Main Reasons For Dissatisfaction Research Articles

Discrepancies of Functional Requirements of Façade Opening System between Real-Life Public and Built Environment Experts Focusing on Thermal Comfort and Ventilation

A survey was conducted to analyze the discrepancies of the functional requirements of the façade system in residential units among 605 of the real-life public and 73 experts. Personal and housing information, resident life patterns, public façade usage behavior, and functional requirements were collected from the respondents. Both the public and experts recognized insulation as the main function of façade opening systems. More than 85% of the public and experts opened windows for ventilation, but ventilation was ranked 3rd amongst the public and 4th amongst experts in the main functions list of façade systems. The public cited the inflow of fine dust as the main reason for dissatisfaction with opening windows. In contrast, the experts cited a decrease in thermal comfort due to the inflow of external moisture as the reason for dissatisfaction with opening windows. The results showed that discrepancies exist between the public and experts’ perceptions of the main function of housing façade systems. Analyzing the common points and differences between the public and experts’ perception can help in developing façade system design and control technology.

Analysis of satisfaction of stroke patients with medical rehabilitation using multimodal correction technology

Introduction. The quality of medical care is determined not only by the dynamics of functional recovery, but also depends on the patient satisfaction index, which is highly informative and should be used in in its assessment. Aim. To study and analyze the level of satisfaction of patients after ischemic stroke (IS) with the quality of MR services provided using the technology of multimodal correction of motor and cognitive disorders in the early recovery period.Materials and methods. An anonymous survey was conducted of 186 patients with IS who underwent rehabilitation in inpatient and outpatient settings at the Moscow Research and Practice Center for Medical Rehabilitation, Restorative and Sports Medicine named after S.I. Spasokukotsky, using a specially designed questionnaire including 20 questions, as well as an analysis of medical and social factors affecting MR satisfaction.Results. The majority of respondents (89.8%) were generally satisfied the results of MR, while more than half (65%) plan to undergo further MR using this technology. According to respondents, the favorable result of MR is influenced by the presence of relatives next to the patient (76.0%) and in 14.0% by the presence of a nurse, the availability of special training in rehabilitation of doctors and nursing staff (38%), awareness of the impact of rehabilitation measures for their existing functional disorders (94%). Almost three quarters of respondents noted that the individual regime of the rehabilitation program has the greatest impact on the successful outcome of rehabilitation (72.0%). At the same time, two thirds of specialists consider an important aspect to be the comprehensive work of all specialists engaged in MR (64.0%). The medical staff was highly appreciated by 44.1%, 34.9% and 21.0% highly. 36% of patients are highly satisfied with the results of MR, 42% are quite satisfied, and 16% of respondents gave an assessment of “average, normal”. Among the main reasons for dissatisfaction with MR are remoteness of residence from a medical organization, absence of relatives during the course of MR, the long duration of the MR course, lack of awareness information about the impact of multimodal correction technology on the restoration of impaired functions.Conclusions. Based on the analysis of the overall patient satisfaction with the medical care provided by MR for stroke patients, using the technology of multimodal correction of motor and cognitive impairments, directions for improving the quality of medical services were identified.

Research practice, satisfaction, motivation, and challenges among university academics in Kurdistan Region of Iraq.

Researchers in universities and academic institutions must be in a leading position in generating research evidence to inform and direct national policies and strategies, improve service delivery, and achieve the main objectives. This study aimed to determine the factors that promote or hinder research productivity and quality among university academics in Kurdistan Region of Iraq. A cross-sectional study was conducted on 949 university academics from all public universities in the Kurdistan Region of Iraq. The authors developed a questionnaire that included sociodemographic data, challenges, satisfaction, and motivation for conducting research. Data were collected using a Google form. Frequencies, percentages, and the Chi-square test were used to analyze the data. Most university academics (94.6%) believed that research was part of their job, but only 51.6% were satisfied with their role as academic researchers. The lack of financial motivation was the main reason for dissatisfaction, while the main incentive to conduct research was the passion for science. Around 21% of the university academics had not published any research, while 53.1% published 1-5 articles. Half of the participants (49.7%) lacked training in writing research proposals, and the majority (86.1%) have not applied for international grants. Approximately half of university academics (46.9%) shared their research findings with stakeholders, and the primary method was by sharing their published papers (59.4%), followed by seminars (42.2%). One of the important challenges in conducting research was the lack of funding (62.8%). The academics at universities in the Kurdistan Region of Iraq are passionate about their role as researchers, but face many challenges in conducting effective research. A strategic plan is needed to provide an encouraging environment for university academics regarding infrastructure, financial, and technical support. More studies are needed to identify the root factors of academic staff needs and challenges.

