Doctor Satisfaction Research Articles

Analysis of foreign patients' satisfaction with Korean hospital medical services and their intention to use them again: For Russian-speaking

The purpose of this study was to verify that the three types of medical service satisfaction, patient-oriented satisfaction, and the willingness to reuse Korean hospitals differ depending on the characteristics of foreign patients. Second, we investigate the factors affecting these four variables. The main analysis results shown in this study are as follows. First, most foreign patients were found to be highly satisfied with Korean hospital doctors and patient-oriented hospitals. In addition, more than 75 percent of foreign patients were willing to reuse Korean hospitals in the future. Second, a regression analysis of variables that affect satisfaction with Korean hospital doctors showed that the presence of long-term diseases affected. Specifically, if there is a disease in the long term, the satisfaction level of Korean hospital doctors is high. The factors that affect foreign patients satisfaction with the Korean hospital system were income and health conditions. The lower the income of foreign patients, the higher the satisfaction with the Korean hospital system in the case of positive perception of their health conditions. Meanwhile, the impact on the satisfaction of foreign patients with patient orientation in Korean hospitals was on whether they lived in Korea and recognized their health conditions. Foreign patients living abroad, not domestic residents, and foreign patients with positive perceptions of their health conditions showed high satisfaction with the patient-orientedness of Korean hospitals. Third, the regression analysis was conducted to identify the factors affecting the willingness of foreign patients to reuse Korean hospitals, and found that the medical expenses were borne by themselves, doctor satisfaction, and hospital system satisfaction. Foreign patients who do not pay for medical expenses showed high willingness to reuse Korean hospitals, while foreign patients with high satisfaction with Korean hospital doctors showed high willingness to reuse Korean hospitals.

Comparison of teledermatological examinations with conventional office visits in management of acne vulgaris: A review of current literature

Acne vulgaris is the most common skin disease in the world, particularly affecting adolescents and young adults. Telemedicine has grown rapidly in the past few years and represents a new simplification in modern medicine. The aim of this literature review is to provide an overview of acne vulgaris in teledermatology and to identify the differences between teledermatological examinations and face-to-face consultations. For this purpose, a systematic literature search of the PubMed database was performed, up to the end of 2019. The content of 109studies matching the keywords acne, acne vulgaris, teledermatology, telehealth, or telemedicine was screened, and 13studies were systematically reviewed and compared. The analysis of the studies shows that patients living in remote areas benefit greatly from online visits since it is less time consuming and financially favorable, which is also associated with higher patient satisfaction. In addition, the satisfaction of doctors, the main safety concerns of patients, and a brief insight into telemedicine in other specialties are discussed. Taking the results of the different studies into account, the conclusion is that telemedicine is well accepted and often even desired by most patients and will likely become a very important part of modern medicine in the future.

Effectiveness of hierarchical, diversified soft skills training in clinical nursing training.

To explore the application effects of hierarchical, diversified soft skills training in clinical nursing training. This is a prospective study. There involved a total of 124 nurses who participated in the training in our hospital. The participants were randomly allocated to the study group and the control group, with 62 nurses in each group. Study group received hierarchical, diversified nursing soft skills training and control group received conventional nursing training only. The core competence, knowledge, operation skills and clinical competence of nurses in the two groups before and after training were measured and compared, and the satisfaction of doctors and patients in the two groups after training were observed. The scores of education and consultation, professional development, legal and ethical practice, interpersonal relationship, leadership, clinical nursing and critical thinking were compared between the two groups before the training (P>.05). After the training, however, the scores of abovementioned items in the two groups were higher than those before treatment, and compared with the control group, the scores in the study group were significantly higher (P<.05). Before the training, the scores of theoretical knowledge, operation skills and clinical competence of nurses in the two groups were compared (P>.05). After training, the scores of those items of nurses in the two groups were higher than those before treatment. Compared with the control group, the scores of theory, operation skills and clinical competence of nurses in the study group were significantly higher (P<.05). Moreover, the study group showed significant higher satisfaction of doctors and patients (P<.05). Hierarchical, diversified soft skills training in clinical nursing training programme obtained better outcomes in the core competence, knowledge, operation skills and clinical competence of nursing staff, and promoted the satisfaction of doctors and patients, which can be utilised for clinical practice.

