EBOLA VIRUS DISEASE: WHAT DO PHYSICIANS KNOW AND ARE THEY WILLING TO PROVIDE CARE?
Notice bibliographique
Résumé
BACKGROUND: Ebola virus disease (EVD) is a rare disease with a high fatality rate. Outbreaks of Ebola are primarily confined to the African continent. The largest outbreak of EVD ever documented began in West Africa in 2014, and spread to multiple continents through returning infected healthcare workers. This raised questions regarding the readiness of healthcare workers in Canada to safely and willingly provide care to suspected or confirmed patients with EVD. Locally, physicians had undergone training to manage patients with suspected or confirmed EVD. OBJECTIVES: To identify physicians’ knowledge level, attitudes, and willingness to care for patients with suspected or confirmed EVD, and to evaluate the association between knowledge and confidence on willingness to provide care. DESIGN/METHODS: A cross-sectional, anonymous, online survey was emailed to 329 frontline physicians across 5 acute care hospitals in a Canadian city from June to October 2015. The survey measured physician demographics, knowledge regarding EVD, confidence, and willingness to provide care to patients with suspected or confirmed EVD. Ethics approval was provided by the University Research Ethics Board. RESULTS: Surveys were sent to 329 physicians with a response rate of 33% (n=108). A large proportion of respondents were adult emergency physicians (40%). Pediatricians comprised 40% of respondents including emergency physicians (19%), hospital pediatrics (14%), intensive care (5%), and infectious diseases (2%). Of the respondents, 76% had received Ebola training at a local hospital. Physicians reported their main source of information about EVD was from news articles (90%), physician colleagues (86%), and Ebola training (83%). Knowledge about EVD was not significantly associated with willingness to provide care. Willingness to provide care was strongly associated with self-reported confidence in providing care (OR=6.9, p<0.05) and self-reported agreement that appropriate training and precautions were provided (OR=3.3, p=0.013). The majority of physicians (82.8%) believed that more practice donning and doffing personal protective equipment (PPE) would increase confidence in providing direct care. CONCLUSION: Ensuring physicians are provided appropriate training and precautions to provide direct care to patients may ensure greater willingness to provide care. Training for physicians should include adequate practice with PPE, which may increase confidence in providing care.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,027 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,002 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».