21,828 research outputs found

    Delegation of Authority to the Performance of the Medical Staff and Its Relationship to Improving the Quality of Health Care in Palestine

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    The study aimed to identify the delegation of authority for the performance of the medical staff and its relationship to improving the quality of health care in Al-Shifa Medical Complex in the southern Palestinian governorates. Administrators, and technicians) with a total of 2150 employees, and the questionnaire was distributed to a stratified random sample of 330 employees, and 302 questionnaires were retrieved, with a rate of 91.5%. One of the most important results of the study was the existence of a statistically significant relationship between delegation of authority and the quality of health care. One of the most important recommendations of the study was to strengthen the direction of senior management towards excellence in patient service, because the patient represents a fundamental focus in health services

    Rasgos psicopáticos y su asociación con depresión, ansiedad y factores sociodemográficos en estudiantes de medicina peruanos

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    Introduction: Psychopathic traits harm the professional development and interpersonal relations of the general population, including healthcare professionals. This can be seen not only in already licensed physicians, but it may also be evidenced since their formative years as medical students. Objective: To evaluate the presence of psychopathic traits in a sample of Peruvian medical students and determining whether there is an association between sociodemographic and mental health (depression and anxiety) characteristics on the levels of psychopathic traits. Methods: A cross-sectional study was conducted on 497 students of a Peruvian medical school. Through online questionnaires, the following instruments were self-administered: Levenson Self-Report Psychopathy Scale (LSRP), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7). Results: 19.7% of the participants were in the psychopathic group. The variables associated with a higher frequency of belonging to the psychopathic group were male sex (aPR = 2.10, 95% CI: 1.58-2.79, p < 0.05), having clinically relevant depressive (aPR = 2.05, 95% CI: 1.41-2.96, p < 0.05) and anxious symptoms (aPR = 1.46, 95% CI: 1.01-2.09, p < 0.05). Conclusions: Medical students of the sample studied show a high prevalence of psychopathy traits. The variables associated with a higher frequency of belonging to the psychopathic group were male sex, having clinically relevant depressive symptoms, and anxiety symptoms. More involvement on behalf of the medical school is necessary as to the identification of the psychopathic traits in medical students.Introducci√≥n: Los rasgos psicop√°ticos perjudican el desarrollo profesional y las relaciones interpersonales de la poblaci√≥n general, incluidos los profesionales de la salud. Esto se puede ver no solo en m√©dicos ya graduados, sino que tambi√©n se puede evidenciar desde sus a√Īos formativos como estudiantes de medicina. Objetivo: Evaluar la presencia de rasgos psicop√°ticos en una muestra de estudiantes de medicina peruanos y determinar si existe asociaci√≥n entre caracter√≠sticas sociodemogr√°ficas y de salud mental (depresi√≥n y ansiedad) sobre los niveles de rasgos psicop√°ticos. M√©todos: Se realiz√≥ un estudio transversal en 497 estudiantes de una facultad de medicina peruana. A trav√©s de cuestionarios en l√≠nea, se autoadministraron los siguientes instrumentos: Escala de Psicopat√≠a de Autoinforme de Levenson (LSRP), Cuestionario de Salud del Paciente-9 (PHQ-9) y Trastorno de Ansiedad Generalizada-7 (GAD-7). Resultados: El 19,7% de los participantes pertenec√≠an al grupo de rasgos psicop√°ticos. Las variables asociadas a una mayor frecuencia de pertenecer al grupo psicop√°tico fueron el sexo masculino (RPa = 2,10, IC 95%: 1,58-2,79, p < 0,05), tener s√≠ntomas depresivos (RPa = 2,05, IC 95%: 1,41-2,96, p < 0,05) y ansiosos (RPa = 1,46, IC 95%: 1,01-2,09, p < 0,05) cl√≠nicamente relevantes. Conclusiones: Los estudiantes de medicina de la muestra estudiada presentan una alta prevalencia de rasgos psicop√°ticos. Las variables asociadas a una mayor frecuencia de pertenecer al grupo psicop√°tico fueron el sexo masculino, tener s√≠ntomas depresivos y ansiosos cl√≠nicamente relevantes. Es necesaria una mayor participaci√≥n por parte de las facultades de medicina en cuanto a la identificaci√≥n de los rasgos psicop√°ticos en sus estudiantes

