Satisfaction with Care among Residents and Families in a Long-Term and Complex Continuing Care Organization

This article looks at one organization’s implementation of a satisfaction survey for all of its residents. It also explores how satisfaction ratings vary between complex continuing care (CCC) and long-term care (LTC) residents between residents with and without dementia. Satisfaction with care at St. Joseph’s Health Centre (SJHC) Guelph was measured during the fall and winter of 2004/2005. A total of 107 residents and patients from both LTC and CCC were interviewed and 141 family members returned mailed surveys. Overall quality of care was rated highly by both residents and families. There were no statistically significant differences comparing LTC and CCC residents and only one comparing those with and without dementia. Within the area of medical care, 57.7% of residents with dementia compared to 78.0% of residents without dementia agreed they received therapy when needed (p=.03). This information has been very valuable to SJHC staff and administrators as they strive to improve their quality of care. The project also highlights the important work that can be achieved through collaborations between researchers and health care providers

Using 360-degree multi-source feedback to evaluate professionalism in surgery departments: an Iranian perspective

Background: Medical professionalism helps physicians adopt a proper and good healing action for the patients based on their particular circumstance. This study was conducted to assess professionalism in surgical residents, using a 360-degree evaluation technique in several teaching hospitals in Tehran, Iran. Methods: This study was conducted on all the second and third year surgery residents from three university teaching hospitals in Tehran. Multi-source feedback questionnaire contained 10 questions on the residents’ professional behavior and was completed by the faculty and staff members (nurses, operation room staff, and medical assistants) as well as other surgery residents, interns and patients to evaluate each resident. Response rates were used to determine feasibility for each of the respondent groups and the mean and standard deviation score for each question was computed to determine the viability of the items. Reliability was assessed using alpha Cronbach coefficient for each respondent group. The correlation between these scores and the residents’ final and OSCE grade was also assessed. Results: The internal consistency reliability for 360-degree rating was 0.889. There was no significant difference in the residents’ score in different hospitals. While male residents obtained higher total score, there was no significant difference between them. The residents, however, obtained lower scores compared to the staff. The highest score was recorded for question 6, suggesting that the residents treated the patients regardless of their socioeconomic status. Conclusion: This study revealed a strong agreement between the results gathered from different respondents, confirming the reliability of the questionnaire and the respondents’ unbiased response. It also revealed that the residents did well in the whole test, showing they were conscientious and learning to become medical professionals

Cross-Sectional Survey of Residential and Nursing Homes for Elderly People. Comparisons of residents in residential and nursing homes for elderly people, 1981-1996

This paper compares the characteristics of elderly people living in residential and nursing homes over the period 1981-1996. The paper draws on information collected in four surveys: a 1981 survey of local authority, private and voluntary residential homes; a 1986 survey of private and voluntary residential and nursing homes; a 1988 survey of local authority residential homes; and a 1996 survey of local authority, private and voluntary residential homes, and private and voluntary nursing homes. The distributions of length of stay for permanent residents in local authority and voluntary residential homes and nursing homes in 1996 were similar to those in 1986/88. Mean lengths of stay for voluntary residential homes and nursing homes were slightly shorter in 1996 than in 1986, whereas the reverse appears to be the case for local authority homes. However, the mean length of stay of permanent residents in private residential homes was substantially longer in 1996 than in 1986. In terms of their length of stay, permanent residents in private residential homes resembled those in local authority homes in 1996. In 1996, residents in nursing homes were most likely to have been admitted from hospital and residents in residential homes were most likely to have been living alone prior to admission, particularly in voluntary residential homes. Residents in private residential homes were more likely to have been admitted from hospital than residents in local authority and voluntary residential homes. A larger proportion of residents in voluntary residential homes and nursing homes had been admitted from hospital in 1996 than in 1986, whereas the proportion had decreased for private residential homes and, to a greater extent, for local authority homes. In 1996, residents in nursing homes were substantially more dependent than residents in residential homes, whereas levels of dependency among residents of local authority, private and voluntary residential homes were quite similar. Prior to 1996, residents in voluntary residential homes were less dependent than residents in local authority and private residential homes. Levels of dependency increased in all types of home between 1986/88 and 1996, but the changes were greater for voluntary residential homes and nursing homes, although levels of dependency among residents of nursing homes were also greater than in local authority and private residential homes in 1986/88. In 1981, residents in local authority and private residential homes had similar levels of physical functioning and were much more dependent than residents in voluntary residential homes. Between 1981 and 1986/88 levels of dependency among residents of local authority and voluntary residential homes increased, but levels of dependency among residents of private residential homes were very similar in 1981 and 1986

Improving the Lives of Public Housing's Most Vulnerable Families

The CHA's ambitious Plan for Transformation necessitated relocating thousands of vulnerable families. Although the conditions residents were living in at the outset were deplorable, the relocation was involuntary and was a major disruption to theirlives.Many residents were extremely vulnerable, suffering from serious mental and physical health problems that could be exacerbated by major stress.The CHA had littleexperience in providing effective relocation services and even less in providing wraparound case management that could help stabilize residents' lives and help them move toward self-sufficiency. Given these circumstances, there were reasons for serious concern about how residents would fare and whether they might end up even worse off as a result of relocation.Our ten-yearstudy of CHA families shows that most residents are better off overall as a result of the Plan for Transformation; they live in higher-quality housing in neighborhoods that are generally safer and offer a bette rquality of life for them and their children. However, incorporating intensive supportive services for the most vulnerable public housing residents produces additional gains.Our findings indicate positive outcomes on a range of adult health and employment-related outcomes that are key to improving family stability

