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1.
Stephanie A. Grilo Marina Catallozzi John S. Santelli Hanying Yan Xiaoyu Song Jennifer Heitel Kristen Kaseeska Julie Gorzkowski Alexandra E. Dereix Jonathan D. Klein 《The Journal of adolescent health》2019,64(3):311-318
Purpose
The objective of the study was to define factors associated with adolescent and young adult (AYA) experiences with private time and having discussed confidentiality and the impact of these experiences on improving delivery of clinical preventive services.Methods
In 2016, a nationally representative sample of 1,918 US AYAs (13- to 26-year-olds) was surveyed. Survey questionnaire domains were based on prior research and Fishers' information-motivation-behavior skills conceptual model. Data were weighted to represent US households with AYA and analyzed to identify factors independently associated with ever experiencing private time and discussions of confidentiality with a regular health-care provider (HCP). We examined the association of these experiences on AYA attitudes about health care.Results
Fifty-five percent of female and 49% of male AYA reported ever having had private time with an HCP and 55% of female and 44% of male AYA had spoken to an HCP about confidentiality. Independent predictors of having experienced private time and confidentiality included older age, race, higher household income, gender of the provider, amount of years with the provider, and involvement in risk behaviors. AYA who had experienced private time and confidentiality discussions had more positive attitudes about their providers, were more willing and comfortable discussing sensitive topics, and thought that these discussions should happen at younger ages.Conclusions
Although confidentiality and private time are important to AYA, many are not experiencing these components of care. Providing private time and discussions of confidentiality can improve the delivery of health care for young people by enhancing positive youth attitudes about preventive care. 相似文献2.
3.
Tinghu Kang Yang Li Jiandong Guo Xingwen Ma Fatema Akhter Hiramoni Md Zahir Ahmed Mary C. Jobe Oli Ahmed 《International Journal of Mental Health Promotion, The》2022,24(2):207-217
The aim of the study was to explore the relationship between college graduates’ dual self-consciousness, job search
clarity and perceived stress, and reveal the mediating role of perceived stress between dual self-consciousness and
job search clarity. In this study, 467 college graduates were investigated using the Dual Self-Consciousness Scale,
Job Search Clarity Scale, and Perceived Stress Scale. After controlling for gender, age, and region, the results
revealed that: (1) private self-consciousness has a significant positive predictive effect on job search clarity; (2)
perceived stress has a significant negative predictive effect on job search clarity; (3) perceived stress plays partial
mediation effects between private self-consciousness and job search clarity; (4) perceived stress plays complete
mediation effects between public self-consciousness and job search clarity; (5) perceived stress has suppressing
effects between public self-consciousness and job search clarity. 相似文献
4.
深圳市南山区医疗机构消毒效果分析 总被引:1,自引:0,他引:1
目的:了解南山区各医院及个体诊所卫生消毒状况。方法:对2002~2003年间区属各医院及个体诊所消毒效果的监测结果进行统计分析。结果:2002年与2003年区镇医院消毒效果平均合格率分别为94.4%和97.1%,个体诊所平均合格率分别为87.6%和89.8%。结论:区(镇)医院消毒效果优于个体诊所,空气合格率普遍较低,卫生防疫机构要加大力度进行监督检测,同时加强对医务人员进行消毒知识培训。 相似文献
5.
6.
发展民营医院的思路和建议 总被引:3,自引:0,他引:3
论述了发展民营医院的思路,针对目前发展民营医院存在的困难和问题提出了对政策调整的建议。 相似文献
7.
Sara Bennett Viroj Tangcharoensathien 《The International journal of health planning and management》1993,8(2):137-152
Compulsory health insurance schemes have received attention recently as a means of creating a reliable extra-budgetary source of health care funding. Yet, the full implications of such schemes in a developing country context are unclear; in particular, the impact on and relationship with private sector providers has infrequently been explored. This study examines patterns of public and private sector utilization under the Civil Servants' Medical Benefit Scheme (CSMBS) in Bangkok, Thailand. The CSMBS currently provides limited reimbursement for private inpatient care, but recent proposals suggest increasing benefit levels for care sought in the private sector. The study shows that despite high level of cost recovery in the public sector, charges were much lower than those in the private sector. Different patterns of diagnosis in the two sectors were found with private hospitals tending to treat a less complex case mix. Within the private sector, there was a limited tendency to specialize in certain types of care. It is concluded that under the current payment mechanism of fee-for-service reimbursement, measures to enhance access to private sector care should be approached with caution. In the long run, the scheme should merge with the recently established social security scheme. 相似文献
8.
私立学校初三学生考试成败归因特点研究 总被引:1,自引:0,他引:1
目的 研究私立学校初三学生考试成败的归因特点,为实际教育工作提供依据。方法 采用中小学生考试成败归因量表和自尊量表对236名学生进行了调查。结果 ①“失败”是影响学生进行考试结果归因的主要因素。②学生在归因时存在“自利性归因偏差”,并且有“习得性无助感”。结论 需对学生进行积极的归因训练。 相似文献
9.
罗玉英谭坤张雪莉郭小林韩旭胡娟 《中国卫生质量管理》2021,(9):042-45
目的对成都市二级民营综合医院与公立综合医院住院医疗服务绩效进行DRGs分析和比较,找出差异,提出建议。方法收集2019年成都市二级民营综合医院和二级公立综合医院住院病案首页数据,利用四川省DRGs应用平台进行分组计算,使用SPSS 20.0软件进行指标分析。结果成都市二级民营综合医院与二级公立综合医院2019年住院医疗服务绩效在医疗服务(总权重、覆盖DRGs组数和CMI值)、医疗效率(时间消耗指数、费用消耗指数)上并无显著差异,但在医疗质量与安全(中低风险及以下组病死率、标化病死率)上差异明显。结论二级民营综合医院与二级公立综合医院整体医疗服务差距逐渐缩小;二级民营综合医院内部发展不均衡,医疗质量与安全水平低于二级公立综合医院。建议持续提升民营综合医院服务能力,加强民营综合医院医疗质量与安全管理,同时政府须对民营医院强化监管。 相似文献
10.
Health policy everywhere is in flux. In marked contrast with the impenetrable orthodoxy and inaction characteristic of past decades, health policy currently is in the midst of large-scale upheaval. Many of the fundamental assumptions and principles that long guided health-sector development are in the process of being turned upside down. Whether a country is rich or poor, it matters not. Virtually every country either has or is contemplating major reforms in its provisions for the organization and financing of health services. Moreover, the differences in health services structure which divided nations, are becoming smaller--to the point where formerly shunned international exchanges now are considered useful mediums for the exposition of common tensions and the exploration of choices for adapting health care to complex and new economic realities. 相似文献