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2.
J Homosex ; 67(2): 265-283, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30582736

RESUMO

Researchers have often considered the impact that online dating has had on gay communities; with some arguing that changes in social behavior may impact the spread of HIV. However, these conclusions are based on the premise that the Internet has fundamentally changed the way gay and bisexual men connect with their communities. Addressing this issue, we searched the PubMed and Web of Science databases for studies examining Internet use and interpersonal connectedness among gay and bisexual men to determine whether those who used the Internet to find sexual partners exhibited different patterns of community connectedness. Though sporadic, findings suggest that Internet use may be associated with lower gay identity, community attachment, and social embeddedness. However, recent reports have suggested that online sex seeking might be associated with greater, not less, interpersonal connectedness. We conclude that additional longitudinal analyses and consistent measurement of gay men's social behavior are needed to draw more definite conclusions.


Assuntos
Bissexualidade , Homossexualidade Masculina , Internet , Relações Interpessoais , Comportamento Sexual , Infecções por HIV , Humanos , Internet/estatística & dados numéricos , Masculino , Narração , Parceiros Sexuais , Comportamento Social
3.
J Surg Res ; 245: 510-515, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31446193

RESUMO

BACKGROUND: The increasing use of review websites by consumers has become a crucial first step in choosing a physician with more than half of Americans consulting review sites before physician selection. We sought to identify whether differences exist in the quality and content of online reviews for men versus women surgeons. METHODS: Using a deliberate sampling algorithm of the two most populated physician review websites, RateMDs.com and Yelp.com, we purposefully sampled reviews for the top 20 surgeons per tercile from the four most populated urban areas in the United States: New York, Houston, Los Angeles, and Chicago. A grounded theory qualitative assessment was performed of major and minor thematic elements including global rating, communication, technical skills, and comments on ancillary elements. RESULTS: Four-hundred and thirty-one online patient reviews of 238 surgeons were identified from RateMDs.com (51%) and Yelp.com (49%) with available information on gender for analysis. Seventy-six percent of reviews were of male surgeons. Reviewers were more likely to mention a global rating and technical skill for men compared with women surgeons. Most reviews were positive with no difference in global rating by gender (83.7% positive for men and 74.3% positive for women, P = 0.08). Women surgeons were more likely to have positive comments on social interactions as compared with men (94.7% versus 88.0%, P = 0.03); whereas men surgeons were more likely to have a positive rating on technical skill compared with women (88.2% versus 76.2%, P = 0.04). CONCLUSIONS: The content and quality of online surgeon reviews differ by gender. There is no difference in global rating between men and women. Women are rated higher for social interaction domains and men are rated higher on technical skill domains.


Assuntos
Competência Clínica/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Relações Médico-Paciente , Cirurgiões/estatística & dados numéricos , Comunicação , Feminino , Humanos , Internet/estatística & dados numéricos , Masculino , Pesquisa Qualitativa , Fatores Sexuais , Estados Unidos
4.
Support Care Cancer ; 28(1): 131-140, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30993449

RESUMO

OBJECTIVES: To investigate among patients treated with a total laryngectomy (TL) (1) Internet-use and Internet use to search for information on health and cancer (content); (2) which patients are most likely to use the Internet in general, for health-related and cancer-related purposes; (3) which other types of eHealth (community, communication, care) are used; and (4) preferences towards future use. METHODS: Patient members of the Dutch TL patient society were asked to complete a questionnaire on Internet use, health-related and cancer-related Internet use, types of eHealth, preferences towards future use, socio-demographics, clinical factors, and quality of life (QOL). Factors associated with Internet use and health-related and cancer-related Internet use were investigated using stepwise logistic regression analysis. RESULTS: In total, 279 TL patients participated, of whom 68% used the Internet. Of these, 63% used the Internet to search for information on health and 49% on cancer. Younger and higher educated TL patients and those with better QOL used the Internet more often. Patients with worse QOL searched more often for health-related information. Younger patients and those with shorter time since TL searched more often for cancer-related information. The current use of eHealth for communication, community, and care purposes among Internet users was limited (range, 2 to 15%). Many were interested in using these types of eHealth in the future (range, 21 to 72%). CONCLUSION: The majority used the Internet, especially to search for information on health and cancer, but only few for communication, community, or care purposes. Many were interested in future use.


