scholarly journals Sickness Certification Behavior amongst Primary Care Physicians: A Descriptive Analysis of Indirect Measures Using the Theory of Planned Behavior

2020 ◽  
Vol 41 (4) ◽  
pp. 267-270
Author(s):  
Yogarabindranath Swarna Nantha ◽  
Arvinder-Singh HS
Keyword(s):  
Primary Care ◽  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Primary Care Physicians ◽  
Descriptive Analysis ◽  
Sickness Certification ◽  
Indirect Measures

scholarly journals Factors influencing general practitioners’ perception of and attitude towards dementia diagnostics and care—results of a survey among primary care physicians in Germany

2021 ◽  
Author(s):  
Julian Wangler ◽  
Michael Jansky
Keyword(s):  
Primary Care ◽  
Influencing Factors ◽  
General Practitioners ◽  
Primary Care Physicians ◽  
Descriptive Analysis ◽  
Linear Regression Analysis ◽  
Interdisciplinary Cooperation ◽  
Practice Staff ◽  
People With Dementia ◽  
Dementia Diagnostics

SummaryStudies have shown that primary care is not always effective when it comes to caring for people with dementia. In addition, general practitioners do not always use diagnostic instruments consistently. The aim of the study was to identify relevant factors that influence general practitioners’ attitudes and willingness with respect to consistent diagnosis and care. For this purpose, resources, viewpoints, and behavioral patterns of general practitioners with regard to dementia diagnostics as well as common challenges in everyday practice were recorded. In the course of a survey, a total of 2266 general practitioners in Hesse and Baden-Württemberg were interviewed between January and March 2020. In addition to the descriptive analysis, a t-test was used to determine significant differences between two groups. A univariate linear regression analysis was carried out to identify possible influencing factors. 81% of the respondents do provide dementia diagnostics; 51% are involved in the treatment. Most of them see the diagnostic work-up (77%), communication and compliance problems (73%), as well as the therapeutic support (71%) as common challenges. In addition, there are interface problems regarding the interdisciplinary cooperation. Some of the respondents express doubts about the value of early detection (41%). The general practitioners’ attitude with respect to dementia diagnostics and care is determined by influencing factors that relate to geriatric competencies, expectations of self-efficacy, the integration of practice staff, as well as the knowledge of and cooperation with counseling and care services. It seems advisable to strengthen the geriatric competence of general practitioners. Moreover, it appears essential to educate general practitioners more about support structures in the field of dementia care and to integrate them accordingly. In addition, practice staff should be more systematically involved in the identification and care of dementia patients.

scholarly journals Sickness certification in Singapore’s public primary healthcare system: A cross-sectional analysis

2017 ◽  
Vol 27 (3) ◽  
pp. 167-174 ◽  
Author(s):  
David Chee Chin Ng ◽  
Yii Jen Lew ◽  
Eileen Yi Ling Koh ◽  
Van Hai Nguyen ◽  
Hwee Bee Wong ◽  
...  
Keyword(s):  
Primary Care ◽  
Sick Leave ◽  
Primary Care Physicians ◽  
Weighted Average ◽  
Computer Assisted ◽  
Ageing Population ◽  
Upper Respiratory Tract ◽  
Sickness Certification ◽  
Cross Sectional ◽  
Sickness Absenteeism

Objectives: Sickness absenteeism has been rising in Singapore with sickness certification commonly performed by primary care physicians. The Primary Care Survey 2014 reported increased primary care demand driven by a rapidly ageing population and the prevalence of chronic disease. This article aims to determine the magnitude of outpatient sickness certification in all the polyclinics in Singapore and identify the demographic characteristics and factors influencing the taking of sick leave by the local multi-ethnic Asian patients. Design: A one-week, cross-sectional survey using computer-assisted interviews with age-stratified, systematically sampled patients was conducted at all 18 polyclinics in 2014. Sick leave data was then extracted from each polyclinic’s administrative system. Data was analysed with logistic regression to determine statistically significant factors. Results: The sickness certification rate was 22.6% during the study period with a weighted average duration of 1.42 days. Sickness certification was most associated with the younger age group (17–20 years; adjusted odd ratio (AOR) = 9.51), an acute condition (AOR = 24.8) and those living in 1–2 room public housing (AOR = 4.72). Among employees, those working in manufacturing industries had the most association with sickness certification while the finance and insurance industry had the least. An acute upper respiratory tract infection was the most frequent diagnosis for those who obtained medical certificates (38.7%). Conclusion: A medical certificate was issued in almost one-quarter of consultations in Singapore polyclinics. Sickness certification was predominated by short-term absence for acute conditions. Characterisation of sickness absenteeism among employees serves as a benchmark for future studies. Mitigation measures were discussed while exclusion of private primary care clinics probably led to an underestimation of the magnitude of sickness certification.

