Influence of high financial status of

Licencing Abstract The present research study was design to investigate the factors affecting academic performance of graduate students of Islamia University of Bahawalpur Rahim Yar Khan Campus. The data were collected from students through separate structured questionnaire from different departments of Islamia University of Bahawalpur, Rahim Yar Khan Campus using the simple random sampling technique. For analysis, linear regression model, correlation analysis, and descriptive analysis were used. A linear model was also proposed that will be helpful to improve the academic performance of graduate students at University level.

Influence of high financial status of

SES and Clinical Management Some physicians indicated that patient SES substantially influenced clinical management and that tailoring care to account for SES was central to providing high-quality care. Even physicians who initially asserted that all patients in their practice received identical care later described differences based on patient SES.

And really, it is invisible to me. They get the exact same approach and treatment [physician 9]. The prevailing sense that SES should not but nonetheless does influence clinical management decisions was expressed by this physician: When we see a patient, we do not really think this patient is from the poorer strata and [so we are] going to give him a different medication.

But when it actually comes to the practicality of it, we have to, because he is not going to buy the medication we have prescribed [physician 8].

To make care more affordable to patients as a result of income or insurance restrictions, for instance, physicians described using less-expensive medications, avoiding specialist referrals, trying to accomplish more in a single visit, and postponing testing.

Below a physician describes treating a patient he thought had sleep apnea but who could not afford a sleep study or a visit to a sleep specialist: So I put him on oxygen.

Influence of high financial status of

Right now, he is saying that symptomatically he is feeling a little better. I still feel concerned that we are treating it half-heartedly. This is not the right treatment, but this is what we can do, and that is what we are trying to do [physician 2].

Influence of high financial status of

He was a trucker … we really had to tailor the medication. He did not have any proper time to eat, and, you know, he did not have time to come to his appointments. We have to tailor his appointments according to his travel schedule.

It is not optimal, but we do the best we can [physician 8]. Sit with me during an interview with a year-old factory worker. I listen to him, I watch him, I pace with him. Clinical Management Changes and Influence on Patient Outcomes In some cases, physicians believed that, although they provided different care for patients of low SES when compared with patients of higher SES, patient outcomes did not differ.

For instance, physicians intimated that prescribing a generic rather than a name brand medication, changing communication styles, or eliminating treatments of uncertain benefit did not compromise patient outcomes generally.

One physician, in fact, described what he viewed as excessive care for more affluent patients: This patient comes in with pneumonia—patient A with good [insurance]. Then patient B with no insurance. Take deep breaths, 3 times a day, cough hard, humidify at night, steam inhalation will help you as well.

So SES changes things. Patient A probably will have all the unnecessary things that I give because I play defensive. Patient B does just as well [physician 3]. One physician described patient finances as limiting medication choices and inevitably leading to worse outcomes for the patient: This physician contrasted his approach with that of his colleagues who were inflexible in their treatment plans, which he believed resulted in worse outcomes for patients of low SES: I try to practice good medicine all the way through.

But sometimes when I am limited, it would seem like it is less than good medicine. But it is still as appropriate as you can get within the limits that you have [physician 15].

For some physicians concerns about not maintaining standards of care and about worse patient outcomes were compounded by increased attention to performance measurement: You are graded as a doctor by everybody in the world. Used to be if you were a nice person and you practiced good medicine that was enough, now you have to have data.

What do you do if the patient does not follow the game plan? There are ways to try to coax the patients back in, but how much time and energy do you have at the time [physician 11]? In addition, physicians gave many examples of having to work harder in an effort to maintain a standard of care for patients of low SES.

What is social class

They spoke of putting extra time into obtaining free medications or seeking colleagues to accept specialty referrals and of adding staff members to help patients of low SES navigate the health care system.

Furthermore, some physicians stated that they could no longer afford to accept new Medicaid or uninsured patients and questioned the sustainability of the current health care system.

Being able to find consultants, find people to take care of them, is very frustrating, and I think a lot of it comes down to dollars and cents. It is very frustrating because it puts a barrier right between you and the patient.In a study exploring racial bias and how people use their mind's-eye image of an imagined person's size to represent someone as either threatening or high-status, UCLA researchers found that.

What influence does the affect heuristic have on financial planning decisions. if you are in a negative state of mind then you are more inclined to see the activity as being low in benefits and high in risk.

Unfortunately, basing financial decisions on our emotional state rather than on a fuller understanding and appreciation of the likely. THE EFFECT OF SOCIO-ECONOMIC STATUS ON ACADEMIC ACHIEVEMENT A Thesis by Jennifer Barry Bachelor of Arts, Wichita State University, examining the different factors that influence test scores.

Composite test scores of tenth THE EFFECT OF SOCIO-ECONOMIC STATUS ON ACADEMIC ACHIEVEMENT. About the research. In producing this fact sheet, the Office of Disease Prevention and Health Promotion relied extensively on both the Institute of Medicine () and the Agency for Healthcare Research and Quality () reports, which include comprehensive reviews of the literature on .

Influence of Age, Financial Status, and Gender on Academic Performance among Undergraduates E.E. Ebenuwa-Okoh Department of Counselling Psychology, Delta State University, Abraka, Nigeria.

Dec 16,  · How one views social status, including financial status, can predict mental health problems including bipolar disorder, narcissistic personality disorder, anxiety .

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