Social Class Of Patients Research Articles

Evaluation of the Relationship Between Socio-Economic Level and Severity of Emergency

Background; Social Class has shown relation with admissions at Emergency Departments. To assess whether there is a relationship between the level of triage and the social class of patients who attend the emergency department and whether there are other variables that can modulate this association. Methods Observational study with 1000 patients was carried out between May and July 2018 in the Emergency Department of the University Hospital Arnau de Vilanova in Lleida. Sociodemographic variables such as age, gender, country of origin and marital status were analyzed. The triage level and the main explanatory variable was social class. Social class was calculated based on the CSO-SEE 2012 scale. Results 49.4% were male and the average age was 51.7 years. Most of the patients (66.6%) attended the emergency department under their own volition and the most common triage levels were level III or Emergency (45%). There is a significant relationship between age and triage level. The younger patients had a lower triage level (p <0.001). The percentage of patients with lower social class who attended the emergency department for minor reasons was 42% higher compared to the rest of the patients (RR = 1.42; 1.21-1.67 95% CI, p <0.001). Conclusions; Patients with a lower socioeconomic class go to the Emergency Department for less serious pathologies.

Evaluation of the results of management of acute extensor tendon injuries of the hand

Objectives The aim of this study was to prospectively assess the results after primary extensor tendon repair and to analyze the factors affecting the results, such as the zone of injury, multiplicity of digits and zones affected, splint type, social class of patients, and the associated bone injury. Background Acute extensor tendon injuries of the hand is a common lesion due to the superficial nature of the extensor tendons and its adjacency to bone, which makes it more liable to injury than flexor tendons. Materials and methods During a period of 14 months, 30 hands with acute extensor tendon injuries in 29 patients (as one patient had bilateral hand affection) were studied prospectively regarding cause of injury and affected zone (s) and finger (s). Two of them were lost in follow-up postoperatively. The final results were based on 28 hands in 27 patients, where primary extensor tendon repair was carried out. The patients were followed up for an average duration of 8.5 months ranging 3-14 months and were evaluated according to Miller's scoring system. Results The final results of 46 digits with acute extensor tendon injury were reported. The excellent and good results represented 74.9% of the all final results. The best results were obtained in thumb and in zone TV and the worst results were seen in the ring finger and zone III. Multidigits and multifingers was associated with the worst results. Conclusion Multidigits and multiinjury zones involved have a poor effect on final results of extensor tendon injury. The results of zones III gave the worst results compared with other zones. More poor results were found in extensor tendons associated with bone injury. Postoperative splinting after extensor tendon repair is still under debate. From the economic point of view, a static regimen may be preferred, as it is much cheaper besides it requires little supervision by the physician.

Professional practice and gender in primary care

In this paper we analyse the relations between sex of patients and professionals, social class and health insurance scheme, with the type of medical practice and level of satisfaction with care received by the patients. Following recent literature it can be said that medical practices based on the psychosocial paradigm obtain better results in terms of health and satisfaction. In the primary health care sector, there is evidence that women doctors follow a communication pattern grounded on the psychosocial model. In parallel, women patients frequently show their preferences for women doctors when their complaints are related to psychosocial issues. Sex and social class of patients and professionals are not consistently related to the level of satisfaction reached, although to date there is still a lack of research to support this point. It is necessary to incorporate in our research these analytical categories. Not only in data collection but also in the analysis. It would not be possible to fully understand the complexity of clinical activities without considering that gender and class shape our individual and social identity and therefore condition the diverse forms of interaction in patient-doctor relations.

Práctica profesional y género en atención primaria

In this paper we analyse the relations between sex of patients and professionals, social class and health insurance scheme, with the type of medical practice and level of satisfaction with care received by the patients. Following recent literature it can be said that medical practices based on the psychosocial paradigm obtain better results in terms of health and satisfaction. In the primary health care sector, there is evidence that women doctors follow a communication pattern grounded on the psychosocial model. In parallel, women patients frequently show their preferences for women doctors when their complaints are related to psychosocial issues. Sex and social class of patients and professionals are not consistently related to the level of satisfaction reached, although to date there is still a lack of research to support this point. It is necessary to incorporate in our research these analytical categories. Not only in data collection but also in the analysis. It would not be possible to fully understand the complexity of clinical activities without considering that gender and class shape our individual and social identity and therefore condition the diverse forms of interaction in patient-doctor relations.

