Background: Orthopedic surgeons often refer patients to hand therapy following orthopedic injury or surgery to facilitate recovery and maximize outcomes. Patients should be a key part of the shared decision-making pro...Background: Orthopedic surgeons often refer patients to hand therapy following orthopedic injury or surgery to facilitate recovery and maximize outcomes. Patients should be a key part of the shared decision-making process when it comes to their rehabilitation. While there is existing literature investigating factors considered by patients when choosing other medical providers, there are currently no studies investigating factors considered by patients when choosing a hand therapist. Purpose: The purpose of the study is to investigate public perception of factors which are important when choosing a hand therapist. Methods: A convenience sample (N = 220) of adults over the age of 18 completed an anonymous online survey using an internet crowdsourcing platform. Respondents were asked to quantitatively rank the importance of 10 predetermined factors related to selecting a hand therapist. Results: Respondents ranked insurance coverage and credentialing as a certified hand therapist as highest in terms of importance. Conclusion: We found that the factors people consider important when selecting a hand therapist are similar to the factors described in the medical literature that are important when selecting a physician or other healthcare provider. The results have implications for physicians when ensuring continuity of care for their patients.展开更多
Background: Category II tuberculosis (TB) patients (i.e. re-treatment TB patients) are at an increased risk for defaulting on treatment compared to Category I TB patients. Therefore, extra steps need to be taken to he...Background: Category II tuberculosis (TB) patients (i.e. re-treatment TB patients) are at an increased risk for defaulting on treatment compared to Category I TB patients. Therefore, extra steps need to be taken to help Category II TB patients follow through with their treatment. The goal of this study was to examine the effectiveness of three different types of interventions to help improve treatment success rates among Category II patients. Materials and Methods: Three different interventions that were implemented among Category II TB patients in the Bardhaman, Hugli, Malda and Murshidabad districts in West Bengal, India, were: 1) setting up group patient provider meetings (PPMs), 2) making home visits and reinforcing the message of full course of treatment, and 3) linking poor TB patients to social welfare schemes (SWSs) to incentivize them to complete treatment. Results: PPMs and SWSs improved treatment success rates among Category II patients. The treatment success rates for patients who received PPMs and patients who received SWSs were 94.2% and 90.7%, respectively, compared to the 74.5% treatment success rate of patients who received no intervention. The effectiveness of home visits, however, depended on the number of home visits the patient received. Conclusion: PPMs and SWSs improve treatment success among Category II TB patients and may easily be incorporated in Directly Observed Treatment, Short-Course programming as feasible ways. A conclusion regarding home visits, however, could not be drawn from this study.展开更多
BACKGROUND Understanding how patients choose a provider may improve the overall experience by identifying ways to tailor a clinical practice.AIM To identify factors that patients consider important when choosing an or...BACKGROUND Understanding how patients choose a provider may improve the overall experience by identifying ways to tailor a clinical practice.AIM To identify factors that patients consider important when choosing an orthopedic oncologist.METHODS New patients presenting to an orthopedic oncology clinic within a tertiary academic medical center from January 2019 to August 2020 were invited to complete an anonymous survey.The questionnaire consisted of 27 items including a Likert-type assessment of the importance of selection factors.RESULTS A total of 101 new patients with a median age of 66 years(range,14 