Application of Various Methods to Evaluate the Postoperative Characteristics of Expanded Pedicled Deltopectoral Flap for Large Facial Scars.

The expanded pedicled deltopectoral flap (EPDF) has been widely used to repair large facial scars. Although doctors and patients are usually satisfied with the outcomes, the actual functional recovery and cosmetic effects of EPDF are still unknown. It is, therefore, necessary to objectively investigate the effect of transferred EPDF by using a variety of methods. From January 2008 to December 2018, 52 patients who underwent EPDF surgery at Xijing Hospital were enrolled. Sense of touch, static 2-point discrimination, elasticity, and color were measured. Thermesthesia and algesthesia were also tested. Postoperative scars were evaluated using the patient and observer scar assessment scale. Satisfaction of patients, doctors, and laypersons was investigated. The algaesthesis, thalposis, and rhigosis scores were 4.7 ± 0.7, 3.7 ± 0.9, and 4.5 ± 0.8, respectively. The tactile score was 0.3 ± 0.2 mN, and 2-point discrimination was 10.1 ± 4.8 mm. L ∗ , a ∗ hemoglobin, and melanin content of the flaps were significantly different when compared with normal skin ( P < 0.05). The satisfaction of doctors, patients, and laypersons was 88.5%, 71.2%, and 67.3%, respectively. The higher satisfaction of patients was mainly associated with the smaller color difference between the flap and the surrounding skin, and lower patient and observer scar assessment scale score. These results confirm that excellent functional recovery and reliable cosmetic effects are observed when facial scars are repaired with EPDF. The methods used in this study can be applied to the evaluation of functional recovery and cosmetic outcomes of transferred flaps, which may provide a more comprehensive understanding of flap assessment.

Allied health led post-operative hand clinic: Evaluation of an alternative model of care.

To assist with the increasing orthopaedic workload, an allied health led hand therapy clinic was established to manage people having routine hand surgeries. The aim of this study was to evaluate patient and doctor satisfaction and safety of this alternative service delivery model. Prospective multimethod design evaluation was undertaken by occupational therapists and physiotherapists working in the field of hand therapy. Satisfaction surveys were completed by orthopaedic doctors and patients. Patient outcomes were assessed at 6 weeks post operatively using the Quick Disability of Arm, Shoulder and Hand questionnaire, total active range of motion, Crawford Classification, sensation using light touch and pain with activity utilising Wong Baker FACES® Pain Rating Scale. Quantitative satisfaction survey data were analysed and presented as frequencies and percentages with open question responses analysed using a qualitative description approach. All complications and readmissions within a 3-month period were identified and recorded to assess safety of this model of care. For the 6-week post-operative review, 81 patients were seen by an allied health professional rather than a doctor. Patient satisfaction was high with 90% of patients satisfied with post-operative care provided by allied health; 2% of patients preferred to be seen by a doctor. Doctor satisfaction was also high with 95% of doctors being satisfied and confident with the quality of care provided. A high proportion of patients reported pain 2/10 or less with activity (82.72%), had full sensation (69.14%), excellent range of motion (82.72%), and Quick Disability Arm, Shoulder and Hand scores on average were below 25% indicating minimal functional deficits. Only five patients required doctor involvement post-operatively. The allied heath led service delivery model was demonstrated to be safe and have high patient and doctor satisfaction, indicating an acceptable alternate pathway for management of people following routine hand surgery.

Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection.

