Journal of epidemiology and population health最新文献

{"title":"Extracting social determinants of health from inpatient electronic medical records using natural language processing.","authors":"Elliot A Martin, Adam G D'Souza, Vineet Saini, Karen Tang, Hude Quan, Cathy A Eastwood","doi":"10.1016/j.jeph.2024.202791","DOIUrl":"10.1016/j.jeph.2024.202791","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health (SDOH) have been shown to be important predictors of health outcomes. Here we developed methods to extract them from inpatient electronic medical record (EMR) data using techniques compatible with current EMR systems.</p><p><strong>Methods: </strong>Four social determinants were targeted: patient language barriers, employment status, education, and whether the patient lives alone. Inpatients aged 18 and older with records in the Calgary-wide EMR system were studied. Algorithms were developed on the January 2019 hospital admissions (n=8,999) and validated on the January 2018 hospital admissions (n=8,839). SDOH documented as structured data were compared against those extracted from unstructured free-text notes.</p><p><strong>Results: </strong>More than twice as many patients had a note documenting a language barrier in EMR data than in structured data; 12 % of patients indicated by EMR notes to be living alone had a partner noted in their structured marital status. The Positive Predictive Value (PPV) of the elements extracted from notes was high, at 99 % (95 % CI 94.0 %-100.0 %) for language barriers, 98 % (95 % CI 92.6 %-99.9 %) for living alone, 96 % (95 % CI 89.8 %-98.8 %) for unemployment, and 88 % (95 % CI 80.0 %-93.1 %) for retirement.</p><p><strong>Conclusions: </strong>All SDOH elements were extracted with high PPV. SDOH documentation was largely missing in structured data and sometimes misleading.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202791"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640282","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}

{"title":"Fostering patients' participation in oncology research by developing psychological empowerment and a sense of community.","authors":"Charlotte Bauquier, Myriam Pannard, Amandine Andrin, Julien Biaudet, Sophie Parnalland, Sandrine Dabakuyo, Francis Guillemin, Gwenaëlle Paret, Guillemette Jacob, Marie Préau","doi":"10.1016/j.jeph.2024.202781","DOIUrl":"10.1016/j.jeph.2024.202781","url":null,"abstract":"<p><strong>Objectives: </strong>A \"patient-researcher\" training intervention was designed to improve participants' empowerment by building on their level of critical health literacy and to build a trustful partnership between participants and researchers, with the longer-term objective of co-constructing a community-based research project. The participants in the training intervention were recruited through the collaborative research platform \"Seintinelles\". This training intervention was aimed at patients or former patients suffering from cancer. The study's objective is to identify intervention's elements that appear to be relevant and those that should be improved for future implementation.</p><p><strong>Methods: </strong>This study is descriptive research in the form of a case study. A questionnaire (post-intervention) and logbook were designed to analyze the implementation of patient-researcher training.</p><p><strong>Results: </strong>Results suggest that the intervention should be flexible to adapt content to formal and informal exchanges. Participants were satisfied, although the intervention did not completely meet their expectations. Following the intervention, most participants felt able to participate in a research study.</p><p><strong>Conclusion: </strong>At the end of this analysis, we can conclude that the 'patient-researcher' training intervention fulfilled its two objectives. First, it provided the knowledge and skills necessary for the implementation of a community-based research study and helped participants feel that they could take part in the different stages of such a study. Second, it initiated the construction of an alliance between 'lived experience' experts and scientific experts.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202781"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560010","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}

{"title":"Needs and expectations of healthcare professionals regarding the topic of alcohology: Results of a survey conducted in France in 2022.","authors":"Naouras Bouajila, Judith Andre, François Paille, Bernard Basset, Amine Benyamina, Ane Sylvie, Jacques Yguel, Romain Sicot, Mickael Naassila","doi":"10.1016/j.jeph.2024.202772","DOIUrl":"10.1016/j.jeph.2024.202772","url":null,"abstract":"<p><strong>Context: </strong>Alcohol-related health problems represent a significant public health concern, and it is imperative for the healthcare team to accurately perceive and detect these issues to provide appropriate care. The objective of this survey was to evaluate the knowledge, practices, and educational background of healthcare professionals in the field of alcohol-related health concerns, aiming to identify their information requirements.</p><p><strong>Methods: </strong>This study employs a cross-sectional descriptive survey methodology, in which data were gathered through a digital questionnaire designed for healthcare professionals (including those in medical, paramedical, and medico-social professions) working in addictology services as well as other relevant services across France and its overseas departments.</p><p><strong>Results: </strong>A total of 611 questionnaires were deemed usable for analysis. A considerable percentage of participants reported their knowledge and skills to be insufficient or very insufficient, with rates of 33 % and 36 %, respectively. Moreover, a significant proportion of respondents (≈ 28 %) stated that they had received no education in addictology. Our results highlight differences in levels of knowledge and competence among the various healthcare settings, notably with lower reported levels of satisfaction in hospital settings (public and private), private practice, and in Harm Reduction Centers. Furthermore, certain professions reported unsatisfactory levels of skills and knowledge in alcohol-related issues, particularly support staff, pharmacists, expert patients, administrative staff, and social workers. These findings suggest the need to enhance knowledge and skills by tailoring interventions according to the specific healthcare settings and professions. Additionally, the priority themes and channels for disseminating information varied depending on age, region, and professional category.</p><p><strong>Conclusion: </strong>This survey reveals a low level of knowledge, practice, and education in addictology, emphasizing the critical need for training. The importance of training extends not only to the priority topics addressed but also to the channels used for dissemination, all while customizing them to suit the age, professional category, structure, and region of healthcare professionals.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202772"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891515","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}

