scholarly journals Personality Traits and Annual Income Determine the Willingness to Pay for a Single Tooth Implant

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 952
Author(s):  
Shirlene Foo Yih Ting ◽  
Kimberley Chew Wen Chien ◽  
Nurul Hanis Ramzi ◽  
Allan Pau ◽  
Rohit Kunnath Menon
Keyword(s):  
Patient Education ◽  
Willingness To Pay ◽  
Personality Traits ◽  
Treatment Options ◽  
Health Centre ◽  
Evidence Based ◽  
Annual Income ◽  
Single Tooth ◽  
Significant Difference ◽  
Single Tooth Implant

The objective of this study was to evaluate the factors influencing the willingness to pay for a single tooth implant in Malaysia and to assess if an additional evidence-based patient education video increases the willingness to pay. A total of 100 subjects seeking single tooth replacement at the Oral Health Centre, International Medical University (IMU), Kuala Lumpur, Malaysia, were asked to complete questionnaires about personal demographics and personality traits. Subsequently, they were randomly allocated into two groups. Group C received a conventional patient–dentist interaction on treatment options for missing teeth, while Group EV received the same content with an additional evidence-based video on the survival rate and complications for each option from recent meta-analyses. Willingness to pay the median price and the highest price that the subjects were willing to pay were assessed by a structured bidding process. A higher annual income was significantly associated with willingness to pay the median price for a single tooth implant (χ2 = 6.91, p = 0.03). Dominant personality traits of openness (r = −0.25), conscientiousness (r = −0.30) and agreeableness (r = −0.20) were negatively correlated with the highest price that the patients were willing to pay for a single tooth implant (Pearson’s correlation test, p < 0.05). No significant difference in willingness to pay was found between Group C and Group EV (χ2 = 0.05, p > 0.05). In conclusion, patient education strategies for single tooth replacements with dental implants should be customized based on a patient’s personality and income to maximize effectiveness.

scholarly journals Development and Evaluation of Evidence Based Patient Education Booklet in Hindi Language for Prevention of Shoulder Pain in Paraplegia

2021 ◽  
Vol 6 (4) ◽  
pp. 166-169
Author(s):  
Taniya Verma ◽  
Chitra Kataria
Keyword(s):  
Patient Education ◽  
Shoulder Pain ◽  
Weight Bearing ◽  
Treatment Options ◽  
Evidence Based ◽  
Suitability Assessment ◽  
Education Material ◽  
Informal Interview ◽  
Hindi Language ◽  
Evaluation Of Evidence

Background: Shoulder pain is one of the most frequent complaints of Paraplegia with a prevalence reported to range from 50% to 60%.It has been attributed to the increase in upper extremity (UE) weight bearing following lower extremity paralysis. Purpose of the study: To develop and Evaluate an Evidence Based Patient Education Booklet in Hindi Language for Prevention of Shoulder Pain in Paraplegia along with pictorial presentation. Design: A methodological study Method: It consist of 4 steps. 1) Literature review and informal interview of 2 doctors, 7 physiotherapists, 5 occupational therapists and 10 patients were used to determine the domains of the education booklet. 2) Development of content of the evidence based patient education booklet according to domains found in step 1 and develop a rough draft of booklet in Hindi Language. 3) Evaluation of the evidence based booklet by expert panel using SAM and to modify the booklet to produce the final booklet draft. 4) Pilot study on patients to take their views regarding the booklet developed. Results: The domains found in step 1 were: Education about pain, Education about the treatment options, Ergonomics modifications, Positioning, Wheel chair selection and transfer techniques, Exercises, General precautions. The content was developed in step 2. In step 3 the SAM score is- 88.13% and final booklet was produced after modification. In step 4 the patient rated the booklet easy to read and understand with an overall rating of 9/10 Conclusion: The developed patient education booklet came out to be easy to read and understand and of superior quality according to Suitability assessment of material questionnaire and hence should be made a part of patient education. Keywords: Patient education booklet, Shoulder pain in paraplegia, Suitability assessment of material questionnaire, booklet in Hindi language, Pain prevention and management, Health education material

scholarly journals Patient Satisfaction with the Work of Nurses in Primary Health Care

2020 ◽  
Vol 4 (1) ◽  
pp. 5-19
Author(s):  
Jasminka Franjo ◽  
Slađana Režić ◽  
Boris Tot
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Health Centre ◽  
Care Quality ◽  
Annual Income ◽  
Important Indicator ◽  
Primary Health ◽  
Significant Difference ◽  
The Republic

