Patients' Evaluations of Gynecologic Services Provided by Nurse Practitioners

Abstract

The development, operating principles, and users' evaluations of a broad-based gynecologic program emphasizing effective birth control on a university campus are discussed. A major feature that is explored is the use of nurse practitioners as the primary service providers. The forces that resulted in the formation of the program and the methods used to enhance its effectiveness are described. The evaluations of 3,527 users over a three-year period are indicated by summarizing responses to a questionnaire covering the following topics; whether providing such a service was helpful, likelihood of arranging for the service elsewhere if unavailable at the health center, attitudes of staff, medical procedures used, availability of services, and the opportunity to thoroughly discuss concerns. The evaluations were seen as extremely supportive of both the program and the use of nurse practitioners in this setting.     

Variables Affecting Patient Satisfaction with Health Care Services in the College Health Setting

Abstract

Patient satisfaction with health care services is an important factor in health care delivery. It will significantly influence whether or not a patient seeks medical care, complies with prescribed treatment, and/or maintains a continuing relationship with a medical practitioner.

A survey questionnaire, relating patient satisfaction with a number of variables identified through a literature review, was mailed to a random sample of 500 students utilizing Student Health Service (SHS) at Kent State University (KSU) during the five week study period. The data obtained would be utilized to help with planning future health care services and staff inservice education programs.

The findings of this survey indicate that patient satisfaction has a statistically significant correlation with perceived technical competence of the practitioner and perceived adequacy of the interpersonal aspects of the practitioner-patient relationship. A significant relationship did not exist between satisfaction and expectations the patient holds of the practitioner's role performance. A statistically significant relationship was found to exist between receiving health information/education related to diagnosis, prognosis, and treatment plan and satisfaction with health care services. This relationship did not hold for health information/education related to activity restrictions or preventive measures. The study also revealed that time waited during the medical care encounter was inversely related to satisfaction. Last, stepwise regression found that perceived technical competence of the practitioner was the most important variable influencing patient satisfaction with health care services.

This study provides data about factors important to personal satisfaction with health care services for a selected group of college students.     

Simple and flexible Bayesian inferences for standardized regression coefficients

ABSTRACT

In statistical practice, inferences on standardized regression coefficients are often required, but complicated by the fact that they are nonlinear functions of the parameters, and thus standard textbook results are simply wrong. Within the frequentist domain, asymptotic delta methods can be used to construct confidence intervals of the standardized coefficients with proper coverage probabilities. Alternatively, Bayesian methods solve similar and other inferential problems by simulating data from the posterior distribution of the coefficients. In this paper, we present Bayesian procedures that provide comprehensive solutions for inferences on the standardized coefficients. Simple computing algorithms are developed to generate posterior samples with no autocorrelation and based on both noninformative improper and informative proper prior distributions. Simulation studies show that Bayesian credible intervals constructed by our approaches have comparable and even better statistical properties than their frequentist counterparts, particularly in the presence of collinearity. In addition, our approaches solve some meaningful inferential problems that are difficult if not impossible from the frequentist standpoint, including identifying joint rankings of multiple standardized coefficients and making optimal decisions concerning their sizes and comparisons. We illustrate applications of our approaches through examples and make sample R functions available for implementing our proposed methods.     

Crown width models for woody plant species growing in urban areas of the U.S.

Urban Ecosystems - Crown widths of woody plant species growing in urban areas are of considerable importance as an overall indicator of health and also serve as an important factor for assessing...     

High School Students' Contact with and Attitudes towards Persons with Intellectual and Developmental Disabilities in Kuwait

Abstract

This study aims to investigate demographic variables, contact-related correlates, and attitudes towards persons with Intellectual and Developmental Disabilities (IDD) among Kuwaiti high school students (N = 700). The study focuses on variables that few studies have investigated and attempts to raise awareness among social workers to advocate for the inclusion of people with IDD and reform social policy that would improve the inclusion in society. The adapted Mental Retardation Attitude Inventory—Revised (MRAI-R) was used. A set of demographic variables and known predictors of attitudes to people with IDD were tested in multivariate analyses. Except for age, differences in global attitudes were found to be a function of gender, knowing persons with IDD, intimacy, frequency of contact, intensity of contact, and knowledge of IDD. Higher levels of Contact-Intensity and higher age were associated with more positive attitudes on the Integration–Segregation, Social Distance, Private Rights, and Subtle Derogatory Beliefs subscales. These findings support the development of legislation aimed at promoting successful inclusion that contributes to positive attitudes of students towards a person with IDD.     

Bayesian hypothesis testing for selected regression coefficients

ABSTRACT

We develop new Bayesian regression tests for prespecified regression coefficients. Simple, closed forms of the Bayes factors are derived that depend only on the regression t-statistic and F-statistic and the usual associated t and F distributions. The priors that allow those forms are simple and also meaningful, requiring minimal but practically important subjective inputs.     

再论人口健康

本文根据以医院为基础的疾病构成和死亡构成及人口统计资料,再度审视人口与健康的关系,初步界定了人口健康、人口健康储量、健康储量代际交流、人口健康风险比、疾病危害潜力等研究领域的定义。在探讨中国人口转变过程中的潜在健康问题和健康结局的规律的基础上,试图通过疾病发生强度和小概率疾病增扩的研究,在人口健康的研究领域提出进一步的方法学假说。