scholarly journals Effect of educational program based on theory of planned behavior on osteoporosis preventive behaviors: a randomized clinical trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nasim Pakyar ◽  
Sarieh Poortaghi ◽  
Shahzad Pashaeypoor ◽  
Farshad Sharifi
Keyword(s):  
Primary Care ◽  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Behavioral Intention ◽  
Educational Program ◽  
Behavioral Control ◽  
Subjective Norms ◽  
Perceived Behavioral Control ◽  
Preventive Behaviors ◽  
Significant Difference

Abstract Background The prevalence of chronic diseases is increasing worldwide. Implementing educational programs is an important step in prevention of chronic diseases in the community setting. This study was conducted to assess the effect of educational program based on the Theory of Planned Behavior (TPB) on the osteoporosis preventive behaviors in middle-aged individuals. Methods A randomized clinical trial was conducted on 64 middle-aged individuals presenting to primary care centers. A researcher-made questionnaire developed according to “a guide for compiling and analyzing the questionnaire based on TPB” was used for data collection. Random block sampling was applied to assign participants to control and intervention groups after ensuring the validity and reliability. An educational program on osteoporosis prevention was conducted in six educational sessions based on the TPB constructs for the intervention group in primary care centers. Control group received routine education about lifestyle changes including osteoporosis by primary care centers. Eight weeks after the intervention, the questionnaires were completed again and the data were analyzed using the SPSS V16 software. Results Independent t-test found no significant difference in the mean score of knowledge, osteoporosis preventive behavior, attitude, subjective norms, perceived behavioral control and behavioral intention between intervention and control groups before intervention (p > 0.05). After the intervention, however, a significant difference was found in the mean score of knowledge, attitude, subjective norms, perceived behavioral control and behavioral intention between the cases in intervention and control groups (P < 0.05). In addition, based on repeated measurement ANOVA, the intervention had a significant effect on knowledge, preventive behaviors, attitude, subjective norms, perceived behavioral control, and behavioral intention (P < 0.05). Conclusions The results of the present study showed that implementation of an educational intervention based on the Theory of Planned Behavior significantly increased the knowledge along with all constructs of TPB in osteoporosis preventive behaviors. Trial registration This study was registered in the Iranian Registry of Clinical Trials IRCT2017081735647N2 (11/10/2017).

scholarly journals How do European patients feel about the listening skills of primary care physicians? Results from the EUprimecare Project

2014 ◽  
Vol 15 (4) ◽  
pp. 147-153
Author(s):  
Carlos Alberto Sánchez Piedra ◽  
Sonia García-Pérez ◽  
Francisco Javier Prado-Galbarro ◽  
Antonio Sarría-Santamera
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Health Status ◽  
Primary Care Physicians ◽  
Statistical Significance ◽  
Descriptive Analysis ◽  
Negative Influence ◽  
The European Union ◽  
Listening Skills ◽  
Explanatory Variables

