A cross-sectional study using freedom of information requests to evaluate variation in local authority commissioning of community pharmacy public health services in England

Abstract Cross-sectional studies about association between awareness of basic public health services and vaccination rates among migrants were lacking. In this study, we aimed to explore the association between awareness of the BPHSs project and vaccination rates among the migrants in China. We included 10013 respondents aged 15 years old or above of eight provinces from 2017 Migrant Population Dynamic Monitoring Survey in China, a nationwide cross-sectional study. Multivariable logistic regressions were used to assess the association between awareness of basic public health services and vaccination rates. Among 10013 migrants, 76.48% were aware of the BPHSs project. Female, the middle-aged, married or having a relationship, the highly educated and the healthy population had higher awareness of this project than others. Multivariable logistic regressions showed that there were significant associations between the awareness of BPHSs project and vaccination rates of eight recommended vaccines (all p values <0.001), including HepA vaccine (OR: 1.54, 95%CI: 1.38-1.73), FIn vaccine (OR: 1.28, 95%CI: 1.13-1.44), JE vaccine (OR: 1.33, 95%CI: 1.14-1.54), TIG vaccine (OR: 1.28, 95%CI: 1.11-1.48), HepB vaccine (OR: 1.11, 95%CI: 1.01-1.22), DTaP vaccine (OR: 1.22, 95%CI: 1.05-1.43), MPSV vaccine (OR: 1.28, 95%CI: 1.08-1.51), HF vaccine (OR: 1.32, 95%CI: 1.03-1.70), except for JE vaccine. The results were robust in the sensitivity analysis. There was a strong relationship between the awareness rate of BPHSs project in the migrants and vaccination. Our findings indicated that the promotion of basic public health services had a beneficial effect on the national recommended vaccination coverage, especially for the migrants with relatively low vaccine coverage.

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Public health services knowledge and utilization among immigrants in Greece: a cross-sectional study

BMC Health Services Research ◽

10.1186/1472-6963-13-350 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 20

Author(s):

Petros Galanis ◽

Panayiota Sourtzi ◽

Thalia Bellali ◽

Mamas Theodorou ◽

Ioanna Karamitri ◽

...

Keyword(s):

Public Health ◽

Health Services ◽

Cross Sectional Study ◽

Sectional Study ◽

Public Health Services ◽

Cross Sectional

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The impact of the COVID-19 response on the provision of other public health services in the U.S.: A cross sectional study

10.21203/rs.3.rs-215247/v1 ◽

2021 ◽

Author(s):

Kristina W. Kintziger ◽

Kahler W. Stone ◽

Meredith Jagger ◽

Jennifer A. Horney

Keyword(s):

Public Health ◽

Health Services ◽

Cross Sectional Study ◽

Health Departments ◽

Public Health Services ◽

Cross Sectional ◽

Career Plans ◽

Public Health Departments ◽

Essential Public Health Services ◽

The U.S

Abstract Background Funding and staff formerly dedicated to routine public health tasks (e.g., responding to communicable and non-communicable diseases, investigating foodborne outbreaks, conducting routine surveillance) and services (e.g., environmental health, substance abuse, maternal-child health) may no longer be available in many public health departments due to the COVID-19 response. The objective of this study was to assess the extent to which staffing for essential public health services has been redirected to the COVID-19 response. Methods This is a cross-sectional study using a survey distributed through the Qualtrics platform. Individuals (N = 298) working in public health across governmental and academic public health departments in the U.S. during the ongoing COVID-19 pandemic response were surveyed. Survey items measured multiple domains including professional experience (i.e., training, years of experience, content expertise, job functions), mental and physical health status (i.e., generalized anxiety, depression, burnout), and career plans (i.e., pre-pandemic vs. current career plans). Results The total number of content expertise areas and programmatic functions covered by individual public health workers increased between January and September of 2020, with 26% (73 of 282) of respondents reporting an increase in both. The total number of respondents working in infectious disease and preparedness remained constant, while declines were reported in program evaluation (-36%) and health education (-27%) and increases were reported in disease investigation (+ 35%). Conclusions The provision of many essential public health functions and tasks have been limited or eliminated while the U.S. public health workforce responds to the COVID-19 pandemic. These findings highlight opportunities for funding and professional development of public health systems, both during and after the COVID-19 response, to help ensure the continuity of essential public health services, staffing sustainability, and preparedness for future public health emergencies in the U.S. Trial registration: Not applicable.

