Research Article | DOI: https://doi.org/10.31579/2834-5029/073
1 Brooklyn VA Medical Center, Brooklyn, NY, USA
2 Brooklyn Technical High School, NY, USA
3 Infectious Diseases, Brooklyn VA Medical Center, Brooklyn, NY, USA
*Corresponding Author: Jana Preis, Infectious Diseases, Brooklyn VA Medical Center, Brooklyn, NY, USA
Citation: Christopher Alessandro, Dan Viderman, Jana Preis. (2022) Veteran Preferences for Sources of Medical Information. International J. of Biomed Research. 2(8): DOI:10.31579/2834-5029/073
Copyright: © 2022, Jana Preis, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 21 March 2022 | Accepted: 25 May 2022 | Published: 02 September 2022
Keywords: veteran patients; medical education; medical information; medical information credibility; medical information trustworthiness; media; external media sources; media type; internet; internet use; e-health; educational pamphlets; media use
Objective
This study explores sources of healthcare and medical information among USA Veterans during the COVID19 pandemic. This can also help practitioners meet the information need of their patients while providing them with quality internal and external resources.
Methods
Surveys were distributed to Veteran patients in a Veterans Affairs (VA) hospital. They determined if patients used external resources for medical information, which media types were used and desired, and if there was an association between resource helpfulness and pre-determined usefulness factors.
Results
32/102 (31.4%) respondents used external resources. Patients most frequency used the Internet and expressed a desire for additional time with their healthcare provider and more educational pamphlets. Resource helpfulness was associated with increased medical information availability, improved health decisions and well-being, and having an active role in medical decision-making.
Conclusion
Patients desire more time with their healthcare provider and more educational pamphlets. Resource use was associated with several usefulness factors, although external resources were less trustworthy than healthcare providers.
Practice Implications
Practitioners can take a dual approach in delivering patients medical information. First, provide in-person information using educational pamphlets. Second, provide trustworthy external resources such as medically credible website recommendations.
Thirty-five percent of United States adults have diagnosed themselves using the Internet. Of the people who used the Internet for medical information, only 13
Surveys were distributed to outpatients at the Brooklyn VA Medical Center. A researcher explained the purpose of the survey to each patient and confirmed patient comprehension. Each survey took approximately 10 minutes or less to complete. Patients were initially asked if they received medical information from resources outside of their healthcare provider in the past 6 months. This served as an exclusionary criterion. Respondents who used external resources completed the entire survey while those who did not only gave demographic information.
The main focuses of this study were to determine [1] where Veterans receive and want to receive medical information from and [2] why Veterans use external resources to gather medical information. To answer the first question, a list of less than ten media types were chosen at the discretion of the researchers. These include educational pamphlets, email, family / friends, Internet, television commercials, television shows, social media, and newspapers [9,13]. Patients were asked how much of their medical information they currently receive and want to receive from each of these media types based on a Likert Scale from 1 (Least) to 5 (Most). To answer the second question, overall resource helpfulness was correlated to the media usefulness factors which include increased medical information availability, improved relationships with healthcare providers, improved health decisions and well-being, and having an active role in medical decision-making [1,2,9,12,13,16].
Other variables were created to better understand the role of external resources in acquiring medical information. Patients who scored resource helpfulness as 3 of higher were asked why they found medical information to be helpful. Answer choices included: [1] they wished to gain more information regarding their healthcare needs, [2] they often forgot or needed to refresh what was explained at their doctor visits, [3] they looked for an online community to relate to, and [4] they want a second opinion [1,2,9,12,13].
Descriptive statistics were analyzed in SPSS. Paired-sample t-tests were used to determine if patients optimally wanted to receive more or less of their medical information from the listed external resources. Correlations were calculated between overall resource helpfulness and the media usefulness factors. Positive correlations indicate that patients use external resources in part due to the associated factors. Comparisons were also made between healthcare providers and external resource trustworthiness and availability using paired-sample t-tests. Multiple linear regressions were calculated to determine effects of demographics on resource use and helpfulness.
