scholarly journals Patient satisfaction with pharmaceutical services in Brazilian primary health care

2017 ◽  
Vol 51 ◽  
pp. 21s ◽  
Author(s):  
Orlando Mario Soeiro ◽  
Noêmia Urruth Leão Tavares ◽  
José Miguel do Nascimento Júnior ◽  
Augusto Afonso Guerra Junior ◽  
Ediná Alves Costa ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Pharmaceutical Services ◽  
Chi Square ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Primary Health ◽  
Chi Square Test

OBJECTIVE: To evaluate patient satisfaction with pharmaceutical services in Brazilian primary health care. METHODS: This is a cross-sectional, exploratory, and evaluative study on a representative sample from the five Brazilian geopolitical regions resulting from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). The outcome was the patient’s satisfaction, obtained using the item response theory. Associations were tested using Pearson’s Chi-square test with sociodemographic and health variables, and multiple logistic regression analyses were carried out. The Hosmer-Lemeshow test was used to verify the adequacy of the final model. Logistic regression results were presented as odds ratio. RESULTS: The overall percentage of patients satisfied with these services was 58.4% (95%CI 54.4-62.3). The “opportunity/convenience” aspect had the lowest satisfaction percentage (49.5%; 95%CI 46.4-52.6) and “interpersonal aspects,” the highest percentage (90.5%; 95%CI 88.9-91.8), significantly higher than other aspects. Sex, age group, limitations due to disease, and self-perception of health remained associated in the final multiple logistic model regarding general satisfaction. CONCLUSIONS: Most of the interviewed users were satisfied with pharmaceutical services in Brazilian cities, and the satisfaction with the customer’s service was determinant in the patient’s overall satisfaction

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.

scholarly journals Hubungan Antenatal Care terhadap Kejadian Stunting pada Balita Usia 0-24 Bulan di Wilayah Kerja Puskesmas Seberang Padang Tahun 2019

2021 ◽  
Vol 1 (3) ◽  
pp. 246-253
Author(s):  
Nurul Ramadhini ◽  
Delmi Sulastri ◽  
Dolly Irfandi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Antenatal Care ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
Chi Square Test ◽  
Cross Sectional Design

Latar Belakang. Stunting atau disebut juga dengan kerdil adalah keadaan dimana tinggi badan anak tidak sesuai dengan usianya dikarenakan kekurangan asupan gizi pada saat didalam kandungan dan awal kehidupan. Salah satu faktor yang mempengaruhi terjadinya stunting pada anak adalah riwayat antenatal care ibu selama hamil. Objektif. Mengetahui hubungan antenatal care terhadap kejadian stunting pada balita berusia 0 – 24 bulan di wilayah kerja Puskesmas Seberang Padang tahun 2019. Metode. Penelitian ini merupakan penelitian analitik observasional dengan desain cross sectional pada 79 anak usia 0-24 bulan di wilayah kerja Puskesmas Seberang Padang yang dipilih melalui simple random sampling. Analisis data dilakukan dengan uji chi square. Hasil. Penelitian dilakukan dengan wawancara dan observasi buku KIA serta hasil pengukuran panjang badan anak menggunakan infantometer. Prevalensi stunting (13,9%), sebagian besar ibu memiliki kunjungan antenatal care lengkap (19,4%) dan mendapatkan kualitas antenatal care yang baik (15,8%). Nilai signifikansi kunjungan antenatal care 0,325 dan kualitas antenatal care 0,720. Simpulan. Antenatal care tidak berhubungan secara signifikan dengan kejadian stunting karena p>0,05. Kata kunci : pemeriksaan rutin selama hamil, kerdil, puskesmas, balita 0-24 bulan.   Background. Stunting or also called dwarf is a condition where the height of the child does not match his age due to lack of nutritional intake at the time during pregnancies and early life. One of the factors that influence stunting in children is a history of maternal antenatal care during pregnancy. Objective. To determine the relationship of antenatal care to the incidence of stunting in infants aged 0-24 months in the working area of ​​ Seberang Padang Primary Health Center Care in 2019. Methods. This research was an observational analytic study with cross sectional design in 79 children aged 0-24 months in the working area of ​​Seberang Padang Primary Health Care which was selected through simple random sampling. Data analysis was performed with the chi square test. Results. The research was conducted by interviews and observations of maternal and child health books and the results of measurements of children's body length using an infantometer. The prevalence of stunting (13.9%), most mothers have complete antenatal care visits (19.4%) and get good quality antenatal care (15.8%). The significance value of antenatal care visits is 0.325 and the quality of antenatal care is 0.720. Conclusion. Antenatal care is not significantly related to the incidence of stunting because of p>0.05. Keywords : antenatal care, stunting, primary health care, toddlers 0-24 month.  

