Household costs of seeking outpatient care in Egyptian children with diarrhea: a cross-sectional study

Background: The increasing prevalence of patients with multimorbidity in the general population affects the health-care system. There is a lack of knowledge of the proportion of patients attending multiple hospital outpatient specialty clinics simultaneously. Objective: This study describes the development in the proportion of patients managed simultaneously in multiple hospital outpatient specialty clinics. Design: We obtained three cross-sectional samples from all of the hospitals in Denmark. The data set consists of adults (age 18+) in long-term outpatient care on January 1 in 2004, 2009, and 2014 with one or more of 50 consensus-selected chronic diseases. Descriptive statistics were used to examine and compare the proportion of patients treated simultaneously in multiple outpatient specialty clinics. We also investigated the most common combinations of outpatient specialty clinics. Results: In 2004, 176,786 patients with chronic diseases were registered as receiving outpatient care in Denmark. This figure increased to 246,542 patients in 2009 and 341,015 in 2014. The proportion of patients managed simultaneously in multiple outpatient specialty clinics was 4.0% in 2004, 5.5% in 2009, and 7.7% in 2014. The most common specialty clinic combination was endocrinology and cardiology, accounting for 12.1% in 2004, 11.5% in 2009, and 9.6% in 2014. Conclusions: The proportion of patients in multiple clinics nearly doubled over a 10-year period. While there were some common specialty clinic combinations in which patients were treated most often, there was also considerable variation. Further studies are needed to identify generic and disease-specific initiatives.

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Characteristics of prescriptions and costs for acute upper respiratory tract infections in Chinese outpatient pediatric patients: a nationwide cross-sectional study

BMC Complementary Medicine and Therapies ◽

10.1186/s12906-020-03141-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Shan Wang ◽

Lihua Liu ◽

Jianchao Liu ◽

Likun Miao ◽

Qian Zhuang ◽

...

Keyword(s):

Outpatient Care ◽

Pediatric Patients ◽

Cross Sectional Study ◽

Upper Respiratory Tract ◽

Sectional Study ◽

Cross Sectional ◽

Short Supply ◽

Upper Respiratory ◽

Tract Infections ◽

Clinical Records

Abstract Background To understand the characteristics of prescriptions and costs in pediatric patients with acute upper respiratory infections (AURI) is important for the regulation of outpatient care and reimbursement policy. This study aims to provide evidence on these issues that was in short supply. Methods We conducted a retrospective cross-sectional study based on data from National Engineering Laboratory of Application Technology in Medical Big Data. All outpatient pediatric patients aged 0–14 years with an uncomplicated AURI from 1 January 2015 to 31 December 2017 in 138 hospitals across the country were included. We reported characteristics of patients, the average number of medications prescribed per encounter, the categories of medication used and their percentages, the cost per visit and prescription costs of drugs. For these measurements, discrepancies among diverse groups of age, regions, insurance types, and AURI categories were compared. Kruskal-Wallis nonparametric test and Student-Newman-Keuls test were performed to identify differences among subgroups. A multinomial logistic regression was conducted to examine the independent effects of those factors on the prescribing behavior. Results A total of 1,002,687 clinical records with 2,682,118 prescriptions were collected and analyzed. The average number of drugs prescribed per encounter was 2.8. The most frequently prescribed medication was Chinese traditional patent medicines (CTPM) (36.5% of overall prescriptions) followed by antibiotics (18.1%). It showed a preference of CPTM over conventional medicines. The median cost per visit was 17.91 USD. The median drug cost per visit was 13.84 USD. The expenditures of antibiotics and CTPM per visit (6.05 USD and 5.87 USD) were among the three highest categories of drugs. The percentage of out-of-pocket patients reached 65.9%. Disparities were showed among subgroups of different ages, regions, and insurance types. Conclusions The high volume of CPTM usage is the typical feature in outpatient care of AURI pediatric patients in China. The rational and cost-effective use of CPTM and antibiotics still faces challenges. The reimbursement for child AURI cases needs to be enhanced.

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Health Services' Profile Introduced to under Five Rural Egyptian Children: A Cross-Sectional Study

British Journal of Medicine and Medical Research ◽

10.9734/bjmmr/2015/13806 ◽

2015 ◽

Vol 6 (6) ◽

pp. 597-605

Author(s):

Ghada El-Khawaga ◽

Farida Abdel-Wahab

Keyword(s):

Health Services ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Under Five ◽

Egyptian Children

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Nursing diagnosis sedentary lifestyle in individuals with hypertension: an analysis of accuracy

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-6234201400005000005 ◽

2014 ◽

Vol 48 (5) ◽

pp. 804-810 ◽

Cited By ~ 4

Author(s):

Larissa Castelo Guedes Martins ◽

Marcos Venícios de Oliveira Lopes ◽

Nirla Gomes Guedes ◽

Iane Ximenes Teixeira ◽

Vanessa Emille Carvalho de Souza ◽

...

Keyword(s):

Outpatient Care ◽

Daily Living ◽

Sedentary Lifestyle ◽

Poor Performance ◽

Cross Sectional Study ◽

Daily Routine ◽

Sectional Study ◽

Cross Sectional ◽

Clinical Indicators ◽

Nursing Diagnosis

Objective Assessing the accuracy of the defining characteristics (DC) of the nursing diagnosis Sedentary Lifestyle (SL) in people with hypertension. Method A cross-sectional study carried out in a referral center in the outpatient care of people with hypertension and diabetes, with a sample of 285 individuals. The form used in the study was designed from operational definitions constructed for each DC of the diagnosis. Four nurses with training to carry out diagnostic inferences did the clinical assessment for the presence of SL. Results The prevalence of SL was 55.8%. Regarding measures of accuracy, the main DC for SL was chooses a daily routine lacking physical exercise, with sensitivity of 100% and specificity of 84.13%. Two DC stood out in the logistic regression, namely: reports preference for activities low in physical activity and poor performance in instrumental activities of daily living (IADL). Conclusion The results allowed identifying the best clinical indicators for SL in hypertensive adults.

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