Patient's punctuality in an outpatient clinic: the role of age, medical branch and geographical factors.

BACKGROUND: The efficiency of the management of an outpatient clinic largely depends on the administration of patient flows and waiting times increase costs and affect clinical quality. In this study, we verify if the visit acceptance times are influenced by demographic or geographical factors in a large cohort of patients referred to a city and suburban private outpatient multidisciplinary clinic. METHODS: We included all scheduled visits of patients aged from 18 to 75 years who arrived in 2021, 2022 and 2023 in our private outpatient clinics, consisting of 34 medical clinics scattered in Milan metropolitan city and hinterland. The variables collected were age, visit time, check-in time, address of the medical clinic and its distance from the closest underground station, patient typology (new business vs. follow-up patient), and the medical branch of the visit. Outcome is'punctuality', defined as check-in time minus visit time (in minutes). RESULTS: We considered a sample of 410.808 visits from January 2021 to April 2023. The majority of patients check-in early (84.4%) and we found that the percentage of punctual patients increases linearly with age. Earlier hours in the morning show the worst punctuality pattern as well as Blood Draws in the analysis of different medical branches. We also observed that patients who already had some activity recorded in our systems show the worst pattern of punctuality. No particular differences emerged considering the geographical location of the clinics. CONCLUSIONS: Younger patients have worse punctuality than older patients. Moreover, earlier hour slots are the most disadvantaged and the medical specialty has an influence on the arrival habits. This data should be considered for better clinical quality and efficiency.

Technologically Punctual? A Preliminary Evaluation of Differences between Face-to-Face and Video Check-In Times for Initial Mental Health Services.

Video-based telehealth provides mental health services to underserved populations. As decision makers reevaluate service offerings following COVID-19, it remains prudent to evaluate the utility of ongoing telehealth options among rural healthcare facilities, the primary healthcare source for many rural individuals. As research continues to compare video and face-to-face services, one understudied component is attendance. Although video-based telehealth has demonstrated improved show-rates for mental health services when compared to face-to-face methods, limited work has clarified whether video improves patient punctuality for these appointments, a documented challenge prevalent for patients with mental health-related concerns. A retrospective electronic record review of psychiatry, psychology, and social work initial patient visits between 2018-2022 was conducted (N = 14,088). Face-to-face visits demonstrated a mean check-in time of -10.78 min (SD = 26.77), while video visits demonstrated a mean check-in time of -6.44 (SD = 23.87). Binary logistic regressions suggested that increased video usage was associated with a decreased likelihood of late check-in (B = -0.10, S. E. = 0.05, Exp(B) = 0.91, 95% CI = 0.83 - 1.00). Exploratory binary logistic regressions evaluated age, sex, race, ethnicity, specialty, insurance type, and diagnostic classification influence on video initial visits. Increased video usage was associated with a statistically decreased likelihood of late check-in; however, clinically, both face-to-face and video visits exhibited mean check-in times prior to the initial visit's scheduled time. As such, mental health organizations are encouraged to continue offering both face-to-face and video as options to foster evidence-based practices to the broadest population.

The propagation of European airports' on-time performance and on-time flights via air connectivity prior to the Covid-19 pandemic.

This research investigates the number of on-time flights (OTFs) at European airports and how this number is influenced by an airport's flight connectivity. We conduct a spatial statistical analysis of the spatial context relationship using econometric models, and the interaction between the number of airport's on-time flights (OTFs) and flight connectivity. Using 2017 and 2018 data, we characterize the relationship between a European airport's air connectivity index (ACI) and the number of flights that depart or arrive at a gate within 15 min of schedule (OTFs). We also analyze the relationship between OTFs at a given airport and those of neighboring airports. As the distances between airports increase, autocorrelation shifts from a positive to a negative sign meaning that at greater distances, airports' on-time performance is less dissimilar. We find that before the pandemic and the ensuing global travel shutdown, a spatially lagged term of ACI improves the model's ability to account for variations in OTFs across airports. Flight delay propagation in the air transport system caused delays to occur due to the shared resources underlying an initially delayed flight and subsequent flights. This analysis offers a rational for increasing airport connectivity as a way of improving the share of on-time flights of European airports.