Introduction. Patient satisfaction with provided health care is an important indicator of health care quality. Research on patient satisfaction has been very frequent in recent years. Aim. A prospective, cross-sectional study was conducted at the Health Centre of the Ministry of the Interior of the Republic of Croatia between April and June 2019. The aim of this study was to examine the satisfaction of patients with the work of nurses in primary health care. Methods. A standardized Nursing Practitioner Satisfaction Survey questionnaire, for which we received the author’s approval, was used. The study involved 200 patients from the Health Centre of the Ministry of the Interior of the Republic of Croatia. Patients who came to the Health Centre’s outpatient clinics requiring only the services of nurses were included in the study. Out of 200 patients surveyed, 185 questionnaires were filled out correctly, while 15 were filled out incorrectly. Results. Patients from the Health Centre of the Ministry of the Interior of the Republic of Croatia are satisfied with the work of nurses in primary health care. There is no statistically significant difference in the satisfaction with the work of nurses in primary health care according to gender, education, marital or working status. There is a statistically significant difference in patient satisfaction with the work of nurses according to the respondents’ age, where respondents in the age group between 26 and 40 years are less satisfied (Kruskal-Wallis test, Me=3.8). There is a statistically significant difference in the satisfaction of patients with the work of nurses in primary health care according to the respondents’ annual income, where satisfaction is more pronounced among respondents with an annual income between 26.000 to 35.000 HRK and in the range between 36.000 to 45.000 HRK (Kruskal-Wallis test, p&lt;0.01). Conclusion. The patients who took part in the study are satisfied with the work of nurses in primary health care. There are significant differences in terms of age and annual income.

THU0578 ONLINE CME IMPROVES CLINICAL DECISION-MAKING IN THE MANAGEMENT OF PATIENTS WITH PSORIATIC DISEASE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 530-530
Author(s):  
E. Bell ◽  
A. B. Gottlieb ◽  
P. J. Mease ◽  
G. Littman ◽  
M. Via
Keyword(s):  
Folic Acid ◽  
Patient Education ◽  
Treatment Options ◽  
Patient Characteristics ◽  
Skin Lesions ◽  
Evidence Based ◽  
Clinical Decisions ◽  
Research Support ◽  
Research Grants ◽  
Evidence Based Therapy