OBJECTIVE: EUprimecare is a study funded by the 7th Framework Programme of the European Union aimed at analyzing the quality of the different models of primary care (PC) in Europe. The objective of this study was to describe and analyze the determinants associated with patient satisfaction with the listening skills of their PC physicians.METHODS: Telephone population survey in each EUprimecare consortium countries (Germany, Spain, Estonia, Finland, Hungary, Italy and Lithuania) among PC users. The questionnaire included sociodemographic variables, health status, use and satisfaction with PC services. The survey was conducted in 3020 patients. It was developed descriptive analysis, bivariate correlations and ordinal regression model to study the direct relation between levels of satisfaction and the explanatory variables on demographics, state and health services for patients. We show the regression coefficients (β) with 95% confidence interval and statistical significance associated.RESULTS: We found significant relation between the level of satisfaction and age (β = 0.016), visits to specialist (β = ‑0.040), having a general practitioner (GP) (β = 0.619), having a chronic disease (β = 0.255), measuring weight, cholesterol and blood pressure (β = 0.650), countries (β1 Estonia= 0.938; β2 Germany = 0.469; β3 Lithuania = 0.483; β5 Italy = 0.544 and β6 Hungary = 1.010) and a better perception of health status (β = 0.388). Specialist visits have a negative influence with the higher degree of satisfaction.CONCLUSIONS: Overall, the results indicate some areas that may be related to greater doctor‑patient satisfaction. Different factors are converging to explain satisfaction with listening skills.

scholarly journals APLIKASI THEORY OF PLANNED BEHAVIOR UNTUK MEMPREDIKSI PERILAKU MAHASISWA MEMBELI LAPTOP LENOVO (Studi Kasus: Mahasiswa FE- Unika Santo Thomas SU)

2019 ◽  
pp. 119-145
Author(s):  
Darwis Tamba
Keyword(s):  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Student Behavior ◽  
Behavioral Control ◽  
Descriptive Analysis ◽  
Total Sample ◽  
Positive Influence ◽  
Subjective Norms ◽  
Perceived Behavioral Control ◽  
Analysis Technique

The purpose of this study to analyze the application of theory of planned behavior to predict student behavior to buy Lenovo laptops. Benefits This study provides input to other researchers in conducting further research on the same topic and add insight and knowledge of researchers in the field of consumer behavior, especially about the application of theory of planned behavior to predict student behavior to buy a laptop lenovo. Total sample 96 respondents, data collection method through questioner and documentation, Descriptive analysis technique. The results showed based on the observed variables that: Attitudes, subjective norms and control behaviors felt by students FE Unika St. Thomas SU on average gives a positive influence on the behavior to buy branded Lenovo laptops. This is in line with the behavioral interest equation = BI = 0.44Ab + 0.16SN + 0.40PC. That is, the behavior of FE Unika St. Thomas SU to buy larger brand Lenovo laptops is influenced by attitudes of 0.44 (44%) than perceived behavioral controls of 0.40 (40% and subjective norms 0.16 (16%)). attributes that students place to win competition and preferably, laptop manufacturers increase the influence of subjective norms and perceived behavioral control by offering various benefits to consumers

scholarly journals Primary care psychiatry eConsults: Descriptive Analysis of an electronic consultation program in a rural, academic medical center (Preprint)

2020 ◽  
Author(s):  
Jade Avery ◽  
Dennis Dwan ◽  
Gillian Sowden ◽  
Matthew Duncan
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Medical Center ◽  
Descriptive Analysis ◽  
Academic Medical Center ◽  
Primary Care Providers ◽  
Question Type ◽  
High Rate ◽  
Care Providers ◽  
Academic Medical

BACKGROUND While primary care providers serve a crucial role in addressing the mental health needs of patients, referrals to specialists may be necessary in the treatment of complex psychiatric conditions. Psychiatry electronic consultations (eConsults) can serve as a valuable tool in providing specialist advice for primary care physicians when specialty care is not readily available. OBJECTIVE The goal of this study was to evaluate the content and implementation rate of eConsults by primary care providers in a rural, academic medical center. METHODS This is retrospective review of 343 electronic consults placed between May 2016 and February 2019 by primary care providers at a single academic medical center. Response time and eConsult content, including patient demographics, distance of patient and PCP from consulting provider, consult question type, patient diagnosis, recommendations, and implementation of recommendation, were analyzed. RESULTS The most common diagnoses associated with our eConsults were depression (40.2%) and anxiety (32.3%). The most commonly asked consult question was regarding medication management, including medication choice, dosage, and side effects (83.5%). A majority of recommendations by the consulting psychiatrist were implemented by the PCP (94%). The average time to respond to an eConsult was 26 hours. CONCLUSIONS This study demonstrates that psychiatry eConsults can be conducted in a timely manner and that PCPs implement the recommendations at a high rate.

Sign in / Sign up

Export Citation Format

Share Document