scholarly journals Understanding physicians’ preferences for telemedicine in the time of COVID (Preprint)

2020 ◽  
Author(s):  
Iman Sharif ◽  
Shae Patel ◽  
Melissa Shafer ◽  
Laura Longman ◽  
Laura Longman
Keyword(s):  
Health Center ◽  
Behavioral Health ◽  
Urgent Care ◽  
Resource Poor Setting ◽  
Health Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Federally Qualified Health Center ◽  
The Future

BACKGROUND In contrast to the current broad dissemination of telemedicine across medical specialties, previous research focused on the effectiveness of telemedicine in special populations and for behavioral health encounters; demonstrating that both physician and patient factors impact the efficacious use of telemedicine. OBJECTIVE We evaluated physician perceptions of the appropriateness of telemedicine for patients attending the primary care practices of a federally qualified health center in New York City. METHODS Anonymous cross-sectional survey including closed and open-ended questions. We used chi-square to test whether providers from certain specialties were more likely to state they would use telemedicine in the future. We used t-test to compare age between those who would vs. would not use telemedicine. Then, we used logistic regression to test whether age and specialty were both correlated with desire to use telemedicine in the future. We used thematic content analysis to describe the reasons providers felt they would not want to use telemedicine in the future, and to describe the situations for which they felt telemedicine would be appropriate. RESULTS Of 272 FHC providers who were sent the electronic survey, 159(58%) responded within the 2-week survey time frame. Mean age of providers was 45 years (range 28-75). Overall, 81% stated they would use telemedicine in the future. Compared to the Family Medicine, Internal Medicine, Behavioral Health, Dental, and OB/GYN specialties, providers from Pediatrics, Med-Peds, Subspecialties and Surgery [Pro-telemedicine specialties] were more likely to believe telemedicine would be useful post pandemic (94% vs. 72%, p<0.05). Providers who reported they would use telemedicine in the future were younger [mean age 44(42-46) vs. 50(46-55), p<0.01). In regression analysis, both pro-telemedicine specialties and age were significantly associated with odds of reporting they would use telemedicine in the future [specialties: 5.2(1.7-16.2); age: 0.95(0.92-0.99)]. Providers who did not want to use telemedicine in the future cited concerns about inadequate patient care, lack of physical patient interaction, technology issues, and lack of necessity. Providers who felt telemedicine would be useful cited the following situations: follow up visits, medication refills, urgent care, patient convenience, and specific conditions such has behavioral health, dermatology visits, and chronic care management. CONCLUSIONS The majority of health providers in this resource poor setting in a federally qualified health center believed that telemedicine would be useful for providing care after the pandemic is over.

scholarly journals Prevalence of Traditional Asian Postpartum Practices at a Federally Qualified Health Center

2021 ◽  
Author(s):  
Van Viet Thuy Nguyen ◽  
Micha Y. Zheng ◽  
Stephanie M. Liu ◽  
Michael A. Kallen ◽  
Kerry Kay ◽  
...  
Keyword(s):  
Health Center ◽  
Bed Rest ◽  
Asian Immigrants ◽  
Health Providers ◽  
Participation Rates ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Federally Qualified Health Center ◽  
Yin And Yang ◽  
The Mean

AbstractTo evaluate the knowledge of, participation in, attitudes towards, and experiences with “doing the month” (DTM), a traditional Chinese and Vietnamese postpartum practice, at a federally qualified health center that serves predominantly Asian immigrants. DTM practices revolve around the balance between yin and yang and include practices such as the mother remaining on bed rest for as long as possible, restricting diet to certain foods, and avoiding visitors and social activities. A cross-sectional survey in Chinese, Vietnamese, and English was developed to determine the prevalence of women who have heard of and participated in DTM. 154 respondents participated. The mean age of respondents was 40.1 years. Without prompting of what DTM was, 58 (37.7%) responded that they had heard of DTM. After an explanatory paragraph, this increased to 117 (76.6%) participants. Out of 107 patients who have children, 65 (60.7%) “did the month” after giving birth. Participation rates were highest for women who identified as Chinese or Vietnamese. Likert-type scale questions showed that respondents believed DTM was stressful but enjoyable and helpful for recovery from childbirth. In conclusion, DTM is a common practice that health providers should be aware of.