Effects of psychological factors on players’ performance with the mediation role of player’s satisfaction / Efectos de los factores psicológicos en el desempeño de los jugadores con el papel de mediación de la satisfacción del jugador

Nowadays, most of the players from Chinaare unable to perform outstandingly because of the effects of psychological factors which limit them and it is very common that these factors even don’t allow the players to perform accordingly. Hence, the primary objective of the current study is to investigate the role of psychological factors which affect a player’s performance particularly with the mediation role of the player’s satisfaction.To obtain the outcomes of the current study, a quantitativeresearch approach was adopted. 760 football playerswho were the respondents of the current study were surveyed for the collection of primary data. Partial Least Square (PLS) was used to evaluate the final outcomes from the primary data.From the outcomes of the current study, it is obvious that a player’spsychological factors such as punctuality, mood, competition, and commitment have a positive effect on the player’s satisfaction and performance.The current study is helpful for the players particularly from Chinato boost their performances and satisfaction level. Moreover, the current study also helps the sports industry of Chinato increase players’ performances.(AU)

Watch-wearing as a marker of conscientiousness.

Several aspects of an individual's appearance have been shown to predict personality and related behaviour. While some of these cues are grounded in biology (e.g., the human face), other aspects of a person's appearance can be actively controlled (e.g., clothing). In this paper, we consider a common fashion accessory, the wristwatch. In an exploratory sample (N > 100) and a confirmatory sample (N > 600), we compared big-five personality traits between individuals who do or do not regularly wear a standard wristwatch. Significantly higher levels of conscientiousness were observed in participants who wore a watch. In a third study (N = 85), watch wearers arrived significantly earlier to appointments in comparison to controls. These results are discussed in relation to enclothed cognition and the rise of wearable technology including smartwatches.

A Pontualidade e seus Benefícios Evolutivos / Punctuality and its Evolutionary Benefits / La Pontualidad y sus Beneficios Evolutivos

Neste artigo são apresentadas as características da pontualidade e daimpontualidade e suas consequências para as consciências que as praticam.Representa o resultado de pesquisa realizada no âmbito da Comunidade ConscienciológicaCosmoética Internacional (CCCI), no período compreendido entrefevereiro de 2007 a maio de 2008, e contou com pesquisas bibliográficas,hemerográficas e heteroobservação seguida de reflexão. Apresenta 5 técnicasauxiliares à conscin interessada em desenvolver a pontualidade como traforpessoal: Homo sapiens punctualis; Auto-organização consciencial; dez dias deisolamento; eliminação das automimeses dispensáveis e trinômio motivaçãotrabalho-lazer.Conclui que a pontualidade é um hábito saudável que deve serbuscado no dia a dia, como manifestação de responsabilidade e respeito àsoutras conscins e consciexes(AU)

This paper presents the characteristics of punctuality and impunctualityas well as its consequences for the consciousnesses. It represents the result ofa research undertaken within the International Cosmoethical ConscientiologicalCommunity (CCCI), from February 2007 to May 2008, including bibliographicand hemerographic searches and hetero-observation followed by reflection. Itintroduces 5 auxiliary techniques to the intraphysical consciousness interestedin developing the punctuality as personal strong trait: Homo sapiens punctualis;consciential self-organization; ten days of isolation; removal of dispensableself-mimicry; motivation-work-leisure trinomial. It concludes that punctualityis a healthy habit that must be sought from day to day as a demonstration ofresponsibility and respect for other intraphysical and extraphysicalconsciousnesses(AU)

En este artículo se presentan las características de la puntualidad y de laimpuntualidad y sus consecuencias sobre las conciencias que las pratican. Representael resultado de una investigación realizada en el ámbito de la ComunidadConscienciológica Cosmoética Internacional (CCCI), en el período comprendidoentre febrero de 2007 a mayo de 2008, y contó con pesquisas bibliográficas,hemerográficas y heterobservación seguida de reflexión. Presenta 5 técnicasauxiliares para la concin interesada en desarrollar la puntualidad como traforpersonal: Homo sapiens punctualis; la Auto-organización conciencial; los diezdías de aislamiento; la eliminación de las automimeses dispensables y trinomiomotivación-trabajo-placer. Se concluye que la puntualidad es un hábito saludableque debe ser buscado en el día-a-día, como manifestación de responsabilidady respeto a las otras concins y conciexes(AU)