Audit of referral pathways in the diagnosis of lung cancer: a pilot study

2015 ◽  
Vol 21 (1) ◽  
pp. 106 ◽  
Author(s):  
Geraldine Largey ◽  
Samantha Chakraborty ◽  
Tracey Tobias ◽  
Peter Briggs ◽  
Danielle Mazza
Keyword(s):  
Lung Cancer ◽  
General Practice ◽  
Pilot Study ◽  
Medical Record ◽  
Multidisciplinary Team ◽  
Health Sector ◽  
Public And Private ◽  
Private Health Sector ◽  
Diagnosis Of Lung Cancer ◽  
Medical Record Audit

This pilot study sought to describe the diagnostic pathways for patients with lung cancer and explore the feasibility of a medical record audit for this purpose. An audit of 25 medical records of patients with a confirmed diagnosis of lung cancer was conducted, at a single outer metropolitan hospital in Victoria. Patients were presented to secondary care from general practice (n = 17, 68%), the emergency department (n = 3, 12%) or specialist rooms (n = 1, 4%). Those who journeyed through general practice experienced the longest median intervals to diagnosis (20 days, interquartile range 7–47). The majority of patients (n = 15, 60%) were referred by a specialist to a multidisciplinary team after a diagnosis had been confirmed but before treatment commenced. These patients waited a median of 20 days from their first specialist appointment to a multidisciplinary team appointment. This research illustrated that a variety of pathways to diagnosis exist. Critically, it requires patient data and additional auditing of primary, public and private health sector records to determine generalisability of findings and the effectiveness of a medical record audit as a data collection tool.

ANALYSIS OF THE EFFECTIVENESS OF THE PREVENTION OF DISEASES OF THE UPPER RESPIRATORY TRACT IN CHILDREN IN THE PUBLIC AND PRIVATE HEALTH SECTOR OF THE MOSCOW REGION

2021 ◽  
pp. 124-130
Author(s):  
Oleynik A.V. ◽  
Mushnikov D.L. ◽  
Sadovnikova N.A.
Keyword(s):  
Respiratory Tract ◽  
Health Sector ◽  
Moscow Region ◽  
Upper Respiratory Tract ◽  
Medical Organization ◽  
Public And Private ◽  
The Public ◽  
Private Health Sector ◽  
Upper Respiratory ◽  
The City

The relevance of the research topic is determined by the high prevalence of diseases of the upper respiratory tract in children. The purpose of the study: to assess the effectiveness of the prevention of upper respiratory diseases in children in the public and private health sector. The analysis of morbidity by circulation and primary morbidity of children in the Moscow region and the city of Ramenskoye as a whole and by class "Respiratory diseases" is carried out. The material of the study is based on the analysis of the primary documentation of the children's polyclinic and the private children's medical center in Ramenskoye, Moscow region. Differences between public and private medical organizations were established: the number of episodes of upper respiratory tract diseases in the observation of children in a state medical organization is 1.4 times higher than in a private medical organization (3.8, against 2.8); the duration of episodes of diseases of the upper respiratory tract per 1 observed child per year in a state medical organization is 39.0% higher than in a private medical organization; the average duration (exacerbation) of the case of diseases of the upper respiratory tract in children in the state medical organization is 2 times higher than when observed in a private medical organization, which is associated with the use of modern treatment technologies and an individual approach. When analyzing the preventive work of children's polyclinics, it was revealed that in the context of the region there are significant fluctuations in the volume of visits made for the purpose of rehabilitation. At the same time, the share of those in need of rehabilitation from the number of those examined in the order of planned rehabilitation amounted to 65.7% in the region, in the city of Ramenskoye 65.4%. Satisfaction of this need was noted at the level of 60.6% in the region, in the city of Ramenskoye 72.3%. The results of the study showed the need to study the factors that determine the high incidence of children with diseases of the upper respiratory tract.

scholarly journals The impact of hospital settings on the mood status of family care givers

