scholarly journals Understanding How to Improve the Use of Clinical Coordination Mechanisms between Primary and Secondary Care Doctors: Clues from Catalonia

2021 ◽  
Vol 18 (6) ◽  
pp. 3224
Author(s):  
Laura Esteve-Matalí ◽  
Ingrid Vargas ◽  
Franco Amigo ◽  
Pere Plaja ◽  
Francesc Cots ◽  
...  
Keyword(s):  
Secondary Care ◽  
Online Survey ◽  
National Health System ◽  
Organizational Factors ◽  
Coordination Mechanisms ◽  
Bivariate Analysis ◽  
Full Time ◽  
Design Strategies ◽  
Cross Sectional ◽  
Technical Problems

Clinical coordination between primary (PC) and secondary care (SC) is a challenge for health systems, and clinical coordination mechanisms (CCM) play an important role in the interface between care levels. It is therefore essential to understand the elements that may hinder their use. This study aims to analyze the level of use of CCM, the difficulties and factors associated with their use, and suggestions for improving clinical coordination. A cross-sectional online survey-based study using the questionnaire COORDENA-CAT was conducted with 3308 PC and SC doctors in the Catalan national health system. Descriptive bivariate analysis and logistic regression models were used. Shared Electronic Medical Records were the most frequently used CCM, especially by PC doctors, and the one that presented most difficulties in use, mostly related to technical problems. Some factors positively associated with frequent use of various CCM were: working full-time in integrated areas, or with local hospitals. Interactional and organizational factors contributed to a greater extent among SC doctors. Suggestions for improving clinical coordination were similar between care levels and related mainly to the improvement of CCM. In an era where management tools are shifting towards technology-based CCM, this study can help to design strategies to improve their effectiveness.

scholarly journals The Quantitative Examination of the Relationship Between Job Satisfaction and Organization Fit in Athletic Trainers

2021 ◽  
Author(s):  
Lindsey H. Schroeder ◽  
Eric L. Richardson ◽  
Rachel M. Carroll
Keyword(s):  
Job Satisfaction ◽  
Organizational Culture ◽  
Online Survey ◽  
Athletic Trainers ◽  
Organizational Factors ◽  
Individual Responsibility ◽  
Full Time ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Employment Setting

ABSTRACT Context: Athletic trainers' (ATs) job satisfaction has been extensively researched, yet little is known about how satisfaction relates to organizational culture. Objective: To examine ATs' level of job satisfaction and organizational fit perceptions within their employment setting. Design: Cross-sectional study. Setting: Web-based questionnaire. Patients or Other Participants: 5,704 ATs (full-time employment, nonacademic appointment) were contacted via email; 841 participants began our survey (access rate = 14.7%), and 285 completed the survey (5.0% response rate; 33.9% completion rate; men = 107 (37.5%), women = 178 (62.5%); age = 34.8±9.9 years; employment setting = 34.7% NCAA D1 (n=99), 18.9% NCAA DII (n=54), 29.5% NCAA DIII (n=84), and 16.9% other. Main Outcome Measure(s): Participants responded to an online survey consisting of demographic questions, a 36-item Likert scale Job Satisfaction Survey (JSS), and the Cable and Judge revision of O'Reilly, Chatman, and Caldwell's 40-item ranking organizational cultures profile (OCP) survey. Multiple linear regression models for total or subscale job satisfaction were used to analyze the data. All models adjusted for the same demographic measures and the independent variables of interest were created from the organizational culture survey responses. Results: Coworkers (min=9, max=24, rho=0.79), communications (min=9, max=24, rho=0.78), and work itself (min=4, max=24, rho=0.71) were the most correlated with the total job satisfaction score (min=96, max=175). 54% of respondents selected adaptability, stability, and taking individual responsibility as one of their two most characteristic attributes in the organizational culture profile. 83% of respondents indicated being aggressive, high pay for good performance, and being distinctive/different from others as their two least characteristic traits. Conclusions: ATs' job satisfaction was impacted most by organizational factors, such as coworkers and communication, as well as individual attributes like adaptability, stability, and taking personal responsibility.

scholarly journals Awareness and response to Coronavirus Disease (Covid-19) epidemic among the Arab population in the Eastern Mediterranean Region and Arab Peninsula

2020 ◽  
Vol 6 (4) ◽  
Author(s):  
Mhammad Saleh ◽  
Marwan Saleh ◽  
Mohammed Nabil Zahid
Keyword(s):  
Social Media ◽  
Online Survey ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Arabic Language ◽  
Control Measures ◽  
Full Time ◽  
Arab Population ◽  
Cross Sectional ◽  
Infection Control Measures

