scholarly journals Using Twitter to better understand online patient experience sentiments in the US (Preprint)

2018 ◽  
Author(s):  
Kara Sewalk ◽  
Gaurav Tuli ◽  
Yulin Hswen ◽  
John S Brownstein ◽  
Jared B Hawkins
Keyword(s):  
Patient Experience ◽  
Large Scale ◽  
Survey Methods ◽  
National Level ◽  
Online Data ◽  
Policy Makers ◽  
Patient Views ◽  
The Us

BACKGROUND Traditional large-scale assessments of patient care in the US have difficulty in representing all aspects of health, beyond hospital care. There are documented differences in access to healthcare across the US. It is important to understand disparities in healthcare to better inform policy makers and healthcare administrations to improve quality of care provided. Previous research indicates online data is available from Twitter about patient experiences and opinions of their healthcare. Understanding patient views through sentiment analyses of Twitter data can be used to supplement traditional feedback surveys. OBJECTIVE We aim to provide a characterization of patient experience sentiments across the US on Twitter over a four year period. METHODS We developed a set of software components to auto-label and examine the patient experience Twitter dataset. The set includes: (I) a classifier to determine patient experience tweets, (II) a geolocation inference engine for social data, (III) a modified version of a sentiment classifier from the literature, and (IV) another engine to determine if the tweet is from a metro or non-metro area. RESULTS Of the 27.3 million tweets collected between February 2013 and February 2017 using a set of patient experience related keywords, the classifier was able to identify 2,779,555 tweets that were labeled as patient experience. After running the patient experience tweets through the geolocation classifier, we identified 876,384 tweets by approximate location to use for spatial analyses. At the national level, we observed 27.7% of positive, 36.3% neutral, 36% of negative Patient Experience tweets. Overall, the average sentiment polarity shifted towards less negative every year across all the regions in the country. The patient experience tweet rate also decreased across all the states over the four year study period. We also observed the sentiment of tweets to have a lower negative fraction during daytime hours, whereas the sentiment of tweets posted between 8pm and 10am tend to have a higher negative fraction. Additionally, tweet sentiment varied by region and by metro vs. non-metro analyses. CONCLUSIONS This study presents methodologies for a deeper understanding of online discussion related to patient experience across space and time, and demonstrates how Twitter can provide a unique and unsolicited perspective from users, which may not be captured from traditional survey methods for understanding patient views.

scholarly journals Analysis of 220 Years of Floodplain Population Dynamics in the US at Different Spatial Scales

Water ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 141
Author(s):  
Firoza Akhter ◽  
Maurizio Mazzoleni ◽  
Luigia Brandimarte
Keyword(s):  
Population Dynamics ◽  
Large Scale ◽  
Spatial Scales ◽  
National Level ◽  
State Level ◽  
Economic Activities ◽  
Protection Measures ◽  
Management Planning ◽  
The Us ◽  
Over Time

In this study, we explore the long-term trends of floodplain population dynamics at different spatial scales in the contiguous United States (U.S.). We exploit different types of datasets from 1790–2010—i.e., decadal spatial distribution for the population density in the US, global floodplains dataset, large-scale data of flood occurrence and damage, and structural and nonstructural flood protection measures for the US. At the national level, we found that the population initially settled down within the floodplains and then spread across its territory over time. At the state level, we observed that flood damages and national protection measures might have contributed to a learning effect, which in turn, shaped the floodplain population dynamics over time. Finally, at the county level, other socio-economic factors such as local flood insurances, economic activities, and socio-political context may predominantly influence the dynamics. Our study shows that different influencing factors affect floodplain population dynamics at different spatial scales. These facts are crucial for a reliable development and implementation of flood risk management planning.

scholarly journals Is Urban Sprawl Decoupled from the Quality of Economic Growth? Evidence from Chinese Cities

2019 ◽  
Vol 12 (1) ◽  
pp. 218 ◽  
Author(s):  
Xinhai Lu ◽  
Danling Chen ◽  
Yue Wang
Keyword(s):  
Economic Growth ◽  
Urban Sprawl ◽  
Urban Policy ◽  
Urban Expansion ◽  
National Level ◽  
Policy Makers ◽  
Chinese Cities ◽  
Technological Efficiency ◽  
Spatial Differences

