scholarly journals eHealth Engagement as a Response to Negative Healthcare Experiences: Cross-Sectional Survey Analysis (Preprint)

2018 ◽  
Author(s):  
Nicole Senft ◽  
Jordan Everson
Keyword(s):  
Factor Analysis ◽  
Health Information ◽  
Care Coordination ◽  
Negative Binomial ◽  
Patient Centeredness ◽  
Coordination Problems ◽  
Highly Educated ◽  
Healthcare Experiences ◽  
Education Levels ◽  
Lower Education

BACKGROUND eHealth provides individuals with new means of accessing health information and communicating with providers through online channels. Prior evidence suggests that patients use eHealth to find information online when they receive care that is low in patient centeredness. However, it is unclear how other problems with the healthcare-delivery system motivate the use of eHealth, how these problems relate to different kinds of eHealth activities, and which populations are most likely to use eHealth when they receive low-quality care. OBJECTIVE We aimed to determine how two types of negative care experiences—low patient centeredness and care coordination problems—motivate the use of different eHealth activities, and whether more highly educated individuals, who may find these tools easier to use, are more likely to use eHealth following negative experiences than less highly educated individuals. METHODS Using nationally representative data from the 2017 Health Information National Trends Survey, we used factor analysis to group 25 different eHealth activities into categories based on the correlation between respondents’ reports of their usage. Subsequently, we used multivariate negative binomial generalized linear model regressions to determine whether negative healthcare experiences predicted greater use of these resulting categories. Finally, we stratified our sample based on education level to determine whether the associations between healthcare experiences and eHealth use differed across groups. RESULTS The study included 2612 individuals. Factor analysis classified the eHealth activities into two categories: provider-facing (eg, facilitating communication with providers) and independent (eg, patient-driven information seeking and communication with non-providers). Negative care experiences were not associated with provider-facing eHealth activity in the overall population (care coordination: P=.16; patient centeredness: P=.57) or among more highly educated respondents (care coordination: P=.73; patient centeredness: P=.32), but respondents with lower education levels who experienced problems with care coordination used provider-facing eHealth more often (IRR=1.40, P=.07). Individuals engaged in more independent eHealth activities if they experienced problems with either care coordination (IRR=1.15 P=.01) or patient-centered communication (IRR=1.16, P=.01). Although care coordination problems predicted independent eHealth activity across education levels (higher education: IRR=1.13 P=.01; lower education: IRR=1.19, P=.07), the relationship between low perceived patient centeredness and independent activity was limited to individuals with lower education levels (IRR=1.25, P=.02). CONCLUSIONS Individuals use a greater number of eHealth activities, especially activities that are independent of healthcare providers, when they experience problems with their healthcare. People with lower levels of education seem particularly inclined to use eHealth when they have negative healthcare experiences. To maximize the potential for eHealth to meet the needs of all patients, especially those who are traditionally underserved by the healthcare system, additional work should be performed to ensure that eHealth resources are accessible and usable to all members of the population.

scholarly journals Perceptions of Judicial Independence in European Countries

2020 ◽  
pp. 29-51
Author(s):  
Frans van Dijk
Keyword(s):  
General Public ◽  
Judicial Independence ◽  
Recent Experience ◽  
Strongly Correlated ◽  
Limited Information ◽  
Highly Educated ◽  
Education Levels ◽  
The Mean ◽  
Lower Education ◽  
The Difference

AbstractThe perceptions of judicial independence of judges, lawyers, general public and companies are analysed across countries. The perceptions of these categories are strongly correlated. However, the mean scores differ: judges are much more positive about their independence than lawyers, and lawyers are much more positive than the general public and companies. As to the general public, highly educated citizens are generally more positive about the presence of independence than citizens with lower education levels. The difference increases with the degree of independence. Citizens with little education in very different countries have similar perceptions of judicial independence. The limited information that is available about court users suggests that persons with recent experience with the courts are less positive about independence than persons without experience. For companies the reverse is apparent. Among both the general public and companies, the perceptions diverge more with experience than without experience, likely as a result of winning or losing a case.