BackgroundTo investigate the effect of the care bundle in the nursing care of the type A aortic dissection (TAAD).MethodsA total of 161 patients with TAAD were included in the study. They were divided into control group (n=79) and care bundle group (n=82). The patients in the control group received routine nursing, while the patients in the care bundle group received routine nursing and care bundle. IL-2, IL-6 and IL-10 levels in the three periods of T0 (before anesthesia), T1 (before anesthesia to 6 h after surgery) and T2 (6–24 h after surgery), intraoperative blood loss, postoperative recovery, ICU stay time, intraoperative pressure ulcer rate, postoperative delirium rate, bloodstream infection rate and doctor satisfaction.ResultsThe postoperative T and pH levels in two groups were all in the normal range. The levels of IL-2, IL-6 and IL-10 in the care bundle group at different periods were also significantly different. The levels of IL-2 and IL-10 showed an increased trend, while that of IL-6 showed a downward trend. The intraoperative blood loss, postoperative recovery and ICU stay time, intraoperative pressure sore rate, postoperative delirium rate, and bloodstream infection rate were lower, whereas doctor satisfaction was all significantly higher in care bundle group.ConclusionCare bundle increased the safety of the operation, and it was beneficial to the postoperative rehabilitation for TAAD patients.Relevance to Clinical PracticePatients with TAAD who underwent operation need higher quality care during the entire operation. Cluster nursing is the kind of the nursing model that can better meet the requirements of the intraoperative nursing quality. The intervention methods in this study include 5 core nursing measures. These measures are implemented together in a synergistic manner to effectively improve the quality of nursing care in operating room and the health outcomes of patients with TAAD. Care bundle is worthy of clinical application.

Building a sustainable rural physician workforce.

Building a sustainable rural physician workforce.

Unveiling the work satisfaction of resident doctors in treating patients with alcohol or substance use disorders - A comparative study

Introduction. Stigma related to substance use disorders (SUDs) and alcohol use disorders (AUDs) is widespread and has significant implications for healthcare inequality. Stigmatization affects every aspect of care for individuals, leading to negative perceptions, limited resources, and reduced treatment outcomes. The negative attitudes of healthcare professionals towards this vulnerable group of patients further contribute to the problem. To address this issue, it is essential to raise awareness, challenge societal perceptions, and enhance support systems. Objectives and methods. This study aims to evaluate the level of work satisfaction among resident doctors when working with patients with substance-related issues, comparing psychiatric residents with those from other specialties. Additionally, it seeks to assess any differences in work satisfaction between patients with alcohol-related problems and those with drug-related problems. Anonymous data was collected through an online questionnaire, including demographic information, specialized training, and family history of substance use. Two validated questionnaires, the Alcohol and Alcohol Problems Perception Questionnaire (AAPPQ) and the Drug and Drug Problems Perceptions Questionnaire (DDPPQ), were used to assess work satisfaction. Results. Both groups of medical residents reported discomfort when working with patients who had alcohol-related issues. However, there was a significant difference in work satisfaction related to alcohol use, with residents from other specialties reporting that is more rewarding to work with this group of patients. Similarly, psychiatry residents felt uncomfortable working with patients who used drugs, while residents from other specialties had a more neutral attitude. In terms of work satisfaction, psychiatry residents believed it was achievable with patients who used alcohol but had neutral responses regarding patients who used drugs. The opposite was observed among residents from other specialties. Conclusion. Stigma surrounding SUDs and AUDs significantly impacts healthcare delivery and patient outcomes. It is crucial to challenge societal perceptions, enhance support systems, and provide high-quality mental health and addiction services. Addressing negative attitudes among healthcare professionals is essential for improving collaboration and treatment outcomes. By promoting awareness, understanding, and a shift towards a public health perspective, the stigma associated with substance use can be reduced, leading to better outcomes for individuals and society as a whole.

