Patient care: Unmet needs globally

Abstract Background Improving the patient experience is one of the quadruple aims of healthcare. Therefore, understanding patient experiences and perceptions of healthcare interactions is paramount to quality improvement. This integrative review aimed to explore how patients with chronic conditions experience Interprofessional Collaborative Practice in primary care. Methods An integrative review was conducted to comprehensively synthesize primary studies that used qualitative, quantitative, and mixed methods. Databases searched were Medline, Embase, CINAHL and Web of Science on June 1st, 2021. Eligible studies were empirical full-text studies in primary care that reported experiences or perceptions of Interprofessional Collaborative Practice by adult patients with a chronic condition, in any language published in any year. Quality appraisal was conducted on included studies using the Mixed Method Appraisal Tool. Data on patients’ experiences and perceptions of Interprofessional Collaborative Practice in primary care were extracted, and findings were thematically analyzed through a meta-synthesis. Results Forty-eight (n = 48) studies met the inclusion criteria with a total of n = 3803 participants. Study quality of individual studies was limited by study design, incomplete reporting, and the potential for positive publication bias. Three themes and their sub-themes were developed inductively: (1) Interacting with Healthcare Teams, subthemes: widening the network, connecting with professionals, looking beyond the condition, and overcoming chronic condition collectively; (2) Valuing Convenient Healthcare, subthemes: sharing space and time, care planning creates structure, coordinating care, valuing the general practitioner role, and affording healthcare; (3) Engaging Self-care, subthemes: engaging passively is circumstantial, and, engaging actively and leading care. Conclusions Patients overwhelmingly had positive experiences of Interprofessional Collaborative Practice, signaling it is appropriate for chronic condition management in primary care. The patient role in managing their chronic condition was closely linked to their experience. Future studies should investigate how the patient role impacts the experience of patients, carers, and health professionals in this context. Systematic review registration PROSPERO: CRD42020156536.

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Inequalities in Health Care Experience of Patients with Chronic Conditions: Results from a Population-Based Study

Healthcare ◽

10.3390/healthcare9081005 ◽

2021 ◽

Vol 9 (8) ◽

pp. 1005

Author(s):

Roberto Nuño-Solínis ◽

Maider Urtaran-Laresgoiti ◽

Esther Lázaro ◽

Sara Ponce ◽

Juan F. Orueta ◽

...

Keyword(s):

Health Care ◽

Chronic Conditions ◽

Population Based ◽

Relational Model ◽

Chronic Patients ◽

Care Experience ◽

Health Care Experience ◽

Health Related ◽

Patients Experience

Patients’ experience is an acknowledged key factor for the improvement of healthcare delivery quality. This study aims to explore the differences in healthcare experience among patients with chronic conditions according to individual sociodemographic and health-related variables. A population-based and cross-sectional study was conducted. The sample consisted of 3981 respondents of the Basque Health Survey (out of 8036 total respondents to the individual questionnaire), living in the Basque Country, aged 15 or older, self-reporting at least one chronic condition. Patient experience was assessed with the Instrument for Evaluation of the Experience of Chronic Patients questionnaire, which encompasses three major factors: interactions between patients and professionals oriented to improve outcomes (productive interactions); new ways of patient interaction with the health care system (the new relational model); and the ability of individuals to manage their care and improve their wellbeing based on professional-mediated interventions (self-management). We conducted descriptive and regression analyses. We estimated linear regression models with robust variances that allow testing for differences in experience according to sociodemographic characteristics, the number of comorbidities and the condition (for all chronic or for chronic patients’ subgroups). Although no unique inequality patterns by these characteristics can be inferred, females reported worse global results than males and older age was related to poorer experience with the new relational model in health care. Individuals with lower education levels tend to report lower experiences. There is not a clear pattern observed for the type of occupation. Multimorbidity and several specific chronic conditions were associated (positive or negatively) with patients’ experience. Health care experience was better in patients with greater quality of life. Understanding the relations among the patients’ experience and their sociodemographic and health-related characteristics is an essential issue for health care systems to improve quality of assistance.