scholarly journals Comparing primary care pediatricians’ perceptions of clinics with and without integrated behavioral health

2018 ◽  
Vol 20 ◽  
Author(s):  
Blake Lancaster ◽  
Andrew Cook ◽  
Teryn Bruni ◽  
Julie Sturza ◽  
Jessica Sevecke ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Behavioral Health ◽  
Survey Design ◽  
Self Report ◽  
Health Providers ◽  
Behavioral Health Services ◽  
Medical Systems ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Objective: The purpose of this study was to investigate primary care pediatrician (PCP) perceptions of prevalence of, time spent in, and satisfaction with behavioral health services across clinics with and without on-site behavioral health providers (BHPs). Methods: A cross-sectional survey design was used to examine satisfaction across sites. Data were collected on PCP perceptions of behavioral health services among 60 pediatricians within two academic medical systems. Results: PCPs perceived behavioral health issues are prevalent and a time-consuming aspect of medical appointments and preferred to have on-site BHPs over off-site referral sources. Compared to sites without an on-site BHP, sites with on-site BHPs were more satisfied with behavioral health service availability and resources, felt they spent more time addressing medical concerns, and spent less time providing anticipatory guidance. Discussion: Study limitations included questions surrounding the validity of survey items to accurately assess PCP perceptions, lack of rigorous experimental design, and reliance on self-report data.

System-level factors drive telephone and video visit use: Survey of safety-net clinicians during the early phase of COVID-19. (Preprint)

2021 ◽  
Author(s):  
Anjana E. Sharma ◽  
Elaine C. Khoong ◽  
Maribel Sieera ◽  
Natalie A. Rivadeneira ◽  
Malini A. Nijagal ◽  
...  
Keyword(s):  
Safety Net ◽  
Urgent Care ◽  
System Level ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Device Use ◽  
Major Factors ◽  
Publicly Insured ◽  
Personal Devices

BACKGROUND COVID-19 prompted safety-net healthcare systems to rapidly implement telemedicine services with little prior experience. OBJECTIVE To assess health system-level factors and their impact on telephone and video visit use to inform future telemedicine practices. METHODS We conducted a cross-sectional survey among ambulatory care clinicians at a hospital-linked ambulatory clinic network serving a diverse, publicly insured patient population between May 28 2020-July 14 2020. We conducted bivariate analyses assessing healthcare system-level factors associated with 1) Regular phone adoption (4 or more visits on average per half-day); and 2) video visit adoption (at least 1 video visit on average per half-day). RESULTS We collected 311 responses from 643 eligible clinicians, for a response rate of 48.4%. Clinician respondents (N=311) included 34.7% (N=108) primary/urgent care, 35.1% (N=109) medical, and 7.4% (N=23) surgical specialties. Our sample included 178 (57.2%) telephone adopters and 81 (26.05%) video adopters. Primary/urgent care had the highest proportion of telephone adoption (84.3%; vs. 50.4% medical, 37.5% surgical, P <0.001); medical specialties had the highest proportion of video adoption (39.1%; vs. 14.8% primary care, 12.5% % surgical, P <0.001). Among telephone adopters, 72.2% utilized personal devices for telemedicine (versus 59.0% non-regular telephone adopters, P=0.04). Video non-adopters requested more training in technical aspects than adopters (49.6% vs. 27.2%, P =0.0005). CONCLUSIONS Clinical specialty type, personal device use, and desire for technical training were major factors driving telephone and video visit adoption among safety-net clinicians. Department-level support, distribution of devices, and clinician trainings are priorities for safety-net systems.

scholarly journals Changes in prevalence of workplace violence against doctors in all medical specialties in Norway between 1993 and 2014: a repeated cross-sectional survey

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e017757 ◽  
Author(s):  
Ingrid Hjulstad Johansen ◽  
Valborg Baste ◽  
Judith Rosta ◽  
Olaf G Aasland ◽  
Tone Morken
Keyword(s):  
Relative Risk ◽  
Workplace Violence ◽  
Medical Specialty ◽  
Cross Sectional Survey ◽  
Work Time ◽  
Cross Sectional ◽  
Medical Specialties ◽  
Work Settings ◽  
Representative Samples ◽  
Violence Against Doctors