Assuntos
Comportamento de Busca de Informação , Internet/estatística & dados numéricos , Neoplasias Laríngeas , Laringectomia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Comunicação , Estudos Transversais , Feminino , Humanos , Neoplasias Laríngeas/epidemiologia , Neoplasias Laríngeas/psicologia , Neoplasias Laríngeas/terapia , Laringectomia/reabilitação , Laringectomia/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Qualidade de Vida , Apoio Social , Inquéritos e Questionários , Telemedicina/estatística & dados numéricos , Qualidade da Voz
5.
BMC Health Serv Res ; 19(1): 977, 2019 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-31856812

RESUMO

BACKGROUND: Long-term use of adjuvant endocrine therapy (AET) among women with early-stage, hormone receptor-positive breast cancer significantly reduces the risk of hospitalizations, cancer recurrence, and mortality. AET is associated with adverse symptoms that often result in poor adherence. A web-enabled app offers a novel way to communicate and manage symptoms for women on AET. In a region with significant racial disparities in breast cancer outcomes, our study tests the impact of a web-enabled app that collects and transmits patient-reported symptoms to healthcare teams to facilitate timely and responsive symptom management on medication adherence. METHODS: In this randomized controlled trial, we randomize 300 patients initiating AET to one of three arms: 1) an "App" group (n = 100) that receives weekly reminders to use the THRIVE study app; 2) an "App+Feedback" group (n = 100) that receives weekly reminders and tailored feedback based on their use of the app; or 3) a "Usual Care" group (n = 100) that receives usual care only. Participants are stratified by race: 50% White and 50% Black. The duration of the intervention is six months following enrollment, and outcomes are assessed at 12-months. The primary outcome is adherence, which is captured using an electronic monitoring pillbox. Secondary outcomes include symptom burden, quality of life, self-efficacy for managing symptoms, and healthcare costs. We also evaluate the impact of the intervention on racial disparities in adherence. Data are derived from three sources: electronic health record data to capture treatment changes, healthcare utilization, and health outcomes; self-report survey data related to adherence, symptom burden, and quality of life; and an electronic medication monitoring device that captures adherence. DISCUSSION: A successful web-enabled intervention could be disseminated across systems, conditions, and populations. By evaluating the impact of this intervention on a comprehensive set of measures, including AET adherence, patient outcomes, and costs, our study will provide valuable and actionable results for providers, policy makers, and insurers who strive to achieve the "Triple Aim" - reduce costs while improving health outcomes and the patient care experience. TRIAL REGISTRATION: NCT03592771. Prospectively registered on July 19, 2018.


Assuntos
Neoplasias da Mama/tratamento farmacológico , Aplicativos Móveis , Afro-Americanos/estatística & dados numéricos , Neoplasias da Mama/psicologia , Terapia Combinada , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Feminino , Humanos , Internet/estatística & dados numéricos , Adesão à Medicação/estatística & dados numéricos , Recidiva Local de Neoplasia/tratamento farmacológico , Cooperação do Paciente , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Sistemas de Alerta/estatística & dados numéricos , Autorrelato , Inquéritos e Questionários
6.
Crit Care Resusc ; 21(4): 305-10, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31778639