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Az endoszkópia minőségi követelményei

Magyar Sebészet (Hungarian Journal of Surgery) ◽

10.1556/1046.74.2021.3.4 ◽

2021 ◽

Vol 74 (3) ◽

pp. 75-103

Author(s):

Tibor Gyökeres ◽

Renáta Bor ◽

László Czakó ◽

Zsolt Dubravcsik ◽

Zoltán Szepes ◽

...

Keyword(s):

Performance Measures ◽

Objective Evaluation ◽

Gastrointestinal Diseases ◽

Quality Parameters ◽

Point Of View ◽

Continuous Assessment ◽

European Guidelines ◽

Lower Endoscopy ◽

Patients Experience

Összefoglaló. A tápcsatorna endoszkópiája a gasztrointesztinális rendszer betegségeinek legfontosabb vizsgáló eljárása, a diagnosztikán túl egyre szélesedő körben terápiás beavatkozási lehetőséget is magában foglal. A jó minőségben végzett endoszkópia javítja az esetlegesen fennálló betegség kimenetelét és növeli a betegelégedettséget. A nemzetközi emésztőszervi endoszkópos társaságok elsőrendű fontosságúnak határozták meg az endoszkópia minőségének javítását célzó törekvéseket. Az endoszkópos tevékenységek minőségének ellenőrzésében és javításában a meghatározott indikátorok folyamatos követése fontos feladat, ezek révén biztosítható betegeink számára a legmagasabb szintű ellátás. A bizonyítékon alapuló minőségi indikátorok lehetővé teszik az egyes endoszkóposok és az endoszkópos vizsgálóhelyek összehasonlítását és az általuk nyújtott szolgáltatás értékelését. A fenntartónak betegbiztonsági és költséghatékonysági szempontból is fontos ismerni, hogy melyik szolgáltató tudja teljesíteni a minimálisan elvárt és fejlődési célként kitűzött teljesítménymutatókat, melyik ellátónál milyen tényezőket szükséges megváltoztatni, javítani. A szerzők az európai útmutatókat alapul véve a felső tápcsatorna endoszkópiája, az alsó tápcsatorna endoszkópia, a pancreatobiliaris endoszkópia, a vékonybél endoszkópia, a kapszula endoszkópia és az endoszkópos szolgáltatás területén határozták meg a klinikailag releváns teljesítménymutatók auditálható magyar rendszerét. Az egységesség, a jobb digitalizálhatóság és könnyebb auditálhatóság céljából a felső, az alsó, a pancreatobiliaris, a vékonybél és a kapszula endoszkópia vonatkozásában a magyar ajánlásban a minőségi alterületeket egységesen (1–8) számozták, minden szám ugyanazon szempontrendszert jelenti. Az endoszkópos szolgáltatás komplex minőségi mutatóinál szigorúan ragaszkodtak az európai irányelvhez, itt 9 különböző alterületbe foglalták össze a 30 minőségi mutatót. A szűrő kolonoszkópia kiemelt jelentősége miatt a jelen minőségi endoszkópos útmutatóba foglalták bele eltérő szerkezettel a szűrő kolonoszkópos program során alkalmazott minőségi mutatókat, illetve a bélelőkészítést érintő néhány alapvetést is. Summary. Nowadays, endoscopy is the cornerstone in the diagnosis and therapy of gastrointestinal diseases. Good quality endoscopy can improve outcome of the disease and patients experience. International endoscopy societies prioritized efforts improving quality of endoscopy. The highest level of patient care can be provided through continuous assessment and improvement of relevant quality indicators. The comparison of these evidence based performance measures between endoscopists and endoscopy providers allow the objective evaluation of the service. Furthermore, from the point of view of patient safety and cost effectiveness the health care provider should know the minimum standards and target goals, as well, to make grounded decisions about fields of necessary changes and improvements. The authors based on European guidelines worked out this comprehensive auditable Hungarian system of performance measures in the fields of upper endoscopy, lower endoscopy, pancreatobiliary endoscopy, capsule endoscopy, enteroscopy and general endoscopy service. Due to commonality all domains were counted similarly (1–8) in different endoscopic procedures. The general endoscopy service is an exception with 9 domains and 30 quality parameters. The outstanding importance of colorectal cancer screening required involving this topic into this guideline with separate structure, as well as the basics of bowel preparation.

