Search results

The patient healthcare experience is a complex phenomenon, as is encouraging patient compliance with medical advice. To address this multifaceted relationship, the purpose of this paper is to explore the ways resident physicians verbally encourage patient compliance and the relationship between these compliance-seeking strategies and patient satisfaction.

A total of 40 medical interviews between resident physicians and patients were audio-recorded, transcribed, coded, and analysed. Patient questionnaires were also administered and analysed.

It was found that resident physicians used indirect orders most frequently, followed by motivation, persuasion, scheduling, and direct orders. It was also found that female patients received (marginally) more messages than male patients; female residents used more messages with female patients than with male patients; female residents used more persuasion messages with female patients than with male patients; male residents were less likely than female residents to use motivational messages with female patients; and compliance was significantly correlated with expertise satisfaction, overall satisfaction, and communication satisfaction.

This study advances existing research by examining various ways in which residents verbally encourage patient compliance and the relationship between these messages and patient satisfaction. Findings can be used to inform physicians on strategies to encourage patient adherence to medication regimen, appointments, and lifestyle changes.

The purpose of this paper is to examine interruption patterns between residents and patients as well as the correlations between three categories of interruptions and patient satisfaction.

A total of 40 resident/patient consultations in a Canadian clinic were audiotaped, transcribed and analyzed for intrusive, cooperative and unsuccessful interruptions.

Residents made significantly more interruptions than patients, especially in the categories of intrusive interruptions. These findings provide support for situated identity theory. High correlations were found between residents and patients on all three categories of interruptions, providing unequivocal support for communication accommodation theory. Patient satisfaction was negatively correlated with residents' intrusive interruptions and positively correlated with residents' cooperative interruptions. Patient satisfaction was higher among patients those who inserted more cooperative interruptions; to increase patient satisfaction, it is necessary to raise patient participation in the medical consultation. In comparison with healthier patients, sicker patients were interrupted more frequently and were less satisfied with the way they were treated.

The negative correlations between residents' intrusive interruption and patient satisfaction, as well as the positive correlation between patient satisfaction and residents' cooperative interruption provides evidence that patients' perception of the medical consultation is shaped by the nature of interruptions.

The purpose of this paper is to study the condensation flow of wet steam in the last stage of a steam turbine and to obtain the distribution of condensation parameters such as nucleation rate, Mach number and wetness.

Because of the sensitivity of the condensation parameter distribution, a double fluid numerical model and a realizable k-ε-k_d turbulence model were applied in this study, and the numerical solution for the non-equilibrium condensation flow is provided.

The simulation results are consistent with the experimental results of the Bakhtar test. The calculation results indicate that the degree of departure from saturation has a significant impact on the wet steam transonic condensation flow. When the inlet steam deviates from the saturation state, shock wave interference and vortex mixing also have a great influence on the distribution of water droplets.

The research results can provide reference for steam turbine wetness losses evaluation and flow passage structure optimization design.

The purpose of this paper is to find out the anti‐smoking counselling frequency and its correlates in a sample of Chinese physicians.

In this paper, 268 physicians in Baoding, a city near Beijing, filled out a questionnaire asking about their own smoking status, their anti‐smoking behaviors as well as their opinions on how to reduce cigarette smoking in China.

The paper finds that 54 percent of the male and 8.4 percent of the female physicians were current cigarette smokers. When asked whether they had counselled their patients about cigarette smoking in the past year, 43.7 percent answered “always”; 38.1 percent “often”; 13.1 percent “sometimes”; 2.6 percent “occasionally”, and 2.6 percent said: “not much”. However, only 9.0 percent said that they were “very successful”. Physicians' anti‐smoking counselling practices were highly correlated with their own smoking status; whether they perceived their past anti‐smoking activities as successful; whether they thought that they should set examples by not smoking; whether they felt that they had the responsibility to help patients and whether they perceived themselves as influential in persuading patients to quit smoking.

The paper shows that messages aimed at increasing Chinese physicians' anti‐smoking counselling should appeal to their responsibility, exemplary role, and unique influence on patients' health‐related behaviors.

The paper adds to the few studies on Chinese physicians' cigarette smoking behavior and their anti‐smoking activities. In a country where cigarette smoking is a way of life among males, and few people are aware of the health consequences of cigarette smoking, physicians' efforts can be a spearhead to a cessation campaign.

The main problem addressed by this research is the current debate between the negative and positive effects of industrial clusters. This debate is a result of gaps between theoretical implications and empirical evidence in both the classical agglomeration theory and the agglomeration lifecycle theory. The purpose of this study is to propose a framework for developing an index measuring both organizational cluster involvement and organizational supply chain including the three pillars (economic, social, and environmental). Furthermore, the index acts as a quantitative predictor of the stages of the life cycle of industrial clusters. Adopting a case study methodology, the applicability of the index development framework is demonstrated. First, cross-sectional exploratory interviews are performed to locate items measuring the three pillars of organizational sustainability within Egyptian communication industry. Second, an explanatory, cross-sectional approach is applied gathering data from eight professionals related to involvement and supply chain sustainability of their organizations. Analytical hierarchical process is used for weighting and aggregating individual item metrics into two indicators (Saaty, 1980). Measuring, managing, and controlling capabilities of organization's supply chains outweighs the need to manage risks. The proposed framework aids firms within a cluster in making timely decisions about what needs addressing to improve supply chain sustainability performance. Hence, all environmental, social, and economic capabilities can be effectively monitored and controlled.