RESUMO

OBJECTIVES: To investigate the use, understanding, trust and influence of the internet and other sources of health information used by the next of kin (NOK) of patients admitted to the intensive care unit (ICU). DESIGN: Multicentre structured survey. SETTING: The ICUs of 13 public and private Australian hospitals. PARTICIPANTS: NOK who self-identified as the primary surrogate decision maker for a patient admitted to the ICU. MAIN OUTCOME MEASURES: The frequency, understanding, trust and influence of online sources of health information, and the quality of health websites visited using the Health on the Net Foundation Code of Conduct (HONcode) for medical and health websites. RESULTS: There were 473 survey responses. The median ICU admission days and number of ICU visits by the NOK at the time of completing the survey was 3 (IQR, 2-6 days) and 4 (IQR, 2-7), respectively. The most commonly reported sources of health information used very frequently were the ICU nurse (55.6%), ICU doctor (38.7%), family (23.3%), hospital doctor (21.4%), and the internet (11.3%). Compared with the 243 NOK (51.6%) not using the internet, NOK using the internet were less likely to report complete understanding (odds ratio [OR], 0.57; 95% CI, 0.38-0.88), trust (OR, 0.34; 95% CI, 0.19-0.59), or influence (OR, 0.58; 95% CI, 0.38-0.88) associated with the ICU doctor. Overall, the quality of the 40 different reported websites accessed was moderately high. CONCLUSIONS: A substantial proportion of ICU NOK report using the internet as a source of health information. Internet use is associated with lower reported understanding, trust and influence of the ICU doctor.


Assuntos
Informação de Saúde ao Consumidor , Tomada de Decisões , Comportamento de Busca de Informação , Unidades de Terapia Intensiva , Internet/estatística & dados numéricos , Austrália , Hospitalização , Humanos , Inquéritos e Questionários , Confiança
7.
BMC Public Health ; 19(1): 1474, 2019 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-31699057

RESUMO

BACKGROUND: Emerging research on the use of new technology suggests that internet use is generally associated with high levels of efficiency among older adults in the following areas: quality of life, mood, positive psychological well-being, and the individual and societal costs of caring for them. However, there is little empirical evidence specifically concerning the causal effects of older adults' internet use on their depression level. There is a need for more replication studies to help confirm that the emerging evidence on the impact of internet use is accurate and applicable to different populations and in different situations. METHOD: Using national data from the China Family Panel Study in 2016, this study helps to fill the above mentioned research gap. This study followed a two-step analytical strategy to empirically examine the association between internet use and reported depression in older adults. In the first step, we estimated a binary logistic regression model with internet use as the dependent variable and 8 demographic and socioeconomic factors as the confounding variables. In the second step, we performed a propensity score analysis to control for potential bias using the confounding variables confirmed in the first step. RESULTS: The results show that older adults who reported internet use have lower depression levels than did those who did not use the internet, with adjustments made for gender, age, urban or rural residence, pension status, educational background, physical health, life satisfaction, and intelligence level. CONCLUSION: These findings suggest that it is critical to advocate for technology-based policies and programs that promote older adults' internet use to improve their social well-being, which can also serve as a policy strategy to help alleviate older adults' depression.


Assuntos
Depressão/etiologia , Internet/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , China , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Pontuação de Propensão , Qualidade de Vida , Fatores Socioeconômicos
8.
Niger J Clin Pract ; 22(11): 1467-1474, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31719266

RESUMO

Objective: This study aimed to identify the frequency and goals of Internet usage to access health-related information among primary health care service clients. Methods: The study was conducted in a primary health care centre with a sample of 788 adults. The data were collected through a questionnaire developed by the researchers. Results: The results showed that 81% (n = 640) of the participants used the Internet. All Internet user participants reported that they used the Internet to access health-related information. Of the participants, 67% reported that they used the Internet primarily to obtain information about diseases with 94% reporting that they found the online information reliable and 92% reported that they did not confirm the information they obtained online. The frequency of Internet use to obtain health-related information increased with increase in the level of education of participants. Participants with higher education found the online information to be more reliable and comprehensible. The results showed that while the use of Internet to obtain health-related information was high, the information presented online was not always checked for accuracy. Conclusion: Hence, provision of current and evidence-based information on health-related websites is crucial to preserve community health care.


