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Quality-Oriented Climate and Service Quality Among healthcare providers： Evidence From a Rehabilitation Center in Italy

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Chinese Business Review 2016年第9期15卷 424-436页

作者： Anna Romiti Daria Sarti Chiara Lorini Leonardo Capecchi Martina Donzellini Guglielmo Bonaccorsi University of Florence Florence Italy

The importance of quality in service provision is widely recognized in health service research. However, a limited number of studies have investigated antecedents of quality in healthcare service provision. This article tries to shed further light on this under-researched field. Specifically, the aim of this study is to verify the relationship between the quality-oriented climate and service quality as perceived by employees. The study was conducted in a private non-profit Rehabilitation Centre in Italy using a questionnaire administered to all healthcare workers. The questions focused on perceptions of quality-oriented climate （priorization of quality care, social cooperation, and exchange）, four different connotations of the quality in healthcare provision （provision of high quality service, adequacy of time spent with patients, freedom in clinical decisions, and continuing relationships with patients）, as well as on respondents＇ background. Of the 248 healthcare workers, 183 completed the questionnaire. Hierarchical regression analysis was used to study the relationship between quality-oriented climate and outcome variables （quality in healthcare provision）. The results suggest that a quality-oriented climate does explain service quality in healthcare settings： When an organization has implemented a quality-oriented climate, the service care provided by healtheare workers can determine an increase for three of the four investigated aspects of quality service provision （quality of care, freedom to make clinical decisions to meet patients＇ needs, and continuing relationships with patients）. The paper demonstrates that the offer of quality services involves in a different way the various healthcare professionals and/or management staff. This research provides interesting findings for healthcare manager in Health Service settings regarding the management of a quality-oriented process of service provision.

关键词： service climate service quality healthcare providers rehabilitation center prioritization of care cooperation

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Preference for Artemisinin-based combination therapy among healthcare providers,Lokoja,North-Central Nigeria

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Global Health Research and Policy 2019年第1期4卷 405-412页

作者： Sylvanus C.Welle Olufemi Ajumobi Magbagbeola Dairo Muhammad Balogun Peter Adewuyi Babatunde Adedokun Patrick Nguku Saheed Gidado IkeOluwapo Ajayi Division of Health Promotion Department of Family HealthFederal Ministry of HealthAbujaNigeria Nigeria Field Epidemiology and Laboratory Training Programme AbujaNigeria African Field Epidemiology Network Nigeria Country OfficeAbujaNigeria Department of Epidemiology and Medical Statistics University of IbadanIbadanNigeria Liberia Field Epidemiology Training Programme MonroviaLiberia

Background:In Nigeria,Artemisinin-based Combination Therapy(ACT)is the recommended first line antimalarial medicine for uncomplicated ***,health care providers still continue the use of less efficacious medicines such as Sulphadoxine-pyrimethamine and *** therefore determined preference for ACT(PFA)and factors associated with PFA among healthcare providers(HCP)in Lokoja,North-Central Nigeria as well as assessed healthcare providers’knowledge of malaria case ***:We conducted a cross-sectional study among physicians,nurses,pharmacists,community health officers(CHOs),community health extension workers(CHEWs)and,patent and proprietary medicine vendors(PPMVs).Interviewer-administered questionnaires were administered to collect data on respondents’characteristics,previously received malaria case management training and knowledge of malaria *** scores≥3 were categorised as good,maximum obtainable being ***:Of the 404 respondents,214(53.0%)were ***,219(54.2%)respondents who received malaria case management training included PPMVs:79(65.8%),CHEWs:25(64.1%),CHOs:5(55.6%),nurses:72(48.7%),physicians:35(47.3%)and pharmacists:3(23.1%).Overall,202(50.0%)providers including physicians:69(93.2%),CHO:8(88.9%),CHEWs:33(84.6%),pharmacists:8(61.5%),nurses:64(43.2%)and PPMVs:20(16.5%),had good knowledge of malaria treatment ***,preference for ACT among healthcare providers was 39.6%.Physicians:50(67.6%),pharmacists:7(59.3%)CHOs:5(55.6%),CHEWS:16(41.0%),nurses:56(37.8%)and PPMV:24(19.8%)had *** malaria case management training(adjusted odds ratio[aOR])=2.3;CI=1.4-3.7)and having good knowledge of malaria treatment(aOR=4.0;CI=2.4-6.7)were associated with ***:Overall preference for ACT use was low among health care providers in this *** for ACTs and proportion of health workers with good knowledge of malaria case management were even lower among PPMVs who had highest propo

