Efforts to control the current coronavirus disease 2019 (COVID‐19) pandemic have led to national lockdowns around the world. Reactions to the rapidly evolving outbreak were shared on social media platforms. We conducted a mixed‐methods analysis of tweets collected from May 10 to May 24, 2020, using MAXQDA software in conjunction with Twitters search API using the keywords: “COVID‐19,” “coronavirus pandemic,” “Covid19,” “face masks,” and included terms such as “Queens,” “Bronx,” “New York.” A total of 7, 301 COVID‐19‐related tweets across the globe were analyzed. We used SAS Text Miner V.15.1 for descriptive text mining to uncover the primary topics in unstructured textual data. Content analysis of tweets revealed six themes: surveillance, prevention, treatments, testing and cure, symptoms and transmission, fear, and financial loss. Our study also demonstrates the feasibility of using Twitter to capture real‐time data to assess the public's concerns and public health needs during the COVID‐19 pandemic.
Utilization of hospice for end-of-life care is known to be lower among racial and ethnic minority groups than among White populations when controlling for other socioeconomic factors. Certain patient, provider, and community characteristics may influence home-hospice use. We sought to identify patient, provider, and community factors associated with home-hospice use. Our final analytic sample included 1,208,700 hospice patients who received home-hospice from 2,148 Medicare-certified hospice providers in 2016. We found that an increase in the proportion of hospice patients with a primary diagnosis of dementia decreased the odds that home-hospice was provided (OR = 1.42, 95% CI = 1.36-1.48). Patients who received hospice care from a provider with a higher proportion of dually enrolled patients were less likely to receive home-hospice (OR = 1.42, 95% CI = 1.36-1.48) and hospices located in ZIP-codes with higher proportion of Hispanic resident were less likely to provide home-hospice (OR = 1.00, 95% CI = 0.99-0.99). Additional research is needed to clarify the mechanisms underlying these associations.
The objective of this study was to describe the perception of home healthcare (HHC) nurses toward persons with dementia (PWD). Using a cross-sectional survey design, data were collected from 225 registered nurses at 11 home care agencies across 7 states in the U.S. A web based modified Approaches to Dementia (ADQ) was used to assess nurses’ perception of person-centeredness. Most of the respondents were female (91.6%). Overall, greater years of experience as a registered nurse and age (<40 years) were associated with higher mean person-centeredness scores. Efforts to improve patient-centered dementia care in the HHC setting may need to be tailored to unique groups of HHC nurses.
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