Partisan Differences in Twitter Language Among US Legislators During the COVID-19 Pandemic: Cross-sectional Study (Preprint)

2021 ◽  
Author(s):  
Sharath Chandra Guntuku ◽  
Jonathan Purtle ◽  
Zachary F Meisel ◽  
Raina M Merchant ◽  
Anish Agarwal
Keyword(s):  
Public Health ◽  
Health Care ◽  
Vaccine Development ◽  
Health Care Systems ◽  
Cross Sectional Study ◽  
Party Affiliation ◽  
Cross Sectional ◽  
Health Crisis ◽  
Care Systems ◽  
Town Halls

BACKGROUND As policy makers continue to shape the national and local responses to the COVID-19 pandemic, the information they choose to share and how they frame their content provide key insights into the public and health care systems. OBJECTIVE We examined the language used by the members of the US House and Senate during the first 10 months of the COVID-19 pandemic and measured content and sentiment based on the tweets that they shared. METHODS We used Quorum (Quorum Analytics Inc) to access more than 300,000 tweets posted by US legislators from January 1 to October 10, 2020. We used differential language analyses to compare the content and sentiment of tweets posted by legislators based on their party affiliation. RESULTS We found that health care–related themes in Democratic legislators’ tweets focused on racial disparities in care (odds ratio [OR] 2.24, 95% CI 2.22-2.27; <i>P</i>&lt;.001), health care and insurance (OR 1.74, 95% CI 1.7-1.77; <i>P</i>&lt;.001), COVID-19 testing (OR 1.15, 95% CI 1.12-1.19; <i>P</i>&lt;.001), and public health guidelines (OR 1.25, 95% CI 1.22-1.29; <i>P</i>&lt;.001). The dominant themes in the Republican legislators’ discourse included vaccine development (OR 1.51, 95% CI 1.47-1.55; <i>P</i>&lt;.001) and hospital resources and equipment (OR 1.22, 95% CI 1.18-1.25). Nonhealth care–related topics associated with a Democratic affiliation included protections for essential workers (OR 1.55, 95% CI 1.52-1.59), the 2020 election and voting (OR 1.31, 95% CI 1.27-1.35), unemployment and housing (OR 1.27, 95% CI 1.24-1.31), crime and racism (OR 1.22, 95% CI 1.18-1.26), public town halls (OR 1.2, 95% CI 1.16-1.23), the Trump Administration (OR 1.22, 95% CI 1.19-1.26), immigration (OR 1.16, 95% CI 1.12-1.19), and the loss of life (OR 1.38, 95% CI 1.35-1.42). The themes associated with the Republican affiliation included China (OR 1.89, 95% CI 1.85-1.92), small business assistance (OR 1.27, 95% CI 1.23-1.3), congressional relief bills (OR 1.23, 95% CI 1.2-1.27), press briefings (OR 1.22, 95% CI 1.19-1.26), and economic recovery (OR 1.2, 95% CI 1.16-1.23). CONCLUSIONS Divergent language use on social media corresponds to the partisan divide in the first several months of the course of the COVID-19 public health crisis.

scholarly journals Evaluation of communication between physicians and patients in Astana City Hospital №1

2014 ◽  
Vol 2 ◽  
Author(s):  
Anara Zhumadilova ◽  
Brett J. Craig ◽  
Alexey Tsoy ◽  
Alla Gabdrakhmanova ◽  
Martin Bobak
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Health Care Providers ◽  
Healthcare Professionals ◽  
Health Care Systems ◽  
Cross Sectional Study ◽  
City Hospital ◽  
Care Providers ◽  
Cross Sectional ◽  
Care Systems