One hundred two outpatients (96% male) completed the survey. 32 patients (31.4%) used resources outside of their healthcare provider while the remainder (70; 68.6%) only used their healthcare provider for medical information. Although not directly calculated, the researcher approximates the response rate to be around 3-7%. The most common age group was 60-80 years. Demographic data is shown in Table 1.
| N | % | ||||||
Gender Female |
3 |
3.0% | |||||
| Male | 98 | 97.0% | |||||
Age 18-38 |
9 |
8.8% | |||||
| 39-59 | 21 | 20.6% | |||||
| 60-80 | 66 | 64.7% | |||||
| 81+ | 6 | 5.9% | |||||
Race Asian/Pacific Islander |
3 |
3.5% | |||||
| Black or African American | 38 | 44.7% | |||||
| Hispanic | 9 | 10.6% | |||||
| White/Caucasian | 35 | 41.6% | |||||
| Household Income $0-$49,999 |
46 |
50.0% | |||||
| $50,000-$99,999 | 31 | 33.7% | |||||
| $100,000-$149,999 | 6 | 6.5% | |||||
| $150,000-199,999 | 5 | 5.4% | |||||
| $200,000 and up 4 4.3% | |||||||
Education Less than high school diploma |
5 |
4.9% | |||||
| High school diploma | 60 | 58.8% | |||||
| Associate’s Degree | 10 | 9.8% | |||||
| Bachelor’s Degree | 18 | 17.6% | |||||
| Master’s Degree | 8 | 7.8% | |||||
| Doctoral Degre | 1 | 1.0% | |||||
| Healthcare Provider Only | Healthcare Provider and Media | ||||||
| N | % | N | % | ||||
Gender Female |
0 |
0.0% |
3 |
9.4% | |||
| Male | 69 | 100.0% | 29 | 90.6% | |||
Table 1: Frequency of Demographic Variables
Patients’ current and preferred use of each media type was scored on a Likert scale from 1 (Least) to 5 (Most) as shown in Table 2a.
| Method | Current | Ideal |
| Educational Pamphlet | 2.41 | 3.41 |
| 2.31 | 2.52 | |
| Face to Face with Healthcare Provider | 4.34 | 4.88 |
| Family/Friends | 2.56 | 2.81 |
| Internet (excluding email and social media) | 2.91 | 2.72 |
| Television Commercials | 2.03 | 2.26 |
| Television Shows | 2.03 | 2.19 |
| Social Media (e.g. Twitter and Facebook) | 2.06 | 2.06 |
| Newspapers | 2.25 | 2.44 |
Note: scores range from 1 (least) to 5 (most)
Table 2a: Current and Preferred Method of Getting Medical Information
| Method | 18-38 (n = 4) | 39-59 (n = 9) | 60-80 (n = 18) | |||
| Current Ideal | Current Ideal | Current Ideal | ||||
| Educational Pamphlet | 1.25 | 2.25 | 3.00 | 4.00 | 2.44 | 3.50 |
| 1.50 | 2.75 | 2.00 | 2.11 | 2.72 | 2.67 | |
| Face to Face with Healthcare Provider | 3.75 | 4.75 | 4.44 | 4.89 | 4.44 | 4.89 |
| Family/Friends | 2.75 | 3.25 | 2.56 | 3.11 | 2.56 | 2.56 |
| Internet (excluding email and social media) | 3.25 | 3.00 | 3.33 | 3.11 | 2.72 | 2.56 |
| Television Commercials | 1.50 | 1.75 | 2.00 | 2.38 | 2.17 | 2.39 |
| Television Shows | 1.50 | 2.00 | 2.33 | 2.33 | 2.06 | 2.22 |
| Social Media (e.g. Twitter and Facebook) | 2.00 | 2.25 | 2.11 | 2.22 | 2.11 | 2.00 |
| Newspapers | 1.75 | 2.00 | 2.89 | 2.89 | 1.94 | 2.22 |
Note. M and SD are used to represent mean and standard deviation, respectively. * indicates p < .05. ** indicates p < .01.