ObjectivesThe aim of this study was to investigate whether reported prevalence of experienced threats, real acts of violence and debilitating fear of violence among Norwegian doctors have increased over the last two decades.DesignRepeated cross-sectional survey.SettingAll healthcare levels and medical specialties in Norway.ParticipantsRepresentative samples of Norwegian doctors in 1993 (n=2628) and 2014 (n=1158).Main outcome measuresRelative risk (RR) of self-reported prevalence of work-time experiences of threats and real acts of violence, and of being physically or psychologically unfit during the last 12 months due to fear of violence, in 2014 compared with 1993, adjusted by age, gender and medical specialty.ResultsThere were no differences in self-reported threats (adjusted RR=1.01, 95% CI 0.95 to 1.08) or real acts (adjusted RR=0.90, 95% CI 0.80 to 1.03) of violence when comparing 2014 with 1993. The proportion of doctors who had felt unfit due to fear of violence decreased from 1993 to 2014 (adjusted RR=0.53, 95% CI 0.39 to 0.73). Although still above average, the proportion of doctors in psychiatry who reported real acts of violence decreased substantially from 1993 to 2014 (adjusted RR=0.75, 95% CI 0.60 to 0.95).ConclusionsA substantial proportion of doctors experience threats and real acts of violence during their work-time career, but there was no evidence that workplace violence has increased over the last two decades. Still, the issue needs to be addressed as part of the doctors’ education and within work settings.

scholarly journals Characterizing Participation and Perceived Engagement Benefits in an Integrated Digital Behavioral Health Recovery Community for Women: A Cross-Sectional Survey (Preprint)

2019 ◽  
Author(s):  
Brenda Curtis ◽  
Brandon Bergman ◽  
Austin Brown ◽  
Jessica McDaniel ◽  
Kristen Harper ◽  
...  
Keyword(s):  
Substance Use ◽  
Behavioral Health ◽  
Average Length ◽  
Mutual Aid ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Effective Manner ◽  
Behavioral Health Disorders ◽  
Health Disorders ◽  
Gender Specific

BACKGROUND Research suggests that digital recovery support services (D-RSSs) may help support individual recovery and augment the availability of in-person supports. Previous studies highlight the use of D-RSSs in supporting individuals in recovery from substance use but have yet to examine the use of D-RSSs in supporting a combination of behavioral health disorders, including substance use, mental health, and trauma. Similarly, few studies on D-RSSs have evaluated gender-specific supports or integrated communities, which may be helpful to women and individuals recovering from behavioral health disorders. OBJECTIVE The goal of this study was to evaluate the SHE RECOVERS (SR) recovery community, with the following 3 aims: (1) to characterize the women who engage in SR (including demographics and recovery-related characteristics), (2) describe the ways and frequency in which participants engage with SR, and (3) examine the perception of benefit derived from engagement with SR. METHODS This study used a cross-sectional survey to examine the characteristics of SR participants. Analysis of variance and chi-square tests, as well as univariate logistic regressions, were used to explore each aim. RESULTS Participants (N=729, mean age 46.83 years; 685/729, 94% Caucasian) reported being in recovery from a variety of conditions, although the most frequent nonexclusive disorder was substance use (86.40%, n=630). Participants had an average length in recovery (LIR) of 6.14 years (SD 7.87), with most having between 1 and 5 years (n=300). The most frequently reported recovery pathway was abstinence-based 12-step mutual aid (38.40%). Participants reported positive perceptions of benefit from SR participation, which did not vary by LIR or recovery pathway. Participants also had high rates of agreement, with SR having a positive impact on their lives, although this too did vary by recovery length and recovery pathway. Participants with 1 to 5 years of recovery used SR to connect with other women in recovery at higher rates, whereas those with less than 1 year used SR to ask for resources at higher rates, and those with 5 or more years used SR to provide support at higher rates. Lifetime engagement with specific supports of SR was also associated with LIR and recovery pathway. CONCLUSIONS Gender-specific and integrated D-RSSs are feasible and beneficial from the perspective of participants. D-RSSs also appear to provide support to a range of recovery typologies and pathways in an effective manner and may be a vital tool for expanding recovery supports for those lacking in access and availability because of geography, social determinants, or other barriers.

scholarly journals Acceptability of the Coronavirus Disease-2019 Vaccine Among Medical Students in Uganda: a Cross Sectional Study.