Objectives: This online survey planned to analyze the knowledge and apprehension about coronavirus among the Arab populations.  Methods: a cross-sectional questionnaire-based survey was conducted from 15th May 2020 to 27th May 2020. The survey included a total of 443 Arab participants. Divided into four groups according to the age; under 20 years old (28 participants), 20- 40 (359), 40- 60 (49), and 7 participants were over 60. According to gender; male (318 participants) and female (125). Based on education level, participants were categorized as a secondary school (5 participants), high school (28), university graduated (327), and postgraduate (83).  Results: Most of the participants showed a good adaptation for the precautions concerning isolation and quarantine. 299 participants stayed at home during the COVID-19 outbreak by taking a break from jobs or performing their jobs from home. 144 participants performed partial or full-time jobs from 20-60 groups of age. Most of the population were dependent on social media to receive the update about the virus. 141 participants said that they are not up to date enough about the COVID-19 related to the language barrier. Conclusion: The majority of the participants had heard about COVID-19 and were aware of the infection control measures. Most of the participants strictly adapted to quarantine during the outbreak. Further steps need to be taken to enhance the social media accounts and internet websites in the Arabic language which concern medical and educational content. 

Family medicine physicians’ report strong support, barriers and preferences for Registered Dietitian Nutritionist care in the primary care setting

2020 ◽  
Author(s):  
Lauren R Sastre ◽  
Leslie T Van Horn
Keyword(s):  
Family Medicine ◽  
Online Survey ◽  
Interprofessional Collaboration ◽  
Health Care Systems ◽  
Descriptive Analysis ◽  
Strong Support ◽  
Full Time ◽  
Registered Dietitian ◽  
Cross Sectional ◽  
Care Systems

Abstract Background Previous studies have examined barriers (e.g. time) for Family Medicine Providers (FMPs) to provide nutrition and lifestyle counseling, however, to date no studies have examined access or interest to Registered Dietitian Nutritionist (RDN) care for patients. Objective The objective of this study was to explore FMP access, referral practices, barriers and preferences for RDN care. Methods A cross-sectional online survey, with content and face validation was conducted with Family Medicine Departments within large academic health care systems in the Southeastern United States. The main variables of interest included: FMP access, interest, current referrals and referral preferences for RDN care, barriers to referrals and overall perceptions regarding RDN care. Descriptive analysis of close-ended responses was performed with SPSS 26.0. Open-ended responses were analysed using inductive content analysis. Results Over half of the respondents (n = 151) did not have an RDN on-site (64%) yet were highly interested in integrating an RDN (94.9%), with reported preferences for full-time on-site, part-time on-site or off-site RDN care (49.1%, 39.5% and 11.4% respectively). The greatest reported barriers to RDN referrals were perceived cost for the patient (64.47%) and uncertainty how to find a local RDN (48.6%). The most consistent theme reported in the open-ended responses were concerns regarding reimbursement, e.g. ‘Insurance does not cover all of the ways I would like to use an RDN’. Conclusions FMPs report interest and value in RDN services despite multiple perceived barriers accessing RDNs care. Opportunities exist for interprofessional collaboration between dietetic and FMP professional groups to address barriers.

scholarly journals Associations Between Nonclinical Services and Patient-Experience Outcomes in US Acute Care Hospitals

2019 ◽  
Vol 7 (6) ◽  
pp. 1086-1093
Author(s):  
Melody K Schiaffino ◽  
Yukari Suzuki ◽  
Tarryn Ho ◽  
Tracy L Finlayson ◽  
Jeffrey S Harman
Keyword(s):  
Patient Education ◽  
Patient Experience ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Organizational Factors ◽  
Relevant Information ◽  
Full Time ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Experience Of Care

Background: Patient experience is an important measure of hospital quality and performance. Since the passage of the Affordable Care Act, patient experiences with their care encounters are embedded into the framework of payment incentives. However, drivers of patient experience in the context of the supportive, nonclinical, services that relate to patient care have not been as well understood. Aims: To assess the role of organizational factors on patient experience. Methods: This cross-sectional analysis integrates hospital patient-experience scores from Hospital Consumer Assessment of Healthcare Providers and Systems, and Centers for Medicaid and Medicare Service data from 2013 to 2015 (N = 3392). Based on hospitals with “top-box” responses, the aggregate proportion of hospital patients responding “always” on a Likert scale represented a top-box hospital. Domains were split at the mean for analysis (above average = 1). Multivariable logistic regression models for each domain were analyzed against hospital factors and services, including offering a patient education center, patient-enabling services, and language services. Results: Most hospitals reported a full-time hospitalist (64.4%) and a patient education center (60.4%), while fewer provided enabling/support services (33.7%). In multivariable models, small and medium hospitals performed better compared to the largest hospitals (300+ beds; P < .0001). Structurally, medium and small hospitals reported significantly greater odds of top-box patient-experience versus large hospitals. Across all domains, only hospitals with patient education centers returned better performance (adjusted odds ratio: 1.27-1.64; P = .0002-.0166). Discussion/Conclusion: Patient education centers provide relevant information at the point of service and may improve overall patient experience of care. Given the growing reliance on accountable care delivery models, opportunities to partner with community health education partners may be profitable.

