sectional survey of general practitioners

2020 ◽  
Vol 49 (12) ◽  
pp. 854-858
Author(s):  
Sharon Latimer ◽  
Jayne Hewitt ◽  
Trudy Teasdale ◽  
Carl de Wet ◽  
Brigid M Gillespie
Keyword(s):  
Hospital Discharge ◽  
General Practitioners ◽  
Medication Reconciliation ◽  
Online Survey ◽  
Improve Patient Safety ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Medication Information ◽  
Discharge Medication

Background and objectives General practitioners (GPs) require accurate medication information to care for recently discharged hospital patients. Pre-discharge medication reconciliation improves the accuracy of patient medication lists that GPs receive. This study aimed to explore GPs’ perceptions of the accuracy, completeness and timeliness of hospital discharge medication information, and how they undertake medication reconciliation. Methods Using a cross-sectional online survey, quantitative and qualitative data were collected from a convenience sample of GPs practising across the Gold Coast, Australia. Data were analysed using descriptive statistics and content analysis. Results Twelve GPs were recruited. Patient hospital discharge medication information was mostly accurate and complete, but delays in receiving this information affected the ability of GPs to undertake medication reconciliation. Discussion Receiving accurate and timely patient discharge medication information can reduce errors. Optimising the communication of medication information to GPs may improve patient safety.

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