2021 ◽  
Author(s):  
Andrew Marvin Kanyike ◽  
Ronald Olum ◽  
Jonathan Kajjimu ◽  
Daniel Ojilong ◽  
Grabriel Madut Akech ◽  
...  
Keyword(s):  
Medical Students ◽  
Perceived Risk ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Cross Sectional Survey ◽  
Future Health ◽  
Vaccine Acceptability ◽  
Cross Sectional ◽  
The Future ◽  
Global Threat

Abstract Background COVID-19 is still a major global threat and vaccination remains the long-lasting solution. Unanimous uptake of the COVID-19 vaccine is required to subsequently avert its spread. We therefore, assessed COVID-19 vaccine acceptability, hesitancy, and associated factors among medical students in Uganda. Methods This study employed an online descriptive cross-sectional survey among medical students across 10 medical schools in Uganda. A structured questionnaire as a Google form was sent to participants via WhatsApp. Data was extracted and analyzed using Microsoft Excel 2016 and STATA 16. Descriptive statistics, bivariate and multivariable analyses were performed. Results We surveyed 600 medical students, 377 (62.8%) were male. COVID-19 vaccine hesitancy and acceptability were 30.7% and 37.3%, respectively. Factors associated with vaccine acceptability were being female (aOR = 1.9, 95% CI: 1.3–2.9, p = 0.001), being single (aOR = 2.1, 95% CI 1.1–3.9, p = 0.022). Very high (aOR = 3.5, 95% CI 1.7–6.9, p < 0.001) or moderate (aOR = 2.2, 95% CI 1.2–4.1, p = 0.008) perceived risk of getting COVID-19 in the future, receiving any vaccine in the past 5 years (aOR = 1.6, 95% CI 1.1–2.5, p = 0.017), and COVID-19 vaccine hesitancy (aOR 0.6, 95% CI 0.4–0.9, p = 0.036). Conclusions This study revealed low levels of acceptance towards the COVID-19 vaccine among medical students, low self-perceived risks of COVID-19, and many had relied on social media that provided them with negative information. This poses an evident risk on the battle towards COVID-19 in the future especially when these future health professions are expected to be influencing decisions of the general public towards the same.

Contributing Factors of Prenatal Visit K4 Donomulyo Public Health center in 2013

2021 ◽  
Vol 15 (5) ◽  
pp. 1323-1325
Author(s):  
Y. Salindri ◽  
A. Pradita
Keyword(s):  
Health Center ◽  
Health Facilities ◽  
P Value ◽  
Antenatal Visit ◽  
Regression Result ◽  
Health Providers ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Primary Health ◽  
Antenatal Visits

Background: In East Lampung, the rate of K4 in Several Primary Health Cares has exceeded 90% of National targetsDonomulyo; while in Primary Health Care, the rate of K4 achieved only 71.2%, with an increase dropped out the rate from 18.19% in 2010 to 21.69% in 2011. Aim: The study's objective was to determine K4 antenatal care is contributing factor in Donomulyo Primary Health Center in 2013. Method: The study was analytical cross-sectional research. The study's population was all third-trimester pregnant women in Donomulyo Primary Health Care's working area during July 2013, 76. The sampling technique in this study was total sampling, in which there were 48 samples, including full inclusion and exclusion criteria of the study. The Data was analyzed using frequentation distribution, chi-square, and double logistics regression. Result: 45% mother did not fully fill K4 antenatal visit, 33.3% of respondents were in risky age, the parity risky was 45.8%, 54.2% of respondents had low social status, 43.8% of respondents could not easily access health facilities, 41.7% of the respondents had low knowledge and 45.8% of the respondents thought that health worker's attitude was negative. The research found a significant correlation among maternal age (p value = 0.010 and OR = 6,600), parity (p value = 0.047 and OR = 3.938), economic status (p value = 0.001, OR = 10.125), access to health facilities (p value = 0.024, OR = 4.750), knowledge (p value = 0.011 and OR = 5,833), and health worker's attitude (p value = 0.047 and OR 3.938). Conclusion and Suggestion: Health providers must increase patient's knowledge by giving comprehensive counseling about the benefits of K4 antenatal visits and improving the quality of care to attract women to do antenatal visits, especially for high-risk women. Keywords: pregnancy, antenatal visits, K4

