Quality of hypertension care: An improvement initiative in two outpatient health care centers

2018 ◽  
Vol 25 (3) ◽  
pp. 463-468
Author(s):  
Eleanor Yusupov ◽  
Bhuma Krishnamachari ◽  
Sarah Rand ◽  
Mirette Abdalla ◽  
Hallie Zwibel
Keyword(s):  
Health Care ◽  
Health Care Centers

scholarly journals Medical Audit of the Quality of Diabetes Care

2011 ◽  
Vol 3 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Abdulbari Bener ◽  
Mariam Abdulmalik ◽  
Mohammed Al-Kazaz ◽  
Abdul-Ghani Mohammed ◽  
Rahima Sanya ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Diabetes Care ◽  
Diabetic Patients ◽  
Primary Health ◽  
Primary Care Patients ◽  
Primary Health Care Centers ◽  
Health Care Centers

Objective: To assess the quality of diabetes care provided to patients attending primary care settings and hospitals in the State of Qatar. Design: Observational cohort study. Setting: The survey was carried out in primary health care centers and hospitals. Subjects and Methods: The study was conducted from January 2010 to August 2010 among diabetic patients attending primary health care centers and hospitals. Among the patients participating, 575 were from hospitals and 1103 from primary health care centers. Face-to-face interviews were conducted using a structured questionnaire including sociodemographic, clinical, and satisfaction score of the patients. Results: The mean age of the primary care diabetic patients was 46.1 ± 15.1 years and 44.5 ± 14.8 years for hospital patients ( P = .03). There was a significant difference observed in terms of age group, gender, marital status, occupation, and consanguinity of the diabetic patients in both medical settings ( P < .001). Overweight was less prevalent in primary care patients than in hospital diabetes mellitus patients (40.4% vs 46.4%). A significant variation was observed in the mean values of blood glucose (−0.76), HbA1C (−0.78), LDL (−0.01), albumin (−0.37), bilirubin (−0.76), and triglyceride (−0.01) in primary care patients compared to the mean values of the preceding year. Overall, complications were lower in primary care diabetic patients, and patients attending primary care were more satisfied with the diabetes care. Conclusion: The present study revealed that in general, primary health care provided a better quality of care to diabetic patients compared to that of hospitals. Also, primary care patients had a better satisfaction score towards diabetes care.

scholarly journals Postpartum Depression Among Women With Previous Infertility in Health Care Centers of Hamadan in 2018

2020 ◽  
Vol 7 (2) ◽  
pp. 103-108
Author(s):  
Nasrin Matinnia ◽  
Saeid Yazdi-Ravandi
Keyword(s):  
Health Care ◽  
Marital Satisfaction ◽  
Postpartum Depression ◽  
Health Care Providers ◽  
Significant Relationship ◽  
Care Providers ◽  
The Family ◽  
History Of ◽  
Health Care Centers

Background: Childbirth is one of the essential goals of the family, so that infertility can cause many problems for the family. Therefore, the aims of the current study were the frequency of postpartum depression and evaluate the relationship between postpartum depression, socio-demographic factors, and quality of marital satisfaction in postpartum women with a history of infertility referring to health centers in Hamadan. Methods: This study was a cross-sectional study. The study population consisted of all primiparous women with a history of infertility referring to Hamadan health care centers in 2018, of which 240 randomly selected according to the inclusion criteria for one year. Subjects assessed by demographic and clinical information checklist, Edinburgh Postnatal Depression Scale (EPDS), and marital relationship quality scale (Revised Dyadic Adjustment Scale; RDAS). All statistical calculations performed by busing chi-square with SPSS-17. Results: 152 out of 240 participants (63.3%) had a degree of depression, of which 57 (23.7%) had mild depression, 63 (26.3%) had moderate depression, and 32 (13.3%) had severe depression. According to the result of the study, marital satisfaction in 23.3% (56), 37.1% (89), and 39.6% (95) were excellent, moderate, and low, respectively — the quality of marital relationships associated significantly with and postpartum depression (χ2=19.3, P<0.001). The results of the study showed that there was a significant relationship between age, occupation, educational level, duration of infertility, and depression (P<0.05), but there was no significant relationship between ethnicity, insurance, and depression (P<0.05). Conclusion: Regarding the results obtained in this study and comparison with existing studies, the infertility problem can cause mental and psychological disorders in women. It seems that marital satisfaction and its relationship with different factors and the proper interventions by health care providers are necessary to prevent postpartum depression in these women.

scholarly journals Einkarekstur eða ríkisrekstur í heilsugæslu: Samanburður á kostnaði og ánægju með þjónustu

2018 ◽  
Vol 14 (2) ◽  
pp. 69-84
Author(s):  
Héðinn Sigurðsson ◽  
Sunna Gestsdóttir ◽  
Sigríður Halldórsdóttir ◽  
Kristjan G. Guðmundsson
Keyword(s):  
Health Care ◽  
Consumer Satisfaction ◽  
Low Cost ◽  
Safety Net ◽  
Community Services ◽  
Quality Of Services ◽  
Private Health Care ◽  
The Cost ◽  
Health Care Centers

The organization of health care is one of the most complex present day challenges. Like other countries that run socialized health care systems, Icelanders face the question of the role of private enterprise in health care. The objective of this study was two-fold: to compare the cost of 17 private and state-run health care centers in the metropolitan area, and to compare consumer satisfaction related to these. At the beginning of Icelandic settlement, there were statutory laws decreeing that community services should be provided for those in need. By the Health Care Act in 1973, the Icelandic health care system fell under the Nordic welfare society with equal access and a tight safety net. The results show that the private health care centers had a low cost per work unit, but not the lowest. Four to seven state run health care centers had less expenditure per patient than the private centers. The cost of each doctor’s position was highest in one of the private clinics. Patient satisfaction surveys showed that there is no difference in the quality of services between these two different operating modes. A conclusion can be drawn from this study that it is not clear whether private health care improves the use of public funds or increases the quality of services.

scholarly journals Nurses empowerment at primary health care centers and its relation with quality of work life

2019 ◽  
Vol 9 (10) ◽  
pp. 79
Author(s):  
Fatma Rushdy Mohamed ◽  
Safaa Rashad Mahmoud ◽  
Karima Hosny Abdel Hafez ◽  
Thorea Mohamed Mahmoud
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nurse Managers ◽  
Work Life ◽  
Quality Of Work Life ◽  
Quality Of Work ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background and objective: Nurses in primary health care are a considerable group of professionals working in the health sector and an adequate quality of working life will empower them to provide favorable quality care to their clients. Further, a better quality of working life can keep the employees focused and support them to strive effectively towards the organization’s vision. The aim of the study was to explore the relationship between nurses' empowerment and quality of work life at primary health care centers in Assiut City.Methods: This study was conducted in a descriptive correlated manner; the population consisted of the Assiut city primary health care centers nursing staff (n = 85). Self-administered questionnaire consisted of three parts: 1st part-Personal characteristics data questionnaire, 2nd part-Work Empowerment Promoting Factors Scale, and 3rd part: Quality of Nurses' Work Life questionnaire.Results: There were significant negative correlations between quality of work life and empowerment factors among studied nurses.Conclusions and recommendations: Workshops on the quality of work life skills for nurses and nurse managers should be done periodically, nurse managers in MCH centers should provide nurses by sufficient information, guide and resources, Nurses in primary health centers have to remain allowed to participate in decision making process to empower them, as like properly as growing theirs effect on autonomy, and First line nurse managers should periodically have nursing group meeting to verbalized, vitalize and support peer and social interaction.

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