Assuntos
Informação de Saúde ao Consumidor , Serviços de Informação/estatística & dados numéricos , Internet/estatística & dados numéricos , Atenção Primária à Saúde , Adolescente , Adulto , Idoso , Serviços de Saúde Comunitária , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
10.
Medicine (Baltimore) ; 98(38): e17283, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31568011

RESUMO

BACKGROUND: Cognitive-behavioral therapy has been considered as a means for internet addiction, but its long-term effect and the impact of internet addiction types and culture are still unclear. OBJECTIVE: This study aims to assess the efficacy of cognitive-behavior therapy for internet addiction symptoms and associated other psychopathological symptoms. METHOD AND ANALYSIS: We will search PubMed, Web of Knowledge, Ovid Medline, Chongqing Vip Database, Wanfang, and China National Knowledge Infrastructure database. Random-effects model in comprehensive meta-analysis software will be used to conduct main meta-analysis. Cochran Q and I are be used to assess heterogeneity while funnel plots and the Egger test are used to assess publication bias. Risk of bias for each study included is assessed by using the Cochrane risk of bias tool. The primary outcome is internet addiction symptom while secondary outcomes are psychopathological symptoms, time spent online, and dropout. TRIALS REGISTRATION NUMBER: PROSPERO CRD42019125667.


Assuntos
Comportamento Aditivo/terapia , Terapia Cognitivo-Comportamental , Internet/estatística & dados numéricos , Humanos
11.
Nihon Koshu Eisei Zasshi ; 66(8): 426-438, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31548451

RESUMO

Objectives The purpose of this study was to investigate the association between home environment and long hours of internet use among Japanese elementary school and junior high school students.Methods We used data from the Survey on Parent-child Relationship in the Internet Age conducted by the Japanese National Institute for Youth Education in 2017. In the analysis, 2062 children between fifth grade of elementary school and second grade of junior high school from 20 prefectures in Japan were retained after excluding 210 children with no internet use. Exposure variables included children's ownership of internet devices (e.g., smartphones), parents' ways of using a mobile phone or smartphone at home, and the child's relationship to his or her parents. Outcomes were long hours of internet use on a weekday and a weekend day and experiencing a lack of sleep. We defined long hours as three or more hours on a weekday and five or more hours on a weekend day. Odds ratios (OR) and 95% confidence intervals (95%CI) were estimated using logistic regression analyses.Results Children's ownership of a smartphone or tablet was associated with long hours of internet use and experiencing lack of sleep. Compared to non-owners, adjusted odds ratios for smartphone owners were 2.55 [95%CI: 1.92-3.38] for long hours of internet use on a weekday and 1.66 [95%CI: 1.17-2.34] for lack of sleep. Spending long hours on the internet on the weekend was associated with parents using mobile phones while talking to their children [OR=1.59, 95%CI: 1.03-2.44] and children who do not enjoy being with family [OR=2.05, 95%CI: 1.00-4.18]. Additional analysis showed that situations such as parents' frequent use of mobile phones during talking, family members' frequent use of mobile phones even during family time, and not enjoying being with family were associated with not setting rules for children's use of mobile phones and personal computers at home.Conclusion Our findings suggest that factors such as ownership of devices and the ways parents use their mobile phones are associated with children's hours of internet use at home. To create an environment where children use internet appropriately, parental practices regarding mobile device use and rule setting at home may be important.