scholarly journals Correlates of Patients’ Preference for Therapeutic Injections in a Major Regional Referral Hospital in Ghana: Implications for Policy and Clinical Practice

SAGE Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. 215824401880458
Author(s):  
Robert Kaba Alhassan ◽  
Bismark Appiah Adu-Gyamfi ◽  
Agbolosu Oliver ◽  
Bright Ayensu ◽  
Gbekor Awoenam ◽  
...  
Keyword(s):  
Regional Hospital ◽  
Oral Medication ◽  
Outcome Variable ◽  
Health Providers ◽  
Probit Regression ◽  
Hospital Data ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Poor Countries ◽  
Factors Associated

Abuse of injections, particularly in resource poor countries, remains a challenge evident in the increasing preference for therapeutic injections over oral medication. Objective of this study is to explore factors associated with patients’ preference for therapeutic injection over oral medication in the Volta Regional Hospital, Ho in Ghana. The study is a cross-sectional survey conducted among 200 patients accessing care in Volta Regional Hospital. Data were analyzed using STATA statistical software for data analysis. Univariate probit regression was used to ascertain factors associated with patients’ preference for therapeutic injections over oral medication (main outcome variable of interest). It was found that 74% of the 200 respondents preferred injection to oral medication. More outpatients preferred injectable medication over oral ( p = .041); 86% of the respondents said they never experienced complication related to injectable medication. Patients who perceived injection as more efficacious were more likely to opt for it over oral medication (coefficient = 2.22; SE = 0.33; p < .05). It is concluded that patients’ preference for injectable medication over oral remains high in Ghana, and this preference is significantly associated with patients’ perceptions on superiority of injections over oral medication. There is the need to intensify health education for clients and in-service trainings for health providers to control abuse of therapeutic injections and promote patient safety.

The Most Commonly Treated Acupuncture Indications in the United States: A Cross-Sectional Study

2018 ◽  
Vol 46 (07) ◽  
pp. 1387-1419 ◽  
Author(s):  
Haiyi Wang ◽  
Guanhu Yang ◽  
Shaobai Wang ◽  
Xin Zheng ◽  
Wei Zhang ◽  
...  
Keyword(s):  
United States ◽  
Health Management ◽  
Frozen Shoulder ◽  
Gastrointestinal Diseases ◽  
The United States ◽  
Therapeutic Effects ◽  
Cross Sectional Survey ◽  
Full Spectrum ◽  
Cross Sectional ◽  
Medical Specialties

Acupuncture has been a popular alternative medicine in the United States for several decades. Its therapeutic effects on pain have been validated by both basic and clinical researches, and it is currently emerging as a unique non-pharmaceutical choice for pain against opioid crisis. However, the full spectrum of acupuncture indications remains unexplored. In this study, we conducted a cross-sectional survey among 419 acupuncturists nation-wide to investigate the top 10 and top 99 acupuncture indications in private clinics in the United States. We found the top 10 indications to be: lower back pain, depression, anxiety, headache, arthritis, allergies, general pain, female infertility, insomnia, neck pain and frozen shoulder. Among the top 99 indications, pain represents the largest category; and mental health management, especially for mood disorders, is in greatest demand. The following popular groups are: immune system dysfunctions, gastrointestinal diseases, gynecology and neurology. In addition, specialty index, commonality index, and the potential to become medical specialties were estimated for each indication. Demographic analysis suggests that China trained acupuncturists tend to have broader indication spectrums, but the top conditions treated are primarily decided by local needs. Also, gender, resident states, age and clinical experience all affect indication distributions. Our data for the first time outlines the profile of acupuncture treatable conditions in the US and is valuable for strategic planning in acupuncture training, healthcare administration and public education.

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