scholarly journals Patient-expressed perceptions of wait-time causes and wait-related satisfaction

2015 ◽  
Vol 22 (2) ◽  
pp. 105 ◽  
Author(s):  
M. Mathews ◽  
D. Ryan ◽  
D. Bulman
Keyword(s):  
Colorectal Cancer ◽  
Qualitative Interviews ◽  
Wait Time ◽  
Patient Experiences ◽  
Health Issues ◽  
Specific Element ◽  
The Public ◽  
Rural Patients ◽  
Shed Light ◽  
Cancer Clinic

BackgroundThis study set out to identify patterns in the causes of waits and wait-related satisfaction.MethodsWe conducted qualitative interviews with urban, semi-urban, and rural patients (n = 60) to explore their perceptions of the waits they experienced in the detection and treatment of their breast, prostate, lung, or colorectal cancer. We asked participants to describe their experiences from the onset of symptoms to the start of treatment at the cancer clinic and their satisfaction with waits at various intervals. Interview transcripts were coded using a thematic approach.ResultsPatients identified five groups of wait-time causes:Patient-related (beliefs, preferences, and non-cancer health issues)Treatment-related (natural consequences of treatment)System-related (the organization or functioning of groups, workforce, institution, or infrastructure in the health care system)Physician-related (a single physician responsible for a specific element in the patient’s care)Other causes (disruptions to normal operations of a city or community as a whole) With the limited exception of physician-related absences, the nature of the cause was not linked to overall satisfaction or dissatisfaction with waits.ConclusionsCauses in themselves do not explain wait-related satisfaction. Further work is needed to explore the underlying reasons for wait-related satisfaction or dissatisfaction. Although our findings shed light on patient experiences with the health system and identify where interventions could help to inform the expectations of patients and the public with respect to wait time, more research is needed to understand wait-related satisfaction among cancer patients.

Sentence-Based Experience Logging in New Hearing Aid Users

2020 ◽  
Vol 29 (3S) ◽  
pp. 631-637
Author(s):  
Katja Lund ◽  
Rodrigo Ordoñez ◽  
Jens Bo Nielsen ◽  
Dorte Hammershøi
Keyword(s):  
Hearing Aid ◽  
Patient Experiences ◽  
Online Tool ◽  
Rehabilitation Process ◽  
Hearing Rehabilitation ◽  
Clinical Observations ◽  
Hearing Aid Use ◽  
Wide Range ◽  
Insight Into ◽  
Shed Light

Purpose The aim of this study was to develop a tool to gain insight into the daily experiences of new hearing aid users and to shed light on aspects of aided performance that may not be unveiled through standard questionnaires. Method The tool is developed based on clinical observations, patient experiences, expert involvement, and existing validated hearing rehabilitation questionnaires. Results An online tool for collecting data related to hearing aid use was developed. The tool is based on 453 prefabricated sentences representing experiences within 13 categories related to hearing aid use. Conclusions The tool has the potential to reflect a wide range of individual experiences with hearing aid use, including auditory and nonauditory aspects. These experiences may hold important knowledge for both the patient and the professional in the hearing rehabilitation process.

Re-municipalization of local public services: incidence, causes and prospects

2021 ◽  
pp. 002085232110064
Author(s):  
Daniel Albalate ◽  
Germà Bel ◽  
Raymond Gradus ◽  
Eoin Reeves
Keyword(s):  
Public Management ◽  
Public Services ◽  
Turn Of The Century ◽  
The Public ◽  
Local Public Services ◽  
High Profile ◽  
Global Trend ◽  
The Us ◽  
House Production ◽  
Shed Light