    Quality of life in patients surgically treated for oral carcinoma

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    Background/Aim: The aim of this study was to examine quality of life in patients who were surgically treated for oral carcinoma. Material and Methods: The study included patients surgically treated over a 3-year period (2014-2016). Data on patients, tumor type and localization, disease status according to the TNM classification, type of surgical intervention and time since surgery were collected from the medical records. Postsurgery functional and aesthetic results were evaluated using the adapted University of Washington Quality of Life questionnaire. Results: Forty patients were included in the study. Male patients were more prevalent (27 vs 13) (ch2=4.225p1 year showed better mood (MannWhitney test, p=0.036, a=0.05), functions of speech (Mann-Whitney test p=0.008, a=0.05) and chewing (Mann-Whitney test p=0.04, a=0.05), as well as patients who had soft tissue surgery (chewing: Mann-Whitney test p=0.016, a=0.05; speech: Mann-Whitney test p=0.043, a=0.05). Patients with T1 stage tumors considered their looks less disfigured and had fewer problems in appearing in public, compared with patients with T3 and T4 stage (Dunn's test, CI -95%). Interest in sex was significantly diminished in patients older than 30 years (Kruskal-Wallis testa (p=0.013, a=0.05). Conclusions: The stage of disease, range of resection and success of reconstruction were decisive parameters for postoperative quality of life. Early detection of disease is of utmost importance for both survival and quality of life of patients with carcinoma

    A systematic literature review on the utilization of extended operating room hours to reduce surgical backlogs

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    This article is part of the Research Topic ‚ÄėHealth Systems Recovery in the Context of COVID-19 and Protracted Conflict'IntroductionHospital managers address elective patient surgical backlogs with different strategies: increasing installed capacity, managing demand and improving efficiency. Recently, and particularly since the COVID-19 elective surgery suspension, extended operating room hours has been used to reduce waiting lists by taking advantage of empty operating rooms and existing surgical teams.MethodsTwo research questions are raised: (1) which are the scientific literature's insights related to the use of extended operating room hours to help reduce surgery backlogs? and (2) provided that a hospital decides to extend its operating room opening time, what are the main challenges and the key aspects to consider in the design and implementation of policies to manage extended operating room hours? A systematic review on Web of Science database was conducted to gather existing literature, published from January 2012 to December 2021, regarding strategies to reduce waiting lists using empty operating rooms outside regular working hours.ResultsA total of 12 papers were selected as relevant to address the two research questions. Results were organized according to their main features, namely setting, type of strategy, methodology, and how human resources are handled.DiscussionThe review suggests that extended operating room hours might be problematic if current staff is used and that a careful choice of patients should be made. However, its potential to reduce waiting times and its implications are discussed only superficially. Therefore, we analyze the implications of extending operating room hours from four different perspectives (management, staff, patients, and strategy deployment) and define some recommendations for policy makers and healthcare managers when implementing it in practice

    Marketing Strategy Analysis Based on Segmenting, Targeting, and Positioning in Hospital

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    Background: There is a fluctuating trend related to the number of patient visits at Nur Hidayah Hospital, Bantul, so it is necessary to formulate the right Segmentation, Targeting, and Positioning (STP) in order to increase inpatient and outpatient visits and achieve standard inpatient service indicators. The purpose of this study is to analyze the marketing strategy of Nur Hidayah Hospital based on STP. Method: This study follows a descriptive qualitative design. The key informants in this study were the general director and the marketing manager of the hospital, and the triangulation informants in this study were medical officers and patients. Results: The results revealed that the segmenting was based on demographics with females or housewives with secondary education levels or lower as the highest number of service users. Based on the geographical characteristics, a significant number of service users were those living in Ring 1, an area within a radius of 0-10 km from the hospital. Targeting has been conducted well as seen by the number of patients that reached 6,500 service users within a year. Positioning was related to the availability of surgeons, a relatively short surgery duration, and services that are good, friendly, and neat that make patients feel like they are treated by their own families. Conclusion: The market segment, targeting, and positioning was good, but not fulfilled enough. Nur Hidayah Hospital should evaluate community responses regarding what is needed to fulfill target community

    Annual SHOT Report 2018

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    SHOT is affiliated to the Royal College of PathologistsAll NHS organisations must move away from a blame culture towards a just and learning culture. All clinical and laboratory staff should be encouraged to become familiar with human factors and ergonomics concepts. All transfusion decisions must be made after carefully assessing the risks and benefits of transfusion therapy. Collaboration and co-ordination among staff is vital

