scholarly journals NEW METHODS FOR ASSESSING THE TRUST OF FOREIGN CONSUMERS OF MEDICAL SERVICES IN BELARUSIAN DOCTORS

2020 ◽  
Vol 18 (6) ◽  
pp. 727-731
Author(s):  
A. A. Gavrilik ◽  
Keyword(s):  
Social Trust ◽  
Medical Services ◽  
Medical Professionals ◽  
Evidence Based ◽  
Generalized Trust ◽  
Annual Increase ◽  
Sociology Of Medicine ◽  
New Methods ◽  
Personal Trust ◽  
Subsequent Calculation

Background. To date, there are no evidence-based ways to assess patients ' trust in medical professionals. The relevance of searching for such methods for studying the level of social trust of foreign consumers of medical services in Belarusian doctors is not in doubt due to the annual increase in the export of medical services. Objective: to develop a new method for assessing the confidence of foreign patients in Belarusian doctors. Material and methods. Based on the Russian and foreign experience in studying trust in the provision of non-medical services and using the principles of sociology of medicine, an approach to the mathematical assessment of the level of trust of foreign consumers of medical services in Belarusian doctors has been developed. Results. The method includes a sociological survey with subsequent calculation of the index of trust in Belarusian doctors, determined on the basis of generalized trust indices (three types), the values of which are calculated based on the values of two indicators: the indicator of generalized trust of foreign consumers in Belarusian doctors and the indicator of the measure of personal trust of foreign consumers in Belarusian doctors. Conclusions. The method of calculating confidence indices needs to be implemented and further tested, the survey of foreign patients is planned to be conducted after each case of receiving medical care in the Grodno region.

scholarly journals ETHICAL DIMENSIONS OF WILLINGNESS TO PAY FOR MEDICAL CARE IN BULGARIA

2018 ◽  
Vol 6 (1) ◽  
pp. 516-522
Author(s):  
Kalina Peycheva ◽  
Mariela Deliverska
Keyword(s):  
Higher Education ◽  
Medical Care ◽  
Education Level ◽  
Medical Services ◽  
Medical Professionals ◽  
Chi Square ◽  
New Methods ◽  
Gender And Education ◽  
Anonymous Questionnaire ◽  
Methods Of Treatment

Regardless of what both patients and medical professionals might think, nowadays there is no free medicine. The need of changing the pattern is emphasized and people should become more responsible for their own health. The aim is to find a connection between the trust in GPs, prophylactic check-ups, new methods of treatment and the willingness of patients to pay for the received medical services. Material and Method: A questionnaire was prepared for the purposes of the study. The methods utilized were a direct individual anonymous questionnaire, statistical – descriptive, analytical (Chi-square). The answers were examined and statistically processed according to age, gender and education level of the participants. Results: 1. The results regarding the trust in GP is very unconvincing – only 14,5 % believe in their GP. 2. The percentage of believers in prophylactic check-ups is high - 57,9%.  3.The percentage of those who believe in the new methods and means for treatment is high, over 80%, while no difference is found with respect to the patients’ education level. 4. The patients often (86%) pay for the treatment of a specialist. 5. People with higher education more readily pay for medical care. Conclusions: 1. The lack of trust in GP combined with the strong belief in prophylactic check - ups and the new methods for diagnostic and treatment of diseases lead to higher expectations of patients towards the medical services and their readiness to pay for these services. 2. The patients indicate readiness to pay for medical services which is a part of the patients’ readiness to take care for their own health.

The Setting

2018 ◽  
Author(s):  
Nicolette D. Manglos-Weber
Keyword(s):  
United States ◽  
Social Trust ◽  
The United States ◽  
Evangelical Christianity ◽  
Interracial Relations ◽  
Personal Trust ◽  
Conceptual Background ◽  
History Of ◽  
Role Of Religion

This chapter presents the historical and conceptual background to the book’s argument. It starts with a history of Ghana, followed by an analysis of the trends that have led to high levels of out-migration, and then to a description of Ghanaian populations in Chicago. Next, it addresses the concept of social trust in general and personal trust in particular, developing a theory of personal trust as an imaginative and symbolic activity, and analyzing interracial relations through the lens of racialized distrust. It concludes by describing the role of religion in the integration of immigrant groups into the United States and the particular religious frameworks that characterize Charismatic Evangelical Christianity in Ghana.

scholarly journals Consent to Treatment and Anamnesis as Problem of Communication with Minor Patients in Healthcare Decision-Making