Severity/concordance and diagnostic refinement in the Maudsley-Bethlem schizophrenic twin study

BY LOOKING more closely at the similarities and differences among the recently initiated studies on schizophrenic twins by Tienari (1963), Kringlen (1966, 1967), and ourselves (Gottesman and Shields, 1966a, b; 1967) we may, as a result of the discussion at this Conference, harvest a set of facts that are wheat, a set of presumed facts that are chaff, and a set of data that current winnowing techniques do not permit being neatly separated into wheat and chaff. Let me review briefly the sampling procedures and earlier results of the MaudsleyBethlem Schizophrenic Twin Study conducted by Shields and myself and then supplement such information with details about the ages and diagnoses of our material as well as some extensions of our results. From the beginning of 1948 a register of all twins treated at the Maudsley and Bethlem Royal Joint Hospital has been kept. The Hospital is a short-stay post-graduate psychiatric teaching facility in Southeast London with a large outpatient department handling more than 2000 new adults and more than 300 children each year. The social class of patients is similar to that of London as a whole. Sample representativeness is enhanced by the absence of Veterans’ Hospitals, the scarcity of private psychiatrists and private hospitals, the excellent reputation of the Hospital, and the widespread acceptance of socialized medicine. The vast majority of patients come from the immediately surrounding geographical area. On admission to any department of the Hospital every patient is routinely asked whether he was born a twin; the answer is recorded on the “face sheet” and later punched onto cards for the official triennial reports. When our register was closed on 31 March 1964, 392 adult patients with twins of the same sex who had survived to age 15 were listed. We believe ascertainment to be virtually complete for all twins among an estimated starting material of 45,000 psychiatric patients seen consecutively during a 16-year period. A close check of a large subsample of patients (25,867) showed that 2.19 % of all adult outpatients and 2.56 % of inpatients were twins. About 2.39 % of persons born in the United Kingdom are twins according to vital statistics. From the latter and the Weinberg method, 28.6 % of all United Kingdom twins would be expected to be monozygotic (MZ) as would be 26.3% of all Maudsley twins; zygosity proportions of our twins do not depart from expectation (42%

SICKNESS AND THE SOCIAL COMPACT.

Epidemiological research in social psychiatry has shown a relationship between the social class of patients and the psychiatric illnesses from which they suffer. It also appears to be true that patients of a particular social class are treated by psychiatrists of a particular social and professional ideology, either physico-medical or analytic-psychological. Thus every doctor-patient relationship may be regarded as a social compact, the implicit terms of which are accepted by each participant as binding upon himself. The terms of expectation and obligation of the traditional medical ideology so encumbers this social compact, when it is joined for psychiatric purposes, that it must inevitably fail by making it either easier to be ill or impossible to be well. The only possible way of proceeding is to open the compact itself for investigation and its terms for negotiation. This procedure, at the same time, brings one to grips with the terms of the illness itself.

The social class of patients that public health nurses prefer to serve

The social class of patients that public health nurses prefer to serve

Psychiatric outpatient clinic. An analysis of a population sample.

1. Introduction One of the serious problems confronting modern psychiatry is contained in the question: What kind of help can psychiatrists offer to what kind of people? In the past 10 years this question has increasingly preoccupied psychiatrists. Valuable information has been gathered in terms of the kind of people and of the treatments offered and in terms of the importance of the social class to which the patient or prospective patient belongs and its influence on the kind of treatment offered or finally given. Redlich et al. 14 and Maclver and Redlich 12 have shown the class distribution of a census of psychiatric patients in New Haven and the relation of class to the kind of treatment given. Redlich, Hollingshead, and Bellis, 15 Schaffer and Myers, 19 and Hollingshead and Redlich 8 have gone further into the problem of social class of patients and the kind

The social class of patients that public health nurses prefer to serve.

The Social Class of Patients That Public Health Nurses Prefer to Serve Charles V. Willie CopyRight https://doi.org/10.2105/AJPH.50.8.1126 Published Online: August 29, 2011