The Big Five Inventory–2 in China: A Comprehensive Psychometric Evaluation in Four Diverse Samples

Assessment ◽  
2021 ◽  
pp. 107319112110082
Author(s):  
Bo Zhang ◽  
Yi Ming Li ◽  
Jian Li ◽  
Jing Luo ◽  
Yonghao Ye ◽  
...  
Keyword(s):  
Big Five ◽  
Discriminant Validity ◽  
Psychometric Evaluation ◽  
Good Reliability ◽  
Future Directions ◽  
Big Five Inventory ◽  
Education Levels ◽  
Lower Education ◽  
Content Coverage ◽  
Test Retest Reliability

The Big Five Inventory-2 (BFI-2) has received wide recognition since its publication because it strikes a good balance between content coverage and brevity. The current study translated the BFI-2 into Chinese, evaluated its psychometric properties in four diverse Chinese samples (college students, adult employees, adults treated for substance use, and adolescents), and compared its factor structure with those obtained from two U.S. samples. Across two studies, the Chinese BFI-2 demonstrated good reliability (Cronbach’s α and test–retest reliability), structural validity, convergent/discriminant validity, and criterion-related validity at the domain level. At lower levels of analyses, some facets and negatively worded items functioned better among participants with higher than those with lower education levels. Implications, limitations, and future directions are discussed.

scholarly journals Coming to Terms with the Greek Crisis: Highly Educated Young Women’s Employment Struggles in Conditions of Economic Austerity

2021 ◽  
pp. 136078042110235
Author(s):  
Julia Kazana-McCarthy
Keyword(s):  
High Education ◽  
Work Conditions ◽  
Poor Quality ◽  
Social Consequences ◽  
Quality Work ◽  
Working Classes ◽  
Highly Educated ◽  
Education Levels ◽  
Economic Austerity ◽  
Political Economic

The global financial recession which began in 2008 has led to significant economic and social consequences for youth, with the case of Greece being a notable one in terms of severity. Repeated political-economic ‘shocks’ to the structure of Greek society have manifest in common situations of unemployment and underemployment. Although impacting heavily on the working classes, severe curtailments in medium-high-skilled labour have also been observed among the middle classes as well. Following these contexts, the article examines the experiences of highly educated young women in Greece ( n = 36) as they navigate precarious employment within the midst of the Greek economic crisis. It is argued that rather than their educated status offering opportunities to deploy resources to help withstand the crisis, their high education levels create frustrations and barriers towards achieving suitable employment. These perceived mismatches between high education and low status and/or poor-quality work conditions are assessed in the context of research on emerging adulthood.

scholarly journals Repeat Induced Abortion among Chinese Women Seeking Abortion: Two Cross Sectional Studies

2021 ◽  
Vol 18 (9) ◽  
pp. 4446
Author(s):  
Longmei Tang ◽  
Shangchun Wu ◽  
Dianwu Liu ◽  
Marleen Temmerman ◽  
Wei-Hong Zhang
Keyword(s):  
Negative Binomial ◽  
Induced Abortion ◽  
Education Level ◽  
Married Women ◽  
Negative Binomial Regression Model ◽  
Related Factors ◽  
Cross Sectional ◽  
Lower Education Level ◽  
Induced Abortions ◽  
Lower Education

