scholarly journals Audio-/Videorecording Clinic Visits for Patient�s Personal Use in the United States: Cross-Sectional Survey (Preprint)

2018 ◽  
Author(s):  
Paul J Barr ◽  
Kyra Bonasia ◽  
Kanak Verma ◽  
Michelle D Dannenberg ◽  
Cameron Yi ◽  
...  
Keyword(s):  
United States ◽  
Health Systems ◽  
The United States ◽  
Clinic Visit ◽  
Cross Sectional ◽  
The Public ◽  
The Us ◽  
The Future ◽  
Personal Use ◽  
Clinic Visits

BACKGROUND Few clinics in the United States routinely offer patients audio or video recordings of their clinic visits. While interest in this practice has increased, to date, there are no data on the prevalence of recording clinic visits in the United States. OBJECTIVE Our objectives were to (1) determine the prevalence of audiorecording clinic visits for patients’ personal use in the United States, (2) assess the attitudes of clinicians and public toward recording, and (3) identify whether policies exist to guide recording practices in 49 of the largest health systems in the United States. METHODS We administered 2 parallel cross-sectional surveys in July 2017 to the internet panels of US-based clinicians (SERMO Panel) and the US public (Qualtrics Panel). To ensure a diverse range of perspectives, we set quotas to capture clinicians from 8 specialties. Quotas were also applied to the public survey based on US census data (gender, race, ethnicity, and language other than English spoken at home) to approximate the US adult population. We contacted 49 of the largest health systems (by clinician number) in the United States by email and telephone to determine the existence, or absence, of policies to guide audiorecordings of clinic visits for patients’ personal use. Multiple logistic regression models were used to determine factors associated with recording. RESULTS In total, 456 clinicians and 524 public respondents completed the surveys. More than one-quarter of clinicians (129/456, 28.3%) reported that they had recorded a clinic visit for patients’ personal use, while 18.7% (98/524) of the public reported doing so, including 2.7% (14/524) who recorded visits without the clinician’s permission. Amongst clinicians who had not recorded a clinic visit, 49.5% (162/327) would be willing to do so in the future, while 66.0% (346/524) of the public would be willing to record in the future. Clinician specialty was associated with prior recording: specifically oncology (odds ratio [OR] 5.1, 95% CI 1.9-14.9; P=.002) and physical rehabilitation (OR 3.9, 95% CI 1.4-11.6; P=.01). Public respondents who were male (OR 2.11, 95% CI 1.26-3.61; P=.005), younger (OR 0.73 for a 10-year increase in age, 95% CI 0.60-0.89; P=.002), or spoke a language other than English at home (OR 1.99; 95% CI 1.09-3.59; P=.02) were more likely to have recorded a clinic visit. None of the large health systems we contacted reported a dedicated policy; however, 2 of the 49 health systems did report an existing policy that would cover the recording of clinic visits for patient use. The perceived benefits of recording included improved patient understanding and recall. Privacy and medicolegal concerns were raised. CONCLUSIONS Policy guidance from health systems and further examination of the impact of recordings—positive or negative—on care delivery, clinician-related outcomes, and patients’ behavioral and health-related outcomes is urgently required.

scholarly journals Audio-/Videorecording Clinic Visits for Patient’s Personal Use in the United States: Cross-Sectional Survey

10.2196/11308 ◽  
2018 ◽  
Vol 20 (9) ◽  
pp. e11308 ◽  
Author(s):  
Paul J Barr ◽  
Kyra Bonasia ◽  
Kanak Verma ◽  
Michelle D Dannenberg ◽  
Cameron Yi ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Personal Use ◽  
Clinic Visits

Interaction of Ukrainian Diaspora and the USA Government Regarding Celebration of Ukrainian Independence Day on January 22

2018 ◽  
Vol 1 (47) ◽  
pp. 136-145
Author(s):  
Halyna Shchyhelska
Keyword(s):  
United States ◽  
House Of Representatives ◽  
The United States ◽  
100Th Anniversary ◽  
Totalitarian Regime ◽  
The Public ◽  
Us Congress ◽  
The Us ◽  
Public Consciousness ◽  
The Usa