Skin-Tarsus-Skin Combined with Orbicularis-Tarsus-Orbicularis Fixation Technique Creates a Double Eyelid: A Case Series.

The skin-tarsus-skin and orbicularis-tarsus-orbicularis fixation methods are widely used in double-eyelid surgery. Both methods have limitations. In this study, the two surgical methods were integrated and applied to form a stable double eyelid that mimics the natural physiological structure with minimal visible scarring. At the inner, middle, and outer sites of the double-eyelid line, 7-0 silk sutures were passed successively through the orbicularis oculi muscle at the lower edge of the incision, the tarsus/anterior tarsus tissue, and the orbicularis oculi muscle at the upper edge of the incision, and the skin was sutured with 8-0 thread. The remaining parts were fixed with 8-0 silk sutures successively passed through the skin at the lower edge of the incision, tarsus/anterior tarsus tissue, and skin at the upper edge of the incision. Scar formation, incidence of complications, and patient satisfaction were observed and recorded during follow-up. Fifty-eight patients were included. The follow-up ranged from 3 to 24 months (mean, 8 months) with 47 patients undergoing primary and 11 secondary/revision surgery. Twelve cases showed slight linear scars and in 46 cases, surgical marks were almost invisible, and there were no dynamic depressed scars. Evaluation of patient satisfaction showed high satisfaction scores (VAS score, 8.56 ± 0.51). The main reason for dissatisfaction was asymmetry of the double eyelid. There were no significant complications. A skin-tarsus-skin combined with orbicularis-tarsus-orbicularis fixation technique can produce a long-lasting, natural-looking double eyelid.

Analytical review of court decisions on claims of patients to medical organizations

Introduction. The professional activity of medical workers is regulated by legislation aimed at reducing risks for patients. In recent years, the number of patient lawsuits against medical institutions has increased significantly. The main reasons for dissatisfaction with the quality of medical care are errors in medical documentation, medical errors and non-compliance with the principles of medical ethics. The analysis of judicial practice is important for optimizing court costs and resolving conflicts in a pre-trial manner.The purpose of the study is to analyze the court decisions made on the claims of citizens to a medical organization on the quality and result of medical care.Methods. The study analyzed 56 decisions of the courts of general instance issued over five years – from 2018 to 2022, in court proceedings in which clinical hospitals appeared as a defendant.The main conclusions that can be distinguished from the analysis are that most cases involving compensation for moral damage from medical institutions are based on incorrect treatment, incorrect diagnosis or violation of the right to preferential medical services. In some cases, the courts take the side of the defendant, reject the claim or conclude a settlement agreement. In cases of defeat in court, hospitals pay moral compensation to plaintiffs in various amounts, from 2 thousand to 1.3 million rubles.

Aesthetic Augmentation of the Trochanteric Gluteal Region in Patients with Gender Dysphoria: Lipoinjection, Gluteal Implants, and Hip Implants

Background: One of the surgical procedures most requested by patients with gender dysphoria is gluteus-trochanteric improvement, and there are few scientific reports on managing this region. We present our 14-year surgical experience combining different surgical procedures for trochanteric gluteal improvement in patients with gender dysphoria. Methods: From October 2007 to December 2022, patients with male-to-female gender dysphoria who requested feminization of the trochanteric gluteal region were operated on, undergoing combined liposuction, lipoinjection, and gluteal (GI) and hip implant (HI) placement. Results: One hundred seventy-two patients aged between 23 and 56 years (mean: 36.4 years) were included, with follow-up from 3 to 45 months (mean: 26 years). Lipoinjection alone was performed on buttocks and hips in 132 patients (76.7%), GIs plus hip lipoinjection were performed in 22 patients (12.7%), and 18 patients (10.4%) underwent GIs and HIs. Lipoinjection was added to eight patients in this last group. The overall satisfaction in all groups was 89%. The main reason for dissatisfaction was volume loss secondary to fat reabsorption (8%). There were no significant complications, with the most common adverse events being HI displacement in two of 18 patients (11.11%) and wound dehiscence secondary to GI placement in four of 40 patients (10%). Conclusion: With the appropriate combination of liposuction, lipoinjection, GIs, and HIs, it is possible to feminize the trochanteric gluteal region with highly satisfactory results.

