Primary care and population factors associated with NHS Health Check coverage: a national cross-sectional study

BackgroundThe Russian Federation has very high cardiovascular disease (CVD) mortality rates compared with countries of similar economic development. This cross-sectional study compares the characteristics of CVD-free participants with and without recent primary care contact to ascertain their CVD risk and health status.MethodsA total of 2774 participants aged 40–69 years with no self-reported CVD history were selected from a population-based study conducted in Arkhangelsk and Novosibirsk, Russian Federation, 2015–2018. A range of co-variates related to socio-demographics, health and health behaviours were included. Recent primary care contact was defined as seeing primary care doctor in the past year or having attended a general health check under the 2013 Dispansarisation programme.ResultsThe proportion with no recent primary care contact was 32.3% (95% CI 29.7% to 35.0%) in males, 16.3% (95% CI 14.6% to 18.2%) in females, and 23.1% (95% CI 21.6% to 24.7%) overall. In gender-specific age-adjusted analyses, no recent contact was also associated with low education, smoking, very good to excellent self-rated health, no chest pain, CVD 10-year SCORE risk 5+%, absence of hypertension control, absence of hypertension awareness and absence of care-intensive conditions. Among those with no contact: 37% current smokers, 34% with 5+% 10-year CVD risk, 32% untreated hypertension, 20% non-anginal chest pain, 18% problem drinkers, 14% uncontrolled hypertension and 9% Grade 1–2 angina. The proportion without general health check attendance was 54.6%.ConclusionPrimary care and community interventions would be required to proactively reach sections of 40–69 year olds currently not in contact with primary care services to reduce their CVD risk through diagnosis, treatment, lifestyle recommendations and active follow-up.

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Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study

BMC Family Practice ◽

10.1186/s12875-019-1019-3 ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 8

Author(s):

Cesar I. Fernandez-Lazaro ◽

Juan M. García-González ◽

David P. Adams ◽

Diego Fernandez-Lazaro ◽

Juan Mielgo-Ayuso ◽

...

Keyword(s):

Primary Care ◽

Chronic Conditions ◽

Cross Sectional Study ◽

World Health ◽

Healthcare Team ◽

Sectional Study ◽

Adherence To Treatment ◽

Related Factors ◽

Cross Sectional ◽

Factors Associated

Abstract Background Adherence to treatment, a public health issue, is of particular importance in chronic disease therapies. Primary care practices offer ideal venues for the effective care and management of these conditions. The aim of this study is to assess adherence to treatment and related-factors among patients with chronic conditions in primary care settings. Methods A cross-sectional study was conducted among 299 adult patients with ≥1 chronic condition(s) and prescribed medication in primary healthcare centers of Spain. The Morisky-Green-Levine questionnaire was used to assess medication adherence via face-to-face interviews. Crude and adjusted multivariable logistic regression models were used to analyze factors associated with adherence using the Multidimensional Model proposed by the World Health Organization — social and economic, healthcare team and system-related, condition-related, therapy-related, and patient-related factors. Results The proportion of adherent patients to treatment was 55.5%. Older age (adjusted odds ratio 1.31 per 10-year increment, 95% CI 1.01–1.70), lower number of pharmacies used for medication refills (0.65, 95% CI 0.47–0.90), having received complete treatment information (3.89, 95% CI 2.09–7.21), having adequate knowledge about medication regimen (4.17, 95% CI 2.23–7.80), and self-perception of a good quality of life (2.17, 95% CI 1.18–4.02) were independent factors associated with adherence. Conclusions Adherence to treatment for chronic conditions remained low in primary care. Optimal achievement of appropriate levels of adherence through tailored multifaceted interventions will require attention to the multidimensional factors found in this study, particularly those related to patients’ education and their information needs.

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Factors associated with inappropriate attitude towards antibiotic usage among outpatients of a large public primary care center in Malaysia: A cross sectional study.