scholarly journals What Motivates Medical Students to Engage in Volunteer Behavior During the COVID-19 Outbreak? A Large Cross-Sectional Survey

2021 ◽  
Vol 11 ◽  
Author(s):  
Yu Shi ◽  
Shu-e Zhang ◽  
Lihua Fan ◽  
Tao Sun
Keyword(s):  
Medical Students ◽  
Health System ◽  
Online Survey ◽  
Linear Regression Analysis ◽  
Full Time ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prosocial Motivation ◽  
The Impact ◽  
The Relationship

After the COVID-19 outbreak, the health status of the general population has suffered a huge threat, and the health system has also encountered great challenges. As critical members of human capital in the health sector, medical students with specialized knowledge and skills have positively fought against the epidemic by providing volunteer services that boosted the resilience of the health system. Although volunteer behavior (VB) is associated with individual internal motivation, there is sparse evidence on this relationship among medical students, especially regarding potential mechanisms. Therefore, this study had two main objectives: (1) to examine the influence of prosocial motivation (PM) of medical students on their VB; and (2) to verify the chain-mediating role of calling and vocation (CV) as well as social responsibility (SR) in the relationship between PM and VB. Study I: a total of 2454 Chinese full-time medical students were invited to complete an online survey. Data analysis was performed using descriptive statistics, Pearson’s correlation coefficient, and multiple linear regression analysis. The results demonstrated that PM significantly affected VB in medical students (β = 0.098, P &lt; 0.001); CV as well as SR chain-mediated the relationship between PM and VB (β = 0.084, P &lt; 0.001). PM promoted the formation of SR by positively evoking CV of medical students, further resulting in increased VB. Study II: A 28 person qualitative interview was conducted. Qualitative data are added to reduce the limitations of online questionnaires. At the same time, we can also critically study the VB of Chinese medical students during COVID-19. The results showed that there were various reasons for medical students to volunteer in the process of fighting against COVID-19, and the experience of volunteer service and the impact on their future life were different. Lastly, the current findings suggest that fostering volunteerism among medical students requires the joint effort of the government, non-profit organizations, and medical colleges.

scholarly journals Who did not appear? First dental visit absences in secondary care in a major Brazilian city: a cross-sectional study

2015 ◽  
Vol 20 (1) ◽  
pp. 289-298 ◽  
Author(s):  
Alessandra Trindade Machado ◽  
Marcos Azeredo Furquim Werneck ◽  
Simone Dutra Lucas ◽  
Mauro Henrique Nogueira Guimarães Abreu
Keyword(s):  
Public Health ◽  
Secondary Care ◽  
Cross Sectional Study ◽  
Waiting List ◽  
Bivariate Analysis ◽  
Sectional Study ◽  
Public Health Services ◽  
Cross Sectional ◽  
The Public ◽  
Independent Variables

The study sought to identify possible factors associated with non-attendance at first dental appointments scheduled in 2011 of users living in Belo Horizonte, Minas Gerais, who were referred from primary care to different dental specialties in secondary care within the public health services of the city. A cross-sectional study was conducted based on research in secondary data bases of the public health regulatory system. The dependent variable was "no shows" for scheduled appointments, and the independent variables were age, time on the waiting list, gender, health district, and the specialty to which the individual was referred. Among the 6,428 first dental visits scheduled for 2011 in the specialties selected for analysis, 32.9 % were not performed due to the absence of the user. Bivariate analysis revealed a statistically significant association between non-attendance of the user and the five independent variables. Young adults, male, and resident in given districts who were referred to the specialties of surgery and endodontics and who waited longer on the waiting list exhibited a higher frequency of no-shows.

scholarly journals Parental Acceptability of COVID-19 Vaccination for Children Under the Age of 18 Years: Cross-Sectional Online Survey

10.2196/24827 ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. e24827
Author(s):  
Ke Chun Zhang ◽  
Yuan Fang ◽  
He Cao ◽  
Hongbiao Chen ◽  
Tian Hu ◽  
...  
Keyword(s):  
Social Media ◽  
Online Survey ◽  
Vaccine Development ◽  
Perceived Behavioral Control ◽  
Full Time ◽  
Background Characteristics ◽  
Factory Workers ◽  
Cross Sectional ◽  
The Government ◽  
Parental Acceptability

