bluuebunny/crossref_metadata_2025_split huggingface dataset:
Career satisfaction of Polish physicians – evidence from a survey study
Authors: Domagała A , Peña-Sánchez J N , Dubas-Jakóbczyk K 
Published: November 2019

Abstract

Background
Understanding physician satisfaction and the factors associated are relevant for physicians, their patients and decision makers. We conducted the first national-wide study evaluating the satisfaction of Polish doctors using a multidimensional approach. The aims of this study were to: 1) measure the career satisfaction of physicians working in Polish hospitals, and 2) identify the factors associated with higher levels of career satisfaction.

Methods
A quantitative, on-line survey among 15 nation-wide distributed Polish hospitals (7 general, 5 specialists, and 3 university) was conducted between March and June 2018. A 17-item questionnaire was used to measure satisfaction on a scales from 1.00 to 6.00, as well as their personal, professional, performance, and inherent satisfaction levels. In total, 1.003 questionnaires were included in the study (response rate=38%). Unconditional associations and multivariable regressions models were used to evaluate associations between satisfaction levels and their demographic and work-related factors.

Results
The mean level of physician satisfaction was 4.10 (SD = 0.69). Almost 57% of the doctors reported being from “somewhat satisfied” to “very satisfied” with their careers; although, only 8.2% reported being satisfied or very satisfied with their career (≥5.00). Doctors reported high levels of inherent satisfaction (mean=4.4, SD = 0.66) and low levels of personal satisfaction (mean=3.78, SD = 0.98). Age and work experience were positively and significantly associated with satisfaction.

Conclusions
The satisfaction of Polish physicians is moderate. Doctors reported higher levels of satisfaction with their interactions with direct supervisor, other physicians, nurses, doctor-patient relationships and the lowest satisfaction with the salary and work-life balance. Gender, numbers of working hours/week; years of work experience and the stage of professional development were the factors associated with higher satisfaction.

Key messages
The satisfaction of physicians working in Polish hospitals is moderate. The current shortage of Polish physicians makes their satisfaction especially significant for motivation and retention. Physician satisfaction is an important indicator for managers. Attention regarding levels and factors affecting doctors’ satisfaction should be one of the key issues of health workforce management.
What doctors and nurses think about the residents’ role within the Academic Hospital of Udine?
Authors: Ruscio E , Smaniotto C , Del Pin M , d’Angelo M , Perri G , Fabricci M , Brunelli L , Londero C , Castriotta L , Brusaferro S 
Published: November 2019

Abstract

Background
Residents have a significant role in both patient’s care and daily ward activities; thus, they should be trained to adhere to hospital procedures and to guarantee best clinical practices and patient’s safety. A survey was carried out to assess healthcare workers’ (HCWs) opinions about residents’ role and performance.

Methods
Between February and March 2019, a paper-based/online survey was developed and distributed among both doctors (d) and nurses (n) in 17 (10 medical, 7 surgical) wards of Udine Academic Hospital, Italy. 22 Likert Scale questions (1-totally disagree, 5-totally agree) investigated 5 areas: respect of patient safety and privacy, healthcare quality, clinical risk management, role played within medical team, satisfaction concerning training activities planning. Profession, ward (medical/surgical), age and sex were considered as exposures. Descriptive analysis, median(M)±interquartile range, and ordered logistic regressions were performed with Stata software.

Results
The survey involved 153/785 HCWs’ (112/477 nurses and 41/308 doctors). All the units were represented with at least 1 HCWs; answers from both categories were collected in 82% of wards. Data analysis showed that nurses gave lower scores about residents’ respect of patient privacy than doctors: patient privacy protection: M(d)=4±0, M(n)=4±1, OR(d/n) 2.60, [95%CI, 1.04-6.52]; sensitive data management: M(d)=4±0, M(n)=3±1, OR(d/n) 2.97, [95%CI, 1.26-7.02]. The same resulted regarding clinical risk management: patient record management: M(d)=4±0, M(n)=3±2, OR(d/n) 13.64 [95%CI 5.30-35.12]; proper hand hygiene: M(d)=4±1, M(n)=3±1, OR(d/n) 5.56 [95%CI 2.35-13.17]; incident reporting: M(d)=4±1, M(n)=3±2, OR(d/n) 7.05 [95%CI 3.14-15.86].

Conclusions
Nurses appeared to be more critical than doctors about residents performances in safety and privacy and clinical risk management areas. Reasons behind these different opinions should be investigated in order to improve constantly healthcare’s quality.