{"title":"Avowing and mitigating moral injury calls for courage and community.","authors":"Wendy Dean","doi":"10.1016/j.jeph.2024.202793","DOIUrl":"https://doi.org/10.1016/j.jeph.2024.202793","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202793"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776288","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}

{"title":"A community-based peer-facilitated psychological and social support model to improve retention in care among Cameroonian adolescents perinatally infected with human immunodeficiency virus: A randomized controlled trial.","authors":"Francis Ateba Ndongo, Jean-Pierre Yves Awono Noah, Rogacien Kana, Justin Ndie, MariusTchassep Nono, Patrice Ndzie, Mathurin Cyrille Tejiokem, Emmanuelle Hopp Biheng, Tatiana Avang Nkoa, Yacouba Aba Coulibaly, Joseph Fokam, Alice Ketchaji, Joëlle Nounouce Ngako, Calixte Ida Penda, Paul Olivier Koki Ndombo, Hubert Mbassi Hawa, Philippe Msellati, Albert Faye, Marc Lallemant, Anne Cécile Zoung-Kani Bissek","doi":"10.1016/j.jeph.2024.202792","DOIUrl":"10.1016/j.jeph.2024.202792","url":null,"abstract":"<p><strong>Background: </strong>Psychological and social support for adolescents living with HIV remains undocumented and unaddressed in Central Africa. This study aimed at assessing effectiveness of a peer-facilitated community-based support model in improving retention in care among adolescents living with HIV and attending care in Chantal Biya Foundation, Yaounde, Cameroon.</p><p><strong>Materials and methods: </strong>We conducted an analysis of adolescents aged 10-19 years old, perinatally infected with HIV, on follow-up in the Day Care Unit of a reference hospital in Yaounde, Cameroon, and enrolled in the IAS-CIPHER-2021/1214-ATE-SMAVI, a individually randomized controlled trial. While the control arm only received routine care in the health facility, the intervention arm, in addition, was assigned to an HIV association for sustained support model, including support groups, leisure workshops and home visits. Structured questionnaires, including validated French versions of mental health scales, were quarterly administered to the study participants in both study arms by trained healthcare providers. The main outcome was maintaining retention in care beyond the first 15-month period of the study start. Kaplan-Meier and Cox regression models were fitted to assess association between intervention and outcome. Hazard Ratio (HR) across categories of exposure variables were compared using Wald's test. p-value <0.05 was considered significant.</p><p><strong>Results: </strong>In total, 305 adolescents were recruited in the study at a median age of 15.2 years old, including 162 (53.1 %) females and 153 individuals in the intervention arm. Mental health troubles were prevalent: severe depression (26.9 %), high or very high anxiety (28.9 %), and low self-esteem (84.9 %). Noteworthy, all of the baseline characteristics were balanced irrelevant to the study arm. Probability of maintaining good retention in care beyond the first 15-month period of study start remained higher in the intervention arm (82.0 % [95 %CI: 73.7 %-88.4 %]) versus the control arm (71.0 % [95 %CI: 63.2 %-78.1 %]), [cHR (95 %CI): 2.0 (1.1-3.3), p=0.044].</p><p><strong>Conclusions: </strong>Capacity should be built in terms of implementing community-based peer-facilitated support groups in local organizations providing care to adolescents living with HIV.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202792"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550008","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}

