10 research outputs found
Diplomatic response to global health challenges in recognizing patient needs: A qualitative interview study
BackgroundGlobal health diplomacy is the applied practice of foreign affairs to further national goals that focus on health issues requiring international cooperation and collective action. We aimed to determine how international diplomats and health policy-related professionals in the EU understand the concept of health diplomacy, which impacts both diplomatic relations as well as patients' rights.MethodsIn a qualitative interview study, we used a heterogeneous stratified purposeful sampling to reach participants from different countries and different practitioners from the Pyramid of Health Diplomacy: core, multi-stakeholder, and informal. Reflexive thematic analysis was used to identify the main themes.FindingsWe contacted 131 practitioners of GHD, of which 37 responded, and nine agreed to be interviewed. From 11 interview questions, four main themes emerged from the analysis of the individual interview. The participants reported limited knowledge about the definition of GHD but also that they engaged in daily activities and decisions of inter-governmental bodies. They were not aware of existing special education and training for health attachƩs and made suggestions for improving the field and practice of GHD. They were not fully familiar with the European Charter of Patients' Rights. There was a consensus from all participants that patient rights need to improve as a fundamental right. They stressed the fact that the hospital lockdown and the right access to healthcare were impaired during the COVID pandemic.InterpretationThe role of health diplomacy in linking public health and foreign affairs is key to respecting patients' rights. Health over other interests is becoming an increasingly critical element in foreign policy. Establishing a clear career path for health attachƩs is necessary to foster effective global health agreements and coordination across countries
Languages for Different Health Information Readers: Multitrait-Multimethod Content Analysis of Cochrane Systematic Reviews Textual Summary Formats
Background: Although subjective expressions and linguistic fluency have been shown as important factors in processing and interpreting textual facts, analyses of these traits in textual health information for different audiences are lacking. We analyzed the readability and linguistic psychological and emotional characteristics of different textual summary formats of Cochrane systematic reviews. Methods: We performed a multitrait-multimethod cross-sectional study of Press releases available at Cochrane web site (n= 162) and corresponding Scientific abstracts (n= 158), Cochrane Clinical Answers (n= 35) and Plain language summaries in English (n= 156), French (n= 101), German (n= 41) and Croatian (n=156). We used SMOG index to assess text readability of all text formats, and natural language processing tools (IBM Watson Tone Analyzer, Stanford NLP Sentiment Analysis and Linguistic Inquiry and Word Count) to examine the affective states and subjective information in texts of Scientific abstracts, Plain language summaries and Press releases. Results: All text formats had low readability, with SMOG index ranging from a median of 15.6 (95% confidence interval (CI) 15.3ā15.9) for Scientific abstracts to 14.7 (95% CI 14.4ā15.0) for Plain language summaries. In all text formats, āSadnessā was the most dominantly perceived emotional tone and the style of writing was perceived as āAnalyticalāand āTentativeā. At the psychological level, all text formats exhibited the predominant āOpennessātone, and Press releases scored higher on the scales of āConscientiousnessā,āAgreeablenessāand āEmotional rangeā. Press releases had significantly higher scores
than Scientific abstracts and Plain languagesummariesonthedimensionsofāCloutā,andāEmotional ton
Bone mineral density in adolescents with chronic kidney disease: a follow-up study