Key messages
Residents hold a key role in healthcare quality, therefore it is significant evaluate their practice regarding patient’s safety and privacy. Doctors and nurses opinions on residents adherence to hospital procedures in order to guarantee best clinical practices and patient’s safety differ significantly.
Nurse’s job satisfaction and organization’s innovation propensity: organizational climate in Italy
Authors: Barchielli C , Seghieri C , Vainieri M 
Published: November 2019

Abstract

The concept of job satisfaction positively correlates with many areas investigated by the organizational climate. We focused on nurses’ perception towards job satisfaction, as it is relevant regarding nursing care delivery’s quality, which is directly linked to patients’ safety. Additionally, we provide a measure of the relative importance that each investigated factor has on nurses’ job satisfaction and their willingness to recommend the organization they work in to other professionals.
A validated census survey was administered in eight different Italian Regions. A total of 35.156 observations were the object of different analysis preformed using STATA. The questions/statements were Likert scaled from 1 to 5 and were compared to the exposure one “I am satisfied with my work in my structure/unit”. The research population has an average age of 47 years (females 80.36% ,men are 19.64%) and men are more satisfied than women with their work. There are various factors that impact the area of “job satisfaction” with different importance (all statistically significant): feeling of encouragement to react after the experience of a failure (OR 2.23), empowerment over quality job results (OR 1.68), sustainable work pace (OR 1.47), firm’s propensity towards innovation (OR 1.36), and experience discomfort while working (OR 1.05). Other factors impacted the area “I would recommend to a colleague to work in my firm” with different importance (all statistically significant). These factors include: firm’s propensity towards innovation (OR 2.84), feeling of encouragement to react after the experience of a failure (OR 1.43), sustainable work pace (OR 1.32), empowerment over quality job results (OR 1.31), experience discomfort while working (OR 1.02).
The two most important levers, innovation and inclusion can be beneficial to improve workforce experience and care delivery. Managerial implications: data can show which levers to use in order to achieve the most desired goals.

Key messages
nurses’ perception towards job satisfaction is relevant regarding nursing care delivery’s quality, which is directly linked to patients’ safety. Innovation and inclusion can be beneficial to improve workforce experience and care delivery.
National survey of UK general practice pharmacy services
Authors: Savickas V , Foreman E , Iqbal M , Ladva A , Bhamra S K , Sharma R , Corlett S A 
Published: November 2019

Abstract

Background
The Clinical Pharmacists in General Practice (CPGP) initiative aims to recruit over 2000 clinical pharmacists in general practice (GP) surgeries in England by 2020. This study aimed to explore the services delivered by all GP pharmacy professionals (GPPPs; pharmacists/pharmacy technicians) across the UK.

Methods
30-item e-questionnaire was developed using SurveyMonkey platform and piloted during one-to-one cognitive interviews with GPPPs. The survey was distributed via the Primary Care Pharmacy Association, social media sites, collaborating GP organisations and via emails to participants of CPGP pilot. Three reminders were sent out 1 week apart. University ethics approval was obtained.

Results
Ninety-one responses were received between November 2018 and March 2019 (89% pharmacists, 52% from CPGP pilot). Participants provided an average of 9 services (95% CI 8.3-9.9). Over 90% of pharmacists delivered medication reviews and over 80% managed patients with polypharmacy. More pharmacists within than outside of the CPGP pilot managed repeat prescribing requests (70% vs. 47%, p = 0.035). Technicians took responsibility for primarily non-clinical services such as service commissioning (90%), management of safety alerts/drug recalls (80%), standard operating procedures (80%) and education & training (80%). Over 40% of GPPPs not providing care home services wished to do so by 2024. Four technicians wanted to be more involved in medication reviews. The main perceived benefits of GP pharmacy services included identifying medicines-related issues (93%), utilisation of pharmacy professionals’ skills (93%) and a reduction in medication waste (92%).

Conclusions
GPPPs provide a range of clinical and non-clinical services which may benefit public health at an individual and healthcare system levels. Pharmacists within the pilot are more likely to deliver repeat prescribing services. Future GP pharmacy landscape will likely include additional services to care homes.

Key messages
GPPPs including pharmacy technicians provide clinical and non-clinical services, appropriate to their scope of practice, to benefit patients, healthcare systems and themselves. Developing future GP pharmacy services to care homes offers further opportunities to benefit a vulnerable group of patients with long-term illnesses.
The potential of economic evaluation studies to improve health screening and assessment policies for asylum seekers in Germany
Authors: Biddle L , Wahedi K , Bozorgmehr K 
Published: November 2019