scholarly journals Factors associated with delay in seeking care by tuberculosis patients

2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 646-651 ◽  
Author(s):  
Dândara Nayara Azevêdo Dantas ◽  
Bertha Cruz Enders ◽  
Déborah Raquel Carvalho de Oliveira ◽  
Caroline Evelin Nascimento Kluczynic Vieira ◽  
Ana Angélica Rêgo de Queiroz ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Search Time ◽  
Self Medication ◽  
Chi Square ◽  
Cross Sectional ◽  
Tuberculosis Patients ◽  
A Value ◽  
Primary Health ◽  
Behavioral Variables

ABSTRACT Objective: To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care. Method: This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant. Results: No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively). Conclusion: Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.

scholarly journals Workforce in the pharmaceutical services of the primary health care of SUS, Brazil

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Marselle Nobre Carvalho ◽  
Juliana Álvares ◽  
Karen Sarmento Costa ◽  
Augusto Afonso Guerra Junior ◽  
Francisco de Assis Acurcio ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pearson Correlation ◽  
Pharmaceutical Services ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Primary Health ◽  
Geographical Regions ◽  
Municipal Management ◽  
Workforce Composition

OBJECTIVE: To characterize the workforce in the pharmaceutical services in the primary care of the Brazilian Unified Health System (SUS). METHODS: This is a cross-sectional and quantitative study, with data from the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015). For the analysis, we considered the data stratification into geographical regions. We analyzed the data on workers in the municipal pharmaceutical services management and in the medicine dispensing units, according to the country’s regions. For the statistical association analysis, we carried out a Pearson correlation test for the categorical variables. RESULTS: We analyzed 1,175 pharmacies/dispensing units, 507 phone interviews (495 pharmaceutical services coordinators), and 1,139 professionals responsible for medicine delivery. The workforce in pharmaceutical services was mostly constituted by women, aged from 18 to 39 years, with higher education (90.7% in coordination and 45.5% in dispensing units), having permanent employment bonds (public tender), being for more than one year in the position or duty, and with weekly work hours above 30h, working both in municipal management and in medicine dispensing units. We observed regional differences in the workforce composition in dispensing units, with higher percentage of pharmacists in the Southeast and Midwest regions. CONCLUSIONS: The professionalization of municipal management posts in primary health care is an achievement in the organization of the workforce in pharmaceutical services. However, significant deficiencies exist in the workforce composition in medicine dispensing units, which may compromise the medicine use quality and its results in population health

scholarly journals Patient satisfaction with nurse-delivery primary health care services in Free State and Gauteng provinces, South Africa: A comparative study

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Wilfred N. Nunu ◽  
Pascalia O. Munyewende
Keyword(s):  
South Africa ◽  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Free State ◽  
Satisfaction Survey ◽  
Health Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health

Background: The majority of health care users in South Africa utilise primary health care (PHC) services where these services are free at the point of entry. There is a dearth of knowledge on the factors influencing patient satisfaction with PHC clinic services.Aim: This study compared patient satisfaction with PHC services in the Free State (FS) and Gauteng (GP) provincesSetting: Secondary data analysis was conducted on a cross-sectional survey obtained from the Research on the State of Nursing Project run by the Centre for Health Policy in 2012.Methods: A pre-tested satisfaction survey questionnaire with questions on facility evaluation, experience with providers and receipt of medication was administered to 1110 systematically randomly sampled adult patients attending antiretroviral, hypertension, diabetes and tuberculosis services.Results: Of 1110 respondents, 1096 responded to the patient satisfaction survey signifying a 98.8% response rate. Over 60% of respondents were women in both provinces. Over 90% of patients were satisfied with PHC services in both provinces. Factors associated with satisfaction in GP and FS were time spent waiting for consultation, nurses listened, being given information on condition and being treated politely. Having privacy respected came out as a significant factor in FS.Conclusions: High levels of satisfaction with PHC services were experienced by study participants in both provinces. Satisfied patients adhere to treatment plans and have better health-seeking behaviour, which translates to improved clinical outcomes. Therefore, nurses should continue listening, respecting and treating their patients with politeness, and also implement efficient work schedules to reduce patient waiting times.