Patient satisfaction and associated factor at red cross pharmacies in Addis Ababa, Ethiopia

BackgroundPatient satisfaction is a crucial aspect of healthcare, reflecting the positive feelings patients experience when using a service. It serves as an indicator of the gap between expected and actual service quality from the patient's perspective. Measuring patient satisfaction is recommended for healthcare providers at all levels as it contributes to improvement efforts. In recent times, pharmacy services have evolved beyond merely supplying medications to becoming more patient-centered and caring. Given the high number of patients relying on the limited Red Cross community pharmacies in the city, this study aims to assess patient satisfaction and identify factors associated with patient satisfaction towards Red Cross Pharmacies in Addis Ababa, Ethiopia.Patients and methodsCross sectional study design was conducted from August 15 to August 30, 2022 in three Red Cross Pharmacies in Addis Ababa. Patients were selected by Convenience sampling technique. Structured questionnaire was used to assess patient satisfaction. Bivariate and Multivariate logistic regression were computed to assess statistical association between the outcome variable, and independent variables. SPSS version 21 was used for analysis.ResultsFour hundred seven participants were willing and completed the study. The overall satisfaction towards Red Cross pharmacy service was 60.4%. Inadequate counselling was main reason for dissatisfaction (45%). Regarding associated factors, unavailability of some medications (Adjusted odds ratio = 0.393, 95% CI: 0.208–0.741), unfair medication cost (Adjusted odds ratio = 0.613, 95% CI: 0.607–0.910), and lack of organized pharmacy work flow (Adjusted odds ratio = 0.105, 95% CI: 0.049–0.221) were negatively associated with clients’ satisfaction.ConclusionThis study provides significant insights into patient satisfaction with Red Cross pharmacy services in Addis Ababa, Ethiopia, revealing an overall patient satisfaction rate of 60.4%. While a substantial number of patients had positive experiences, dissatisfaction due to inadequate counseling was a notable concern. Factors negatively associated with patient satisfaction, including medication unavailability, unfair cost, and a lack of organized workflow, further highlight the need for targeted interventions to improve patient experiences. Addressing these issues will be critical to enhance pharmaceutical care services and bridge the gap between patient needs and satisfaction.

Excessive workload and insufficient night-shift remuneration are key elements of dissatisfaction at work for French neonatologists.

Neonatologists are exposed to ethical issues and unplanned emergencies that require 24-h in-house coverage. These elements may affect quality of life at work, which we surveyed. This was a self-administered, voluntary and anonymous cross-sectional survey of French neonatologists. An online questionnaire was sent to members of the French Society of Neonatology from June to October 2022. Of approximately 1500 possible responses, 721 were analysed, with a response rate of 48%. Respondents were mostly women (77%), aged 35-50 years (50%), and hospital practitioners (63%). Reported weekly working time was over 50 h for 80%. Among the 650 neonatologists with on-call duty, 47% worked ≥5 shifts per month. For 80% of practitioners, on-call duty was perceived to have a negative impact on personal life; 49% indicated having sleep disorders. The mean satisfaction score at work was 5.7 ± 1.7 on a scale of 0-10. The main reasons for dissatisfaction were excessive working hours and insufficient remuneration for on-call duty. This first evaluation of the quality of life at work of French neonatologists showed high workload. The working conditions and specificities of NICU activity may have significant consequences for their mental health.

Трудовая мобильность молодежи: потенциал и факторы его активизации в современных российских условиях

The article substantiates the author’s interpretation of labor mobility potential and the factors of its activation in line with the subjective mobility concept. Its empirical verification is carried out on the basis of the analysis of the mass survey data and in-depth interviews conducted by the author among the young people employed in the economy of Kursk region, and their comparison with the results of all-Russian and regional studies. The research reveals a relatively high potential for labor mobility of working youth, expressed in the readiness to change jobs in the near future. About half of the young people employed in the economy can be attributed to the social base of potential labor mobility, within which there are two significant groups: some of them have a clearly defined attitude to change jobs in the near future, the second one allows such changes in their employment status. It determines the key role of two groups of factors in activating the potential of youth labor mobility. The first of them includes the intentions of young people to realize themselves and their professional potential in labor activity and career in a new job; the second one is represented by the main reasons for dissatisfaction with the working conditions at the current job – the level of wages and the amount of workload. The research establishes the prevalence in the youth environment of employment not according to the profile of the received profession (specialty), and young people’s lack of assessment of the discrepancy between work and profession as a causal factor for changing jobs and as an obstacle to their career.