For Source: 1 = Healthcare Provider Only; 2 = Healthcare Provider and Media
Table 2b: Current and Preferred Method of Getting Medical Information by Age
Commonly used and preferred media types were defined as those with a score significantly greater than 3.0 as calculated through independent sample t-tests. The only commonly used source was face-to-face time with healthcare providers (4.34; p<0 p=0.01). r=44%; r=53%; r=55%; r=47%; r=39%;> 1. Source 1.31 0.47 2. Media Helpful 3. Decisions and Well-being 4. Media Trustworthy 5. Provider Trustworthy 6. Media Availability 7. Provider Availability 8. Provider Relationship Variable M SD 1 2 3 4 5 6 9 8 9 3.69 1.28 NA 3.31 0.82 NA .53** 2.75 1.14 NA .12 .47** 4.56 0.62 NA -.10 .02 .07 3.69 1.26 NA .44* .60** .37* .15 4.53 0.62 NA -.19 .11 .10 .37* -.11 3.38 0.91 NA .33 .49** .31 .07 .42* .04 9. Active Role 3.53 1.39 NA .55** .61** .39* -.21 .26 -.00 .55**
Note. M and SD are used to represent mean and standard deviation, respectively. * indicates p < .05. ** indicates p < .01.
For Source: 1 = Healthcare Provider Only; 2 = Healthcare Provider and Media
Table 3: Correlation Matrix for Resource Helpfulness and Characteristics
There was no significant correlation between resource helpfulness and improved relationships with healthcare providers (r=33%; p=0.068). However, during additional analysis, usefulness factors were evaluated using one-sample t-tests. Factors with scores significantly greater than 3.0 as calculated through independent sample t-tests were noted. All the usefulness factors, including improved relationships with healthcare providers were significant: increased medical information availability (mean=3.69; p<0 mean=3.38; mean=3.31; mean=3.53;>
Further analysis was done to better understand resource use in the Veteran population. Patients who answered that found external resources to be helpful with a score of 3 or higher were subsequently asked to select specific reasons why. Pre-selected answer choices included that they wished to gain more information regarding their healthcare needs, they often forgot or needed to refresh what was explained at a doctor’s appointment, they looked for an online community to relate to, and they wanted a second opinion from what their doctor told them. These were selected at the discretion of the researchers based on literature [1,2,9,12,13]. Of the 24 respondents, 11 (46%) stated that they often forgot or needed to refresh what was stated at doctor appointments, 5 (21%) patients looked for an online community to relate to, and 8 (33%) wanted a second opinion from what their doctor told them.
Correlations were also calculated between media helpfulness and current use of each resource type. Significant positive correlations indicated that patients found media types to be helpful for gathering medical information. The only significant correlations with media helpfulness were email (r=39.3%; p<0 r=73.9%;>
Paired sample t-tests were used to compare media and healthcare providers in terms of availability and trustworthiness. Patients found their healthcare providers (4.53) to be more available than media sources (3.69; p=0.001). Patients also found their healthcare providers (4.56) to be more trustworthy than media (2.75; p<0 F(3,81)=0.081, p=0.970). xss=removed xss=removed>
Current and preferred sources for medical information were also broken down by the age groups 18-38 (n=4), 39-59 (n=9), and 60-80 (n=18) as shown in Table 2b. All source averages greater than 3.0 are referred to as common. It should be noted that these results are purely illustrative and, due to small sample size and large variability within groups, are not necessarily representative. The 18-38 age group commonly utilized face-to-face time with their healthcare providers (3.75) and the Internet (3.75). This age group commonly desired face-to-face time with their healthcare provider (4.75) and information from family and friends [3.25]. The 39-59 age group commonly used educational pamphlets, face-to-face time with their healthcare provider, and the Internet. This age group desired the use of educational pamphlets, face-to-face time with healthcare providers, family and friends, and the Internet. The 60-80 age group only commonly used face-to-face time with their healthcare providers. This age group also only commonly desired face-to-face time with their healthcare providers. The 81 and over age group only had 1 response and was, therefore, not analyzed.
