Introduction: Wise prescription of antibiotics is an ethical duty of physicians in view of rising antimicrobial resistance in the community, it should be balanced between the health requirements of the patients and re...Introduction: Wise prescription of antibiotics is an ethical duty of physicians in view of rising antimicrobial resistance in the community, it should be balanced between the health requirements of the patients and resulting long-term antibiotics resistance. Overuse of antimicrobials is a major cause of emerging resistance to antimicrobials. There are multiple factors in the community that influence the physician’s antibiotic prescriptions. Methods: This is a systematic case-control study on antibiotics prescription for paediatric patients attending Latifa Hospital for Women and Children (LWCH), Dubai Health Authority, to know the effects of behavioral interventions on rates of inappropriate antimicrobials prescription by doctors in the Paediatric Emergency Department. Results: The results of our study showed the effectiveness of behavioral insights by peer comparison in antibiotic use among paediatricians in Latifa Hospital had a statistical significance (P = 0.0038). The rate of the prescription decreased from 41% to 21%, a difference of 20%. Conclusion: The study concluded behavioural intervention is an effective measure in reducing the improper prescription of antibiotics in the hospital setting.展开更多
Background: The United Arab Emirates aims to provide “world-class healthcare” to its citizens. This study aims to determine the association between overall satisfaction and various aspects of healthcare services in ...Background: The United Arab Emirates aims to provide “world-class healthcare” to its citizens. This study aims to determine the association between overall satisfaction and various aspects of healthcare services in the United Arab Emirates on a country level. Methods: The data was collected from 5855 respondents on the affordability, quality, accessibility, and responsiveness dimensions of health care. Besides frequency tables and descriptive statistics, statistical methods, such as Principal Component Analysis and Multiple Regression, were used to reduce and model the association between dependent (overall satisfaction) and independent (affordability, quality, accessibility, and responsiveness) variables. Results: The preliminary analysis using frequency tables and descriptive clearly highlighted the uncertainty associated with affordability and responsiveness dimensions of healthcare provision in the country. Analysis of variance and t-test results indicated statistically significant differences between perceptions of the respondents based on the socio-demographic factors and other factors such as the kind of insurance held by respondents, having a designated family physician, recent medical visits in the UAE, and intention to go back to home countries for medical treatment. The findings indicated higher satisfaction levels with quality and accessibility and lower satisfaction levels with affordability and responsiveness. Recommendations are provided to address the latter two factors. Conclusion: The study identifies healthcare service provision issues in the United Arab Emirates and recommends enhancing affordability and responsiveness.展开更多
文摘Introduction: Wise prescription of antibiotics is an ethical duty of physicians in view of rising antimicrobial resistance in the community, it should be balanced between the health requirements of the patients and resulting long-term antibiotics resistance. Overuse of antimicrobials is a major cause of emerging resistance to antimicrobials. There are multiple factors in the community that influence the physician’s antibiotic prescriptions. Methods: This is a systematic case-control study on antibiotics prescription for paediatric patients attending Latifa Hospital for Women and Children (LWCH), Dubai Health Authority, to know the effects of behavioral interventions on rates of inappropriate antimicrobials prescription by doctors in the Paediatric Emergency Department. Results: The results of our study showed the effectiveness of behavioral insights by peer comparison in antibiotic use among paediatricians in Latifa Hospital had a statistical significance (P = 0.0038). The rate of the prescription decreased from 41% to 21%, a difference of 20%. Conclusion: The study concluded behavioural intervention is an effective measure in reducing the improper prescription of antibiotics in the hospital setting.
文摘Background: The United Arab Emirates aims to provide “world-class healthcare” to its citizens. This study aims to determine the association between overall satisfaction and various aspects of healthcare services in the United Arab Emirates on a country level. Methods: The data was collected from 5855 respondents on the affordability, quality, accessibility, and responsiveness dimensions of health care. Besides frequency tables and descriptive statistics, statistical methods, such as Principal Component Analysis and Multiple Regression, were used to reduce and model the association between dependent (overall satisfaction) and independent (affordability, quality, accessibility, and responsiveness) variables. Results: The preliminary analysis using frequency tables and descriptive clearly highlighted the uncertainty associated with affordability and responsiveness dimensions of healthcare provision in the country. Analysis of variance and t-test results indicated statistically significant differences between perceptions of the respondents based on the socio-demographic factors and other factors such as the kind of insurance held by respondents, having a designated family physician, recent medical visits in the UAE, and intention to go back to home countries for medical treatment. The findings indicated higher satisfaction levels with quality and accessibility and lower satisfaction levels with affordability and responsiveness. Recommendations are provided to address the latter two factors. Conclusion: The study identifies healthcare service provision issues in the United Arab Emirates and recommends enhancing affordability and responsiveness.
