Communicatie met Nederlandse en Turkse patiënten in de huisartsenpraktijk

2010 ◽  
Vol 38 (1) ◽  
Author(s):  
Sanne Schinkel ◽  
Barbara Schouten ◽  
Julia van Weert

Communication with Dutch and Turkish general practitioner patients: an exploratory study on differences in information and participation preferences Communication with Dutch and Turkish general practitioner patients: an exploratory study on differences in information and participation preferences Intercultural doctor-patient communication is often less adequate than intracultural communication. In order to explore this problem, differences were studied between Dutch and Turkish patients in their information and participation preferences. Six general practitioners and 62 patients participated in the study (35 Dutch, 27 Turkish). Two surveys were used: one directly before and one after the consultation. Results show that both groups report high information preferences, but the groups differ in sort of preferred information. Additionally, the discrepancies between information preferences and the actual information provision during the consultation were found to be larger in the Dutch group than in the Turkish group. However, Turkish patients report lower comprehensibility of the information and higher additional information needs after the consultation. Participation preferences are almost similarly low in both groups. These results stress the importance of further research on information and participation preferences of ethnic minority patients and of enhancing doctors’ intercultural competencies.

2010 ◽  
Vol 9 (1) ◽  
pp. 3-16 ◽  
Author(s):  
Georgia K.B. Halkett ◽  
Susan Merchant ◽  
Moyez Jiwa ◽  
Michala Short ◽  
Hayley Arnet ◽  
...  

AbstractIntroduction: Health professionals have a duty of care to radiotherapy patients in providing them with adequate information before treatment. There is a lack of research that describes the roles of radiation therapists and radiation oncology nurses in providing information to patients. This study aimed to: (1) explore how radiation therapists communicate with breast cancer patients during a radiotherapy planning appointment; (2) determine what information is provided during this appointment and (3) explore radiation therapists’ perspectives on their role in providing patient information and support.Methods: The following methodologies were used: self-report questionnaires; simulated radiotherapy planning sessions and joint interpretive forums. Statistical analysis was used to analyse the questionnaires and the simulated planning sessions and forums were analysed qualitatively.Results: A total of 110 radiation therapists participated in the survey. We simulated two radiotherapy planning appointments and held two forums. Four themes emerged: role definitions, reducing patient anxiety and distress, barriers and strategies for effective communication and confidence in patient communication.Conclusion: Radiation therapists play an important role in communicating with patients and providing information, particularly if patients exhibit anxiety and distress. Further research is required to determine whether patients’ information needs can be met with additional information provided by radiation therapists.


2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697349
Author(s):  
Anna Lalonde ◽  
Emma Teasdale ◽  
Ingrid Muller ◽  
Joanne Chalmers ◽  
Peter Smart ◽  
...  

BackgroundCellulitis is a common painful infection of the skin and underlying tissues that recurs in approximately a third of cases. Patients’ ability to recover from cellulitis or prevent recurrence is likely to be influenced by their understanding of the condition.AimTo explore patients’ perceptions of cellulitis and their information needs.MethodMixed methods study comprising semi-structured, face-to-face interviews and cross-sectional survey, recruiting through primary care, secondary care and advertising. Adults aged 18 or over with a history of cellulitis (first or recurrent) were invited to complete a survey, take part in an interview or both. Qualitative data was analysed thematically.ResultsThirty interviews were conducted between August 2016 and July 2017. Qualitative data revealed low prior awareness of cellulitis, uncertainty around diagnosis, concern/surprise at the severity of cellulitis, and perceived insufficient information provision. People were surprised they had never heard of the condition and that they had not received advice or leaflets giving self-care information. Some sought information from the internet and found this bewildering. Two hundred and forty surveys were completed (response rate 17%). These showed that, while most people received information on the treatment of cellulitis (60.0%, n = 144), they reported receiving no information about causes (60.8%, n = 146) or prevention of recurrence (73.3%, n = 176).ConclusionThere is a need for provision of basic information for people with cellulitis, particularly being informed of the name of their condition, how to manage acute episodes, and how to reduce risk of recurrence.


