Publications by authors named "Melinee Schindler"

Article Synopsis
  • Lower respiratory tract infections (LRTIs) are common and lead to unnecessary antibiotic use; this study examines a new method to accurately diagnose bacterial pneumonia using clinical scores, lung ultrasound, and a biomarker called procalcitonin (PCT).* -
  • The PLUS-IS-LESS study, conducted in 10 emergency departments in Switzerland, will test the effectiveness of the PLUS algorithm, which combines various diagnostic tools, against standard care to see if it reduces antibiotic prescriptions while keeping patients safe.* -
  • By optimizing antibiotic prescribing through reliable diagnostics and ensuring safety, the PLUS algorithm aims to enhance treatment outcomes and gather data on factors like quality of life, hospital stays, and cost-effectiveness in LRTI cases.*
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Background: Implicit prejudice can lead to disparities in treatment. The effects of specialty and experience on implicit obesity and mental illness prejudice had not been explored. The main objective was to examine how specializing in psychiatry/general medicine and years of experience moderated implicit obesity and mental illness prejudice among Swiss physicians.

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This study aims to explore how visual aids (VA) are used in ambulatory medical practice. Our research group (two doctors, one graphic designer and one sociologist) have led a qualitative study based on Focus Groups. A semi-structured guide and examples of VA were used to stimulate discussions.

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Background: Although it is the moral duty of physicians to protect vulnerable patients, there are no data on how vulnerability is perceived in clinical practice. This study explores how physicians classify someone as "vulnerable".

Method: Thirty-three physicians were initially questioned about resource allocation problems in their work.

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Background: As universal health coverage becomes the norm in many countries, it is important to determine public priorities regarding benefits to include in health insurance coverage. We report results of participation in a decision exercise among residents of Switzerland, a high-income country with a long history of universal health insurance and deliberative democracy.

Methods: We adapted the Choosing Healthplans All Together (CHAT) tool, an exercise developed to transform complex healthcare allocation decisions into easily understandable choices, for use in Switzerland.

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Context: Approaches to priority-setting for scarce resources have shifted to public deliberation as trade-offs become more difficult. We report results of a qualitative analysis of public deliberation in Switzerland, a country with high health-care costs, an individual health insurance mandate and a strong tradition of direct democracy with frequent votes related to health care.

Methods: We adapted the Choosing Healthplans All Together (CHAT) tool, an exercise developed to transform complex health-care allocation decisions into easily understandable choices, for use in Switzerland.

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The 2009 H1N1 pandemic had considerable impact on risk perceptions, vaccination campaigns, and global health governance. In this context, risk communication issues have been probably the most puzzling and the least understood in retrospect. This article reviews the current knowledge on the following issues: risk and pandemic perceptions; vaccination perceptions and practices; rumors and rumor propagation; and health risk communication.

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