scholarly journals A cross-sectional study of malaria endemicity and health system readiness to deliver services in Kenya, Namibia and Senegal

2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii75-iii87 ◽  
Author(s):  
Elizabeth H Lee ◽  
Cara H Olsen ◽  
Tracey Koehlmoos ◽  
Penny Masuoka ◽  
Ann Stewart ◽  
...  
Keyword(s):  
Health System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Malaria Endemicity ◽  
System Readiness

scholarly journals Frequency and Severity of Adverse Drug Reactions to Medications Prescribed for Alzheimer’s Disease in a Brazilian City: Cross-Sectional Study

2020 ◽  
Vol 11 ◽  
Author(s):  
Tânia Regina Ferreira ◽  
Luciane Cruz Lopes ◽  
Cristiane de Càssia Bergamaschi
Keyword(s):  
Public Health ◽  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health System ◽  
Psychiatric Disorders ◽  
Public Health System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Drug Reactions ◽  
Cross Sectional

Background: There is lack of national studies that assess the risks associated with the drugs provided under the Brazilian public health system for treating Alzheimer’s disease. Then, this study determined the prevalence and severity of self-reported adverse drug reactions (ADRs) prescribed to patients with Alzheimer’s disease in the Brazilian public health system.Methods: A cross-sectional study was carried out based on public data from the MEDEX system (information on dispensing data, known as exceptional dispensing medications) and interviews with patients and/or caregivers who get access to Alzheimer’s drugs at a public pharmacy in a large Brazilian city, between July and September 2017, inquiring about ADRs and serious adverse events (SAEs).Results: The subjects were asked about ADRs and SAEs related to the use of donepezil, galantamine, rivastigmine and memantine. Out of 285 patients enrolled on the database, 250 participated in the study (87.7%). Among the participants, approximately 63.0% were female, 70.3% aged ≥75 years and 70.3% had comorbidities. Overall, 209 patients (83.6%) reported at least one ADR (total 1,149 ADRs) and rivastigmine was associated with the largest number of ADRs per patient (7.9 ADRs/patient). The predominant adverse effects were psychiatric disorders with common frequency (57.1%) and mild severity (89.0%). Six patients (2.4%) had SAEs that required hospitalization. The use of antipsychotics was the variable associated with ADR (OR = 4.95; 95% CI: 1.45–16.93; p = 0.011).Conclusion: There was a large number of reported ADRs and most of them were of common frequency and mild severity, being mainly related to psychiatric disorders. Considering the fragility of these patients, it is important to improve safety-related care in the use of drugs for treating this disease.

scholarly journals Turkish health system reform from the people’s perspective: a cross sectional study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Saad Ahmed Ali Jadoo ◽  
Syed Mohamed Aljunid ◽  
Seher Nur Sulku ◽  
Amrizal Muhammad Nur
Keyword(s):  
Health System ◽  
Cross Sectional Study ◽  
System Reform ◽  
Sectional Study ◽  
Cross Sectional ◽  
Health System Reform

scholarly journals Health system determinants of infant, child and maternal mortality: A cross-sectional study of UN member countries

2011 ◽  
Vol 7 (1) ◽  
pp. 42 ◽  
Author(s):  
Katherine A Muldoon ◽  
Lindsay P Galway ◽  
Maya Nakajima ◽  
Steve Kanters ◽  
Robert S Hogg ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Health System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Out of Pocket Payment and Affordability of Medication for Geriatric Patients in Tehran, Iran

2020 ◽  
Author(s):  
Morvarid ZARIF-YEGANEH ◽  
Mona KARGAR ◽  
Arash RASHIDIAN ◽  
Aarefeh JAFARZADEH KOHNELOO ◽  
Kheirollah GHOLAMI
Keyword(s):  
Health System ◽  
Geriatric Patients ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Unskilled Worker ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prescription Costs ◽  
Total Prescription ◽  
The Mean

Background: Considering the importance of high out-of-pocket (OOP) payment (OOPP), as a marker of health system performance, and affordability of medications in the elderly, this study was conducted to determine these issues. Methods: In this cross-sectional study, prescriptions of patients aged 65 yr or older from 5 university-affiliated pharmacies in Tehran, Iran were evaluated from Jan to Mar 2014. Prescriptions were selected from four insurance organizations. We used the prescriptions data regarding patients’ demographics and the prescribers as well as the sales data for OOP. Affordability was calculated by considering the daily salary of an unskilled worker. Results: Totally, 1467 prescriptions were analyzed. Mean age of patients was 73.89(6.66) yr. Mean (SE) of reimbursable and OOPP of the prescriptions were 203820 (10831) and 230252 (10634) IRR (Iranian Rials) respectively (equivalent to 81.6 (4.33) and 92.17 (4.33) US$ respectively). Subspecialists imposed higher expenditures for patients and insurance organizations. Patients referred to the ophthalmologists paid less OOP. Nearly 50% of the total prescription costs was paid as OOP. The mean OOPP was averagely equal to 1.41(0.065) daily salary. These prescriptions were unaffordable for 36.2% of patients. Conclusion: The OOPP was higher than the insurance goal of 30% for outpatients in Iran. More than one-third of elderly patients could not afford their single prescription. Due to the health consequences of the unaffordability of medications, corrective actions are needed by the insurance organizations and the health system.  

The impact of care actions on the perception of the quality of the Single Health System (SUS), Brazil: a cross-sectional study

2016 ◽  
Vol 31 (2) ◽  
pp. 242-245
Author(s):  
GUILHERME BARREIRO ◽  
FÁBIO ANDRÉ ZANELLA ◽  
KAROLINE GABRIELA DALLA ROSA ◽  
RICARDO CALVETT ◽  
LOURENÇO SANTIAGO SENANDES ◽  
...  
Keyword(s):  
Health System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

scholarly journals Effectiveness of education at work in a health program: a strategy for vocational training and lifelong learning

2018 ◽  
Vol 26 (100) ◽  
pp. 986-1003
Author(s):  
Maria da Graça Munareto Rodrigues ◽  
Maria de Lourdes Drachler ◽  
Jussara Munareto ◽  
José Carlos de Carvalho Leite
Keyword(s):  
Health System ◽  
Lifelong Learning ◽  
National Health ◽  
Vocational Training ◽  
Health Program ◽  
National Health System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Electronic Questionnaire

Abstract A cross-sectional study investigated the effectiveness of an education at work in health program in a Brazilian federal university, by sending an electronic questionnaire to 553 active and former participants (80.5% participation). Means of approximately 3.00 (scale from zero to 4.00) for program’s clarity of purpose, suitability of process, and impact, indicated that the program was largely effective. Clarity of purpose was greater among preceptors and mentors when compared to students. The program’s impact was perceived as greater by the students when compared to the lifelong learning of preceptors and mentors, and by females. Building the capacity of preceptors and mentors for education at work in the Brazil’s national health system could advance the effectiveness of the program.

scholarly journals The costs of overweight and obesity-related diseases in the Brazilian public health system: cross-sectional study

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Luciana Bahia ◽  
Evandro Silva Freire Coutinho ◽  
Laura Augusta Barufaldi ◽  
Gabriela de Azevedo Abreu ◽  
Thainá Alves Malhão ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Public Health System ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Sectional Study ◽  
Cross Sectional
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