Introduction: Communication between patients and health care providers is important for the effective functioning of health care systems. Miscommunication often stems from discrepancies in expectations of both healthcare professionals and patients due to cultural and historical influences. We investigated the degree to which health care providers (doctors and nurses) and patients in Kazakhstan believe that interaction between doctors and patients should be doctor- or patient-oriented.Material and methods: We conducted a cross-sectional study of 163 patients and 176 health care providers (71 doctors and 105 nurses) in a general hospital in Astana, Kazakhstan. The subjects completed a structured questionnaire containing the Patient-Practitioner Orientation Scale (PPOS), and scales assessing life and job satisfaction, effort-reward balance of healthcare professionals, and the patients’ perceptions of communication practices.Results: An overwhelming majority of doctors (81.7%), nurses (88.1%), and patients (92.3%) were doctor-oriented. Among health care providers, PPOS was not associated with age, sex, life and job satisfaction, or effort-reward imbalance. Among patients, PPOS was not associated with age, sex, or specialty of health care provider. However, higher PPOS among patients (indicating preference for patient-oriented interaction) was associated with higher satisfaction with communication with health care providers and, less strongly, with their life satisfaction.Conclusion: The main finding of this study is the very small proportion of doctors, nurses and patients who believe that interaction should be patient-oriented. These results highlight the necessity of improvement of communication among health care providers towards patient-oriented approach in order to decrease miscommunication with patients. The fact that most patients prefer doctor-oriented interaction may reflect historical stereotypes; educational/information interventions among patients may also be needed.

scholarly journals Comparing diagnostic delay in cancer: a cross-sectional study in three European countries with primary care-led health care systems

2011 ◽  
Vol 29 (1) ◽  
pp. 69-78 ◽  
Author(s):  
P. Murchie ◽  
N. C. Campbell ◽  
E. K. Delaney ◽  
G.-J. Dinant ◽  
P. C. Hannaford ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Systems ◽  
Diagnostic Delay ◽  
Cross Sectional Study ◽  
European Countries ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Systems

scholarly journals Public’s Perception and Satisfaction on the Health Care System in Sultanate of Oman: A Cross-Sectional Study

2020 ◽  
Vol 56 (04) ◽  
pp. 214-219
Author(s):  
Humaid Al-Kalbani ◽  
Tariq Al-Saadi ◽  
Ahmed Al-Kumzari ◽  
Hassan Al-Bahrani
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Systems ◽  
Cross Sectional Study ◽  
Private Health Care ◽  
Sultanate Of Oman ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Care Systems

Abstract Objective There are no “gold standard” parameters to measure patient satisfaction regarding the health care system provided by the government. Most of the developed countries have well-structured health care systems, and they depend on patient satisfaction to evaluate and optimize performance and activities of such systems. The study was conducted to evaluate the Omani population’s satisfaction toward public and private health care systems existing in the country. Materials and Methods A cross-sectional study was conducted with a predesigned and pretested questionnaire that was sent to all regions of the Sultanate of Oman via an electronic link. The questionnaire included 22 questions divided into two sections: (1) public and private health care systems in Oman, and (2) abroad treatments. Results The response rate of the 11 Oman’s governorates was 73.9%. There was an association between gender, age, marital status, and the level of education with the preference for local private hospital’s treatment (p < 0.001). Both males (88.1%) and females (83.9%) preferred to be treated by Omani doctors. The association between gender and the preference to be treated by the Omani doctors was statistically significant (p = 0.016). There was a significant relationship between the overall patient satisfaction regarding the treatment that they received and all of the following parameters: well-trained nurses, competency of doctors, professional behavior, and skill level of the staff. On the other hand, 88% of the participants were unhappy about appointment waiting times to be seen in the tertiary-care hospital. Conclusion The study showed that most of the participants have preferred to be treated by Omani physicians and nurses, however, hospitals need to make operational and working changes in order to decrease the appointment waiting time, as this was found to be one of the most common reasons for population dissatisfaction.

scholarly journals Hesitancy towards the COVID-19 vaccine among health care practitioners in the Kingdom of Saudi Arabia: a cross-sectional study

F1000Research ◽  
2022 ◽  
Vol 11 ◽  
pp. 24
Author(s):  
Abdullah A. Almojaibel ◽  
Khalid Ansari ◽  
Yahya A. Alzahrani ◽  
Saleh A. Alessy ◽  
Faraz A. Farooqi ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Saudi Arabia ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Crisis ◽  
Health Care Practitioners ◽  
To Receive