关键词： Artemisinin-based combination therapy Preference for ACT healthcare providers

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COVID-19-induced anxiety,depression and stress among healthcare professionals in Sri Lanka

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Asian Pacific Journal of Tropical Medicine 2022年第11期15卷 485-495,I0010-I0012页

作者： Lahiru Udayanga Ayesha Perera Lakchani Dissanayaka Department of Bio-Systems Engineering Faculty of Agriculture and Plantation ManagementWayamba University of Sri LankaMakanduraSri Lanka Nawaloka Medicare GampahaSri Lanka

Objective:To assess the degree of anxiety,depression and stress due to the COVID-19 epidemic among healthcare professionals in Sri ***:healthcare professionals from 6 selected government and private hospitals located in Gampaha District were recruited for the *** socio-demographic factors,knowledge and attitudes of healthcare professionals on COVID-19 was collected through a self-administered questionnaire,while Depression,Anxiety and Stress Scale score was used to assess the psychological *** statistics and binary logistic regression techniques were used for data ***:Totally 324 healthcare professionals were included and the respondents had a high overall level of knowledge towards ***-five percent of the respondents had different levels of anxiety,while 10.8%had mild depression,and 4.6%had moderate ***,40.4%of the respondents had mild stress,and 11.1%had moderate *** people(20-35 years),medical laboratory technologist and nursing officer,being quarantined,having a SARS-CoV-2-infected family member,involvement in COVID-19 patient care,and limited availability of personal protection equipment,were recognized as significant risk factors associated with anxiety,depression and ***:The healthcare professionals are high-risk groups to experience psychological impacts from *** monitoring and implementing appropriate intervention activities and provision of counseling support are highly recommended.

关键词： COVID-19 Anxiety,depression and stress healthcare providers Sri Lanka

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Evaluation of adolescent/youth-friendly sexual and reproductive health services:A 7-year systematic review from January 2016 to April 2022

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Journal of Integrative Nursing 2022年第4期4卷 177-192页

作者： Oladayo Damilola AKINWALE Cecilia Bukola BELLO Oluwaseyi Abiodun AKPOR Mayowa Grace ELEMILE Department of Nursing Afe Babalola UniversityAdo-EkitiEkiti StateNigeria

Adolescent/youth-friendly sexual and reproductive health services(SRHS)play a vital role in reducing morbidity and mortality associated with adolescent *** review examined studies carried out on adolescent/youth-friendly SRHS with focus on availability,accessibility,utilization as well as perception of health care providers,and adolescents about the *** study design was systematic review of empirical studies using a well-defined *** journal was searched comprehensively using Web of Science,Google Scholars databases,PubMed,Medline,and *** sources were identified through the scanning of references of selected *** articles selected were between 2016 and 2022 and had qualitative/quantitative and mixed *** articles that met the selection criteria were also screened using PRISMA-P guidelines and SPIDER framework for systematic review was further used for inclusion criteria based on the following concepts:sample,phenomenon of interest,design,evaluation and research type.A total number of 32 studies were included in the study and findings were reported based on the five emerging *** review showed that majority of the adolescents were not aware of adolescent/youth-friendly SRHS,some health care providers were not also in support of the services which accounted for low utilization of the services among *** review further showed poor accessibility and nonavailability of AYFSRHS as the only available SRHS were meant for married ***,these findings serve as evidence for policy-makers at all the levels of healthcare delivery system to considered all the factors observed in this review and develop strategies that will make adolescent/youth-friendly SRHS available and accessible to *** so,other stakeholders,especially health care providers must improve their attitude toward provision of adolescent/youth-friendly SRHS.

关键词： Accessibility adolescent availability healthcare providers sexual and reproductive health utilization

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