4.1 Discussion
This study’s original purpose was to determine [1] where patients receive and want to receive medical information from and [2] why patients use external resources. This was initially questioned as only 3.2% of Veteran patients use My HealtheVet, which is a free online health portal where Veterans can search for general health information online [4,19]. In finding where and why patients use external resources, healthcare providers can better understand the information needs of their patients and help guide them towards credible resources.
Patients desired increased exposure to educational pamphlets. This is interesting as there are notable benefits to the use of educational pamphlets. Medical information is remembered better when appointments are supplemented with written information or visual aids [9]. Without any written or visual supplementation, approximately 40% to 80% of medical information delivered by healthcare professionals is immediately forgotten [9]. This problem is especially relevant to the VA population as older adults forget more information immediately [9,20]. However, educational pamphlets can still benefit younger populations who have similarly low retention rates after just one week [9]. Given this literature and patients’ desire for more educational pamphlets, they should be more available to Veteran patients.
Patients also desired more face-to-face time with their healthcare providers. This may have various reasons; however, the ones discussed here will focus on the direct interaction between patients and healthcare providers during appointments. During appointments, patients often do not request medical information even though they desire it. One study found that even though patients overwhelmingly desire medical information, 28% of patients exhibited no information-seeking behaviors during interactions with their doctors [2]. This dichotomy between medical information desire and medical information seeking behavior suggests that Veteran patients likely desire information from their healthcare providers that they do not request during appointments. Interestingly, increased interaction time with doctors encourages medical information seeking behavior in patients [2]. Therefore, fulfilling the respondents’ request for more face-to-face time with their providers can give them the time required to request the information they desire.
Healthcare providers should also focus on Internet use. Although the participant population did not want to increase their Internet use for medical information, it was the most used media source outside of health providers and was the third most desired source behind healthcare providers and educational pamphlets. Additionally, higher Internet use was related to higher perceived media helpfulness, indicating that patients perceive it as a good way to receive medical information. Further analysis via MLRs suggests that patients who used the Internet more often for medical information thought that media was helpful regardless of their perception of their relationship with their healthcare provider, even if this perception was negative. Therefore, healthcare providers may want to further analyze how they should interact with patients who use the Internet for medical information, especially since Internet use has risen in the Veteran population [19].
Since patients who use the Internet for medical information find it beneficial, wish to continue its use, use it regardless of their relationship with their healthcare provider, and since Internet use in Veterans has increased over time, healthcare providers may want to further analyze how they should interact with patients who use the Internet for medical information [19]. This is especially true when considering that literature widely suggests that the credibility of medical websites found on the Internet or used by patients is questionable [13,16,17,21].
Correlation results between resource helpfulness and usefulness factors suggest that patients associate increased resource use with increased medical information availability (r=44%; p<0 r=53%; r=55%; r=33%; p=0.068).>
There are many reasons why each usefulness factor would benefit patients. Medical information availability can be increased with external resources such as the Internet which is easily accessible and convenient. Health decisions and well-being is improved as the Internet has been shown to increase confidence in medical decision-making, knowledge of medical information, feelings of empowerment, compliance to treatment plans, and efficiency of clinical time [11,21]. Lastly, encouraging patient information-seeking behaviors can improve relationships with healthcare providers. This is highly dependent on physicians and will be elaborated upon later [13,18,21].
To better understand why patients used external resources, common and specific reasons were compilated by researchers based on literature and at their discretion [2,9,13]. These reasons were only asked to patients scored resource helpfulness as 3 or higher (n=3). Patients most commonly found media helpful to gain more information regarding their healthcare needs (92%). A large portion of patients (46%) also used media because they often forgot or needed to refresh what was explained at doctor appointments [9,12]. Additionally, 33% of patients wanted a second opinion from what their doctor told them and 21% looked for an online community with which they could relate.