2016 ◽  
Vol 2 (3) ◽  
pp. 57
Author(s):  
Karina Palkova ◽  
Svetlana Semaka
Keyword(s):  
Decision Making ◽  
Medical Professional ◽  
Medical Services ◽  
Medical Professionals ◽  
Healthcare Decision ◽  
Communication Problems ◽  
Legal Relationship ◽  
Healthcare Decision Making ◽  
Consent To Treatment ◽  
Insight Into

Lately lawyers and medical professionals pay more attention too the process of minor patient healthcare. The research shall address the issues of legal relationship between minor patients and medical professionals, consent to treatment of minor patients and communication problems including the scope of information which the doctor can provide to the minor patient’s relatives to protect themselves and patients. Legislation prescribes that the information provided by the medical professional to the minor patient must be not only easy-to-understand, but also be consistent with the patient’s age maturity. However, in Latvia, for example, there are no guidelines that specify how medical professionals can determine the patient’s maturity. In the course of provision of medical services to the minor persons legal disputes involving communiucation failures between the minor patients, their relatives, legal representatives and the doctors arise increasingly frequently. The research will look into issue of communication problems in healthcare. The aim of the research is to provide insight into challenges of legal relations betweem minor patients and medical professionals and communication problems in healthcare.

scholarly journals A 9-Step Theory- and Evidence-Based Postgraduate Medical Digital Education Development Model: Empirical Development and Validation (Preprint)

2018 ◽  
Author(s):  
Robert de Leeuw ◽  
Fedde Scheele ◽  
Kieran Walsh ◽  
Michiel Westerman
Keyword(s):  
Instructional Design ◽  
Building Blocks ◽  
Instructional Design Model ◽  
Design Model ◽  
Medical Professionals ◽  
Technology Enhanced Learning ◽  
Evidence Based ◽  
Design Models ◽  
Digital Education ◽  
Step Model

BACKGROUND Digital education tools (e-learning, technology-enhanced learning) can be defined as any educational intervention that is electronically mediated. Decveloping and applying such tools and interventions for postgraduate medical professionals who work and learn after graduation can be called postgraduate medical digital education (PGMDE), which is increasingly being used and evaluated. However, evaluation has focused mainly on reaching the learning goals and little on the design. Design models for digital education (instructional design models) help educators create a digital education curriculum, but none have been aimed at PGMDE. Studies show the need for efficient, motivating, useful, and satisfactory digital education. OBJECTIVE Our objective was (1) to create an empirical instructional design model for PGMDE founded in evidence and theory, with postgraduate medical professionals who work and learn after graduation as the target audience, and (2) to compare our model with existing models used to evaluate and create PGMDE. METHODS Previously we performed an integrative literature review, focus group discussions, and a Delphi procedure to determine which building blocks for such a model would be relevant according to experts and users. This resulted in 37 relevant items. We then used those 37 items and arranged them into chronological steps. After we created the initial 9-step plan, we compared these steps with other models reported in the literature. RESULTS The final 9 steps were (1) describe who, why, what, (2) select educational strategies, (3) translate to the real world, (4) choose the technology, (5) complete the team, (6) plan the budget, (7) plan the timing and timeline, (8) implement the project, and (9) evaluate continuously. On comparing this 9-step model with other models, we found that no other was as complete, nor were any of the other models aimed at PGMDE. CONCLUSIONS Our 9-step model is the first, to our knowledge, to be based on evidence and theory building blocks aimed at PGMDE. We have described a complete set of evidence-based steps, expanding a 3-domain model (motivate, learn, and apply) to an instructional design model that can help every educator in creating efficient, motivating, useful, and satisfactory PGMDE. Although certain steps are more robust and have a deeper theoretical background in current research (such as education), others (such as budget) have been barely touched upon and should be investigated more thoroughly in order that proper guidelines may also be provided for them.

Compulsory Treatment in the Community in Hong Kong

2019 ◽  
Vol 20 (1) ◽  
pp. 60-89
Author(s):  
Urania Chiu
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Family Life ◽  
Qualitative Interviews ◽  
Legal Framework ◽  
Fundamental Rights ◽  
Medical Professionals ◽  
Evidence Based ◽  
Mental Health Patients ◽  
Conditional Discharge

This article examines the current legal framework and practice of the conditional discharge of mental health patients in Hong Kong under Section 42B of the Mental Health Ordinance from a human rights perspective. Using existing literature and findings from semi-structured qualitative interviews conducted with medical professionals, the author argues that the current regime lacks adequate safeguards for mental health patients, both in law and in actual practice, and suffers from the absence of a clear guiding purpose. As such, the law and practice of conditional discharge would most likely infringe patients’ fundamental rights to private and family life and to liberty and personal security. The article concludes with the suggestion that an evidence-based approach is required to determine the purpose of the regime and how it may be best designed for that end.

