scholarly journals Physician Perceptions and Beliefs about Generating and Providing a Clinical Summary of the Office Visit

2015 ◽  
Vol 06 (03) ◽  
pp. 577-590 ◽  
Author(s):  
D.Y. Ting ◽  
M. Healey ◽  
S.R. Lipsitz ◽  
H. Ramelson ◽  
V. Suric ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Office Visit ◽  
Meaningful Use ◽  
Cross Sectional ◽  
Physician Perceptions ◽  
Incentive Program ◽  
Negative Beliefs ◽  
Negative Effect

Summary Background: A core measure of the meaningful use of EHR incentive program is the generation and provision of the clinical summary of the office visit, or the after visit summary (AVS), to patients. However, little research has been conducted on physician perceptions and beliefs about the AVS. Objective: Evaluate physician perceptions and beliefs about the AVS and the effect of the AVS on workload, patient outcomes, and the care the physician delivers. Methods: A cross-sectional online survey of physicians at two academic medical centers (AMCs) in the northeast who are participating in the meaningful use EHR incentive program. Results: Of the 1 795 physicians at both AMCs participating in the incentive program, 853 completed the survey for a response rate of 47.5%. Eighty percent of the respondents reported that the AVS was easy (very easy or quite easy or somewhat easy) to generate and provide to patients. Nonetheless, more than three-fourths of the respondents reported a negative effect of generating and providing the AVS on workload of office staff (78%) and workload of physicians (76%).Primary care physicians had more positive beliefs about the effect of the AVS on patient outcomes than specialists (p<0.001) and also had more positive beliefs about the effect of the AVS on the care they delivered than specialists (p<0.001). Conclusions: Achieving the core meaningful use measure of generating and providing the AVS was easy for physicians but it did not necessarily translate into positive beliefs about the effect of the AVS on patient outcomes or the care the physician delivered. Physicians also had negative beliefs about the effect of the AVS on workload. To promote positive beliefs among physicians around the AVS, organizations should obtain physician input into the design and implementation of the AVS and develop strategies to mitigate its negative impacts on workload. Citation: Emani S, , Ting DY, Healey M, Lipsitz SR, Ramelson H, Suric V, Bates DW. Physician perceptions and beliefs about generating and providing a clinical summary of the office visit. Appl Clin Inform 2015; 6: 577–590http://dx.doi.org/10.4338/ACI-2015-04-RA-0043

scholarly journals Physician beliefs about the impact of meaningful use of the EHR

2014 ◽  
Vol 05 (03) ◽  
pp. 789-801 ◽  
Author(s):  
D.Y. Ting ◽  
M. Healey ◽  
S.R. Lipsitz ◽  
A.S. Karson ◽  
J. S. Einbinder ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Primary Care Physicians ◽  
Meaningful Use ◽  
The United States ◽  
Improve Quality ◽  
Cross Sectional ◽  
Incentive Program ◽  
Physician Beliefs ◽  
The Impact

SummaryBackground: As adoption and use of electronic health records (EHRs) grows in the United States, there is a growing need in the field of applied clinical informatics to evaluate physician perceptions and beliefs about the impact of EHRs. The meaningful use of EHR incentive program provides a suitable context to examine physician beliefs about the impact of EHRs.Objective: Contribute to the sparse literature on physician beliefs about the impact of EHRs in areas such as quality of care, effectiveness of care, and delivery of care.Methods: A cross-sectional online survey of physicians at two academic medical centers (AMCs) in the northeast who were preparing to qualify for the meaningful use of EHR incentive program.Results: Of the 1,797 physicians at both AMCs who were preparing to qualify for the incentive program, 967 completed the survey for an overall response rate of 54%. Only 23% and 27% of physicians agreed or strongly agreed that meaningful use of the EHR will help them improve the care they personally deliver and improve quality of care respectively. Physician specialty was significantly associated with beliefs; e.g., 35% of primary care physicians agreed or strongly agreed that meaningful use will improve quality of care compared to 26% of medical specialists and 21% of surgical specialists (p=0.009). Satisfaction with outpatient EHR was also significantly related to all belief items.Conclusions: Only about a quarter of physicians in our study responded positively that meaningful use of the EHR will improve quality of care and the care they personally provide. These findings are similar to and extend findings from qualitative studies about negative perceptions that physicians hold about the impact of EHRs. Factors outside of the regulatory context, such as physician beliefs, need to be considered in the implementation of the meaningful use of the EHR incentive program.Citation: Emani S, Ting DY, Healey M, Lipsitz SR, Karson AS, Einbinder JS, Leinen L, Suric V, Bates DW. Physician beliefs about the impact of meaningful use of the EHR: A cross-sectional study. Appl Clin Inf 2014; 5: 789–801http://dx.doi.org/10.4338/ACI-2014-05-RA-0050

scholarly journals Asthma patients experience increased symptoms of anxiety, depression and fear during the COVID-19 pandemic