Tele-Rheumatology during the COVID-19 pandemic

IntroductionDuring the Covid-19 pandemic strategies to prevent transmission of the viral infection obliged our hospital to promote virtual consultations. ObjetiveThe objective of this study is to describe the results obtained with the previous strategy of transferring activity to teleconsultation during the period of maximum impact of the pandemic. Material and methodsBetween 16/03 and 10/05/2020 all successive consultations in our unit were performed in virtual rheumatology teleconference (RTC) format. The socio-demographic, geo-functional and clinical characteristics of all patients were collected; a numeric verbal scale (NVS) (where 0 = very dissatisfied to 10 = fully satisfied) was applied to assess the degree of satisfaction of the doctor/patient with the RTC. Results469 TC were included. Most patients seen by RTC were women, mean age: 60,83 years. Only 16% had university education. The mean distance travelled for face-to face consultation is 33 Km with a mean total time of 2 h. Most individuals were diagnosed with osteoarthritis/soft tissue rheumatic diseases and/or osteoporosis; 21% had rheumatoid arthritis. The mean length of the TC was 9.64 min. We find more patient satisfaction with the TC when their level of education is higher (OR = 4.12); doctor satisfaction was higher when the individual was better able to manage the Internet (OR = 3.01). ConclusionIt is possible to transfer rheumatological care activity to TC with a considerable degree of satisfaction for both the patient and the doctor.

Video consultations during the coronavirus disease 2019 pandemic are associated with high satisfaction for both doctors and patients.

Background and AimTelehealth has become the standard of care during the COVID‐19 outbreak. This study aimed to assess doctor and patient satisfaction of endoscopy‐related telehealth clinics with video consultations.MethodsA prospective observational study of patients consecutively booked to attend two endoscopy‐related telehealth clinics at an ambulatory tertiary care setting was conducted from July to October 2020. Data collected from our previously published study using phone consultations (data collected in April–May 2020) were used as a control arm. The primary outcome (satisfaction) was assessed through the six‐question score (6Q_score) as per previous research. Secondary outcomes included failure‐to‐attend (FTA) rate and perceived necessity of physical examination/in‐person follow‐up appointment.ResultsThere were 962 endoscopy clinic appointments between July and October, of which 157 were conducted through video. Data on 127 doctor questionnaires and 94 patient questionnaires were analyzed. The median age (years) of patients reviewed via video [57, interquartile range (IQR) 48–66] was lower than those reviewed via phone (65, IQR 55–74, P < 0.01). Patient average 6Q_score was higher with video compared to phone (85.1% vs 78.4%, P = 0.01), as was doctors' 6Q_score (97.5% vs 91.9%, P = 0.02). FTA rates remained similar between the two assessments (6.4% in April/May and 4.4% between July/October, P = 0.12). The requirement for in‐person follow‐up/physical examination was identified in two video consultations (1.6%).ConclusionVideo consultations during the COVID‐19 outbreak demonstrated higher patient and doctor satisfaction compared to phone consultations. There was no significant difference in FTA rates and need for in‐person follow‐up consultations/physical examination between the telehealth two modalities.

Effect analysis of sequential laser application in treating the hypertrophic scars of burn children at early stage

