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1.
International Journal of Quality and Service Sciences ; 14(2):197-216, 2022.
Article in English | ProQuest Central | ID: covidwho-1816405

ABSTRACT

Purpose>This paper aims to examine the factors related to organizational attractiveness (OA), a concept originating in the strategy of employer branding. Previous research on OA has predominantly adopted the perspective of external applicants. In contrast, the present study takes the perspective of internal and current employees, extending further the scope of studies on OA.Design/methodology/approach>Quantitative data were collected from a survey consisting of a sample of 164 nurses, all employees of public hospitals. Confirmatory factor analysis and structural equation modeling were used to analyze the data. Furthermore, the indirect effects were tested by mediator analysis.Findings>Interdepartmental collaboration climate, management support and service quality of care were shown to have a positive effect on OA, with the three factors explaining 45% (R2 = 0.45) of OA. The relationship between management support and OA was found to be mediated through the interdepartmental collaboration climate, and that between the interdepartmental collaboration climate and OA was found to be mediated through the service quality of care.Originality/value>This study contributes to an understanding of OA from a current employee perspective. Specifically, it reveals how the three factors of interdepartmental collaboration climate, management support and service quality of care influence and shape the perception of current employees (nurses) toward the attractiveness of their organization.

2.
The New England Journal of Medicine ; 386(17):1663-1667, 2022.
Article in English | ProQuest Central | ID: covidwho-1815677

ABSTRACT

Reassessing Quality AssessmentDecades into the quality improvement movement in U.S. health care, the fix for the system has become a massive, cumbersome, time-consuming, demoralizing system in its own right — and we don’t even know whether it is improving care.

3.
Natural Volatiles & Essential Oils ; 8(5):5574-5593, 2021.
Article in English | CAB Abstracts | ID: covidwho-1813114

ABSTRACT

For years, workers of an organization have strived to strengthen it and expand it with fresh concepts and strategies to accomplish new objectives. The layoff is, by definition, a spontaneous release from an institution, i.e. a compulsory resignation for certain purposes of employee categories, of permanent or temporary personnel (economic reasons, downsizing personal management). Outsourcing is a way of reducing costs and changing fixed costs to varying expenses for companies. It transfers work or researches to outside households, which lead to job losses. Finishing is a major business challenge, forced disconnected jobs and survivors. This sudden dismantling was triggered by the economic depression, which increased with corruption by governments. The COVID-19 spread around the world is further overcome day by day. When the layoff is mass, companies may notify the workers of the reasons for the reduction. Some hospitals issued departed personnel a warning for clarifying things and preparing the workers even though they could do serious harm. This form of warning illustrates a pandemic COVID-19 by delivering unemployment until layoffs explain the financial downturn for workers. Certain hospitals and organizations offer warning without consideration about the discharged workers on the same day. Moreover, this existed in tiny clinics, where there were not very significant layoffs. Substantial government institutions, including A.U.B.M.C., B.M.G. and other hospitals, prefer cuts as a remedy. This research aims to determine the effect of forced termination health care institutions on survivors' effectiveness, performance, quality of service, and relational results.

4.
Revista de Psicanalise da Sociedade Psicanalitica de Porto Alegre ; 28(2):473-482, 2021.
Article in Portuguese | APA PsycInfo | ID: covidwho-1812645

ABSTRACT

The social isolation imposed by the Covid-19 pandemic has led to a mass migration of psychoanalytical sessions into the virtual modality. Such upturn, which characterizes a singular opportunity of broad research on the reach and limits of such format, must be studied with care, so that we tell apart consequences that are inherent to remote treatment from those that stem from the experience of providing psychoanalytical care in this moment, when both analysts and analysands go through a sudden change in the way we all live, a shared traumatic experience. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Portuguese) O isolamento social imposto pela pandemia da Covid-19 provocou uma migracao em massa dos atendimentos psicanaliticos para a modalidade virtual. Essa virada, que caracteriza uma oportunidade impar de pesquisa ampla sobre os alcances e limites deste formato, deve ser estudada com o cuidado de separar as consequencias que sao proprias ao atendimento remoto daquelas que sao fruto da experiencia de psicanalisar nesse momento em que vivemos, tanto analistas quanto analisandos, uma mudanca brusca no modo de viver, uma experiencia traumatica compartilhada. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) El aislamiento social impuesto por la pandemia Covid-19 provoco una migracion masiva de la atencion psicoanalitica a la modalidad virtual. Este giro, que caracteriza una oportunidad unica para una investigation extensa sobre los alcances y limites de este formato, debe ser estudiado con cuidado para separar las consecuencias propias del cuidado remoto de las que son el resultado de la experiencia de psicoanalizar en este momento en que vivimos, tanto analistas cuanto analizandos, un cambio brusco en la forma de vivir, una experiencia traumatica compartida. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

