Pediatric Emergency Department Resource Utilization among Children with Primary Care Clinic Contact in the Preceding 2 Days: A Cross-Sectional Study

2017 ◽  
Vol 188 ◽  
pp. 245-251.e2
Author(s):  
Christina K. Grech ◽  
Molly A. Laux ◽  
Heather L. Burrows ◽  
Michelle L. Macy ◽  
Elaine S. Pomeranz
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Resource Utilization ◽  
Primary Care Clinic ◽  
Pediatric Emergency ◽  
Cross Sectional Study ◽  
Pediatric Emergency Department ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Clinic

scholarly journals Prevalence, perceptions and practices associated with non-adherence to diabetes medications in primary care setting: A cross sectional study in urban Bangalore

2016 ◽  
Vol 7 (6) ◽  
pp. 106-109
Author(s):  
Leeberk Raja Inbaraj ◽  
Carolin Elizabeth Georg ◽  
Nan Lin Kham ◽  
Gift Norman
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Adherence Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Clinic ◽  
Adherence To Diet ◽  
Multiple Doses

Background: Adherence to diet and drugs, blood glucose monitoring, foot care, exercise and early recognition of the complications, are the crucial elements for tertiary prevention of Diabetes Mellitus. Non compliance can lead to poor glycemic control which can eventually aggravate complications and lead to disability and mortality. This study aimed  at estimating prevalence of non-adherence and identify perceptions and practices associated with non-adherence.Materials and Methods: A cross sectional study was conducted in a primary care clinic in a disadvantaged community Hundred patients with Diabetes were recruited and interviewed using a semi-structured questionnaire.Results: Non adherence rate was 30%. Those who are unable to remember multiple doses (37.5%) were 2.77 (95% CI: 0.94-8.15) times more likely to non-adhere to the treatment than those who are able to remember multiple doses (16.7%).Similarly Patients who often discontinued medications and switched over to alternative system medicines tended to be non- adherent 8.5 (95% CI:1.6- 45.0) times more than those who continued treatment without interruption. Non adherence was not associated with age, gender, education level, and cost of medication and duration of diabetes. People who were illiterate and elderly did not know the consequences of missing doses and stopped medications when they felt better as well as resorted to traditional medicinesConclusions: Counselling sessions should focus on perceptions and ideas about diabetes. Innovative health education modalities have to be developed for illiterate and elderly people.Asian Journal of Medical Sciences Vol.7(5) 2016 106-109

scholarly journals Under Prescription of Epinephrine to Medicaid Patients in the Pediatric Emergency Department

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985496
Author(s):  
Sylvia Owusu-Ansah ◽  
Oluwakemi Badaki ◽  
Jamie Perin ◽  
Martha Stevens ◽  
Jennifer Anders ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Cross Sectional Study ◽  
Considerable Proportion ◽  
Pediatric Emergency Department ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adherence Data ◽  
Auto Injector ◽  
Medicaid Prescription

Objective. To describe pediatric Medicaid patients with pediatric emergency department (PED) visits for anaphylaxis who received epinephrine auto-injector (EAI) prescriptions in the ED versus those who did not; and to compare patients who filled their prescriptions versus those who did not. Methods. We conducted a cross-sectional study of Medicaid patients aged 0 to 21 years presenting to 2 PEDs, with symptoms meeting the National Institute of Allergy and Infectious Diseases criteria for anaphylaxis, between July 2012 and July 2014. Results. We identified 86 patients across the 2 hospitals with a confirmed diagnosis of anaphylaxis in the PED. Of these, 55 (64%, 95% confidence interval [CI] = 53% to 74%) received a prescription for an EAI during their ED visit. Forty-two (68%; 95% CI = 56% to 80%) received a prescription for EAI in Hospital 1 versus 13 (54%; 95% CI = 33% to 74%) in Hospital 2. Medicaid prescription fill rates were available for Hospital 1. Of the 42 who received an EAI prescription, 36 (86%; 95% CI = 75% to 96%) filled these prescriptions with Medicaid. Of the 20 (32%) out of 62 patients with anaphylaxis who did not receive prescriptions for an EAI, only 5 had previously filled prescriptions for epinephrine. Conclusion. Previous Medicaid patient prescription adherence data suggested that these patients would have a low EAI prescription fill rate. We found Medicaid patients who received prescriptions for an EAI after the ED visit for anaphylaxis filled them; however, a considerable proportion of anaphylaxis visits had no EAI prescription provided at discharge.

Practices and Barriers in Sexual History Taking: A Cross-Sectional Study in a Public Adult Primary Care Clinic

2020 ◽  
Vol 17 (8) ◽  
pp. 1509-1519
Author(s):  
Leonidas Palaiodimos ◽  
Heather S. Herman ◽  
Erika Wood ◽  
Dimitrios Karamanis ◽  
Cesar Martinez-Rodriguez ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Cross Sectional Study ◽  
Sexual History ◽  
History Taking ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Clinic ◽  
Sexual History Taking

scholarly journals The value of routine screening for cognitive impairment in a primary care setting: a retrospective cross-sectional study

2021 ◽  
Author(s):  
Hailin Qiu ◽  
Janis Chang ◽  
Chih-Peng Chang
Keyword(s):  
Primary Care ◽  
Cognitive Impairment ◽  
Primary Care Clinic ◽  
Cross Sectional Study ◽  
Routine Screening ◽  
Older Individuals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Clinic ◽  
Primary Care Settings

Abstract BACKGROUND Cognitive impairment is not uncommon among older individuals but is often underdiagnosed in the primary care settings. Our objective is to identify the prevalence of varying degrees of cognitive impairment in older adults in urban primary care clinics. METHODS This cross-sectional study was undertaken from May to July 2019. The Montreal Cognitive Assessment (MoCA) was administered to participants 65-year and older who were seen during a routine visit to our primary care clinic. The participants were recruited on a sequential basis. The primary outcomes of the study were the MoCA scores, and the level of cognitive impairment, if any, indicated by the scores. RESULTS Out of the 133 participants, 46 (34.6%) scored below the cut-off of 23 out of 30, indicating certain level of cognitive impairment. The mean MoCA score was 23.24. The average age was 75.19 years. Average years of education was 12.6. In our cohort, higher MoCA scores were associated with increased years of education. MoCA scores were not inversely correlated with age. Language proficiency in the MoCA test version administered had significant impact on the MoCA scores. CONCLUSIONS A relatively high prevalence of cognitive impairment was found in our cohort. Further study is required to accurately assess the prevalence of cognitive impairment in general population. However, the findings attest the value of routine screening for cognitive impairment in primary care settings and warrant routine screening of older individuals to help in early detection of mild cognitive impairment.

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