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Gender differences in the comprehension of care plans in an emergency department setting

Overview of attention for article published in Israel Journal of Health Policy Research, September 2018
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Title
Gender differences in the comprehension of care plans in an emergency department setting
Published in
Israel Journal of Health Policy Research, September 2018
DOI 10.1186/s13584-018-0245-9
Pubmed ID
Authors

Shachaf Shiber, Rona Zuker-Herman, Michael J. Drescher, Marek Glezerman

Abstract

Previous studies have shown that, in a variety of health care settings, patients often do not understand what health care professionals tell them about their diagnoses and care plans; this is particularly true among male patients. Emergency department (ED) settings present unique challenges to communication with patients due to the rapid pace of activity, substantial changes in personnel over the course of the day and the week, and the need for fast decision-making processes. The aim of our study was to investigate the extent to which patients in an Israeli ED comprehended their plan of care and whether there were gender differences in this regard. We conducted a questionnaire-based prospective study, in which patients admitted to the ED at Rabin Medical Center were evaluated during the years 2014-2016. The primary outcome was patients' comprehension of their plan of care, stratified by gender of patients. Plan of care included information related to diagnosis, treatment and discharge instructions. The secondary outcome was patients' satisfaction with the instruction process. One hundred seventy seven ED patients met study criteria and were asked to participate in the study; 85% of them agreed to do so. Overall, 150 ED patients aged 18-80 were recruited [75 men (50%) and 75 women (50%)]. 80% of the respondents reported a satisfactory understanding of their plan of care. Overall, no gender-related differences were found. Differences between men and women concerning satisfaction with the instructions provided by nurses were found among non-Hebrew speakers, but not among Hebrew speakers. Contrary to most earlier studies, patients at our ED demonstrated a high degree of self-reported adequate comprehension concerning their plan of care, and overall no gender-related differences were found. These finding may be due in part to improved training of the medical staff to better communicate with the patients and to answer their questions. In addition, patients may feel more comfortable than in the past about asking the medical staff questions regarding their plan of care and diagnosis. The main implication of this study is that physician education programs should continue to emphasize patient-physician communications skills and improving methods for providing patients with information.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 14 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 14 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 2 14%
Student > Bachelor 1 7%
Professor 1 7%
Lecturer > Senior Lecturer 1 7%
Researcher 1 7%
Other 2 14%
Unknown 6 43%
Readers by discipline Count As %
Medicine and Dentistry 3 21%
Social Sciences 2 14%
Engineering 1 7%
Unknown 8 57%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 September 2018.
All research outputs
#12,001,598
of 13,533,246 outputs
Outputs from Israel Journal of Health Policy Research
#263
of 370 outputs
Outputs of similar age
#229,223
of 265,784 outputs
Outputs of similar age from Israel Journal of Health Policy Research
#1
of 1 outputs
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So far Altmetric has tracked 370 research outputs from this source. They receive a mean Attention Score of 2.9. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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