Evaluation Of Health Care Providers Research Articles

Lack of associations between hospital rating and outcomes in patients with an acute coronary syndrome

BackgroundPublic reporting of performance data has become a common tool in evaluation of healthcare providers. The rating may be misleading if the association between the measured variables and the outcome...

Knowledge of Healthcare Providers toward New Corona Virus at Directorate of Military Medical Affairs Units

Background: Coronavirus is a rapidly spreading disease also known as COVID-19. The epidemic is causedby a new human coronavirus, previously known as (SARS-COV-2), new coronavirus disease it first appearedin December 2019 among patients who had symptoms of viral pneumonia in Wuhan, China. This study aimsto determine healthcare providers’ knowledge related to coronavirus.Methods: A descriptive design is carried throughout the present study Directorate of Military Medical AffairsUnits (Al- Muthanna Military Hospital, Al-Hussein military Hospital, Al-Shaheed Mubder Military Clinic,Al-Naser Military Clinic, Military Medical School) for the period from January 28th, 2021 to February25th, 2021. The study included a non-probability “purposive” sample of (223) health care providers. Thequestionnaire encompasses two main parts (Health Care Providers Socio-Demographic Characteristics, andHealth Care Providers’ knowledge’s Tool).Data were analyzed using the statistical package for social science. The descriptive statistical measures offrequency, percent, mean, Relative Sufficiency, Percentile Grand Mean of Score, Percentile Global Mean ofScore, Pooled Standard Deviation, and Grand/or Global Relative range, standard deviation, and inferentialstatistical measures of T-test, Chi-Square test, Binomial test, Mann-Whitney test, Contingency Coefficientstest, and Wilcoxon Signed Ranks test.Results: The study results showed that half of the study participants depend on their information about thestudied diseases on the “Center for Disease Control of the World Health Organization”, then 158 (70.9%)depend on government websites and official media, then 109 (48.9%) depend on news media about 148(66.4%) rely on Social media. About 26(11.7%) rely on Journals” only.Conclusion: The researchers concluded that the overall evaluation of healthcare providers’ knowledge ismoderate.
 Recommendation: The researchers recommend that there is a need to conduct further studies on largersample at the national level with the need for an educational program to increase the knowledge of healthcare providers about Corona virus in military medicine.

The Burden of Diabetes-Related Preventable Hospitalization: 11-Year Trend and Associated Factors in a Region of Southern Italy.

(1) Introduction: Diabetes care is complex and delivered by different care providers in different settings across the healthcare system. Better coordination through all levels of care can lead to better outcomes and fewer hospitalizations. Prevention quality indicators (PQIs) for diabetes allow us to monitor diabetes-related avoidable admissions. The aim of this research is to assess the trend of diabetes-related preventable hospitalizations and associated risk factors in a southern Italian region. (2) Methods: The study considered all hospital admissions performed from 2008 to 2018 in the Abruzzo region, Southern Italy. Data were collected from hospital discharge records. Four different indicators were evaluated as follows: short-term complications (PQI-01), long-term complications (PQI-03), uncontrolled diabetes (PQI-14) and lower-extremity amputations (PQI-16). Joinpoint models were used to evaluate the time trends of standardized rates and the average annual percent change (AAPC). (3) Results: During study period, 8660 DRPH were performed: 1298 among PQI-01, 3217 among PQI-03, 1975 among PQI-14 and 2170 among PQI-16. During the study period, PQI-01and PQI-04 showed decreasing trends. An increasing trend was showed by PQI-16. (4) Conclusions: During an 11-year period, admissions for short-term diabetes complications and for uncontrolled diabetes significantly decreased. The use of standardized tools as PQIs can help the evaluation of healthcare providers in developing preventive strategy.

Evaluation of health-care providers' knowledge in the science of aerosol drug delivery: Educational sessions are necessary.

BACKGROUND:Aerosolized drugs are widely used to treat and control a variety of pulmonary diseases. However, there is increasing evidence that patients are unable to use their drug delivery device correctly. The failure of aerosolized treatment is usually the result of poorly communicated instructions. The aim of this investigation was to evaluate the knowledge of health-care providers in the science of aerosol drug delivery (ADD) and assess the impact of further education on their knowledge.MATERIALS AND METHODS:One hundred and seventeen health-care providers attended a 4-hour educational course on ADD science. The course was conducted from June to August 2018 in Jeddah, Riyadh, and Dammam. Pre-course assessment done with a 12-item multiple-choice questionnaire. Post-course assessment was conducted after the end of course in which participants were asked to rate their knowledge of ADD on a scale of 1–10 (before and after the course).RESULTS:Sixty-six health-care providers (physicians, pharmacists, respiratory therapists, and health educators) completed the course. The participants' clinical experience, on average (±standard deviation), was 7.6 ± 7.3 years. Clinical experience favored physicians over other groups. The precourse score for all participants was 3.2 ± 1.9 out of 12 and the postcourse score was 6.97 ± 2.7. There was a significant statistical difference between pre- and postcourse assessment scores (P < 0.05). Differences between the four specialties were insignificant (P = 0.216), without a correlation between clinical experience and preassessment scores (P = 0.202).CONCLUSION:The present data indicate that health-care providers' knowledge of ADD is completely inadequate. There is an urgent need to introduce an ADD educational package in the curricula. An annual competency-based evaluation for health-care providers is critical as well.

