scholarly journals Telemedicine and COVID-19: Experience of Medical Doctors in Cameroon

2021 ◽  
Vol 6 (1) ◽  
pp. 32-37
Author(s):  
Kouotou Armand ◽  
Ananfack Gaël ◽  
Ngowa Marcien ◽  
Ndjitoyap Wilson ◽  
Mendouga Reine ◽  
...  
Keyword(s):  
Information And Communication Technologies ◽  
Health Care Providers ◽  
Demographic Data ◽  
Medical Doctors ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Online Data ◽  
Cross Sectional ◽  
Communication Modalities

Introduction : Since the beginning of Coronavirus disease2019 (COVID-19), hospitals and health centres have become sites  of potential contamination and spread of the virus, and have had to reorganize  their working environments to limit infections of patients and health care providers while continuing to render health services for those affected by other ailments. The purpose of the study was to conduct a descriptive study to assess the practice of telemedicine among Cameroonian medical doctors through an electronic survey. Methodology: This was a cross-sectional study conducted from May to June 2020 using an online data collection form designed on Google Forms. The questions dealt with socio-demographic data, the cancellation rate of appointments, the practice of teleconsultation, the frequency of telephone use, the means of teleconsultation used and the quality of the doctor-patient relationship. Participants comprised all physicians practicing in Cameroon using information and communication technologies Results: A total of 253 participants were included, 56.5% of which were women. Physicians from the ten regions of the country were represented. Twenty percent (20.2%) of physicians practiced teleconsultation, of which 3.2% continued teleconsultations while in quarantine. Seventy-five percent (75.4%) of physicians used multiple communication modalities at the same time; the most used modality in combination with others was the WhatsApp android application. Forty-six percent (41.6%) of participants judged that the doctor-patient relationship was poor during teleconsultations. Conclusion and recommendation: The practice of telemedicine is not widespread and is poorly framed in this setting. Regulatory authorities should put in place regulations and provide training to frame and ease access to the use of telemedicine

Hubungan Tingkat Pengetahuan dengan Nilai Empati pada Mahasiswa Fakultas Kedokteran Unika Atma Jaya, Jakarta

2017 ◽  
Vol 9 (1) ◽  
pp. 67-74
Author(s):  
Darren Gosal ◽  
Yeremias Jena
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
First Year ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Cross Sectional ◽  
First Year Students ◽  
Academic Year

Empathy is one of the virtues that should be owned by health care providers. In the doctor– patient relationship, empathy enables health care providers to win not only the confidence of the patients, but also assisting them to accept their state of illness and disease. As to the fact that medical students have a high knowledge of empathy in line with the study periods, empathic relation is often absent in doctor–patient relationship. This study is intended to look at the relationship between the length of studies and the knowledge of empathy. This cross- sectional study applied Baron-Cohen Empathy Quotient to collect data from 98 respondents at Atma Jaya School of Medicine, Atma Jaya Catholic University of Indonesia, academic years of 2013 (third year) and 2015 (the first year). The study revealed that 49 respondents have a higher level of empathy knowledge and 49 others at the lower one. Among the higher knowledge of empathy, 73.47% (n=36) had lower knowledge of empathy compared to 26.53% (n=13) at the higher one. Among the lower knowledge of empathy, 91.84% (n=45) had lower knowledge of knowledge compared to 8.16% (n=4) at the higher one. A total of 76.47% respondents with a higher knowledge of empathy (n=17) were the third year students (academic year 2013), whereas the 23.52% are the first year students (academic year 2015). This study has proven the relation between the length studies (academic years) with the knowledge level of empathy.

scholarly journals The Relationship between the Infertility Specialist and the Patient during the COVID-19 Pandemic

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1649
Author(s):  
Diana Antonia Iordăchescu ◽  
Florinda Tinella Golu ◽  
Corina Ioana Paica ◽  
Adrian Gorbănescu ◽  
Anca Maria Panaitescu ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Cross Sectional Study ◽  
Mediation Effect ◽  
Human Reproduction ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Continuous Training ◽  
Cross Sectional ◽  
The Relationship

The doctor–patient relationship is fundamental in the treatment of infertility, due to the emotional implications of fertilization procedures. However, insufficient data are available specifically for this relationship. The general objective of the study is to establish the associations between the fundamental concepts that define the doctor–patient relationship: communication, empathy, trust, collaboration, compliance and satisfaction. A cross-sectional study was conducted between May and June 2020 and followed the methods of a quantitative analysis, collecting the data using questionnaires. The research plan was specific to path analysis with the mediation effect, in which the hypotheses were tested. The research group consisted of 151 women diagnosed with infertility, voluntarily recruited through online support communities. Findings demonstrate that affective empathy mediates the relationship between communication and trust in the doctor. In conclusion, this study draws attention to the importance of basic concepts in the relationship of infertility specialists with infertile patients. Thus, it is necessary for health care providers in assisted human reproduction to participate in programs for the continuous training of empathic communication skills, given the sensitivity of this diagnosis.

