scholarly journals Reported Low Uptake of HCV Testing among People Who Inject Drugs in Urban Vietnam

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Vu Toan Thinh ◽  
Do Thi Phuong ◽  
Van Dinh Hoa ◽  
Le Minh Giang
Keyword(s):  
Health Care ◽  
Risk Behaviors ◽  
People Who Inject Drugs ◽  
Scale Up ◽  
Healthcare Services ◽  
Hcv Infection ◽  
Public Hospitals ◽  
Outpatient Clinics ◽  
Limited Information ◽  
Hcv Testing

Background. HCV testing is an important first step for treatment and prevention, particularly for those who are highly vulnerable to HCV infection such as people who inject drugs (PWID). In settings where direct-acting antiretroviral medicines are becoming more available, limited information exists about who and where to target to increase the prevalence of HCV testing among PWID. This study is aimed at understanding the prevalence of HCV testing uptake and its determinants of medical services and risk behaviors. Methods. From February 2016 to April 2017, a sample of 509 PWID was interviewed using a structured questionnaire on their history of HCV testing, confirmation, services using in the previous year as well as HCV-related knowledge, and risk behaviors. Multiple logistic regression identified factors associated with ever being tested for HCV before enrollment in the program. Results. Approximately 33% reported ever testing for HCV. Most cited sources of testing are public hospitals and general clinics (68.9%) and outpatient clinics (18.9%). Having ever tested for HCV was positively associated with accessing health services within the prior 12 months ( aOR = 2.25 ; 95% CI 1.11-4.58), being currently enrolled in a methadone treatment program ( aOR = 2.35 ; 95% CI 1.34-4.08), and/or on ART treatment ( aOR = 2.30 ; 95% CI 1.30-4.08). Those who ever delayed in seeking healthcare services for any reason were less likely to get tested for HCV ( aOR = 0.54 ; 95% CI 0.35-0.84). Conclusion. HCV testing prevalence is low among PWID in Hanoi despite a very high prevalence of HCV infection. To improve the cascade of HCV testing, it is critical that intervention programs scale up linkages among methadone, outpatient clinics, and HCV services, take steps to reduce stigma and discrimination in both community and, especially, in health care settings, and increase awareness of HCV for PWID by integrating HCV into routine counseling at health care services.

scholarly journals Adopt, adapt or abandon: Health care providers’ beliefs matter. Using the NASSS framework to analyse the implementation of four technology-supported person-centred care initiatives from the perspectives of health care providers

2021 ◽  
Author(s):  
Kari Dyb ◽  
Gro Berntsen ◽  
Lisbeth Kvam
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Information Technologies ◽  
Scale Up ◽  
Healthcare Services ◽  
Development Project ◽  
Care Providers ◽  
Care Needs ◽  
Term Care ◽  
Patient Centred Care

Abstract Background: Technology support and patient-centred care are the new mantra for health care programmes in Western societies. While few argue with the overarching philosophy of patient-centred care nor with the potential of information technologies, there is less agreement on how to make them a reality in everyday clinical practice. In this paper, we investigate how individual health care providers at four innovation arenas in Scandinavia experienced the implementation of technology-supported person-centred care for persons with long-term care needs by using the new analytical framework Nonadoption, Abandonment and challenges to the Scale-Up, Spread, and Sustainability of health and care technologies (NASSS). We also discuss the usability and sensitivity of the NASSS framework for those seeking to plan, implement and evaluate technology-supported health care programmes. This study is part of an interdisciplinary research and development project called Patients and Professionals in Partnership (2016 - 2020). It originates at one of nine work packages in this project.Method: The main data consist of ethnographic field observations at the four innovations arenas and 29 interviews with involved health care providers. To ensured continuous updates and status on work at the four innovation arenas, we have also participated in a total of six annual networks meeting arrange by the project. Results: While the NASSS framework is very useful indeed for identifying and communicating challenges with adoption and spread of technology-supported person-centred- care initiatives, we find it less sensitive towards capturing the dedication, enthusiasm and passion for care transformation that we found among the health care providers in our study. When it comes to technology-supported person-centred care, the point of no return has passed for the involved health care providers. To them, it is already a definite part of the future of healthcare services. How to overcome barriers and obstacles is pragmatically approached. Conclusion: Increased knowledge about the health care providers and their visions as potential assets for care transformation might be critical for those seeking to plan, implement and evaluate technology-supported health care programmes.

scholarly journals The next Australian Health Care Agreements: what clinicians want

2002 ◽  
Vol 25 (6) ◽  
pp. 17 ◽  
Author(s):  
John M Dwyer
Keyword(s):  
Health Care ◽  
Healthcare Delivery ◽  
Cost Effective ◽  
Healthcare Services ◽  
Community Health Services ◽  
Care Physician ◽  
Public Hospitals ◽  
Allied Health Professionals ◽  
Australian Health ◽  
Health Care Governance