Cilj istraživanja jest odrediti promjenu koÅ”tane gustoÄe u bolesnika adolescentne dobi s kroniÄnim zatajenjem bubrega i odrediti utjecaj visine i težine, odnosno veliÄine skeleta na koÅ”tanu gustoÄu. U ispitivanju je sudjelovalo 30 bolesnika, prosjeÄne dobi 13,5Ā±3,5 godina. Svim ispitanicima denzitometrijski je odreÄena mineralna gustoÄa kosti na kralježnici i cijelom skeletu metodom dvoenergetske apsorpciometrije X zraka (DXA). Laboratorijski su odreÄeni kalcij, fosfor i PTH u serumu i izraÄunat je klirens kreatinina. ProsjeÄno vrijeme izmeÄu poÄetnoga i kontrolnoga mjerenja bilo je 15,7 mjeseci. UtvrÄenje znaÄajan porast visine i težine u ispitanika, ali su u oba mjerenja antropometrijske varijable bile ispod referentnoga prosjeka (Z vrijednost za visinu i težinu < -1). Mineralna gustoÄa skeleta na kralježnici i cijelom skeletu je takoÄer znaÄajno porasla izmeÄu dva mjerenja, ali nakon korekcije prema visini i težini, taj porast viÅ”e nije bio znaÄajan. Zato je kod djece s kroniÄnim zatajenjem bubrega potrebno izvrÅ”iti korekciju koÅ”tane gustoÄe u odnosu na njihovu visinu i težinu, obzirom daje brzina njihovoga
rasta usporena.The aim of this follow-up study was to analyze the change of bone mineral density in adolescents with chronic kidney disease and to determine the influence of height, weight and bone size on bone density The study included 30 patients, aged 13.513.5 years. Regular biochemistry included serum calcium, phosphorus and PTH. Bone mineral density (BMD) was measured by dual energy absorptiometry (DXA). The mean time between baseline and follow up measurements was 15.7 months. Despite the significant increase in weight and height in all participants, anthropometric variables were below one standard deviation from reference values in both measurements (Z value < -1, for height and weight). After correction for height and weight, the increase of BMAD between two measurements was not significant. It is necessary to correct the bone density for height and weight in children with chronic kidney disease, due to their retarded growth velocity
Bone mineral density in adolescents with chronic kidney disease: a follow-up study
Cilj istraživanja jest odrediti promjenu koÅ”tane gustoÄe u bolesnika adolescentne dobi s kroniÄnim zatajenjem bubrega i odrediti utjecaj visine i težine, odnosno veliÄine skeleta na koÅ”tanu gustoÄu. U ispitivanju je sudjelovalo 30 bolesnika, prosjeÄne dobi 13,5Ā±3,5 godina. Svim ispitanicima denzitometrijski je odreÄena mineralna gustoÄa kosti na kralježnici i cijelom skeletu metodom dvoenergetske apsorpciometrije X zraka (DXA). Laboratorijski su odreÄeni kalcij, fosfor i PTH u serumu i izraÄunat je klirens kreatinina. ProsjeÄno vrijeme izmeÄu poÄetnoga i kontrolnoga mjerenja bilo je 15,7 mjeseci. UtvrÄenje znaÄajan porast visine i težine u ispitanika, ali su u oba mjerenja antropometrijske varijable bile ispod referentnoga prosjeka (Z vrijednost za visinu i težinu < -1). Mineralna gustoÄa skeleta na kralježnici i cijelom skeletu je takoÄer znaÄajno porasla izmeÄu dva mjerenja, ali nakon korekcije prema visini i težini, taj porast viÅ”e nije bio znaÄajan. Zato je kod djece s kroniÄnim zatajenjem bubrega potrebno izvrÅ”iti korekciju koÅ”tane gustoÄe u odnosu na njihovu visinu i težinu, obzirom daje brzina njihovoga
rasta usporena.The aim of this follow-up study was to analyze the change of bone mineral density in adolescents with chronic kidney disease and to determine the influence of height, weight and bone size on bone density The study included 30 patients, aged 13.513.5 years. Regular biochemistry included serum calcium, phosphorus and PTH. Bone mineral density (BMD) was measured by dual energy absorptiometry (DXA). The mean time between baseline and follow up measurements was 15.7 months. Despite the significant increase in weight and height in all participants, anthropometric variables were below one standard deviation from reference values in both measurements (Z value < -1, for height and weight). After correction for height and weight, the increase of BMAD between two measurements was not significant. It is necessary to correct the bone density for height and weight in children with chronic kidney disease, due to their retarded growth velocity
Readability of health information, patients 'rights in the healthcare system and patients' rights in healthcare diplomacy : a multimethodological research
Ciljevi:
Provedenim istraživanjima u ovoj doktorskoj disertaciji željeli smo analizirati kako se rjeÅ”avaju potrebe i problemi pacijenata kroz tri razine: zdravstvenu informaciju - prepoznati zaÅ”to je pacijentima teÅ”ko razumjeti zdravstvene informacije, prava u zdravstvenom sustavu - probleme pacijenata sa kojima se suoÄavaju u pristupu zdravstvenoj zaÅ”titi te prava i potreba na globalnoj razini - odgovoriti na pitanje kako zdravstvena diplomacija može pomoÄi zdravstvenim djelatnicima u borbi sa pandemijom COVID-19.