Assuntos
Internet/estatística & dados numéricos , Relações Pais-Filho , Psicologia da Criança , Meio Social , Estudantes/psicologia , Adolescente , Fatores Etários , Criança , Feminino , Humanos , Japão/epidemiologia , Modelos Logísticos , Masculino , Instituições Acadêmicas , Privação do Sono/etiologia , Smartphone/estatística & dados numéricos , Fatores de Tempo
12.
Environ Sci Pollut Res Int ; 26(32): 32977-32992, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31512130

RESUMO

By employing China's provincial panel data covering period 2001-2016, the present study empirically investigates the impact of ICT on CO2 emission intensity. Specifically, this paper utilizes Internet penetration and mobile phone penetration as proxies to measure ICT respectively and employs quantile regression method to estimate the benchmark model at five quantiles (0.1, 0.25, 0.5, 0.75, and 0.9). It is demonstrated that Internet penetration at the national level has a significant negative effect on the CO2 emission intensity for all quantiles. In addition, Internet penetration has a significant negative effect on CO2 emission intensity at all quantiles except for 0.1 quantile for China's eastern provinces and has a significant negative effect on CO2 emission intensity at all quantiles for China's central provinces, whereas Internet penetration has no significant negative impact on CO2 emission intensity at all quantiles for China's western provinces. By comparison, the reduction effect of Internet penetration on CO2 emission intensity in China's eastern and central provinces is more obvious and in contrast with the reduction effect of Internet penetration on CO2 emission intensity in China's eastern provinces, it is greater in China's central provinces. Finally, the impact of mobile phone penetration on CO2 emission intensity is generally consistent with the impact of Internet penetration. This study provides further evidence that developing countries can simultaneously achieve economic development and reduce carbon emissions through ICT.


Assuntos
Dióxido de Carbono/análise , Tecnologia da Informação , Uso do Telefone Celular/estatística & dados numéricos , China , Desenvolvimento Econômico , Gases de Efeito Estufa/análise , Tecnologia da Informação/estatística & dados numéricos , Internet/estatística & dados numéricos , Análise de Regressão
13.
Int J Med Inform ; 131: 103958, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31521012

RESUMO

BACKGROUND: There is an increasing population of health information consumers (HIC) with multiple conditions (multimorbid). Previous studies explored the online behavior of HIC in general or HIC with a specific disease; however, the behavior of multimorbid HIC remains poorly researched. OBJECTIVES: This research aims to investigate the behaviors of the multimorbid HIC on community Q&A platforms. METHODS: Using kidney disease, a prevalent disease with high likelihood of multimorbidity as a case, we analyzed the online interaction behaviors of HIC with multimorbidity in Quora, a community Q&A platform, and compared them to those of single-disease HIC. RESULTS: The findings of this study reveal significant differences in the online interaction behavior between HIC of single vs. multimorbid diseases. Compared with single-disease HIC, multimorbid HIC are more active in multiple aspects, such as asking questions, following different topics or users, and providing suggestions for improvement of questions and answers. Additionally, multimorbid HIC are more likely to add topics to their questions, and their questions tend to attract more answers than those of single-disease HIC. On the other hand, questions and answers provided from single disease HIC had more views, followers, and upvotes than those from multimorbid HIC. CONCLUSION: The high level of activity among multimorbid HIC can be explained by their complex needs for information, driving an increased number of questions and drawing more attention from the whole community in answering them. Multimorbid HIC appear to be valuable contributors to the online community and reasons for the reduced visibility and upvoting of their answers should be investigated.


Assuntos
Comportamento do Consumidor/estatística & dados numéricos , Informação de Saúde ao Consumidor/estatística & dados numéricos , Troca de Informação em Saúde , Comportamento de Busca de Informação , Internet/estatística & dados numéricos , Nefropatias/terapia , Doença Crônica , Humanos , Nefropatias/epidemiologia , Multimorbidade , Inquéritos e Questionários
14.
J Addict Nurs ; 30(3): 201-210, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31478968