Background:Psoriatic arthritis can be a challenging condition for rheumatologists to manage.Objectives:We assessed whether an online, virtual patient simulation (VPS) activity could improve the performance of rheumatologists in ordering appropriate tests, tailoring treatment options and selecting an evidence-based treatment for patients with PsA.Methods:This CME-certified VPS consisted of 2 patient cases presented in a platform that allowed physicians to assess the patients and complete open-field entries, choosing from an extensive database of diagnostic and treatment options reflecting the scope and depth of actual practice. After each decision, learners received clinical guidance (CG) based on current evidence and faculty recommendations. Clinical decisions were compared pre- and post-CG using a 2-tailed paired t-test to determinePvalues (P<.05 is significant). Rationales for clinical decisions were collected in real time. Data were collected between 28 February 2019 and 16 May 2019 and reported here as % relative improvement,Pvalue.Results:Case 1 (n=48 rheumatologists):45 yr old female patient diagnosed with PSO 5 years ago. Current treatment with MTX 15mg & folic acid once weekly plus ibuprofen. Experiencing nausea and increasing skin lesions. Recently showing signs and symptoms of PsA.Statistically significant changes were observed for:•Ordering appropriate tests to evaluate the patient (chemistry panel, 11%,P=.04; full blood count [FBC], 10%,P=.04; IFNƴ release assay for TB, 22%,P=.01; liver function tests [LFTs],13%,P=.02; rheumatology consult, 19%,P=.01 and viral hepatitis panel, 52%,P<.001)•Tailoring treatment options based on individual patient characteristics and available evidence (discontinue MTX [46%]and folic acid [140%], bothP<.001; order patient education, 24%,P=.006; guidance on lifestyle changes, 20%,P=.01; preventative vaccines prior to ant-TNF therapy, 38%,P=.002 and a followup appointment at an appropriate timescale, 26%,P=.006)•Selecting an evidence-based therapy for a patient newly diagnosed with PsA while on MTX therapy (adalimumab, 138%,P<.001)Case 2 (n=116 rheumatologists):55 yr old male who has had PSO for 9 years. Developed joint symptoms 1 year ago. Diagnosed with PsA & treated with MTX/folic acid. Elevated liver enzymes noted after 9 months; treatment switched to adalimumab. Skin lesions much improved but ongoing issues with pain and stiffness in hands. Current medications are citalopram, adalimumab, simvastatin and triamcinolone for skin flares.Statistically significant changes were observed for:•Ordering appropriate tests to evaluate the patient (C-reactive protein [9%], erythrocyte sedimentation rate [9%] and FBC [17%], all P<.01; Beck depression inventory [51%], BSAxPGA [21%], chemistry panel [15%], Global QoL 13%], Leeds enthesitis index [25%], LFTs [32%], PGA [21%], RAPID3 [63%], total BSA [137%]and X-ray of hands and feet [27%], allP<.001)•Tailoring treatment options based on individual patient characteristics and available evidence (discontinue biologic DMARD [67%], order patient education [22%], physical therapy [31%] and occupational therapy 27%], preventative vaccines [35%], psychosocial counselling [31%] and a follow-up appointment at an appropriate timescale [32%], allP<.001)•Selecting an evidence-based therapy for a patient with inadequate control of PsA on adalimumab (secukinumab, 152%,P<.001; ixekizumab, 167%,P=.01)Conclusion:These results demonstrate the success of immersive, online VPS education that engages physicians in a practical learning experience in improving their performance in managing patients with PsA.References:[1]https://www.medscape.org/viewarticle/902369Disclosure of Interests:Elaine Bell: None declared, Alice B Gottlieb Grant/research support from:: Research grants, consultation fees, or speaker honoraria for lectures from: Pfizer, AbbVie, BMS, Lilly, MSD, Novartis, Roche, Sanofi, Sandoz, Nordic, Celltrion and UCB., Consultant of:: Research grants, consultation fees, or speaker honoraria for lectures from: Pfizer, AbbVie, BMS, Lilly, MSD, Novartis, Roche, Sanofi, Sandoz, Nordic, Celltrion and UCB., Speakers bureau:: Research grants, consultation fees, or speaker honoraria for lectures from: Pfizer, AbbVie, BMS, Lilly, MSD, Novartis, Roche, Sanofi, Sandoz, Nordic, Celltrion and UCB., Philip J Mease Grant/research support from: Abbott, Amgen, Biogen Idec, BMS, Celgene Corporation, Eli Lilly, Novartis, Pfizer, Sun Pharmaceutical, UCB – grant/research support, Consultant of: Abbott, Amgen, Biogen Idec, BMS, Celgene Corporation, Eli Lilly, Novartis, Pfizer, Sun Pharmaceutical, UCB – consultant, Speakers bureau: Abbott, Amgen, Biogen Idec, BMS, Eli Lilly, Genentech, Janssen, Pfizer, UCB – speakers bureau, Gwen Littman: None declared, Mark Via: None declared

Long-term survival of the nasal NK/T cell lymphoma

2008 ◽  
Vol 149 (17) ◽  
pp. 801-805
Author(s):  
Péter Rajnics ◽  
László Krenács ◽  
András Kenéz ◽  
Zoltán Járay ◽  
Enikő Bagdi ◽  
...  
Keyword(s):  
T Cell ◽  
Treatment Guidelines ◽  
Cell Lymphoma ◽  
Treatment Options ◽  
Diagnostic Procedures ◽  
T Cell Lymphoma ◽  
Term Survival ◽  
Barr Virus ◽  
Significant Difference ◽  
Nk T Cell

The nasal NK/T cell lymphoma is a rare, extranodal non-Hodgkin lymphoma in western civilizations, which has poor prognosis. The Epstein–Barr virus can be detected in tumor cells in nearly all cases. There are no definite treatment guidelines in our days. There is no significant difference in survival between radiotherapy and chemotherapy according to Asian studies. In this case study we show our diagnostic procedures, our treatment options and we present the summary of this illness based on the data found in the literature.