For the first time experienced clinicians are to be involved in the development of the Australian Health Care Agreements (AHCAs)(2003-2008). As a result doctors, nurses and allied health professionals are hoping that current impediments to necessary change will be removed. Numerous suggestions to improve the Agreement will come forward from the "front line". All clinicians will argue that the next Agreement must result in a marked increase in the funding available to public hospitals. The new Agreement must remove barriers hindering our capacity to integrate all of our healthcare services. Safe, appropriate and cost effective healthcare delivery must embrace a continuum of care involving patients and their primary care physician, community health services and hospitals. The Agreement must embody arrangements for markedly enhancing our public health efforts in the area of prevention of disease. Australia's clinicians are worried about inequity in terms of access and outcome for their patients and are willing to be partners in health care governance to improve the situation.

scholarly journals Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator

2019 ◽  
Vol 16 (18) ◽  
pp. 3318 ◽  
Author(s):  
Faiza Manzoor ◽  
Longbao Wei ◽  
Abid Hussain ◽  
Muhammad Asif ◽  
Syed Irshad Ali Shah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Prenatal Care ◽  
Health Care Services ◽  
Care Facility ◽  
Target Population ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Preventive Healthcare ◽  
Care Services

Patient satisfaction is a measure of the extent to which a patient is content with the health care they received from their health care provider. Patient satisfaction is one of the most important factors to determine the success of a health care facility. The purpose of this study was to determine patient satisfaction with healthcare services and encompass the physician’s behavior as moderation between patient satisfaction and healthcare services. The study seeks to measure the health care services, like a laboratory and diagnostic care, preventive healthcare and prenatal care, to patient satisfaction in the public health sectors of Pakistan. A descriptive survey research design was used for this study. The target population was patients from the out-patient department (OPD) of three public hospitals from Pakistan. By using the convenient sampling technique, 290 sample participants were selected from the target population. The reliability scales were tallied by using Cronbach’s Alpha. The findings of the study are gleaned by using regression to explore patient satisfaction with the health care services, and whether or not the physician’s behavior moderates the link of patient satisfaction and healthcare services. SPSS Hayes process was used for the moderation effect of the physician’s behavior. The main results of the regression analysis validate that health care services, such as laboratory and diagnostic care, preventive healthcare, and prenatal care, have a significant and positive effect on patient satisfaction. Specifically, the study suggests that the physician’s behavior significantly moderates the effect of health care services on the satisfaction of patients. The overall opinions about the satisfaction level of patients for the availability of health services in the hospitals were good. The degree of satisfaction was satisfactory with respect to laboratory and diagnostic care, preventive healthcare, and prenatal care services. Based on the outcomes, the study confirms that the proposed hypotheses are statistically significant. Furthermore, the directions for future research of the study are offered.

scholarly journals Risk Behaviors for HIV and HCV Infection Among People Who Inject Drugs in Hai Phong, Viet Nam, 2014

2017 ◽  
Vol 22 (7) ◽  
pp. 2161-2171 ◽  
Author(s):  
Huong Thi Duong ◽  
◽  
Don Des Jarlais ◽  
Oanh Hai Thi Khuat ◽  
Kamyar Arasteh ◽  
...  
Keyword(s):  
Risk Behaviors ◽  
People Who Inject Drugs ◽  
Hcv Infection ◽  
Viet Nam

An Adoption model for a big data analytics system for improving healthcare services in Burundi’s public hospitals

2020 ◽  
Vol 1 (2) ◽  
Author(s):  
Yves Habimana ◽  
Irene Moseti-Morara ◽  
Damaris Odero
Keyword(s):  
Health Care ◽  
Big Data ◽  
Data Analytics ◽  
Health Care Services ◽  
Big Data Analytics ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Assessment Tools ◽  
Care Services ◽  
Adoption Model

One of the key responsibilities of a government is to provide efficient health care services that are better and affordable. In Burundi, patients’ health records are collected using handwritten forms and stored in filing cabinets. Evidence’ based research and practice shows that adoption of a Big Data Analytics (BDA) system can significantly improve health care services. Unfortunately, BDA adoption models and automated assessment tools are lacking not to mention the dearth caused by researchers’ predominant focus on the technical aspects. Therefore, the aim of this study was to propose a BDA system adoption model for improving health care services in Burundi’s public hospitals. This was achieved through a mixed research method a large part being qualitative. The factors that influence the adoption of BDA in public healthcare services using the Technology Organization Environment (TOE) adoption theory through a desk research. Semi-structured interviews, observations and document reviews were used to investigate the methods used to collect, store and analyze data in Public hospitals of Burundi. Afterwards, a web based automated Adoption Readiness Assessment Tool (ARAT) was developed then used to assess the readiness of Burundi in adopting a BDA system in its public hospitals. The assessment results showed that the country has adequate telecommunication infrastructures and has started using information systems like OpenClinic and District Health Information Software 2 (DHIS2) in some public hospitals, the government has set up policies for e-Health and the level of awareness is high as well among health workers. But there are improvements to be made in order to assure that the adoption is successful. Lastly, a tailored adoption model was proposed describing what should be done and how in order to assure a successful adoption of a BDA in public hospitals.  

