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Artikel: Rural Patients' Perceptions of Their Potentially Preventable Hospitalisation: A Qualitative Study.

Ridge, Andrew / Peterson, Gregory M / Seidel, Bastian M / Anderson, Vinah / Nash, Rosie

2022 Band 9, Seite(n) 23743735211069825

Abstract: Potentially preventable hospitalisations (PPHs) occur when patients receive hospital care for a condition that could have been more appropriately managed in the primary healthcare setting. It is anticipated that the causes of PPHs in rural populations ... ...

Abstract	Potentially preventable hospitalisations (PPHs) occur when patients receive hospital care for a condition that could have been more appropriately managed in the primary healthcare setting. It is anticipated that the causes of PPHs in rural populations may differ from those in urban populations; however, this is understudied. Semi-structured interviews with 10 rural Australian patients enabled them to describe their recent PPH experience. Reflexive thematic analysis was used to identify the common factors that may have led to their PPH. The analysis revealed that most participants had challenges associated with their health and its optimal self-management. Self-referral to hospital with the belief that this was the only treatment option available was also common. Most participants had limited social networks to call on in times of need or ill health. Finally, difficulty in accessing primary healthcare, especially urgently or after-hours, was described as a frequent cause of PPH. These qualitative accounts revealed that patients describe nonclinical risk factors as contributing to their recent PPH and reinforces that the views of patients should be included when designing interventions to reduce PPHs.
Sprache	Englisch
Erscheinungsdatum	2022-01-04
Erscheinungsland	United States
Dokumenttyp	Journal Article
ZDB-ID	2857285-3
ISSN	2374-3743 ; 2374-3735
ISSN (online)	2374-3743
ISSN	2374-3735
DOI	10.1177/23743735211069825
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Potentially preventable hospitalisations in rural community-dwelling patients.

Ridge, Andrew / Peterson, Gregory M / Kitsos, Alex / Seidel, Bastian M / Anderson, Vinah / Nash, Rosie

Internal medicine journal

2022 Band 53, Heft 2, Seite(n) 228–235

Abstract: Background: Potentially preventable hospitalisations (PPH) are a common occurrence. Knowing the factors associated with PPH may allow high-risk patients to be identified and healthcare resources to be better allocated, and these factors may differ ... ...

Abstract	Background: Potentially preventable hospitalisations (PPH) are a common occurrence. Knowing the factors associated with PPH may allow high-risk patients to be identified and healthcare resources to be better allocated, and these factors may differ between urban and rural locations. Aim: To determine factors associated with PPH in an Australian rural population. Methods: A retrospective review of admitted patients' demographic and clinical data was used to describe and model the factors associated with PPH, using an age- and sex-matched control group of non-admitted patients. This study is based in a multi-site rural general practice, Tasmania. The study included patients aged ≥18 years residing in the Huon-Bruny Island region of Tasmania, who were active patients at a rural general practice and were admitted to a public hospital for a PPH between 1 July 2016 and 30 June 2019. Main outcome measure is overnight admission to hospital for a PPH. Results: Predictors with a significant odds ratio (OR) in the final model were being single/unmarried (OR 2.43; 95% confidence interval (CI) 1.38-4.28), higher Charlson Comorbidity Index score (OR 1.40; 95% CI 1.13-1.74) and the number of general practice visits in the preceding 12 months (OR 1.09; 95% CI 1.05-1.14). Conclusions: This study found that being single and having a higher comorbidity burden were the strongest independent risk factors for PPH in a rural population. Demographic and socioeconomic factors appeared to be as, if not more, important than medical factors and warrant attention when considering the design of programmes to reduce PPH risk in rural communities.
Mesh-Begriff(e)	Humans ; Adolescent ; Adult ; Rural Population ; Australia ; Independent Living ; Hospitalization ; Tasmania
Sprache	Englisch
Erscheinungsdatum	2022-08-01
Erscheinungsland	Australia
Dokumenttyp	Journal Article
ZDB-ID	2045436-3
ISSN	1445-5994 ; 1444-0903
ISSN (online)	1445-5994
ISSN	1444-0903
DOI	10.1111/imj.15545
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Resolution of Maximum Entropy Method-Derived Posterior Conformational Ensembles of a Flexible System Probed by FRET and Molecular Dynamics Simulations.