5.
Front Psychiatry ; 13:855138, 2022.
Article in English | PubMed | ID: covidwho-1809600

ABSTRACT

The COVID-19 pandemic accelerated adoption of telemental health (TMH). Providers with limited TMH experience faced challenges during the rapid switch to remote patient care. We investigated TMH providers' perceptions about remote care one year into the pandemic according to when providers adopted telemedicine (i.e., before vs. after March 2020) and how much of their caseloads were served remotely (i.e., < 50% vs. ≥ 50%). Between February-March 2021, 472 TMH providers completed a cross-sectional, web-based survey that measured perceived benefits and satisfaction with telemedicine, therapeutic alliance, patient-centered communication, eHealth literacy, multicultural counseling self-efficacy, and facilitating factors of using telemedicine. Providers who began using telemedicine before the pandemic reported having better training, task-related therapeutic alliance with patients, and ability to conduct multicultural interventions, assessments, and session management. Providers who served ≥ 50% of their caseload remotely reported greater satisfaction with their practice, stronger beliefs about the benefits of telemedicine, and greater perceived effects of telemedicine on alleviating the impact of COVID-19. There were no differences in reports of patient-centered communication nor eHealth literacy. In conclusion, providers who adopted TMH more recently may require additional training and support to successfully establish a working alliance with their patients, especially with multicultural aspects of care.

6.
International Journal of Geriatric Psychiatry ; n/a(n/a), 2022.
Article in English | Wiley | ID: covidwho-1802226

ABSTRACT

The first wave of the COVID-19 pandemic necessitated extensive infection control measures in long-term care (LTC) and had a significant impact on staffing and services. Anecdotal reports indicate that this negatively affected LTC residents? quality of care and wellbeing, but there is scarce evidence on the effects of COVID-19 on quality of dementia care in LTC. From Dec 2020 to March 2021, we conducted a cross-sectional online survey among staff who worked in LTC homes in Ontario, Canada. Survey questions examined staffs? perceptions of the impact of COVID-19 on dementia quality of care during the initial wave of the COVID-19 pandemic (beginning March 1, 2020). There were a total of 227 survey respondents;more than half reported both worsened overall quality of care (51.3%) and worsening of a majority of specific quality of care measures (55.5%). Measures of cognitive functioning, mobility and behavioural symptoms were most frequently described as worsened. Medical and allied/support staff had the highest odds of reporting overall worsened quality of care, while specialized behavioural care staff and those with more experience in LTC were less likely to. LTC home factors including rural location and smaller size, staffing challenges, higher number of outbreaks and less COVID-19 preparedness were associated with increased odds of perceived worsening of quality of dementia care outcomes. These findings suggest that COVID-19 pandemic restrictions and related effects such as inadequate staffing may have contributed to poor quality of care and outcomes for those with dementia in LTC. This article is protected by copyright. All rights reserved.

7.
Dissertation Abstracts International: Section B: The Sciences and Engineering ; 83(5-B):No Pagination Specified, 2022.
Article in English | APA PsycInfo | ID: covidwho-1801274

ABSTRACT

Globally, 37.8 million people were living with human immunodeficiency virus and acquire immunodeficiency syndrome (HIV/AIDS) in 2018, with 1.7 million new cases reported and 57% receiving antiretroviral therapies. Nearly 76,000,000 people have been diagnosed with HIV and an estimated 33,000,000 people have died of HIV/AIDS since the beginning of the epidemic. The focus of this research was to investigate the perspective of persons living with HIV in respect to their relationship with their provider, provider communication, accessibility, and their perceived quality of care before and during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic using a cross-sectional quantitative analysis. This cross-sectional quantitative study was conducted to ascertain whether a relationship exists between provider patient relationship, communication, accessibility and convenience, and perceived quality of care from the perspective of patients living with HIV before and during the SARS-CoV-2 pandemic using a regression analysis. Fifty-eight individuals participated in the study and their responses were anonymous. The study was guided by a patient-centered care model as an approach to inform health care providers who are providing services in HIV care. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

8.
Ethiopian Journal of Health Sciences ; 32(2):381-392, 2022.
Article in English | CAB Abstracts | ID: covidwho-1789572

ABSTRACT

Background: The aim of this study was to assess the healthrelated quality of life of patients with T2DM and hypertension attending public health facilities in Addis Ababa, Ethiopia.