{"title":"Analysis of pediatric ophthalmology surgical activity in metropolitan France in 2016: Its impact on training capacities.","authors":"Maëlys Prevel, Bastien Boussat, Magali Bouisse, Pierre-Yves Robert, Dominique Bremond-Gignac, Arnaud Sauer, Christophe Chiquet","doi":"10.1016/j.jeph.2024.202786","DOIUrl":"10.1016/j.jeph.2024.202786","url":null,"abstract":"<p><strong>Aims: </strong>To describe pediatric ophthalmology surgery activity in private or public practice in metropolitan France in 2016 and to anticipate training needs in surgical pediatric ophthalmology.</p><p><strong>Methods: </strong>We used the French National Health Care System database to identify all pediatric ophthalmology surgical procedures performed in 2016. The study included all children aged ≤14 years who had undergone ophthalmologic surgery. We calculated the incidence of surgeries per 100,000 inhabitants aged ≤14 years, the number of surgeons, the mean age of the practitioners, and the number of surgeons aged >55 years.</p><p><strong>Results: </strong>In 2016, the overall incidence of pediatric ophthalmic surgery activity was 150.42/100,000 children aged ≤14 years. Out of 17,657 pediatric surgeries, 31.3 % were done by private surgeons performing at least 20 surgeries per year, 45.9 % in public centers with ≥20 surgeries per year, and 22.8 % by surgeons (public or private centers) doing <20 surgeries per year. This analysis included 204 surgeons, with a mean age of 41.7 ± 11.2 years (60.8 % female) in the public sector and 51.0 ± 9.5 years (37.3 % female) in private practice. More than a third of the surgeries (37.7 %) were performed in children aged 6-11 years, and the most frequent procedure was strabismus surgery (42.1 %). University regions with the fewest surgeons and regions with surgeons aged >55 years were identified. Within 5 years, to maintain pediatric ophthalmic surgical activity, it will be necessary to train 46 surgeons.</p><p><strong>Conclusions: </strong>This study demonstrated disparities in the geographic distribution of pediatric ophthalmic surgeries in France and identified regions that need increased training capacities and/or incorporate new surgeons to ensure a sufficient activity.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202786"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570900","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}

{"title":"The «parcours exercice professionnel»: A response to medical deserts.","authors":"Vincent Jedat, Yann Brabant, Marc Besnier","doi":"10.1016/j.jeph.2024.202794","DOIUrl":"10.1016/j.jeph.2024.202794","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202794"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640408","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}

{"title":"From PREMIUM to MyPsy&I®: Transforming mental health care with a digital platform for adaptive PREMs and PROMs.","authors":"Laurent Boyer, Sara Fernandes, Yann Brousse, Pierre-Michel Llorca, Ludovic Samalin, Masoud Rahmati, Pascal Auquier, Bastien Boussat, Guillaume Fond","doi":"10.1016/j.jeph.2024.202785","DOIUrl":"10.1016/j.jeph.2024.202785","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202785"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570901","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}

{"title":"The hidden crisis: Moral injury among French healthcare workers.","authors":"Laurent Boyer, Guillaume Fond, Bach Tran, Pierre-Michel Llorca, Antoine Duclos","doi":"10.1016/j.jeph.2024.202780","DOIUrl":"10.1016/j.jeph.2024.202780","url":null,"abstract":"<p><strong>Background: </strong>Amidst reports that one in five doctors and one in four nurses might leave their professions within three to five years due to high levels of burnout, this qualitative review explored the deeper crisis impacting healthcare workers in France, questioning whether factors beyond burnout contributed to their distress.</p><p><strong>Methodology: </strong>This study analyzed testimonies from French healthcare workers and reviewed relevant literature to uncover the underlying causes of their distress.</p><p><strong>Results: </strong>The qualitative analysis revealed profound distress among healthcare workers, stemming from a misalignment between their ethical standards, specifically the principle to 'put patients first,' and the practical realities of their work. Testimonies underscored unsustainable working conditions and economic pressures that compel healthcare workers to make decisions that compromise care quality and their own integrity. Nurses reported closing their practices due to non-profitability, forced to prioritize financial considerations over patient needs. Similarly, general practitioners expressed disillusionment, feeling disconnected from the type of medicine they aspired to practice. This distress goes beyond mere burnout, touching on deep-seated conflicts between personal values and professional demands, leading to significant attrition among healthcare workers. Comparative insights from the United States highlight a global trend where healthcare professionals face diminishing trust in systems that favor financial or operational efficiency over patient-centric care. 'Moral Injury,' as identified in our literature review, aptly describes the situation faced by French healthcare workers. It refers to the psychological distress that occurs when they cannot practice according to their ethical beliefs due to external constraints-whether from profit maximization in predominantly financialized systems like those in the United States or from funding and management gaps in public systems like those in France.</p><p><strong>Conclusion: </strong>Healthcare workers observe that the French healthcare system, once praised for its excellence and accessibility, no longer allows them to put patients at the heart of their concerns, in contradiction with their values. It is therefore essential to recognize the existence of \"Moral Injury\" to guide the structural and organizational reforms necessary to transform our healthcare system.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202780"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485268","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}

{"title":"The digital mental health challenge in France.","authors":"Ludovic Samalin, Frank Bellivier, Raymund Schwan, Line Farah","doi":"10.1016/j.jeph.2024.202796","DOIUrl":"https://doi.org/10.1016/j.jeph.2024.202796","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"73 1","pages":"202796"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640410","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}