scholarly journals A Retrospective Comparison of Self-Scheduled to Staff-Scheduled Well-Child Appointments: Differences in Appointment Outcomes, After-Hours Access to Scheduling, and Appointment Requests (Preprint)

2020 ◽  
Author(s):  
Frederick North ◽  
Elissa M Nelson ◽  
Rebecca J Majerus ◽  
Rebecca J Buss ◽  
Matthew C Thompson ◽  
...  
Keyword(s):  
Mayo Clinic ◽  
Appointment Scheduling ◽  
The Self ◽  
Lead Times ◽  
Staff Scheduling ◽  
Sports Events ◽  
Retrospective Comparison ◽  
Significant Difference ◽  
Potential Demand ◽  
Well Child Visit

BACKGROUND Online booking of flights, hotels, and sports events has become commonplace in the travel and entertainment industry, but online self-scheduling of healthcare appointments is not yet widely used. An electronic health record (EHR) that integrates appointment scheduling and patient online access to medical records creates an opportunity for patient self-scheduling. Mayo Clinic developed and implemented a feature in its Patient Online Services (POS) web and mobile platform that allows software managed self-scheduling of well-child visits. OBJECTIVE We examined the use of a new self-scheduling appointment feature within POS in both web and mobile formats and determined use characteristics, outcomes, and efficiency of self-scheduling compared to staff-scheduling. METHODS Within a primary care setting, we collected 13 months of all appointment activity for the well-child visit for children ages 2 through 12. As these specific appointment types are for minors, self-scheduling is performed by parents or other proxies. We compared the appointment actions of scheduling and canceling for both the self-scheduled and staff-scheduled appointments. The frequency that patients were using self-scheduling outside of normal business hours was quantified and we compared ‘no-show’ outcomes of finalized appointments. RESULTS Of 1099 patients who performed any self-scheduling actions, 73.1% (803/1099) exclusively used the self-scheduling and self-canceling software. For those with access to self-scheduling (patients registered to Mayo Clinic POS), 4.92% (1201/24,417) of all well-child appointment scheduling actions were self-scheduled. Staff-scheduling required more than a single appointment step (e.g., schedule, cancel, reschedule) in 28.32% (3729/13,168) compared with only 7.01% (53/712) of self-scheduled appointments (P < .0001). Self-scheduling appointment actions took place outside of regular business hours 29.5% of the time (354/1201). No-shows accounted for 3.07% (28/912) of the self-scheduled finalized appointments compared to 4.12% (693/16,828) of staff-scheduled, a non-significant difference at P =.112. Staff-scheduled finalized appointments (that allowed for appointments greater than 12 weeks in the future) revealed a potential demand of 11.15% (1876/16,828) for appointments with longer lead times. CONCLUSIONS Self-scheduling can generate a significant number of finalized appointments, decreasing the need for staff scheduler time. About 30% of self-scheduling activity took place outside of usual staff scheduler hours, adding convenience value to the scheduling process. Over 90% of exclusive self-schedulers created a finalized appointment with a single appointment scheduling step. No-show rates were not adversely impacted by self-scheduling.

scholarly journals Impact of Web-Based Self-Scheduling on Finalization of Well-Child Appointments in a Primary Care Setting: Retrospective Comparison Study

10.2196/23450 ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. e23450
Author(s):  
Frederick North ◽  
Elissa M Nelson ◽  
Rebecca J Majerus ◽  
Rebecca J Buss ◽  
Matthew C Thompson ◽  
...  
Keyword(s):  
Primary Care ◽  
Mayo Clinic ◽  
Care Setting ◽  
Primary Care Setting ◽  
Single Step ◽  
Appointment Scheduling ◽  
The Self ◽  
Staff Scheduling ◽  
Web Based ◽  
Sports Events