2018 marks the 100th anniversary of the proclamation of Ukrainian independence. OnJanuary 22, 1918, the Ukrainian People’s Republic proclaimed its independence by adopting the IV Universal of the Ukrainian Central Rada, although this significant event was «wiped out» from the public consciousness on the territory of Ukraine during the years of the Soviet totalitarian regime. At the same time, January 22 was a crucial event for the Ukrainian diaspora in the USA. This article examines how American Ukrainians interacted with the USA Government institutions regarding the celebration and recognition of the Ukrainian Independence day on January 22. The attention is focused on the activities of ethnic Ukrainians in the United States, directed at the organization of the special celebration of the Ukrainian Independence anniversaries in the US Congress and cities. Drawing from the diaspora press and Congressional Records, this article argues that many members of Congress participated in the observed celebration and expressed kind feelings to the Ukrainian people, recognised their fight for freedom, during the House of Representatives and Senate sessions. Several Congressmen submitted the resolutions in the US Congress urging the President of United States to designate January 22 as «Ukrainian lndependence Day». January 22 was proclaimed Ukrainian Day by the governors of fifteen States and mayors of many cities. Keywords: January 22, Ukrainian independence day, Ukrainian diaspora, USA, interaction, Congress

Conclusion

2017 ◽  
Author(s):  
Frédéric Grare
Keyword(s):  
United States ◽  
The United States ◽  
The Political ◽  
Slow Pace ◽  
Centre Of Gravity ◽  
The Us ◽  
The Future ◽  
Economic Interaction ◽  
The Asymmetry ◽  
The Relationship

India’s relationship with the United States remains crucial to its own objectives, but is also ambiguous. The asymmetry of power between the two countries is such that the relationship, if potentially useful, is not necessary for the United States while potentially risky for India. Moreover, the shift of the political centre of gravity of Asia — resulting from the growing rivalry between China and the US — is eroding the foundations of India’s policy in Asia, while prospects for greater economic interaction is limited by India’s slow pace of reforms. The future of India-US relations lies in their capacity to evolve a new quid pro quo in which the US will formulate its expectations in more realistic terms while India would assume a larger share of the burden of Asia’ security.

Valuing Diversity and Inclusion in Healthcare: Pathways to Equip Workforces in the Post-COVID-19 New Normal (Preprint)

2021 ◽  
Author(s):  
Jiban Khuntia ◽  
Xue Ning ◽  
Wayne Cascio ◽  
Rulon Stacey
Keyword(s):  
United States ◽  
Health System ◽  
Health Systems ◽  
The United States ◽  
Mediating Effect ◽  
New Normal ◽  
Diversity And Inclusion ◽  
Healthcare Workforce ◽  
The Us ◽  
Service Oriented

BACKGROUND The COVID-19 pandemic, with all its virus variants, remains a serious situation. Health systems across the United States are trying their best to respond. The healthcare workforce remains relatively homogenous, even though they are caring for a highly diverse array of patients (6-12). It is a perennial problem in the US healthcare workforce that has only been accentuated during the COVID-19 pandemic. Medical workers should reflect the variety of patients they care for and strive to understand their mindsets within the larger contexts of culture, gender, sexual orientation, religious beliefs, and socioeconomic realities. Along with talent and skills, diversity and inclusion (D&I) are essential for maintaining a workforce that can treat the myriad needs and populations that health systems serve. Developing hiring strategies in a post-COVID-19 “new normal” that will help achieve greater workforce diversity remains a challenge for health system leaders. OBJECTIVE Our primary objectives are (1) to explore the characteristics and perceived benefits of US health systems that value D&I; (2) to examine the influence of a workforce strategy designed to balance talent and D&I; and (3) to explore three pathways to better equip workforces and their relative influences on business- and service-oriented benefits: (a) improving D&I among existing employees (IMPROVE), (b) using multiple channels to find and recruit a workforce (RECRUIT), and (c) collaborating with universities to find new talent and establish plans to train students (COLLABORATE). METHODS During February–March 2021, we surveyed 625 health system chief executive officers, in the United States, 135 (22%) of whom responded. We assessed workforce talent and diversity-relevant factors. We collected secondary data from the Agency for Healthcare Research and Quality’s (AHRQ) Compendium of the US. Health Systems, leading to a matched data set of 124 health systems for analysis. We first explored differences in talent and diversity benefits across the health systems. Then, we examined the relationship between IMPROVE, RECRUIT, and COLLABORATE pathways to equip the workforce. RESULTS Health system characteristics, such as size, location, ownership, teaching, and revenue, have varying influences on D&I and business and service outcomes. RECRUIT has the most substantial mediating effect on diversity-enabled business- and service-oriented outcomes of the three pathways. This is also true of talent-based workforce acquisitions. CONCLUSIONS Diversity and talent plans can be aligned to realize multiple desired benefits for health systems. However, a one-size-fits-all approach is not a viable strategy for improving D&I. Health systems need to follow a multipronged approach based on their characteristics. To get D&I right, proactive plans and genuine efforts are essential.