Assessment of patient satisfaction with orthodontic services provided in medical organizations of various forms of ownership

The study of expectations and satisfaction with the quality of orthodontic care provided to children in public and private dental organizations. The study was conducted at the clinical bases of the Borovsky Institute of Dentistry of the Sechenov First Moscow State Medical University, Vladimirsky Moscow Regional Research Clinical Institute, Videntis LLC in the period from January to April 2022. An anonymous questionnaire was developed for the study: "Questionnaire for patients to assess the quality and conditions of orthodontic medical services in a medical organization". All data are processed using the statistical software SPSS v. 20. According to respondents, the quality of service in both public and private dental organizations depends on the material and technical equipment of the medical organization, the attitude of medical personnel, the duration of treatment and the qualifications of orthodontists. Satisfaction of orthodontic care in public dental organizations corresponded to a high level in 73.4% of cases, an average level of 15.6% of cases, a low level in 11.0% of cases; in private dental organizations, a high level was noted in 98.8% of cases, an average level in 1.2% of cases, a low level in 0% of cases (in private dental organizations, not a single respondent noted the quality of services provided as low). Among the main reasons for dissatisfaction with the service of patients, the lack of diagnostic equipment, the unfriendly attitude of the secondary medical and administrative staff, as well as the duration of treatment should be highlighted. A sociological survey to assess patient satisfaction is a tool for determining the effectiveness of any medical organization, while the assessment of the quality of service of respondents depends on the material and technical equipment of the dental organization, the attitude of medical personnel, the duration of treatment and the qualifications of orthodontists. In this regard, it is very important to apply this method of satisfaction assessment when providing high-quality orthodontic care to children both in public and private dental organizations in order to improve the quality of service in a dental medical organization.

Impact of Patient and Physician Disconnect on Satisfaction with Treatment for Atopic Dermatitis in Japan.

Atopic dermatitis (AD) is an inflammatory disease causing severe skin itching. Data on patient-physician disconnect on treatment satisfaction in patients with AD in Japan are limited. We investigated patient-physician disconnect on treatment satisfaction in AD and if it influences treatment patterns, clinical characteristics, and patient-reported outcomes (PROs). Data were drawn from the Adelphi AD Disease Specific Programme (DSP), a real-world, point-in-time survey of physicians and patients with AD conducted in Japan from April to July 2019. Patients and physicians were grouped according to level of treatment satisfaction ("extremely satisfied" to "extremely dissatisfied"); with any level of dissatisfaction recorded as "less than satisfied." Data were collected on treatment patterns, clinical characteristics, and PROs including the Dermatology Life Quality Index (DLQI), Patient-Oriented Eczema Measure (POEM), EQ-5D-3L questionnaire, and Work Productivity and Activity Impairment (WPAI) questionnaire. Data were provided by 184 patients with AD and 56 physicians; 72.8% of patient-physician pairs reported a fair (kappa coefficient: 0.40) level of agreement on treatment satisfaction, 51.6% of patient-physician pairs were both satisfied, and 21.2% were both less than satisfied. Satisfied physicians prescribed a mean 1.2 fewer treatments than dissatisfied physicians (p < 0.05). Cases where both physician and patient were less than satisfied or where patients were less satisfied than their physicians reported the worst PROs, DLQI (both less than satisfied: mean 10.7 versus patient less satisfied than physician: 10.6 versus overall: 7.9), POEM (19.5 versus 17.3 versus 17.0), EQ-5D-3L (0.82 versus 0.81 versus 0.87) (all, p < 0.05). Work impairment was highest when both patient and physician were less than satisfied (p < 0.05). Physicians cited treatment efficacy and patients cited efficacy and usability as main reasons for dissatisfaction. Overall, 12.0% of patients were less satisfied with their AD treatment than the physician, demonstrating some of the worst PROs, suggesting unmet need that could be improved by better patient-physician communication.

Reducción mamaria con implantes: serie de casos, técnica operatoria y resultados a largo plazo.