Metode:
Za procjenu Äitkosti teksta koristili smo dizajn presjeÄne studije i pristup s viÅ”e osobina i viÅ”e metoda za analizu jeziÄne karakteristike svih 164 priopÄenja za javnost o Cochrane sustavnim pregledima. U presjeÄnom istraživanju analizirati smo pritužbe pacijenata na dvije razine: a) pritužbe pacijenata zaprimljene putem službenog e-maila Hrvatskoj udruzi za promicanje prava pacijenata u 2017. i 2018. godini te b) godiÅ”nja izvjeÅ”Äa 21 županijskih povjerenstava za prava pacijenata poslani Ministarstvu zdravstva u 2017. i 2018. godini (javni podaci, dostupni na zahtjev). U kvalitativnoj studiji koristili smo metodu intervjua relevantnih sudionika zdravstvene diplomacije u EU i struÄnjaka povezanih sa zdravstvenom politikom da bismo identificirali i razumjeli kljuÄne trenutne i buduÄe promjene koje utjeÄu na globalno javno zdravstvo, prikupili iskustva i miÅ”ljenja o najboljim naÄinima balansiranja globalnog zdravstvenog djelovanja i zaÅ”tite osobnih prava pacijenata.
Rezultati:
Formati sažetih informacija za Cochrane sustavne preglede imaju nisku Äitkost i niske jeziÄne karakteristike. Jezik kojim su napisane najkvalitetnije zdravstvene informacije, kao Å”to su laiÄki sažetci je neÄitak. Sustav za pritužbe pacijenata u Hrvatskoj nije uÄinkovit u preciznom bilježenju i odražavanju stvarnog stanja zaÅ”tite prava pacijenata u hrvatskom zdravstvenom sustavu. Na globalnoj razini ispitanici utvrÄuju da je uloga zdravstvene diplomacije kljuÄna te da je potrebno uspostavljanje jasnog puta u karijeri za zdravstvene ataÅ”ee i za poticanje uÄinkovite globalne zdravstvene diplomacije koja usklaÄuje javno zdravstvo i vanjsku politiku.
Potrebna je veÄa transparentnost i jasan proces podnoÅ”enja pritužbi kako bi se bolje razumjele potrebe pacijenata, razrijeÅ”ile optužbe, sprijeÄile buduÄe pritužbe, Äime bi se poveÄala kvaliteta i sigurnost zdravstvenog sustava.
ZakljuÄak:
SrediÅ”te zdravstvenog sustava je pacijent koji koristi zdravstveni sustav i zdravstvenu zaÅ”titu. Zdravstvena pismenost za razumijevanje zdravstvenih informacija i predviÄanje zdravstvenog stanja te uÄinkovita komunikacija pokazuju pozitivan utjecaj na zadovoljstvo pacijenata, istodobno smanjujuÄi troÅ”kove zdravstvu. Potreban je sustavni pristup sadržaju i formatu zdravstvenih informacija za pacijente kako bi se osiguralo da su prikladni za ciljanu publiku. Zdravlje postaje sve kritiÄniji element u vanjskoj politici, a uloga zdravstvene diplomacije je kljuÄna. Zdravstveni radnici i pacijenti imaju isti cilj: imati dobru kvalitetu zdravstvene zaÅ”tite koja omoguÄava partnerski odnos lijeÄnika i pacijenta u zdravstvenom sustavu. Zdravstvena politika mora Å”tititi zdravstvene djelatnike, kako bi oni mogli zaÅ”titi pacijente.Aims:
The research conducted in this doctoral dissertation aimed to analyze how the needs and problems of patients are solved through three levels: health information - identify why patients find it difficult to understand health information, rights in the health system - problems of patients in accessing health care and rights and global need - to answer the question of how health diplomacy can help health professionals fight the COVID-19 pandemic.
