Informed consent in clinical practice: a descriptive cross-sectional study of patient perceptions at the National Hospital, Sri Lanka

Introduction: European cultural norms have influenced physicians’ attire in Sri Lanka. The necktie is one such item of clothing which is worn to be recognized and respected as professionals. This study was carried out to assess the perceptions of doctors and patients towards male doctors wearing neckties while providing patient care. Methododology: A descriptive cross-sectional study was carried out at the National Hospital of Sri Lanka. An interviewer-administered questionnaire was used to collect data from doctors and patients. Results: The study included 105 doctors (57% males) and 333 patients (54% males). Mean ages of the doctors and patients were 37 years (95% C.I. 36-39) and 47 years (95% C.I. 45-49) respectively. Sixty-nine percent of the patients had completed secondary education or above. None of the patients were aware of the risk of spreading infections by wearing a necktie. Of the 41% of doctors who thought it was unnecessary to wear a necktie, 95% believed the necktie can spread infections. Ninety-five percent of patients believed doctors should wear neckties to be identified and respected and to maintain trustworthiness. Conclusions: None of the patients were aware of the possible risk of spreading infections by wearing a necktie, while most of the doctors who thought neckties were unnecessary also believed neckties can spread infections. Almost all patients thought that doctors should wear a necktie to be recognized and respected. Therefore, implementing a change in dress policy for doctors is a challenging task in Sri Lanka.

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Service quality of psychiatric care from patients perspective; a descriptive cross sectional study conducted in National Hospital, Sri Lanka

Galle Medical Journal ◽

10.4038/gmj.v24i2.7995 ◽

2019 ◽

Vol 24 (2) ◽

pp. 17

Author(s):

P. H. Wijenayake ◽

V. Kumarapeli ◽

Y. J. Samarasinghe ◽

M. D. U. Gunathilake

Keyword(s):

Sri Lanka ◽

Service Quality ◽

Psychiatric Care ◽

Cross Sectional Study ◽

Sectional Study ◽

National Hospital ◽

Cross Sectional ◽

Patients Perspective

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Obstetric Violence in Spain (Part III): Healthcare Professionals, Times and Areas

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073359 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3359

Author(s):

Desirée Mena-Tudela ◽

Susana Iglesias-Casás ◽

Víctor Manuel González-Chordá ◽

María Jesús Valero-Chillerón ◽

Laura Andreu-Pejó ◽

...

Keyword(s):

Public Health ◽

Primary Care ◽

Informed Consent ◽

Healthcare Professionals ◽

Public Health Problem ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Lack Of Information ◽

Obstetric Violence

Background: Obstetric violence is a worldwide public health problem, which seems greater in Spain. As no studies were found that identify the most representative healthcare professionals, times, and areas involved in obstetric violence, the objective of this work was to study at what time of maternity, with which professionals, and in what areas women identified obstetric violence. Methods: This descriptive, retrospective, and cross-sectional study was performed from January 2018 to June 2019. The main variables were the area (hospital, primary care, both), the time (pregnancy, birth, puerperium), and the professionals attending to women. Results: Our sample comprised 17,541 participants. The area identified with the most obstetric violence for the different studied variables was hospitals. Women identified more obstetric violence at time of birth. Findings such as lack of information and informed consent (74.2%), and criticism of infantile behavior and treatment (87.6%), stood out. The main identified healthcare professionals were midwives and gynecologists, and “other” professionals repeatedly appeared. Conclusions: Having identified the professionals, times, and areas of most obstetric violence in Spain, it seems necessary to reflect on not only the Spanish National Health System’s structure and management but also on healthcare professionals’ training.

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Characteristics, Management, and Case-Fatality of Patients Hospitalized for Stroke with a Diagnosis of COVID-19 in France

Neuroepidemiology ◽

10.1159/000516670 ◽

2021 ◽

pp. 1-7

Author(s):

Amélie Gabet ◽

Clémence Grave ◽

Edouard Chatignoux ◽

Philippe Tuppin ◽

Yannick Béjot ◽

...

Keyword(s):

Case Fatality ◽

Cross Sectional Study ◽

Primary Diagnosis ◽

Index Hospitalization ◽

Sectional Study ◽

Stroke Patients ◽

National Hospital ◽

Cross Sectional ◽

Increased Risk ◽

Systèmes D’Information

Introduction: COVID-19 was found to be associated with an increased risk of stroke. This study aimed to compare characteristics, management, and outcomes of hospitalized stroke patients with or without a hospital diagnosis of COVID-19 at a nationwide scale. Methods: This is a cross-sectional study on all French hospitals covering the entire French population using the French national hospital discharge databases (Programme de Médicalisation des Systèmes d’Information, included in the Système National des Données de Santé). All patients hospitalized for stroke between 1 January and 14 June 2020 in France were selected. A diagnosis of COVID-19 was searched for during the index hospitalization for stroke or in a prior hospitalization that had occurred after 1 January 2020. Results: Among the 56,195 patients hospitalized for stroke, 800 (1.4%) had a concomitant COVID-19 diagnosis. Inhospital case-fatality rates were higher in stroke patients with COVID-19, particularly for patients with a primary diagnosis of COVID-19 (33.2%), as compared to patients hospitalized for stroke without COVID-19 diagnosis (14.1%). Similar findings were observed for 3-month case-fatality rates adjusted for age and sex that reached 41.7% in patients hospitalized for stroke with a concomitant primary diagnosis of COVID-19 versus 20.0% in strokes without COVID-19. Conclusion: Patients hospitalized for stroke with a concomitant COVID-19 diagnosis had a higher inhospital and 3 months case-fatality rates compared to patients hospitalized for stroke without a COVID-19 diagnosis. Further research is needed to better understand the excess of mortality related to these cases.

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