Breast reduction techniques have been considered functional procedures proposed to reduce the volume and elevate the position of the nipple-areola complex. Traditionally these techniques were performed as mostly functional procedures. The main reasons for dissatisfaction after a reduction technique are breasts with a deflated appearance due to alteration of the shape, particularly of the upper pole, and simultaneously, the high frequency in the appearance of pseudoptosis in the medium and long term. All this contributes to the patients' desire for secondary surgeries or refinements. We know that currently the demands and expectations of our patients are increasing, and they specifically request a better aesthetic outcome. We present our experience and surgical approach to breast reduction, using a superior base flap in combination with implants. We believe that the results are more stable in the long term and with low complication rates. According to what has been reported in the literature, our casuistry represents the most extensive to date.

The School of the Future is the School of Life and an Environment of Opportunities. Interview with Anna Vysotskaya

Every parent wants the best for their child, including a good education. According to a study by Skysmart, an online school for kids and teens, only 55% of parents surveyed are generally satisfied with their children’s schooling. The main reason for dissatisfaction is the lack of a personalized approach to the child. Educational consultants and coaches are there to help parents in choosing the best school. The editors of Positive Changes Journal talked to Anna Vysotskaya, a neuropsychologist and education expert who consults over 1,000 parents a year on choosing a school for their children.

Assessment of Parental Satisfaction with Day-Care Surgical Services in a Tertiary Level Pediatric Hospital

Background: Parental feedback is important for improving quality of the surgical services provided.Objective: This study was conducted to assess the level of satisfaction of parents with the day-care surgical services so as to find out where improvement is needed. Methods: This was an observational cross sectional study conducted in the Department of Pediatric Surgery, National Institute of Child Health, Jinnah Sindh Medical University Karachi from September 2019 to April 2020. The parents of the children who underwent different day-care surgical procedures were included. A validated Parent Satisfaction Scale (PSS) which consist of 11-items was used. The responses were made according to Likert scale. Three groups of satisfied, undecided and unsatisfied study participants were made according to the scores obtained. The socio-demographic variables including age of parents and children, level of education, and income group were compared amongst study groups. Results: Total of 114 parents participated. The most common procedure performed was inguinal herniotomy (n=59). Seven (6%) patients were brought back after discharge due to pain. Eighty-seven (76.30%) parents were satisfied with the services provided while 18 (15.8%) were unsatisfied and 9 (7.9%) undecided. A significant difference in the satisfaction level of the study participants noted with respect to the mean age of parents (p=0.039), level of education (p&lt; 0.001) and income groups (p&lt; 0.001). Conclusion: Majority of the study participants were satisfied with the surgical services provided. Lack of respect given by the hospital staff and delay in getting treatment were the main reasons for dissatisfaction. Socio-demographic characteristics of the study participants were significantly associated with the level of satisfaction.

ОЦЕНКА РОДИТЕЛЯМИ МЕДИЦИНСКОЙ ПОМОЩИ ИХ ДЕТЯМ С БРОНХИАЛЬНОЙ АСТМОЙ, ИМЕЮЩИМ КОМОРБИДНУЮ ПАТОЛОГИЮ

Currently, there is a steady increase in the number of children suffering from two or more diseases simultaneously occurring. In this regard, the assessment by parents of the medical care received by children with concomitant diseases is highly relevant. Aim. The aim of the study is to study the satisfaction of parents with medical care provided to patients with bronchial asthma and children with comorbid pathology. Material and methods. On the basis of the regional children’s clinical hospital, a selective sociological study was carried out, in which 368 parents of children aged 7 to 14 years old, patients with bronchial asthma with concomitant pathology, took part. Study design: single-center, non-randomized, uncontrolled study. Results and discussion. In the opinion of only 36.4% of the parents surveyed, inpatient medical care provided to their children is always available. The availability of outpatient care was positively assessed by only 29.5% of the respondents. In this case, the main reasons for dissatisfaction were called insufficient provision of the specified specialists and a long wait for the day of admission. The majority (81.8%) of the respondents would like to receive consultations from specialists of other profiles, taking into account concomitant diseases, when the child is in the pulmonary department of the hospital. At the same time, according to almost every second parent, the level of consultation of various specialists is higher in hospitals than in children’s polyclinics. Among the respondents, 69.3% considered themselves sufficiently informed on the issues of bronchial asthma in children. However, the results of the survey showed that only 69% of parents always follow medical recommendations. Conclusion. The presence of concomitant pathology in childhood, including with such a fairly common chronic disease such as bronchial asthma, requires special medical and organizational approaches to treatment. At the same time, it is necessary to take into account the opinion of the legal representatives of children on the availability and quality of medical care provided.