An evaluation of a shoulder rehabilitation class in a UK hospital following evidence-based modifications

2021 ◽  
pp. 1-8
Author(s):  
Emily Kell ◽  
John A. Hammond ◽  
Sophie Andrews ◽  
Christina Germeni ◽  
Helen Hingston ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Shoulder Pain ◽  
Management Strategies ◽  
Cost Effective ◽  
Rehabilitation Programme ◽  
Patient Specific ◽  
Satisfaction Survey ◽  
Evidence Based ◽  
Patient Satisfaction Survey ◽  
Significant Difference

OBJECTIVES: Shoulder pain is a common musculoskeletal disorder, which carries a high cost to healthcare systems. Exercise is a common conservative management strategy for a range of shoulder conditions and can reduce shoulder pain and improve function. Exercise classes that integrate education and self-management strategies have been shown to be cost-effective, offer psycho-social benefits and promote self-efficacy. This study aimed to examine the effectiveness of an 8-week educational and exercise-based shoulder rehabilitation programme following the introduction of evidence-based modifications. METHODS: A retrospective evaluation of a shoulder rehabilitation programme at X Trust was conducted, comparing existing anonymised Shoulder Pain and Disability Index (SPADI) and Patient-Specific Functional Scale (PSFS) scores from two cohorts of class participants from 2017-18 and 2018-19 that were previously collected by the physiotherapy team. Data from the two cohorts were analysed separately, and in comparison, to assess class efficacy. Descriptive data were also analysed from a patient satisfaction survey from the 2018-19 cohort. RESULTS: A total of 47 patients completed the 8-week shoulder rehabilitation programme during the period of data collection (2018-2019). The 2018-19 cohort showed significant improvements in SPADI (p 0.001) and PSFS scores (p 0.001). No significant difference was found between the improvements seen in the 2017-18 cohort and the 2018-19 cohort. 96% of the 31 respondents who completed the patient satisfaction survey felt the class helped to achieve their goals. CONCLUSION: A group-based shoulder rehabilitation class, which included loaded exercises and patient education, led to improvements in pain, disability and function for patients with rotator cuff related shoulder pain (RCRSP) in this outpatient setting, but anticipated additional benefits based on evidence were not observed.

Efficiency of diffusion-weighted MRI for differentiating radiologically similar simple and type I hydatid cysts of the liver

2021 ◽  
pp. 028418512098813
Author(s):  
Ilyas Dundar ◽  
Mesut Ozgokce ◽  
Fatma Durmaz ◽  
Sercan Ozkacmaz ◽  
Saim Turkoglu ◽  
...  
Keyword(s):  
Treatment Options ◽  
Type I ◽  
Hydatid Cysts ◽  
Liver Cysts ◽  
Diffusion Weighted ◽  
Significant Difference ◽  
Mean Diameter ◽  
Apparent Diffusion ◽  
Adc Values ◽  
Hepatic Lesions

Background Determining the nature of purely cystic hepatic lesions is essential because different kinds have different follow-ups, treatment options, and complications. Purpose To explore the potential of apparent diffusion coefficient (ADC) values of diffusion-weighted imaging (DWI) for the differentiation of type I hydatid cysts (HC) and simple liver cysts (SLC), which have similar radiological appearances. Material and Methods This single-center prospective study was conducted during 2016–2019. Round, homogenous, anechoic liver cysts >1 cm were classified according to at least two years of imaging follow-up, radiological features, serology, as well as puncture aspiration injection reaspiration procedure and pathology results. ADC values of 95 cysts (50 type I HCs and 45 SLCs) were calculated on DWI. The differences in ADC values were analyzed by independent t-test. Results Of 51 patients, 28 were female, 23 were male (mean age 32.07 ± 22.95 years; age range 5–82 years). Mean diameter of 45 SLCs was 2.59 ± 1.23 cm (range 1.2–7.6 cm) and ADCmean value was 3.03 ± 0.47 (range 2.64–5.85) while mean diameter of 50 type I HCs was 7.49 ± 2.95 cm (range 2.8–14 cm) and ADCmean value was 2.99 ± 0.29 (range 2.36–3.83). There was no statistically significant difference in ADC values between type I HCs and SLCs Conclusion Some studies report that ADC values of type I HCs are statistically significantly lower than those of SLCs. Others suggest no significant difference. In our study with a higher number of cases, using ADC parameters similar to those in previous studies, we did not find any statistically significant difference.

scholarly journals The hospital telemedicine TELEMED database: Providing information on evidence-based telemedicine services to hospital managers and healthcare professionals

2021 ◽  
pp. 1357633X2110155
Author(s):  
Kristian Kidholm ◽  
Ida W Svendsen ◽  
Knud Yderstræde ◽  
Anne M Ølholm ◽  
Kathrine Rayce ◽  
...  
Keyword(s):  
Literature Search ◽  
Healthcare Professionals ◽  
Economic Effects ◽  
Control Group ◽  
Evidence Based ◽  
Implementation Challenges ◽  
Hospital Managers ◽  
Pubmed Database ◽  
Significant Difference ◽  
Hospital Patients