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COMBINATORIAL POLYNOMIALLY COMPUTABLE CHARACTERISTICS OF SUBSTITUTIONS AND THEIR PROPERTIES

Computational nanotechnology ◽

10.33693/2313-223x-2020-7-2-34-41 ◽

2020 ◽

Vol 7 (2) ◽

pp. 34-41

Author(s):

VLADIMIR NIKONOV ◽

◽

ANTON ZOBOV ◽

Keyword(s):

Mathematical Expectation ◽

Point Of View ◽

Small Range ◽

Computational Point ◽

Wide Range ◽

Bijective Function ◽

The Difference ◽

Element Base ◽

Selection Of

The construction and selection of a suitable bijective function, that is, substitution, is now becoming an important applied task, particularly for building block encryption systems. Many articles have suggested using different approaches to determining the quality of substitution, but most of them are highly computationally complex. The solution of this problem will significantly expand the range of methods for constructing and analyzing scheme in information protection systems. The purpose of research is to find easily measurable characteristics of substitutions, allowing to evaluate their quality, and also measures of the proximity of a particular substitutions to a random one, or its distance from it. For this purpose, several characteristics were proposed in this work: difference and polynomial, and their mathematical expectation was found, as well as variance for the difference characteristic. This allows us to make a conclusion about its quality by comparing the result of calculating the characteristic for a particular substitution with the calculated mathematical expectation. From a computational point of view, the thesises of the article are of exceptional interest due to the simplicity of the algorithm for quantifying the quality of bijective function substitutions. By its nature, the operation of calculating the difference characteristic carries out a simple summation of integer terms in a fixed and small range. Such an operation, both in the modern and in the prospective element base, is embedded in the logic of a wide range of functional elements, especially when implementing computational actions in the optical range, or on other carriers related to the field of nanotechnology.

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Physical capital stock, technological upgrading and modernisation in Hungary

Acta Oeconomica ◽

10.1556/aoecon.55.2005.2.4 ◽

2005 ◽

Vol 55 (2) ◽

pp. 201-221 ◽

Cited By ~ 7

Author(s):

Andrea Szalavetz

Keyword(s):

Capital Accumulation ◽

Physical Capital ◽

Developed Countries ◽

Point Of View ◽

Technology Generation ◽

Development Policies ◽

Specific Factors ◽

Physical Capital Accumulation

This paper discusses the relation between the quality and quantity indicators of physical capital and modernisation. While international academic literature emphasises the role of intangible factors enabling technology generation and absorption rather than that of physical capital accumulation, this paper argues that the quantity and quality of physical capital are important modernisation factors, particularly in the case of small, undercapitalised countries that recently integrated into the world economy. The paper shows that in Hungary, as opposed to developed countries, the technological upgrading of capital assets was not necessarily accompanied by the upgrading of human capital i.e. the thesis of capital skill complementarity did not apply to the first decade of transformation and capital accumulation in Hungary. Finally, the paper shows that there are large differences between the average technological levels of individual industries. The dualism of the Hungarian economy, which is also manifest in terms of differences in the size of individual industries' technological gaps, is a disadvantage from the point of view of competitiveness. The increasing differences in the size of the technological gaps can be explained not only with industry-specific factors, but also with the weakness of technology and regional development policies, as well as with institutional deficiencies.