Objective: To explore the effects of sequential application of intensive pulsed light and carbon dioxide laser in treating the hypertrophic scars of burn children at early stage. Methods: A retrospective cohort before-after control study in the same patients was conducted. From January 2016 to December 2018, 145 burn children with hypertrophic scar at the early stage who met the inclusion criteria were admitted to the First Hospital of Jilin University, including 82 males and 63 females, aged 1 to 12 (3 (2, 6)) years. All the children were firstly treated with intense pulsed light therapy (no anesthesia or intravenous-inhalation combined anesthesia) at an interval of once per month, and then changed to carbon dioxide laser therapy (topical anesthesia or intravenous-inhalation combined anesthesia) when the degree of scar hyperemia was reduced, at an interval of once every 3 months, for a total of 3 times. Before the first intense pulsed light treatment (hereinafter referred to as before the first treatment) and 3 months after the last carbon dioxide laser treatment (hereinafter referred to as after the last treatment), scar scoring was evaluated by Vancouver Scar Scale (VSS), and scar hyperemia (denoted as hemoglobin level) was measured with Antera 3D® camera. The times of intense pulsed light, the time of single treatment, the anesthesia method, and the time of intravenous-inhalation combined anesthesia of intense pulsed light and carbon dioxide laser treatment were analyzed. After the last treatment, Likert Scale was used to evaluate the efficacy satisfaction of both doctors and patients. Adverse reactions were recorded during the treatment. Data were statistically analyzed with Wilcoxon signed rank sum test, and paired sample t test. Results: The color, vascular distribution, thickness, and softness scores, and total score in VSS scoring of scars of children after the last treatment were significantly lower than those before the first treatment (Z=-6.05, -10.34, -9.84, -9.28, -10.43, P<0.01). The hemoglobin level of scar of children after the last treatment was 1.86±0.24, significantly lower than 2.27±0.32 before the first treatment (t=17.65, P<0.01). A total of 411 times of intense pulsed light therapy were performed, (2.8±0.6) times per person, and the single treatment time was 35 (20, 45) s. There were 392 times (95.38%) without anesthesia, and 19 times (4.62%) with intravenous-inhalation combined anesthesia with time of 6 (5, 8) min. The single treatment time of carbon dioxide laser therapy was 5 (3, 10) min. There were 364 times (83.68%) of topical anesthesia and 71 times (16.32%) of intravenous-inhalation combined anesthesia with time of 10 (8, 15) min. After the last treatment, the efficacy satisfaction scores of doctors and patients were (4.3±0.7) and (3.8±1.0) points, respectively. Blisters occurred in 5 cases after intense pulsed light treatment, which were healed naturally after drainage. One child developed local skin infection, skin redness and swelling accompanied by purulent exudate after carbon dioxide laser treatment, which was improved after skin disinfection and external use of mupirocin ointment. No inflammatory pigmentation, worsening of hyperplasia of scar, erythema, or other skin adverse reactions or anesthetics-related adverse reactions occurred in any child. Conclusions: Sequential application of intense pulsed light and carbon dioxide laser to treat the hypertrophic scars of burn children at early stage can obviously improve the appearance and texture of scar, with higher satisfaction of doctors and patients and fewer adverse reactions.

Rehabilitation Brace Based on the Internet of Things 3D Printing Technology in the Treatment and Repair of Joint Trauma.

More and more people pay attention to the printing speed and quality of 3D printing tools. In order to understand whether the 3D printing rehabilitation brace can play a role in the treatment and repair of joint trauma, we used 3D printing technology to print the rehabilitation brace and compared with the traditional rehabilitation brace. The printed parts were analyzed in detail. The experimental results prove that the rehabilitation braces made by the two methods can play a role in the repair of joint trauma. However, 3D printed rehabilitation braces can better meet the needs of patients with detailed patient data in application. The braces are more suitable, and their production speed is about 35% faster than traditional methods. Through the survey of patients and doctors, it is found that the satisfaction of patients and doctors with printed braces is above 89%, while the satisfaction with traditionally made braces is only about 60%. This shows that the rehabilitation brace based on the Internet of Things 3D printing technology has a more significant role in the treatment and repair of joint trauma, and the effect is better.