Long-acting reversible contraception use among residents in obstetrics/gynecology training programs

Background: The objective of the study was to estimate the personal usage of long-acting reversible contraception (LARC) among obstetrics and gynecology (Ob/Gyn) residents in the United States and compare usage between programs with and without a Ryan Residency Training Program (Ryan Program), an educational program implemented to enhance resident training in family planning. Materials and methods: We performed a web-based, cross-sectional survey to explore contraceptive use among Ob/Gyn residents between November and December 2014. Thirty-two Ob/Gyn programs were invited to participate, and 24 programs (75%) agreed to participate. We divided respondents into two groups based on whether or not their program had a Ryan Program. We excluded male residents without a current female partner as well as residents who were currently pregnant or trying to conceive. We evaluated predictors of LARC use using bivariate analysis and multivariable Poisson regression. Results: Of the 638 residents surveyed, 384 (60.2%) responded to our survey and 351 were eligible for analysis. Of those analyzed, 49.3% (95% confidence interval [CI]: 44.1%, 54.5%) reported current LARC use: 70.0% of residents in Ryan Programs compared to 26.8% in non-Ryan Programs (RRadj 2.14, 95% CI 1.63-2.80). Residents reporting a religious affiliation were less likely to use LARC than those who described themselves as non-religious (RRadj 0.76, 95% CI 0.64-0.92). Of residents reporting LARC use, 91% were using the levonorgestrel intrauterine device. Conclusion: LARC use in this population of women's health specialists is substantially higher than in the general population (49% vs. 12%). Ob/Gyn residents in programs affiliated with the Ryan Program were more likely to use LARC

Residents' attitudes toward impacts of tourism: A case study of Langkawi, Malaysia

This paper presents findings from a study that was undertaken to investigate residents’ attitudes toward the impacts of tourism in Langkawi Island, Malaysia. In order to gain reliable results for the use of Langkawi policy makers and tourism planners, a standardized instrument for measuring residents’ attitude was developed and used in the study. The findings revealed that residents tend to perceive impacts that benefit them as positive impacts of tourism. The findings also indicated that residents tend to perceive impacts of tourism, either positively or negatively depending on how much they would affect their personal lives. The more dependent they were on the positive impacts of tourism, the more supportive they were toward tourism development. Thus, the findings do not support Doxey’s Irridex Model. Finally, the study suggested that for a long-term purpose of achieving sustainable tourism development, Langkawi tourism planners and policy makers should conduct several campaigns and tourism workshops for the residents. Accordingly, this would gain residents support for tourism development on the island

Assessing the Oral Health Needs of Public Housing Residents

Objectives: “Tooth Smart Healthy Start” is a randomized clinical trial which aims to reduce the incidence of early childhood caries (ECC) in Boston public housing residents as part of the NIH funded Northeast Center for Research to Evaluate and Eliminate Dental Disparities. The purpose of this project was to assess public housing stakeholders' perception of the oral health needs of public housing residents and their interest in replicating “Tooth Smart Healthy Start” in other public housing sites across the nation. Methods: The target population was the 180 attendees of the 2010 meeting of the Health Care for Residents of Public Housing National Conference. A ten question survey which assessed conference attendees' beliefs about oral health and its importance to public housing residents was distributed. Data was analyzed using SAS 9.1. Descriptive statistics were calculated for each variable and results were stratified by participants' roles. Results: Thirty percent of conference attendees completed the survey. The participants consisted of residents, agency representatives, and housing authority personnel. When asked to rank health issues facing public housing residents, oral health was rated as most important (42%) or top three (16%) by residents. The agency representatives and housing authority personnel rated oral health among the top three (33% and 58% respectively) and top five (36% and 25% respectively). When participants ranked the three greatest resident health needs out of eight choices, oral health was the most common response. Majority of the participants expressed interest in replicating the “Tooth Smart Healthy Start” program at their sites. Conclusion: All stakeholder groups identified oral health as one of the greatest health needs of residents in public housing. Furthermore, if shown to reduce ECC, there is significant interest in implementing the program amongst key public housing stakeholders across the nation.NIDCR U54 DE019275 and K24 DE00041

The perceived social impacts of the 2006 World Cup on Munich residents

All major sporting events result in a variety of impacts upon the host community. To date, the majority of existing studies have focused upon the wider economic impacts, with few empirical studies of the social impacts upon local residents. This paper explores the perceived impacts of the 2006 Football World Cup upon residents of one of the host cities–Munich. Using a multi-stage sampling technique, 180 Munich residents were randomly selected. Of these, 132 agreed to participate in face-to-face interviews. Findings from the study suggested that the impacts were largely perceived as positive by residents, especially in terms of urban regeneration, increased sense of security, positive fan behaviour and the general atmosphere surrounding the event. Negative impacts, such as increased crime, prostitution, and displacement of local residents were perceived by fewer respondents. Further analysis demonstrates that such perceptions are not dependent upon socio-demographic factors such as age, gender or length of residence in the city

Relocation Is Not Enough: Employment Barriers Among HOPE VI Families

Examines whether the federal HOPE VI housing program has affected employment rates among residents, and identifies barriers to workforce participation. Based on surveys of residents at five Hope VI public housing sites