scholarly journals Implementation of pharmaceutical services in Brazilian primary health care: a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Nathália Cano Pereira ◽  
Vera Lucia Luiza ◽  
Mônica Rodrigues Campos ◽  
Luisa Arueira Chaves
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Care Management ◽  
Implementation Fidelity ◽  
Federal District ◽  
Cross Sectional Study ◽  
Pharmaceutical Services ◽  
Cross Sectional ◽  
Primary Health

Abstract Background In the Brazilian public health system, primary health care (PHC) is provided by the municipalities and is considered the entry level of the Unified Health System (SUS). Governmental pharmaceutical services (PharmSes) are part of the SUS, including PHC, and are the most significant way in which patients access medicine and services. Considering the diversity of the country, the municipalities have the autonomy to decide how PharmSes are implemented. Even though policies and procedures should be implemented as expected by policy makers and experts, municipality characteristics may interfere with implementation fidelity. Therefore, this study evaluated the degree to which the PharmSes in PHC were delivered as intended in Brazilian municipalities. Methods We analysed data from a secondary database originating from a cross-sectional nationwide study carried out by the Ministry of Health and the World Bank from 2013 to 2015. Data on 465 municipalities and the Federal District were collected from 4939 governmental PharmSes. A rating system comprising 43 indicators was developed and applied to the dataset to obtain the implementation degree (ID) of each PharmSe. Additionally, the IDs of the two PharmSes dimensions and the nine components were measured. Results Overall, the ID of the PharmSes in Brazilian PHC was evaluated as critical. The ID was critical in 81% of the municipalities (n = 369), incipient in 14% (n = 65) and unsatisfactory in 4.8% (n = 22). Regarding the PharmSes dimensions, the ‘medicine management’ (MM) ID was considered critical (Mean = 46%), while the ‘care management’ (CM) ID was incipient (Mean = 22%). In terms of the PharmSes components, the highest ID was achieved by ‘forecasting’ (58%). In contrast, ‘continuing education and counselling’ showed the lowest figure (ID = 11%) in the whole sample, followed by ‘information and communication’ and ‘teamwork’. Conclusions The degree to which PharmSes were implemented was critical (ID< 50%). This analysis demonstrated that PharmSes were implemented with low fidelity, which may be related to the low availability of medicine in PHC. Although the care management component requires more attention, considering their incipient ID, all components must be reviewed. Municipalities must increase their investment in PharmSes implementation in order to maximize the benefits of these services and guarantee the essential right of access to medicine.

scholarly journals Diabetic Neuropathy among Type 2 Diabetes Mellitus Patients at Amplas Primary Health Care in Medan City

2019 ◽  
Vol 7 (20) ◽  
pp. 3400-3403 ◽  
Author(s):  
Rina Amelia ◽  
Arlinda Sari Wahyuni ◽  
Yuki Yunanda
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Primary Health Care ◽  
Diabetic Neuropathy ◽  
Chi Square ◽  
Clinical Neurological Examination ◽  
Type 2 Dm ◽  
Primary Health ◽  
Chi Square Test

BACKGROUND: Diabetic neuropathy is one of the most complicated complications of diabetes patients with Type 2 diabetes. AIM: The purpose of this study was to determine the diagnosis of diabetic neuropathy based on Clinical Neurological Examination (CNE) and the factors that influence the occurrence of diabetic neuropathy in Type 2 DM patients at Amplas Primary Health Care (PHC) in Medan City. METHODS: The research design was descriptive-analytic with the cross-sectional approach. The study population was all Type 2 DM patients who came to Amplas PHC with a total sample of 53 people using the consecutive sampling. The research data source is primary data, namely the assessment of diabetic neuropathy using the Clinical Neurological Examination (CNE) criteria. Data were processed using SPSS and analysis using the chi-square test. RESULTS: The results showed the majority of Type 2 DM patients had mild neuropathy as many as 24 people (45.3%). The Chi-square test results showed there was a relationship between age and duration of diabetes with the incidence of diabetic neuropathy in Type 2 DM patients at Amplas Primary Health Care. CONCLUSION: Education and early detection with proper management can prevent more severe complications so that the quality of life of patients can be maintained better.