Abstract
This presentation will discuss the potential for conducting economic evaluation studies in the field of migration and health, by focusing on health screening and assessment for newly arriving asylum seekers. We use three economic case studies from Germany to illustrate this potential, reflecting on the benefits of an economic approach, the contribution of modelling studies, the quality and reliability of the underlying data sources and other lessons learnt in the research process. Screening for illness among newly arriving individuals has the potential to expand access to essential services and overcome access barriers, thus improving efficiency by preventing costs of late presentations. This is demonstrated by a recent modelling study on the cost-utility of screening for depression. However, an overview of different screening policies in Germany shows that unnecessary procedures which are not supported by sound scientific evidence may lead to inefficiencies in excess of €3.1 million, which could be more effectively invested in other parts of the health system. Finally, efficiency gains could be made by assessing who benefits most from screening, and designing targeted screening approaches for these groups, as in the case of targeted screening for active tuberculosis by country of origin. We will end the presentation by reflecting on the potential role for economic evaluations health policy-making, and the challenges of communicating and translating the nuances of economic evidence into practice.
Ethics, economics and migration: intersections, synergies and tensions
Authors: Trummer U , Gottlieb N 
Published: November 2019

Abstract
The presentation will provide food for thought on the relationships between value-based discussions and economic evaluations of healthcare provision for marginalized migrant groups along two different lines of thought. First, while economic analyses are often interpreted as objective and neutral pieces of evidence, it can be argued that every economic model and analysis has its starting point in specific ethical values that are set as basic assumptions. This, in turn, has inevitable impacts on possible results and conclusions. The presentation will use examples to illustrate the value-based foundations of economic analyses in migrant healthcare; and it will propose options for the more explicit reflection of value-based assumptions in economic evaluations. Secondly, the presentation will reflect on existing research on the rationales shaping political decision-making processes in the field of migrant healthcare. In specific, it will examine the concepts of “health-related deservingness” and of “political decisions”, which both postulate that eventually values tip the scales in political decisions on migrant healthcare; and it will discuss the meaning of these concepts for the role of economic evidence in policy-making processes. In doing so, the presentation will relate back to the workshop’s overarching question on how to build synergies and bridges between migration and health research, economic analysis, and policy making to overcome inherent tensions.
Role of Social Media in vaccination debate about HPV: the VAC Medi+Board study
Authors: Artus D , Larson H , Kostkova P 
Published: November 2019

Abstract
Whilst it has long been known that anti-vaccination sentiment is widely disseminated through digital networks, 2019 has seen seismic shifts in the landscape. As viral videos originating on Youtube spread across social networks, HPV vaccine uptake tumbled in a number of countries. In Japan, the government came under sufficient pressure that they de-recommended HPV vaccine, seeing a 70% uptake rate in 2013 fall below 1%. However, there have been some reports of successful interventions - a recent campaign run by the HPV Alliance in Ireland has seen a rate back up to a national average of around 75%. A combination of hard-hitting personal testimonials, social media and traditional media looked to promote the HPV vaccine. Social media platforms such as Twitter enable near real-time understandings of vaccine sentiment and information flows at scale. VAC Medi+Board project developed an innovative approach for Twitter data collection, integration, analysis and visualisation to support rapid responses through identifying key influencers and flashpoints in articles about vaccination going viral. This pilot study evaluated the debate about HPV on Twitter in a period of several month and developed methods for analysis and visualisation of the content, key influencers, information diffusion throughout the network and size of audience. Through complex network analysis, VAC Medi+Board piloted identification of individuals for targeted public health interventions to combat misinformation. In this talk, we will present the VAC Medi+Board HPV study and explore the challenges and opportunities that social media can provide for public health policymakers.
A fresh look at national health policy issues
Authors: Onderstal D 
Published: November 2019

Abstract
Young Forum Gastein (YFG), the young professionals’ network of the European Health Forum Gastein (EHFG), enables promising young health professionals to become a part of an inspiring network of almost 500 members working in different positions all over Europe. In recent years, activities throughout the year have been focussed on workshops bringing together high-level national policymakers and Young Gasteiners (YGers) to discuss specific national health systems challenges in Austria and in Croatia. These formats have allowed a fresh look at issues senior policy makers may have developed a blind spot for, have resulted in eye-opening learning on both sides of the spectrum and have led to concrete recommendations for major health policy issues.
Presenters: Sinisa Varga, former Minister of Health, Croatia
Damiet Onderstal, Ministry of Health, Welfare and Sports, The Hague, Netherlands
For the benefit of young professional networks, please see also: https://academic.oup.com/eurpub/article/24/5/704/2837380
Youth Alliance - a new model for health policy development
Authors: Ayuandini S 
Published: November 2019

Abstract
The work of the “Youth Alliance” (as part of the EU funded CO-CREATE project) introduces a new model for health policy development which sees young people and health policy experts from academia coalesce to form a ‘Youth Alliance’ considering the broader social and commercial environments which result in childhood obesity and other health problems, and what this means for policy development. The CO-CREATE project is a partnership between 14 European health and academic institutions and civil societies in five countries. The project will demonstrate the democratic engagement of youth in facilitating intergenerational and interorganisational cooperation.
Presenters: Christian Bröer and Sherria Ayuandini, University of Amsterdam
Young health leaders shape their future policies
Authors: Gatialová K 
Published: November 2019