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Who did not appear? First dental visit absences in secondary care in a major Brazilian city: a cross-sectional study

Ciência & Saúde Coletiva ◽

10.1590/1413-81232014201.01012014 ◽

2015 ◽

Vol 20 (1) ◽

pp. 289-298 ◽

Cited By ~ 6

Author(s):

Alessandra Trindade Machado ◽

Marcos Azeredo Furquim Werneck ◽

Simone Dutra Lucas ◽

Mauro Henrique Nogueira Guimarães Abreu

Keyword(s):

Public Health ◽

Secondary Care ◽

Cross Sectional Study ◽

Waiting List ◽

Bivariate Analysis ◽

Sectional Study ◽

Public Health Services ◽

Cross Sectional ◽

The Public ◽

Independent Variables

The study sought to identify possible factors associated with non-attendance at first dental appointments scheduled in 2011 of users living in Belo Horizonte, Minas Gerais, who were referred from primary care to different dental specialties in secondary care within the public health services of the city. A cross-sectional study was conducted based on research in secondary data bases of the public health regulatory system. The dependent variable was "no shows" for scheduled appointments, and the independent variables were age, time on the waiting list, gender, health district, and the specialty to which the individual was referred. Among the 6,428 first dental visits scheduled for 2011 in the specialties selected for analysis, 32.9 % were not performed due to the absence of the user. Bivariate analysis revealed a statistically significant association between non-attendance of the user and the five independent variables. Young adults, male, and resident in given districts who were referred to the specialties of surgery and endodontics and who waited longer on the waiting list exhibited a higher frequency of no-shows.

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Effect of National Basic Public Health Services On The Health of Internal Migrants in China

10.21203/rs.3.rs-861081/v1 ◽

2021 ◽

Author(s):

Liange Zhao ◽

hongbin yuan ◽

Xueyuan Wang

Keyword(s):

Public Health ◽

Health Services ◽

Study Design ◽

Cross Sectional Study ◽

Health Improvement ◽

Public Health Services ◽

Cross Sectional ◽

Percentage Points ◽

Internal Migrants ◽

Primary Institutions

Abstract Objective This paper evaluates the effect of National Basic Public Health Services (NBPHS) on the health of internal migrants in China. Study design: The study design used in this research is a cross-sectional study. Methods Data were obtained from the China Migrants Dynamic Survey (CMDS) of 2017, including 150,384 internal migrants at the age of 15–59. Propensity score matching (PSM) was used to estimate the effect of NBPHS. Results The findings indicate that NBPHS is successful in improving the health of internal migrants. Different matching algorithms showed the improvement ranging from 2.7 to 2.9 percentage points for the indicator of self-reported health, compared with the reduction of the probability of having disease ranging from 3.3 to 3.7 percentage points in the past year. However, gains are not shared equally. Heterogeneity analysis found significant improvement in the health of patients with hypertension, but the health improvement of diabetics was relatively small. There was also no significant effect on patients with both hypertension and diabetes. Similarly, less improvement was observed in those over 65 years old. Conclusions This research suggests that policymakers should not only pay attention to the equalization of project implementation but also focus on narrowing the benefits gap between different groups of internal migrants. This finding highlights the importance of encouraging more young doctors to provide health services in primary institutions and promoting the sinking of high-quality medical resources.

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Epidemiology of physiotherapy utilization among adults and elderly

Revista de Saúde Pública ◽

10.1590/s0034-89102005000400022 ◽

2005 ◽

Vol 39 (4) ◽

pp. 662-668 ◽

Cited By ~ 10

Author(s):

Fernando Vinholes Siqueira ◽

Luiz Augusto Facchini ◽

Pedro Curi Hallal

Keyword(s):