2021 ◽  
Vol 18 ◽  
pp. 147997312110296
Author(s):  
Geertje M de Boer ◽  
Laura Houweling ◽  
Rudi W Hendriks ◽  
Jan H Vercoulen ◽  
Gerdien A Tramper-Stranders ◽  
...  
Keyword(s):  
Online Survey ◽  
Anxiety And Depression ◽  
Negative Effects ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Care Workers ◽  
Asthma Patients ◽  
Negative Effect ◽  
Patients Experience ◽  
Anxiety Depression

Population studies showed a decrease in psychological wellbeing during the COVID-19 pandemic. Asthma is associated with a negative effect on anxiety and depression, which might worsen during the COVID-19 lockdown. The aim of the study was to compare fear, anxiety and depression between asthma patients and patients wit hout asthma pre-COVID-19 and during COVID-19 pandemic. This study compares fear, anxiety and depression in asthma patients and controls between pre-COVID-19 and during COVID-19 lockdown with a cross-sectional online survey. Participants were invited to fill out several questionnaires pertaining to fear, anxiety, depression, asthma control and quality of life. Asthma patients (N = 37) displayed, during the course of the pandemic, a clinically relevant increase in anxiety (3.32 ± 2.95 vs. 6.68 ± 3.78; p < 0.001) and depression (1.30 ± 1.15 vs. 3.65 ± 3.31; p < 0.001), according to the hospital anxiety and depression levels (HADS) compared to pre-COVID-19 assessment. This was not seen in controls. Also, asthma patients displayed more anxiety about acquiring COVID-19 disease compared to controls ((5.11 ± 1.99 vs. 3.50 ± 2.79), p = 0.006). Patients with asthma experienced an increase in anxiety and depression levels and were more afraid of acquiring COVID-19 disease compared to controls. Also, patients with asthma were more likely to avoid healthcare facilities due to fear of acquiring COVID-19 disease compared to controls. Therefore, we advise health care workers to address these possible negative effects on mental health by phone or e-consults.

COVID-19 complications and entrepreneurial intention among the entrepreneurs of Pakistan: evidence from the second wave of the pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bahadur Ali Soomro
Keyword(s):  
Structural Equation ◽  
Online Survey ◽  
Final Analysis ◽  
Entrepreneurial Intention ◽  
Equation Model ◽  
Cross Sectional ◽  
Content Type ◽  
Negative Effect ◽  
The Government ◽  
Second Wave

Purpose At present, nearly the whole globe is facing a severe threat of COVID-19. This study aims to examine the COVID-19 complications and entrepreneurial intention among the entrepreneurs of Pakistan. Design/methodology/approach The study used a deductive approach. An online survey is conducted to collect cross-sectional data from entrepreneurs of Pakistan. Convenience sampling is applied to target the respondents. In total, 278 usable answers proceed for final analysis. The structural equation model (SEM) is used to infer the results. Findings The findings of the study highlight a significant negative effect of fear of COVID-19 (FO19), perceived susceptibility (PSU) and perceived severity (PSE) on entrepreneurial intention (EI) among the entrepreneurs. Practical implications The study would provide the guidelines for policymakers and planners to combat the barriers of fear, PSU and PSE during a pandemic. The findings of the second wave of COVID-19 may provide a warning to the government to take preventive measures to face the severe effect of the pandemic. Finally, the outcomes of the study may enrich the depth of COVID-19 literature globally. Originality/value This study is the first study highlighting factors such as fear, PSU and PSE toward EI in COVID-19 second wave.

scholarly journals The impact of the COVID-19 pandemic on resident physicians: A cross-sectional study

Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
Anja Barac ◽  
Paola Krnjaic ◽  
Nikola Vujnovic ◽  
Nino Matas ◽  
Edita Runjic ◽  
...  
Keyword(s):  
Online Survey ◽  
Negative Impact ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Personal Lives ◽  
Resident Physicians ◽  
Negative Effect ◽  
Stress At Work ◽  
The Impact