Dittrich, Jonas / Popara, Milana / Kubiak, Jakub / Dimura, Mykola / Schepers, Bastian / Verma, Neha / Schmitz, Birte / Dollinger, Peter / Kovacic, Filip / Jaeger, Karl-Erich / Seidel, Claus A M / Peulen, Thomas-Otavio / Gohlke, Holger

Journal of chemical theory and computation

2023 Band 19, Heft 8, Seite(n) 2389–2409

Abstract: Maximum entropy methods (MEMs) determine posterior distributions by combining experimental data with prior information. MEMs are frequently used to reconstruct conformational ensembles of molecular systems for experimental information and initial ... ...

Abstract	Maximum entropy methods (MEMs) determine posterior distributions by combining experimental data with prior information. MEMs are frequently used to reconstruct conformational ensembles of molecular systems for experimental information and initial molecular ensembles. We performed time-resolved Förster resonance energy transfer (FRET) experiments to probe the interdye distance distributions of the lipase-specific foldase Lif in the
Sprache	Englisch
Erscheinungsdatum	2023-04-06
Erscheinungsland	United States
Dokumenttyp	Journal Article
ISSN	1549-9626
ISSN (online)	1549-9626
DOI	10.1021/acs.jctc.2c01090
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Healthcare Providers’ Perceptions of Potentially Preventable Rural Hospitalisations

Andrew Ridge / Gregory M. Peterson / Bastian M. Seidel / Vinah Anderson / Rosie Nash

International Journal of Environmental Research and Public Health, Vol 18, Iss 12767, p

A Qualitative Study

2021 Band 12767

Abstract: Potentially preventable hospitalisations (PPHs) are common in rural communities in Australia and around the world. Healthcare providers have a perspective on PPHs that may not be accessible by analysing routine patient data. This study explores the ... ...

Abstract	Potentially preventable hospitalisations (PPHs) are common in rural communities in Australia and around the world. Healthcare providers have a perspective on PPHs that may not be accessible by analysing routine patient data. This study explores the factors that healthcare providers believe cause PPHs and seeks to identify strategies for preventing them. Physicians, nurses, paramedics, and health administrators with experience in managing rural patients with PPHs were recruited from southern Tasmania, Australia. Semi-structured telephone interviews were conducted, and reflexive thematic analysis was used to analyse the data. Participants linked health literacy, limited access to primary care, and perceptions of primary care services with PPH risk. The belief that patients did not have a good understanding of where, when, and how to manage their health was perceived to be linked to patient-specific health literacy challenges. Access to primary healthcare was impacted by appointment availability, transport, and financial constraints. In contrast, it was felt that the prompt, comprehensive, and free healthcare delivered in hospitals appealed to patients and influenced their decision to bypass rural primary healthcare services. Strategies to reduce PPHs in rural Australian communities may include promoting health literacy, optimising the delivery of existing services, and improving social support structures.
Schlagwörter	rural ; primary care ; preventable hospitalisation ; avoidable ; health literacy ; access ; Medicine ; R
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2021-12-01T00:00:00Z
Verlag	MDPI AG
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Healthcare Providers' Perceptions of Potentially Preventable Rural Hospitalisations: A Qualitative Study.

