scholarly journals Identifying how age and gender influence prescription drug use in a primary health care environment in Catalonia, Spain

2008 ◽  
Vol 65 (3) ◽  
pp. 407-417 ◽  
Author(s):  
Eladio Fernández-Liz ◽  
Pilar Modamio ◽  
Arantxa Catalán ◽  
Cecilia F. Lastra ◽  
Teresa Rodríguez ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prescription Drug ◽  
Health Care Environment ◽  
Age And Gender ◽  
Care Environment ◽  
Gender Influence ◽  
Primary Health ◽  
Prescription Drug Use ◽  
And Gender

scholarly journals Social determinants of depression: association with age, gender and primary health care model

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J China
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Social Determinants ◽  
Care Physician ◽  
Health Policies ◽  
Age And Gender ◽  
Primary Health ◽  
And Gender ◽  
Primary Health Care Physician

Abstract Background Depression is one of the most common mental disorders worldwide and is a major contributor to the overall global burden of disease. The social determinants of age, gender and access to a primary health care physician have been identified as significant determinants of variability in the prevalence of depression. This research evaluates the association between depression and these social determinants in the city of Almada, in Portugal. Methods This cross-sectional study reports the one-month prevalence (December, 2015) of depression and its association with age, gender and access to a primary health care doctor in Almada's primary health care population. Data was collected from the 'Information System of the Regional Health Administration' (SIARS) database. The diagnostic tools used for the identification of cases were the ICPC-2 codes 'P76: Depressive Disorder' and 'P03: Feeling Depressed'. An odds ratio was applied as an association measure. Results Regarding gender and age: women are more likely to develop depression than men (OR 3.21) and the age group of 40-64 years is more likely to develop depression compared with other age groups (OR 2.21). The odds of being affected by depression for patients with a permanent primary health care physician, compared with users without a permanent primary health care physician, are higher (OR 2.24). Conclusions The patterns of association of age and gender, uncovered in this dataset, are consistent with previously reported findings for other Western countries. The association between depression and the assignment of a permanent primary health care doctor is highly significant. This finding suggests the existence of a higher detection rate of depression in patients with a permanent doctor and adds weight to the need to implement health policies that guarantee a primary health care physician for each patient. Key messages The age and gender gap in depression calls for stronger public health and intersectoral strategies to promote and protect mental health, in community-based settings. Reducing barriers and enhancing access to high-quality primary medical care must be a cornerstone of mental health policies.

scholarly journals fi Procedure for Evaluating Primary Health Care Software

Curationis ◽  
1999 ◽  
Vol 22 (1) ◽  
Author(s):  
T McDonald
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Primary Health Care ◽  
Evaluation Process ◽  
Evaluation Instrument ◽  
Health Care Environment ◽  
Software Evaluation ◽  
Care Environment ◽  
Primary Health ◽  
Software And Hardware

Managers in health care often find themselves in the difficult position of having to make decisions regarding the purchasing of software and hardware which they are not qualified to make. The aim of this paper is to support health managers in their decision making by means of a procedure and an instrument that can be used to evaluate primary health care software. A seven step approach to the evaluation process is proposed and each step is discussed in detail. The paper concludes with a proposed software evaluation instrument that is suitable for application in the health care environment.

scholarly journals Semiologia ginecológica: uma atualização no atendimento da mulher na atenção primária à saúde Gynecology semiology: an update of the care of women in primary health care

2020 ◽  
Vol 65 (1) ◽  
pp. 1
Author(s):  
Maria Carolina Marchioni da Silva ◽  
Solange Saguier Hildebrand ◽  
Sheldon Rodrigo Botogoski ◽  
Tânia Maria Santos Pires ◽  
Renata Maria de Bittencourt Druszcz
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Violence Against Women ◽  
Sexual And Reproductive Health ◽  
Health Care Environment ◽  
Clinical Form ◽  
Care Environment ◽  
Primary Health ◽  
Gynecological Examination ◽  
Gynecological Care

