Are we ready for a person-centered care model for patient-physician consultation? A survey from family physicians of East Mediterranean Region

2013 ◽  
Vol 1 (2) ◽  
pp. 394
Author(s):  
Waris Qidwai ◽  
Kashmira Nanji ◽  
Tawfik Khoja ◽  
Salman Rawaf ◽  
Nabil Yasin Al Kurashi ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Second Phase ◽  
Care Model ◽  
Cross Sectional ◽  
Person Centered Care ◽  
Centered Care

Background: Person-centered care has long been identified as a key component of health systems and one of the six domains of quality. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR).Methods: A multicountry, cross-sectional study was conducted in 6 countries of EMR during July 2012 to September 2012. From each country, an expert Family Physician (FP) was identified and invited for the study. During the first phase, 190 FPs practicing for at least 6 months were recruited. In the second phase, the recruited FPs approached 300 patients aged > 18 years with 1 or more recurring problems. Data analysis was conducted using SPSS version 19.Results: Of a total of 360 patients, 53% were between 25-40 years of age and the majority 55.7% were females. Among physicians, 66.8% were females and 72.1% had undergone specialization in Family Medicine from EMR. About 36% of the patients, while 62.6% of the physicians, preferred a person-centered care model of care. Among physicians, field of specialization (AOR= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (AOR= 0.3; 95% C.I: 0.1-0.5) were significant factors for preferring a person-centered care model. Educational status (AOR= 3.0; 95% C.I: 1.1-7.9) was associated with a preference for person-centered care among patients.Conclusion: The results of the study highlight that a majority of physicians prefer person-centered care, while patients prefer a mix of both patient- and physician-centered care. Strategies should be developed that will help physicians and patients to embrace person-centered care practices.

scholarly journals 1486Preference for person-centered care model, perceptions of family physicians and patients of East Mediterranean Region

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Kashmira Nanji ◽  
Waris Qidwai ◽  
Tawfik A M Khoja ◽  
Salman Rawaf
Keyword(s):  
Mediterranean Region ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Family Physicians ◽  
Care Providers ◽  
Multinomial Regression ◽  
Care Model ◽  
Cross Sectional ◽  
Person Centered Care ◽  
Centered Care

Abstract Background Person-centered care is one of the vital components of a health care system and signifies the concept of health promotion and disease prevention. This study aimed to identify the perceptions of patients and physicians regarding person-centered care in the Eastern Mediterranean Region (EMR). Methods A cross-sectional study was conducted in six countries of EMR during June 2019 to August 2019. In first phase, 190 family physicians (FPs) practicing for atleast six months were recruited. In the next phase, the recruited FPs then approached their patients aged more than 18 years. Multinomial regression analysis was conducted using SPSS version 20. Results Of a total of 300 patients, 25% were aged 40 years or above and the majority 56% were females. Among physicians, 62.8% were between 25 to 35 years and 88% had a postgraduate training in Family Medicine. Thirty six percent of patients and 62.6% of physicians, preferred a person-centered care model of care. Among physicians, field of specialization (ORadj= 0.7; 95% C.I: 0.3-0.9) and regularity in continuing medical education sessions (ORadj= 0.3; 95% C.I: 0.1-0.5) while, among patients, educational status was significantly associated with preference for person-centered care model. Conclusions The transition towards person centered care model has already started and most care providers endorse it. However, there is a need to apply this approach consistently, keeping the cultural aspects in mind. Key messages There is a need for intensive research on the development of integrated primary care models to improve access to person-centered care.

scholarly journals Intention of Healthcare Workers to Receive COVID-19 Vaccine: A Cross-Sectional Survey in 10 Countries in Eastern Mediterranean Region

2021 ◽  
Author(s):  
Yasir Ahmed Mohammed Elhadi ◽  
Azza Mehanna ◽  
Yusuff Adebayo Adebisi ◽  
Mohammad Yasir Essar ◽  
Haider M El Saeh ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Healthcare Workers ◽  
Online Survey ◽  
Health Workers ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
To Receive