9.
Revista Medica de Chile ; 149(11):1605-1609, 2021.
Article in Spanish | GIM | ID: covidwho-1787088

ABSTRACT

Background: Coronavirus Disease (COVID-19) exposed health personnel worldwide to high stress levels, which increases the phenomenon of burnout. Aim: To evaluate burnout, its risk, and protective factors in our health team, which has been exposed for months to greater work stress and changes in their usual tasks due to the pandemic. Material and Methods: An online survey including the Maslach Burnout Inventory Human Services Survey (MBI-HSS) and sociodemographic questions, was carried out among health care personnel who continued working during the pandemic.

10.
Nursing ; 52(4):16-18, 2022.
Article in English | ProQuest Central | ID: covidwho-1784402

ABSTRACT

sgRNA: A better measure of infectious potential... Diabetes: Updates to Standards of Care... COVID-19: Hospital death disparities among racial groups... Better outcomes reported with CBT and yoga than long-term opioid therapy

11.
Int J Environ Res Public Health ; 19(7)2022 Mar 22.
Article in English | MEDLINE | ID: covidwho-1785622

ABSTRACT

Technical possibilities for patient support must be user-friendly. This includes acceptance on the part of the patients, and safe function that must not lead to the user being overtaxed. In a study of Ventricular Assist Device (VAD) patients at the Department of Thoracic and Cardiovascular Surgery at the University Hospital RWTH Aachen, a questionnaire was used to investigate the current situation in dealing with the VAD system. This was followed by a query about ideas, wishes, and fears regarding the increased use of telemedical applications. An adapted Service User Technology Acceptability Questionnaire (SUTAQ) was used and the evaluation was carried out with the help of Office-based applications. As a result, it can be stated that the patients do not want to see personal contacts and care be completely replaced by telemedical remote support. If the application is stable and functioning, the majority is very much open to such support.


Subject(s)
Heart-Assist Devices , Telemedicine , Humans , Perception , Surveys and Questionnaires
12.
Front Public Health ; 9: 747689, 2021.
Article in English | MEDLINE | ID: covidwho-1775921

ABSTRACT

The quality of care (QoC) of primary health care (PHC) services in Albania faces challenges on multiple levels including governance, access, infrastructure and health care workers. In addition, there is a lack of trust in the latter. The Health for All Project (HAP) funded by the Swiss Agency for Development and Cooperation therefore aimed at enhancing the population's health by improving PHC services and implementing health promotion activities following a multi-strategic health system strengthening approach. The objective of this article is to compare QoC before and after the 4 years of project implementation. A cross-sectional study was implemented at 38 PHC facilities in urban and rural locations in the Diber and Fier regions of Albania in 2015 and in 2018. A survey measured the infrastructure of the different facilities, provider-patient interactions through clinical observation and patient satisfaction. During clinical observations, special attention was given to diabetes and hypertensive patients. Infrastructure scores improved from base- to endline with significant changes seen on national level and for rural facilities (p < 0.01). Facility infrastructure and overall cleanliness, hygiene and basic/essential medical equipment and supplies improved at endline, while for public accountability/transparency and guidelines and materials no significant change was observed. The overall clinical observation score increased at endline overall, in both areas and in rural and urban setting. However, infection prevention and control procedures and diabetes treatment still experienced relatively low levels of performance at endline. Patient satisfaction on PHC services is generally high and higher yet at endline. The changes observed in the 38 PHC facilities in two regions in Albania between 2015 and 2018 were overall positive with improvements seen at all three levels assessed, e.g., infrastructure, service provision and patient satisfaction. However, to gain overall improvements in the QoC and move toward a more efficient and sustainable health system requires continuous investments in infrastructure alongside interventions at the provider and user level.