FORMATION OF MOTIVATIONAL ATTITUDES OF PROFESSIONAL ACTIVITY OF ANESTHESIOLOGISTS-RESUSCITATORS

Goal and objectives. Through a comprehensive case study to identify motivating and demotivating factors of professional activity of an anesthesiologists-resuscitators, which will implement the personnel policy of the healthcare security industry with highly qualified specialists of this profile.Materials and methods. In 2019, 412 anesthesiologists and resuscitators from 20 multi-specialty hospitals in St. Petersburg were interviewed, and in 2020, 173 specialists from 8 hospitals were re-trained to treat patients with a new coronavirus infection. In sample populations, the deviation of the average value is 0.7%, while the acceptable reliability assessment of the results is up to 3.0%. The calculation of intensive and extensive indicators and the assessment of the reliability of their difference is made. A correlation analysis was used to assess the impact of a number of aspects of the professional activity of anesthesiologists and resuscitators on their job satisfaction.Results. Anesthesiologists and resuscitators are committed to their work, despite the presence of a negative background: increased emotional load (59.4%), chronic diseases received at work (43.6%). The main negative aspects of their work are «overstrain and fatigue at work» (47.8 per 100 respondents), «the salary does not correspond to the load» (43.6 per 100 respondents), «rudeness on the part of patients and their relatives» (40.1 per 100 respondents), «lack of organized legal protection in the event of conflict situations» (26.8 per 100 respondents). Proper monetary compensation is not always an unambiguous condition for doctors to be highly satisfied with their work — only 26.6% would be fully satisfied with the profession if the salary level met their expectations. The analysis of the positive aspects of professional activity of specialists showed a high significance of factors that have a bright emotional color: the most important are the ability to help people (52.3 per 100 respondents) and a good work team (60.8 per 100 respondents). Salary, the level of which is not marked by doctors among the main aspects of work, however, is stated as a motivating factor by 34.2 respondents out of 100 respondents. A study in 2020 revealed an even greater number of doctors experiencing overstrain and fatigue at work (95.3%, t=4.5, p&lt;0.05, including 59.5% –at the limit of their capabilities), increased psycho-emotional load (86.3%, t=3.8, p&lt;0.05).Conclusion. Most on the professional satisfaction of doctors and anaesthesiologists in Saint-Petersburg have a positive effect: the possibility of self-realization and professional growth (ρ=+0,9, p&lt;0.05) and the wage (ρ=+0,8, p&lt;0.05), the ability to help people (ρ=+0,7, p&lt;0,05) and the presence of career prospects (ρ=+0,7, p&lt;0,05). The greatest negative impact is caused by legal insecurity of specialists (ρ= -0,8, p&lt;0,05), negative consequences of interaction with patients and their relatives (ρ= -0,7, p&lt;0,05), abnormal load on specialists (ρ= -0,7, p&lt;0,05), the need to perform unspecified functions for them (ρ= -0,5, p&lt;0,05).

Satisfaction of Doctors and Head Nurses about Clinical Chemistry Laboratory Services in King Abdulaziz University Hospital

Satisfaction of Doctors and Head Nurses about Clinical Chemistry Laboratory Services in King Abdulaziz University Hospital

Эффективность и переносимость специализированного продукта диетического лечебного питания при нарушениях обмена жирных кислот с длинной и очень длинной углеродной цепью у детей

Aim: to assess the efficacy and tolerability of a specialized dietary therapeutic product in long-chain and very long-chain fatty acid metabolism disorders in children. Patients and Methods: this open-label prospective uncontrolled study enrolled 5 children aged 35 ± 14 months who were diagnosed with longchain and very long-chain fatty acid metab-olism disorders. Diet therapy using the tested product (“Monogen”) was prescribed and corrected after the analysis of actual diet. Physical development and neurological status were evaluated, blood levels of specific acyl-carnitines (С16-ОН, С18-ОН, С18:1-ОН, С14:1, С14) were measured. Tolerability was assessed by the rate and severity of adverse events (including allergic reactions) and the changes in vital functions compared to baseline. Patient and doctor satisfaction was evaluated using a questionnaire. Results: children received the tested product throughout the study (30±2 days). The lev-els of acyl-carnitines were within normal ranges in all children. No dyspepsia, allergic reactions, somatic dysfunction, or neurological deviations were reported. Physical exam consistently fell in the range of normal for age. Parents and doctors were fully satisfied with the tested product (“Monogen”). Conclusions: “Monogen” is highly effective for therapeutic feeding of children with long-chain and very long-chain fatty acid metabolism disorders. KEYWORDS: long-chain fatty acid oxidation disorders, β-oxidation of fatty acids, long-chain acyl-coA dehydrogenase deficiency, biallelic mutation, therapeutic feeding. FOR CITATION: Semenova N.A., Shestopalova E.A., Kutsev S.I. Efficacy and tolerability of a specialized dietary therapeutic product in longchain and very long-chain fatty acid metabolism disorders in children. Russian Journal of Woman and Child Health. 2021;4(1):98–102. DOI: 10.32364/2618-8430-2021-4-1-98-102.