Since the turn of the century, a global trend of re-municipalization has emerged, with cities reversing earlier privatizations and returning infrastructure and public service delivery to the public sector. The reversal of privatization measures is not an entirely new phenomenon. In the US, for example, returning public services to in-house production has been a long-standing feature of ‘pragmatic public management’. However, many cases of re-municipalization that have occurred since the early 2000s represent a distinctive shift from earlier privatization policies. High-profile cases in cities including Paris and Hamburg have thrust re-municipalization into the limelight as they have followed public campaigns motivated by dissatisfaction with the results of privatization and a desire to restore public control of vital services, such as water and energy. Just as the reform of public services towards privatization spawned a vast body of scholarship, the current re-municipalization phenomenon is increasingly attracting the attention of scholars from a number of disciplinary perspectives. The articles contained in this symposium contribute to this emerging literature. They address some of the burning issues relating to re-municipalization, but they also point to issues yet to be resolved and shed light on a research agenda that is still taking shape.

scholarly journals Use of alternative consultation forms in Danish general practice in the initial phase of the COVID-19 pandemic – a qualitative study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Tina Drud Due ◽  
Thorkil Thorsen ◽  
Julie Høgsgaard Andersen
Keyword(s):  
Patient Care ◽  
Initial Phase ◽  
Health Care Systems ◽  
Qualitative Interviews ◽  
Clinical Work ◽  
Health Issues ◽  
Short Term ◽  
Diagnostic Uncertainty ◽  
Face To Face ◽  
Care Systems

Abstract Background Attempts to manage the COVID-19 pandemic have led to radical reorganisations of health care systems worldwide. General practitioners (GPs) provide the vast majority of patient care, and knowledge of their experiences with providing care for regular health issues during a pandemic is scarce. Hence, in a Danish context we explored how GPs experienced reorganising their work in an attempt to uphold sufficient patient care while contributing to minimizing the spread of COVID-19. Further, in relation to this, we examined what guided GPs’ choices between telephone, video and face-to-face consultations. Methods This study consisted of qualitative interviews with 13 GPs. They were interviewed twice, approximately three months apart in the initial phase of the pandemic, and they took daily notes for 20 days. All interviews were audio recorded, transcribed, and inductively analysed. Results The GPs re-organised their clinical work profoundly. Most consultations were converted to video or telephone, postponed or cancelled. The use of video first rose, but soon declined, once again replaced by an increased use of face-to-face consultations. When choosing between consultation forms, the GPs took into account the need to minimise the risk of COVID-19, the central guidelines, and their own preference for face-to-face consultations. There were variations over time and between the GPs regarding which health issues were dealt with by using video and/or the telephone. For some health issues, the GPs generally deemed it acceptable to use video or telephone, postpone or cancel appointments for a short term, and in a crisis situation. They experienced relational and technical limitations with video consultation, while diagnostic uncertainty was not regarded as a prominent issue Conclusion This study demonstrates how the GPs experienced telephone and video consultations as being useful in a pandemic situation when face-to-face consultations had to be severely restricted. The GPs did, however, identify several limitations similar to those known in non-pandemic times. The weighing of pros and cons and their willingness to use these alternatives shifted and generally diminished when face-to-face consultations were once again deemed viable. In case of future pandemics, such alternatives seem valuable, at least for a short term.

scholarly journals Drink, but don't drive? The alcohol industry’s involvement in global road safety

2020 ◽  
Author(s):  
Connie Hoe ◽  
Niloufer Taber ◽  
Sarah Champagne ◽  
Abdulgafoor M Bachani
Keyword(s):  
Public Health ◽  
Road Safety ◽  
Road Traffic ◽  
Expert Interviews ◽  
Mixed Methods Approach ◽  
The Public ◽  
Alcohol Industry ◽  
Alcohol Control ◽  
Mapping Review ◽  
Shed Light