Background: Healthcare workers intention to be vaccinated is an important factor to be consider for successful COVID-19 vaccination programme. Our study aimed to understand the intention of health workers to receive COVID-19 vaccine and associated concerns across 10 countries in Eastern Mediterranean Region (EMRO). Method: A cross-sectional study was conducted in January 2021 among healthcare workers using an online survey. A total of 2806 health workers (physicians, nurses and pharmacists) completed and returned the informed consent along with the questionnaire electronically. Data were analyzed using IBM SPSS software package version 20.0. Results: More than half of the respondents (58.0%) intend to receive COVID-19 vaccine, even if the vaccination is not mandatory for them. On the other hand, 25.7% of respondents were not intending to undertake COVID-19 vaccination while 16.3 % answered undecided. The top three reasons for not intending to be vaccinated were unreliability of COVID-19 vaccine clinical trials (62.0%), fear of the side effects of the vaccine (45.3%), and that COVID-19 vaccine will not give immunity for a long period of time (23.1%). Conclusion: Overall, our study revealed suboptimal acceptance of COVID-19 vaccine among healthcare workers in the 10 countries in EMRO.

scholarly journals Willingness to Vaccinate against COVID-19 among Healthcare Workers: An Online Survey in 10 Countries in the Eastern Mediterranean Region

2021 ◽  
Vol 13 (9) ◽  
pp. 42
Author(s):  
Yasir Ahmed Mohammed Elhadi ◽  
Azza Mehanna ◽  
Yusuff Adebayo Adebisi ◽  
Haider M. El Saeh ◽  
Saddam Abdulhakem Alnahari ◽  
...  
Keyword(s):  
Mediterranean Region ◽  
Healthcare Workers ◽  
Online Survey ◽  
Health Workers ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
To Receive

BACKGROUND: Willingness of healthcare workers to be vaccinated is an important factor to be considered for a successful COVID-19 vaccination programme. This study aims to understand the willingness of health workers to receive a COVID-19 vaccine and its associated concerns across 10 countries in the Eastern Mediterranean Region (EMR). METHOD: A cross-sectional study was conducted in January 2021 among healthcare workers in EMR using an online survey. Data were analyzed using IBM SPSS software package version 20.0. RESULTS: A total of 2806 health workers (physicians, nurses and pharmacists) completed and returned the informed consent along with the questionnaire electronically. More than half of the respondents (58.0%) were willing to receive a COVID-19 vaccine, even if the vaccination is not mandatory for them. On the other hand, 25.7% of respondents were not willing to take COVID-19 vaccine while 16.3 % were undecided. The top three reasons for not willing to be vaccinated were unreliability of COVID-19 vaccine clinical trials (62.0%), fear of the side effects of the vaccine (45.3%), and that COVID-19 vaccine will not give immunity for a long period of time (23.1%). CONCLUSION: Overall, the study revealed suboptimal acceptance of COVID-19 vaccine among the respondents in the EMR. Significant refusal of COVID-19 vaccine among healthcare professionals can reverse hard-won progress in building public trust in vaccination program. The findings suggest the need to develop tailored strategies to address concerns identified in the study in order to ensure optimal vaccine acceptance among healthcare workers in the EMR.

scholarly journals Awareness and Preparedness of Field Epidemiology Training Program Graduates to Respond to COVID-19 in the Eastern Mediterranean Region: Cross-Sectional Study

10.2196/19047 ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. e19047 ◽  
Author(s):  
Mohannad Al Nsour ◽  
Yousef Khader ◽  
Abdulwahed Al Serouri ◽  
Haitham Bashier ◽  
Shahd Osman
Keyword(s):  
Training Program ◽  
Mediterranean Region ◽  
Online Survey ◽  
Eastern Mediterranean ◽  
Eastern Mediterranean Region ◽  
Risk Groups ◽  
Surveillance Systems ◽  
Cross Sectional ◽  
Field Epidemiology ◽  
Field Epidemiology Training Program