Survey-Based Evaluation of an Innovative Speech-Enabled Translator in Emergency Settings: A Phase II Cohort Study

Background: Emergency services are often confronted with patients who have no language in common with medical staff. As interpreters are not always available, medical personnel must rely on alternative solutions such as machine translation or medical fixed-phrase translators, which are sometimes lacking in usability. We aimed to evaluate patient and doctor satisfaction and perceived efficacy of a novel, speech-enabled, fixed-phrase translation tool (“BabelDr”) in real-life situations. Methods: We did a survey-based evaluation of BabelDr among a cohort of 30 of 42 eligible allophone patients visiting the outpatient emergency unit of Geneva University Hospitals (Geneva, Switzerland) between Nov 29, 2018, and Jan 31, 2020 (mean age, 38·2 years; male, 53·3% [n=16]) and their assigned doctors. Selected patients had no understanding of the local (French) language. Languages evaluated were Albanian (n=1), Arabic (n=4), Farsi (n=7), Spanish (n=11), and Tigrinya (n=7). Findings: Ninety percent (n=27) of patients and 86·6% (n=26) of doctors had a positive impression of the translation tool. Additionally, 90% (n=27) of patients felt that the tool enabled them to tell the doctor why they came to the emergency room and 93·3% (n=28) expressed that they understood the tool’s translations. Forty percent (n=12) of patients also stated that they would not have preferred to use an interpreter during the consultation. Concerning perceived efficacy, 93·3% (n=28) of doctors affirmed that they could understand the patient’s health problem and 80% (n=24) were able to make a diagnosis. Results showed a significant positive association (P<0·05) between doctors’ appreciation of the different features of the tool and their overall satisfaction with its use. Conclusion: In an emergency context, the fixed-phrase translation system BabelDr is a suitable tool for diagnostic interviews and a valid alternative when no interpreter is available. Clinical Trial Registration Details: ClinicalTrials.gov ID NCT04788966. Funding Information: Private Foundation of Geneva University Hospitals. Declaration of Interests: All authors declare no competing interests. Ethics Approval Statement: This study was approved by the Geneva regional ethics committee (ID REQ-2017-00996). Prior to participation, non-French speaking patients were asked to read an information leaflet about the study in their own language and give informed written consent for their participation.

Gender as a Moderator between Work-Family Conflict and Job Satisfaction of Medical Doctors: The Case of Ghana

In recent times, during the outbreak of the novel COVID-19 pandemic, many health care workers, especially doctors, have to work long or irregular hours due to the increasing demand for health care services. Work and family have been prominent in an individual’s life and require a great deal of time, energy and other resources to manage these multiple responsibilities. Worldwide studies have revealed that doctors have to deal with quite several extraneous difficult tasks in their day-to-day working environment resulting in a high percentage of doctors quitting this noble profession. However, there is a lack of evidence relating to the role of gender in this whole problem. Therefore, this assessed moderating role of gender between work-family conflict and job satisfaction in the case of Ghanaian doctors during the novel coronavirus era. A multi-stage sampling technique was employed to select three hundred and sixty-four (364) doctors for this study. A structured E-questionnaires was distributed using social media platform, mainly to collect data from study participants. Although, gender and work-family conflict were significantly related to job satisfaction, gender did not moderate the relationship between work-family conflict and job satisfaction. Therefore, this study recommends hospital management and policy makers consider ways of managing the autonomy, flexi-time, recognition, and working conditions of doctors to improve their job satisfaction during this pandemic and beyond.

The effect of the integrated delivery system on managing hypertension in rural areas of China.

