scholarly journals From drug-oriented curriculum to patient-oriented curriculum in Chile: Alumni satisfaction as a quality indicator for a pharmacy programme

2021 ◽  
pp. 817-825
Author(s):  
Guido Ruiz ◽  
Alejandra Ulloa ◽  
Monserratt Díaz ◽  
Alejandro Jerez Mora
Keyword(s):  
Health Care ◽  
Continuous Improvement ◽  
Quality Indicator ◽  
Transition Process ◽  
Cross Sectional ◽  
Therapeutic Goals ◽  
Emotional Bonding ◽  
Objective Monitoring ◽  
Final Questionnaire

Background: In 2005, a Health Care Reform in Chile established the role of pharmacists as contributors to achieving therapeutic goals. To fulfil the needs of the country in 2007 the pharmacy programme at Austral University of Chile started transiting from a drug-oriented to a patient-oriented curriculum. Objective: Monitoring this transition process using alumni satisfaction as a quality indicator. Methods: A questionnaire to assess alumni satisfaction with the pharmacy programme was designed and validated in its content and reliability. Subsequently, cross-sectional surveys over samples of graduates from both, drug-oriented and patient-oriented curriculum alumni were conducted. Satisfaction scores of both samples were statistically compared. Results: Cronbach´s alpha for all six dimensions of the final questionnaire was ≥ 0.70. The patient-oriented curriculum generated higher satisfaction scores (p < 0.001), noteworthy in dimensions ‘Design and organisation’, ‘Teachers’ and ‘Emotional bonding with the program/university’. In three out of 34 items the patient-oriented curriculum was less satisfactory than the drug-oriented one. Conclusions: Alumni satisfaction assessment is a useful source of feedback for quality assurance and continuous improvement of programmes. Considering this indicator, the transition of the pharmacy programme at Austral University of Chile to a patient-oriented curriculum was essentially successful.

ANALYSIS OF THE ROLE OF THE ECONOMIST IN PUBLIC HEALTH

Vestnik ◽  
2021 ◽  
pp. 313-316
Author(s):  
И.Г. Турсумбай ◽  
Л.К. Кошербаева
Keyword(s):  
Public Health ◽  
Health Care ◽  
Comparative Analysis ◽  
Health Economics ◽  
Continuous Improvement ◽  
Health Care Workers ◽  
Economic Situation ◽  
Care Workers

Одним из последствий осуществления медицинской деятельности в разнообразных хозяйственных формах является изменение экономического положения работников здравоохранения. От количества и качества их труда зависит экономический результат деятельности лечебно-профилактических учреждений (ЛПУ) в целом. В статье приводится сравнительный анализ занимающихся подготовкой экономистов в области здравоохранения по различным критериям. Подчеркивается необходимость непрерывного совершенствования подготовки управленческих кадров в области экономики здравоохранения в современных условиях развития общества. One of the consequences of the implementation of medical activities in various economic forms is a change in the economic situation of health care workers. The number and quality of their work depends on the economic result of the activities of medical and preventive institutions (LPU) as a whole. The article presents a comparative analysis of the health economists who are engaged in training according to various criteria. The necessity of continuous improvement of training of managerial personnel in the field of health economics in the modern conditions of society development is emphasized.

The role of accessibility policies and other determinants of health care provision in the initial prognosis of malignant melanoma: A cross-sectional study

2014 ◽  
Vol 71 (3) ◽  
pp. 507-515 ◽  
Author(s):  
David Moreno-Ramírez ◽  
Teresa Ojeda-Vila ◽  
Juan J. Ríos-Martín ◽  
Ricardo Ruiz-Villaverde ◽  
Magdalena de-Troya ◽  
...  
Keyword(s):  
Health Care ◽  
Malignant Melanoma ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
Health Care Provision ◽  
Care Provision ◽  
Sectional Study ◽  
Cross Sectional

Patients, Families, and Care Settings

2019 ◽  
pp. 155-165 ◽  
Author(s):  
Louise Locock ◽  
Glenn Robert ◽  
Ninna Meier
Keyword(s):  
Health Care ◽  
Informal Care ◽  
Social Dynamics ◽  
Health Care Research ◽  
Service Research ◽  
Cross Sectional ◽  
Health Care Context ◽  
Collective Experience ◽  
Accepted Practice

Involving patients and family members as “experts by experience” in health care research and delivery has become accepted practice. There is a growing reliance on patients to manage their own care, and on families to provide support and informal care in wider settings. It is perhaps surprising, therefore, that patients, families, and informal care settings are absent in most discussions of context in health care. In part, this is because “context” in health service research has traditionally been explored through cross-sectional, “structural” studies at the macro- or mesosystem level, as opposed to taking a longitudinal and/or microlevel psychological perspective concerned with social dynamics or individual staff and patient interactions. The observations in this derive from collective experience in studying both health care organizations and the experiences of patients. Drawing on this corpus of research, this chapter explores the often-neglected role of patients and families in discussions of health care context.

scholarly journals Dysfunctional coping mediates the relationship between stress and mental health in health care staff working amid COVID-19 pandemic.