Background The Field Epidemiology Training Program (FETP) is a 2-year training program in applied epidemiology. FETP graduates have contributed significantly to improvements in surveillance systems, control of infectious diseases, and outbreak investigations in the Eastern Mediterranean Region (EMR). Objective Considering the instrumental roles of FETP graduates during the coronavirus disease (COVID-19) crisis, this study aimed to assess their awareness and preparedness to respond to the COVID-19 pandemic in three EMR countries. Methods An online survey was sent to FETP graduates in the EMR in March 2020. The FETP graduates were contacted by email and requested to fill out an online survey. Sufficient number of responses were received from only three countries—Jordan, Sudan, and Yemen. A few responses were received from other countries, and therefore, they were excluded from the analysis. The questionnaire comprised a series of questions pertaining to sociodemographic characteristics, knowledge of the epidemiology of COVID-19, and preparedness to respond to COVID-19. Results This study included a total of 57 FETP graduates (20 from Jordan, 13 from Sudan, and 24 from Yemen). A total of 31 (54%) graduates had attended training on COVID-19, 29 (51%) were members of a rapid response team against COVID-19, and 54 (95%) had previous experience in response to disease outbreaks or health emergencies. The vast majority were aware of the main symptoms, mode of transmission, high-risk groups, and how to use personal protective equipment. A total of 46 (81%) respondents considered themselves well prepared for the COVID-19 outbreak, and 40 (70%) reported that they currently have a role in supporting the country’s efforts in the management of COVID-19 outbreak. Conclusions The FETP graduates in Jordan, Sudan, and Yemen were fully aware of the epidemiology of COVID-19 and the safety measures required, and they are well positioned to investigate and respond to the COVID-19 pandemic. Therefore, they should be properly and efficiently utilized by the Ministries of Health to investigate and respond to the current COVID-19 crisis where the needs are vastly growing and access to outside experts is becoming limited.

scholarly journals Person-Centered Care in a Tertiary Hospital Through Patient’s Eyes: A Cross-Sectional Study

2021 ◽  
Vol Volume 15 ◽  
pp. 761-773
Author(s):  
Bashayer Al-Sahli ◽  
Abdelmoneim Eldali ◽  
Mohammed Aljuaid ◽  
Khaled Al-Surimi
Keyword(s):  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Person Centered Care ◽  
Centered Care

scholarly journals Investigating The Prevalence of Alcohol Consumption and Its Related Factors in 13 To 17-Year-Old Adolescents: Data Extraction From 55 Eastern Mediterranean Countries

2021 ◽  
Author(s):  
vahid farnia ◽  
Touraj Ahmadi Jouybari ◽  
safora salemi ◽  
Bahareh rahami ◽  
mehdi moradinazar ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Eastern Mediterranean ◽  
Data Extraction ◽  
Eastern Mediterranean Region ◽  
Cross Sectional Study ◽  
World Health ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Mediterranean Countries

Abstract Background Alcohol consumption has become very common among adolescents in recent years and its prevalence varies in different countries. The aim of this study was to investigate the prevalence of alcohol consumption and related factors in adolescents aged 13 to 17 years living in the Eastern Mediterranean Region (EMR). Methods The present study was a cross-sectional study that was performed on 191228 adolescents (girl, 51.1% of total) aged 13 to 17 years in 55 EMR countries. In this study, the data that were collected by the World Health Organization from students were used. In order to investigate the factors affecting alcohol consumption, univariate and multivariate logistics models with 95% confidence limits were used. Results The overall prevalence of alcohol consumption in adolescents was 18.2%, which was 19.2% and 17.3% in boys and girls, respectively. Multivariate analysis showed that using marijuana for more than 10 days in a month (OR = 6.27, 95%CI: 5.12–7.68), smoking (OR = 3.68, 95%CI: 3.52–3.84), having sex (OR = 3.39, 95%CI: 3.24–3.55), being alone for more than 10 days (OR = 1.84, 95%CI: 1.66–2.037), having insomnia most of the time (OR = 1.68, 95%CI: 1.54–1.83), having suicide plan (OR = 1.47, 95%CI: 1.39–1.57), being 16 and older (OR = 1.41,95%CI: 1.33–1.48), being alone sometimes (OR = 1.41,95%CI: 1.33–1.48), daily activity (OR = 1.24, 95%CI: 1.19–1.29), being beaten for 1–9 days a month (OR = 1.20, 95%CI: 1.14–1.26) increased the chances of consuming alcohol, respectively. Parental supervision most of the time and parental awareness sometimes reduced the likelihood of consuming alcohol. Conclusions Due to the high prevalence of alcohol consumption among adolescents living in EMR countries, it is suggested that educational, preventive and health intervention programs be conducted to raise students’ awareness of the effects of alcohol consumption in schools.