Background Web-booking of flights, hotels, and sports events has become commonplace in the travel and entertainment industry, but self-scheduling of health care appointments on the web is not yet widely used. An electronic health record that integrates appointment scheduling and patient web-based access to medical records creates an opportunity for patient self-scheduling. The Mayo Clinic developed and implemented a feature in its Patient Online Services (POS) web and mobile platform that allows software-managed self-scheduling of well-child visits. Objective This study aims to examine the use of a new self-scheduling appointment feature within POS in both web and mobile formats and determine the use characteristics, outcomes, and efficiency of self-scheduling compared with staff scheduling. Methods Within a primary care setting, we collected 13 months of all appointment activity for the well-child visit for children aged 2-12 years. As these specific appointment types are for minors, self-scheduling is performed by parents or other proxies. We compared the appointment actions of scheduling and cancelling for both self-scheduled and staff-scheduled appointments. The frequency in which patients were using self-scheduling outside of normal business hours was quantified, and we compared no-show outcomes of finalized appointments. Results Of the 1099 patients who performed any self-scheduling actions, 73.1% (803/1099) exclusively used self-scheduling and self-cancelling software. For those with access to self-scheduling (patients registered with the Mayo Clinic POS), 4.92% (1201/24,417) of all well-child appointment-scheduling actions were self-scheduled. Staff scheduling required more than a single appointment step (eg, schedule, cancel, reschedule) in 28.32% (3729/13,168) compared with only 6.93% (53/765) of self-scheduled appointments (P<.001). Self-scheduling appointment actions took place outside of regular business hours 29.5% (354/1201) of the time. No-shows accounted for 3.07% (28/912) of the self-scheduled finalized appointments compared with 4.12% (693/16,828) of staff-scheduled appointments, which is a nonsignificant difference (P=.12). Staff-scheduled finalized appointments (that allowed for scheduling appointments for more than 12 weeks in the future) revealed a potential demand of 11.15% (1876/16,828) for appointments with longer lead times. Conclusions Self-scheduling can generate a significant number of finalized appointments, decreasing the need for staff scheduler time. We found that 29.5% (354/1201) of the self-scheduling activity took place outside of the usual staff scheduler hours, adding convenience value to the scheduling process. For exclusive self-schedulers, 93.1% (712/765) finalized the appointment in a single step. The no-show rates were not adversely affected by the self-scheduling.

Self-Esteem and Stress as Factors in Abuse of Children

1989 ◽  
Vol 65 (3_suppl2) ◽  
pp. 1259-1265 ◽  
Author(s):  
Karen A. Lawson ◽  
J. Ray Hays
Keyword(s):  
Sex Education ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Self Esteem ◽  
The Self ◽  
Personality Factors ◽  
Life Changes ◽  
Form Analysis ◽  
Significant Difference ◽  
Description Form

A comparison of stress and self-esteem as made between a group of 23 couples in treatment who had abused their children and 23 control couples who were matched for age, race, sex, education, and occupation. Stress was measured by the Recent Life Changes Questionnaire. Self-esteem was measured by a synthesis of 38 items selected by mental health professionals from the Clarke Parent/Child Relations Questionnaire and the Self-description and Mate Description Form. Analysis of variance showed that couples who had abused their children had significantly greater stress than control couples. However, there was no significant difference between the groups on the measure of self-esteem. There was also no interaction effect of stress with self-esteem on abuse. While it seems well established that stress is a major contributor in child abuse, the interaction of stress with personality factors of parents who abuse their children remains uncertain.

scholarly journals Efficacy of Self-Directed Learning in the Supracondylar Fracture Performance Improvement Module at an Academic Pediatric Orthopedic Institution

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Eric W. Edmonds ◽  
John W. Kemppainen ◽  
Joanna H. Roocroft ◽  
John Munch ◽  
Tracey P. Bastrom
Keyword(s):  
Patient Outcomes ◽  
Supracondylar Fracture ◽  
The Self ◽  
Medical Society ◽  
Self Assessment ◽  
Life Long Learning ◽  
Junior Staff ◽  
Supracondylar Humerus Fractures ◽  
Significant Difference ◽  
Pediatric Orthopedic

Maintenance of certification (MOC) within a medical society requires continuing medical education that demonstrates life-long learning, cognitive expertise, and practice-based self-assessment. This prospective study sought to evaluate whether a self-directed Practice Improvement Module (PIM) would improve pediatric orthopedic patient outcomes, thus demonstrating evidence of life-long learning (Part II MOC credit) in treating supracondylar humerus fractures. Six surgeons and 113 patients were included. There was no significant difference in actual fracture outcome before or after PIM at any level of surgeon experience regarding radiographic appearance or need for reoperation (p>0.10). Junior staff demonstrated a statistically significant improvement in the percentage of time that marking the operative site was documented in the chart by the surgeon before (38%) and after (65%) PIM (p=0.02). The self-directed education portion of the supracondylar fracture PIM led to modest improvement in documentation habits among junior staff, without impact on overall patient outcomes. Therefore, the PIM appears to be less useful in providing evidence for life-long learning as it relates to surgical outcomes (Part II MOC/CME), yet, it may directly benefit practice-based self-assessment (Part IV MOC), and the self-assessment and Personal Improvement Plan may be the most important portion of the PIM to improve outcomes.

