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trust to physicians

Thomas Couri, Thomas G Cotter, Daniel Chen, Mary Hammes, Bharathi Reddy, Michelle Josephson, Heidi Yeh, Raymond T Chung, Sonali Paul
BACKGROUND: Hepatitis C virus (HCV)-infected organs are being transplanted in patients with and without HCV in the direct-acting antiviral era. Little is known about patient attitudes towards receiving an HCV-positive organ. OBJECTIVES: The aim of this study is to determine transplant candidates' attitudes towards receiving HCV-positive organs. METHODS: Adult solid organ transplant candidates were identified during a clinic visit or during outpatient hemodialysis from May to December 2017...
December 14, 2018: American Journal of Nephrology
Martin Wiesner, Richard Zowalla, Julian Suleder, Maximilian Westers, Monika Pobiruchin
BACKGROUND: Despite the availability of a great variety of consumer-oriented wearable devices, perceived usefulness, user satisfaction, and privacy concerns have not been fully investigated in the field of wearable applications. It is not clear why healthy, active citizens equip themselves with wearable technology for running activities, and what privacy and data sharing features might influence their individual decisions. OBJECTIVE: The primary aim of the study was to shed light on motivational and privacy aspects of wearable technology used by healthy, active citizens...
December 14, 2018: JMIR MHealth and UHealth
Clement D Marshall, Maureen E Fay, Brian Phillips, Robert Faurote, Jamie Kustudia, Ryan C Ransom, Christine Henley, Lisa DiConstanzo, Jeffrey K Jopling, Adam X Sang, David A Spain, Julie A Tisnado, Thomas G Weiser
Introduction Patient care in the trauma-surgical intensive care unit (SICU) requires trust and effective communication between nurses and physicians. Our SICU suffered from poor communication and trust between nurses and physicians, negatively impacting the working environment and, potentially, patient care. Methods A SICU Task Force studied communication practices and identified areas for improvement, leading to several interventions. The daily physician rounding was altered to improve communication and to enhance the role of the registered nurses (RN) in rounds...
October 8, 2018: Curēus
Jiangjie Sun, Liping Zhang, Ruochuan Sun, Yuanyuan Jiang, Xiuyun Chen, Chengsen He, Jiuchang Wei
BACKGROUND: The tension in doctor-patient relationships is becoming progressively greater due to the high expectations of patients and the physicians' work pressure. Recent studies have addressed factors which affect the tension of doctor-patient relationships, and our study continues this trend by looking at the influence of resiliency and physician trust in the patient (PTP), that is, how much the doctor trusts the patient. METHODS: Based on a survey of 329 physicians, a descriptive analysis of measured data was done using SPSS 19...
2018: PloS One
Victoria Chico
Where there is conflict between a patient's interests in non-disclosure of their genetic information to relatives and the relative's interest in knowing the information because it indicates their genetic risk, clinicians have customarily been able to protect themselves against legal action by maintaining confidence even if, professionally, they did not consider this to be the right thing to do. In ABC v St Georges Healthcare NHS Trust ([2017] EWCA Civ 336) the healthcare team recorded their concern about the wisdom of the patient's decision to withhold genetic risk information from his relative, but chose to respect what they considered to be an unwise choice...
December 3, 2018: European Journal of Medical Genetics
Allison A Norful, Siqin Ye, Mieke Van der-Biezen, Lusine Poghosyan
Current demand for primary care services will soon exceed the primary care provider (PCP) workforce capacity. As patient panel sizes increase, it has become difficult for a single PCP to deliver all recommended care. As a result, provider comanagement of the same patient has emerged in practice. Provider comanagement is defined as two or more PCPs sharing care management responsibilities for the same patient. While physician-physician comanagement of patients has been widely investigated, there is little evidence about nurse practitioner (NP)-physician comanagement...
December 5, 2018: Policy, Politics & Nursing Practice
Melissa De Regge, Kaat De Pourcq, Paul Gemmel, Carine Van de Voorde, Koen Van den Heede, Kristof Eeckloo
BACKGROUND: Hospitals are increasingly parts of larger care collaborations, rather than individual entities. Organizing and operating these collaborations is challenging; a significant number do not succeed, as it is difficult to align the goals of the partners. However, little research has focused on stakeholders' views regarding hospital collaboration models or on whether these views are aligned with those of hospital management. This study explores Belgian hospital stakeholders' views on the factors affecting hospital collaborations and their perspectives on different models for Belgian interhospital collaboration...