A study to assess the awareness about risk factors of breast cancer among females aged more than 20 years among females in Manikkal panchayat in Kerala

2021 ◽  
Vol 18 (3) ◽  
pp. 98-102
Author(s):  
Pooja A Kumar ◽  
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Eastern Mediterranean ◽  
Screening Method ◽  
Eastern Mediterranean Region ◽  
Cross Sectional Study ◽  
Diagnostic Tools ◽  
Cross Sectional ◽  
Cancer Risk Factors ◽  
The Usa

Background: Breast cancer is the most common cancer in women; in 2004, it comprised 16% of all female cancers and was the cause of death for 519,000 women worldwide. Available data from the USA show that, between 2005 and 2006 the highest incidence rate of breast cancer was among women aged 75–79 years and the median age at the time of diagnosis was 61 years. In the UK, approximately 80% of cases occur in women over the age of 50 years, with the peak ages being 50–64 years. In the Eastern Mediterranean region (EMR), breast cancer is the most commonly diagnosed cancer in women and the second leading cause of cancer-related deaths. Objective: A study to assess the awareness about risk factors of breast cancer among females, aged more than 20 years, in Manikkal Panchayat in Kerala. Methodology: The present cross sectional study was done by the Department of Community Medicine at Sree Gokulam Medical College, Venjaramoodu from March 2013 to April 2013 in Manikkal panchayat area. A total of 705 female study subjects aged more than 20 years who met the inclusion criteria were included in the study. The data was collected by interview technique in a pre-validated semi structured questionnaire and factors like socio demographic variables were collected. Results: Out of 705 women, in the present study we found that only 45.4% were actually aware about the breast cancer risk factors and diagnostic tools. We could also find that 8.8% of them have not practiced any screening method. Conclusion: Majority of the participants knew about the BSE (self examination of breast) but they lack knowledge regarding frequency and appropriate time to practice BSE. Thus, more educational programs could be designed to provide comprehensive information of breast cancer and BSE to improve women’s knowledge and awareness which can help in the early detection and reporting of breast cancer for the better treatment.

scholarly journals Assessment of Quality of Life of People who Stutter: A Cross-sectional Study

2014 ◽  
Vol 3 ◽  
pp. RPO.S19058
Author(s):  
Gagan Bajaj ◽  
Aiswarya Liz Varghese ◽  
Jayashree S. Bhat ◽  
Joylin Deepthi
Keyword(s):  
Quality Of Life ◽  
Internal Consistency ◽  
Speech Therapy ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Second Phase ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Fear And Anxiety

Stuttering is a complex communication disorder that impedes the normal flow and pattern of speech, which is characterized by involuntary audible or inaudible pause, repetitions, prolongations, blocks, etc. Other than the core behaviors, people who stutter experience various other problems such as fear, anxiety, depression, shame, etc., which can in turn affect the quality of life (QOL). The purpose of this study is to develop a questionnaire in order to assess the QOL of people who stutter. A total of 30 participants aged between 18 and 30 years were enrolled for the study. Out of the stutterers included, 15 were employed and 15 were non-employed/students. The study was carried out in two phases. The first phase involved the development of a questionnaire based on literature search and available tests. The second phase involved administering the validated questionnaire on the participants. The questionnaire consisted of six domains targeting (1) speech-related fear and anxiety, (2) interpersonal and social relationships, (3) behavioral reaction to stuttering, (4) educational status, (5) employment and job opportunity, and (6) effect of speech therapy. For each item, response scales were organized (2—almost always, 1—sometime, 0—not at all). Developed questionnaire showed good content validity for all the domains and questions. The result of Cronbach's alpha for each domain indicates moderate internal consistency and excellent internal consistency for the overall questionnaire. Multiple domains were observed to be affected among adults who stutter, and the differences were not found to be significantly different as compared to the available QOL data from other cultural settings.

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