10.21203/rs.3.rs-17290/v1 ◽

2020 ◽

Author(s):

Zati Sabrina Ahmad Zubaidi ◽

Khasnur Abdul Malek ◽

Zaliha Ismail

Keyword(s):

Primary Care ◽

Cross Sectional Study ◽

Antibiotic Usage ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Care Specialist ◽

Low Education ◽

Knowledge And Attitude ◽

The Relationship

Abstract Background: Antibiotic resistance is one of the biggest global threat in modern medicine. The situation is even more consequential in lower-and middle-income countries (LMIC) as financial limitations and political instability may become barriers to an impactful health policy. Therefore, The World Health organization has urge all nations to increase public awareness on antibiotic through effective educational interventions. In order for interventions to be successful, it is important to acknowledge that each country is unique in its problems as the demographic in LMIC are diverse. This study aims to identify the community’s attitude appropriateness towards antibiotic usage and their knowledge gaps, the relationship between antibiotic knowledge and their attitude as well as factors associated with inappropriate attitude towards antibiotic among outpatients attending an established primary care specialist center in Malaysia.Methodology : This cross-sectional study was conducted among 256 respondents attending a public primary care specialist clinic center. Those who fulfilled the inclusion and exclusion criteria from June to August 2017 were given a self-administered, validated and translated questionnaire. Pearson correlation was used to deduce the relationship between knowledge and attitude. Chi square test, independent t-test and multiple logistic regression were used to determine factors associated with inappropriate attitude towards antibiotic.Results: It was found that the respondents’ mean attitude and knowledge score were 29.5 ± 4.19 and 5.94 ± 2.4 respectively. The highest inappropriate attitude response was expecting antibiotic from the doctor for common colds and the most frequent incorrect knowledge response was on the domain of role of antibiotics. There is a weak positive relationship between antibiotic knowledge and attitude (r=0.315, n=256, p=0.0001). Respondents with low education level and poor antibiotic knowledge were at least 2.5 times more likely to have inappropriate attitude when handling antibiotics.Conclusion: Our study demonstrated the common inappropriate attitude towards antibiotic and areas of knowledge gap among the population. Antibiotic education should be incorporated in non-pharmacological measures of viral illnesses that is targeted among those with low education and poor antibiotic knowledge. The weak relationship between antibiotic knowledge and attitude suggest that health campaign should focus on behavioral change rather than a theoretical approach.

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Factors associated with shared decision making among primary care physicians: Findings from a multicentre cross-sectional study

Health Expectations ◽

10.1111/hex.12603 ◽

2017 ◽

Vol 21 (1) ◽

pp. 212-221 ◽

Cited By ~ 14

Author(s):

Matthew Menear ◽

Mirjam Marjolein Garvelink ◽

Rhéda Adekpedjou ◽

Maria Margarita Becerra Perez ◽

Hubert Robitaille ◽

...

Keyword(s):

Primary Care ◽

Decision Making ◽

Shared Decision Making ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Shared Decision ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

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Factors associated with knowledge of self-management of worsening asthma in primary care patients: a cross-sectional study

Journal of Asthma ◽

10.1080/02770903.2020.1753209 ◽

2020 ◽

pp. 1-7

Author(s):

Philip Wireklint ◽

Mikael Hasselgren ◽

Scott Montgomery ◽

Karin Lisspers ◽

Björn Ställberg ◽

...

Keyword(s):

Primary Care ◽

Cross Sectional Study ◽

Self Management ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Primary Care Patients

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Factors associated between behavior of administrating or recommending mumps vaccine and primary care physicians’ knowledge about vaccination: A nationwide cross‐sectional study in Japan

Journal of General and Family Medicine ◽

10.1002/jgf2.471 ◽

2021 ◽

Author(s):

Jiro Takeuchi ◽

Yuta Sakanishi ◽

Tadao Okada ◽

Kuniko Nakayama ◽

Hiroshi Chiba ◽

...

Keyword(s):

Primary Care ◽

Primary Care Physicians ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Mumps Vaccine

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Trends in prescribing of gluten-free foods in primary care

Drug and Therapeutics Bulletin ◽

10.1136/dtb.2018.9.000019 ◽

2018 ◽

Vol 56 (9) ◽

pp. 100-100

Keyword(s):

Primary Care ◽

Geographical Variation ◽

Cross Sectional Study ◽

Gluten Free ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Review of: Walker AJ et al. Trends, geographical variation and factors associated with prescribing of gluten-free foods in English primary care: a cross-sectional study. BMJ Open 2018;8:e021312.

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