Risk Management and Healthcare Policy最新文献

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Unveiling Patient Trust in Physicians Across China: Insights from a Nationwide Cross-Sectional Study 揭示中国各地患者对医生的信任：一项全国性横断面研究的启示

Risk Management and Healthcare Policy Pub Date : 2024-04-01 DOI: 10.2147/rmhp.s456585

Jiarun Mi, Xinyu Du, Yilixiati Aili, Mingkun Li, Yuanli Liu

{"title":"Unveiling Patient Trust in Physicians Across China: Insights from a Nationwide Cross-Sectional Study","authors":"Jiarun Mi, Xinyu Du, Yilixiati Aili, Mingkun Li, Yuanli Liu","doi":"10.2147/rmhp.s456585","DOIUrl":"https://doi.org/10.2147/rmhp.s456585","url":null,"abstract":"Background: Trust is a major factor affecting patient-physician relationship and healthcare quality. However, there has been a lack of comprehensive study on the extent of and major factors affecting patient trust in healthcare providers of China, the world’s largest developing country. The objective of this study is to elucidate the current status of outpatient trust in physicians in China and its influencing factors, providing empirical evidence to enhance doctor-patient trust and improve doctor-patient relationships. Methods: Between December 2017 and January 2018, 28,760 patients seeking care at the outpatient departments of 136 tertiary hospitals were interviewed, where they were asked to rate their trust in physicians. We applied a multilevel logistic regression model to explore the association between patients trust and characteristics of hospitals, physicians and patient characteristics. We conducted a series of sensitivity analysis to check the robustness of our findings. Results: Among 28,760 participants included in this study, 91.54% expressed trust in their physicians, while 7.52% showed moderate trust. Only 0.94% expressly distrusted or strongly distrusted their physicians. Outpatients of hospitals with convenient payment, volunteer guidance and enough seats available in the rest and waiting area showed higher levels of trust. Physicians who had a senior title, showed patience and protection of the patient’s privacy were more likely to be trusted by their patients in the outpatient setting. Compared to their female counterparts, male outpatients showed a higher degree of trust. Conclusion: While this study highlights an overall high level of Trust in physicians (TIP) among patients in China’s tertiary hospitals, it is found to vary with patient demographic factors as well as provider’s attributes. Hospitals with a more keen sense of protecting patients privacy and better meeting patients’ need for efficient and caring service provision process appeared to yield a higher level of trust.","PeriodicalId":506758,"journal":{"name":"Risk Management and Healthcare Policy","volume":"491 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779124","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

Health Technology Assessment: Evaluation of 7 Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Type 2 Diabetes Mellitus 健康技术评估：评估用于治疗 2 型糖尿病的 7 种胰高血糖素样肽-1 受体激动剂

Risk Management and Healthcare Policy Pub Date : 2024-04-01 DOI: 10.2147/rmhp.s455897

Zeyu Xie, Jia Hu, Mengting Li, Xiao Hu, Jisheng Chen

{"title":"Health Technology Assessment: Evaluation of 7 Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Type 2 Diabetes Mellitus","authors":"Zeyu Xie, Jia Hu, Mengting Li, Xiao Hu, Jisheng Chen","doi":"10.2147/rmhp.s455897","DOIUrl":"https://doi.org/10.2147/rmhp.s455897","url":null,"abstract":"Purpose: This study provides a reference for healthcare organizations in the selection and rational use of glucagon-like peptide-1 receptor agonists (GLP-1RAs), based on the Rapid Guide for Drug Evaluation and Selection in Chinese Medical Institutions (Second Edition). Methods: According to the Rapid Guide for Drug Evaluation and Selection in Chinese Medical Institutions (Second Edition) released in 2023, relevant databases such as PubMed, Cochrane, and Embase, drug labels, and clinical guidelines were searched for drug information. We systematically evaluated 7 GLP-1RAs marketed in China for safety, efficacy, economy, pharmacological properties, and other attributes using a percentage scoring method. Results: The final assessment result scores from highest to lowest were semaglutide (71.5 points), dulaglutide (68.9 points), liraglutide (68.7 points), exenatide (62.5 points), lixisenatide (59.9 points), polyethylene glycol loxenatide (55.9 points), and benaglutide (45.1 points). Conclusion: When a healthcare organization introduces GLP-1RAs to their hospital, they can refer to the assessment results and use the top three recommended medications: semaglutide, dulaglutide, and liraglutide.","PeriodicalId":506758,"journal":{"name":"Risk Management and Healthcare Policy","volume":"71 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140769593","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

Retrospective Investigation and Research on Fall Events Among Hospitalized Patients in the Rehabilitation Department 康复科住院病人跌倒事件的回顾性调查研究

Risk Management and Healthcare Policy Pub Date : 2024-04-01 DOI: 10.2147/rmhp.s445808

Fang-Fang Lin, Wei-Yuan Yang, Jun-Xiang Zhou, Luo-Yuan Cao, Ling-Ling Huang

{"title":"Retrospective Investigation and Research on Fall Events Among Hospitalized Patients in the Rehabilitation Department","authors":"Fang-Fang Lin, Wei-Yuan Yang, Jun-Xiang Zhou, Luo-Yuan Cao, Ling-Ling Huang","doi":"10.2147/rmhp.s445808","DOIUrl":"https://doi.org/10.2147/rmhp.s445808","url":null,"abstract":"Objective: We investigated the clinical characteristics, fall outcomes, and related factors of falls in patients who were hospitalized in the rehabilitation department, and explored strategies to reduce the incidence of falls and prevent falls in patients. Methods: Data from 60 patients who fell in the rehabilitation department between 2016 and 2021 were analyzed for clinical characteristics, associated factors, incidence of falls, injuries, and patient demographics. Under the random stratified sampling method, 60 patients who did not fall during the same period were selected as the control group, and relevant data was collected. Measurement data were compared using an independent sample t -test. Enumeration data were compared using chi-squared ( χ 2 ) test was employed to compare these data between the two groups. Non-parametric data were analyzed using the Mann–Whitney U -test. Factors potentially influencing falls were scrutinized through both univariate and binary logistic regression analyses. Results: The median annual incidence of falls among patients who were hospitalized in the rehabilitation department was 0.04%, while the overall fall injury rate was 60%. Falls were most prevalent within 30 days of hospitalization (71.67%). The most common fall-related condition was craniocerebral disease (83.33%). The incidents of falls location of fall were mainly reported in nearby areas of rehabilitation ward (70%). Most accidents occurred between 7:00 a.m.–12:00 p.m. and 3:01 p","PeriodicalId":506758,"journal":{"name":"Risk Management and Healthcare Policy","volume":"600 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780004","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

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