This study aims to investigate the basic public service level in the Beijing-Tianjin-Hebei region under the impact of COVID-19.

This study constructed a basic public service-level evaluation system from the five dimensions of education, culture, health, social security and infrastructure and environment, and measures the basic public service level in 13 cities in Beijing, Tianjin and Hebei using the entropy method. The spatial pattern and dynamic evolution of the public service level are analysed from the perspective of dynamic trends in time series and spatial distribution, along with the reasons for the evolution of spatial distribution.

(1) The basic public service level in the 13 cities is generally on the rise, but the trend is unstable. (2) The basic public service level in space shows a general trend of attenuation from northeast to southwest, with significant spatial imbalance and orientation. (3) The regional differences first increase and then decrease. (4) The inter-group mobility of different basic public service levels is low, and cities with lower initial levels find it difficult to achieve leapfrog development. Moreover, the health service level of the region is still at a low stage, which is not conducive to effectively preventing and controlling the epidemic.

From the perspective of this research, the spatial pattern and dynamic evolution of basic public service were adopted to analyse the coordinated development of the Beijing-Tianjin-Hebei region. Furthermore, this study discusses how to improve the basic public service level to ensure sustainable operation in the region under the impact of COVID-19.

The main purpose of the paper was to examine whether a short patient training session on various ways of requesting physicians to clarify a piece of previously elicited information during medical consultation would improve information communication, thus increasing patient satisfaction.

A total of 114 adult patients voluntarily participated in the study which was carried out at a clinic in Canada. Half of the participants were randomly assigned to the experimental group and half to the control group. Males and females were evenly distributed in both experimental and control groups. Prior to their medical visits, participants in the experimental group received 10‐15‐minute face‐to‐face training, whereas the control group did not receive any training. The purpose of the training was to facilitate information transmission, with the intention to increase communication effectiveness and patient satisfaction. Immediately after their medical visits, all participants filled out a patient satisfaction questionnaire.

On all four dimensions of patient satisfaction (i.e. overall satisfaction, relationship satisfaction, communication satisfaction and expertise satisfaction), patients who received training scored significantly higher (were more satisfied) than patients who received no training. No consistent gender differences were found in patient satisfaction in both experimental and control groups.

This study applied a psycholinguistics theory, conversational grounding, to the field of patient education and achieved positive results.

The success of the short training session provides health practitioners with a new method to help patients communicate more effectively, thus increasing satisfaction in medical interviews.

Focuses on a means to elicit information from patients in medical consultations.

The purpose of this study is to improved the efficiency of condensing steam turbines by legitimately reforming the flow structure. It is of great significance to study the condensation flow characteristics of wet steam for optimizing the operation of condensing steam turbines.

A two-fluid model was used to study the wet steam flow in a stator cascade. The effects of the inlet temperature and pressure drop on the cascade performance were analyzed. On this basis, endwall protrusion models were set up at varied axial position on the pressure surface to evaluate the wetness control and loss under different design conditions for cascade optimization.

The analysis indicates that increasing the inlet temperature or decreasing the pressure drop can effectively control the steam wetness but increase the droplet radius. The increasing inlet temperature can delay the condensation and alleviate the deterioration of the aerodynamic performance of cascades. The non-axisymmetric endwall can significantly affect the distribution of steam parameters below its height and slightly reduce the droplet radius. Compared with the original stator cascade, the optimum design conditions reduce the steam wetness by 8.07 per cent and the total pressure loss by 6.91 per cent below a 20 per cent blade height.

These research results can serve as a reference for condensing steam turbine wetness losses evaluation and flow passage optimization design.

Many patients feel anxious when entering the consultation room, but seldom verbalize their emotions explicitly in the medical encounter. The authors designed a study to analyse the visibility of patient pre‐consultation (state) anxiety in their communication during the consultation. In an attempt to learn more about how general practitioners' (GPs') communication can help patients to express their worries, the paper also aims to explore the relationship between physicians' communication and patients' articulation of concerns and worries during the consultation.

From a representative sample of videotaped consecutive consultations of 142 Dutch GPs with 2,095 adult patients, 1,388 patients (66.3 per cent) completed the pre‐consultation questionnaire, including state anxiety (STAI), subjective health (COOP‐WONCA‐charts) and the reason for encounter (ICPC). GPs assessed the psychosocial background of patients' presented problems on a five‐point Likert scale. The videotaped consultations were coded with RIAS, including global affect measures. GPs' patient‐directed gaze was measured as a time‐measure.

The results show that, on average, the patients had slightly elevated anxiety levels and one‐third of the patients were highly anxious. As expected, the anxious patients seldom expressed emotional concerns directly, but did show a nonverbal and verbal communication pattern which was distinctively different from that of non‐anxious patients. Whether or not patients expressed concerns verbally was significantly related to GPs' affective communication and partnership building. Nonverbal communication seemed to play a dominant role both in sending and receiving emotional signals

In more than half of the consultations worries were not openly expressed, even by patients with high levels of anxiety. Patients tended to express their concerns in a more indirect way, partly by verbal, partly by nonverbal signals. GPs can facilitate patients to express their concerns more openly, not by direct questioning, but by showing verbal and nonverbal affect to the patient.

Focuses on the important role of verbal and nonverbal affect in physicians' communication.