RESUMO

The study is a descriptive and relational study carried out with an aim to analyze the effects of Internet use and Internet addiction on cyber victimization and cyberbullying among adolescents.The universe of the study consists of the students (N = 3,978) studying at high schools in a city center located in the Black Sea Region. The students were determined by a stratified and simple random sampling method, whereas the sample of the study included 2,422 voluntary high school students. The data were collected through the Adolescent Information Form, Internet Addiction Scale, and Cyber Victim and Bullying Scale. In the analysis of the data, descriptive statistics such as number, percentage, average, and standard deviation were used, whereas independent samples t test, one-way analysis of variance, and correlation coefficients were used to compare the groups. The predictive effects of independent variables on cyber victimization and cyberbullying were investigated with multiple linear regression analysis. The average age of the adolescents participating in the study is 16.23 ± 1.11 years. The mean scores were calculated as 25.59 ± 15.88 for Internet addiction, 29.47 ± 12.65 for cyber victimization, and 28.58 ± 12.01 for cyberbullying. In our study, it was found that the Internet addiction, cyber victimization, and cyberbullying scores of the adolescents were low, but cyber victimization and cyberbullying were related to Internet usage characteristics and Internet addiction. Internet usage characteristics, cyber victimization, and bullying prevalence and relational studies should be done in adolescents. It is recommended to raise awareness of the harmful use of the Internet to families.


Assuntos
Comportamento Aditivo/psicologia , Vítimas de Crime/psicologia , Cyberbullying/psicologia , Internet/estatística & dados numéricos , Adolescente , Comportamento Aditivo/epidemiologia , Criança , Vítimas de Crime/estatística & dados numéricos , Cyberbullying/estatística & dados numéricos , Feminino , Humanos , Masculino , Turquia/epidemiologia
15.
Int J Med Inform ; 130: 103951, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31473534

RESUMO

BACKGROUND: Online healthcare has become an important part of healthcare services. Patients can access unlimited information reflecting a doctor's service quality in online health communities (OHCs). This information can reduce information asymmetry between patients and doctors, and further promote patient decisions. In this study, we focus on the patient's decision to switch from a doctor's online medical service to the same doctor's offline service. OBJECTIVES: We classify OHC information into objective information and subjective information. Following this, we investigate how these two types of information influence patient decisions to switch from a doctor's online to offline medical service, and explore the nature of interaction between the two types of influence. METHODS: We collected data from a leading OHC in China and constructed a longitudinal dataset to examine our research questions. To control for doctor heterogeneity and common trends across time, we leveraged fixed effects at the doctor level and monthly fixed effects in our models, respectively. RESULTS: Our findings demonstrate a strong relationship between OHC information and patient decisions to switch from a doctor's online to offline medical service. Patients are more likely to switch from online to offline medical services with doctors whose subjective and objective information on their homepages indicate a higher quality (ßSubjective = 0.001, p < 0.001; αObjective = 0.019, p < 0.002). We also observe that patients prefer doctors who do not exhibit objective information that indicates low-quality service over those who show such information on their homepages, even though the chosen doctor provides a lower-quality service (αLow_Objective = -0.032, p < 0.006). Further, we find that the influence of subjective information on patient decisions crowds out the influence of objective information. CONCLUSION: This study investigates the role of subjective and objective information on patient decisions to switch from a doctor's online to offline medical service and the interaction effect between these two types of information. This study provides valuable theoretical and practical implications.


Assuntos
Informação de Saúde ao Consumidor/estatística & dados numéricos , Tomada de Decisões , Serviços de Saúde/normas , Serviços de Informação/estatística & dados numéricos , Internet/estatística & dados numéricos , Médicos/estatística & dados numéricos , Saúde Pública/normas , China , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Médico-Paciente
16.
Invest Educ Enferm ; 37(2)2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31487443

RESUMO

OBJECTIVES: To evaluate the pattern of internet use and factors that facilitate or dissuade its use among nursing students from a university in Urmia, Iran. METHODS: A cross-sectional, descriptive study was conducted with 162 nursing students selected through simple random sampling. RESULTS: The findings indicated that 49.1% of the students used the internet from 15 to 60 min per day. The principal use of the internet was to search for scientific content in the Web. Factors that facilitated internet use were "ease of use" and "Access to experts to solve problems and answer questions", while the dissuasive factors were "lack of concentration", "cost of internet services", and preference for information provided by professors or available directly in textbooks. Internet use by the students was related with the use of this tool in classroom activities and with English fluency. CONCLUSIONS: Students have an internet use pattern aimed at self-study that should be strengthened with knowledge of English, assignments online, familiarization with the use of electronic databases, and other strategies to motivate them to use this technology with greater frequency.