BACKGROUND: COVID-19 presents a threat to the mental health of the medical staff working with COVID-19 patients. OBJECTIVE: To investigate the impact of working during the COVID-19 pandemic on resident physicians. METHODS: The study was conducted via anonymous online survey and included resident physicians. The survey contained questions about sociodemographic information, general job satisfaction during the COVID-19 pandemic, and the impact of the COVID-19 pandemic on their personal lives. RESULTS: This study included a response from 728 resident physicians. The majority of residents rated that the COVID-19 pandemic had a mostly negative impact on their satisfaction with professional life (59.9%) and quality of work (62.8%), their personal lives (44.7%) and quality of life (57.1%). Half of all residents indicated that they did not have enough personal protective equipment (PPE). About one-third of residents indicated that the level of stress at work during the COVID-19 pandemic was higher. CONCLUSIONS: Working as resident physicians during COVID-19 pandemic had a negative effect on participants’ professional and personal lives. Residents did not have all the necessary PPE nor felt safe working with patients with suspected or proven COVID-19. Further action is needed to provide support for physician residents working during the COVID-19 pandemic.

scholarly journals Physician related barriers towards insulin therapy at primary care centres in Trinidad: a cross-sectional study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Shastri Motilal
Keyword(s):  
Primary Care ◽  
Insulin Therapy ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Related Factors ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Public

Abstract Background Physician related factors with respect to insulin therapy can contribute to diabetes mellitus (DM) mismanagement. Patient related factors have been previously explored in a Trinidad survey. The main objective of this study was to explore primary care physicians’ (PCPs) related barriers towards insulin therapy. Methods A cross-sectional study on a convenience sample of PCPs in the public primary care system was done using an online survey. Results Of the 170 PCPs contacted, 75 (44%) responded. There were 47 females (62.7%) and 28 males (37.3%) with a mean age of 35.9 yrs. Nearly 40% of physicians admitted that the education given to patients was inadequate to allow initiation of insulin therapy. Half the respondents admitted to insufficient consultation times and inadequate appointment frequency to allow for intensification of insulin therapy. Forty percent of PCPs admitted that HbA1c results were unavailable to guide their management decisions. Only 6.7% of physicians said they had access to rapid acting insulin, while 5.3% said they had access to insulin pens. Conclusion PCPs in Trinidad treating diabetes at the public primary care clinics face several barriers in administering proper insulin therapy. Addressing these factors can improve glycemic control in this population.

scholarly journals Physician Beliefs about the Meaningful Use of the Electronic Health Record: A Follow-Up Study

2017 ◽  
Vol 08 (04) ◽  
pp. 1044-1053 ◽  
Author(s):  
Srinivas Emani ◽  
David Ting ◽  
Michael Healey ◽  
Stuart Lipsitz ◽  
Andrew Karson ◽  
...  
Keyword(s):  
Meaningful Use ◽  
Health Record ◽  
Improve Quality ◽  
Follow Up Study ◽  
Incentive Program ◽  
Negative Beliefs ◽  
Physician Beliefs ◽  
Stage 1

Background There is continuing interest in how physicians are responding to the meaningful use of the electronic health record (EHR) incentive program. However, little research has been done on physician beliefs about the meaningful use of the EHR. Objective This study aims to conduct a follow-up study of physician beliefs about the meaningful use of the EHR. Methods Online survey of physicians at two academic medical centers (AMCs) in the northeast who were participating in the meaningful use of the EHR incentive program and were using an internally developed EHR was conducted. Results Of the 2,033 physicians surveyed, 1,075 completed the survey for an overall response rate of 52.9%. Only one-fifth (20.5%) of the physicians agreed or strongly agreed that meaningful use of the EHR would help them improve quality of care, and only a quarter (25.2%) agreed or strongly agreed that the meaningful use of the EHR would improve the care that their organization delivers. Physician satisfaction with the outpatient EHR was the strongest predictor of self-efficacy with achieving stage 2 of the meaningful use of the EHR incentive program (odds ratio: 2.10, 95% confidence interval: 1.61, 2.75, p < 0.001). Physicians reported more negative beliefs in stage 2 than stage 1 across all belief items. For example, 28.1% agreed or strongly agreed that the meaningful use of the EHR would decrease medical errors in stage 2 as compared with 35.9% in stage 1 (p < 0.001). Conclusion Only one-fifth of the physicians in our study believed that the meaningful use of the EHR would improve quality of care, patient-centeredness of care, or the care they personally provide. Primary care physicians expressed more negative beliefs about the meaningful use of the EHR in stage 2 than in stage 1. These findings show that physicians continue to express negative beliefs about the meaningful use of the EHR. These ongoing negative beliefs are concerning for both implementation and policy.

scholarly journals COVID-19 Vaccine Hesitancy and Psychosocial Effects of the COVID-19 Pandemic among Health-Science Students of Lithuania–A National Cross-Sectional Online Survey