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Flouride and Nitrate Status of Some Ground Waters in Chittor District of Rajasthan State (India)

International Journal of Emerging Research in Management and Technology ◽

10.23956/ijermt.v6i9.95 ◽

2018 ◽

Vol 6 (9) ◽

pp. 119

Author(s):

Trapti Sharma ◽

R. P. Nagar ◽

R. C. Gaur ◽

Pooja Gupta ◽

Charanjit Kaur

Keyword(s):

Point Of View ◽

World Health ◽

Indian Council ◽

Standard Methods ◽

Ground Waters ◽

Drinking Waters ◽

Health Organization ◽

Research World ◽

Drinking Purpose

In Rajasthan state the ground waters of some areas like Ramganj-mandi, Morak, Barmer, Jaisalmer, Chittor and Udaipur etc. are susceptible from drinking point of view.To test the quality of groundwater in Chittor district 14, ground water samples were collected from various places and analyzed for pH, E.C., Fluoride and Nitrate parameters by standard methods (A.P.H. A., Washington, USA, 1995). The study revealed that none of the ground waters was found suitable completely from drinking point of view. Some are having electrical conductivity > 1.4 dS/m, some are having pH >8.5, some area having fluoride >1.5 ppm and some are having nitrate>45 ppm. These are the limits of various parameters permitted by various International authorities like Bureau of Indian Standard, Indian Council of Medical Research,world health Organization etc. for drinking waters. So, it is recommended to the residents of above areas to use water for drinking purpose only after reverse osmosis or adopting suitable method of removing excess of Fluoride and Nitrate for drinking water to avoid unwanted pathogenic diseases harmful for human health.

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A Futures Study on the Quality Of Life from the Point Of View of Iranian Youth

Social and Management Research Journal ◽

10.24191/smrj.v14i2.5598 ◽

2017 ◽

Vol 14 (2) ◽

pp. 1

Author(s):

Sina Saeedy ◽

Mojtaba Amiri ◽

Mohammad Mahdi Zolfagharzadeh ◽

Mohammad Rahim Eyvazi

Keyword(s):

Quality Of Life ◽

Life Satisfaction ◽

Mixed Model ◽

Satisfaction With Life ◽

Point Of View ◽

Human Society ◽

Futures Studies ◽

The Social ◽

The University

Quality of life and satisfaction with life as tightly interconnected concepts have become of much importance in the urbanism era. No doubt, it is one of the most important goals of every human society to enhance a citizen’s quality of life and to increase their satisfaction with life. However, there are many signs which demonstrate the low level of life satisfaction of Iranian citizens especially among the youth. Thus, considering the temporal concept of life satisfaction, this research aims to make a futures study in this field. Therefore, using a mixed model and employing research methods from futures studies, life satisfaction among the students of the University of Tehran were measured and their views on this subject investigated. Both quantitative and qualitative data were analysed together in order to test the hypotheses and to address the research questions on the youth discontentment with quality of life. Findings showed that the level of life satisfaction among students is relatively low and their image of the future is not positive and not optimistic. These views were elicited and discussed in the social, economic, political, environmental and technological perspectives. Keywords: futures studies, quality of life, satisfaction with life, youth

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FUNDAMENTAL AND APPLIED SCIENTIFIC RESEARCH: сб.науч.тр./ OEAPS Inc.; редкол.: Флора Бертран (отв.ред.) [и др.]. - Берлин, Германия : OEAPS Inc., 2018. - 58 С.

10.31219/osf.io/hj4yf ◽

2018 ◽

Author(s):

Мария Григорьевна Алпатова ◽

Мария Игоревна Щеглова ◽

Elmira Kalybaevna Adil’bekova ◽

Nuradin Alibaev ◽

Arunas Svitojus

Keyword(s):