Methods:
To assess the readability of the text, we used a cross-sectional study design and a multi-feature and multi-method approach to analyze the linguistic characteristics of all 164 press releases on Cochrane systematic reviews. In the cross-sectional study, we analyzed patient complaints at two levels: a) patient complaints received via official e-mail to the Croatian Association for the Promotion of Patients' Rights in 2017 and 2018 and b) annual reports of 21 county patient rights commissions sent to the Ministry of Health in 2017 and 2018 (public data, available on request). In the qualitative study, we used the interview method of relevant EU health diplomacy participants and health policy experts to identify and understand key current and future changes affecting global public health, gather experiences and opinions on the best ways to balance global health and personal protection. patient rights.
Results:
Summary information formats for Cochrane systematic reviews have low readability and low language characteristics. The language in which the highest quality health information is written, such as plain language summaries, is illegible. The patient complaints system is not effective in accurately recording and reflecting the actual state of protection of patients' rights in the Croatian healthcare system. At the global level, participants identify that the role of health diplomacy is crucial and that a clear career path needs to be established for health attaches and to promote effective global health diplomacy that aligns public health and foreign policy.
Greater transparency and a clear process of complaints submission are needed to better understand patients' needs, resolve complaints and prevent future complaints, thus increasing the quality and security of the health care system.
Conclusion:
The center of the health system is the patient who uses the health system and health care. Health literacy for understanding health information and predicting health status and effective communication show a positive impact on patient satisfaction while reducing healthcare costs. A systematic approach to the content and format of health information for patients is needed to ensure that it is appropriate for the target audience. Health is becoming an increasingly critical element in foreign policy, and the role of health diplomacy is crucial. Healthcare professionals and patients have the same goal: to have a good quality of healthcare that enables a partnership between doctors and patients in the healthcare system. Health policy must protect health professionals so that they can protect patients
Readability of health information, patients 'rights in the healthcare system and patients' rights in healthcare diplomacy : a multimethodological research
Ciljevi:
Provedenim istraživanjima u ovoj doktorskoj disertaciji željeli smo analizirati kako se rjeÅ”avaju potrebe i problemi pacijenata kroz tri razine: zdravstvenu informaciju - prepoznati zaÅ”to je pacijentima teÅ”ko razumjeti zdravstvene informacije, prava u zdravstvenom sustavu - probleme pacijenata sa kojima se suoÄavaju u pristupu zdravstvenoj zaÅ”titi te prava i potreba na globalnoj razini - odgovoriti na pitanje kako zdravstvena diplomacija može pomoÄi zdravstvenim djelatnicima u borbi sa pandemijom COVID-19.
Metode:
Za procjenu Äitkosti teksta koristili smo dizajn presjeÄne studije i pristup s viÅ”e osobina i viÅ”e metoda za analizu jeziÄne karakteristike svih 164 priopÄenja za javnost o Cochrane sustavnim pregledima. U presjeÄnom istraživanju analizirati smo pritužbe pacijenata na dvije razine: a) pritužbe pacijenata zaprimljene putem službenog e-maila Hrvatskoj udruzi za promicanje prava pacijenata u 2017. i 2018. godini te b) godiÅ”nja izvjeÅ”Äa 21 županijskih povjerenstava za prava pacijenata poslani Ministarstvu zdravstva u 2017. i 2018. godini (javni podaci, dostupni na zahtjev). U kvalitativnoj studiji koristili smo metodu intervjua relevantnih sudionika zdravstvene diplomacije u EU i struÄnjaka povezanih sa zdravstvenom politikom da bismo identificirali i razumjeli kljuÄne trenutne i buduÄe promjene koje utjeÄu na globalno javno zdravstvo, prikupili iskustva i miÅ”ljenja o najboljim naÄinima balansiranja globalnog zdravstvenog djelovanja i zaÅ”tite osobnih prava pacijenata.
