Patient Education and Awareness Alone Will Not Reverse Treatment Bias in Cancer: Providers Must Step Up

2021 ◽  
Keyword(s):  
Patient Education ◽  
Treatment Bias ◽  
Education And Awareness

scholarly journals Determinants of antibiotic prescribing for upper respiratory tract infections in an emergency department with good primary care access: a qualitative analysis

2019 ◽  
Vol 147 ◽  
Author(s):  
Y. Y. Chan ◽  
M. A. Bin Ibrahim ◽  
C. M. Wong ◽  
C. K. Ooi ◽  
A. Chow
Keyword(s):  
Primary Care ◽  
Patient Education ◽  
Respiratory Tract Infections ◽  
Upper Respiratory Tract Infections ◽  
Antibiotic Prescribing ◽  
Clinical Knowledge ◽  
Upper Respiratory Tract ◽  
Education And Awareness ◽  
Upper Respiratory ◽  
Tract Infections

AbstractUpper respiratory tract infections (URTIs) account for substantial attendances at emergency departments (EDs). There is a need to elucidate determinants of antibiotic prescribing in time-strapped EDs – popular choices for primary care despite highly accessible primary care clinics. Semi-structured in-depth interviews were conducted with purposively sampled physicians (n = 9) in an adult ED in Singapore. All interviews were analysed using thematic analysis and further interpreted using the Social Ecological Model to explain prescribing determinants. Themes included: (1) reliance on clinical knowledge and judgement, (2) patient-related factors, (3) patient–physician relationship factors, (4) perceived practice norms, (5) policies and treatment guidelines and (6) patient education and awareness. The physicians relied strongly on their clinical knowledge and judgement in managing URTI cases and seldom interfered with their peers’ clinical decisions. Despite departmental norms of not prescribing antibiotics for URTIs, physicians would prescribe antibiotics when faced with uncertainty in patients’ diagnoses, treating immunocompromised or older patients with comorbidities, and for patients demanding antibiotics, especially under time constraints. Participants had a preference for antibiotic prescribing guidelines based on local epidemiology, but viewed hospital policies on prescribing as a hindrance to clinical judgement. Participants highlighted the need for more public education and awareness on the appropriate use of antibiotics and management of URTIs. Organisational practice norms strongly influenced antibiotic prescribing decisions by physicians, who can be swayed by time pressures and patient demands. Clinical decision support tools, hospital guidelines and patient education targeting at individual, interpersonal and community levels could reduce unnecessary antibiotic use.

scholarly journals “Informed” Consent: An Audit of Informed Consent of Cesarean Section Evaluating Patient Education and Awareness

2015 ◽  
Vol 65 (6) ◽  
pp. 382-385 ◽  
Author(s):  
Akhilesh G. Kirane ◽  
Nandkishor B. Gaikwad ◽  
Prashant E. Bhingare ◽  
Vidya D. Mule
Keyword(s):  
Informed Consent ◽  
Patient Education ◽  
Cesarean Section ◽  
Education And Awareness

Combat Recurrent Staph With Patient Education

2006 ◽  
Vol 36 (18) ◽  
pp. 33
Author(s):  
TIMOTHY F. KIRN
Keyword(s):  
Patient Education

Oscillation between identities and Subjective psychological health objectives among an informed audience in therapeutic patient education

2018 ◽  
Vol 10 (1) ◽  
pp. 10202
Author(s):  
Sandrine Roussel ◽  
Alain Deccache ◽  
Mariane Frenay
Keyword(s):  
Patient Education ◽  
Psychological Health ◽  
Healthcare Professionals ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Therapeutic Patient Education ◽  
French Speaking ◽  
Health Objectives ◽  
Self Administered Questionnaire

Introduction: The implementation of Therapeutic Patient Education (TPE) remains a challenge. An exploratory study highlighted two tendencies among practitioners of TPE, which could hamper this implementation: an oscillation between identities (as caregivers versus as educators) and an inclination towards subjective psychological health objectives. Objectives: To verify whether these tendencies can be observed among an informed audience in TPE. Next, to explore the variables associated with one or other of these tendencies. Method: A quantitative cross-sectional survey by a self-administered questionnaire was carried out among 90 French-speaking healthcare professionals. Statistical analyses (chi-square, logistic regression) were then conducted. Results: Sixty percent of respondents displayed identity oscillation, which was found to be linked to task oscillation, patient curability, scepticism towards medicine and practising in France. Fifty-six percent pursued subjective psychological health objectives, which was found to be associated with health behaviour objectives and a locus of power in the healthcare relationship distinct from those seen in the pre-existing health models (biomedical, global). This tendency seems to constitute an alternative model of TPE. Discussion & conclusion: Identity oscillation and subjective psychological health objectives can be both observed. This study stresses the need to deliberate on the form(s) of TPE that is/are desired.

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