Abstract Drink-driving is a major cause of global road traffic fatalities, yet few countries have laws that meet international best practices. One possible reason is the alcohol industry’s opposition to meaningful policies that are perceived to directly threaten sales. Our primary objectives are to document alcohol industry involvement in global road safety policies and programmes and to critically evaluate the responses of public health and road safety communities to this involvement. Under the guidance of the Policy Dystopia Model, we used a mixed methods approach in which data were gathered from expert interviews and a mapping review of 11 databases, 5 watchdog websites and 7 alcohol industry-sponsored initiatives. Triangulation was used to identify points of convergence among data sources. A total of 20 expert interviews and 94 documents were analysed. Our study showed that the alcohol industry acknowledges that drink-driving is an issue but argues for solutions that would limit impact on sales, akin to the message ‘drink—but do not drive’. Industry actors have been involved in road safety through: (1) coalition coupling and decoupling, (2) information production and management, (3) direct involvement in policymaking and (4) implementation of interventions. Our study also shed light on the lack of cohesion within and among the public health and road safety communities, particularly with regard to the topics of receiving funding from and partnering with the alcohol industry. These results were subsequently used to adapt the Policy Dystopia Model as a conceptual framework that illustrates the ways in which the alcohol industry has been involved in global road safety. Several implications can be drawn from this study, including the urgent need to increase awareness about the involvement of the alcohol industry in road safety and to build a cohesive transnational alcohol control advocacy alliance to curb injuries and deaths related to drink-driving.

scholarly journals ‘Voice of resistance’: Rim Banna, cancer and Palestine’s body politic

2019 ◽  
Vol 46 (3) ◽  
pp. 234-242
Author(s):  
Abir Hamdar
Keyword(s):  
Cancer Diagnosis ◽  
Body Politic ◽  
Health Issues ◽  
Chronic Health ◽  
The Public

This essay offers a cultural anatomy of Palestinian artist Rim Banna’s post-illness body, from her cancer diagnosis, through her death and into the commemorations that ensued. The essay draws on Banna’s music, her interviews, as well as the public obituaries in the wake of her death, to argue that her cancer (and other chronic health issues) have not only been transformed into an allegory or metaphor for the colonial situation of Palestine but into the site for a poetics of Palestinian unity and resistance. In conclusion, the essay observes how the posthumous release of Banna’s last album is the culmination of this becoming-political of cancer.

Targeting the IGF-1R in prostate and colorectal cancer: reasons behind trial failure and future directions

2022 ◽  
Author(s):  
Muhammad Tufail ◽  
Changxin Wu
Keyword(s):  
Colorectal Cancer ◽  
Monoclonal Antibodies ◽  
Predictive Biomarkers ◽  
Cancer Growth ◽  
Pharmaceutical Companies ◽  
Future Directions ◽  
System Complexity ◽  
Deadly Disease ◽  
Trial Failure ◽  
Shed Light

IGF-1Rs enact a significant part in cancer growth and its progress. IGF-1R inhibitors were encouraged in the early trials, but the patients did not benefit due to the unavailability of predictive biomarkers and IGF-1R system complexity. However, the linkage between IGF-1R and cancer was reported three decades ago. This review will shed light on the IGF-1R system, targeting IGF-1R through monoclonal antibodies, reasons behind IGF-1R trial failure and future directions. This study presented that targeting IGF-1R through monoclonal antibodies is still effective in cancer treatment, and there is a need to look for future directions. Cancer patients may benefit from using mAbs that target existing and new cancer targets, evidenced by promising results. It is also essential that the academician, trial experts and pharmaceutical companies play their role in finding a treatment for this deadly disease.

scholarly journals Analysis of corporate political activity strategies of the food industry: evidence from France

2018 ◽  
Vol 21 (18) ◽  
pp. 3407-3421 ◽  
Author(s):  
Melissa Mialon ◽  
Jonathan Mialon
Keyword(s):  
Public Health ◽  
Food Industry ◽  
Evidence Base ◽  
Political Activity ◽  
Health Issues ◽  
Sources Of Information ◽  
Corporate Political Activity ◽  
The Public ◽  
Health Related ◽  
Different Sources