December 4, 2018: BMC Health Services Research
Brian A Feinstein, Trey V Dellucci, Simon Graham, Jeffrey T Parsons, Brian Mustanski
Despite high rates of sexually transmitted infections (STIs) among young men who have sex with men (YMSM), little is known about their experiences with diagnosis, treatment, and reinfection. To fill this gap, we interviewed 17 YMSM ages 18-29 who participated in an online HIV prevention trial and tested positive for STIs at both the baseline and three-month follow-up assessments. Participants were asked about their reactions to testing positive, experiences with treatment, disclosure to partners, and changes in thinking and behavior...
June 2018: Sexuality Research & Social Policy
Jude Kornelsen, Brian Geller, Fred Janke, Stuart Iglesias
Background: Family Physicians with Enhanced Surgical Skills (FPESS) have sustained rural operative care, including local access to caesarean section, in many communities across rural Canada and internationally. The contemporary role of FPESS within the health system, however, has not been without challenges. The 12-month Prince Albert Enhanced Surgical Skills (ESS) program intakes two learners a year and is one of only two accredited programs in Canada offering a scope of surgical practice beyond operative delivery...
November 2018: Canadian Medical Education Journal
Hanna I Hyry, Jonathan C P Roos
The English High Court recently dismissed the Bayer pharmaceutical company's challenge against a regional clinical commissioning group's policy allowing NHS Trusts to use a cheaper, but unlicensed, alternative to a sight preserving eye treatment. This makes sober reading for companies marketing "on-label" sales of medicines which are more expensive than off-label or unlicensed alternatives. Unsurprisingly, Bayer has sought to appeal the judgement. The Court has also created legal uncertainty for the NHS: the test for lawfulness is shifted from the Clinical Commission Groups and their policies to individual trusts which must ensure that every unlicensed use is lawful...
November 29, 2018: Eye
Agnus M Kim, Jaekyoung Bae, Sungchan Kang, Yeon-Yong Kim, Jin-Seok Lee
BACKGROUND: While trust in physicians has been rigorously investigated regarding its concept, measurement, and factors, the studies have mainly focused on the attributes of the physicians. This approach can lead to a limited understanding of trust in physicians as trust is based on the relationship, an interaction of both parties: patients and physicians. This study aimed to investigate the factors for trust in physicians among the Koreans by focusing on patients' traits which are related to their subjective perceptions...
November 29, 2018: BMC Family Practice
Theodora S Brisimi, Tingting Xu, Taiyao Wang, Wuyang Dai, Ioannis Ch Paschalidis
OBJECTIVE: To derive a predictive model to identify patients likely to be hospitalized during the following year due to complications attributed to Type II diabetes. METHODS: A variety of supervised machine learning classification methods were tested and a new method that discovers hidden patient clusters in the positive class (hospitalized) was developed while, at the same time, sparse linear support vector machine classifiers were derived to separate positive samples from the negative ones (non-hospitalized)...
November 25, 2018: Statistical Methods in Medical Research
Carly S Schiff, Karen B Zur, Lisa M Biggs, Jia Guo, Michael J Pitman
OBJECTIVES/HYPOTHESIS: Pediatricians are the first physicians to see a dysphonic child (DC), yet there are limited data on their proficiency in caring for them. The objective of this study was to understand how pediatricians' experience and their comfort in recognizing/diagnosing voice disorders affects their referral patterns and use of basic treatment options. STUDY DESIGN: Survey study. METHODS: A 13-question survey was sent to pediatricians in the Children's Hospital of Philadelphia's primary care network; 45/216 were returned...
November 19, 2018: Laryngoscope
Sarah K Pontefract, Jamie J Coleman, Hannah K Vallance, Christine A Hirsch, Sonal Shah, John F Marriott, Sabi Redwood
BACKGROUND: The implementation of Computerised Physician Order Entry (CPOE) and Clinical Decision Support (CDS) has been found to have some unintended consequences. The aim of this study is to explore pharmacists and physicians perceptions of their interprofessional communication in the context of the technology and whether electronic messaging and CDS has an impact on this. METHOD: This qualitative study was conducted in two acute hospitals: the University Hospitals Birmingham NHS Foundation Trust (UHBFT) and Guy's and St Thomas' NHS Foundation Trust (GSTH)...