Introdução: O presente trabalho se constitui como artigo de atualização acerca do tema semiologia ginecológica, visando oferecer subsídios para a consulta ginecológica, realizada por médicos da atenção primária à saúde e por médicos ginecologistas. Objetivo: dar subsídios teóricos ao profissional da saúde, de modo a agregar recursos para a compreensão de queixas das pacientes, abordagem de temas como a atenção a sinais de violência contra a mulher, buscando auxiliar no estabelecimento de vínculo médico-paciente estável, pautado no respeito, na segurança e na individualização do cuidado, assim como oferecer recurso esquemático para a otimização do momento da consulta e assertividade do médico examinador. Metodologia: Através do acesso de literatura disponível em bases de dados como PubMed, Scielo e BVS, foram definidos tópicos imprescindíveis à consulta ginecológica, dando base à formulação de uma ficha clínica ambulatorial, que define o roteiro do atendimento ginecológico no ambiente da atenção primária à saúde. Conclusão: Parte-se da compreensão da consulta ginecológica como pilar fundamental do atendimento à saúde da mulher, com ampla aplicabilidade médica e com possibilidade de refletir em decisões futuras da paciente a respeito de sua saúde ginecológica, sexual e reprodutiva, causando impacto em questões inerentes à saúde pública. Nesse contexto, pode-se concluir que estabelecer um roteiro de atendimento contribui de forma significativa na efetividade e resolutividade da consulta ginecológica no âmbito da atenção primária à saúde.Palavras-chave: Ginecologia, Anamnese, Exame Ginecológico, Atenção primária à saúdeABSTRACTIntroduction: The present paper constitutes an update article about the gynecological semiology, aiming to offer subsidies for gynecological consultation, carried out by doctors from the primary health care and by gynecologists. Objective: The aim of this study is to provide theorical support to the health professional in order to add resources for understanding the patients complains, including theme such as signs of violence against women, seeking to establish a stable doctor-patient bond, based on respect, safety and individualization of care, as well as offering a schematic resource to optimize the medical approach. Methodology: Through the access to the literature available in the online database such as PubMed, Scielo and BVS, essential topics to the gynecological consultation were defined, based in the formulation of a ambulatory clinical form, which defines a script for gynecological care in the primary health care environment. Conclusion: It is understood that the gynecological consultation is a key pillar of women’s health care, with wide medical applicability and with the possibility of reflecting on future decisions of the patient regarding her gynecological, sexual and reproductive health, directly impacting on inherent to public health. In this context, it can be concluded that establishing a schematic clinical record contributes significantly to the effectiveness and resolution of gynecological consultation in the context of primary health care.Keywords: Gynecology, Medical history taking, Gynecological examination, Primary health care

Prescription Drug Use and Costs Among Diabetic Patients in Primary Health Care Practices in Germany

Diabetes Care ◽  
1998 ◽  
Vol 21 (3) ◽  
pp. 389-397 ◽  
Author(s):  
W. Rathmann ◽  
B. Haastert ◽  
J. M. Roseman ◽  
F. A. Gries ◽  
G. Giani
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Use ◽  
Prescription Drug ◽  
Diabetic Patients ◽  
Primary Health ◽  
Health Care Practices ◽  
Prescription Drug Use ◽  
Care Practices

scholarly journals PMH74 Impact of Age and Gender in the Pharmaceutical Expenditure of Anxiolytics in Primary Health Care

2011 ◽  
Vol 14 (7) ◽  
pp. A300
Author(s):  
N. Guadalajara-Olmeda ◽  
E. De la Poza-Plaza ◽  
I. Barrachina-Martínez ◽  
D. Vivas-Consuelo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pharmaceutical Expenditure ◽  
Age And Gender ◽  
Primary Health ◽  
And Gender

Prescription Drug Use in Primary Health Care Posts and Its Improvement Scheme

2013 ◽  
Vol 24 (2) ◽  
pp. 123 ◽  
Author(s):  
Chun Mi Kim ◽  
Yeon Yi Song ◽  
Kyung Ja June ◽  
Sa Saeng Hyeon ◽  
Hyun Ju Shin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Drug Use ◽  
Prescription Drug ◽  
Primary Health ◽  
Prescription Drug Use ◽  
Improvement Scheme

scholarly journals Patients with tinnitus use more primary healthcare compared to people without tinnitus