Assuntos
Educação em Enfermagem/estatística & dados numéricos , Internet/estatística & dados numéricos , Multilinguismo , Estudantes de Enfermagem/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Irã (Geográfico) , Fatores de Tempo , Universidades , Adulto Jovem
17.
PLoS Med ; 16(8): e1002879, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31390364

RESUMO

BACKGROUND: High satisfaction with healthcare is common in low- and middle-income countries (LMICs), despite widespread quality deficits. This may be due to low expectations because people lack knowledge about what constitutes good quality or are resigned about the quality of available services. METHODS AND FINDINGS: We fielded an internet survey in Argentina, China, Ghana, India, Indonesia, Kenya, Lebanon, Mexico, Morocco, Nigeria, Senegal, and South Africa in 2017 (N = 17,996). It included vignettes describing poor-quality services-inadequate technical or interpersonal care-for 2 conditions. After applying population weights, most of our respondents lived in urban areas (59%), had finished primary school (55%), and were under the age of 50 (75%). Just over half were men (51%), and the vast majority reported that they were in good health (73%). Over half (53%) of our study population rated the quality of vignettes describing poor-quality services as good or better. We used multilevel logistic regression and found that good ratings were associated with less education (no formal schooling versus university education; adjusted odds ratio [AOR] 2.22, 95% CI 1.90-2.59, P < 0.001), better self-reported health (excellent versus poor health; AOR 5.19, 95% CI 4.33-6.21, P < 0.001), history of discrimination in healthcare (AOR 1.47, 95% CI 1.36-1.57, P < 0.001), and male gender (AOR 1.32, 95% CI 1.23-1.41, P < 0.001). The survey did not reach nonusers of the internet thus only representing the internet-using population. CONCLUSIONS: Majorities of the internet-using public in 12 LMICs have low expectations of healthcare quality as evidenced by high ratings given to poor-quality care. Low expectations of health services likely dampen demand for quality, reduce pressure on systems to deliver quality care, and inflate satisfaction ratings. Policies and interventions to raise people's expectations of the quality of healthcare they receive should be considered in health system quality reforms.


Assuntos
Países em Desenvolvimento/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Qualidade da Assistência à Saúde/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Internet/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
18.
BMC Public Health ; 19(1): 1061, 2019 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-31391022

RESUMO

BACKGROUND: Between 2015 and 2017 six deaths due to meningitis in the Lombardy Region, Northern Italy, caught the attention of media and increased concern among the population, with a consequent increase in demand for vaccination. Considering the evidence about the impact of media coverage of health issues on public behaviour, this paper investigates the trend of media coverage and internet searches regarding meningitis in the Lombardy Region. METHODS: Content analysis of online articles published from January 2015 to May 2017 and analysis of Google Trends were carried out. A codebook was created in order to assess the content of each article analysed, based on six areas: article characteristics, information about meningococcal disease and vaccination, Local Health Authority activities, accuracy of information and tone of the message. RESULTS: Both public interest and media attention peaked in December 2016 and January 2017, when the Lombardy Regional Authority changed its policy by offering co-payment to adults with a saving of 50%. The frequency of meningitis coverage decreased after the announcement of policy change. For example, articles containing new information on meningitis or meningococcal vaccine (76 to 48%, p = 0.01) and preventive recommendations (31% down to 10%, p = 0.006) decreased significantly. An alarmist tone appeared in 21% of pre-policy articles that decreased to 5% post-policy (p = 0.03). CONCLUSIONS: The findings suggest a role for the media in fostering public pressure towards health services and policy-makers. A collaboration between Public Health institutions and the media would be beneficial in order to improve communication with the public.