scholarly journals FUTURE OF US HEGEMONY

2019 ◽  
pp. 4-12
Author(s):  
A Subotin
Keyword(s):  
United States ◽  
Soft Power ◽  
International Politics ◽  
Social Power ◽  
International System ◽  
The United States ◽  
World Politics ◽  
The Us ◽  
The Future ◽  
Us Hegemony

Abstract. The demise of the bipolar system of international politics has revived interest in such closely related and contested terms as "superpower", "hegemon", "empire" and "imperialism". This article represents an attempt to define the most probable trend in the future evolution of the international system with regard to the role of the United States of America as the most prominent state power of today's world. This article seeks to analyse the US power posture in today's world politics by comparing its core capabilities to those of the classical empire of the previous century - the British Empire - with analytical emphasis on both the "hard power" and the "soft power" dimensions. The author maintains that the notion of US hegemony or even American Empire is still relevant despite a clear historic tendency of hegemonic decline seen throughout the second part of the 20th century. The United States still ranks high on the scale of most traditional power factors and, what is by far more important, they continue to be able to shape and control the scale and the volume of international exposure of all other major players within the framework of contemporary global international system. The relative decline of US influence upon world politics at the beginning of the new millennia has been effectively off-set by the profound change in the nature of American power which is now assuming the form of a structural dominance. The author's personal view is that US hegemony is not doomed to wane, given the enormous impact the United States have already made economically, politically and intellectually upon the post World War II international relations. The continuance of the US playing the pivotal role in the international politics of the 21st century will be dependent on the ability of the US political class to adapt to and to harness the social power of numerous non-state international actors that are due take over the leading role in the future world's politics.

scholarly journals The Future of Turkey - United States Relations

Jurnal ICMES ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 179-196
Author(s):  
Firmanda Taufiq
Keyword(s):  
United States ◽  
The United States ◽  
Economic Interests ◽  
The Us ◽  
The Future ◽  
Foreign Policies ◽  
The Government ◽  
The Cold War ◽  
Role Of The Government

Throughout 2018, relations between Turkey and the United States seemed to deteriorate. The leaders of the two countries issued sharp diplomatic statements and the US even imposed economic sanctions on Turkey. This article aims to analyze how the future of relations between Turkey and the United States. Cooperation between the two has a long historical side after the Cold War. Relations between the two countries are based on various interests, both economic, political, military and security interests. The theory used in this study is the theory of national interest. The US has great interests in the Middle East and Turkey is the front-line ally in achieving those interests. However, there are many US foreign policies that ignore the Turkish concern and create tensions between the two countries. On the contrary, Turkey also has considerable economic interests, but the role of the government elite (in this case, President Erdogan) has a significant influence in the determination of Turkish foreign policy. The findings of this study, although it will go through complex challenges and processes, the US and Turkey will continue to maintain their relations.

Respon Masyarakat Terkait Hoax Covid-19

An Nadwah ◽  
2021 ◽  
Vol 27 (1) ◽  
pp. 1
Author(s):  
Zata Isma ◽  
Lili Surya Pratiwi ◽  
Rema Rurianti
Keyword(s):  
United States ◽  
The United States ◽  
Primary Data ◽  
Public Knowledge ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Collection Method ◽  
Public Response ◽  
The Public ◽  
Age Range