This paper investigates how urban sprawl and the quality of economic growth interact and further studies the spatial-temporal decoupling characteristics of both. To achieve this, a framework was developed to better explain both the different dimensional effects urban sprawl exerts on the quality of economic growth and their reverse feedback relation. A sample of 285 Chinese cities (2003 to 2016) were analyzed, employing both a decoupling model and spatial correlation analysis. The findings indicated that urban sprawl and the quality of economic growth are related via scale, structure, technological efficiency, and technological progress effects. In practice, with increasing quality of economic growth, the urban sprawl index decreases at the national level. At prefecture-city level, the types of decoupling between urban sprawl and the quality of economic growth showed clear periodical and unbalanced characteristics. Furthermore, decoupling showed a significant agglomeration effect in Chinese cities, which is mainly mediated by the types High-High and Low-Low. This study provides a significant contribution to the relevant acknowledge system by providing a comprehensive theoretical framework toward an understanding of how urban expansion interacts with the quality of economic growth. Furthermore, their decoupling types and spatial differences that are critical for the urban sustainable development have been identified, thus providing several important insights for both academics and urban policy makers.

Scaling-Up and Zooming-Out: Understanding How and When Participatory Institutions Matter

2020 ◽  
Author(s):  
Jared Abbott ◽  
Benjamin Goldfrank
Keyword(s):  
Public Service ◽  
Service Provision ◽  
Large Scale ◽  
National Level ◽  
Democratic Governance ◽  
Quality Of Democracy ◽  
Fine Grained ◽  
Participatory Institutions ◽  
New Generation

The three books reviewed here represent a new generation of rigorous scholarship on participatory institutions (PIs). They demonstrate that – under certain conditions – it is possible to build large-scale PIs that strengthen democratic governance and improve citizens’ lives. Nonetheless, significant challenges remain. Due in part to the absence of either high-quality national-level comparative data or fine-grained subnational data, and in part to research design choices of existing studies, the literature remains limited in its capacity to make general claims about the causes and effects of large-scale PIs. Ultimately, the key question collectively addressed, but not fully answered, by the works reviewed is whether governments can build PIs that deliver on their promise to improve the quality of democracy and enhance public service provision on a large scale in diverse contexts beyond Brazil.

scholarly journals Using patient experience measures to evaluate the quality of medical and nursing care in the newly established PHC units (TOMYs), in Greece

2021 ◽  
Vol 14 (1) ◽  
pp. 49
Author(s):  
Olympia Konstantakopoulou ◽  
Daphne Kaitelidou ◽  
Petros Galanis ◽  
Olga Siskou ◽  
Charalambos Economou
Keyword(s):  
Health System ◽  
Patient Experience ◽  
Nursing Care ◽  
National Level ◽  
Local Health ◽  
Care Services ◽  
Primary Health ◽  
Primary Care Services ◽  
Social And Economic Development

Primary Health Care (PHC) is an integral part of both a country’s health system and of the overall social and economic development of the community. In Greece, in an effort to improve the provision of the PHC services on a national level, the Ministry of Health established the first Local Health Units (TOMYs) in December 2017. These new PHC units aimed to contribute to the provision of quality primary care services to citizens, while at the same time favoring the health system by improving the health of the population and helping to reduce health costs. Within this context, it is important for patients/PHC services’ recipients to be able to evaluate their experiences, as accumulated during their visits at these new health PHC structures. The aim of this paper was to evaluate the quality of medical and nursing care in the newly established PHC units (TOMYs) in Greece, using patient experience measures.

scholarly journals The US COVID-19 Trends and Impact Survey: Continuous real-time measurement of COVID-19 symptoms, risks, protective behaviors, testing, and vaccination

2021 ◽  
Vol 118 (51) ◽  
pp. e2111454118 ◽  
Author(s):  
Joshua A. Salomon ◽  
Alex Reinhart ◽  
Alyssa Bilinski ◽  
Eu Jing Chua ◽  
Wichada La Motte-Kerr ◽  
...  
Keyword(s):  
Public Health ◽  
Real Time ◽  
Large Scale ◽  
Survey Methods ◽  
Health Priorities ◽  
Surveillance Systems ◽  
Cross Sectional ◽  
Essential Information ◽  
Public Health Reporting ◽  
The Us

The US COVID-19 Trends and Impact Survey (CTIS) is a large, cross-sectional, internet-based survey that has operated continuously since April 6, 2020. By inviting a random sample of Facebook active users each day, CTIS collects information about COVID-19 symptoms, risks, mitigating behaviors, mental health, testing, vaccination, and other key priorities. The large scale of the survey—over 20 million responses in its first year of operation—allows tracking of trends over short timescales and allows comparisons at fine demographic and geographic detail. The survey has been repeatedly revised to respond to emerging public health priorities. In this paper, we describe the survey methods and content and give examples of CTIS results that illuminate key patterns and trends and help answer high-priority policy questions relevant to the COVID-19 epidemic and response. These results demonstrate how large online surveys can provide continuous, real-time indicators of important outcomes that are not subject to public health reporting delays and backlogs. The CTIS offers high value as a supplement to official reporting data by supplying essential information about behaviors, attitudes toward policy and preventive measures, economic impacts, and other topics not reported in public health surveillance systems.