HortScience ◽  
1998 ◽  
Vol 33 (3) ◽  
pp. 552e-552
Author(s):  
James L. Green

In 1997, the ASHS Board of Directors established ASHS HortBase as a Standing Committee of the Society. The ASHS HortBase Committee, a six-member Standing Committee and Chair, is charged to implement and maintain ASHS HortBase. The members of the ASHS HortBase Committee will be chair and chair-elect of the three HortBase Task Forces: 1) Finance and Marketing; 2) Standards—authoring, reviewing, and publishing; and 3) Technology. ASHS HortBase is a dispersed, dynamic horticultural information system (network) on the WWW comprised of peer—reviewed, concise, interlinked information modules to meet the information needs of instructors and students, gardeners and growers. A strong advantage and distinguishing characteristic of ASHS HortBase is our dynamic pool of potential authors, reviewers, and users (ASHS Extension, Industry, and Teaching membership) to continually evolve and update the peer-reviewed information in HortBase. We have the scholastic international standing to provide peer review and validation of the information and to recognition to the authors, coupled with the marketing to stimulate wide use of their information modules. ASHS HortBase is a dispersed system (dispersed development and server costs). The “dispersed cost” for information file development and updating and delivery on the respective authors' dispersed servers disperses the major costs of the HortBase information system. Additional information on ASHS HortBase and the papers presented at the 4-h Colloquium on HortBase at ASHS-97 can be found at http://[email protected] or contact me ([email protected], phone 541.737.5452, fax 541.737.3479).


2018 ◽  
Vol 188 (2) ◽  
pp. 444-450
Author(s):  
David B Richardson ◽  
Bryan Langholz ◽  
Kaitlin Kelly-Reif

Abstract A standard approach to analysis of case-cohort data involves fitting log-linear models. In this paper, we describe how standard statistical software can be used to fit a broad class of general relative rate models to case-cohort data and derive confidence intervals. We focus on a case-cohort design in which a roster has been assembled and events ascertained but additional information needs to be collected on explanatory variables. The additional information is ascertained just for persons who experience the event of interest and for a sample of the cohort members enumerated at study entry. One appeal of such a case-cohort design is that this sample of the cohort may be used to support analyses of several outcomes. The ability to fit general relative rate models to case-cohort data may allow an investigator to reduce model misspecification in exposure-response analyses, fit models in which some factors have effects that are additive and others multiplicative, and facilitate estimation of relative excess risk due to interaction. We address model fitting for simple random sampling study designs as well as stratified designs. Data on lung cancer among radon-exposed men (Colorado Plateau uranium miners, 1950–1990) are used to illustrate these methods.


2021 ◽  
Author(s):  
Jessica Breuing ◽  
Nadja Könsgen ◽  
Katharina Doni ◽  
Annika Lena Neuhaus ◽  
Dawid Pieper

Abstract BackgroundObesity is a worldwide problem with different treatment options. Bariatric surgery is an effective treatment for severe obesity; however, it leads to drastic changes (e.g., changes in everyday life and eating behavior) for patients, which may lead to information needs. Our aim was to identify the information needs of patients undergoing bariatric surgery and to explore the information provision within the healthcare process of bariatric surgery in Germany.MethodsWe conducted n=14 semi-structured telephone interviews between April 2018 and April 2019. The interview guide was designed prior to the interviews and consisted of 4 main sections (demographic information, pre- and postoperative healthcare provision, information needs). The audio-recorded interviews were transcribed verbatim and analyzed using qualitative content analysis with MAXQDA software.ResultsThere were unmet information needs with two factors (time: pre/postoperative and categories of information: general/specific) to be considered. Due to the patients’ description of information, we categorized information into general (different surgical procedures, general nutritional information) and specific (occurring simultaneously with a problem) information. Most patients felt well informed concerning general information. However, it was pointed out that it was not possible to provide complete information preoperatively, as the need for information only arises when there are postoperative (specific) problems. In addition, there seems to be a high demand for specific postoperative information regarding nutrition and nutrition-related problems. However, patients stated that postoperative nutritional counseling is not reimbursed by health insurance funds. The information conveyed in support groups and the exchange of experiences are highly valued by patients. However, some patients describe the information provided within the support groups as unfiltered, frightening or exaggerated.ConclusionOverall, there were unmet information needs. Reimbursement by health insurance funds could increase the use of postoperative nutritional counseling and thus serve existing information needs. Support groups enable an exchange of experiences and therefore offer low-barrier access to information. Cooperation between support groups and healthcare professionals in information provision could be an approach to improving existing information needs or to avoiding the development of information gaps. Furthermore, the development and implementation of a digital solution for (postoperative) information dissemination could be helpful.