years to 91 years)responded.Most were referred by another doctor(n=63,62.4%),and of the referring providers,the most frequent specialty was orthopedic surgery(n=32,51%).Using a Likert-type scale with 1 representing‘least important’and 5 representing‘most important’,the most important factor was the hospital reputation(mean,4.65;SD,0.85).Additional factors of importance were the number of years in practice(3.87±1.3)and a primary care provider referral(3.71±1.6).Patients younger than 40 years old found social media(P=0.016)and internet presence(P=0.035)of their surgeon to be more important than older patients.In contrast,older patients considered care within an academic center to be of greater importance than younger patients(P=0.014).CONCLUSION This investigation suggests a primary care referral,as well as hospital and physician reputation,are among the most important factors when selecting an orthopedic oncologist.Furthermore,social media utilization appears to be more important for younger patients.展开更多
THE concept of a 21st century Maritime Silk Road was initiated by Chinese President Xi Jinping during his visit to the ASEAN region in October 2013.President Xi proposed the strategy creatively,considering both the hi...THE concept of a 21st century Maritime Silk Road was initiated by Chinese President Xi Jinping during his visit to the ASEAN region in October 2013.President Xi proposed the strategy creatively,considering both the history of the region and its future against the current global climate.The New Maritime Silk Road and the New Silk Road Economic Belt together construct an important pillar of the Chinese dream of rejuvenating the nation. The idea of the New Maritime Silk Road has a profound historical background; but it is the optimum choice for the future.展开更多
目的评价灵活家庭探视制度对ICU患者谵妄的影响,为针对性干预提供参考。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据等有关灵活家庭探视制度对ICU患者谵妄影响效果的研究,检...目的评价灵活家庭探视制度对ICU患者谵妄的影响,为针对性干预提供参考。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据等有关灵活家庭探视制度对ICU患者谵妄影响效果的研究,检索时限从建库至2023年1月13日,由2名研究者独立筛选文献、提取资料、评价质量后进行Meta分析。结果共纳入17篇文献,Meta分析结果显示,与常规探视制度相比,灵活家庭探视制度能有效降低患者谵妄发生率[OR=0.41,95%CI(0.31,0.55),P<0.05]。结论灵活家庭探视制度可降低ICU患者谵妄发生率。展开更多
目的:系统评价病人参与术前访视的体验及需求,为优化临床护理术前访视质量提供参考。方法:计算机检索PubMed、Web of Science、EMbase、CHINAL、the Cochrane Library、中国知网、维普数据库、万方数据库、中国生物医学文献数据库等有...目的:系统评价病人参与术前访视的体验及需求,为优化临床护理术前访视质量提供参考。方法:计算机检索PubMed、Web of Science、EMbase、CHINAL、the Cochrane Library、中国知网、维普数据库、万方数据库、中国生物医学文献数据库等有关护患参与的术前访视体验及需求的质性研究文献。检索时限为建库至2023年10月。依据2016版澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心制定的质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对结果进行整合分析。结果:共纳入11篇文献,包括6项现象学研究、5项描述性质性研究;提炼出44个研究结果,归纳为10个新类别,综合成3个整合结果:病人在术前阶段承受身心压力;多方面支持的需求;正性行为可促进病人健康。结论:现有证据表明,术前访视阶段,护理工作应聚焦于病人的心理情绪及信息需求,提供多方面的支持,协助病人平稳度过术前阶段,增强疾病康复信心,提升整体满意度。展开更多
文摘Background: Orthopedic surgeons often refer patients to hand therapy following orthopedic injury or surgery to facilitate recovery and maximize outcomes. Patients should be a key part of the shared decision-making process when it comes to their rehabilitation. While there is existing literature investigating factors considered by patients when choosing other medical providers, there are currently no studies investigating factors considered by patients when choosing a hand therapist. Purpose: The purpose of the study is to investigate public perception of factors which are important when choosing a hand therapist. Methods: A convenience sample (N = 220) of adults over the age of 18 completed an anonymous online survey using an internet crowdsourcing platform. Respondents were asked to quantitatively rank the importance of 10 predetermined factors related to selecting a hand therapist. Results: Respondents ranked insurance coverage and credentialing as a certified hand therapist as highest in terms of importance. Conclusion: We found that the factors people consider important when selecting a hand therapist are similar to the factors described in the medical literature that are important when selecting a physician or other healthcare provider. The results have implications for physicians when ensuring continuity of care for their patients.