Background It is expected that COVID-19 vaccines will become available in China by the end of 2020. Vaccinating children against COVID-19 would contribute to the control of the pandemic and the recovery of the global economy. For children under the age of 18 years, parents are usually the decision makers regarding their children’s vaccination. Objective The goal of this study was to investigate parental acceptability of free COVID-19 vaccination for children under the age of 18 years in China. Methods This is a secondary analysis of a cross-sectional, closed online survey among 2053 factory workers in Shenzhen, China, implemented from September 1 to 7, 2020. Participants of the online survey were full-time employees aged 18 years or over who had resumed work in factories in Shenzhen. Factory workers in Shenzhen are required to receive physical examinations once a year. Eligible workers attending six designated physical examination sites were invited to complete an online survey. This study was based on a subsample of those who had at least one child under the age of 18 years (N=1052). After being briefed that COVID-19 vaccines developed by China are likely to be available by the end of 2020, participants were asked about their likelihood of having their children under the age of 18 years take up free COVID-19 vaccination provided by the government, if it existed. Multivariate logistic regression models were fitted to examine the associations of perceptions related to COVID-19 vaccination based on the theory of planned behavior (TPB) and exposure to information related to COVID-19 through social media with parental acceptability, after controlling for significant background characteristics. Results The prevalence of parents’ acceptability of COVID-19 vaccination for their children was 72.6% (764/1052). After adjusting for significant background characteristics, positive attitudes toward COVID-19 vaccination (adjusted odds ratio [AOR] 1.70, 95% CI 1.50-1.91), the perception that a family member would support them in having their children take up COVID-19 vaccination (ie, perceived subjective norm) (AOR 4.18, 95% CI 3.21-5.43), and perceived behavioral control to have the children take up COVID-19 vaccination (AOR 1.84, 95% CI 1.49-2.26) were associated with higher parental acceptability of COVID-19 vaccination. Regarding social media influence, higher exposure to positive information related to COVID-19 vaccination was associated with higher parental acceptability of COVID-19 vaccination (AOR 1.35, 95% CI 1.17-1.56). Higher exposure to negative information related to COVID-19 vaccination was negatively associated with the dependent variable (AOR 0.85, 95% CI 0.74-0.99). Conclusions Parents’ acceptability of COVID-19 vaccination for their children under 18 years of age was high in China. The TPB is a useful framework to guide the development of future campaigns promoting COVID-19 vaccination targeting parents. Transparency in communicating about the vaccine development process and vaccine safety testing is important. Public health authorities should also address misinformation in a timely manner.

scholarly journals Satisfaction among the nursing teachers with web-based teaching during COVID-19: a cross-sectional survey

2021 ◽  
Vol 8 (4) ◽  
pp. 2000
Author(s):  
Sushma Kumari Saini ◽  
Sukhpal Kaur ◽  
Nitasha Sharma ◽  
Geetanjli Kalyan ◽  
Karobi Das
Keyword(s):  
Educational System ◽  
Online Teaching ◽  
Online Survey ◽  
Sudden Change ◽  
Northern Region ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based ◽  
Technical Problems ◽  
Nursing Teachers

Background: The outbreak of COVID 19 led to the closure of all educational institutions worldwide. The teachers and students had to face a number of challenges because of the sudden change in the educational system and to ensure safety of public. To assess the satisfaction of nursing teachers with Web-Based teaching after the shift from traditional teaching to online teaching in the COVID 19 and related restrictionsMethods: An online survey was conducted amongst the teachers working in various nursing colleges in the Northern region of India. Standarized scale, an Online Faculty Satisfaction Survey (OFSS) consisting of 36 questions was used to collect the data through google form. The teachers were provided the online link on their WhatsApp or email to fill-up the questionnaire. One hundred fifty-nine teachers responded back. Ethical aspects were given due considerations.Results: The mean age (years) ±S.D. of the participants was 34±10.1. Maximum (96.2) were females. Majority (93.1) of the teachers were satisfied with online teaching. Only 3.8% teachers were highly satisfied with online teaching. Around 3/4th agreed that they are satisfied with the online environment's flexibility and that the technology for online teaching is reliable. The most liked features/advantages were the ability to take courses even in this global pandemic. The least liked feature/disadvantages were poor connectivity in remote areas, technical problems, unsafe and losing personal information, lack of face-to-face interaction, and difficulty assessing students' response and attention.Conclusions: Most of the teachers were satisfied with online teaching though few reported about connectivity problems. There is a need to develop various institutional mechanisms viz structured training, technical support, and effective online evaluation systems to run the online educational system properly.

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