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Effect of BATHE interview technique on patient satisfaction in an ambulatory family medicine centre in South India

Family Medicine and Community Health 2020年第4期8卷 14-19页

作者： Navnee Chengappa Prince Christopher Rajkumar Honest Kirubah David Ruby Angeline Pricilla sajitha mf rahman Grace Rebecca Department of Family Medicine Christian Medical CollegeVelloreTamil NaduIndia Department of Community Medicine Christian Medical CollegeVelloreTamil NaduIndia Department of Biostatistics Christian Medical CollegeVelloreTamil NaduIndia

Objective The objective of the study is to determine the effect of background,affect,trouble,handling and empathy(BATHE)versus usual interview technique on patient satisfaction during regular consultation with family physicians in ambulatory *** The research design was a prospective,randomised control *** The trial took place in a family practice unit in South India,which was one of the clinical service units of the academic Department of Family Medicine of a tertiary *** The eligible participants were adults above the age of 18 years,who did not have any acute presenting *** participants should have given consent and also not have any cognitive disability.A total of 138 participants took part in the trial,70 in BATHE group and 68 in the non-BATHE *** participants entering the trial completed the *** The BATHE group had a significantly higher mean score for questions grouped under professional *** included questions on whether the patient felt that the physician treated them as a person and also whether they felt the appropriate clinical examination was communicated to *** questionnaire used for scoring satisfaction had 18 questions with a maximum possible score of *** taking a cut-off of 75%(68)from the total possible score of 90,72.9%(51)of the participants for whom the BATHE consultation technique was used were satisfied as compared with only 55.9%(30)for whom the routine consultation was carried *** was statistically significant(χ2=11.15,p value=0.0006)Conclusion The study suggests that using BATHE in this family practice centre is beneficial in improving the perception of person centeredness in the ***,further studies ruling out all possible bias are needed in our setting before the range of probable benefits of the BATHE technique can be fully gauged.

关键词： interview centre routine

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Hepatocellular carcinoma in Egypt: A single center study over a decade

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World Journal of Gastroenterology 2005年第33期11卷 5193-5198页

作者： Adbel-rahman El-Zayadi Hanaa M Badran Eman mf Barakat Mohy El-Deen Attia Sherine Shawky Mostafa K Mohamed Osaima Selim Ahmed Saeid Department of Tropical Medicine Ain Shams University Cairo Egypt Department of Hepatology National Liver Institute MenoufeyaEgypt Department of Tropical Medicine Ain Shams University Cairo Egypt Department of Hepatology and Gastroenterology Theodor Bilharz Research Institute Cairo Egypt The Social Research Center The American University in Cairo Egypt Department of Community Medicine Ain Shams University CairoEgypt Department of Clinical Pathology Ain Shams University CairoEgypt Cairo Liver Center Giza Egypt

AIM： To identify the trend, possible risk factors and any pattern change of hepatocellular carcinoma （HCC） in Egypt over a decade. METHODS： All HCC patients attending Cairo Liver Center between January 1993 and December 2002, were enrolled in the study. Diagnosis of HCC was based on histopathological examination and/or detection of hepatic focal lesions by two imaging techniques plus α-fetoprotein level above 200 ng/mL. The duration of the study was divided into two periods of 5 years each; period Ⅰ （1993-1997） and period Ⅱ （1998-2002）. Trend, demographic features of patients （age, gender, and residence）, risk factors （HBsAg, HCV-Ab, schistosomiasis and others） and pattern of the focal lesions were compared between the two periods. Logistic regression model was fitted to calculate the adjusted odds ratios for the potential risk factors. The population attributable risk percentage was calculated to estimate the proportion of HCC attributed to hepatitis B and C viral infections. RESULTS： Over a decade, 1 328 HCC patients out of 22 450 chronic liver disease （CLD） patients were diagnosed with an overall proportion of 5.9%. The annual proportion of HCC showed a significant rising trend from 4.0% in 1993 to 7.2% in 2002 （P = 0.000）. A significant increase in male proportion from 82.5% to 87.6% （P = 0.009）; M/F from 5：1 to 7：1 and a slight increase of the predominant age group （40-59 years） from 62.6% to 66.8% （P = 0.387）in periods Ⅰ and Ⅱ respectively, reflecting a shift to younger age group. In the bivariate analysis, HCC was significantly higher in rural residents, patients with history of schistosomiasis and/or blood transfusion. Yet, after adjustment, these variables did not have a significant risk for development of HCC. There was a significant decline of HBsAg from 38.6% to 20.5% （P = 0.000）, and a slight increase of HCV-Ab from 85.6% to 87.9% in periods I and II respectively. HBV conferred a higher risk to develop HCC more than HCV in period Ⅰ （OR 1.9 vsl.6） and pe

关键词： Hepatocellular carcinoma HCC prevalence HCCrisk factors Pattern of HCC HCV and HCC HBV and HCC

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