Organization of Stage Medical Care to Patients with Suspected and Confirmed New Coronavirus Infection COVID-19 in the Voronezh Region

The purpose of the study is to analyze the results of the work of the territorial center for disaster medicine of the Voronezh region to improve the organization of medical care for patients with suspected and confirmed new coronavirus infection COVID-19 in 2020. Materials and research methods. The study was based on: data on the provision of medical care to patients with community-acquired pneumonia of unknown infectious etiology and with a confirmed new coronavirus infection COVID-19, who were hospitalized in medical organizations of the Voronezh region; information about the routing of patients to medical organisations; data on monitoring bed fund and equipment, as well as information on the continuity and outcomes of treatment in patients of these categories. Research results and their analysis. Analysis of the research results showed: creation in the Voronezh region of the system of staged medical care for patients with suspected and confirmed new coronavirus infection COVID-19 and a three-level system of medical care for this category of patients contributed to their early detection and effective treatment; monitoring system for patients with COVID-19 allows to determine optimal routing for each patient in order to provide timely specialized, including high-tech, medical care; change in the routing of patients with COVID-19 in the region in order to provide high-tech medical care to as many patients as possible fully justifies the use of helicopter with a resuscitation module and a transport isolation box combined with it.

Communicating self-care in feminism non-profit spaces

Self-care is often used as a way for feminist activists and organizations to prevent or mitigate burnout, where non-profit organizations are expected to do more with less and pick up service delivery that has historically been the purview of governments. However, current scholarship on self-care in non-profit organizations typically focuses on non-profits in the nursing, mental health and social work sectors. This Major Research Project (MRP) examines women-focused non-profits (including shelters, legal clinics, and women’s rights organizations) to investigate how these organizations frame self-care for their employees. Through qualitative content analysis of interviews with current and former non-profit employees, this project investigates how these narratives are perceived by those employees; what can motivate an organization to implement discussions of self-care; and how narratives of self-care change inside and outside of the workplace.

Communicating self-care in feminism non-profit spaces

Self-care is often used as a way for feminist activists and organizations to prevent or mitigate burnout, where non-profit organizations are expected to do more with less and pick up service delivery that has historically been the purview of governments. However, current scholarship on self-care in non-profit organizations typically focuses on non-profits in the nursing, mental health and social work sectors. This Major Research Project (MRP) examines women-focused non-profits (including shelters, legal clinics, and women’s rights organizations) to investigate how these organizations frame self-care for their employees. Through qualitative content analysis of interviews with current and former non-profit employees, this project investigates how these narratives are perceived by those employees; what can motivate an organization to implement discussions of self-care; and how narratives of self-care change inside and outside of the workplace.

Converting Habits of Antibiotic Use for Respiratory Tract Infections in German Primary Care (Change-3) - Process evaluation of a complex intervention

Background: Antimicrobial resistance remains a global challenge. In Germany, the national health agenda supports measures that enhance the appropriate, guideline-oriented use of antibiotics. The study “Converting Habits of Antibiotic Use for Respiratory Tract Infections in German Primary Care (CHANGE-3)” aimed at a sustainable reduction of antimicrobial resistance through converting patterns of prescribing practice and use of antibiotics and an increase in health literacy in primary care patients, practice teams, and in the general public. Embedded in a cluster-randomized trial of a multifaceted implementation program, a process evaluation focused on the uptake of program components to assess the fidelity of the implementation program in the CHANGE-3 study and to understand utilization of its educational components.Methods: A mix of qualitative and quantitative methods was used. Semi-structured telephone interviews were conducted with General Practitioners, Medical Assistants, patients treated for respiratory tract infection and outreach visitors who had carried out individual outreach visits. A two-wave written survey (T1: 5 months after start, T2: 16 months after start) was conducted in general practitioners and medical assistants. Qualitative data were analyzed using thematic framework analysis. Descriptive statistics were used to analyze survey data.Results: Uptake of intervention components was heterogenous. Across all components, the uptake reported by General Practitioners varied from 20% to 88% at T1 and 31% to 63% at T2. Medical Assistants reported uptake from 22% to 70% at T1 and 6% to 69% at T2. Paper-based components could by and large be integrated in daily practice (64% to 90% in T1; 41% to 93% in T2), but uptake of digital components was low. A one-time outreach visit provided thematic information and feedback regarding actual prescribing, but due to time constraints were received with reluctance by practice teams. Patients were largely unaware of program components, but assumed that information and education could promote health literacy regarding antibiotics use. Conclusions: The process evaluation contributed to understanding the applicability of the delivered educational components with regards to the appropriate use of antibiotics. Future research efforts need to identify the best mode of delivery to reach the targeted population.Trial registration: ISRCTN, ISRCTN15061174. Registered 13 July 2018 – Retrospectively registered, http://www.isrctn.com/ISRCTN15061174

