Background: 25% of all people requiring surgical care are not able to access it due to its high cost. These people stand a high risk of preventable severe morbidity and mortality due to poor prognosis of surgically co...Background: 25% of all people requiring surgical care are not able to access it due to its high cost. These people stand a high risk of preventable severe morbidity and mortality due to poor prognosis of surgically correctable illnesses. Ambulatory surgical care services are significantly cheaper than orthodox surgical care and have become very relevant in this time and age where health conditions that can only be treated with surgical intervention are on the rise. The acceptability of ambulatory surgical care services will determine how this model increases universal health coverage. Objective: To assess the acceptability of ambulatory surgical services and its predictors among residents of Budondo Sub-County—Jinja district. Methods: The study was cross-sectional targeting 371 household heads in Budondo Sub-County, which was stratified by parish, with villages in each randomly sampled. Systematic random sampling was used to sample households and households therein were purposively sampled. Structured interviews and questionnaires were the data collection techniques, and data was analyzed in SPSS version 25 using descriptive statistics and a binomial logit model. Results: The level of acceptability of ambulatory surgical care services among residents of Budondo Sub-County was found to be near-universal, at 96.5%. The odds of accepting ambulatory surgical care were least among household heads who agreed that surgery done in a hospital would be cheaper than surgery done at community level (aOR = 0.174 [CI = 0.055 - 0.553]), those who had health insurance (aOR = 0.105 [95% CI = 0.030 - 0.371]), and household heads who were covered with private health insurance (aOR = 0.078 [95% CI = 0.008 - 0.792]). Acceptability of ASC was higher among household heads who agreed that they would trust ambulatory surgical centers with their life were more likely to accept ambulatory surgical care (aOR = 1.124, [95% CI = 1.122 - 3.218], P = 0.000), and household heads from households that had less than five members with surgery history were twice as likely to accept ambulatory surgical care (aOR = 2.431 [95% CI = 1.122 - 5.898], P = 0.000). Conclusion: Acceptability of ambulatory surgical care services among residents of Budondo Sub-County is high, and near-universal. It is mainly predicted by intrapersonal correlates and to a small extent by socio-demographic characteristics, with the implication that the administration of Global Surgical Initiatives in Kyabirwa ought to focus on modifying or uphold the intrapersonal characteristics found to be antagonists and protagonists of acceptability, respectively.展开更多
The Shinto Directive,the official source of the term“State Shinto”,on the one hand defines the concept of“State Shinto”in a narrow sense,and on the other hand reveals its profound connotation and generalized exten...The Shinto Directive,the official source of the term“State Shinto”,on the one hand defines the concept of“State Shinto”in a narrow sense,and on the other hand reveals its profound connotation and generalized extension.In 1945,after the Allied Forces issued the Shinto Directive,Japanese academia carried out in-depth research around“State Shinto”,and gradually formed the“two camps”consisting of scholars who advocated the theory of“State Shinto in a Broad Sense”and insisted on the theory of“State Shinto in a Narrow Sense”.In the process of promoting the democratic reform,the theory of“State Shinto in a Broad Sense”gradually developed into the general theory of“State Shinto”after the war;With the continuous advancement of empirical research,the“State Shinto in a Narrow Sense”gradually rose.While enriching the post-war research of“State Shinto”,it also provided a theoretical basis for historical revisionists to distort and cover up history.Finally,under the situation that the trend of Japanese political right deviation is increasingly intensified,the limitations of the“broad sense”and“narrow sense”camps are broken,and the study of“State Shinto”has entered a new stage.展开更多
文摘Background: 25% of all people requiring surgical care are not able to access it due to its high cost. These people stand a high risk of preventable severe morbidity and mortality due to poor prognosis of surgically correctable illnesses. Ambulatory surgical care services are significantly cheaper than orthodox surgical care and have become very relevant in this time and age where health conditions that can only be treated with surgical intervention are on the rise. The acceptability of ambulatory surgical care services will determine how this model increases universal health coverage. Objective: To assess the acceptability of ambulatory surgical services and its predictors among residents of Budondo Sub-County—Jinja district. Methods: The study was cross-sectional targeting 371 household heads in Budondo Sub-County, which was stratified by parish, with villages in each randomly sampled. Systematic random sampling was used to sample households and households therein were purposively sampled. Structured interviews and questionnaires were the data collection techniques, and data was analyzed in SPSS version 25 using descriptive statistics and a binomial logit model. Results: The level of acceptability of ambulatory surgical care services among residents of Budondo Sub-County was found to be near-universal, at 96.5%. The odds of accepting ambulatory surgical care were least among household heads who agreed that surgery done in a hospital would be cheaper than surgery done at community level (aOR = 0.174 [CI = 0.055 - 0.553]), those who had health insurance (aOR = 0.105 [95% CI = 0.030 - 0.371]), and household heads who were covered with private health insurance (aOR = 0.078 [95% CI = 0.008 - 0.792]). Acceptability of ASC was higher among household heads who agreed that they would trust ambulatory surgical centers with their life were more likely to accept ambulatory surgical care (aOR = 1.124, [95% CI = 1.122 - 3.218], P = 0.000), and household heads from households that had less than five members with surgery history were twice as likely to accept ambulatory surgical care (aOR = 2.431 [95% CI = 1.122 - 5.898], P = 0.000). Conclusion: Acceptability of ambulatory surgical care services among residents of Budondo Sub-County is high, and near-universal. It is mainly predicted by intrapersonal correlates and to a small extent by socio-demographic characteristics, with the implication that the administration of Global Surgical Initiatives in Kyabirwa ought to focus on modifying or uphold the intrapersonal characteristics found to be antagonists and protagonists of acceptability, respectively.
文摘The Shinto Directive,the official source of the term“State Shinto”,on the one hand defines the concept of“State Shinto”in a narrow sense,and on the other hand reveals its profound connotation and generalized extension.In 1945,after the Allied Forces issued the Shinto Directive,Japanese academia carried out in-depth research around“State Shinto”,and gradually formed the“two camps”consisting of scholars who advocated the theory of“State Shinto in a Broad Sense”and insisted on the theory of“State Shinto in a Narrow Sense”.In the process of promoting the democratic reform,the theory of“State Shinto in a Broad Sense”gradually developed into the general theory of“State Shinto”after the war;With the continuous advancement of empirical research,the“State Shinto in a Narrow Sense”gradually rose.While enriching the post-war research of“State Shinto”,it also provided a theoretical basis for historical revisionists to distort and cover up history.Finally,under the situation that the trend of Japanese political right deviation is increasingly intensified,the limitations of the“broad sense”and“narrow sense”camps are broken,and the study of“State Shinto”has entered a new stage.
