Health consumer and health provider preferences for an integrative healthcare service delivery model: A national cross-sectional study

2018 ◽  
Vol 72 (6) ◽  
pp. e13204 ◽  
Author(s):  
Matthew J. Leach ◽  
Marlene Wiese ◽  
Tamara Agnew ◽  
Manisha Thakkar
2020 ◽  
Vol 12 (2) ◽  
pp. 77-92
Author(s):  
Sue Dahl-Popolizio ◽  
Heidi Carpenter ◽  
Melissa Coronado ◽  
Nicholas J. Popolizio ◽  
Connor Swanson

During the COVID-19 pandemic of 2020, healthcare professionals worldwide abruptly shifted from an in-person to a telehealth service delivery model. Many did so without advanced training or preparation. This cross-sectional study explored how occupational therapy practitioners (OTPs) used telehealth during the COVID-19 pandemic, and whether they found it to be an effective service delivery model that should be a permanent option for providing occupational therapy services. An online survey was disseminated; it included Likert scale questions, multiple option questions, and open-ended questions regarding telehealth use during the COVID-19 pandemic. Of the 230 respondents, 176 (77%) support telehealth as a substitute for in-person services; 179 (78%) support telehealth as a permanent option for occupational therapy service delivery. This information lends support to the uninterrupted use of telehealth by OTPs when government emergency orders in response to COVID-19 expire.


2019 ◽  
Vol 147 ◽  
Author(s):  
Yunfeng Deng ◽  
Yun Liu ◽  
Yan Li ◽  
Hui Jing ◽  
Yan Wang ◽  
...  

AbstractThis study aimed to reveal the associated risk factors for latent tuberculosis infection (LTBI) detected by T-SPOT.TB assay among health care workers (HCWs) at different working locations or job categories in China. This cross-sectional study included 934 HCWs who underwent the T-SPOT.TB assay. Demographic and social characteristics of the participants, including age, sex, job categories, department/ward and duration of healthcare service, were recorded. Among 934 HCWs, 267 (28.5867%) were diagnosed as having LTBI with positive T-SPOT.TB assay. HCWs working in inpatient tuberculosis (TB) (odds ratio (OR) 2.917; 95% confidence interval (CI) 1.852–4.596; P < 0.001) and respiratory wards (OR 1.840; 95% CI 1.124–3.011; P = 0.015), and with longer duration of healthcare service (OR 1.048; 95% CI 1.016–1.080; P = 0.003) were risk factors for positive T-SPOT.TB result. Furthermore, longer working duration increased the positive rate of T-SPOT.TB results for physicians and nurses, and physicians had higher risks than nurses for the same working duration. Inpatient TB and respiratory wards were high-risk working locations for HCWs with LTBI, and longer duration of healthcare service also increased the risk of LTBI among HCWs. A complete strategy for TB infection control and protection awareness among HCWs should be enhanced.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Ramón Escuriet-Peiró ◽  
Josefina Goberna-Tricas ◽  
Maria J Pueyo-Sanchez ◽  
Neus Garriga-Comas ◽  
Immaculada Úbeda-Bonet ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032108
Author(s):  
Chiu-Lan Yan ◽  
Li-Ting Kao ◽  
Ming-kung Yeh ◽  
Wu-Chien Chien ◽  
Chin-Bin Yeh

ObjectivesAlthough depressed patients may have a comorbid eating disorder (ED), to date, no study has focused on healthcare utilisation among this population. This study was designed to investigate the characteristics of healthcare service utilisation among depressed patients with ED.DesignA cross-sectional study.SettingThis population-based study used claims data from Taiwan’s National Health Insurance Research database between 2001 and 2012.ParticipantsThe study involved 1270 participants. These included 254 depressed individuals with ED and 1016 propensity score-matched depressed individuals without ED.Outcome measuresWe tracked each patient for a 1 year period to evaluate their healthcare service utilisation, including outpatient visits, inpatient days, and costs for psychiatry and non-psychiatry services. We performed a Mann-Whitney U test to compare outcome variables in healthcare service utilisation between the two groups.ResultsPatients with both depression and ED had significantly more outpatient visits (32.2 vs 28.9, p=0.023), outpatient costs (US$1089 vs US$877, p<0.001) and total costs (US$1356 vs US$1296, p<0.001) than comparison patients. For psychiatric services, patients with depression and ED had more outpatient visits (11.0 vs 6.8, p<0.001), outpatient costs (US$584 vs US$320, p<0.001) and total costs (US$657 vs US$568, p<0.001) than those without ED. For non-psychiatric services, there was no significant difference for all utilisation. This indicates that the total costs were about 1.0-fold greater for depression patient with ED than those without ED.ConclusionDepression patients with ED had more outpatient visits, outpatient costs and total costs of healthcare services than those without ED.


2016 ◽  
Vol 13 (2) ◽  
pp. 209-222
Author(s):  
A. Al Johani Abdulrahman ◽  
Karmegam Karuppiah ◽  
O. Al Mutairi Alya ◽  
Omar M. Al Nozha ◽  
Kulanthayan K. C. Mani ◽  
...  

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