PNS29 HEALTH RESEARCH AND BIG DATA IN UKRAINE: PERSPECTIVES AND CONCERNS

The big medical data constitute huge sets of information concerning population characteristics, information about risk factors, prognostic or predictive models, evaluation of healthcare providers, etc., that means integration of different datasets. Today the resources of health data become more numerous. Digital transformation of healthcare is a process that actively evolved during the last decade across the whole world. In Ukraine it was started in 2018 and now it is in process. To date, the national public health database (eHealth) was developed and implemented and more than 24 billion patients (nearly 56% of the total population) have become covered by eHealth system. This reformation will provide exceptional opportunities for the use of medical big data in health economic sand outcomes researches (HEOR). It would be possible to use real-world data, identify specific populations and to build dynamic models that could facilitate decision making in all key fields of Ukrainian healthcare. However, the application of big data concept in Ukraine has a range of limitations and raises some serious ethical concerns. The most important is a quality issue which is caused by a lack of rigorous scientific methodology in conducting such researches, technical obstacles in extracting data and managing datasets, assuring data completeness and accuracy. There is also a lot of ethical concerns stemmed from the release of personal data, lack of transparency, security issues. It is unclear how the concept of informed consent should be used, especially considering the fact that most data are identifiable and some of them might be generated from various sources including payment, administration information, and social media accounts. Therefore, medical big data provide great perspectives for HEOR in Ukraine. However, it needs to study a range of ethical, methodological and legislative concerns and elaborate practical framework for prevention of its future undue using and misunderstanding.

Evaluation of Health-Care Providers' Perception of Spiritual Care and the Obstacles to Its Implementation

Objective:Cancer patients face many health challenges, including spiritual issues. Therefore, an awareness of health-care providers’ perspective on spiritual care provision is important. This study aimed to determine health-care providers’ perception of spiritual care and to examine the individual barriers to its implementation in cancer patients.Methods:The present descriptive study included 136 physicians and nurses. The Spiritual Care Survey was used as a research tool. Data were analyzed through descriptive statistics using IBM SPSS Statistics for Windows, version 20.0.Results:In this study, 70.6% of the participants considered spiritual care to be influential in the patients’ quality of life. However, 64.7% had received no spiritual care training, while 82.4% indicated a willingness to attend these courses. Regarding the obstacles to providing spiritual care, the highest and lowest scores, respectively, belonged to the lack of time and the person's reluctance to talk about spiritual issues.Conclusions:Spiritual care has not yet found its proper place in the care setting of Iran, and health-care team members do not have sufficient training to provide this kind of care despite their belief in its positive impact on patients’ quality of life.

Evaluation of healthcare providers’ approach towards pandemic influenza and their vaccination ratio

Objectives. Pandemic influenza is a contagious disease caused by the new pandemic influenza A H1N1 virus, originated from the genetic combination of human, pig and avian influenza viruses. Our research aimed to determine the level of pandemic influenza vaccination in healthcare providers and the factors influencing this level. Methods. Doctors, midwives and nurses working in primary, secondary and tertiary health institutions in Denizli established the universe of the research. Four nurses visited these health institutions on five workdays between the 4th and 8th of April 2011, informed the healthcare providers that participation to the research was voluntary and handed over data collection forms in the institutions visited. Then, these data collection forms were collected by the same nurses. Research data were analyzed with SPSS package program. Frequency, percentage, chi-square and logistic regression analyses were used in the evaluation. Results. 44.7% of the healthcare providers participating in the study stated that they had been vaccinated with pandemic influenza vaccine. When factors effecting the vaccination decision with pandemic influenza vaccine of the individuals participating the study was evaluated; statistically significant difference between vaccination and occupation ( p =0.001), sex ( p =0.001), and age ( p =0.026) was detected. The proportion of doctors, males and individuals older than 40 years was higher among the vaccinated professionals. Conclusions. It is important to make announcements about vaccination with determination and by taking support from media and non-governmental organizations. Statements and explanations should be released with this in mind and media, and nongovernmental organizations should also take responsibility regarding this matter.

Evaluation of health-care providers’ knowledge of childhood tuberculosis in Lima, Peru

Background:As most national tuberculosis programmes (NTPs) focus on adult tuberculosis (TB), NTP providers may not appreciate differences in the pathophysiology and presentation of childhood TB.Objectives:This study aimed to identify strengths and weaknesses in knowledge of childhood TB among the 326 NTP providers in Lima Ciudad and Lima Este—two of the Peruvian capital’s four health districts.Methods:310 providers—103 physicians, 106 nurses, 101 nursing technicians—accepted personal invitations to complete self-administered surveys, which included 14 childhood TB questions grouped into five sections: transmission, symptoms, diagnosis, prevention and treatment. Physicians were asked ten additional questions targeting their NTP diagnostic and management responsibilities.Results:All three groups scored 97–99% on the transmission section and 83–85% on the treatment section; however, no group scored above 66% on any other section. Fewer than 50% of nurses and technicians recognised young children’s high risk of extrapulmonary TB, extrapulmonary TB symptoms or the causes of false negative tuberculin skin tests. Twenty-three per cent of physicians correctly identified gastric aspirate culture sensitivity, and 42% the radiographical findings of pulmonary TB. Less than two-thirds of providers recognised the definition of latent TB infection (LTBI), young children’s high risk of progression from LTBI to disease or indications for isoniazid preventive therapy.Conclusions:Providers at the frontline of Peru’s TB control efforts demonstrated weaknesses in the areas of extrapulmonary disease, diagnosis and prevention. These knowledge gaps are likely to have resulted in delayed or missed diagnoses and lost opportunities for prevention. Educational interventions targeting NTP personnel may improve childhood TB care and outcomes.