Journal of evaluation in clinical practice
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Vaccine Hesitancy Among Family Doctors and Family Health Workers: Prevalence and Associated Factors.
The aim of the study was to determine the prevalence of vaccine hesitancy among family doctors and family health workers regarding vaccines included in the childhood vaccination calendar and to identify factors that may be associated with vaccine hesitancy among participants. ⋯ In conclusion, the results of this study indicate that vaccine hesitancy is common among healthcare workers, that vaccine hesitancy is associated with factors such as age, working years, and having children, and that individuals with vaccine hesitancy hold various misconceptions about vaccines.
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3D Magnetic Resonance Imaging (3D-MRI) analysis of brain tumours is an important tool for gathering information needed for diagnosis and disease therapy planning. However, during the brain tumor segmentation process existing techniques have segmentation error while identifying tumor location and extended tumor regions due to improper extraction of initial contour points and overlapping tissue intensity distributions. ⋯ The results obtained for the BraTS2020 and Brain Tumor Detection 2020 data sets showed that the proposed model outperforms existing techniques with excellent precision of 97%, 97.5%, recall of 99%, 97.8%, and accuracy of 95.7%, 98.4%, respectively.
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To assess the methodological quality and psychometric properties of self-reported financial toxicity measures for cancer survivors, to offer evidence-based guidance for the selection of these measures in clinical practice, and to supply methodological references for the enhancement and development of related measures in the future. ⋯ Healthcare professionals can implement evidence-based measures in clinical practice to effectively assess the financial toxicity experienced by cancer survivors, offer policy-oriented interventions, and enhance patient-reported outcomes.
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Antibiotic prescription, its nature and its duration are a very common decision-making situation in primary care practice. Clinical practice guidelines (CPGs) are regularly emitted by various organisations on this topic. ⋯ There is a lack of quality in the development process of the current French guidelines in primary care infectiology. This process should be reconsidered, with higher insistence as to its quality.
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The incorporation of economic considerations in clinical practice guidelines (CPGs) could help promote cost-conscious decision-making in healthcare. Though healthcare expenditures increase, and resources are becoming scarcer, the extent to which economic considerations are incorporated into CPGs remains limited. This scoping review aims to identify the challenges and potential stimulating factors to incorporate economic considerations in CPGs. ⋯ These findings reflect the complexity of incorporating economic considerations in CPGs. The identified challenges highlight the need for clearer guidance (i.e. by training) and standardised methodologies for incorporating economic considerations in CPGs. The potential stimulating factors provide a roadmap for future efforts to enhance the integration of economic evidence in CPGs. Collaborative initiatives between health economists, CPG developers, and other stakeholders are essential to drive progress in this area and promote cost-conscious decision-making in healthcare.