The economic burden of vertigo and dizziness in the United States

2020 ◽  
pp. 1-10
Author(s):  
Jeremy S. Ruthberg ◽  
Chandruganesh Rasendran ◽  
Armine Kocharyan ◽  
Sarah E. Mowry ◽  
Todd D. Otteson
Keyword(s):  
United States ◽  
Health Care ◽  
Economic Burden ◽  
Clinical Characteristics ◽  
Care Service ◽  
Adult Population ◽  
Health Care Service ◽  
The United States ◽  
Medical Expenditures ◽  
Limited Information

BACKGROUND: Vertigo and dizziness are extremely common conditions in the adult population and therefore place a significant social and economic burden on both patients and the healthcare system. However, limited information is available for the economic burden of vertigo and dizziness across various health care settings. OBJECTIVE: Estimate the economic burden of vertigo and dizziness, controlling for demographic, socioeconomic, and clinical comorbidities. METHODS: A retrospective analysis of data from the Medical Expenditures Panel Survey (2007–2015) was performed to analyze individuals with vertigo or dizziness from a nationally representative sample of the United States. Participants were included via self-reported data and International Classification of Diseases, 9th Revision Clinical Modification codes. A cross-validated 2-component generalized linear model was utilized to assess vertigo and dizziness expenditures across demographic, socioeconomic and clinical characteristics while controlling for covariates. Costs and utilization across various health care service sectors, including inpatient, outpatient, emergency department, home health, and prescription medications were evaluated. RESULTS: Of 221,273 patients over 18 years, 5,275 (66% female, 34% male) reported either vertigo or dizziness during 2007–2015. More patients with vertigo or dizziness were female, older, non-Hispanic Caucasian, publicly insured, and had significant clinical comorbidities compared to patients without either condition. Furthermore, each of these demographic, socioeconomic, and clinical characteristics lead to significantly elevated costs due to having these conditions for patients. Significantly higher medical expenditures and utilization across various healthcare sectors were associated with vertigo or dizziness (p <  0.001). The mean incremental annual healthcare expenditure directly associated with vertigo or dizziness was $2,658.73 (95% CI: 1868.79, 3385.66) after controlling for socioeconomic and demographic characteristics. Total annual medical expenditures for patients with dizziness or vertigo was $48.1 billion. CONCLUSION: Vertigo and dizziness lead to substantial expenses for patients across various healthcare settings. Determining how to limit costs and improve the delivery of care for these patients is of the utmost importance given the severe morbidity, disruption to daily living, and major socioeconomic burden associated with these conditions.

scholarly journals Adopt, adapt, or abandon technology-supported person-centred care initiatives: healthcare providers’ beliefs matter

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kari Dyb ◽  
Gro Rosvold Berntsen ◽  
Lisbeth Kvam
Keyword(s):  
Information Technologies ◽  
Scale Up ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Analytical Framework ◽  
Development Project ◽  
Technology Support ◽  
Care Needs ◽  
Term Care

Abstract Background Technology support and person-centred care are the new mantra for healthcare programmes in Western societies. While few argue with the overarching philosophy of person-centred care or the potential of information technologies, there is less agreement on how to make them a reality in everyday clinical practice. In this paper, we investigate how individual healthcare providers at four innovation arenas in Scandinavia experienced the implementation of technology-supported person-centred care for people with long-term care needs by using the new analytical framework nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability (NASSS) of health and care technologies. We also discuss the usability and sensitivity of the NASSS framework for those seeking to plan, implement, and evaluate technology-supported healthcare programmes. This study is part of an interdisciplinary research and development project called Patients and Professionals in Partnership (2016–2020). It originates at one of ten work packages in this project. Method The main data consist of ethnographic field observations at the four innovation arenas and 29 interviews with involved healthcare providers. To ensure continuous updates and status on work in the four innovation arenas, we have also participated in a total of six annual network meetings arranged by the project. Results While the NASSS framework is very useful for identifying and communicating challenges with the adoption and spread of technology-supported person-centred care initiatives, we found it less sensitive towards capturing the dedication, enthusiasm, and passion for care transformation that we found among the healthcare providers in our study. When it comes to technology-supported person-centred care, the point of no return has passed for the involved healthcare providers. To them, it is already a definite part of the future of healthcare services. How to overcome barriers and obstacles is pragmatically approached. Conclusion Increased knowledge about healthcare providers and their visions as potential assets for care transformation might be critical for those seeking to plan, implement, and evaluate technology-supported healthcare programmes.

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