Converting habits of antibiotic use for respiratory tract infections in German primary care (CHANGE-3) - process evaluation of a complex intervention

Background Antimicrobial resistance remains a global challenge. In Germany, the national health agenda supports measures that enhance the appropriate, guideline-oriented use of antibiotics. The study “Converting Habits of Antibiotic Use for Respiratory Tract Infections in German Primary Care (CHANGE-3)” aimed at a sustainable reduction of antimicrobial resistance through converting patterns of prescribing practice and use of antibiotics and an increase in health literacy in primary care patients, practice teams, and in the general public. Embedded in a cluster-randomized trial of a multifaceted implementation program, a process evaluation focused on the uptake of program components to assess the fidelity of the implementation program in the CHANGE-3 study and to understand utilization of its educational components. Methods A mix of qualitative and quantitative methods was used. Semi-structured telephone interviews were conducted with General Practitioners, Medical Assistants, patients treated for respiratory tract infection and outreach visitors who had carried out individual outreach visits. A two-wave written survey (T1: 5 months after start, T2: 16 months after start) was conducted in general practitioners and medical assistants. Qualitative data were analyzed using thematic framework analysis. Descriptive statistics were used to analyze survey data. Results Uptake of intervention components was heterogenous. Across all components, the uptake reported by General Practitioners varied from 20 to 88% at T1 and 31 to 63% at T2. Medical Assistants reported uptake from 22 to 70% at T1 and 6 to 69% at T2. Paper-based components could by and large be integrated in daily practice (64 to 90% in T1; 41 to 93% in T2), but uptake of digital components was low. A one-time outreach visit provided thematic information and feedback regarding actual prescribing, but due to time constraints were received with reluctance by practice teams. Patients were largely unaware of program components, but assumed that information and education could promote health literacy regarding antibiotics use. Conclusions The process evaluation contributed to understanding the applicability of the delivered educational components with regards to the appropriate use of antibiotics. Future research efforts need to identify the best mode of delivery to reach the targeted population. Trial registration ISRCTN, ISRCTN15061174. Registered 13 July 2018 – Retrospectively registered

Converting Habits of Antibiotic Use for Respiratory Tract Infections in German Primary Care (Change-3) - Process evaluation of a complex intervention

Background: Antimicrobial resistance remains a global challenge. In Germany, the national health agenda supports measures that enhance the appropriate, guideline-oriented use of antibiotics. The study “Converting Habits of Antibiotic Use for Respiratory Tract Infections in German Primary Care (CHANGE-3)” aimed at a sustainable reduction of antimicrobial resistance through converting patterns of prescribing and use of antibiotics and an increase in health literacy in primary care patients, practice teams, and in the general public. Embedded in a cluster-randomized trial of a multifaceted implementation program, a process evaluation focused on the uptake of program components to assess the fidelity of the implementation program in the CHANGE-3 study and to understand utilization of its educational components. Methods: A mix of qualitative and quantitative methods was used. Semi-structured telephone interviews were conducted with General Practitioners, Medical Assistants, patients treated for respiratory tract infection and outreach visitors who had carried out individual outreach visits. A two-wave written survey (T1: 5 months after start, T2: 16 months after start) was conducted in general practitioners and medical assistants. Qualitative data were analyzed using thematic framework analysis. Descriptive statistics were used to analyze survey data. Results: Uptake of intervention components was heterogenous. Across all components, the uptake reported by General Practitioners varied from 20% to 88% at T1 and 31% to 63% at T2. Medical Assistants reported uptake from 22% to 70% at T1 and 6% to 69% at T2. Paper-based components could by and large be integrated in daily practice (64% to 90% in T1; 41% to 93% in T2), but uptake of digital components was low. A one-time outreach visit provided thematic information and feedback regarding actual prescribing, but due to time constraints were received with reluctance by practice teams. Patients were largely unaware of program components, but assumed that information and education could promote health literacy regarding antibiotics use. Conclusions: The process evaluation contributed to understanding the applicability of the delivered educational components with regards to the appropriate use of antibiotics. Future research efforts need to identify the best mode of delivery to reach the targeted population. Trial registration: ISRCTN, ISRCTN15061174. Registered 13 July 2018 – Retrospectively registered, http://www.isrctn.com/ISRCTN15061174