scholarly journals Interpreting Trust: Abstract and Personal Trust for People who Need Interpreters to Access Services

2006 ◽  
Vol 11 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Rosalind Edwards ◽  
Claire Alexander ◽  
Bogusia Temple
Keyword(s):  
Service Provision ◽  
Social Trust ◽  
Use Case ◽  
Functional Link ◽  
Minority Ethnic Groups ◽  
Personal Trust ◽  
Active Trust ◽  
Access Services ◽  
Minority Ethnic

This article looks at the political and conceptual process of trust drawing on a research project exploring the experiences of people who speak little English and thus need interpreters in order to access services. We examine posited solidarity/diversity tensions in the politicisation of notions of general social trust, and debates about the process of trust, including distinctions between abstract and personal trust, the role of familiarity, and the concept of ‘active trust’, as well as challenges to the functional link between interpretation and expectation in trust. We address the increasing professionalisation of interpreting service provision based on abstract trust, and use case studies to illustrate the complexity of the articulation of trust in interpreters, often involving personal trust, as well as strategies for managing distrust. We conclude that, while trust may be a personal praxis, it takes place in a particular socio-political context that involves asymmetrical relations that focus on particular, minority ethnic, groups.

scholarly journals The Development of Generalized Trust among Young People in England

2019 ◽  
Vol 8 (11) ◽  
pp. 299 ◽  
Author(s):  
Janmaat
Keyword(s):  
Social Learning ◽  
Young People ◽  
Educational Attainment ◽  
Civic Participation ◽  
Social Trust ◽  
Family Background ◽  
Early Adulthood ◽  
Late Adolescence ◽  
Generalized Trust ◽  
Background Factors

This paper explores how generalized trust develops over the life course among young people in England and whether trust is influenced more by family background factors or by conditions in late adolescence and early adulthood. If the latter are important, there may be reason for concern about falling levels of trust as material conditions, particularly regarding housing, have deteriorated for the present generation of young people. The first set of influences are highlighted by a perspective arguing that trust is primarily shaped by conditions in early childhood, while the latter are suggested by the so-called social learning perspective, which claims that people continuously adjust their social trust through interactions with people in different contexts. Analyzing data of the Citizenship Education Longitudinal Survey, the study finds that trust remains quite volatile until the early twenties. It declines between ages 16 and 23 and groups differing in educational attainment, civic participation and housing situation start to drift apart in their levels of trust between these ages. Educational attainment, civic participation and housing, as conditions pertaining to late adolescence and early adulthood, also turn out to have a significant impact on trust at age 23 controlling for trust at age 16. However, while the first two conditions are influenced by trust at age 16, housing (tenure) is not, indicating it is a more exogenous factor. Family background factors are not influential. Not only do these findings support the social learning perspective, they also suggest that poor living conditions depress trust among a significant minority of young people and exacerbate disparities of trust.

scholarly journals Contemporary evidence-based practice in Canadian emergency medical services: a vision for integrating evidence into clinical and policy decision-making

CJEM ◽  
2016 ◽  
Vol 19 (3) ◽  
pp. 220-229
Author(s):  
Jan L. Jensen ◽  
Andrew H. Travers
Keyword(s):  
Decision Making ◽  
Emergency Medical Services ◽  
Evidence Based Practice ◽  
Systems Of Care ◽  
National Level ◽  
Policy Decision ◽  
Medical Services ◽  
Evidence Based ◽  
Emergency Medical ◽  
Patient Health

AbstractNationally, emphasis on the importance of evidence-based practice (EBP) in emergency medicine and emergency medical services (EMS) has continuously increased. However, meaningful incorporation of effective and sustainable EBP into clinical and administrative decision-making remains a challenge. We propose a vision for EBP in EMS: Canadian EMS clinicians and leaders will understand and use the best available evidence for clinical and administrative decision-making, to improve patient health outcomes, the capability and quality of EMS systems of care, and safety of patients and EMS professionals. This vision can be implemented with the use of a structure, process, system, and outcome taxonomy to identify current barriers to true EBP, to recognize the opportunities that exist, and propose corresponding recommended strategies for local EMS agencies and at the national level. Framing local and national discussions with this approach will be useful for developing a cohesive and collaborative Canadian EBP strategy.

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