How does colpocleisis for pelvic organ prolapse in older women affect quality of life, body image, and sexuality? A critical review of the literature.

Colpocleisis is a surgical treatment for pelvic organ prolapse that results in vaginal obliteration. This review aims to systematically evaluate the quality of life, changes in body image, regret, and impact on sexual activity in women after colpocleisis. A review was conducted using the PubMed and Scopus databases with search criteria specifying pelvic organ prolapse, colpocleisis, quality of life, body image, regret, sexuality, and their synonyms. For the selection of the eligible articles, we used the PRISMA reporting system. A total of 1285 articles were found. After removing duplicates and applying the inclusion and exclusion criteria, 30 articles were reviewed in full length. Quality of life after colpocleisis was evaluated in 22 articles, and 20 authors used validated questionnaires. All concluded that quality of life improved after surgical treatment. Twenty-one articles studied regret after obliterative treatment for pelvic organ prolapse. Most of the patients reported no regret. Regret was often due to bowel and bladder symptoms. A few patients reported regret because of loss of coital function. Body image was highlighted in six studies. Three articles assessed body image using the modified Body Image scale. The body image scores demonstrated a significant improvement after surgery. Women tended to remain sexually active and some also regained sexual activities after surgery. Colpocleisis remains a viable option for pelvic organ prolapse, without compromising quality of life, body image, or sexuality, but diligent patient selection is needed. Particular concern should be given to bladder and bowel symptoms since these are the main reason for dissatisfaction after colpocleisis.

S131: REGIONAL ASSESSMENT OF THE EXPERIENCES OF HEALTHCARE PROFESSIONALS (HCPS) TREATING PATIENTS WITH SICKLE CELL DISEASE (SCD): THE INTERNATIONAL SICKLE CELL WORLD ASSESSMENT SURVEY (SWAY)

Background: SCD has a high clinical burden, results in poor quality of life (QoL) and reduces life expectancy in many patients (pts). To improve treatment/management, it is important to gain a deeper understanding of pt and HCP experiences. Aims: SWAY was a cross-sectional survey that assessed pt and HCP experiences of SCD. Here we focus on the experiences of HCPs from various regions on SCD symptoms and complications, impact of SCD on QoL, treatment goals and treatment satisfaction. Methods: SWAY was an international cross-sectional survey developed by international expert physicians, pt advocates and Novartis to assess pt and HCP experiences of SCD. Here we focus on the experiences of 365 HCPs who manage ≥10 SCD pts (≥5 in Canada, ≥2 in the Netherlands) and who completed the survey in April–October 2019. Responses to questions on how much SCD impacts pts’ emotional wellbeing, QoL and daily life, as well as HCP treatment satisfaction, were ranked on a Likert scale (1–7: 1=not at all/strongly dissatisfied, 7=a great deal/strongly satisfied; 5–7 indicated high impact/satisfaction). Results: HCPs in all six regions recognized the prevalence of acute and chronic pain (although less frequently in Africa vs other regions; Table). Acute chest syndrome and joint issues were among the five most common complications reported by HCPs in all regions. Globally, HCPs noted the high impact of SCD on emotional wellbeing (71–97%) and of symptoms/complications on QoL (79–100%). Fewer HCPs in the Middle East (ME) reported a high impact of SCD on physical and sexual activity compared with other regions (Figure). Around 40% of HCPs in the ME and Asia thought that SCD has a high impact on daily activities, compared with 77–90% in other regions. In Asia, fewer HCPs reported that SCD has a high impact on pts’ education (48%) and ability to maintain a job (43%) compared with other regions (69–90% and 56–90%, respectively). Hydroxyurea (HU) was among the three most common therapies ever initiated and the therapy most likely to be initiated in any age group by HCPs in all regions except Africa (Table). Improving pts’ QoL was the top treatment goal for HCPs across all regions (51–84%). Fewer HCPs in North America (32%), South America (27%) and Europe (46%) were highly satisfied with current SCD treatments compared with other regions (62–72%); the main reason for dissatisfaction was limited treatment options in all regions except Asia. Summary: The most frequent SCD symptoms/complications that HCPs reported were similar across all regions. However, regional differences in HCP experiences of how SCD impacts pts’ daily life exist (eg fewer HCPs reported a high impact on physical/sexual activity in the ME, on daily activities in the ME/Asia, and on education/work in Asia, vs other regions), which may be explained by cultural variations. HU was one of the three most common prior treatments in all regions except Africa, which may indicate an educational knowledge gap, particularly as the HCPs from Africa who completed the survey were primarily non-specialists. This could also reflect poor access to HU and/or its high cost in Africa. HCPs in most regions were dissatisfied with SCD treatments because of limited options, indicating a global unmet need for additional treatment choices. Improving QoL was the main treatment goal for HCPs in all regions, which may be indicative of a high negative impact of SCD on pt QoL and the ongoing need to address this.