The Effect of Group Counseling on Educable Mentally Retarded Boys’ Self Concepts

1969 ◽  
Vol 35 (5) ◽  
pp. 359-366 ◽  
Author(s):  
Philip H. Mann ◽  
James D. Beaber ◽  
Milton D. Jacobson
Keyword(s):  
Group Counseling ◽  
Mentally Retarded ◽  
The Self ◽  
Self Concept ◽  
Control Groups ◽  
Mentally Handicapped ◽  
Significant Difference ◽  
Educable Mentally Retarded ◽  
And Control ◽  
Significant Factors

The effects of group counseling on the self concepts of young educable mentally handicapped boys were studied, along with the variables of anxiety, deportment and achievement in reading and arithmetic as rated by teachers, attendance, IQ, and age. Results indicated that those who received group counseling tended to exhibit greater improvement in self concept, more reduction in anxiety, and better grades in deportment and the academic subjects of reading and arithmetic, than those who did not receive the counseling. No significant difference was found between experimental and control groups in attendance. Age and IQ were not found to be significant factors in the counseled group.

scholarly journals Early Detection and Intervention for Patients with Delirium Admitted to the Department of Internal Medicine: Lessons from a Pilot Initiative

2021 ◽  
pp. 134-139
Author(s):  
Ron Oliven ◽  
Meital Rotfeld ◽  
Sharon Gino-Moor ◽  
Elad Schiff ◽  
Majed Odeh ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Early Detection ◽  
Emergency Room ◽  
Early Mobilization ◽  
Pilot Project ◽  
Medical Emergency ◽  
Medical Patients ◽  
Geriatric Unit ◽  
Retrospective Comparison ◽  
Significant Difference

<b><i>Introduction:</i></b> Older patients who arrive to the emergency room with delirium have a worse prognosis than others. Early detection and treatment of this problem has been shown to improve outcome. We have launched a project at our hospital to improve the care of patients who arrive delirious to the medical emergency room. The present article describes lessons that can be learned from this pilot initiative. <b><i>Methods:</i></b> All patients older than 70 years admitted to the department of internal medicine were screened for delirium in the emergency room using the 4AT screening tool. Data of patients with a 4AT score ≥5 (or with incomplete score) were transferred to the geriatric unit of the hospital. On the ward, the presence of delirium was confirmed by a geriatric nurse that validated that the patient could walk with support and ordered mobilization and physiotherapy (M&amp;P). <b><i>Results:</i></b> Over the 2 and a half years (10 quarters) allocated for the pilot project, 1,078 medical patients with delirium were included in this survey. In 59.3%, the diagnosis of delirium could be confirmed only after admission. Due to budgetary constraints, only 54.7% received the allocated specific intervention – early M&amp;P. Since it was decided that randomization was not appropriate for our initiative, we found that patients who received M&amp;P had lower (better) 4AT scores on admission, and lower mortality. No significant difference was found between the patients who received M&amp;P and the others in length of hospitalization and discharge to nursing homes. Retrospective comparison of the two groups did not enable to determine whether M&amp;P was given to the patients for whom it was most effective. <b><i>Conclusions:</i></b> It is often not possible to verify in the emergency room that the cognitive decline is indeed new, that is, is due to delirium, and measures must be taken to verify this point as soon as possible after admission. Due to numerous constraints, the availability of early M&amp;P is often insufficient. Whenever resources are scarce and randomization is avoided, adequate criteria should be found for allocating existing dedicated staff to patients for whom early mobilization is likely to be most beneficial.

Does an impaired capacity for self-care impact the prevalence of social and emotional loneliness among elderly people?

2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Irena Canjuga ◽  
Danica Železnik ◽  
Marijana Neuberg ◽  
Marija Božicevic ◽  
Tina Cikac
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Age Distribution ◽  
Self Care ◽  
The Elderly ◽  
The Self ◽  
Content Type ◽  
Care Assessment ◽  
Significant Difference ◽  
The Impact

Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.

The effect of interpersonal multisensory stimulation on the self-face recognition in adults with autistic syndrome disorder

2016 ◽  
Vol 33 (S1) ◽  
pp. S367-S368
Author(s):  
N. Deltort ◽  
J.R. Cazalets ◽  
A. Amestoy ◽  
M. Bouvard
Keyword(s):  
Face Recognition ◽  
Mental Representation ◽  
Recognition Task ◽  
The Self ◽  
Control Group ◽  
Multimodal Integration ◽  
Multisensory Stimulation ◽  
Significant Difference ◽  
Unfamiliar Face ◽  
Multimodal Process

Studies on individuals without developmental disorder show that mental representation of self-face is subject to a multimodal process in the same way that the representation of the self-body is. People with autistic spectrum disorder (ASD) have a particular pattern of face processing and a multimodal integration deficit.The objectives of our study were to evaluate the self-face recognition and the effect of interpersonal multisensory stimulation (IMS) in individuals with ASD. We aimed to show a self-face recognition deficit and a lack of multimodal integration among this population.IMS consisted of the presentation of a movie displaying an unfamiliar face being touched intermittently, while the examiner applied the same stimulation synchronously or asynchronously on the participant. The effect resulting from IMS was measured on two groups with or without ASD by a self-face recognition task on morphing movies made from self-face and unfamiliar-face pictures.There was a significant difference between groups on self-recognition before stimulation. This result shows a self-face recognition deficit in individuals with ASD. Results for the control group showed a significant effect of IMS on self-face recognition in synchronous condition. This suggests the existence of an update of self-face mental representation by multimodal process. In contrast, there was no significant effect of IMS demonstrated in ASD group, suggesting a multimodal integration deficit for the constitution of self-representation in this population.Our results show the existence of a self-face recognition deficit in individuals with ASD, which may be linked to a lack of multimodal integration in the development of the self-face representation.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Self-Concepts of Preschool Girls in a Preballet Program