2018: PloS One
Jack M Haglin, Adam E M Eltorai, Saisanjana Kalagara, Brandon Kingrey, Wessley M Durand, Jessica P Aidlen, Alan H Daniels
Study Design: Descriptive analysis using publicly available data. Objectives: The purpose of this study was 2-fold: to assess patient-rated trustworthiness of spine surgeons as a whole and to assess if academic proclivity, region of practice, or physician sex affects ratings of patient perceived trust. Methods: Orthopedic spine surgeons were randomly selected from the North American Spine Society directory. Surgeon profiles on 3 online physician rating websites, HealthGrades, Vitals, and RateMDs were analyzed for patient-reported trustworthiness...
October 2018: Global Spine Journal
Ali N Damji, Danielle Martin, Nulvio Lermen, Luiz Felipe Pinto, Thiago Gomes da Trindade, José Carlos Prado
OBJECTIVE: To compare primary care in Canada and Brazil and how both countries have embraced the Starfield principles in the design of their health care systems. COMPOSITION OF THE COMMITTEE: A subgroup of the Besrour Centre of the College of Family Physicians of Canada developed connections with colleagues in Brazil and collaborated to undertake a between-country comparison, comparing and contrasting various elements of both countries' efforts to strengthen primary care over the past few decades...
November 2018: Canadian Family Physician Médecin de Famille Canadien
Andreas Fontalis, Efthymia Prousali, Kunal Kulkarni
Assisted dying is a highly controversial moral issue incorporating both physician-assisted dying (PAD) and voluntary active euthanasia. End-of-life practices are debated in many countries, with assisted dying receiving different consideration across various jurisdictions. In this paper, we provide an analytic framework of the current position and the main arguments related to the rights and moral principles concerning assisted dying. Assisted dying proponents focus on the respect of autonomy, self-determination and forestalling suffering...
November 2018: Journal of the Royal Society of Medicine
Patricia Graham, Giovanna Zerbi, Williamd Norcross, Lori Montross-Thomas, Linda Lobbestael, Judy Davidson
CONTEXT: Healthcare clinicians often endure stress over long periods of time. The burden of witnessing death and disability, complex work duties, long and irregular hours, the threat of errors, and tensions between colleagues result in emotional strain, anxiety, depression, burnout and in the worst case: suicide. The Caregiver Support Team was designed to provide emotional first aid to clinicians in the healthcare environment in the moment of need and triage those who would benefit from ongoing care...
July 20, 2018: Explore: the Journal of Science and Healing
Sean D Pokorney, Diane Bloom, Christopher B Granger, Kevin L Thomas, Sana M Al-Khatib, Mayme L Roettig, John Anderson, Mitchell T Heflin, Bradi B Granger
BACKGROUND: Atrial fibrillation is associated with stroke, yet approximately 50% of patients are not treated with guideline-directed oral anticoagulants (OACs). AIMS: Given that the etiology of this gap in care is not well understood, we explored decision-making by patients and physicians regarding OAC use for stroke prevention in atrial fibrillation. METHODS AND RESULTS: We conducted a descriptive qualitative study among providers ( N=28) and their patients with atrial fibrillation for whom OACs were indicated ( N=25)...
November 12, 2018: European Journal of Cardiovascular Nursing
Gayathri Embuldeniya, Maritt Kirst, Kevin Walker, Walter P Wodchis
Policy Points: Policymakers interested in advancing integrated models of care may benefit from understanding how integration itself is generated. Integration is analyzed as the generation of connectivity and consensus-the coming together of people, practices, and things. Integration was mediated by chosen program structures and generated by establishing partnerships, building trust, developing thoughtful models, engaging clinicians in strategies, and sharing data across systems. This study provides examples of on-the-ground integration strategies in 6 programs, suggests contexts that better lend themselves to integration initiatives, and demonstrates how programs may be examined for the very thing they seek to implement-integration itself...
November 12, 2018: Milbank Quarterly
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