2021 ◽  
Vol 18 (24) ◽  
pp. 12870
Author(s):  
Jonas Montvidas ◽  
Milda Basevičiūtė ◽  
Kamilė Burokaitė ◽  
Virginija Adomaitienė ◽  
Sigita Lesinskienė
Keyword(s):  
Online Survey ◽  
Health Science ◽  
Vaccine Hesitancy ◽  
Science Students ◽  
Psychosocial Effects ◽  
Cross Sectional ◽  
Health Science Students ◽  
The Future ◽  
Negative Effect ◽  
Mean Differences

(1) Background: the relationship between the psychosocial effects of the COVID-19 pandemic and COVID-19 vaccine hesitancy is understudied. Moreover, health science students are the future leaders and advocates of vaccination efforts. Therefore, it is essential to understand the origins of vaccine hesitancy and evaluate if the adverse psychosocial effects of the COVID-19 pandemic influence it. (2) Methods: we shared an anonymous questionnaire among health-science students via institutional emails of two Lithuanian universities. Results were summarized with odds ratios and mean differences. (3) Results: a total of 1545 health sciences students answered the questionnaire. Almost a fifth of the respondents claimed that they were unsure about getting vaccinated, and nearly one out of ten claimed that they would not get vaccinated. Medicine students, non-infected students, and students who volunteered in a COVID-19 ward were significantly more willing to get vaccinated compared to other health science students. Vaccine hesitant respondents reported a more significant negative effect of COVID-19 on their income and belief in the future. (4) Conclusions: the results of this study showed that negative psychosocial impact on income and ‘belief in future’ were positively associated with vaccine hesitancy. Having been diagnosed with COVID-19 was significantly associated with being doubtful towards vaccination.

scholarly journals Does the Progression of the COVID-19 Pandemic Have an Influence on the Mental Health and Well-Being of Young People? A Cross-Sectional Multicenter Study

2021 ◽  
Vol 18 (23) ◽  
pp. 12795
Author(s):  
Zeliha Özlü-Erkilic ◽  
Oswald D. Kothgassner ◽  
Thomas Wenzel ◽  
Andreas Goreis ◽  
Anthony Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Online Survey ◽  
Well Being ◽  
Cross Sectional ◽  
Negative Effect ◽  
And Migration ◽  
Restrictive Measures ◽  
Extended Course ◽  
Health And Well Being

The COVID-19 pandemic has been shown to have impaired the mental health and well-being of young people. This study, for the first time, explores these aspects in young people with and without a migratory background during the extended course of the pandemic and restrictive measures, comparing two countries with a high COVID-19 prevalence: Austria and Turkey. Methods: The authors used the “Psychological General Well-being” index as part of an anonymous online survey with 3665 participants (ages 15–25), recruited from both countries during the first and the second waves of the pandemic, collecting data on individual experiences and problems encountered during the pandemic. Results: Mental health (b = 0.06, p < 0.023) and general psychological well-being worsened with the progression of the pandemic. Participants with financial problems had the most severe negative effect on mental health (b = 0.12, p < 0.001). Furthermore, females living in Turkey, both natives (b = −0.21, p < 0.001) and migrants (b = 0.25, p < 0.001), reported a more deteriorated mental health status over time. Conclusions: The extended pandemic duration and resultant “lockdown” restrictions have negatively affected the mental health of young people to varying degrees, depending on country of residence and migration background. A strong “recovery plan” that considers group-specific needs and vulnerabilities is urgently needed.

P0864PHYSICIAN ATTITUDES TOWARDS DIAGNOSING ANAEMIA, TREATMENT INITIATION AND THE CURRENT UNMET NEED IN THE MANAGEMENT AND TREATMENT OF ANAEMIA: INTERIM RESULTS FROM A CROSS-SECTIONAL REAL-WORLD SURVEY IN GERMANY, ITALY AND THE UK

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Madhusudan Kabra ◽  
Tim Hammond ◽  
Allison Fleetwood ◽  
Lewis Harrison ◽  
Rebecca Moon ◽  
...  
Keyword(s):  
Real World ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Unmet Needs ◽  
Transferrin Saturation ◽  
Unmet Need ◽  
Diagnosis And Treatment ◽  
Cross Sectional ◽  
Novel Treatments ◽  
Need For Treatment