1993 ◽  
Vol 77 (1) ◽  
pp. 104-106
Author(s):  
Anne E. Kozlowski
Keyword(s):  
Preschool Children ◽  
Standard Deviation ◽  
Normative Data ◽  
T Test ◽  
The Self ◽  
Self Concept ◽  
Significant Difference ◽  
One Year

The self-concepts of 10 5-yr.-old girls enrolled in a preballet program at a ballet school in Tulsa, Oklahoma for over one year were measured using the Purdue Self-concept Scale for Preschool Children. Their scores were compared against the scale's normative data for girls of similar age. A one-sample two-tailed t test showed girls' mean was 1 standard deviation above the normative population's mean, a significant difference. Preballet education may be an effective tool for enhancing self-concept, although selective factors may contribute also.

scholarly journals Graduate students’ opinions about entrepreneurship as an employment opportunity

2016 ◽  
Vol 10 (1) ◽  
pp. 23-29
Author(s):  
Josip Juračak ◽  
Marko Tica
Keyword(s):  
Graduate Students ◽  
Self Efficacy ◽  
Role Models ◽  
Formal Education ◽  
Economic Recession ◽  
The Self ◽  
High Rate ◽  
Self Employment ◽  
Significant Difference ◽  
Students Attitudes

One of the most unwanted and unavoidable consequences of the economic recession is the high rate of unemployment. Graduate students in Croatia are faced with lack of employment possibilities, and for some of them the self-employment looks like a good solution. In this paper, we investigate attitudes and intentions of graduate students at the University of Zagreb Faculty of Agriculture regarding to selfemployment. Most of the surveyed students are in the age between 21 and 25 years, and they have already got some kind of knowledge about entrepreneurship during the formal education. In addition, majority of them have the experience of part-time jobs. The Theory of Planned Behaviour (TPB) model was used to find out to which extent students’ attitudes and experience influence their expressed self-employment intentions. The results revealed that Zagreb students’ scores are close but somewhat lower than the same scores found in the comparable study from Australia. This goes for the investigated variables: (1) previous entrepreneurial experience (PEE), perceived desirability of selfemployment (PDSE), perceived entrepreneurial self-efficacy (PESE) and self-employment intentions (SEI). It was found that the score on the PEE is significantly related to scores on the PDSE (p=0.000), and PESE (p=0.000), which means that the experience positively influence respondents’ attitudes on self-employment and self-efficacy. There is also a statistically significant difference in the on the SEI with respect to the PDSE (ANOVA F=9.804, p=0.000): respondents that consider self-employment more desirable expressed higher intention to perform it. The PDSE was found as the most influencing model variable in regards to the self-employment intention. The results points out the importance of previous experience, role models and positive attitudes towards self-employment in the process of the entrepreneurship development in young, educated population.

scholarly journals Investigation of the relationship between children's prosocial behaviour and self-regulation skills

2020 ◽  
Vol 15 (5) ◽  
pp. 877-886
Author(s):  
İsa Kaya
Keyword(s):  
Prosocial Behavior ◽  
Linear Regression Analysis ◽  
Self Regulation ◽  
The Self ◽  
Demographic Information ◽  
Gender And Age ◽  
The Social ◽  
Significant Difference ◽  
Behavior Scale ◽  
The Relationship

This study aimed to investigate the relationship between children's prosocial behavior and self-regulation skills. To collect the data of the study, demographic information form developed by the researcher was used for the demographic information of children, the prosocial behavior sub-dimension of the social behavior scale was used for the prosocial behavior, and the self-regulation skills scale was used for the self-regulation skills of the children. The collected data were analyzed by independent sample t-test, Pearson’s product moment correlation analysis and simple linear regression analysis in a computer package software. As a result of the research, while the self-regulation and prosocial behaviors of children differed according to gender and age of children, the situation of the children whether they have siblings and duration of the pre-school education did not make any significant difference. According to these results, girls' self-regulation and prosocial behavior scores were higher than that of boys and 6 years of age children’s scores were higher than that of 5 years of age children. While there was a moderate positive significant relationship between self-regulation skills and prosocial behavior, it was concluded that the prosocial behavior of children predicted self-regulation skills at the level of 11%.   Keywords: Prosocial behavior, self-regulation skills, early childhood, preschool

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