AbstractObjectiveTo identify the corporate political activity (CPA) of major food industry actors in France.DesignWe followed an approach based on information available in the public domain. Different sources of information, freely accessible to the public, were monitored.Setting/SubjectsData were collected and analysed between March and August 2015. Five actors were selected: ANIA (Association Nationale des Industries Agroalimentaires/National Association of Agribusiness Industries); Coca-Cola; McDonald’s; Nestlé; and Carrefour.ResultsOur analysis shows that the main practices used by Coca-Cola and McDonald’s were the framing of diet and public health issues in ways favourable to the company, and their involvement in the community. ANIA primarily used the ‘information and messaging’ strategy (e.g. by promoting deregulation and shaping the evidence base on diet- and public health-related issues), as well as the ‘policy substitution’ strategy. Nestlé framed diet and public health issues, and shaped the evidence base on diet- and public health-related issues. Carrefour particularly sought involvement in the community.ConclusionsWe found that, in 2015, the food industry in France was using CPA practices that were also used by other industries in the past, such as the tobacco and alcohol industries. Because most, if not all, of these practices proved detrimental to public health when used by the tobacco industry, we propose that the precautionary principle should guide decisions when engaging or interacting with the food industry.

Eritrean Asylum Seekers’ Lament Ceremonies in Israel as Contested Sites of Identity Formation

2015 ◽  
Vol 8 (2) ◽  
pp. 147-173 ◽  
Author(s):  
Galia Sabar ◽  
Adam Rotbard
Keyword(s):  
Identity Formation ◽  
Asylum Seekers ◽  
Legal Status ◽  
Multiple Identities ◽  
Public Parks ◽  
Transnational Identities ◽  
The Public ◽  
Religious Rituals ◽  
The Public Sphere ◽  
Shed Light

Based on extensive qualitative research, this paper focuses on lament ceremonies Eritrean asylum seekers in Israel performed in public parks in 2008–2014.1 Specifically, we expose social and political structures of this diaspora, including mechanisms of survival in a context of harsh living conditions, a fragile legal status and a hostile environment. Following Werbner’s analysis of diasporas as chaordic entities, having no single representation and fostering multiple identities, we show how chaordicness underlies this diaspora’s ability to survive and thrive in Israel, and to embrace the unique Eritrean trans-local nationalism. We highlight how these public religious rituals were transformed into contested sites of identity formation following Israeli struggles against them. Finally, we shed light on the role that such ceremonies play in shaping transnational identities, as well as how disenfranchised communities of asylum seekers aim for visibility and recognition in the public sphere.

scholarly journals The therapeutic journey of families of children with respiratory diseases in the public health service

2012 ◽  
Vol 20 (3) ◽  
pp. 453-461 ◽  
Author(s):  
Beatriz Rosana Gonçalves de Oliveira ◽  
Neusa Collet ◽  
Débora Falleiros de Mello ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Respiratory Diseases ◽  
Health Issues ◽  
Public Health Services ◽  
The Public ◽  
Primary Health ◽  
Therapeutic Encounters ◽  
Access To Medical Care

This study's purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.

scholarly journals Nineteenth Century Public And Private Spheres

2014 ◽  
Vol 13 (1) ◽  
pp. 106-117
Author(s):  
REMINA SIMA
Keyword(s):  
Nineteenth Century ◽  
Everyday Life ◽  
Kate Chopin ◽  
Daily Activities ◽  
Charlotte Perkins Gilman ◽  
Historical Period ◽  
Public And Private ◽  
The Public ◽  
The Everyday ◽  
Shed Light

Abstract The aim of this paper is to illustrate the public and private spheres. The former represents the area in which each of us carries out their daily activities, while the latter is mirrored by the home. Kate Chopin and Charlotte Perkins Gilman are two salient nineteenth-century writers who shape the everyday life of the historical period they lived in, within their literary works that shed light on the areas under discussion.

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