Since the implementation of the new medical reform in 2009, China has established and improved a series of medical security systems, established medical confederations based on four categories, and promoted the operation of the hierarchical diagnosis and treatment model. The purpose of this study is to analyze the effects of the matrix chronic diseases management platform developed from the integrated delivery system. To evaluate the effects of the matrix chronic diseases management platform developed from the integrated delivery system in China on expenses, medical seeking behaviors, compensation, and degree of satisfaction in hypertensive patients. A longitudinal and retrospective study was performed to investigate medical expenses, actual compensation ratios, medical behaviors, and the degree of satisfaction across different levels of medical institutions in hypertensive patients. A total of 7,037 patients with hypertension aged 36-99 from Zhili Town Health Center were selected based on the diagnostic criteria of the Guidelines for Prevention and Treatment of Hypertension in China. Data was collected from the hospital's database and systems, and questionnaires were distributed to patients who attended the Department of Cardiology. Outcomes included inspection and drug expenses in the outpatient and inpatient departments, actual reimbursement ratios, number of visits across different levels of hospitals, expenditure per visit, medical behaviors, complications of patients, and the degree of satisfaction of both patients and doctors in primary hospitals. The average cost for hypertensive patients was shown to be increasing year by year in the outpatient and inpatient departments. The number of patients in tertiary hospitals decreased significantly, while the number of patients in community hospitals (primary hospitals) increased, and the number of patients in secondary hospitals has remained almost unchanged. Furthermore, expenses per visit in hospitals across all levels also decreased during the study period. The primary complications of hypertension were cerebrovascular disease and coronary heart disease, which showed a slightly increasing trend. The degree of satisfaction of patients and doctors in primary hospitals was relatively high, and rose from 2014 to 2019. The matrix chronic diseases management platform developed from the integrated delivery system built in Huzhou No.1 Hospital had a positive effect on improving the reimbursement and satisfaction of patients with hypertension.

Analysis Management of Factors That Influence Job Satisfaction of Doctors in General the Royal Prima Hospital Medan

The doctor is one of the employees of a hospital that has a very important role. This can be understood because almost all the patients visiting to the hospital always wanted to meet with the doctor in an effort to find a cure or a consultation about her illness, so that the performance of the doctor will greatly affect the continuation of the organization of the hospital. This study aims to determine management factors that influence job satisfaction of doctors in Royal Prima Hospital Medan. This study uses a cross-sectional approach is a research to study the dynamics of the correlation between the independent variable and are tied with the way of approach, observation or data collection at once at some point (Point time approach). It is concluded that most of the doctors mempresepsikan better about the factors management which include: Clarity of medical services, decision-Making leader, the Responsiveness of the Leader, the Support of the leadership, the Cleanliness of the place of work, the Comfort of the place of work, Completeness of facilities and infrastructure, promotion opportunities. Most of the doctors are satisfied with the factors of management. There is a relationship factors management which includes clarity of medical services, fitness services, medical decision-making leader, leader support, responsiveness leader, the cleanliness of the place of work, the comfort of the place of work, completeness of facilities and infrastructure, and the chance of promotion on job satisfaction of doctors. There is the influence of the factors of management which includes the clarity of medical services, fitness services, medical decision-making leader, the responsiveness of the leader, the support leader, the cleanliness of the place of work, the comfort of the place of work, completeness of facilities and infrastructure and the chance of promotion on job satisfaction of doctors.

Perception of safety from workplace violence affects job satisfaction among doctors practicing modern medicine in India: A nationwide survey.

Background:Doctors are often been judged negatively as a consequence of high expectation and demand from their job and face violence at workplace. Continuous worry of facing aggression at workplace may seriously affect job satisfaction and intention to job turnover. However, the association between workplace safety and job satisfaction had not been studied earlier in India.Methods:A cross-sectional survey was conducted among doctors from November 2019 to April 2020 using a pre-tested, semi-structured, anonymous “Google forms” based questionnaire among doctors working in private and/or public healthcare settings across India. Perception of safety was assessed by scoring in a scale. Cronbach's coefficient of the scale was calculated to be 0.88. Job satisfaction was assessed using the 5-item Brayfield and Rothe measure of job satisfaction. Cronbach's coefficient of the scale was 0.76. The data was coded and analyzed with the help of STATA-12.Results:617 doctors practicing modern medicine participated in this study from all over India. 262 (42.5%) doctors were found to be satisfied at their job. Perception of safety at workplace was found to have 2.5 times greater influence on job satisfaction of doctors. 23.2% of the doctors expressed job turnover intention which was positively correlated with job satisfaction and perception of safety.Conclusion:Perception of safety from workplace violence was found to have significant effect on job satisfaction and turnover intention than actual violence. Appropriate strategy may be undertaken to address this apprehension at workplace.