Ridge, Andrew / Peterson, Gregory M / Seidel, Bastian M / Anderson, Vinah / Nash, Rosie

International journal of environmental research and public health

2021 Band 18, Heft 23

Abstract	Potentially preventable hospitalisations (PPHs) are common in rural communities in Australia and around the world. Healthcare providers have a perspective on PPHs that may not be accessible by analysing routine patient data. This study explores the factors that healthcare providers believe cause PPHs and seeks to identify strategies for preventing them. Physicians, nurses, paramedics, and health administrators with experience in managing rural patients with PPHs were recruited from southern Tasmania, Australia. Semi-structured telephone interviews were conducted, and reflexive thematic analysis was used to analyse the data. Participants linked health literacy, limited access to primary care, and perceptions of primary care services with PPH risk. The belief that patients did not have a good understanding of where, when, and how to manage their health was perceived to be linked to patient-specific health literacy challenges. Access to primary healthcare was impacted by appointment availability, transport, and financial constraints. In contrast, it was felt that the prompt, comprehensive, and free healthcare delivered in hospitals appealed to patients and influenced their decision to bypass rural primary healthcare services. Strategies to reduce PPHs in rural Australian communities may include promoting health literacy, optimising the delivery of existing services, and improving social support structures.
Mesh-Begriff(e)	Australia ; Health Personnel ; Hospitalization ; Humans ; Qualitative Research ; Rural Population
Sprache	Englisch
Erscheinungsdatum	2021-12-03
Erscheinungsland	Switzerland
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph182312767
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Rural Patients’ Perceptions of Their Potentially Preventable Hospitalisation

Andrew Ridge B.Pharm MPH / Gregory M Peterson PhD / Bastian M Seidel PhD / Vinah Anderson RN / Rosie Nash PhD

Journal of Patient Experience, Vol

A Qualitative Study

2022 Band 9

Abstract	Potentially preventable hospitalisations (PPHs) occur when patients receive hospital care for a condition that could have been more appropriately managed in the primary healthcare setting. It is anticipated that the causes of PPHs in rural populations may differ from those in urban populations; however, this is understudied. Semi-structured interviews with 10 rural Australian patients enabled them to describe their recent PPH experience. Reflexive thematic analysis was used to identify the common factors that may have led to their PPH. The analysis revealed that most participants had challenges associated with their health and its optimal self-management. Self-referral to hospital with the belief that this was the only treatment option available was also common. Most participants had limited social networks to call on in times of need or ill health. Finally, difficulty in accessing primary healthcare, especially urgently or after-hours, was described as a frequent cause of PPH. These qualitative accounts revealed that patients describe nonclinical risk factors as contributing to their recent PPH and reinforces that the views of patients should be included when designing interventions to reduce PPHs.
Schlagwörter	Medicine (General) ; R5-920
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2022-01-01T00:00:00Z
Verlag	SAGE Publishing
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: Health adaptation policy for climate vulnerable groups: a 'critical computational linguistics' analysis.

Seidel, Bastian M / Bell, Erica

BMC public health

2014 Band 14, Seite(n) 1235

Abstract: Background: Many countries are developing or reviewing national adaptation policy for climate change but the extent to which these meet the health needs of vulnerable groups has not been assessed. This study examines the adequacy of such policies for ... ...

Abstract	Background: Many countries are developing or reviewing national adaptation policy for climate change but the extent to which these meet the health needs of vulnerable groups has not been assessed. This study examines the adequacy of such policies for nine known climate-vulnerable groups: people with mental health conditions, Aboriginal people, culturally and linguistically diverse groups, aged people, people with disabilities, rural communities, children, women, and socioeconomically disadvantaged people. Methods: The study analyses an exhaustive sample of national adaptation policy documents from Annex 1 ('developed') countries of the United Nations Framework Convention on Climate Change: 20 documents from 12 countries. A 'critical computational linguistics' method was used involving novel software-driven quantitative mapping and traditional critical discourse analysis. Results: The study finds that references to vulnerable groups are relatively little present or non-existent, as well as poorly connected to language about practical strategies and socio-economic contexts, both also little present. Conclusions: The conclusions offer strategies for developing policy that is better informed by a 'social determinants of health' definition of climate vulnerability, consistent with best practice in the literature and global policy prescriptions.
Mesh-Begriff(e)	Adult ; Aging ; Climate Change ; Culture ; Disabled Persons ; Female ; Health Policy ; Humans ; Linguistics ; Male ; Population Groups ; Rural Population ; Socioeconomic Factors ; United Nations ; Vulnerable Populations
Sprache	Englisch
Erscheinungsdatum	2014-11-28
Erscheinungsland	England
Dokumenttyp	Journal Article
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/1471-2458-14-1235
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: The evidence-policy divide