Subject(s)
Quality of Health Care , Albania , Cross-Sectional Studies , Humans , Primary Health Care
13.
Gerontologist ; 2022 Apr 02.
Article in English | MEDLINE | ID: covidwho-1774381

ABSTRACT

Alzheimer's disease and related dementias (ADRD) are progressive illnesses characterized by decline in cognitive function that impairs performing daily activities. People with ADRD are at an increased risk of suicide, especially those who have comorbid mental health conditions, have specific types of ADRD, or have been recently diagnosed. The COVID-19 pandemic has increased the distress of people with ADRD, a population also at increased risk of contracting the COVID-19 virus. In this article, we draw on a case study and use the Interpersonal Theory of Suicide to help describe the association between ADRD and suicide risk. Secondly, we call for new strategies to mitigate suicide risk in people living with ADRD during and beyond the current pandemic by using lessons learned from cancer care. Our goal is not to dictate solutions but rather to start the conversation by outlining a framework for future research aimed at preventing death by suicide in people with ADRD. Specifically, we draw on the updated Framework for Developing and Evaluating Complex Interventions to reflect on the complexity of the issue and to break it down into achievable parts to reduce the risk of suicidal behavior (ideation, plans, attempts) in those living with ADRD.

14.
Pakistan Journal of Medical Sciences ; 38(4):1064-1066, 2022.
Article in English | CAB Abstracts | ID: covidwho-1771794

ABSTRACT

India's public healthcare system is reeling under the pressure of the COVID-19 pandemic, with the country reporting over 30 million cases and 481,000 deaths by the end of 2021. The rise of the omicron variant threatens to add further strain on a chronically underfunded public health system, which a considerable proportion of the population living in poverty depend on. The pandemic has aggravated the shortage of supplies and capacity, pushing the Indian healthcare system to its breaking point. This write up calls for a major and urgent reform of the doctor and patient experience, achievable through prioritized funding to strengthen healthcare infrastructure, improving job security and satisfaction for healthcare workers, and improving the quality and safety of care delivered to patients throughout the nation. India must build a healthcare system focused on ensuring patient satisfaction and a positive patient experience by offering convenient healthcare access and high standards of care and treatment delivery.

15.
JMIR Form Res ; 6(3): e32403, 2022 Mar 23.
Article in English | MEDLINE | ID: covidwho-1770900

ABSTRACT

BACKGROUND: Telemedicine visit use vastly expanded during the COVID-19 pandemic, and this has had an uncertain impact on cardiovascular care quality. OBJECTIVE: We sought to examine the association between telemedicine visits and the failure to meet the Controlling High Blood Pressure (BP) quality measure from the Centers for Medicare & Medicaid Services. METHODS: This was a retrospective cohort study of 32,727 adult patients with hypertension who were seen in primary care and cardiology clinics at an urban, academic medical center from February to December 2020. The primary outcome was a failure to meet the Controlling High Blood Pressure quality measure, which was defined as having no BP recorded or having a last recorded BP of ≥140/90 mm Hg (ie, poor BP control). Multivariable logistic regression was used to assess the association between telemedicine visit use during the study period (none, 1 telemedicine visit, or ≥2 telemedicine visits) and poor BP control; we adjusted for demographic and clinical characteristics. RESULTS: During the study period, no BP was recorded for 2.3% (486/20,745) of patients with in-person visits only, 27.1% (1863/6878) of patients with 1 telemedicine visit, and 25% (1277/5104) of patients with ≥2 telemedicine visits. After adjustment, telemedicine use was associated with poor BP control (1 telemedicine visit: odds ratio [OR] 2.06, 95% CI 1.94-2.18; P<.001; ≥2 telemedicine visits: OR 2.49, 95% CI 2.31-2.68; P<.001; reference: in-person visits only). This effect disappeared when the analysis was restricted to patients with at least 1 recorded BP (1 telemedicine visit: OR 0.89, 95% CI 0.83-0.95; P=.001; ≥2 telemedicine visits: OR 0.91, 95% CI 0.83-0.99; P=.03). CONCLUSIONS: Increased telemedicine visit use is associated with poorer performance on the Controlling High Blood Pressure quality measure. However, telemedicine visit use may not negatively impact BP control when BP is recorded.

16.
Revista Cubana de Salud P..blica ; 47(3), 2021.
Article in Spanish | CAB Abstracts | ID: covidwho-1766794

ABSTRACT

Introduction: In presence of the COVID-19 pandemic emerges the need of designing a Cuban protocol of action for the care of these cases, which creation mainly requires the selection of contents, as well as a suitable structuring.