Background: In China, there were about 9.76 million induced abortions in 2019, 50% of which were repeat abortions. Understanding the tendency of repeat induced abortion and identifying its related factors is needed to develop prevention strategies. Methods: Two hospital-based cross-sectional surveys were conducted from 2005–2007 and 2013–2016 in 24 and 90 hospitals, respectively. The survey included women who sought an induced abortion within 12 weeks of pregnancy. The proportion of repeat induced abortions by adjusting the covariates through propensity score matching was compared between the two surveys, and the zero-inflated negative binomial regression model was established to identify independent factors of repeat induced abortion. Results: Adjusting the age, occupation, education, marital status and number of children, the proportion of repeat induced abortions in the second survey was found to be low (60.28% vs. 11.11%), however the unadjusted proportion was high in the second survey (44.97% vs. 51.54%). The risk of repeat induced abortion was higher among married women and women with children [ORadj and 95% CI: 0.31 (0.20, 0.49) and 0.08 (0.05, 0.13)]; the risk among service industry staff was higher when compared with unemployed women [ORadj and 95% CI: 0.19 (0.07, 0.54)]; women with a lower education level were at a higher risk of a repeat induced abortion (ORadj < 1). Compared with women under the age of 20, women in other higher age groups had a higher frequency of repeat induced abortions (IRadj: 1.78, 2.55, 3.27, 4.01, and 3.93, separately); the frequency of women with lower education levels was higher than those with a university or higher education level (IRadj > 1); the repeat induced abortion frequency of married women was 0.93 (0.90, 0.98) when compared to the frequency of unmarried women, while the frequency of women with children was 1.17 (1.10, 1.25) of childless women; the induced abortion frequency of working women was about 60–95% with that of unemployed women. Conclusions: The repeat induced abortion proportion was lower than 10 years ago. Induced abortion seekers who were married, aged 20 to 30 years and with a lower education level were more likely to repeat induced abortions.

scholarly journals The Interregional Migration of Human Capital: The Case of “First-Class” University Graduates in China

2021 ◽  
Author(s):  
Can Cui ◽  
Yifan Wang ◽  
Qiang Wang
Keyword(s):  
Human Capital ◽  
Regional Development ◽  
Negative Binomial ◽  
Driving Forces ◽  
University Graduates ◽  
Highly Educated ◽  
Positive Effects ◽  
Urban Amenities ◽  
Second Tier ◽  
The University

AbstractHuman capital has been acknowledged as a key driver for innovation, thereby promoting regional economic development in the knowledge era. University graduates from China’s “first-class” universities—the top 42 universities, included in the “double first-class” initiative, are considered highly educated human capital. Their migration patterns will exert profound impacts on regional development in China, however, little is known about the migration of these elite university graduates and its underlying driving forces. Using data from the 2018 Graduate Employment Reports, this study reveals that the uneven distribution of “first-class” universities and regional differentials largely shaped the migration of graduates from the university to work. Graduates were found aggregating in eastern first-tier cities, even though appealing talent-orientated policies aimed at attracting human capital had been launched in recent years by second-tier cities. Employing negative binomial models, this study investigates how the characteristics of the city of university and destinations affect the intensity of flows of graduates between them. The results showed that both jobs and urban amenities in the university city and destination city exert impacts on the inflow volume of graduates; whereas talent attraction policies introduced by many second-tier cities are found not to exert positive effects on attracting “first-class” university graduates presently. The trend of human capital migration worth a follow-up investigation, particularly given ongoing policy dynamics, and would shed light on the regional development disparities in China.

Framing in Health Communication: Identifying the Factors That Influence the Re-posting of Social Media Messages during COVID-19 Outbreaks in China (Preprint)

2021 ◽  
Author(s):  
Jingzhong Xie ◽  
Jun Lai ◽  
Dongying Zhang
Keyword(s):  
Social Media ◽  
Health Communication ◽  
Health Information ◽  
Information Needs ◽  
Information Sources ◽  
Negative Binomial ◽  
Public Awareness ◽  
Public Health Agencies ◽  
Media Messages ◽  
Action Frame

BACKGROUND Social media has become an important tool to implement risk communication in COVID-19 pandemic, and made health information can gain more exposure by re-posting. OBJECTIVE This paper attempts to identify the factors associated with re-posting of social media messages about health information METHODS Content analysis was applied to scrutinize 4396 Weibo posts that were posted by national and provincial public health agencies Weibo accounts and identified features of information sources and information features, and adopted Zero-Inflated Negative Binomial (ZINB) model to analyze the association between these features and the frequency of message being re-posted. RESULTS Results showed that the followers and the governmental level of information sources are correlated with increased message reposting. The information features, such as hashtags#, picture, video, emotional(!), and the usage of severity, reassurance, efficacy and action frame were associated with increased message reposting behaviors, while hyperlink and usage of uncertainty frame correlated with reduced message reposting behaviors. CONCLUSIONS The features of health information sources, structures , style and content should be paid close attention by health organizations and medical professionals to satisfy the public’s information needs and preferences, promote the public's health engagement. Suitable information systems designing, and health communication strategies making during different stages of the pandemic may improve public awareness of the COVID-19, alleviate negative emotions, promote preventive measures to curb the spread of the virus.