Bell Erica / Seidel Bastian M

BMC Public Health, Vol 12, Iss 1, p

a ‘critical computational linguistics’ approach to the language of 18 health agency CEOs from 9 countries

2012 Band 932

Abstract: Abstract Background There is an emerging body of literature suggesting that the evidence-practice divide in health policy is complex and multi-factorial but less is known about the processes by which health policy-makers use evidence and their views ... ...

Abstract	Abstract Background There is an emerging body of literature suggesting that the evidence-practice divide in health policy is complex and multi-factorial but less is known about the processes by which health policy-makers use evidence and their views about the specific features of useful evidence. This study aimed to contribute to understandings of how the most influential health policy-makers view useful evidence, in ways that help explore and question how the evidence-policy divide is understood and what research might be supported to help overcome this divide. Methods A purposeful sample of 18 national and state health agency CEOs from 9 countries was obtained. Participants were interviewed using open-ended questions that asked them to define specific features of useful evidence. The analysis involved two main approaches 1)quantitative mapping of interview transcripts using Bayesian-based computational linguistics software 2)qualitative critical discourse analysis to explore the nuances of language extracts so identified. Results The decision-making, conclusions-oriented world of policy-making is constructed separately, but not exclusively, by policy-makers from the world of research. Research is not so much devalued by them as described as too technical— yet at the same time not methodologically complex enough to engage with localised policy-making contexts. It is not that policy-makers are negative about academics or universities, it is that they struggle to find complexity-oriented methodologies for understanding their stakeholder communities and improving systems. They did not describe themselves as having a more positive role in solving this challenge than academics. Conclusions These interviews do not support simplistic definitions of policy-makers and researchers as coming from two irreconcilable worlds. They suggest that qualitative and quantitative research is valued by policy-makers but that to be policy-relevant health research may need to focus on building complexity-oriented research methods for ...
Schlagwörter	Evidence translation ; Evidence-practice divide ; Evidence for policy ; Local community health research ; Public aspects of medicine ; RA1-1270
Thema/Rubrik (Code)	360
Sprache	Englisch
Erscheinungsdatum	2012-10-01T00:00:00Z
Verlag	BMC
Dokumenttyp	Artikel ; Online
Datenquelle	BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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Artikel ; Online: The evidence-policy divide: a 'critical computational linguistics' approach to the language of 18 health agency CEOs from 9 countries.

Bell, Erica / Seidel, Bastian M

BMC public health

2012 Band 12, Heft 1, Seite(n) 932

Abstract: Background: There is an emerging body of literature suggesting that the evidence-practice divide in health policy is complex and multi-factorial but less is known about the processes by which health policy-makers use evidence and their views about the ... ...