Rezultati:
Formati sažetih informacija za Cochrane sustavne preglede imaju nisku Äitkost i niske jeziÄne karakteristike. Jezik kojim su napisane najkvalitetnije zdravstvene informacije, kao Å”to su laiÄki sažetci je neÄitak. Sustav za pritužbe pacijenata u Hrvatskoj nije uÄinkovit u preciznom bilježenju i odražavanju stvarnog stanja zaÅ”tite prava pacijenata u hrvatskom zdravstvenom sustavu. Na globalnoj razini ispitanici utvrÄuju da je uloga zdravstvene diplomacije kljuÄna te da je potrebno uspostavljanje jasnog puta u karijeri za zdravstvene ataÅ”ee i za poticanje uÄinkovite globalne zdravstvene diplomacije koja usklaÄuje javno zdravstvo i vanjsku politiku.
Potrebna je veÄa transparentnost i jasan proces podnoÅ”enja pritužbi kako bi se bolje razumjele potrebe pacijenata, razrijeÅ”ile optužbe, sprijeÄile buduÄe pritužbe, Äime bi se poveÄala kvaliteta i sigurnost zdravstvenog sustava.
ZakljuÄak:
SrediÅ”te zdravstvenog sustava je pacijent koji koristi zdravstveni sustav i zdravstvenu zaÅ”titu. Zdravstvena pismenost za razumijevanje zdravstvenih informacija i predviÄanje zdravstvenog stanja te uÄinkovita komunikacija pokazuju pozitivan utjecaj na zadovoljstvo pacijenata, istodobno smanjujuÄi troÅ”kove zdravstvu. Potreban je sustavni pristup sadržaju i formatu zdravstvenih informacija za pacijente kako bi se osiguralo da su prikladni za ciljanu publiku. Zdravlje postaje sve kritiÄniji element u vanjskoj politici, a uloga zdravstvene diplomacije je kljuÄna. Zdravstveni radnici i pacijenti imaju isti cilj: imati dobru kvalitetu zdravstvene zaÅ”tite koja omoguÄava partnerski odnos lijeÄnika i pacijenta u zdravstvenom sustavu. Zdravstvena politika mora Å”tititi zdravstvene djelatnike, kako bi oni mogli zaÅ”titi pacijente.Aims:
The research conducted in this doctoral dissertation aimed to analyze how the needs and problems of patients are solved through three levels: health information - identify why patients find it difficult to understand health information, rights in the health system - problems of patients in accessing health care and rights and global need - to answer the question of how health diplomacy can help health professionals fight the COVID-19 pandemic.
Methods:
To assess the readability of the text, we used a cross-sectional study design and a multi-feature and multi-method approach to analyze the linguistic characteristics of all 164 press releases on Cochrane systematic reviews. In the cross-sectional study, we analyzed patient complaints at two levels: a) patient complaints received via official e-mail to the Croatian Association for the Promotion of Patients' Rights in 2017 and 2018 and b) annual reports of 21 county patient rights commissions sent to the Ministry of Health in 2017 and 2018 (public data, available on request). In the qualitative study, we used the interview method of relevant EU health diplomacy participants and health policy experts to identify and understand key current and future changes affecting global public health, gather experiences and opinions on the best ways to balance global health and personal protection. patient rights.
Results:
Summary information formats for Cochrane systematic reviews have low readability and low language characteristics. The language in which the highest quality health information is written, such as plain language summaries, is illegible. The patient complaints system is not effective in accurately recording and reflecting the actual state of protection of patients' rights in the Croatian healthcare system. At the global level, participants identify that the role of health diplomacy is crucial and that a clear career path needs to be established for health attaches and to promote effective global health diplomacy that aligns public health and foreign policy.