Background Increased use of telemedicine in the healthcare system is a political goal in Denmark. Although the number of hospital patients using interventions such as the video consultation has increased in recent years only a small proportion of the outpatient and inpatient visits involve telemedicine. The TELEMED database ( https://telemedicine.cimt.dk/ ) has been launched at the Center for Innovative Medical Technologies in Denmark to ensure that hospital managers and healthcare professionals have access to information about telemedicine services and their effectiveness. This article describes the development and the content of the TELEMED database. Methods A structured literature search was made in the PubMed Database for randomised controlled trials or observational studies with a control group that investigated the effect of telemedicine interventions for hospital patients. Data were extracted from each article on the clinical effectiveness, patient perceptions, economic effects and implementation challenges. As the database should only provide inspiration to healthcare professionals regarding possibilities for use of telemedicine, the risk of bias in the studies was not assessed. Results The literature search resulted in 2825 hits. Based on full text assessment, 331 articles were included for data extraction and assessment. These articles present telemedicine services used in 22 different medical specialities. Forty-eight percent of the studies found a positive, statistically significant clinical effect, while 47% showed no statistically significant difference. In 48% of the studies, patients’ experiences were examined and of these 68% found positive patient experiences. Fifty-four percent of the articles included information on the economic effects and, of these, 51% found reduction in healthcare utilization. In the majority of studies between two and four types of implementation challenges were found. Conclusions and recommendations: The TELEMED database provides an easily accessible overview of existing evidence-based telemedicine services for use by hospital managers and health professionals, who whish to to implement telemedicine. The database is freely available and expected to be continuously improved and broadened over time.

Explaining the causal links between illness management and symptom reduction: Development of an evidence-based patient education strategy

2017 ◽  
Vol 100 (6) ◽  
pp. 1169-1176 ◽  
Author(s):  
Karen M. Zhang ◽  
Leora C. Swartzman ◽  
Robert J. Petrella ◽  
Dawn P. Gill ◽  
John Paul Minda
Keyword(s):  
Patient Education ◽  
Symptom Reduction ◽  
Evidence Based ◽  
Illness Management ◽  
Education Strategy

scholarly journals COVID-19: Before the Fall, An Evidence-Based Narrative Review of Treatment Options

2021 ◽  
Author(s):  
Nicholas Rebold ◽  
Dana Holger ◽  
Sara Alosaimy ◽  
Taylor Morrisette ◽  
Michael Rybak
Keyword(s):  
Treatment Options ◽  
Narrative Review ◽  
Evidence Based

scholarly journals Cataract surgery practice patterns worldwide: a survey

2021 ◽  
Vol 6 (1) ◽  
pp. e000464
Author(s):  
Tommaso Rossi ◽  
Mario R Romano ◽  
Danilo Iannetta ◽  
Vito Romano ◽  
Luca Gualdi ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Practice Patterns ◽  
Scientific Evidence ◽  
Public Hospitals ◽  
P Value ◽  
Evidence Based ◽  
Surgical Volume ◽  
Significant Difference ◽  
Type Of Institution ◽  
Surgical Setting

ObjectiveTo report the results of a global survey on cataract practice patterns related to preoperative, intraoperative and postoperative care, surgical setting and personnel allocation.Methods and analysisAn online 28 questions survey was sent to 240 ophthalmologists asking to describe prevailing trends in their institutions across 38 countries and 5 continents. Questions inquired country, institution, surgical volume and setting, anaesthesia, preoperative and intraoperative examination and postsurgical care. Statistical analysis used crosstabs lambda statistics for non-parametric nominal variables. P value less than 0.05 was considered statistically significant.Results209/240 (87%) ophthalmologists responded: 38% representing public hospitals, 36% private practices and 26% academic sites; overall surgical volume was between 241 700 and 410 500 cataracts per year. There was a significant correlation between type of institution and surgical volume. Complete results available in online (https://freeonlinesurveys.com/r/W6BcLLxy).ConclusionCataract surgery related patterns of perioperative care showed significant difference among respondents, regardless to type of institution, surgical volume and country. Many evidence-based procedures are unevenly practiced around the world and some widespread and expensive habits lack solid scientific evidence while consuming enormous amount of resources both monetary and human. There is a need to reach consensus and share evidence-based practice patterns.

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