Service Sector ◽

Applied Research ◽

Point Of View ◽

Scientific Quality ◽

Final Decision ◽

Main Criterion ◽

The Public ◽

Peer Reviewers ◽

Verification Process

The conference is a major international forum for analyzing and discussing trends and approaches in research in the field of basic science and applied research. We provide a platform for discussions on innovative, theoretical and empirical research. The form of the conference: in absentia, without specifying the form in the collection of articles. Working languages: Russian, English Doctors and candidates of science, scientists, specialists of various profiles and directions, applicants for academic degrees, teachers, graduate students, undergraduates, students are invited to participate in the conference. There is one blind verification process in the journal. All articles will be initially evaluated by the editor for compliance with the journal. Manuscripts that are considered appropriate are then usually sent to at least two independent peer reviewers to assess the scientific quality of the article. The editor is responsible for the final decision on whether to accept or reject the article. The editor's decision is final. The main criterion used in assessing the manuscript submitted to the journal is: uniqueness or innovation in the work from the point of view of the methodology being developed and / or its application to a problem of particular importance in the public sector or service sector and / or the setting in which the efforts, for example, in the developing region of the world. That is, the very model / methodology, application and context of problems, at least one of them must be unique and important. Additional criteria considered in the consideration of the submitted document are its accuracy, organization / presentation (ie logical flow) and recording quality.

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FUNDAMENTAL AND APPLIED SCIENTIFIC RESEARCH April 2019: сб.науч.тр./ OEAPS Inc.; редкол.: Флора Бертран (отв.ред.) [и др.]. - Берлин, Германия : OEAPS Inc., 2019. - 98 C.

10.31219/osf.io/qmrey ◽

2019 ◽

Author(s):

Изабелла Станиславовна Чибисова ◽

Диана Ильгизаровна Шарипова ◽

Альфия Галиевна Зулькарнаева ◽

Ксения Александровна Дулова ◽

Садег Амирзадеган ◽

...

Keyword(s):

Service Sector ◽

Applied Research ◽

Point Of View ◽

Scientific Quality ◽

Final Decision ◽

Main Criterion ◽

The Public ◽

Peer Reviewers ◽

Verification Process

The conference is a major international forum for analyzing and discussing trends and approaches in research in the field of basic science and applied research. We provide a platform for discussions on innovative, theoretical and empirical research. The form of the conference: in absentia, without specifying the form in the collection of articles. Working languages: Russian, English Doctors and candidates of science, scientists, specialists of various profiles and directions, applicants for academic degrees, teachers, graduate students, undergraduates, students are invited to participate in the conference. There is one blind verification process in the journal. All articles will be initially evaluated by the editor for compliance with the journal. Manuscripts that are considered appropriate are then usually sent to at least two independent peer reviewers to assess the scientific quality of the article. The editor is responsible for the final decision on whether to accept or reject the article. The editor's decision is final. The main criterion used in assessing the manuscript submitted to the journal is: uniqueness or innovation in the work from the point of view of the methodology being developed and / or its application to a problem of particular importance in the public sector or service sector and / or the setting in which the efforts, for example, in the developing region of the world. That is, the very model / methodology, application and context of problems, at least one of them must be unique and important. Additional criteria considered in the consideration of the submitted document are its accuracy, organization / presentation (ie logical flow) and recording quality.

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Tertiary Nitrification Pilot Plants on Parisian Waste Water

Water Science & Technology ◽

10.2166/wst.1990.0159 ◽

1990 ◽

Vol 22 (1-2) ◽

pp. 347-352 ◽

Cited By ~ 3

Author(s):

C. Paffoni ◽

B. Védry ◽

M. Gousailles

Keyword(s):

Waste Water ◽

Metropolitan Area ◽

Fixed Bed ◽

Point Of View ◽

Operating Conditions ◽

Research Center ◽

Daily Output ◽

Practical Point ◽

Fixed Bed Reactors

The Paris Metropolitan area, which contains over eight million inhabitants, has a daily output of about 3 M cu.meters of wastewater, the purification of which is achieved by SIAAP (Paris Metropolitan Area Sewage Service) in both Achères and Valenton plants. The carbon pollution is eliminated from over 2 M cu.m/day at Achères. In order to improve the quality of output water, its tertiary nitrification in fixed-bed reactors has been contemplated. The BIOFOR (Degremont) and BIOCARBONE (OTV) processes could be tested in semi-industrial pilot reactors at the CRITER research center of SIAAP. At a reference temperature of 13°C, the removed load is approximately 0.5 kg N NH4/m3.day. From a practical point of view, it may be asserted that in such operating conditions as should be at the Achères plant, one cubic meter of filter can handle the tertiary nitification of one cubic meter of purified water per hour at an effluent temperature of 13°C.

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