scholarly journals Kepuasan Pasien Rawat Jalan terhadap Pelayanan Kefarmasian di Rumah Sakit dan Puskesmas di 11 Provinsi di Indonesia

2020 ◽  
pp. 42-49
Author(s):  
Nita Prihartini ◽  
Yuyun Yuniar ◽  
Andi Leny Susyanty ◽  
Raharni Raharni
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sex Education ◽  
Pharmaceutical Products ◽  
Further Education ◽  
Pharmaceutical Services ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health

Pharmaceutical services is a direct service and responsible to patients relating to pharmaceutical products aimed to improve the quality of life of patients. Quality of pharmaceutical services can be assessed based on outpatient satisfaction. The aim of the study was to compare the satisfaction of outpatients with pharmaceutical services in hospitals and primary health care. This study used a cross-sectional comparative study design and was conducted in February-November 2017 in 11 provinces, each province consisting of 2 districts/cities selected purposively. Samples were outpatients who got medicines in hospitals or primary health care at least 31 patients in each pharmacy. Satisfaction was assessed by the dimension of responsiveness, reliability, collateral, friendliness, and physical evidence. Data was collected by the questionnaires and analyzed using chi-square test. The results of the study show that outpatient satisfaction with pharmaceutical services in hospital and primary health care was 90,9% and 96.6%, respectively. The largest percentage of outpatients in hospitals and primary health care are in the age group of 40-59 years, female, has further education, and not working/housewives. There were significant differences in the age group, gender, and education of outpatients between hospitals and primary health care. There was no significant relationship between the characteristics (age, sex, education, occupation) of outpatients and satisfaction with pharmaceutical services in hospitals and primary health care

scholarly journals Preventive Behavior Towards Maya Index at DHF Endemic Area

2021 ◽  
Vol 13 (1) ◽  
pp. 1
Author(s):  
Tiwik Suci Pratiwi ◽  
Edza Aria Wikurendra ◽  
Ririh Yudhastuti ◽  
Yudhied Agung Mirasa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Significant Relationship ◽  
Community Health Center ◽  
Risk Level ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Primary Health ◽  
The Relationship

Introduction: Primary health care Putat Jaya is an area with the highest number of DHF cases out of the three primary health care in Sawahan District, Surabaya City. The number of breeding sites for mosquitoes and the density of larvae can be the risk factors that affect mosquitoes’ spread. Maya Index is an indicator to measure the number of water reservoirs used as breeding grounds for mosquitoes. This study aims to analyze behavioral factors towards virtual index in dengue-endemic areas in the Primary health care Putat Jaya Surabaya. Methods: The research used observational type with a cross-sectional design. The population of this study was all houses in the highest endemic. The sample consisted of 100 houses taken randomly, with research variables including mosquito nests eradication behavior and Maya Index status. Data collection used questionnaires and direct observation. The data were presented in the form of distribution tables and statistically analyzed with the chi-square test. Results and Discussion: The results showed the Maya Index of 74 houses in the high category. There was a significant relationship between the respondent’s behavior (knowledge, attitude, action) and the Maya Index. Analysis of the relationship between respondents’ knowledge and Maya Index showed that the p-value = 0.00. Analysis of the relationship between respondents’ attitudes with the Maya Index shows that p-value = 0.02. Furthermore, there was a significant relationship between the respondent’s actions and the Maya Index with a p-value = 0.03. Conclusion: Based on the results of research, community behavior (Knowledge, Attitude, Action) has a significant relationship with the Maya Index level, and the high virtual index affects the risk level of DHF transmission. Knowledge was the most potential factor that affected the Maya Index. It is suggested that the community will often strive to eradicate mosquito nests independently and regularly as well as increase community knowledge with the help of community health center officers regarding the eradication of mosquito nets.

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