Public Health ◽

Health Services ◽

Population Based ◽

Cross Sectional Study ◽

Elderly Subjects ◽

Public Health Services ◽

Cross Sectional ◽

Health Authorities ◽

Primary Sample ◽

Public Health Authorities

OBJECTIVE: To analyze the prevalence of physiotherapy utilization and to explore the variables associated to its utilization. METHODS: A population-based cross-sectional study, including 3,100 subjects aged 20 years or more living in the urban area of Pelotas, southern Brazil, was carried out. The sample was selected following a multiple-stage protocol; the census tracts delimited by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Geography and Statistics) were the primary sample units. Following descriptive and crude analyses, Poisson regression models taking the clustering of the sample into account were carried out. Data were collected through face-to-face interviews using a standardized and pre-tested questionnaire. RESULTS: The lifetime utilization of physiotherapy was 30.2%; and physiotherapy utilization in the 12 months prior to the interview was reported by 4.9%. Women, elderly subjects, and those from higher socioeconomic levels were more likely to use physiotherapy. Restricting analysis to subjects who attended physiotherapy, 66% used public health services, 25% used insurance health services and 9% had private sessions. CONCLUSIONS: This is the first population-based study on physiotherapy utilization carried out in Brazil. Utilization of physio therapy was lower than reported in both developed and developing countries. The study findings might help public health authorities to organize healthcare service in terms of this important demand.

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AVALIAÇÃO DO PERFIL EPIDEMIOLÓGICO DOS CASOS DE DENGUE NO MUNICÍPIO DE PORTO NACIONAL, TOCANTINS.

Revista de Patologia do Tocantins ◽

10.20873/uft.2446-6492.2019v6n1p18 ◽

2019 ◽

Vol 6 (1) ◽

pp. 18-23

Author(s):

Letícia Cardoso Lucena ◽

Alexandre Arguelio Souto ◽

Larissa Cardoso Lucena ◽

Tathiana Nascimento Marques

Keyword(s):

Public Health ◽

Health Services ◽

Public Health Problem ◽

Viral Disease ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Great Incidence ◽

Cross Sectional ◽

Sanitary Conditions

Introdução – A dengue é uma doença viral infecciosa, transmitida principalmente pelo mosquito Aedes aegypt e de grande incidência no Brasil. É uma enfermidade de grande potencial epidêmico, representando um grave problema de saúde pública. Objetivo – avaliar o perfil dos casos de dengue no município de Porto Nacional - TO no período de janeiro de 2010 a outubro de 2018. Metodologia – Este é um estudo descritivo, quantitativo e transversal realizado através da avaliação de dados do SINAN sobre a dengue no período de 2010-2018 e de levantamento bibliográfico em bases de dados eletrônicas. Resultados – Com a análise dos dados observou-se a notificação de 5.085 casos de dengue no período, a maioria no ano de 2010. A prevalência foi no sexo feminino (53,9%) e na faixa etária de 20-29 anos (22%), com maior ocorrência no período de janeiro a abril, época de índices pluviométricos mais altos, facilitando a procriação do vetor. Outrossim, as localidades com os maiores números de notificação são áreas mais abastadas e com menos condições sanitárias. Conclusão – Ainda há ocorrência de subnotificação, além de problemas nos serviços de saúde, sendo necessária adoção de medidas de prevenção e combate, e melhorias nos serviços de saúde. Palavras-chave: Dengue; Arboviroses; Saúde pública; Epidemia. ABSTRACT Introduction – Dengue is an infectious viral disease, transmitted mainly by the Aedes aegypt mosquito and of great incidence in Brazil. It is a disease of great epidemic potential, representing a serious public health problem. Objective – To evaluate the profile of dengue cases in the municipality of Porto Nacional - TO from January 2010 to October 2018. Methodology – This is a descriptive, quantitative and cross - sectional study carried out through the evaluation of SINAN data on dengue in period of 2010-2018 and a bibliographic survey in electronic databases. Results – Data were analyzed in a study of 5,085 dengue cases in the period, most of them in 2010. The prevalence was in the female sex (53.9%) and in the age group of 20-29 years (22 %), with higher occurrence in the period from January to April, season of higher rainfall indexes, facilitating the procreation of the vector. In addition, the locations with the highest reporting numbers are more affluent areas with less sanitary conditions. Conclusion – There is still an underreporting, besides problems in the health services, being necessary to adopt measures of prevention and combat, and improvements in health services. Keywords: Dengue; Arboviruses; Public health; Epidemic.