2014 ◽  
Vol 3 (5) ◽  
pp. 144
Author(s):  
Syed Muhammad Mustahsan ◽  
Rehan Shamim ◽  
Mustafa Mushtaq ◽  
Khalil Farooque ◽  
Rabeeya Razzaque ◽  
...  
Keyword(s):  
Public Health ◽  
Health Sector ◽  
Family Care ◽  
Anxiety And Depression ◽  
Care Providers ◽  
Public And Private ◽  
Public Health Sector ◽  
Care Givers ◽  
Care Giving ◽  
Private Health Sector

Objective: This study aimed to find out the existing differences in anxiety and depression among patient’s family care providers in public and private health sectors of Karachi. Background: For family care givers, care-giving is extremely rewarding it makes a bond between patient and a care-giver. It makes a union which is indispensable for patient welfare. The wellness of caregiver depends on patient’s condition and level of satisfaction with the circumstances associated with care-giving, undeniably care-giving constitute myriad of stresses, like depression, anxiety, frustration which if not addressed can have serious impact on caregivers health and can even make them resentful of their role as well. The present study was conducted to investigate the major mood changes among patients’ family care givers in public and private health sectors. Method: A cross-sectional study was carried at Jinnah Postgraduate Medical Centre (Public Health Sector) and Liaquat National Hospital (Private Sector) from 1st March till 1st August, 2013. The study was conducted on the family care givers of the patients residing with them at the hospitals. Hospital Anxiety and Depression Scale (HADS) was completed by 288 participants out of 290 caregivers who enrolled in the study. The HADS was used to evaluate the factors and symptoms of mood disorder (anxiety and depression) in the caregivers of patients. Results: Out of 288 participants who completed the HADS, 223 showed a high rate of psychological disturbed state which was more prevalent in the females (79.8%) than males (75.1%). The HADS was equally filled by the caregivers at public health sector (n = 145) and private health sector (n = 145). The total cases of mood disorder is relatively high in the caregiver population and most of the cases were found in public health sector (n = 134) as compared with private health sector (n = 89). Conclusion: Anxiety and depression among the patients family care providers was very appreciable especially in Public Health Sector as compared to Private Health Sector perhaps due to economic burden, doctor-family caregiver relationship and negligence of concerned authorities. We strongly suggest and request concerned authorities to reduce stress and enhance the quality of life of family care-provider.

IMPROVING ACCESS TO SKILLED ATTENDANCE AT DELIVERY: A POLICY BRIEF FOR UGANDA

2013 ◽  
Vol 29 (2) ◽  
pp. 207-211 ◽  
Author(s):  
Harriet Nabudere ◽  
Delius Asiimwe ◽  
Jacinto Amandua
Keyword(s):  
Health Sector ◽  
Skilled Birth Attendance ◽  
Health Facilities ◽  
Policy Options ◽  
Public And Private ◽  
Policy Makers ◽  
Non Profit ◽  
For Profit ◽  
Birth Attendance ◽  
Private Health Sector

Objective: This study describes the process of production, findings for a policy brief on Increasing Access to Skilled Birth Attendance, and subsequent use of the report by policy makers and others from the health sector in Uganda.Methods: The methods used to prepare the policy brief use the SUPPORT Tools for evidence-informed health policy making. The problem that this evidence brief addresses was identified through an explicit priority setting process involving policy makers and other stakeholders, further clarification with key informant interviews of relevant policy makers, and review of relevant documents. A working group of national stakeholder representatives and external reviewers commented on and contributed to successive drafts of the report. Research describing the problem, policy options, and implementation considerations was identified by reviewing government documents, routinely collected data, electronic literature searches, contact with key informants, and reviewing the reference lists of relevant documents that were retrieved.Results: The proportion of pregnant women delivering from public and private non-profit facilities was low at 34 percent in 2008/09. The three policy options discussed in the report could be adopted independently or complementary to the other to increase access to skilled care. The Ministry of Health in deliberating to provide intrapartum care at first level health facilities from the second level of care, requested for research evidence to support these decisions. Maternal waiting shelters and working with the private-for-profit sector to facilitate deliveries in health facilities are promising complementary interventions that have been piloted in both the public and private health sector. A combination of strategies is needed to effectively implement the proposed options as discussed further in this article.Conclusions: The policy brief report was used as a background document for two stakeholder dialogue meetings involving members of parliament, policy makers, health managers, researchers, civil society, professional organizations, and the media.

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