2021 ◽  
Author(s):  
Katarzyna Warchoł-Biedermann ◽  
Przmysław Daroszewski ◽  
Grażyna Bączyk ◽  
Krzysztof Greberski ◽  
Paweł Bugajski ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Outcomes ◽  
Coping Strategies ◽  
Mental Health Outcomes ◽  
Care Staff ◽  
Health Care Staff ◽  
Cross Sectional ◽  
The Relationship

Objective: The cross-sectional study aimed to assess the stress outcomes in health care staff working during the Covid-19 pandemic and to explore the role of coping in the relationship between stress outcomes and mental health dimensions with Preacher & Hayes's mediation analysis. Subjects and methods: 170 participants including physicians (n=41; 24.1%), nurses (n=114, 67.1%) and paramedics (n = 15, 8.8%) with a mean age of 37.69 ± 12,23 years and an average seniority of 14.40 ±12.32 years. were administered The Toronto Alexithymia Scale– 20 (TAS – 20), Cohen's Perceived Stress Scale (PSS-10), the Emotional Processing Scale (EPS) and Positive and Negative Affect Schedule (PANAS). The data were analyzed by estimation of simple correlation coefficients and a Preacher and Hayes's mediation procedure. Results: Participants reported elevated levels of stress (7-8 sten on the sten scale developed for the PSS-10 questionnaire). Statistically significant differences in the stress levels between nurses, paramedics and physicians could not determined. In contrast, significant association between mental health outcomes and occupational category could not be found. Coping mediated the relationship between coping strategies and mental health outcomes. A positive and significant relationship was observed between stress, dysfunctional coping strategies and mental health. Conclusion: Our observations support the assumption about a controlling role of coping in the relationship between work-related stress and mental health outcomes in the medical staff working amid pandemic.

The role of tinnitus distress in the development of somatization symptoms among patients: implications for health care in Pakistan

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ammar Ahmed ◽  
Naeem Aslam
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Negative Cognitions ◽  
Cross Sectional ◽  
Male And Female ◽  
Content Type ◽  
Psychopathological Symptoms ◽  
Functional Difficulties ◽  
Tinnitus Distress

Purpose Tinnitus patients are among the most vulnerable group to develop psychopathological symptoms over time if left unresolved. This study aims to investigate the role of tinnitus distress between tinnitus magnitude, cognitions and functional difficulties in the development of somatization symptoms among male and female patients experiencing ear-related problems due to lack of proper access to health care. Design/methodology/approach This study was based on a purposive sampling technique and sample consisted on 159 patients (97 male, 62 female) having tinnitus complaints, with age range 18–87 (M = 47.94, SD = 17.47) years, recruited from various clinics and hospitals of Islamabad, Pakistan, from December 2020 to July 2021. Findings The findings of this study showed that tinnitus distress is significant positively associated with tinnitus-related magnitude, negative cognitions, functional difficulties and somatization symptoms. Gender-related differences between male and female tinnitus patients revealed that females are more prone to depict higher levels of tinnitus distress, tinnitus magnitude, negative cognitions and somatization symptoms than male patients. Mediation analysis demonstrated that tinnitus distress serves as a mediator between tinnitus magnitude, cognitions, functional difficulties and somatization symptoms. Research limitations/implications Cross-sectional nature and self-reporting measures serve as a limitation of the study. An experimental study appears to be vital to ascertain the time-based relationship with tinnitus magnitude in the development of various psychopathological issues. The findings of this study contribute to the literature by highlighting the role of tinnitus distress in the origination of psychopathological symptoms like somatization and need of upgraded health-care systems in Pakistan. Originality/value This study has explored the mediating role of tinnitus distress between magnitude, cognitions, functional difficulties and somatization symptoms among Pakistani population, specifically mentioning the development of somatization symptoms among this population, which can contribute in the loss of earning and increased health expenses due to unawareness of proper health-care approach.