2021 ◽  
Author(s):  
Edmond Démoulins ◽  
Heloïse Schmeltz ◽  
Aurélie Gaultier ◽  
Jean Michel Nguyen ◽  
Gaëlle Quereux ◽  
...  

BACKGROUND The incidence of melanoma is increasing worldwide. The effectiveness of treatment is associated with diagnostic and therapeutic delays. In this context, teledermatology (TD), especially store-and-forward TD, is a promising technology, as it can accelerate the care process. However, several studies indicate that the efficiency and reliability of this practice in cases of pigmented skin lesions is not proven and call for further work. OBJECTIVE The main objective of this study was to evaluate management concordance among teledermatologists concerning the appropriate consultation delay when reviewing photographs of suspicious pigmented skin lesions taken with a smartphone by a general practitioner (GP). METHODS Methods: We conducted management concordance analysis among different teledermatologists with experience in TD. The teledermatologists determined the consultation delay to propose to 110 patients with suspicious pigmented skin lesions viewed online based on 241 photographs taken by GPs in a real-life context. The practitioners had to decide among 4 possibilities for care management: 1. urgent need for consultation, 2. nonurgent need for consultation, 3. no need for consultation, and 4. impossible to assess: request for additional information or photographs from the GP. "Major" discordance was defined as follows: one teledermatologist decided that the patient had to receive a consultation within 15 days, while another teledermatologist decided that it was not necessary to see the patient ("simple letter to the attending physician"). RESULTS This study revealed poor agreement among dermatologists when they assessed photographs taken by a GP using a smartphone. The interrater agreement was poor regardless of the analysis modality used. The 2-to-2 interdermatologist management concordance revealed a low Cohen's kappa (between 0.11 and 0.43). Overall agreement was low (Fleiss’ kappa 0.24). We observed major discordance regarding care management for 42 clinical cases (38% of patients). CONCLUSIONS This study is in line with recent studies calling for postponement of the development of store-and-forward TD for the management of skin cancers until additional studies have been carried out.


Author(s):  
Mark-Shane Scale ◽  
Anabel Quan-Haase

Blogs are important sources of information currently used in the work of professionals, institutions and academics. Nevertheless, traditional information needs and uses research has not yet discussed where blogs fit in the existing typologies of information sources. Blogs and other types of social media have several characteristics that blur the lines of distinction existent between traditional information source categories. This chapter brings this research problem to the fore. Not only do we examine why blogs do not neatly fit into existing information source categories, but we also deliberate the implications for libraries in terms of the need to consider blogs as an information source to be included in collection development. We discuss the opportunities and possibilities for blogs to be integrated into the collection development efforts of academic and public libraries to better serve patrons. In order to accommodate for blogs and other types of social media as information sources, we propose the introduction of an additional information source category. We suggest new avenues of future research that investigate how blogs are being used to meet information needs in various social settings, such as corporations, health care and educational settings (e.g., higher education, and schools). In this chapter, we develop a framework of how blogs may function as information sources to provide libraries with a better understanding of how blogs are integrated into the context of everyday information seeking. By grouping the ways in which people employ blogs to acquire information, we propose that blogs provide information sources along a continuum ranging from non-fiction to fictional information.


Author(s):  
Mohamed El Louadi ◽  
Imen Tounsi

The results reported in this chapter were obtained through the study of 43 work-units belonging to five business firms in a large group of Tunisian companies. Using the declarative, procedural and judgmental dimensions of organizational memory, interaction effects were detected between IT and organizational memory. Analyses of the data support the view that storage technologies interact with declarative memory contributing to reduce organizational information needs. But, contrary to expectations, storage technologies interact negatively with declarative memory on information provision. Furthermore, network technologies interact negatively with judgmental memory on information provision. These results raise issues that have been rarely encountered in the literature.


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