Experiences of Sickle Cell Disease (SCD) Reported By Healthcare Professionals (HCPs) across Different Regions: International Sickle Cell World Assessment Survey (SWAY)

Experiences of Sickle Cell Disease (SCD) Reported By Healthcare Professionals (HCPs) across Different Regions: International Sickle Cell World Assessment Survey (SWAY)

Report of the \u201csatisfaction\u201d survey amongst public health services nurses in Port Said

BackgroundThere is a paucity of evidence regarding the job experience of nurses in Egypt. An unpublished previous pilot study conducted in the Port Said Technical Nursing Institute, which was based on 36 participants, showed that almost half of nurses were satisfied with their job; on the other hand, nurses indicated low salaries and high work-loads as main reasons for dissatisfaction. We explored job satisfaction of nurses working in public health services of the Port Said Governorate to inform future healthcare policy.MethodsA cross-sectional study including nurses from different public health services was conducted. Questionnaires were delivered in a sample of primary health care facilities as well as in the Port Said Governorate public hospital. Following a literature review, eight components were identified as contributors to job satisfaction; two closed questions for each of the eight components and two open questions were devised for a total of 18 questions.ResultsThe final study population consisted of 285 individuals. Almost 40.0% of the participants felt safe in their clinical environment while around 10.0% disagree on this. Almost 70.0% of participants complained about high work-load due to shortage of staff in the respective clinical area. Almost 85.0% of nurses reported that their salary did not cover living cost while only 13.0% indicated earning a fair salary. Almost 60.0% agreed with the fact that they have regular opportunities to develop in their career.ConclusionIncreasing job satisfaction among nurses in Egypt is critical to ensure quality of care for patients. Issues such as salary, staffing and cooperation with colleagues deserve specific attention.

Periodic health examinations during a pandemic

Introduction: The coronavirus pandemic has changed daily lives. These changes affect many aspects of lives including periodic health examinations. Specialists warn that in the era of the pandemic people abandon examinations. This is a very dangerous phenomenon, which can negatively affect health and general well-being. The aim of this study was to determine the frequency of periodic health examinations during the pandemic period including the use of telephone advice services. Material and methods: The study was carried out in March 2021 among 147 people (120 women and 27 men), in the age range of 18-76 years. The study was carried out by the method of diagnostic survey, with the use of questionnaire technique (authors’ questionnaire). Questions included knowledge of prevention, frequency of periodic health examinations, and health services received by the respondents during the pandemic. Analysis of the survey results provided information on current health problems, time of diagnosis, and course of treatment to date. Results: During the pandemic, the majority of respondents had the opportunity to use a telephone advice, with women more likely to use the telephone advice than men (64.2% vs. 37.0%; p = 0.010). 36.9% of the respondents were satisfied with the service. The main reasons for dissatisfaction with the telephone advice included: inability to examine (33.3%), short telephone advice time (24.2%), misdiagnosis or ineffective treatment (21.2%), long waiting time, difficult contact with the facility (15.2%). Among telephone advice users, 39.1% had chronic diseases; among non- telephone advice users, the percentage was lower at 18.3%. Telephone advice users were significantly less likely to say they did not have periodic health examinations or did not remember when they had them done compared to non- telephone dvice users (p = 0.019). Conclusions: During the pandemic, the majority of respondents had the opportunity to use telephone advice. Only 1/3 were satisfied with the telephone advice, and the main reasons for dissatisfaction were as follows: inability to examine, short telephone advice time, misdiagnosis or ineffective treatment. Telephone advice users were significantly less likely to say they did not have periodic examinations or could not remember when they had them done compared to non-telephone advice users.