Pre-recorded highlight presentations最新文献

23 What can be learned from ethnographic research on trust between physicians and parents and between physicians and children with cancer 从人种学研究中我们可以了解到医生和父母之间以及医生和癌症儿童之间的信任

Pre-recorded highlight presentations Pub Date : 2021-03-01 DOI: 10.1136/BMJOPEN-2021-QHRN.23

I. Binyamini

{"title":"23 What can be learned from ethnographic research on trust between physicians and parents and between physicians and children with cancer","authors":"I. Binyamini","doi":"10.1136/BMJOPEN-2021-QHRN.23","DOIUrl":"https://doi.org/10.1136/BMJOPEN-2021-QHRN.23","url":null,"abstract":"Despite theoretical and empirical support for the importance of trust in the physician-patient relationship, there are few studies focusing on the construction of trust among physicians, parents, and children. The purpose of the proposed lecture is to introduce verbal and nonverbal behaviors, that may shape and establish trust between physicians and parents, and between physicians and children with cancer. An ethnographic study, examining the work of all physicians in one oncology ward, in a hospital, and a sample of 27 parents and 27 children with lymphoblastic leukemia. Triangulation was conducted in the study: 1) Observations in various discourse arenas, documenting a year of the physicians’ work. 2) Semi-structured interviews with all doctors, children and parents 3) Collection of documents. Data analysis included: exact transcriptions of all research materials as well as content analysis. Findings All parents and children, the conditions for establishing trust with a physician were: the duration of their acquaintance with that physician, frequency of the child’s treatments, that physician being the child’s regular doctor, and the physician’s attitude toward the child and the parent. In addition, the study findings revealed two common themes for parents and children that form trust between physician-parent, and physician-child, these two main themes are: physician’s attitude and professionalism. The proposed lecture will focus on the first theme – the physician-parent and physician-child relationships, this theme includes four categories that shape trust, which were reported, with high frequency, by parents and children, and these are: patience, humanity, sharing information and respect, in each of the categories, both verbal and nonverbal characteristics behaviors were found, which I will present in the lecture. The findings of this study could have important implications for physician training, and the quality of care that physicians provide.","PeriodicalId":364728,"journal":{"name":"Pre-recorded highlight presentations","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133868121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

33 Searching for information on low back pain: trust and distrust of internet 关于腰痛的信息搜索:对互联网的信任与不信任

Pre-recorded highlight presentations Pub Date : 2021-03-01 DOI: 10.1136/BMJOPEN-2021-QHRN.33

C. Véron, M. S. Delefosse

引用次数: 1

35 How trust and power relations might shape the work of incident investigators in healthcare services 信任和权力关系如何影响医疗保健服务中事件调查员的工作

Pre-recorded highlight presentations Pub Date : 2021-03-01 DOI: 10.1136/BMJOPEN-2021-QHRN.35

G. Vilanova, J. Sandall, A. Xyrichis

引用次数: 0

4 ‘Bleeding antibiotics’: negotiating care and trust in Turkish healthcare infrastructures “出血抗生素”:土耳其医疗保健基础设施的谈判护理和信任

Pre-recorded highlight presentations Pub Date : 2021-03-01 DOI: 10.1136/BMJOPEN-2021-QHRN.4