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A/C study protocol: a cross-sectional study of HIV epidemiology among African, Caribbean and Black people in Ontario

BMJ Open ◽

10.1136/bmjopen-2019-036259 ◽

2020 ◽

Vol 10 (7) ◽

pp. e036259

Author(s):

Lawrence Mbuagbaw ◽

Wangari Tharao ◽

Winston Husbands ◽

Laron E Nelson ◽

Muna Aden ◽

...

Keyword(s):

Public Health ◽

Health Services ◽

Hiv Infection ◽

Cross Sectional Study ◽

Administrative Databases ◽

Sectional Study ◽

Cross Sectional ◽

African Caribbean ◽

The University ◽

Use Of Health Services

IntroductionAfrican, Caribbean and Black (ACB) communities are disproportionately infected by HIV in Ontario, Canada. They constitute only 5% of the population of Ontario yet account for 25% of new diagnoses of HIV. The aim of this study is to understand underlying factors that augment the HIV risk in ACB communities and to inform policy and practice in Ontario.Methods and analysisWe will conduct a cross-sectional study of first-generation and second-generation ACB adults aged 15–64 in Toronto (n=1000) and Ottawa (n=500) and collect data on sociodemographic information, sexual behaviours, substance use, blood donation, access and use of health services and HIV-related care. We will use dried blood spot testing to determine the incidence and prevalence of HIV infection among ACB people, and link participant data to administrative databases to investigate health service access and use. Factors associated with key outcomes (HIV infection, testing behaviours, knowledge about HIV transmission and acquisition, HIV vulnerability, access and use of health services) will be evaluated using generalised linear mixed models, adjusted for relevant covariates.Ethics and disseminationThis study has been reviewed and approved by the following Research Ethics Boards: Toronto Public Health, Ottawa Public Health, Laurentian University; the University of Ottawa and the University of Toronto. Our findings will be disseminated as community reports, fact sheets, digital stories, oral and poster presentations, peer-reviewed manuscripts and social media.

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Estimating the costs of the national basic public health services in Zhuhai, China, through activity-based costing: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-024831 ◽

2019 ◽

Vol 9 (6) ◽

pp. e024831 ◽

Cited By ~ 1

Author(s):

Zan Wang ◽

Qin Ao ◽

Yinbo Luo ◽

Qi Wang ◽

Zuxun Lu ◽

...

Keyword(s):

Public Health ◽

Cross Sectional Study ◽

Activity Based Costing ◽

Sectional Study ◽

Public Health Services ◽

Cross Sectional ◽

Per Capita ◽

The Government ◽

The Cost ◽

Capita Cost

ObjectiveOur research aims to estimate the per capita cost of 13 items in the basic public health service (BPHS) project in Zhuhai, China, and provide an economical basis for the improvement of the cost compensation mechanism used by the government.DesignThis research is a cross-sectional study.SettingA total of 19 primary healthcare facilities (PHFs) in Zhuhai, China, are involved in this research.ParticipantsA total of 152 participants (114 personnel engaged in BPHS, 19 financial personnel and 19 PHF heads) were included in this study, which was conducted from May 2017 to July 2017.Primary and secondary outcome measuresWe used the activity-based costing model to calculate the cost of providing BPHS in Zhuhai. An analytical hierarchy process was used to determine the difficulty dimension and workload coefficient.ResultsThe weights of the difficulty dimensions in the provision of BPHS in Zhuhai were 35.04% (coordination of residents), 24.03% (staff workload), 21.36% (complexity of work-related skills) and 19.59% (basic qualities of staff). The average difficulty coefficient of each subproject was 5.28. The actual per capita cost of BPHS provision in 2016 was 97.48 RMB (12.76 EUR), which was higher than the actual standard compensation of 55 RMB (7.2 EUR) in Zhuhai. Immunisation was the most costly among the 13 service items (17.82 RMB or 2.33 EUR per person), whereas the management of tuberculosis was the least costly item (0.57 RMB or 0.07 EUR per person).ConclusionsGovernment funds for basic public health services cannot compensate for the actual costs. Accordingly, subsidies should be increased based on the actual per capita cost for sustainable BPHS development. The government should improve the methods used in cost estimation and measures used as the basis for awarding performance incentives.

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