Abstract	Background: There is an emerging body of literature suggesting that the evidence-practice divide in health policy is complex and multi-factorial but less is known about the processes by which health policy-makers use evidence and their views about the specific features of useful evidence. This study aimed to contribute to understandings of how the most influential health policy-makers view useful evidence, in ways that help explore and question how the evidence-policy divide is understood and what research might be supported to help overcome this divide. Methods: A purposeful sample of 18 national and state health agency CEOs from 9 countries was obtained. Participants were interviewed using open-ended questions that asked them to define specific features of useful evidence. The analysis involved two main approaches 1)quantitative mapping of interview transcripts using Bayesian-based computational linguistics software 2)qualitative critical discourse analysis to explore the nuances of language extracts so identified. Results: The decision-making, conclusions-oriented world of policy-making is constructed separately, but not exclusively, by policy-makers from the world of research. Research is not so much devalued by them as described as too technical- yet at the same time not methodologically complex enough to engage with localised policy-making contexts. It is not that policy-makers are negative about academics or universities, it is that they struggle to find complexity-oriented methodologies for understanding their stakeholder communities and improving systems. They did not describe themselves as having a more positive role in solving this challenge than academics. Conclusions: These interviews do not support simplistic definitions of policy-makers and researchers as coming from two irreconcilable worlds. They suggest that qualitative and quantitative research is valued by policy-makers but that to be policy-relevant health research may need to focus on building complexity-oriented research methods for local community health and service development. Researchers may also need to better explain and develop the policy-relevance of large statistical generalisable research designs. Policy-makers and public health researchers wanting to serve local community needs may need to be more proactive about questioning whether the dominant definitions of research quality and the research funding levers that drive university research production are appropriately inclusive of excellence in such policy-relevant research.
Mesh-Begriff(e)	Attitude of Health Personnel ; Australia ; Bayes Theorem ; Biomedical Research ; Canada ; Denmark ; Evidence-Based Practice ; Health Facility Administrators/psychology ; Health Policy ; Hong Kong ; Humans ; Linguistics ; New Zealand ; Norway ; Policy Making ; Qualitative Research ; Singapore ; Software ; United Kingdom ; United States
Sprache	Englisch
Erscheinungsdatum	2012-10-30
Erscheinungsland	England
Dokumenttyp	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/1471-2458-12-932
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Evidence in clinical reasoning: a computational linguistics analysis of 789,712 medical case summaries 1983-2012.

Seidel, Bastian M / Campbell, Steven / Bell, Erica

BMC medical informatics and decision making

2015 Band 15, Seite(n) 19

Abstract: Background: Better understanding of clinical reasoning could reduce diagnostic error linked to 8% of adverse medical events and 30% of malpractice cases. To a greater extent than the evidence-based movement, the clinical reasoning literature asserts the ...

Abstract	Background: Better understanding of clinical reasoning could reduce diagnostic error linked to 8% of adverse medical events and 30% of malpractice cases. To a greater extent than the evidence-based movement, the clinical reasoning literature asserts the importance of practitioner intuition—unconscious elements of diagnostic reasoning. The study aimed to analyse the content of case report summaries in ways that explored the importance of an evidence concept, not only in relation to research literature but also intuition. Methods: The study sample comprised all 789,712 abstracts in English for case reports contained in the database PUBMED for the period 1 January 1983 to 31 December 2012. It was hypothesised that, if evidence and intuition concepts were viewed by these clinical authors as essential to understanding their case reports, they would be more likely to be found in the abstracts. Computational linguistics software was used in 1) concept mapping of 21,631,481 instances of 201 concepts, and 2) specific concept analyses examining 200 paired co-occurrences for 'evidence' and research 'literature' concepts. Results: 'Evidence' is a fundamentally patient-centred, intuitive concept linked to less common concepts about underlying processes, suspected disease mechanisms and diagnostic hunches. In contrast, the use of research literature in clinical reasoning is linked to more common reasoning concepts about specific knowledge and descriptions or presenting features of cases. 'Literature' is by far the most dominant concept, increasing in relevance since 2003, with an overall relevance of 13% versus 5% for 'evidence' which has remained static. Conclusions: The fact that the least present types of reasoning concepts relate to diagnostic hunches to do with underlying processes, such as what is suspected, raises questions about whether intuitive practitioner evidence-making, found in a constellation of dynamic, process concepts, has become less important. The study adds support to the existing corpus of research on clinical reasoning, by suggesting that intuition involves a complex constellation of concepts important to how the construct of evidence is understood. The list of concepts the study generated offers a basis for reflection on the nature of evidence in diagnostic reasoning and the importance of intuition to that reasoning.
Mesh-Begriff(e)	Clinical Decision-Making ; Data Mining ; Evidence-Based Practice ; Humans ; Intuition ; Linguistics ; Terminology as Topic
Sprache	Englisch
Erscheinungsdatum	2015-03-21
Erscheinungsland	England
Dokumenttyp	Journal Article ; Meta-Analysis
ISSN	1472-6947
ISSN (online)	1472-6947
DOI	10.1186/s12911-015-0136-8
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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