A. Azak

{"title":"4 ‘Bleeding antibiotics’: negotiating care and trust in Turkish healthcare infrastructures","authors":"A. Azak","doi":"10.1136/BMJOPEN-2021-QHRN.4","DOIUrl":"https://doi.org/10.1136/BMJOPEN-2021-QHRN.4","url":null,"abstract":"Antibiotic prescriptions make up a quarter of all prescriptions in Turkey These locally ‘ordinary’ pharmaceutical commodities are used as tokens of care, enablers of treatment and legitimisers of illness to navigate in everyday healthcare infrastructures Patients express embodied experiences of antibiotics circulating in their blood stream to reveal the abundance of antibiotic use in their medical histories Yet access to antibiotics is becoming increasingly regulated, which is necessitating negotiations of care and trust amongst patient, doctors and pharmacists Antibiotics, which for a long time have been reliable and easily accessible objects of care, are now proving less effective as treatment With the growing concern of antimicrobial resistance (AMR), the over-the-counter sales of antibiotics have stopped in Turkey since 2015 Which means that antibiotics are only legally available through a doctor’s prescription Moreover, the COVID-19 pandemic has recently limited doctor consultations, further restricting access to prescription medication This paper explores the implications of the recent regulations and AMR on prescription practices, patient experiences and patient-doctor relationships within antibiotic infrastructures The research draws on a three-month ethnographic fieldwork in Istanbul, Turkey, to understand negotiations of care and trust in processes of prescribing and acquiring antibiotics during the COVID-19 pandemic The theoretical framework of the research is rooted in medical anthropology Drawing on qualitative interviews with doctors, pharmacists and patients, as well as participant observation in an unfolding pandemic, this study shows that antibiotic prescription processes are becoming embedded in negotiations between patients, doctors and pharmacists Moreover, despair amidst tension and uncertainty is increasing the contingency of navigating care and trust in the healthcare system to enable alternative ways of access to antibiotics","PeriodicalId":364728,"journal":{"name":"Pre-recorded highlight presentations","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127317343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

15 The role of trust in senior leaders’ experiences of using analytics to inform strategic health and care decisions 15信任在高层领导使用分析为健康和护理战略决策提供信息的经验中的作用

Pre-recorded highlight presentations Pub Date : 2021-03-01 DOI: 10.1136/BMJOPEN-2021-QHRN.15

Elizabeth Ingram, S. Beardon, S. Cooper, D. Osborn, M. Gomes, H. Mcdonald, S. Hogarth, J. Sheringham

{"title":"15 The role of trust in senior leaders’ experiences of using analytics to inform strategic health and care decisions","authors":"Elizabeth Ingram, S. Beardon, S. Cooper, D. Osborn, M. Gomes, H. Mcdonald, S. Hogarth, J. Sheringham","doi":"10.1136/BMJOPEN-2021-QHRN.15","DOIUrl":"https://doi.org/10.1136/BMJOPEN-2021-QHRN.15","url":null,"abstract":"Senior leaders make strategic decisions about the structure and delivery of health and care services. Analysis of pseudonymised administrative data from residents’ health or care records (analytics) aims to support high-quality strategic decisions, but its impacts depend on how analytics are perceived and used by senior decision-makers. Aim or objectives To understand how the process of generating knowledge from analytics could be enhanced for those making strategic health and care decisions. Methods Individual semi-structured interviews were conducted with 20 senior decision-makers from constituent organisations of North Central London’s Sustainability and Transformation Partnership. Interviews were analysed using the Framework Method. Results Trust emerged as a concept in participants’ experiences of using analytics in three key ways: data quality and accuracy; trust in sharing data for analytics; and trust between decision-makers. Firstly, participants expressed concerns around data quality and these shaped decision-making processes as some made decisions based on anecdotal information or gut feeling instead of untrusted data. Others sought ‘more accurate’ data, whilst some decisions were ‘stopped in their tracks’ because of a lack of trust in available data. Secondly, participants’ ability to obtain data was influenced by others’ willingness to share, itself driven by levels of trust in how that data will be subsequently analysed and used. Finally, a lack of trust between key leaders across health and care led to concerns that decisions based on analytics may act against individual organisational priorities and interests. Where personal trust between individuals across organisations existed, there was greater scope for decisions across organisational boundaries to be informed by analytics. Conclusions Trust is a key component of how senior leaders approach and use analytics. Developing trust in data quality and between leaders could influence if, when and how leaders obtain and use analytics to inform strategic health and care decisions.","PeriodicalId":364728,"journal":{"name":"Pre-recorded highlight presentations","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124857610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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10 ‘It’s about putting on display a show, but actually all the decisions are being made backstage’: public involvement in decisions to change health services at a large-scale “这是一场秀，但实际上所有的决定都是在后台做出的”:公众参与大规模改变医疗服务的决策

Pre-recorded highlight presentations Pub Date : 2021-03-01 DOI: 10.1136/BMJOPEN-2021-QHRN.10

N. Djellouli

引用次数: 0