文摘Background: Category II tuberculosis (TB) patients (i.e. re-treatment TB patients) are at an increased risk for defaulting on treatment compared to Category I TB patients. Therefore, extra steps need to be taken to help Category II TB patients follow through with their treatment. The goal of this study was to examine the effectiveness of three different types of interventions to help improve treatment success rates among Category II patients. Materials and Methods: Three different interventions that were implemented among Category II TB patients in the Bardhaman, Hugli, Malda and Murshidabad districts in West Bengal, India, were: 1) setting up group patient provider meetings (PPMs), 2) making home visits and reinforcing the message of full course of treatment, and 3) linking poor TB patients to social welfare schemes (SWSs) to incentivize them to complete treatment. Results: PPMs and SWSs improved treatment success rates among Category II patients. The treatment success rates for patients who received PPMs and patients who received SWSs were 94.2% and 90.7%, respectively, compared to the 74.5% treatment success rate of patients who received no intervention. The effectiveness of home visits, however, depended on the number of home visits the patient received. Conclusion: PPMs and SWSs improve treatment success among Category II TB patients and may easily be incorporated in Directly Observed Treatment, Short-Course programming as feasible ways. A conclusion regarding home visits, however, could not be drawn from this study.
文摘BACKGROUND Understanding how patients choose a provider may improve the overall experience by identifying ways to tailor a clinical practice.AIM To identify factors that patients consider important when choosing an orthopedic oncologist.METHODS New patients presenting to an orthopedic oncology clinic within a tertiary academic medical center from January 2019 to August 2020 were invited to complete an anonymous survey.The questionnaire consisted of 27 items including a Likert-type assessment of the importance of selection factors.RESULTS A total of 101 new patients with a median age of 66 years(range,14 years to 91 years)responded.Most were referred by another doctor(n=63,62.4%),and of the referring providers,the most frequent specialty was orthopedic surgery(n=32,51%).Using a Likert-type scale with 1 representing‘least important’and 5 representing‘most important’,the most important factor was the hospital reputation(mean,4.65;SD,0.85).Additional factors of importance were the number of years in practice(3.87±1.3)and a primary care provider referral(3.71±1.6).Patients younger than 40 years old found social media(P=0.016)and internet presence(P=0.035)of their surgeon to be more important than older patients.In contrast,older patients considered care within an academic center to be of greater importance than younger patients(P=0.014).CONCLUSION This investigation suggests a primary care referral,as well as hospital and physician reputation,are among the most important factors when selecting an orthopedic oncologist.Furthermore,social media utilization appears to be more important for younger patients.
文摘THE concept of a 21st century Maritime Silk Road was initiated by Chinese President Xi Jinping during his visit to the ASEAN region in October 2013.President Xi proposed the strategy creatively,considering both the history of the region and its future against the current global climate.The New Maritime Silk Road and the New Silk Road Economic Belt together construct an important pillar of the Chinese dream of rejuvenating the nation. The idea of the New Maritime Silk Road has a profound historical background; but it is the optimum choice for the future.
文摘目的评价灵活家庭探视制度对ICU患者谵妄的影响,为针对性干预提供参考。方法计算机检索PubMed、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据等有关灵活家庭探视制度对ICU患者谵妄影响效果的研究,检索时限从建库至2023年1月13日,由2名研究者独立筛选文献、提取资料、评价质量后进行Meta分析。结果共纳入17篇文献,Meta分析结果显示,与常规探视制度相比,灵活家庭探视制度能有效降低患者谵妄发生率[OR=0.41,95%CI(0.31,0.55),P<0.05]。结论灵活家庭探视制度可降低ICU患者谵妄发生率。
文摘目的:系统评价病人参与术前访视的体验及需求,为优化临床护理术前访视质量提供参考。方法:计算机检索PubMed、Web of Science、EMbase、CHINAL、the Cochrane Library、中国知网、维普数据库、万方数据库、中国生物医学文献数据库等有关护患参与的术前访视体验及需求的质性研究文献。检索时限为建库至2023年10月。依据2016版澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心制定的质性研究质量评价标准进行文献质量评价,采用汇集性整合方法对结果进行整合分析。结果:共纳入11篇文献,包括6项现象学研究、5项描述性质性研究;提炼出44个研究结果,归纳为10个新类别,综合成3个整合结果:病人在术前阶段承受身心压力;多方面支持的需求;正性行为可促进病人健康。结论:现有证据表明,术前访视阶段,护理工作应聚焦于病人的心理情绪及信息需求,提供多方面的支持,协助病人平稳度过术前阶段,增强疾病康复信心,提升整体满意度。