Abstract
The European Health Parliament (EHP) is a movement connecting and empowering the next generation of European health leaders to rethink EU health policies. The initiative connects promising young professionals and challenges them to develop solutions for European health policy that are both innovative and actionable. The EHP answers Europe’s need for fresh ideas in health and believes that the solutions required must come from young European health leaders who influence the policies that will ultimately concern their generation as they become senior decision-makers. Participants work together for six months to develop policy recommendations that address today’s most pressing European health issues which are picked in cooperation with the European Commission.
Workshop: The changing politics of ageing and welfare state: Connecting politics with realities
Authors:   Organised by: Observatory Chair persons: Scott Greer - USA, Jonathan Cylus - UK
Published: November 2019

Abstract

Societies are ageing, in Europe and elsewhere. This is an effectively unprecedented development in human history and one that many think could pose a real threat to welfare states’ political bases and sustainability. In some countries this has been taken as evidence that the welfare state will become unsustainable, and in others that the welfare state has been turned to serve the interests of the elderly at the expense of the young.
The purpose of this workshop is to present the new evidence on how and why political systems respond to the challenges of ageing and health. Research indicates that the extent that population ageing creates difficulties for economies, public finances, and health systems is complex and, importantly, conditional on a host of modifiable factors. Furthermore, a focus on divides between generations distracts us from other, important, inequalities within generations. Not only does science have a part to play in busting many ageing-related ‘myths’, but there is also a key role for policy intervention.
This workshop, based on findings from the European Observatory’s “Economics of Healthy and Active Ageing” study brings together research on why population ageing is often (erroneously) viewed cataclysmically from a health financing perspective, and reviews relevant policies that may improve health system financial sustainability. The workshop will have 5 presentations followed by debate on why countries may or may not prioritize policies that support the health of older people. Presentation #1 sets out the problems and broad trends on costs and projections associated with older people and ageing societies, drawing on the other parts of the series, as well as intergenerational transfers. It then lays out the framework for the rest of the presentations.
Presentation #2 expands on the first presentation by looking at country contexts. The focus will be on the politics and consequences of ageing in southern and central-eastern Europe. Having established the problem, Presentation #3 will determine how different publics understand and frame ageing and health, what priorities do publics identify, and why. Presentation #4 will look at political manifestos and voting patterns to see how/if public opinions are translating into changes in government that want to tear down the welfare state and blame it on ageing. Lastly, Presentation #5 will address the core issue obscured by intergenerational accounting: to what extent are the politics of ageing actually being shaped by, and reproducing, social inequalities?
Debate including audience members will be facilitated by an expert from the Observatory.

Key messages
Excessive focus on the costs of ageing is a distraction from real inequalities and an obstacle to better policy. Institutional and policy responses play a crucial role in determining how health systems, economies and societies more broadly are affected by population ageing.
The future generation’s act: Wales
Authors: Weatherup C 
Published: November 2019

Abstract
The Wellbeing of Future Generations (Wales) (WFG) Act 2015 is ambitious legislation that enables a step change in the way public services tackle health and societal problems. The WFG Act includes clear requirements for public bodies to share a common purpose, by setting seven wellbeing goals focused on improving social, economic, environmental and cultural wellbeing. The Act requires public bodies to act collectively, plan for the long-term, involve people and communities in decision making, prevent problems occurring and take a joined-up approach to assessing wellbeing and planning. Monitoring and accountability structures include the establishment of a Future Generations Commissioner, whilst progress is monitored and reported against using National Indicators and reporting as part of the UK to the United Nations International Sustainable Development Goals. The Act represents a milestone for public health, with health and equality goals on par with goals for the environment and economy and a clearer articulation of the social and economic determinants of health. The presentation will provide a short introduction to the background and development of the legislation, but the main focus will be on what is being done to drive and support implementation at various levels of operation; for individuals, for teams, for organisations and for government and systems in order that the potential reach of the legislation is realised.
Challenges and opportunities for health professional providing care for refugees and migrants
Authors: Chiarenza A 
Published: November 2019

Abstract
Health professionals face specific challenges providing care for migrants and refugees, including communication barriers, misunderstanding due to cultural differences, patient’s low health literacy. Rather than relying exclusively on a preconceived knowledge about migrant cultures, health professionals should invest more in the relationship with the patient listening and giving prominence to the patient’s story. This part of the WS will explore the soft-skills needed to establish a trustful and effective care relation with migrant and refugee patients. (20’)