Capsule Commentary on Kovacs et al. Systematic Review and Meta-analysis of the Effectiveness of Implementation Strategies for Non-communicable Disease Guidelines in Primary Health Care

The Global Burden of Disease (GBD) study, 2010, confirmed that the world's population is living longer and we are now less likely than a decade earlier to die from an infectious disease but also more likely to live our twilight years with morbidity (Murray et al., 2012). We will also most likely die from a chronic non-communicable disease (NCD) such as cardiovascular diseases, cancers, respiratory diseases, and diabetes (Beaglehole, et al., 2008). However this brief glimpse at the trends in the health of the world's population obscures massive inequalities in the burden of disease as well as variations across the globe. In this piece, we will revisit primary health care, both at its dawn, its contribution to developing nations, and the ills it struggled through over the years. Cuba and Thailand are the key examples of developing nations that have experienced the contribution of primary health care more than most other countries.

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Primary health care quality in Iran: a systematic review and meta-analysis

Family Medicine & Primary Care Review ◽

10.5114/fmpcr.2019.82982 ◽

2019 ◽

Vol 21 (1) ◽

pp. 71-77

Author(s):

Hasan Abolghasem Gorji ◽

Sanaz Royani ◽

Mohammad Mohseni ◽

Saber Azami-Aghdash ◽

Ahmad Moosavi ◽

...

Keyword(s):

Systematic Review ◽

Health Care ◽

Primary Health Care ◽

Health Care Quality ◽

Meta Analysis ◽

Care Quality ◽

Primary Health

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How well are non-communicable disease services being integrated into primary health care in Africa: A review of progress against World Health Organization’s African regional targets

PLoS ONE ◽

10.1371/journal.pone.0240984 ◽

2020 ◽

Vol 15 (10) ◽

pp. e0240984

Author(s):

Azeb Gebresilassie Tesema ◽

Whenayon Simeon Ajisegiri ◽

Seye Abimbola ◽

Christine Balane ◽

Andre Pascal Kengne ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Communicable Disease ◽

World Health ◽

Primary Health ◽

Non Communicable Disease

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Incidence and Prevalence of Morbidity and Mortality From Sensitive Conditions to Primary Health Care in Adult Men: A Systematic Review and Meta-analysis Protocol

10.21203/rs.3.rs-27659/v1 ◽

2020 ◽

Author(s):

Cácia Régia de Paula ◽

Cristiane José Borges ◽

Flavio Henrique Alves de Lima ◽

Celmo Celeno Porto ◽

Marcos André Matos ◽

...

Keyword(s):

Systematic Review ◽

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Systematic Reviews ◽

Meta Analysis ◽

Morbidity And Mortality ◽

Adult Men ◽

Primary Health ◽

Sensitive Conditions

Abstract Background: Scientific studies on human health are not remote and show that mortality in this population is increasing. Although male morbidity and mortality rates have a considerable weight in national and international epidemiological profiles, the presence of men in primary health care services is lower than that of women. Many injuries could be avoided if men regularly carried out the first preventive measures. Sensitive Conditions to Primary Care are consolidated as an important marker of access to health services and the resolution capacity of Primary Care. In this systematic review, the objective is to identify what is known about the prevalence and / or incidence of Sensitive Conditions to Primary Care in adult men.Methods: We will identify the studies through systematic research in PUBMED-MEDLINE, SCOPUS, Web of Science, Embase, Cochrane, BDTD and OpenGrey. The quality assessment of retrieved articles will be carried out using the critical assessment tools of the Joanna Briggs Institute (JBI). The quantitative synthesis of the data will be carried out if the studies are homogeneous and provide adequate result data for meta-analysis. Otherwise, the data will be synthesized, using the narrative synthesis approach.Discussion: This review will explore theprevalenceand / orincidenceofSensitiveConditionstoprimarycare (prevalenceofhospitalizations; incidenceofhospitalizationsand deaths from ACSC) in adultmenandwillact as a usefulsource for researchers, policymakersand stakeholders whendevelopingandimplementinginterventions for thatgroup. Systematic review registration: This systematic review protocol was submitted to International Prospective Register of Systematic Reviews (PROSPERO). Submission number: ID 169447. This protocol was prepared using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols checklist (PRISMA-P).