A National Customer Satisfaction Barometer: The Swedish Experience

1992 ◽  
Vol 56 (1) ◽  
pp. 6-21 ◽  
Author(s):  
Claes Fornell
Keyword(s):  
Customer Satisfaction ◽  
Large Scale ◽  
National Level ◽  
Empirical Support ◽  
Total Consumption ◽  
Market Structures ◽  
Economic Climate ◽  
Swedish Experience ◽  
High Level

Many individual companies and some industries monitor customer satisfaction on a continual basis, but Sweden is the first country to do so on a national level. The annual Customer Satisfaction Barometer (CSB) measures customer satisfaction in more than 30 industries and for more than 100 corporations. The new index is intended to be complementary to productivity measures. Whereas productivity basically reflects quantity of output, CSB measures quality of output (as experienced by the buyer). The author reports the results of a large-scale Swedish effort to measure quality of the total consumption process as customer satisfaction. The significance of customer satisfaction and its place within the overall strategy of the firm are discussed. An implication from examining the relationship between market share and customer satisfaction by a location model is that satisfaction should be lower in industries where supply is homogeneous and demand heterogeneous. Satisfaction should be higher when the heterogeneity/homogeneity of demand is matched by the supply. Empirical support is found for that proposition in monopolies as well as in competitive market structures. Likewise, industries in general are found to have a high level of customer satisfaction if they are highly dependent on satisfaction for repeat business. The opposite is found for industries in which companies have more captive markets. For Sweden, the 1991 results show a slight increase in CSB, which should have a positive effect on the general economic climate.

scholarly journals Strategies for Structural and Energy Improvement in Mid-Rise Unreinforced Masonry Apartment Buildings. A Case Study in Mestre (Northeast Italy)

2021 ◽  
Vol 13 (16) ◽  
pp. 8819
Author(s):  
Luca Sbrogiò ◽  
Carlotta Bevilacqua ◽  
Gabriele De Sordi ◽  
Ivano Michelotto ◽  
Marco Sbrogiò ◽  
...  
Keyword(s):  
Large Scale ◽  
Energy Analysis ◽  
Economic Value ◽  
National Level ◽  
Average Increase ◽  
Apartment Building ◽  
Building Stock ◽  
Gravity Load

Two-thirds of the Italian building stock was already built by the 1970s, largely according to gravity load design and using economical materials and poor workmanship. Currently, the structures, fixtures, and fittings of these buildings have reached the end of their service life, and they require both an assessment and an update to meet new standards and new needs. As an example of a common type, this article deals with the assessment of the present state and the proposal of an integrated structural and architectural intervention on an existing brick masonry mid-rise apartment building in the suburbs of Venice, Northern Italy. The structural analysis highlights a moderate vulnerability, despite the low seismic hazard, and the energy analysis indicates that the highest management costs are due to heating and sanitary uses. Low-impact strategies are preferred for each aspect of the required interventions. Their costs are counterbalanced by (a) the reduction to a fifth of the present management costs; (b) a 20% average increase in the economic value of the flats; and (c) a favorable tax regime at the national level. Transformed into parametric values, also useful for large scale analyses, these costs resulted in a sustainable monthly instalment from the owners, who may also benefit from the increased quality of the place where they live.

AVAILABILITY OF PRE-SCHOOLING AS AN EDUCATIONAL AND SOCIAL INDICATOR

2019 ◽  
Vol 2 ◽  
pp. 531
Author(s):  
Gediminas Merkys ◽  
Daiva Bubeliene ◽  
Nijole Čiučiulkienė
Keyword(s):  
Social Policy ◽  
Education System ◽  
Large Scale ◽  
Social Indicators ◽  
National Level ◽  
Research Paper ◽  
Point Of View ◽  
Negative Evaluation ◽  
Original Survey