Background: The coronavirus disease 2019 (COVID-19) pandemic is a major public health crisis worldwide. In less than 12 months since the World Health Organization declared the outbreak, several different COVID-19 vaccines have been approved and deployed mostly in developed countries since January 2021. However, hesitancy to accept the newly developed vaccines is a well-known public health challenge that needs to be addressed. The aim of this study was to measure willingness and hesitancy toward COVID-19 vaccines among health care practitioners' (HCPs) in Saudi Arabia.   Methods: A cross-sectional study using an online self-reported survey was conducted among HCPs in Saudi Arabia between April 4th to April 25th 2021 using snowball sampling. Multivariate logistic regression was employed to identify the possible factors affecting HCPs’ willingness and hesitancy to receive COVID-19 vaccines.   Results: Out of 776 participants who started the survey, 505 (65%) completed it and were included in the results. Among all HCPs, 47 (9.3%) either said “no” to receive the vaccine [20 (4%)] or were hesitant to receive it [27 (5.3%)]. Of the total number of the HCPs, 376 (74.5%) already received the COVID-19 vaccine, and 48 (9.50%) were registered to receive it. The main reason of agreement to receive the COVID-19 vaccine was “wanting to protect self and others from getting the infection” (24%).   Conclusion: Our findings have shown that hesitancy toward receiving COVID-19 vaccines among HCPs in Saudi Arabia is limited and therefore may not be a serious issue. The outcomes of this study may help to understand factors that lead to vaccine hesitancy in Saudi Arabia and help public health authorities to design targeted health education interventions aiming to increase uptake of these vaccines.

scholarly journals A Cross-sectional Study on Challenges Faced and Strategies Adopted in Responding to Corona Virus Disease (COVID-19) by Hospital Administrators in Kaski District

2021 ◽  
Vol 2 (4) ◽  
pp. 256-260
Author(s):  
KC Deepti ◽  
S Poudel ◽  
SB Hamal Thakuri ◽  
S Shrestha
Keyword(s):  
Virus Disease ◽  
Health Care Systems ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Hospital Administrators ◽  
Corona Virus ◽  
Care Systems ◽  
Private And Public

Background: Following the outbreak of Coronavirus disease in 2019, the year 2020/21 has been an incredibly challenging one for all global health-care systems. Methods: A cross sectional descriptive research design was used to conduct the study. The study was carried out in all general private and public hospitals of Kaski district of Nepal. Data were collected from 25th October to 5th December, 2020 from the Hospital administrators using a semi structured interview schedule. Descriptive statistics were used for data analysis. Results: Most (96.3%) of the hospitals reported that increased cost or expenses of the hospitals creating financial threat is the most challenging situation that hospitals are facing in this pandemic. In addition shortages of ventilators creating ethical dilemma for patient allocation and changing guidelines from authorities have been reported as a challenge by 88.9 percent of the hospitals respectively. All of the surveyed hospitals had developed the use of thermometers for screening at the hospital entrances to minimize the risk. Conclusion: Hospitals in this pandemic are facing a lot of challenges with regard to staff management, PPE management and so on. Hence they need to adopt best strategies in responding to the corona virus.

scholarly journals Learning from health care in other countries: the prospect of comparative research

2015 ◽  
Vol 14 (1) ◽  
pp. 8-12 ◽  
Author(s):  
Edwin Van Teijlingen ◽  
Cecilia Benoit ◽  
Ivy Bourgeault ◽  
Raymond DeVries ◽  
Jane Sandall ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Comparative Research ◽  
Cultural Context ◽  
Health Care Systems ◽  
Cultural Factors ◽  
Reproductive Health Care ◽  
Care Systems ◽  
Cross National ◽  
The Way

It is widely accepted that policy-makers (in Nepal and elsewhere) can learn valuable lessons from the way other countries run their health and social services. We highlight some of the specific contributions the discipline of sociology can make to cross-national comparative research in the public health field. Sociologists call attention to often unnoticed social and cultural factors that influence the way national reproductive health care systems are created and operated. In this paper we address questions such as: ‘Why do these health services appear to be operating successfully in one country, but not another?’; ‘What is it in one country that makes a particular public health intervention successful and how is the cultural context different in a neighbouring country?’ The key examples in this paper focus on maternity care and sex education in the Netherlands and the UK, as examples to highlight the power of cross-national research. Our key messages are: a) Cross-national comparative research can help us to understand the design and running of health services in one country, say Nepal, by learning from a comparison with other countries, for example Sri Lanka or India. b) Cultural factors unique to a country affect the way that reproductive health care systems operate. c) Therefore,we need to understand why and how services work in a certain cultural context before we start trying to implement them in another cultural context.