scholarly journals A Survey of Patient Perspectives on Approach to Health Care: Focus on Physician Competency and Compassion

2020 ◽  
Vol 7 (6) ◽  
pp. 1044-1053
Author(s):  
Kevin Heinze ◽  
Pasithorn A Suwanabol ◽  
C Ann Vitous ◽  
Paul Abrahamse ◽  
Kristen Gibson ◽  
...  
Keyword(s):  
Health Care ◽  
Female Gender ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Personal Connection ◽  
Clinical Vignettes ◽  
Physician Competence ◽  
Insight Into

We conducted a cross-sectional, survey study of 764 volunteers to gain insight into patients’ perceptions of physician qualities of compassion and competence. Among 651 (85% response rate) survey participants, mean age was 52.4 (SD 21.4) years, 70.8% (n = 458) were female, and 84% (n = 539) identified as white. Predictors of compassion over competence included female gender (adjusted odds ratio [aOR] = 1.4, 95% CI: 1.04-1.89) and whether the respondent had a personal connection to the vignette (aOR = 1.24, 95% CI: 1.0-1.53). Thematic analysis demonstrated that preferences were influenced by: (a) explicit beliefs regarding the value of physician compassion and physician competence; (b) impact of emotional and mental health on medical experiences; (c) the type and frequency of health care exposure; and (d) perceived role of the physician in various clinical vignettes. Patients had wide-ranging, complex opinions on the qualities they valued in their physicians. These findings suggest that patients are engaged and can provide critical thoughtful feedback on the practice and delivery of health care.

scholarly journals FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU IBU BERSALIN DALAM PEMANFAATAN BPJS DI PUSKESMAS TENAYAN RAYA

2018 ◽  
Vol 3 (1) ◽  
pp. 25
Author(s):  
Sonta Imelda
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Social Insurance ◽  
Economic Status ◽  
Health Sector ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Mutual Cooperation ◽  
Quota Sampling

<p><em>Reducing maternal mortality and infant create a government health and welfare programs for the public health sector so that health care can be more affordable by the poor. BPJS health programs is a social insurance program that guarantees health care and the fulfillment of  basic health held in mutual cooperation with periodic charges. The purpose of  the research to determine the factors associated with maternal behavior to use BPJS. Quantitative research with the analytical method, using cross sectional approach maternal subject of the research, by sample size of 90 respondents sampling quota sampling technique. The results showed there is a correlation between economic status pvalue = 0.002, knowledge pvalue = 0.013, the role of the officer pvalue = 0.000 while for education factor pvalue = 0.155 and motivation pvalue = 0.36 there aren’t relationship. Based on the research of the results, it can be concluded that many people can’t take BPJS because of  low economic status, low of  knowledge and the role of the officer is not active. the Suggestions for improved dissemination of  BPJS in the city and rural areas.</em></p><p><em><br /></em></p><p>Pemerintah membuat pragram untuk menurunkan angka kematian ibu dan bayi untuk kesehatan dan kesejahtraan masyarakat dibidang kesehatan agar pelayanan kesehatan dapat lebih terjangkau oleh masyarakat miskin. Program BPJS kesehatan adalah program jaminan sosial yang menjamin pemeliharaan kesehatan serta pemenuhan dasar kesehatan yang diselenggarakan secara gotong royong dengan iuran berkala,  tujuan dari penelitian untuk mengetahui  faktor-faktor yang berhubungan dengan perilaku ibu bersalin dalam pemanfaatan BPJS. Jenis penelitian kuantitatif dengan metode analitik, menggunakan  pendekatan cross sectional  subjek yang diteliti ibu bersalin, besarnya sampel 90 responden tehnik pengambilan sampel quota sampling, uji statistik menggunakan uji <em>chi square</em>. Hasil penelitian menunjukkan terdapat hubungan antara pendidikan p<em>value</em> = 0,028,  status ekonomi  p<em>value</em> = 0,002, pengetahuan p<em>value</em> = 0,013, peran petugas  p<em>value</em> = 0,006 dengan perilaku ibu dan dimana tidak ada hubungan motivasi p<em>value</em>= 0,356 . Disimpulkan didapat hubungan pendidikan, status ekonomi, Pengetahuan dan peran petugas. Maka disarankan agar petugas BPJS/ tenaga kesehatan ditingkatkan sosialisasi tentang BPJS baik dikota maupun dipedesaan.</p><p><em><br /></em></p>

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