17.
Scientific Journal of Kurdistan University of Medical Sciences ; 26(5):50-68, 2021.
Article in Persian | CAB Abstracts | ID: covidwho-1761771

ABSTRACT

Background and Aim: Evidence shows that COVID-19 pandemic affects non-communicable diseases (NCDs), significantly. This study aimed to analyze the status of prevention and management services of NCDs at the level of primary health care (PHC) system during the COVID-19 pandemic. Materials and Methods: In this situation analysis study, first the circulars communicated at the level of PHC system from beginning of the pandemic to the end of September 2020 were manually and electronically retrieved, and those which included a decision or action in terms of governance and coordination mechanisms to provide NCDs in crisis and reopening stages, were analyzed. Then, the plans of major NCDs services in low-risk, intermediate, and high-risk conditions were developed and finalized based on the circulars. Finally, situation analysis was performed using SWOT analysis, and proposed strategies were extracted.

18.
Working Paper Series National Bureau of Economic Research ; 65, 2021.
Article in English | GIM | ID: covidwho-1745152

ABSTRACT

We estimate the impact of increased access to telemedicine that followed widespread adoption during the March-April 2020 lockdown period in Israel (due to COVID-19). We focus on the post-lockdown period, which in Israel was characterized by a temporary return to normalcy. Prior to the lockdown, telemedicine accounted for about 5% of all primary care visits. It peaked at around 40% during the lockdown, and remained high, at around 20%, during the post-lockdown period. Using a difference-in-differences framework, we compare primary care episodes before and after the lockdown between patients with high and low access to telemedicine, with access defined based on their main primary care physician's propensity to adopt telemedicine during the lockdown. Increased access to telemedicine results in a 3.5% increase in primary care visits, but a 5% lower per-episode cost, so overall resource utilization is slightly lower. We find that remote visits involve slightly fewer prescriptions and more follow-ups, mainly with the same physician, which is consistent with a prolonged diagnostic path in the absence of physical examination. However, analyzing specific conditions, we find no evidence of missed diagnoses or adverse outcomes. Taken together, our findings suggest that the increased convenience of telemedicine does not compromise care quality or raise costs.

19.
SAMJ South African Medical Journal ; 112(2):87-95, 2022.
Article in English | CAB Abstracts | ID: covidwho-1744689

ABSTRACT

Background. In South Africa (SA), >2.4 million cases of COVID-19 and >72 000 deaths were recorded between March 2020 and 1 August 2021, affecting the country's 52 districts to various extents. SA has committed to a COVID-19 vaccine roll-out in three phases, prioritising frontline workers, the elderly, people with comorbidities and essential workers. However, additional actions will be necessary to support efficient allocation and equitable access for vulnerable, access-constrained communities. Objectives. To explore various determinants of disease severity, resurgence risk and accessibility in order to aid an equitable, effective vaccine roll-out for SA that would maximise COVID-19 epidemic control by reducing the number of COVID-19 transmissions and resultant deaths, while at the same time reducing the risk of vaccine wastage. Methods. For the 52 districts of SA, 26 COVID-19 indicators such as hospital admissions, deaths in hospital and mobility were ranked and hierarchically clustered with cases to identify which indicators can be used as indicators for severity or resurgence risk. Districts were then ranked using the estimated COVID-19 severity and resurgence risk to assist with prioritisation of vaccine roll-out. Urban and rural accessibility were also explored as factors that could limit vaccine roll-out in hard-to-reach communities. Results. Highly populated urban districts showed the most cases. Districts such as Buffalo City, City of Cape Town and Nelson Mandela Bay experienced very severe first and second waves of the pandemic. Districts with high mobility, population size and density were found to be at highest risk of resurgence. In terms of accessibility, we found that 47.2% of the population are within 5 km of a hospital with 50 beds, and this percentage ranged from 87.0% in City of Cape Town to 0% in Namakwa district. Conclusions. The end goal is to provide equal distribution of vaccines proportional to district populations, which will provide fair protection. Districts with a high risk of resurgence and severity should be prioritised for vaccine roll-out, particularly the major metropolitan areas. We provide recommendations for allocations of different vaccine types for each district that consider levels of access, numbers of doses and cold-chain storage capability.

20.
Community Eye Health Journal ; 34(111):5-7, 2021.
Article in English | GIM | ID: covidwho-1743821

ABSTRACT

Health care-associated infections can be painful, potentially blinding, and even life threatening. Infection prevention and control is therefore a vital part of caring for the patients. The multidisciplinary nature of the infection control committee is an important reminder that everyone has a responsibility to reduce health care-associated infections and prevent harm to patients. This is particularly important with the emergence of antimicrobial resistance, as health care-associated infections are more likely to be multi-drug resistant and therefore difficult to treat. Hopefully, one of the lessons that will come out of the COVID-19 pandemic will be to pay more heed to routine infection prevention and control hygiene measures.

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