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Research on the Primary Care Services, Patients Safety and Training...
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Research on the Primary Care Services, Patients Safety and Training for Healthcare Professional

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences & Services".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 5143

Special Issue Editor

Dr. Yoshito Nishimura

E-Mail Website
Guest Editor
1. Department of General Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama 7008558, Japan
2. Department of Medicine, John A. Burns School of Medicine, University of Hawai’i, Honolulu, HI 96813, USA
Interests: clinical epidemiology; trend analysis; immunopharmacology; burnout of healthcare workers; Castleman disease; IgG4-related disease
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Primary care services are one of the most crucial elements in healthcare, as described by the World Health Organization. Recently, patient safety in the primary care area has garnered considerable attention from clinicians and researchers, as there is growing recognition that unsafe primary care may lead to increased mortality and the unnecessary use of consultants or healthcare resources due to inappropriate prescription or polypharmacy, poor interprofessional communication and care coordination, and diagnostic errors and delays. However, evidence concerning these areas remains scarce. In particular, factors associated with safety culture in primary care need to be clarified to provide practical solutions in the area. In this Special Issue, we plan to provide an overview of the most recent advances in primary care services and patient safety, focusing on healthcare professional education, burnout, and quality improvement perspectives. Papers addressing these topics, including but not limited to systematic reviews, observational studies, and qualitative research, are invited for submission.

Dr. Yoshito Nishimura
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • primary care
  • patient safety
  • nursing training
  • quality improvement
  • diagnostic error
  • polypharmacy
  • organizational behavior
  • burnout

Published Papers (3 papers)

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Editorial

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3 pages, 253 KiB  
Editorial
Primary Care, Burnout, and Patient Safety: Way to Eliminate Avoidable Harm
by Yoshito Nishimura
Int. J. Environ. Res. Public Health 2022, 19(16), 10112; https://doi.org/10.3390/ijerph191610112 - 16 Aug 2022
Cited by 3 | Viewed by 1582
Abstract
Patient safety has been a big theme in the area of global health, as represented by the resolution of the World Health Organization (WHO) on “Global action on patient safety” in 2019 and the recently published “Global Patient Safety Action Plan 2021–2030 [...] [...] Read more.
Patient safety has been a big theme in the area of global health, as represented by the resolution of the World Health Organization (WHO) on “Global action on patient safety” in 2019 and the recently published “Global Patient Safety Action Plan 2021–2030 [...] Full article
(This article belongs to the Special Issue Research on the Primary Care Services, Patients Safety and Training for Healthcare Professional)

Research

Jump to: Editorial

10 pages, 342 KiB  
Article
Differences in Stress Perception of Medical Students Depending on In-Person Communication and Online Communication during the COVID−19 Pandemic: A Japanese Cross-Sectional Survey
by Kazuki Tokumasu, Yoshito Nishimura, Yoko Sakamoto, Mikako Obika, Hitomi Kataoka and Fumio Otsuka
Int. J. Environ. Res. Public Health 2023, 20(2), 1579; https://doi.org/10.3390/ijerph20021579 - 15 Jan 2023
Cited by 3 | Viewed by 1723
Abstract
Background: Excessive psychological stress in medical students affects their mental health and causes problems such as burnout and depression. Furthermore, changes in the learning environment to online learning due to the COVID-19 pandemic have had a psychological effect on medical students. However, the [...] Read more.
Background: Excessive psychological stress in medical students affects their mental health and causes problems such as burnout and depression. Furthermore, changes in the learning environment to online learning due to the COVID-19 pandemic have had a psychological effect on medical students. However, the relationships between medical students’ perceived stress and different methods of communication, including in-person and online communication, remain unclear. The purpose of this study was to investigate the differences in stress perception of medical students depending on in-person communication and online communication during the COVID-19 pandemic. Methods: This study was a cross-sectional study conducted from September to October in 2020. All of the students of Okayama University School of Medicine were asked to participate in a questionnaire survey. The explanatory variables were the frequency and length of communications with others (by in-person or online communication), empathy, and lifestyle. The main outcome measure was perceived stress. Subgroup analysis was conducted for students who preferred to be by themselves and students who preferred to study together and interact with other people. Univariate analysis and multivariate multiple regression analysis were conducted. Gender and grade, which have been shown to be associated with stress in previous studies, were used as covariates for multiple regression analysis. Results: Valid responses to the questionnaire survey were received from 211 (29.4%) of the 717 students. There was no significant association between perceived stress and online communication, but the number of people with which students had in-person communication (1–2 people compared to 0 as a control, regression coefficient [B] = −4.4, 95% confidence interval [CI]; −7.8, −1.1, more than 10 people, B = −12, 95% CI: −18, −5.8) and the length of communication (more than 120 min, B = −4.5, 95% CI: −8.1, −0.92) were associated with a reduction in perceived stress. In subgroup analysis, the number of people with in-person communication and the length of communication had significant associations with stress reduction even in the group of students who had a preference for being by themselves. Conclusion: In-person communications rather than online communications were associated with a lower level of perceived stress. In subgroup analysis, this trend was statistically significant in the group of students who had a preference for being by themselves. Full article
(This article belongs to the Special Issue Research on the Primary Care Services, Patients Safety and Training for Healthcare Professional)
10 pages, 325 KiB  
Article
The Brave Patient after 80—Satisfaction with Visit and Individual Determinants of Proactive Patient Attitude among the Oldest General Practice Users
by Marta Rzadkiewicz, Mariusz Jaworski and Dorota Włodarczyk
Int. J. Environ. Res. Public Health 2022, 19(10), 6214; https://doi.org/10.3390/ijerph19106214 - 20 May 2022
Viewed by 1283
Abstract
Background. A patient’s adherence to a course of treatment depends on the individual’s activation, the quality of patient–clinician relations, attitudes, self-efficacy, or positive emotions. Patient proactive attitude (PAA) is seldom researched among the oldest healthcare users. This study was designed to identify predictors [...] Read more.
Background. A patient’s adherence to a course of treatment depends on the individual’s activation, the quality of patient–clinician relations, attitudes, self-efficacy, or positive emotions. Patient proactive attitude (PAA) is seldom researched among the oldest healthcare users. This study was designed to identify predictors of PAA toward health and treatment among community-dwelling general practice patients aged 80+, and was based on a PRACTA (PRomoting ACTive Aging) project. Methods. Patients (n = 658), aged 80+ visiting a general practitioner (GP) filled in the PRACTA attitude toward treatment and health scale and the PRACTA self-efficacy scale questionnaires. Sociodemographic factors, self-reported health status, and satisfaction with the visit were analyzed as independent factors. Results. Attitudes toward treatment and health scores were predicted by marital status, living alone or not alone, hospitalization the prior year, level of impairment, and satisfaction with visit. However, some differences were observed depending on the device’s subscale. Self-efficacy score was determined by marital status, living alone or not alone, prior hospitalization, and satisfaction with visit. We did not find an effect of age or gender on PAA. Patient satisfaction with visit was the strongest predictor of all PAA dimensions. Conclusion. Higher visit satisfaction helps to retain a PAA among seniors 80+. Screening questions about living situation, marital and functional status, emotional state, and recent history of hospitalization might help GPs additionally anticipate PAA level and adjust their actions accordingly. Full article
(This article belongs to the Special Issue Research on the Primary Care Services, Patients Safety and Training for Healthcare Professional)
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