<p>Believing in hoaxes is more deadly than the Covid-19 virus. The hoax came from</p><p>the United States (US), India, Spain, China, Indonesia and Brazil. In the</p><p>development of this case, public knowledge is needed on the prevention and</p><p>transmission of Covid-19, but unfortunately there are still many people who are</p><p>very easy to believe in information that cannot be justified, the source and the</p><p>truth. This study aims to determine the level of public knowledge regarding the</p><p>prevention and transmission of Covid-19 and the public response to the Covid-19</p><p>hoax. This study used a cross sectional approach. With the data collection method</p><p>in the form of giving a questionnaire containing a set of questions to the</p><p>respondents. The number of respondents in this study as many as 700 respondents</p><p>with an age range of 14 years and over was conducted in September 2020. The</p><p>data collected in this study is primary data, namely data obtained directly from</p><p>respondents through structured questionnaires. The results showed that the</p><p>majority of respondents had a knowledge level of 54% of Covid-19 prevention and</p><p>96% of respondents' knowledge of Covid-19 transmission and 44% of hoaxes.</p>

The Spoils of War

2019 ◽  
pp. 92-102
Author(s):  
Jon B. Mikolashek
Keyword(s):  
United States ◽  
The United States ◽  
Us Army ◽  
The Us ◽  
The Future

Patton’s wound is slow to heal; during this time, however, Patton is promoted to colonel. Discharged from the hospital, Patton returns to duty as the war ends. He hopes for the Medal of Honor but is awarded the Distinguished Service Cross. With the war over, Patton spends the rest of his time overseas maintaining discipline, giving lectures on armored warfare and the future of tanks, and preparing for his return to the United States and his family. Patton prepares himself also for the fight to keep tanks in an independent Tank Corps as a vital weapons system for the US Army.

scholarly journals Is COVID-19 the end of US hegemony? Public bads, leadership failures and monetary hegemony

2020 ◽  
Vol 96 (5) ◽  
pp. 1281-1303 ◽  
Author(s):  
Carla Norrlöf
Keyword(s):  
United States ◽  
Public Goods ◽  
The United States ◽  
World Health ◽  
The Public ◽  
The Us ◽  
Us Hegemony ◽  
Health Organization ◽  
Public Bads ◽  
The Relationship

Abstract COVID-19 is the most invasive global crisis in the postwar era, jeopardizing all dimensions of human activity. By theorizing COVID-19 as a public bad, I shed light on one of the great debates of the twentieth and twenty-first centuries regarding the relationship between the United States and liberal international order (LIO). Conceptualizing the pandemic as a public bad, I analyze its consequences for US hegemony. Unlike other international public bads and many of the most important public goods that make up the LIO, the COVID-19 public bad not only has some degree of rivalry but can be made partially excludable, transforming it into more of a club good. Domestically, I demonstrate how the failure to effectively manage the COVID-19 public bad has compromised America's ability to secure the health of its citizens and the domestic economy, the very foundations for its international leadership. These failures jeopardize US provision of other global public goods. Internationally, I show how the US has already used the crisis strategically to reinforce its opposition to free international movement while abandoning the primary international institution tasked with fighting the public bad, the World Health Organization (WHO). While the only area where the United States has exercised leadership is in the monetary sphere, I argue this feat is more consequential for maintaining hegemony. However, even monetary hegemony could be at risk if the pandemic continues to be mismanaged.

Non-Standard Work in Two Different Employment Regimes

2004 ◽  
Vol 18 (2) ◽  
pp. 321-348 ◽  
Author(s):  
Karen M. Olsen ◽  
Arne L. Kalleberg
Keyword(s):  
United States ◽  
Public Sector ◽  
The United States ◽  
Institutional Factors ◽  
Temporary Workers ◽  
The Public ◽  
Work Arrangements ◽  
Standard Work ◽  
The Us ◽  
Hiring And Firing

This article examines organizations’ use of non-standard work arrangements - fixed-term employees hired directly by the organization, workers from temporary help agencies (THA), and contractors - in the United States and Norway. Our analysis is based on information obtained from surveys of 802 establishments in the US and 2130 in Norway. We find that Norwegian establishments make greater use of non-standard arrangements than the US establishments; we argue that this is due in part to the greater overall restrictive labour market regulations on hiring and firing regular workers, and greater demand for temporary labour resulting from generous access to leaves of absence, in Norway. We also find that certain institutional factors have a similar impact in both countries. First, establishments in the public sector are more likely to use direct-hired temporary workers and less apt to use contractors and THAs; this pattern is particularly striking in Norway, but is also evident in the United States. Second, highly unionized establishments tend to have the lowest use of non-standard arrangements in both countries.

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