scholarly journals Community awareness of which seizure type should present to healthcare providers; a potential risk factor of the epilepsy treatment gap

2021 ◽  
Author(s):  
Ismat Babiker ◽  
Mohamed K. Elnaeim ◽  
Awab K.Elnaeim
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Demographic Data ◽  
Healthcare Providers ◽  
Seizure Type ◽  
Absence Seizure ◽  
Care Providers ◽  
Treatment Gap ◽  
Cross Sectional ◽  
Epilepsy Treatment

Abstract Objective: the objective of this study was to assess the awareness of the community in Sudan of which seizure type(s) should present to health care providers.Methods: This is a cross-sectional descriptive internet-based survey that was conducted in Sudan during the period from January to April 2018, using google forms. The survey consisted of demographic data (age, gender, educational level), a statement evaluating participants’ sources of obtaining information regarding epilepsy, a statement assessing awareness about the primary care provider for people with epilepsy (PWE), and a statement describing the symptomatology of different seizure types in simple Arabic, asking what description(s) participants thought should present to health care providers. We included participants residing in Sudan, and those with a college degree or higher education. Four hundred sixty-seven participants completed the survey.Results: 467 participants were included, of whom, 279 (60%) were females. The mean age of participants was 28 years. Two-thirds of participants obtained their information from non-scientific sources. 84% of the participants were aware that doctors are the primary health care providers for people with epilepsy.The majority (92.%) of participants were aware that patients with symptoms corresponding to the generalized tonic-clonic seizure description should present to doctors, compared with two-thirds of participants for focal seizure symptom description, and only 30.6 % of participants for absence seizure symptom description.Conclusion: This study demonstrated poor awareness about the necessity of presentation for focal and absence seizures. We hypothesize that this lack of awareness may contribute to the epilepsy treatment gap, and we recommend further studies to examine this hypothesis.

scholarly journals Utilization of Non-Pharmacological Methods and the Perceived Barriers for Adult Postoperative Pain Management by the Nurses at Selected National Hospitals in Asmara, Eritrea

2020 ◽  
Author(s):  
Betiel Yihdego Kidanemariam ◽  
Traudl Elsholz ◽  
Laban L. Simel ◽  
Eyasu H. Tesfamariam ◽  
Yonatan Mehari Andemeskel
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Health Care Providers ◽  
Work Experience ◽  
Statistical Significance ◽  
Demographic Data ◽  
Postoperative Pain Management ◽  
Perceived Barriers ◽  
Care Providers ◽  
Cross Sectional

Abstract Background: Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals.Methods: This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05.Results: The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p=0.013), level of education (p=0.012), work experience (p=0.001) and place of work (p=0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p<0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified.Conclusion: The use of non-pharmacological methods in the studied hospitals varied greatly on the knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.

Introduction

2019 ◽  
pp. 1-8
Author(s):  
Andelka M Phillips ◽  
Thana C de Campos ◽  
Jonathan Herring
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Law ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
Philosophical Foundations ◽  
New Consumer ◽  
The Relationship

This introductory chapter argues that the advent of personalized medicine, precision medicine, and new consumer-focused services—such as personal genomics—is changing the nature of the traditional doctor–patient relationship. If trust was the ethical value guiding the traditional doctor–patient relationship, now other considerations such as market efficiency are aggregated to the considerations of the relationship between the patient and the health-care provider. Also, if medical law traditionally focused on the regulation of the doctor–patient relationship, nowadays medical law also encompasses the regulation of institutional relationships involving health-care providers of different sorts and at various levels. Some new services also pose challenges for medical lawyers and ethicists, because they are not being offered within the traditional clinical setting and thus sit outside the traditional governance frameworks established in medical settings. The chapter then provides an overview of the general theories on the philosophical foundations of medical law.

scholarly journals Utilization of non-pharmacological methods and the perceived barriers for adult postoperative pain management by the nurses at selected National Hospitals in Asmara, Eritrea

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Betiel Yihdego Kidanemariam ◽  
Traudl Elsholz ◽  
Laban L. Simel ◽  
Eyasu H. Tesfamariam ◽  
Yonatan Mehari Andemeskel
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Health Care Providers ◽  
Work Experience ◽  
Statistical Significance ◽  
Demographic Data ◽  
Postoperative Pain Management ◽  
Perceived Barriers ◽  
Care Providers ◽  
Cross Sectional

Abstract Background Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals. Methods This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses’ utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05. Results The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p = 0.013), level of education (p = 0.012), work experience (p = 0.001) and place of work (p = 0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p < 0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified. Conclusion The use of non-pharmacological methods in the studied hospitals varied greatly due to knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.

