scholarly journals Multicentre descriptive cross-sectional study of Japanese home visit patients: reasons for encounter, health problems and multimorbidity

2019 ◽  
Author(s):  
Makoto Kaneko ◽  
Kees Van Boven ◽  
Hiroshi Takayanagi ◽  
Tesshu Kusaba ◽  
Takashi Yamada ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Rural Areas ◽  
Home Visit ◽  
Home Visits ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gastrointestinal Problems ◽  
Reasons For Encounter

Abstract Background GP in Japan are encouraged to conduct home visits for older adults. However, most previous studies on home visits were based on secondary analyses of billing data that did not include reasons for the encounter. Objectives This study aimed to describe home visit care by GP in Japan, including reasons for encounter, health problems, episodes of care, comprehensiveness and multimorbidity. Methods This multicentre descriptive cross-sectional study used the International Classification of Primary Care, second edition, and was conducted in Japan from 1 October 2016 to 31 March 2017. Participants were patients who received home visits from 10 enrolled GPs working in urban and rural areas across Japan. The main outcome measures were reasons for encounter, health problems and multimorbidity. Results Of 253 potential patient participants, 250 were included in this analysis; 92.4% were aged 65 years and older. We registered 1,278 regular home visits and 110 emergency home visits. The top three reasons for encounters home visits were associated with cardiovascular and gastrointestinal disorders: prescriptions for cardiovascular diseases (n = 796), medical examination/health evaluation for cardiovascular diseases (n = 758) and prescriptions for gastrointestinal problems (n = 554). About 50% of patients had multimorbidity. Cardiovascular, endocrine and neuropsychological diseases were the most frequent problems in patients with multimorbidity. Conclusions The main reasons for encounter were prescriptions for chronic conditions. Emergency visits accounted for 8% of all visits. Around half of the patients had multimorbidity. This information may help GPs and policy makers to better assess home visit patients' needs.

scholarly journals Morbidity pattern of elderly women of rural North Karnataka: a community based cross-sectional study

2017 ◽  
Vol 4 (11) ◽  
pp. 4286
Author(s):  
K. Kriti Bhat ◽  
M. C. Yadavannavar
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Elderly Women ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Rural Elderly ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Background: With the increasing life expectancy, the population around the world is growing old at a higher rate. Ensuring their quality of life and addressing their health care needs is a major challenge ahead. Elderly women are more vulnerable and there is a dearth for information regarding their health problems in India. Therefore, this study was undertaken focusing on the health problems of rural elderly women. The objective of the study was to assess the morbidity pattern of rural elderly women.Methods: A community based cross-sectional study was conducted in the rural field practice area of Shri B M Patil Medical College, Vijayapura from November 2015 to February 2016. A house-to-house survey was done and 200 women aged ≥60 years were included in the study. They were interviewed using pretested and predesigned questionnaire after obtaining informed consent. Information regarding demographic profile, present or past illness, economic history and physical activity of daily living were collected. Analysis was done using SPSS v.16 and data was represented using proportions and percentages.Results: Majority of the participants were illiterate (96.4%). Most (83.6%) of them were financially dependent. Most common chronic illness was arthritis (73.3%) and visual problem (58.8%).Conclusions: Our study reveals majority of the elderly women are suffering from one or multiple chronic illnesses. As a matter of fact, there is an urgent need to develop better health care services for the elderly women residing in rural areas.

scholarly journals Postnatal home visits by health extension workers in rural areas of Ethiopia: a cross-sectional study design

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yemane Berhane Tesfau ◽  
Alemayehu Bayray Kahsay ◽  
Tesfay Gebregzabher Gebrehiwot ◽  
Araya Abrha Medhanyie ◽  
Hagos Godefay
Keyword(s):  
Study Design ◽  
Rural Areas ◽  
Home Visits ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Health Extension Workers ◽  
Cross Sectional

A Cross-Sectional Study of Common Health Problems of the Elderly

2011 ◽  
Vol 4 (5) ◽  
pp. 509-511
Author(s):  
Pranay Gandhi ◽  
◽  
Sunita Sharma ◽  
Prateek Gandhi
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Characteristics of Confidence and Preparedness in Paramedics in Metropolitan, Regional, and Rural Australia to Manage Mental-Health-Related Presentations: A Cross-Sectional Study

2021 ◽  
Vol 18 (4) ◽  
pp. 1882
Author(s):  
Kate Emond ◽  
Melanie Bish ◽  
Michael Savic ◽  
Dan I. Lubman ◽  
Terence McCann ◽  
...  
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Considerable Proportion ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health Related ◽  
Manage Mental ◽  
Manage Mental Health

Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and location of practice; continuous variables were compared using the non-parametric Mann–Whitney and Kruskal–Wallis tests. Perceived confidence and preparedness were each modelled in multivariable ordinal regressions. Female paramedics were younger with higher qualifications but were less experienced than their male counterparts. Compared to paramedics working in metropolitan regions, those working in rural and regional areas were generally older with fewer qualifications and were significantly less confident and less prepared to manage mental health presentations (p = 0.001). Compared to male paramedics, females were less confident (p = 0.003), although equally prepared (p = 0.1) to manage mental health presentations. These results suggest that higher qualifications from the tertiary sector may not be adequately preparing paramedics to manage mental health presentations, which signifies a disparity between education provided and workforce preparedness. Further work is required to address the education and training requirements of paramedics in regional and rural areas to increase confidence and preparedness in managing mental health presentations.

scholarly journals Factors Influencing HIV Drug Resistance among Pregnant Women in Luanda, Angola: Findings from a Cross-Sectional Study

2021 ◽  
Vol 6 (1) ◽  
pp. 29
Author(s):  
Cruz S. Sebastião ◽  
Joana Morais ◽  
Miguel Brito
Keyword(s):  
Drug Resistance ◽  
Pregnant Women ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Drug Resistant ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hiv Drug Resistance ◽  
Hiv 1 ◽  
High Educational

The increase in HIV infection and drug-resistant strains is an important public health concern, especially in resource-limited settings. However, the identification of factors related to the propagation of infectious diseases represents a crucial target offering an opportunity to reduce health care costs as well as deepening the focus on preventing infection in high-risk groups. In this study, we investigate the factors related to drug resistance among HIV-infected pregnant women in Luanda, the capital city of Angola. This was a part of a cross-sectional study conducted with 42 HIV-positive pregnant women. A blood sample was collected, and HIV-1 genotyping was carried out using an in-house method. Multivariate analyses were performed to determine the interaction between sociodemographic characteristics and drug resistance. HIV drug resistance was detected in 44.1% of the studied population. High probabilities of drug resistance were observed for HIV-infected pregnant women living in rural areas (AOR: 2.73; 95% CI: 0.50–14.9) with high educational level (AOR: 6.27; 95% CI: 0.77–51.2) and comorbidities (AOR: 5.47; 95% CI: 0.28–106) and infected with a HIV-1 non-B subtype other than subtype C (AOR: 1.60; 95% CI: 0.25–10.3). The present study reports high HIV drug resistance. Furthermore, older-age, rural areas, high educational levels, unemployed status, having comorbidities, and HIV-1 subtypes were factors related to drug resistance. These factors impact on drug susceptibility and need to be urgently addressed in order to promote health education campaigns able to prevent the spread of drug-resistant HIV strains in Angola.

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