Assuntos
Meios de Comunicação/estatística & dados numéricos , Política de Saúde , Comportamento de Busca de Informação , Internet/estatística & dados numéricos , Infecções Meningocócicas/psicologia , Adulto , Humanos , Itália/epidemiologia , Infecções Meningocócicas/epidemiologia , Vacinas Meningocócicas/economia
19.
Sex Reprod Healthc ; 21: 9-14, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31395240

RESUMO

OBJECTIVES: Research focused on Internet behavior by women attempting pregnancy and pregnant women is scarce. Some research has been done in other countries, however it cannot be assumed those results also apply to Dutch women. STUDY DESIGN: A descriptive cross-sectional study was performed using an Internet-questionnaire among women attempting pregnancy and pregnant women. MAIN OUTCOME MEASURES: The aim of this study was to identify the Internet behavior of women attempting pregnancy and pregnant women in the Netherlands. RESULTS: In total, 365 women completed the questionnaire. Of these, 95.6% used the Internet as an information source before or during their pregnancy. Most searched topics were fetal development, lifestyle and pregnancy as well as birth complications. Over 90% of the women thought the information found was reliable and based pregnancy related decisions on this information. However, only 50.1% of the women discussed the information found with their caregiver. Of the respondents, 76.2% thought a reliable website is needed provided by the caregivers. CONCLUSIONS: A vast majority of Dutch women attempting pregnancy and Dutch pregnant women use the Internet to search for information and to make decisions about their pregnancy, however they were not satisfied with the information available online. A reliable, informative, interactive and up-to-date website is deemed necessary.


Assuntos
Comportamento de Busca de Informação , Internet/estatística & dados numéricos , Gestantes , Adulto , Comportamento do Consumidor , Informação de Saúde ao Consumidor/normas , Estudos Transversais , Tomada de Decisões , Feminino , Humanos , Países Baixos , Relações Médico-Paciente , Gravidez , Inquéritos e Questionários , Adulto Jovem
20.
Glob Health Action ; 12(1): 1652022, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31411128

RESUMO

Background: While setting international standards for midwifery education has attracted considerable global attention, the education and training of midwifery educators has been relatively neglected, particularly in low-resource settings where capacity building is crucial. Objective: The aim of this study was to describe the expectations of midwifery educators in Bangladesh who took part in a blended web-based master's programme in SRHR and the extent to which these were realized after 12 months of part-time study. Methods: Both quantitative and qualitative methods have been used to collect data. A structured baseline questionnaire was distributed to all participants at the start of the first course (n = 30) and a second endpoint questionnaire was distributed after they (n = 29) had completed the core courses one year later. At the start of the first course, five focus group discussions (FGD) were held with the midwifery educators. Descriptive statistics and content analysis were used for the analyses. Results: Midwifery educators who took part in the study identified expectations that can be grouped into three distinct areas. They hoped to become more familiar with technology, anticipated they would learn pedagogical and other skills that would enable them to better support their students' learning and thought they might acquire skills to empower their students as human beings. Participants reported they realized these ambitions, attributing the master's programme with helping them take responsibility for their own teaching and learning, showing them how to enhance their students' learning and how to foster reflective and critical thinking among them. Conclusions: Midwifery educators have taken part in a creative learning environment which has developed their engagement in teaching and learning. They have done this using a blended learning model which combines online learning with face-to-face contact. This model can be scaled up in low resource and remote settings.


Assuntos
Fortalecimento Institucional/métodos , Instrução por Computador/métodos , Educação de Pós-Graduação em Enfermagem/organização & administração , Docentes de Enfermagem/educação , Internet/estatística & dados numéricos , Tocologia/educação , Smartphone/estatística & dados numéricos , Adulto , Bangladesh , Feminino , Grupos Focais , Humanos , Pessoa de Meia-Idade , Gravidez
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