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maaike Maartje Rademaker ◽  
Inge Stegeman ◽  
Mariette Hooiveld ◽  
Robert Jan Stokroos ◽  
Adriana Leni Smit
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Drug Prescriptions ◽  
Healthcare Consumption ◽  
Medical Specialists ◽  
Primary Health ◽  
And Gender

AbstractTinnitus is a heterogeneous condition not only in terms of nature of the sound, but also in co-morbidities such as mental health issues. Prevalence number range widely between 5 and 43%. Even though the etiologic pathway between tinnitus and its comorbidities remains unclear, in this study we aim to assess whether people with tinnitus use more primary health care than people without tinnitus. To compare primary healthcare consumption between patients with tinnitus and people without tinnitus. In this cross-sectional study, data on number of consultations with the general practitioner or nurse practitioner mental health services were obtained from Nivel (Netherlands Institute for Health Service Research) Primary Care Database in 2018 (n = 963,880 people). People with an open tinnitus episode (n = 8050) were defined as a patient with tinnitus and compared to all other people. Percentages, means, ranges and mean differences were calculated for the total number of consultations and for organ specific diagnoses registered as ICPC-1 code on the day of consultation. Secondary, the total number of referrals to medical specialists and number of drug prescriptions was collected. Logistic regressions were performed to predict having one or more contacts, referrals, and prescriptions,with having tinnitus, this was corrected for age and gender. Patients with tinnitus had a mean of 9.8 (SD 10.9) primary care consultations in 2018, compared to 5.7 (SD 7.9) for people without tinnitus. More patients with tinnitus had more than one referral to medical specialists (47%) compared to people without tinnitus (25%). Patients with tinnitus have 1.2 (mean difference) more drug prescriptions than people without tinnitus. Compared to people without tinnitus, patients with tinnitus were more likely to have one or more of primary healthcare contact, independent of age group and gender. Patients with tinnitus had more consultations in primary health care than people without tinnitus. They are more often referred to medical specialists and receive more drug prescriptions. The causal relationship between tinnitus and the higher healthcare consumption remains to be researched.

scholarly journals HUBUNGAN UMUR DAN JENIS KELAMIN TERHADAP KEBERHASILAN PITC (PROVIDER INITIATED TESTING AND COUNSELLING) PADA PASIEN TB DI KOTA MEDAN TAHUN 2017

2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Sity Kunarisasi ◽  
Imran Pambudi ◽  
Asri Mutiara Putri ◽  
Nurhanifah Hamdah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Health Issue ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
Hiv Test ◽  
Chi Square Test ◽  
And Gender

Tuberculosis is a public health issue. Prevalence of tuberculosis in 2017 is estimated 824.000 cases in which making Indonesia the third country in the world with biggest burden TB and the seventh country with biggest burden in HIV-TB. PITC in primary health care is a Health Ministry program. PITC is the only test and counseling to motivated TB patient to get HIV test. The aim of this study is to analyze relationship between age and gender with the success of PITC in TB patients to know the HIV status at Medan in 2017. Method This research is a descriptive-analytic study with cross-sectional approach. the population in this study is TB patients with age 15-49 years old wo had TB diagnosed either with bacteriologic or clinical in primary health care at Medan in 2017. Medan is chosen because Medan is one of eight cities with the highest burden of TB and HIV in Indonesia, also it has complete recording of TB patients. The sample of this study is all TB patients in primary health care at Medan in 2017 who had PITC in total 2.228 from all TB patients in total 5.039 patients. Data analysis using SPSS to search for p value and Odds Ratio (OR). Result 250 of 2.228 (11,22%) patients is positive in HIV test. Statistics analysis using chi-square test shows p value 0.000 (p<0.05) and OR = 1.905 for relationship between gender and HIV test positive. Also, p value of 0,006 (p<0,05) and OR = 1.459 for relationship between age and HIV test positive. In this study with the implementation of PITC in TB patients in primary health care at Medan there is a relationship between sex and age with HIV infection.

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