The research paper presents the results of a large-scale longitudinal study which aims to highlight pre-schooling social problems with the help of social indicators. For over a decade, the authors of the research paper have been developing a survey inventory aiming to determine the population’s satisfaction with the public service index. The tool includes 190 original survey indicators that represent all public services. 20 indicators are devoted to education; two of them represent pre-school education. These are: 1) assessment of the quality of pre-school services; and 2) the availability of a child's place in a kindergarten in a residential area (availability). The existing statistical norming base (not older than 2 years) includes 12 municipalities in Lithuania and 88 subdistricts. The total number of respondents is 16202 (n=16202). It has been cleared out that the residents consider the quality of the service "high", but its "availability" is considered to be poor. The statistical regularity found is common to all surveyed municipalities. There is a significant dispersion of measured indicators in separate municipalities and in the subdistricts. Facing the negative evaluation tendency of the “availability“ service some municipalities are more able to handle the problem. For this reason their experience is worth to analyze and to disseminate in a broader way. It is also worth to mention that the results of this study have much in common with EUROSTAT data. In Lithuania, the inclusion of 2-3 years old children in the education system is extremely poor, whereas the inclusion of preschoolers is largely universal. It is possible to state that poor situation of 2-3 years old children inclusion in the Lithuanian education system is related to the problems of Lithuanian social policy. In Lithuania, mother (or father) receives financial benefits for two years after the birth of a child. It is also possible to save one‘s job without receiving a payment for one year more. From the point of view of women's employment and equal opportunities policies, our discovered regularity testifies social policy dysfunctions at the macro national level which, on their turn, indicate a deep-seated demographic crisis in an EU country.  

scholarly journals Physiological and biological characterization of smokers with and without COPD

F1000Research ◽  
2018 ◽  
Vol 6 ◽  
pp. 877
Author(s):  
Nveed Chaudhary ◽  
Karsta Luettich ◽  
Michael J. Peck ◽  
Elena Pierri ◽  
Loyse Felber-Medlin ◽  
...  
Keyword(s):  
Large Scale ◽  
Airway Disease ◽  
Lung Damage ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Global Initiative ◽  
Asymptomatic Subjects ◽  
Lung Health

Chronic obstructive pulmonary disease (COPD) is a common inflammatory airway disease predominantly associated with cigarette smoking, and its incidence is increasing worldwide. According to the Global Initiative for Obstructive Lung Disease (GOLD) guidelines, spirometry is used to diagnose the disease. However, owing to its complexity, spirometry alone may not account for the multitude of COPD phenotypes or the early, asymptomatic lung damage seen in younger smokers. In addition, suitable biomarkers enabling early diagnosis, guiding treatment and estimating prognosis are still scarce, although large scale ‘omics analyses have added to the spectrum of potential biomarkers that could be used for these purposes. The aim of the current study was to comprehensively profile patients with mild-to-moderate COPD and compare the profiles to i) a group of currently smoking asymptomatic subjects, ii) a group of healthy former smokers, and iii) a group of healthy subjects that had never smoked. The assessment was conducted at the molecular level using proteomics, transcriptomics, and lipidomics and complemented by a series of measurements of traditional and emerging indicators of lung health (ClinicalTrials.gov identifier: NCT01780298). In this data note, we provide a comprehensive description of the study population’s physiological characteristics including full lung function, lung appearance on chest computed tomography, impulse oscillometry, and exercise tolerance and quality of life (QoL) measures.

Input resources indicators in use for accreditation purpose of higher education institutions

2018 ◽  
Vol 19 (3) ◽  
pp. 176-185 ◽  
Author(s):  
Yazid Mati
Keyword(s):  
Higher Education ◽  
Large Scale ◽  
Higher Education Institutions ◽  
Prospective Students ◽  
Policy Makers ◽  
Content Type ◽  
Accreditation Standards ◽  
Key Indicators ◽  
Students Satisfaction

PurposeHigher education is a complex system that involves multiple inputs and outputs, where various activities and processes are performed. The purpose of this paper is to monitor the input resources used for executing various activities of higher education institutions. These resources are classified into three types: human resources, physical resources and financial resources.Design/methodology/approachThe author examines various national and international accreditation standards to determine their requirements for key performance indicators (KPIs) to monitor input resources. Moreover, the author uses implications proposed by previous research and best practices.FindingsA set of appropriate and generic KPIs is developed for each type of these resources leading to a total of 72 key indicators. These indicators are easy to measure, which makes them practical to be adopted by a large scale of institutions.Practical implicationsThe proposed indicators provide adequate information to administrators and policy-makers, accrediting bodies and stakeholders to identify the progress and achievements. These indicators are also used for benchmarking purposes by comparing the institution’s performance against their comparable institutions counterparts. Moreover, they are used for marketing purposes to commercialize the institution by attracting prospective students and teaching faculty in addition to increasing current students’ satisfaction.Originality/valueThe paper gives special attention to developing a set of generic KPIs for assessing the availability and quality of input resources used for carrying out various activities of higher education institutions for the aim of improving their performance and hence helping them comply with the requirements of accreditation standards.

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