scholarly journals Application of Health-Care Networking in COVID-19: A Brief Report

2020 ◽  
pp. 1-5
Author(s):  
Punidha Kaliaperumal ◽  
Tamorish Kole ◽  
Neha Chugh
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Systems ◽  
Public Health Care ◽  
Current Crisis ◽  
Delivery Of Care ◽  
Public Health Emergencies ◽  
Northern India ◽  
Care Systems ◽  
Private And Public

ABSTRACT Health-care systems all over the world are stretched out and being reconfigured to deal with the coronavirus disease 2019 (COVID-19) pandemic. Some countries have flattened the curve, some are still fighting to survive it, and others are embracing the second wave. Globally, there is an urgent need to increase the resilience, capacity, and capability of health-care systems to deal with the current crisis and improve upon the future responses. The epidemiological burden of COVID-19 has led to rapid exhaustion of local response resources and massive disruption to the delivery of care in many countries. Health-care networking and liaison are essential component in disaster management and public health emergencies. It aims to provide logistical support between hospitals; financial support through local or regional governmental and nongovernmental agencies for response; manpower and mechanism for coordination and to implement policies, procedures, and technologies in the event of such crisis. This brief report describes how 4 independent private hospitals in northern India had adopted the principles of health-care networking, pooled their resources, and scaled up 1 of the partner hospitals as Dedicated COVID-19 Hospital (DCH) to treat moderate to severe category of COVID-19 patients. It brings out the importance of a unique coalition between private and public health-care system.

A NOVEL TOOL FOR THE EARLY IDENTIFICATION OF FRAILTY IN ELDERLY PEOPLE: THE APPLICATION IN PRIMARY CARE SETTINGS

2019 ◽  
pp. 1-6
Author(s):  
M. Maggio ◽  
M. Barbolini ◽  
Y. Longobucco ◽  
L. Barbieri ◽  
C. Benedetti ◽  
...  
Keyword(s):  
Primary Care ◽  
Construct Validity ◽  
Predictive Value ◽  
Community Health Centers ◽  
Health Care Systems ◽  
Cross Sectional Study ◽  
Criterion Validity ◽  
Cross Sectional ◽  
Care Systems ◽  
The One

Objectives: Frailty is a pre-disability condition in older persons providing a challenge to Health-Care Systems. Systematic reviews highlight the absence of a gold-standard for its identification. However, an approach based on initial screening by the General Practitioner (GP) seems particularly useful. On these premises, a 9-item Sunfrail Checklist (SC), was developed by a multidisciplinary group, in the context of European Sunfrail Project, and tested in the Community. Objectives: – to measure the concordance between the judgments of frailty (criterion-validity): the one formulated by the GP, using the SC, and the one subsequently expressed by a Comprehensive Geriatric Assessment Team (CGA-Team); – to determine the construct-validity through the correspondence between some checklist items related to the 3 domains (physical, cognitive and social) and the three tools used by the CGA-Team; – to measure the instrument’s performance in terms of positive predictive value (PPV) and negative predictive value (NPV). Design: Cross-sectional study, with a final sample-size of 95 subjects. Setting: Two Community-Health Centers of Parma, Italy. Participants: Subjects aged 75 years old or more, with no disability and living in the community. Measurements: We compared the screening capacity of the GP using the SC to that one of CGA-Team based on three tests: 4-meter Gait-Speed, Mini-Mental State Examination and Loneliness Scale. Results: 95 subjects (51 women), with a mean age of 81±4 years were enrolled. According to GPs 34 subjects were frail; the CGA-Team expressed a frailty judgment on 26 subjects. The criterion-validity presented a Cohen’s k of 0.353. Construct-validity was also low, with a maximum contingency-coefficient of 0.19. The analysis showed a PPV of 58.1% and a NPV equal to 84.6%. Conclusions: Our data showed a low agreement between the judgements of GP performed by SC and CGA-Team. However, the good NPV suggests the applicability of SC for screening activities in primary-care.

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