    Features of deontology in oncology

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    The article analyzes the main points and features of deontology in oncological practice. The oncologist in his practice meets with the issues raised on a daily basis. Examples are also given from practical situations that probably every oncologist has encountered. The work emphasizesAn important feature of deontology is the need to constantly fight against the widespread belief that malignant neoplasms are incurable

    Challenges Associated with End-of-Life Care in Saudi Arabia

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    There is extensive literature on theoretical arguments and fundamental subjects for the study of bioethics challenges from Saudi healthcare providers’ perspective. Some of the core principles of end-of-life care in Saudi Arabia are respect for dignity of both the patient and the caregiver; compassion to the wishes of the patient and family; management of pain; assessment and management of the psychological and social needs of the patient and the family. However, healthcare professionals often neglect good clinical practice by failing to comply with informed consent. This insensibility leads to the reluctance of patients being aware of the procedures, although they have expressed an interest in decision-making process. The collective engagement of family and health care professionals is the ultimate level of success. Future research and education should involve healthcare professionals, patients, and their families in decision-making by providing the knowledge empowering intelligence on how to communicate with sensitivity, dignity, sympathy, and respect

    Wooster Magazine: Spring 2023

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    The spring 2023 issue of Wooster magazine features alumni influencing change in their communities around the world, including John Carwile ’81, career member of the U.S. Foreign Service; Rashmi Ekka ’08, international development consultant; Samira El-Adawy ’13, Special Olympics youth manager in the Middle East and North Africa; Ishtiaq Ghafoor ’00, a diplomat with the British Foreign Service; Sarah Haile ’03, a biostatistician at University of Zurich; Kurt Russell ’94, 2022 National Teacher of the Year; and Lauren Vargo ’13, climate change researcher in New Zealand. Also featured are students who have attended the annual Athens Democracy Forum for the past five years and recent international graduates taking advantage of opportunities to gain experience in STEM fields. The issue also includes an interview with Wooster’s incoming 13th president, Dr. Anne McCall.https://openworks.wooster.edu/wooalumnimag_2011-present/1045/thumbnail.jp

    Does examining job market awareness among medical students provide insight into the specialty selection process?

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    AbstractBackground The future composition of a country‚Äôs physician workforce depends on medical students‚Äô choices of specialties. Students‚Äô familiarity with the job market (the healthcare system) they are about to enter and the influence job market conditions have on their choices has not been well explored. This study focuses on whether and how the healthcare system‚Äôs employment landscape is taken into consideration by medical students and whether this facet adds information about the specialty selection process.Methods Fifth-year medical students completed a questionnaire querying their knowledge and perceptions of the national healthcare system, selection criteria for choosing a specialty and a post-residency work position. Data were analyzed with two-tailed Student‚Äôs t-tests and multivariable regression analysis.Results The questionnaire was completed by 242 students (49% women). Forty per cent were interested in a specialty where it is ‚Äėeasy to find work‚Äô and 64% in a specialty that ‚Äėprovides job security‚Äô. Only 12% were attracted to specialties with empty positions due to a workforce shortage. A high salary was considered an important selection criterion by 45% of students, who were also not deterred by specialties with surplus workforce, especially, if accompanied by high salaries or controllable lifestyles. Only 17% thought it would be easy to find a residency in any hospital in the specialty they chose, reflecting the low rate (3%) of positive responses to the statement that ‚Äėthere are sufficient residency positions in all specialties‚Äô.Conclusions This study demonstrated the utility of querying medical students about their market awareness when investigating the specialty selection process. Students‚Äô poor rating of selection criteria, such as specialties with ease in finding jobs because they are suffering workforce shortages and have empty positions, provide insights and concerns for healthcare leaders. It should aid them in approaching the challenge of attracting students to specialties with workforce shortfalls.KEY MESSAGESThis study demonstrated the feasibility and potential value of adding queries about market awareness when investigating the medical student specialty selection process.Medical students were more interested in a specialty that provides job security than one where it is easy to find work.It could be useful for the healthcare leadership and medical educators in all countries to learn what medical students know about their national healthcare system and whether they need to add more healthcare delivery and system subjects to their curricula
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