These results demonstrate that most patients who used external resources did so to gather information. This is in alignment with background research which stated that patients have a strong desire for medical information [2]. However, these results also demonstrate that patients’ use of media was multifaceted as they cited use for reasons not purely informationally driven. 21% of participants used the Internet to connect to an online community. Benefits of having an online community have been previously studied in a group of Veterans. This study found that Veteran patients who joined an online patient-driven community for epilepsy patients had increased epilepsy self-management and self-efficacy scores [5]. These results demonstrate the benefits of external resources and further demonstrate patients’ desire for having a more active role in their health decisions.
Healthcare providers can have an important role in helping patients gather and access medical information from external resources. Literature describes three ways that providers can respond to patients talking about medical information from external resources [13,18,21]. Providers can [1] ignore the information based on the assumption that they are more credible, [2] doctors can act as collaborators, [3] doctors can give “Internet prescriptions” by giving website information to patients. This allows the patient to search through credible information on their own time [13]. The second and third interaction types are the most optimal and lead to high patient satisfaction [13,18,21]. In fact, patients felt that their relationship with their healthcare provider improved if providers with good communication skills discussed the mentioned information. Conversely, patients believed that their relationship suffered if the provider did not take their questions seriously [18]. Additionally, although answering patients’ questions may take more time, patients who obtained information from the Internet may have more efficient use of their clinical time as they seemed to have a higher level of base-knowledge of their treatment options [21].
Summarized, this background literature suggests that patients want healthcare providers to interpret or verify medical information from external resources. This study supports this because, even with all the benefits of external resources, overall, patients rated providers to be much more trustworthy. Therefore, it seems commonsensical that patients, who want to be active in their health decisions and want medical information, would search for information on their own time and bring it up to their providers. This also helps explain why patients might want educational pamphlets as they would be receiving them from their trusted providers.
This study had several notable limitations. Survey distribution was not randomized as the researcher approached patients waiting for their appointments. Additionally, surveys were only distributed to those who comprehended English and were physically able to take the survey. The sample size was small as only 32/102 participants used external resources. Due to the small sample size, determining results with sub-groups was difficult. For example, only 4 non-male participants were surveyed, and only one person over the age of 81 was surveyed. Survey distribution occurred in only one VA hospital; therefore, results might not be generalizable to the VA population as a whole. Arguably, an additional limitation is that the usefulness factors often correlated to one another. Therefore, they are not independent of each other and their effects were most likely overlapping. This makes it difficult to quantitatively determine which effect was most prominent or what underlying variable or mechanism caused their interaction. Additionally, this study acts as a guideline for healthcare providers. Future studies can act upon these guidelines and determine if they improve patient satisfaction, comprehension, etc.
4.2 Conclusion
This study is a guideline to help healthcare providers meet the medical information needs of their patients. Veterans expressed that their healthcare providers are very available and trustworthy. This is true whether in comparison to media or as an absolute measure. However, a significant portion of participants (31.4%) still use media to supplement the services of their healthcare provider. Providers should make educational pamphlets more available as patients desired increased exposure to them, and education pamphlets can be useful in increasing patient comprehension and retention of information (6,7,8,9,10). The Internet was the most used external resource, and patients wanted to continue using it for medical information. Healthcare providers should take patients’ online research seriously to maintain their relationships with their patients. There is even precedence to encourage patients to search for medical information, especially since patients associated resource helpfulness with availability, improved health decisions and well-being, and having an active role in medical decision-making [11,13,18,21].
4.3 Practical Implications
Practically, healthcare providers can help meet patients’ desires for medical information by making both educational pamphlets and recommended websites readily available to patients during consultations. Educational pamphlets should have both written information and visuals while recommended websites can be written on take-home cards [6,7,8,9,10]. Additionally, educational pamphlets could have a section for recommended websites dedicated to the specific topic it discusses or visualizes. Importantly, since literature suggests that a large portion of patients do not actively ask for information, even if they desire it, healthcare providers should be the active party and ask patients if they want any additional medical information or if they want educational pamphlets or medical website recommendations [2].
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Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