Improving the Doctor/Patient Relationship: A Feminist Perspective

1989 ◽  
Vol 18 (3) ◽  
pp. 337-361 ◽  
Author(s):  
Peggy Foster
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Delivery ◽  
Patient Relationship ◽  
Care Providers ◽  
Doctor Patient Relationship ◽  
North West ◽  
Care Services ◽  
The North

ABSTRACTSince the early 1970s British and American feminists have developed a comprehensive critique of the dominant doctor/patient relationship within mainstream health care services. In Britain, activists in the women's health movement have struggled to put into practice a model of health care delivery based on feminist principles, within which the doctor/patient relationship is radically redesigned. This paper will explore the principles and practice of this feminist health care model. It will then attempt to evaluate alternative strategies for strengthening and expanding feminist health care within the NHS. The paper will draw on data gathered by the author in 1987 through a series of unstructured interviews with feminist health care providers who were working within a variety of NHS settings in the North West of England.

scholarly journals Analysis of Factors Associated with Stunted Growth in Children Aged 12-60 Months Living in Lenda Village, Manggarai Regency, NTT

2020 ◽  
Vol 15 (3) ◽  
Author(s):  
Oliva Suyen Ningsih ◽  
Yohanes Jakri ◽  
Erika Nur Cahyani
Keyword(s):  
Health Care Providers ◽  
Negative Impact ◽  
Demographic Data ◽  
Growth Management ◽  
Analysis Data ◽  
Care Providers ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Stunted Growth ◽  
Factors Associated

<div class="WordSection1"><p align="center">Stunting is one of the main health problems in Indonesia resulting from poor nutrition. Stunted growth can have a negative impact on children's development and long-term growth. The prevalence of stunted growth in NTT Province in 2017 reached 22.30%. Lenda Village became the priority village for an integrated stunted growth prevention program in 2018. The purpose of this study was to determine the factors associated with the incidence of stunted growth in children aged 12-60 months (n = 82) in Lenda Village, from October 2018-April 2019 using a cross-sectional study. The sample technique used was purposive sampling.The instruments used were: a questionnaire (including demographic data, birth history, diarrhea, mother’s knowledge), microtoise and weight scales.The analysis data involved a chi-square test and binary logistic regression. The results showed that most children were stunted (58 children (70.7%)). There was a significant association  between exclusive breastfeeding (AOR = 5.193, 95 % CI= 1.275-21.158, p = 0.022), immunization status (AOR= 0.110, 95 % CI = 0.025-0.477, p =0.003), diarrhea (AOR = 13.386, CI 95 % = 2.270-78.949, p= 0.004), knowledge (AOR = 0.049, 95 % CI = 0.008-0.290, p= 0.001) and stunted growth. Integrated stunted growth management needs to be provided through cross-sectoral collaboration to increase the coverage of health care providers, improve sanitation, increase the level of maternal knowledge and improve health outcomes during both antenatal and postnatal care</p></div>

scholarly journals Level of utilization and provider-related barriers to the use of hydroxyurea in the treatment of sickle cell disease patients in Jos, North-Central Nigeria

2021 ◽  
Vol 21 (2) ◽  
pp. 765-774
Author(s):  
Akinyemi OD Ofakunrin ◽  
Edache S Okpe ◽  
Tolulope O Afolaranmi ◽  
Rasaq R Olaosebikan ◽  
Patience U Kanhu ◽  
...  
Keyword(s):  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Health Care Providers ◽  
Clinical Guidelines ◽  
Cross Sectional Study ◽  
Medical Doctors ◽  
Care Providers ◽  
Cell Disease ◽  
Cross Sectional ◽  
North Central

Background: Hydroxyurea is underutilized by sickle cell health-care providers in Nigeria despite available evidence of its effectiveness in reducing the manifestations and complications of sickle cell disease (SCD). Objectives: To assess the level of utilization and provider-related barriers to the use of hydroxyurea in SCD therapy in Jos, Nigeria. Methods: A cross-sectional study conducted among 132 medical doctors providing care for SCD patients. Data on so- cio-demographics, utilization and barriers to hydroxyurea use were obtained. The barriers were fed cumulatively into the logistic regression model as predictors of utilization. Results: Of the 132 care providers, 88 (67%) had been in medical practice for ≥6years. The level of utilization of hy- droxyurea was 24.2%. The significant barriers that predicted the non-utilization of hydroxyurea included lack of expertise (OR=5.1; 95% CI=2.65–9.05), lack of clinical guidelines (OR=3.84; 95% CI=2.37-14.33), fear of side-effects (OR=0.50; 95% CI=0.22–0.68) and doubt about its effectiveness (OR=0.30; 95% CI=0.20–0.90). Conclusion: The level of utilization of hydroxyurea in the treatment of SCD among the care providers is sub-optimal with the lack of expertise in its use identified as the most prominent barrier. There is an urgent need for the training of sickle cell care-providers and the development of clinical guidelines on hydroxyurea use. Keywords: Hydroxyurea utilization; barriers to hydroxyurea; sickle cell disease; Nigeria.

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