scholarly journals Health Information Technology Challenges to Support Patient-Centered Care Coordination

2015 ◽  
Vol 24 (01) ◽  
pp. 8-10 ◽  
Author(s):  
B. Séroussi ◽  
M.-C. Jaulent ◽  
C. U. Lehmann
Keyword(s):  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Care Coordination ◽  
Clinical Pathways ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Holistic View ◽  
25Th Anniversary ◽  
Centered Care

Summary Objectives: To provide an editorial introduction to the 2015 IMIA Yearbook of Medical Informatics. Methods: We provide a brief overview of the 2015 special topic “Patient-Centered Care Coordination”, discuss the addition of two new sections to the Yearbook, Natural Language Processing and Public Health & Epidemiology Informatics, and present our editorial plans for the upcoming celebration of the 25th anniversary of the Yearbook. Results: Care delivery currently occurs through the processing of complex clinical pathways designed for increasingly multi-morbid patients by various practitioners in different settings. To avoid the consequences of the fragmentation of services, care should be organized to coordinate all providers, giving them the opportunity to share the same holistic view of the patient’s condition, and to be informed of the planned clinical pathway that establishes the roles and interventions of each one. The adoption and use of electronic health records (EHRs) is a solution to address health information sharing and care coordination challenges. However, while EHRs are necessary, they are not sufficient to achieve care coordination, creating information availability does not mean the information will be accessed. This edition of the Yearbook acknowledges the fact that health information technology (HIT), and EHRs in particular, are not yet fully addressing the challenges in care coordination. Emerging trends, tools, and applications of HIT to support care coordination are presented through the keynote paper, survey papers, and working group contributions. Conclusions: In 2015, the IMIA Yearbook has been extended to emphasize two fields of biomedical informatics through new sections. Next year, the 25th anniversary of the Yearbook will be celebrated in grand style! A special issue with a touch of reflection, a bit of rediscovery, and some “science-fiction” will be published in addition to the usual edition.

scholarly journals An Opinion Evolution Model Based on Heterogeneous Benefit with Malicious Nodes Added

Complexity ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Junwei Zhao ◽  
Xi Chen
Keyword(s):  
Knowledge Exchange ◽  
Willingness To Communicate ◽  
Malicious Node ◽  
Malicious Nodes ◽  
Highly Educated ◽  
Education Levels ◽  
Node Spreading ◽  
The Game Theory ◽  
Average Education ◽  
Different Levels

Individuals with different levels of education have substantial differences in their willingness to communicate with malicious nodes in a group; thus, the results of evolution of opinions tend to differ significantly. In this study, malicious nodes, driven by the benefits of a game, were added to groups of individuals with different levels of education, and a theoretical model of the game theory of group opinions that introduces malicious nodes was established. The influence of the proportion of malicious node spreading messages, the extent of tampering when malicious nodes spread messages, and the distribution of education levels in the group on the evolution of group opinions were considered. It was found that the rate of evolution of group opinions declined in groups with higher average education levels. The results of this study can be used to explain the phenomenon of fewer knowledge exchange behaviors in communities with high education levels, as is found in actual sociology. The reason is that highly educated individuals are more affected by distorted news when communicating. Therefore, the loss of communication with malicious nodes is greater, resulting in lower vigilance and willingness to communicate.

scholarly journals The Role of Health Information Technology in Care Coordination in the United States

Medical Care ◽  
2015 ◽  
Vol 53 (2) ◽  
pp. 184-190 ◽  
Author(s):  
Chun-Ju Hsiao ◽  
Jennifer King ◽  
Esther Hing ◽  
Alan E. Simon
Keyword(s):  
United States ◽  
Information Technology ◽  
Health Information Technology ◽  
Health Information ◽  
Care Coordination ◽  
The United States
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