Greater transparency and a clear process of complaints submission are needed to better understand patients' needs, resolve complaints and prevent future complaints, thus increasing the quality and security of the health care system.
Conclusion:
The center of the health system is the patient who uses the health system and health care. Health literacy for understanding health information and predicting health status and effective communication show a positive impact on patient satisfaction while reducing healthcare costs. A systematic approach to the content and format of health information for patients is needed to ensure that it is appropriate for the target audience. Health is becoming an increasingly critical element in foreign policy, and the role of health diplomacy is crucial. Healthcare professionals and patients have the same goal: to have a good quality of healthcare that enables a partnership between doctors and patients in the healthcare system. Health policy must protect health professionals so that they can protect patients
Readability of health information, patients 'rights in the healthcare system and patients' rights in healthcare diplomacy : a multimethodological research
Ciljevi:
Provedenim istraživanjima u ovoj doktorskoj disertaciji željeli smo analizirati kako se rjeÅ”avaju potrebe i problemi pacijenata kroz tri razine: zdravstvenu informaciju - prepoznati zaÅ”to je pacijentima teÅ”ko razumjeti zdravstvene informacije, prava u zdravstvenom sustavu - probleme pacijenata sa kojima se suoÄavaju u pristupu zdravstvenoj zaÅ”titi te prava i potreba na globalnoj razini - odgovoriti na pitanje kako zdravstvena diplomacija može pomoÄi zdravstvenim djelatnicima u borbi sa pandemijom COVID-19.
Metode:
Za procjenu Äitkosti teksta koristili smo dizajn presjeÄne studije i pristup s viÅ”e osobina i viÅ”e metoda za analizu jeziÄne karakteristike svih 164 priopÄenja za javnost o Cochrane sustavnim pregledima. U presjeÄnom istraživanju analizirati smo pritužbe pacijenata na dvije razine: a) pritužbe pacijenata zaprimljene putem službenog e-maila Hrvatskoj udruzi za promicanje prava pacijenata u 2017. i 2018. godini te b) godiÅ”nja izvjeÅ”Äa 21 županijskih povjerenstava za prava pacijenata poslani Ministarstvu zdravstva u 2017. i 2018. godini (javni podaci, dostupni na zahtjev). U kvalitativnoj studiji koristili smo metodu intervjua relevantnih sudionika zdravstvene diplomacije u EU i struÄnjaka povezanih sa zdravstvenom politikom da bismo identificirali i razumjeli kljuÄne trenutne i buduÄe promjene koje utjeÄu na globalno javno zdravstvo, prikupili iskustva i miÅ”ljenja o najboljim naÄinima balansiranja globalnog zdravstvenog djelovanja i zaÅ”tite osobnih prava pacijenata.
Rezultati:
Formati sažetih informacija za Cochrane sustavne preglede imaju nisku Äitkost i niske jeziÄne karakteristike. Jezik kojim su napisane najkvalitetnije zdravstvene informacije, kao Å”to su laiÄki sažetci je neÄitak. Sustav za pritužbe pacijenata u Hrvatskoj nije uÄinkovit u preciznom bilježenju i odražavanju stvarnog stanja zaÅ”tite prava pacijenata u hrvatskom zdravstvenom sustavu. Na globalnoj razini ispitanici utvrÄuju da je uloga zdravstvene diplomacije kljuÄna te da je potrebno uspostavljanje jasnog puta u karijeri za zdravstvene ataÅ”ee i za poticanje uÄinkovite globalne zdravstvene diplomacije koja usklaÄuje javno zdravstvo i vanjsku politiku.
Potrebna je veÄa transparentnost i jasan proces podnoÅ”enja pritužbi kako bi se bolje razumjele potrebe pacijenata, razrijeÅ”ile optužbe, sprijeÄile buduÄe pritužbe, Äime bi se poveÄala kvaliteta i sigurnost zdravstvenog sustava.