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Accuracy of the WHO Haemoglobin Colour Scale for the diagnosis of anaemia in primary health care settings in low-income countries: a systematic review and meta-analysis

The Lancet Global Health ◽

10.1016/s2214-109x(16)00005-x ◽

2016 ◽

Vol 4 (4) ◽

pp. e251-e265 ◽

Cited By ~ 19

Author(s):

Heiko Marn ◽

Julia Alison Critchley

Keyword(s):

Systematic Review ◽

Health Care ◽

Primary Health Care ◽

Low Income ◽

Meta Analysis ◽

Low Income Countries ◽

Health Care Settings ◽

Primary Health ◽

Colour Scale ◽

Primary Health Care Settings

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Treatment Burden Of Non-Communicable Diseases On Patients Attending Primary Health Care In Bahrain 2020: A Cross-Sectional Study

10.26715/jbms.33_2021_3_3 ◽

2021 ◽

Vol 33 (3) ◽

pp. 16-23

Author(s):

Fatema Almousawi ◽

Zahra Ayoob ◽

Amna Shehab ◽

Ismaeel Bakhsh ◽

Mahmood Alawainati ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Chronic Disease ◽

Communicable Disease ◽

Cross Sectional Study ◽

Treatment Burden ◽

Sectional Study ◽

Cross Sectional ◽

Primary Health ◽

Non Communicable Disease

Background: Adaptation to chronic disease can be challenging. Compliance with medication, adjusting to lifestyle changes, attending health care facilities, and financial costs are among many obstacles encountered. Treatment burden is defined as the effort required by the patient or caregiver to manage the medical conditions of the patient and the impact that this has on their lives. The aim of this study was to help the health care system in establishing new strategies to address the treatment burden on patients with non-communicable diseases. Methods: A cross-sectional study was conducted among patients attending non-communicable disease clinics and central diabetic clinics in eight different primary health care centers in Bahrain, using the Treatment Burden Questionnaire through structured interviews. A value of 59 and above was considered as an unacceptable burden according to patient acceptable symptom state (PASS). Results: Of the 411 participants, around 18% had an unacceptable burden. Female subjects reported a five times higher treatment burden. The younger population of less than 65 years scored higher treatment burden by three folds. Injectable medications were associated with a two-fold increase in treatment burden compared to other medication modalities. Conclusion: Although treatment burden is an emerging and insufficiently addressed concept in the literature, this study revealed an overall low treatment burden. Further studies should be conducted to assess treatment burden and suggest strategies accordingly. Health care providers are encouraged to integrate all patient aspects in the management. New recommendations to formulate updated guidelines with the aim of minimizing the treatment burden are warranted. Keywords: Bahrain, Chronic disease, Non-communicable disease, Primary health care, Surveys and Questionnaires

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Pattern prescription drugs for systemic hypertension in primary health care: systematic review and meta-analysis

Saúde e Pesquisa ◽

10.17765/2176-9206.2021v14n1.e7743 ◽

2021 ◽

Vol 14 (1) ◽

pp. e7743

Author(s):

Edilson Almeida de Oliveira ◽

Iris Heloísa Pereira Guerra ◽

Débora Canassa Volpato ◽

Rogério Toshiro Passos Okawa ◽

Kesia Palma-Rigo ◽

...

Keyword(s):

Systematic Review ◽

Health Care ◽

Primary Health Care ◽

Combination Therapy ◽

Prescription Drugs ◽

Angiotensin Receptor Blockers ◽

Meta Analysis ◽

Systemic Hypertension ◽

Prescription Pattern ◽

Primary Health

We investigated scientific publications on the prescription pattern of systemic hypertension drugs and use of guidelines in primary health care by systematic review and meta-analysis. Articles were selected in the PubMed, Web of Science and LILACS databases, according to the PRISMA statements, from 2004 to 2020. The systematic review showed a higher prescription pattern for combination therapy (52,9%). The meta-analysis confirmed the superiority of prescription for combination therapy (OR 1.76, CI 1.29 - 2.41). Was observed higher monotherapy prevalence in the Swedish study (98%) and combined therapy in Nigerian (98%). Higher frequency prescriptive of angiotensin-converting enzyme inhibitors in Trinidad (64%); diuretics (64%), beta blockers (63%), and calcium channel blockers (53%) in Nigeria; and angiotensin-receptor blockers (43%) in Portugal. Regarding the use of guidelines, 50% the studies reported their use for the prescription of antihypertensive in primary health care.

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