Abstract Background and Aims Anaemia, a complication of chronic kidney disease (CKD), is commonly defined as serum haemoglobin (Hb) levels of &lt;12 g/dL in women and &lt;13 g/dL in men. Its prevalence and severity increase with the decline in renal function and it is often associated with a decreased quality of life (QoL), and an increase in number of hospitalisations and comorbidities. Traditionally, primary care physicians (PCPs) have less involvement managing patients with CKD anaemia and nephrologists have a greater role in treatment decisions. We describe current physician perception towards the diagnosis and treatment of anaemia and the current unmet need in anaemia management, in a real-world setting. Method Preliminary data were drawn from the Adelphi CKD Disease Specific ProgrammeTM, a point-in-time study conducted between November 2019 and January 2020 with nephrologists and PCPs from Germany, Italy and the United Kingdom. Physicians completed a detailed online survey providing information on their demographics, opinions on the diagnosis and treatment of anaemia, and the current unmet needs they believe exist in the management and treatment of anaemia. Results are based on interim data and analysed descriptively. Results A total of 144 physicians (n=94 nephrologists; n=50 PCPs) were included in the analysis. Among those who responded, the majority used Hb levels to diagnose anaemia in CKD patients. Over two thirds of physicians mentioned using ferritin to diagnose anaemia and over half reported using transferrin saturation (TSAT) levels. Reported use of ferritin and TSAT testing was lower among PCPs. Three quarters of nephrologists and PCPs (76% of each respectively) reported Hb levels to be the most important factor that triggers initiation of anaemia treatment in CKD patients, followed by fatigue/weakness (53% of both nephrologists and PCPs) and overall health/QoL (29% nephrologists; 18% PCPs). Ferritin levels (24% of each respectively); TSAT levels (23% nephrologists; 24% PCPs) and shortness of breath (22% nephrologists; 24% PCPs) were also among the most important factors. The top three unmet needs in the management and treatment of CKD anaemia, as reported by nephrologists were: treatment for refractory/resistant patients (34%), lower cost of therapy (34%) and need for more oral treatments (33%). PCPs’ top three unmet needs were reported as: treatment for refractory/resistant patients (42%), fewer side effects (42%) and need for more oral treatments (34%). Differences observed between nephrologists and PCPs related to a need for alternative treatments (19% nephrologists; 26% PCPs), access to ESA treatment (17% nephrologists; 30% PCPs) and treatments with lower risk of CV events (26% nephrologists; 12% PCPs). Conclusion This data reinforced that Hb levels, ahead of ferritin and TSAT levels have an important role in the diagnosis and initial prescription of therapy for anaemia in CKD patients. It also highlighted an unmet need for treatment of refractory/resistant patients and the desire among both nephrologists and PCPs for safer and affordable novel treatments for anaemia patients.

Physicians' preparedness for pre-exposure prophylaxis: results of an online survey in Belgium

Sexual Health ◽  
2018 ◽  
Vol 15 (6) ◽  
pp. 606 ◽  
Author(s):  
Thijs Reyniers ◽  
Bea Vuylsteke ◽  
Benoit Pirotte ◽  
Elske Hoornenborg ◽  
Janneke P. Bil ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Scale Up ◽  
Binary Logistic Regression ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Exposure Prophylaxis ◽  
Knowledge And Acceptance

Background Physicians have a crucial role in the implementation and scale up of pre-exposure prophylaxis (PrEP). The objective of this study is to examine Belgian physicians’ PrEP knowledge, concerns, acceptance and their willingness to prescribe PrEP. Methods: A cross-sectional online survey was conducted between March and June 2016. Dissemination targeted Belgian primary care physicians (PCPs) and HIV specialists. Sociodemographic characteristics, experience with HIV and PrEP, self-assessed PrEP knowledge, concerns about PrEP, and PrEP acceptance were stratified according to professional background. Associations with willingness to prescribe PrEP were examined using univariable and multivariable binary logistic regression analyses. Results: In total, 333 completed surveys were included in the analysis. Sixty-two physicians (18.6%) scored their knowledge of PrEP to be good, 263 (79.0%) had an accepting attitude towards PrEP and 198 (59.5%) were willing to prescribe PrEP if approved in Belgium. HIV specialists consistently reported having better knowledge of PrEP, less concerns and a more accepting attitude towards PrEP than PCPs. In multivariable logistic regression analysis, higher PrEP knowledge (OR 2.4; 95%CI: 1.0–5.7) and higher PrEP acceptance (OR: 3.8; 95%CI: 2.1–6.8) remained significantly associated with the willingness to prescribe PrEP. Conclusions: HIV specialists are better prepared to provide PrEP than PCPs in Belgium. Interventions to improve PrEP knowledge and acceptance among all providers are needed. The role of PCPs could be very important in optimising the rollout of PrEP, but additional training and guidelines will be needed.

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