ZakljuÄak:
SrediÅ”te zdravstvenog sustava je pacijent koji koristi zdravstveni sustav i zdravstvenu zaÅ”titu. Zdravstvena pismenost za razumijevanje zdravstvenih informacija i predviÄanje zdravstvenog stanja te uÄinkovita komunikacija pokazuju pozitivan utjecaj na zadovoljstvo pacijenata, istodobno smanjujuÄi troÅ”kove zdravstvu. Potreban je sustavni pristup sadržaju i formatu zdravstvenih informacija za pacijente kako bi se osiguralo da su prikladni za ciljanu publiku. Zdravlje postaje sve kritiÄniji element u vanjskoj politici, a uloga zdravstvene diplomacije je kljuÄna. Zdravstveni radnici i pacijenti imaju isti cilj: imati dobru kvalitetu zdravstvene zaÅ”tite koja omoguÄava partnerski odnos lijeÄnika i pacijenta u zdravstvenom sustavu. Zdravstvena politika mora Å”tititi zdravstvene djelatnike, kako bi oni mogli zaÅ”titi pacijente.Aims:
The research conducted in this doctoral dissertation aimed to analyze how the needs and problems of patients are solved through three levels: health information - identify why patients find it difficult to understand health information, rights in the health system - problems of patients in accessing health care and rights and global need - to answer the question of how health diplomacy can help health professionals fight the COVID-19 pandemic.
Methods:
To assess the readability of the text, we used a cross-sectional study design and a multi-feature and multi-method approach to analyze the linguistic characteristics of all 164 press releases on Cochrane systematic reviews. In the cross-sectional study, we analyzed patient complaints at two levels: a) patient complaints received via official e-mail to the Croatian Association for the Promotion of Patients' Rights in 2017 and 2018 and b) annual reports of 21 county patient rights commissions sent to the Ministry of Health in 2017 and 2018 (public data, available on request). In the qualitative study, we used the interview method of relevant EU health diplomacy participants and health policy experts to identify and understand key current and future changes affecting global public health, gather experiences and opinions on the best ways to balance global health and personal protection. patient rights.
Results:
Summary information formats for Cochrane systematic reviews have low readability and low language characteristics. The language in which the highest quality health information is written, such as plain language summaries, is illegible. The patient complaints system is not effective in accurately recording and reflecting the actual state of protection of patients' rights in the Croatian healthcare system. At the global level, participants identify that the role of health diplomacy is crucial and that a clear career path needs to be established for health attaches and to promote effective global health diplomacy that aligns public health and foreign policy.
Greater transparency and a clear process of complaints submission are needed to better understand patients' needs, resolve complaints and prevent future complaints, thus increasing the quality and security of the health care system.
Conclusion:
The center of the health system is the patient who uses the health system and health care. Health literacy for understanding health information and predicting health status and effective communication show a positive impact on patient satisfaction while reducing healthcare costs. A systematic approach to the content and format of health information for patients is needed to ensure that it is appropriate for the target audience. Health is becoming an increasingly critical element in foreign policy, and the role of health diplomacy is crucial. Healthcare professionals and patients have the same goal: to have a good quality of healthcare that enables a partnership between doctors and patients in the healthcare system. Health policy must protect health professionals so that they can protect patients
Languages for different health information readers: multitrait-multimethod content analysis of Cochrane systematic reviews textual summary formats
Abstract Background Although subjective expressions and linguistic fluency have been shown as important factors in processing and interpreting textual facts, analyses of these traits in textual health information for different audiences are lacking. We analyzed the readability and linguistic psychological and emotional characteristics of different textual summary formats of Cochrane systematic reviews. Methods We performed a multitrait-multimethod cross-sectional study of Press releases available at Cochrane web site (nā=ā162) and corresponding Scientific abstracts (nā=ā158), Cochrane Clinical Answers (nā=ā35) and Plain language summaries in English (nā=ā156), French (nā=ā101), German (nā=ā41) and Croatian (nā=ā156). We used SMOG index to assess text readability of all text formats, and natural language processing tools (IBM Watson Tone Analyzer, Stanford NLP Sentiment Analysis and Linguistic Inquiry and Word Count) to examine the affective states and subjective information in texts of Scientific abstracts, Plain language summaries and Press releases. Results All text formats had low readability, with SMOG index ranging from a median of 15.6 (95% confidence interval (CI) 15.3ā15.9) for Scientific abstracts to 14.7 (95% CI 14.4ā15.0) for Plain language summaries. In all text formats, āSadnessā was the most dominantly perceived emotional tone and the style of writing was perceived as āAnalyticalā and āTentativeā. At the psychological level, all text formats exhibited the predominant āOpennessā tone, and Press releases scored higher on the scales of āConscientiousnessā, āAgreeablenessā and āEmotional rangeā. Press releases had significantly higher scores than Scientific abstracts and Plain language summaries on the dimensions of āCloutā, and āEmotional toneā. Conclusions Although the readability of Plain language summaries was higher than that of text formats targeting more expert audiences, the required literacy was much higher than the recommended US 6th grade level. The language of Press releases was generally more engaging than that of Scientific abstracts and Plain language summaries, which are written by the authors of systematic reviews. Preparation of textual summaries about health evidence for different audiences should take into account readersā subjective experiences to encourage cognitive processing and reaction to the provided information
Identification of an Additional Metal-Binding Site in Human Dipeptidyl Peptidase III
Dipeptidyl peptidase III (DPP III, EC 3.4.14.4) is a monozinc metalloexopeptidase that hydrolyzes dipeptides from the N-terminus of peptides consisting of three or more amino acids. Recently, DPP III has attracted great interest from scientists, and numerous studies have been conducted showing that it is involved in the regulation of various physiological processes. Since it is the only metalloenzyme among the dipeptidyl peptidases, we considered it important to study the process of binding and exchange of physiologically relevant metal dications in DPP III. Using fluorimetry, we measured the Kd values for the binding of Zn2+, Cu2+, and Co2+ to the catalytic site, and using isothermal titration calorimetry (ITC), we measured the Kd values for the binding of these metals to an additional binding site. The structure of the catalytic metalās binding site is known from previous studies, and in this work, the affinities for this site were calculated for Zn2+, Cu2+, Co2+, and Mn2+ using the QM approach. The structures of the additional binding sites for the Zn2+ and Cu2+ were also identified, and MD simulations showed that two Cu2+ ions bound to the catalytic and inhibitory sites exchanged less frequently than the Zn2+ ions bound to these sites
Table_1_Diplomatic response to global health challenges in recognizing patient needs: A qualitative interview study.docx
BackgroundGlobal health diplomacy is the applied practice of foreign affairs to further national goals that focus on health issues requiring international cooperation and collective action. We aimed to determine how international diplomats and health policy-related professionals in the EU understand the concept of health diplomacy, which impacts both diplomatic relations as well as patients' rights.MethodsIn a qualitative interview study, we used a heterogeneous stratified purposeful sampling to reach participants from different countries and different practitioners from the Pyramid of Health Diplomacy: core, multi-stakeholder, and informal. Reflexive thematic analysis was used to identify the main themes.FindingsWe contacted 131 practitioners of GHD, of which 37 responded, and nine agreed to be interviewed. From 11 interview questions, four main themes emerged from the analysis of the individual interview. The participants reported limited knowledge about the definition of GHD but also that they engaged in daily activities and decisions of inter-governmental bodies. They were not aware of existing special education and training for health attachƩs and made suggestions for improving the field and practice of GHD. They were not fully familiar with the European Charter of Patients' Rights. There was a consensus from all participants that patient rights need to improve as a fundamental right. They stressed the fact that the hospital lockdown and the right access to healthcare were impaired during the COVID pandemic.InterpretationThe role of health diplomacy in linking public health and foreign affairs is key to respecting patients' rights. Health over other interests is becoming an increasingly critical element in foreign policy. Establishing a clear career path for health attachƩs is necessary to foster effective global health agreements and coordination across countries.</p