scholarly journals Determination of Unclaimed Prescriptions at an Outpatient Department, Songklanagarind Hospital

1999 ◽  
Vol 12 (6) ◽  
pp. 433-440 ◽  
Author(s):  
Sudaruk Leu ◽  
Kulpus Eng
Keyword(s):  
Health Care Providers ◽  
Medical Records ◽  
Drug Class ◽  
Emergency Services ◽  
Care Center ◽  
Tertiary Care ◽  
Care Providers ◽  
Use Of Emergency Services ◽  
Improve Patient

Unclaimed prescriptions are an initial indication of noncompliance. Although the patients receive the best treatment, they may fail to take their medicines. As a result, the illness may not be relieved and this can lead to hospitalization or use of emergency services. This study was conducted to determine the characteristics and reasons for unclaimed prescriptions in a 680-bed and tertiary care center from July to October 1997. Patients' data were collected from medical records and from questionnaires that asked for the reasons prescriptions were not claimed. During the four-month period, 695 unclaimed prescriptions were identified, accounting for approximately 0.67% of all prescriptions filled. Results showed that patients least likely to claim a prescription included women, those who visited the hospital during official hours, those who had chronic disease, and those who went to see internal medicine physicians. Three most common diseases were those involving respiratory system (8.6%), musculoskeletal system (6.3%), and genitourinary system (6.0%). More than half (56.5%) were treated with the essential drugs. Neuromuscular agent was the most frequent drug class of unclaimed prescriptions, followed by respiratory agent, dermatological agent, and vitamins and minerals. Of the 695 patients, 152 patients responded to the questionnaires. Sixty-one patients indicated that they had received their medications later on and, therefore, were excluded from the analysis. Thus, 61 questionnaires were analyzed. The most important reason patients did not claim their prescriptions was cost (22.0%). The next most frequently mentioned reasons were forgetfulness (12.1%), business (11.0%), and lack of communication (8.8%). These patients need to be counseled about the importance of taking their medicines. In addition, health care providers should develop strategies to improve patient compliance with their medications.

scholarly journals Clinical Breast Examination Campaign: Experience From Thiruvananthapuram, South India

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 137s-137s ◽  
Author(s):  
R. Jose ◽  
P. Augustine ◽  
A . Bindhu S ◽  
S. Rose Sebasitan ◽  
D. VA ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Health Care Providers ◽  
Screening Program ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Care Providers ◽  
Regular Screening ◽  
Breast Awareness

Background and context: Thiruvananthapuram has the highest breast cancer incidence in India and majority of cases are detected late pointing to the inefficiency of early detection programs. Primary health care providers do not advise regarding regular screening and most women never resort to any screening practices. Mammogram is not cost-effective and clinical breast examination (CBE) is not popular as a screening modality in our population. Aim: To describe the conduct, utilization and outcome of mass screening program conducted in Thiruvananthapuram. Strategy: A mass screening program with media publicity to motivate organizations and residential associations was planned. CBE was conducted by one of the five lady doctors who were trained by an expert breast surgeon at a tertiary care center to detect suspicious lumps. All suspicious cases referred to experts who would further evaluate the cases at a clinic outside the tertiary care center. Advocacy and expert service at accessible sites and availability of expert service outside the tertiary care center at convenient timings improved the acceptance of screening. Intersectoral coordination, community participation, accessible expert services and appropriate technology were followed. Program/Policy process: 9942 women had CBE along with breast awareness in 101 camps over 66 days and it was probably “the first ever marathon breast cancer screening campaign” in the world. Sociodemographic variables, details regarding previous screening, breast symptoms and known risk factors were collected. Anyone with suspicious findings was referred to experts. Outcomes: 868 (8.73%) women with suspicious findings were referred to experts who advised 258 mammograms and confirmed breast cancer in 16 women (1.61 per 1000 women). Mean age was 45.46 years. 82.5% had screening for the first time. Uniformity in examination, three levels of screening and minimum utilization of diagnostic procedures makes this campaign distinct from others. All participants are kept on follow-up through a free clinic maintained by a nonprofit NGO in Thiruvananthapuram. Effective planning and selfless service along with coordinated effort of an apex institution (Regional Cancer Centre, Thiruvananthapuram), a private medical college (Sree Gokulam Medical College, Thiruvananthapuram) and media partners were the key to success. What was learned: Early detection of breast cancer is possible by CBE, provided women can be motivated for regular screening and adequate expertise is available. CBE campaigns can improve screening behavior and breast awareness among women. Primary health care providers and mass media could educate women regarding the benefits of breast awareness and motivate them for regular screening. Proper referral system including certified intermediate referral centers should be in place to ensure the success of early detection by CBE.

scholarly journals Evaluation of the frequency of patients with cancer presenting to an emergency department

2020 ◽  
Vol 66 (10) ◽  
pp. 1402-1408
Author(s):  
Cem Isikber ◽  
Muge Gulen ◽  
Salim Satar ◽  
Akkan Avci ◽  
Selen Acehan ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Services ◽  
Care Center ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Care Hospital ◽  
Oncological Emergency ◽  
Frequency Of Use ◽  
Hospital Patients ◽  
Use Of Emergency Services

SUMMARY OBJECTIVE: This study aims to determine the demographic characteristics of cancer patients admitted to an emergency department and determine the relationship between the frequency of admission to the emergency department and oncological emergencies and their effect on mortality. METHODS: This observational, prospective, diagnostic accuracy study was performed in the ED of a tertiary care hospital. Patients over the age of 18 who were previously diagnosed with cancer and admitted to the emergency service for medical reasons were included in the study. We recorded baseline characteristics including age, gender, complaints, oncological diagnosis, metastasis status, cancer treatments received, the number of ED admissions, structural and metabolic oncological emergency diagnoses in the ED, discharge status, length of hospital stay, and mortality status. RESULTS: In our study, 1205 applications related to the oncological diagnosis of 261 patients were examined. 55.6% of the patients were male, and 44.4% were female. The most common metabolic oncological emergency was anemia (19.5%), and the most common structural oncological emergency was bone metastasis-fracture (4.6%.) The mean score of admission of patients to the emergency department was four times (min: 1 max: 29) during the study period. A total of 49.4% (n: 129) of the patients included in the study died during follow-up, and the median time of death was 13 days after the last ED admission. CONCLUSION: The palliation of patient symptoms in infusion centers that will be established in the palliative care center will contribute to the decrease in the frequency of use of emergency services.

The Future of Oncology Care with Personal Health Records

2012 ◽  
pp. e66-e69 ◽  
Author(s):  
Henry Feldman ◽  
Elizabeth S. Rodriguez
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Records ◽  
Clinical Information ◽  
Personal Health Records ◽  
Personal Health ◽  
Patient Portal ◽  
Care Providers ◽  
Health Records ◽  
Improve Patient

Overview: Personal health records (PHRs) and patients' access to their own clinical information through a patient portal are changing the patient-physician relationship. Historically, health care providers have been gatekeepers of patients' medical records. Now, these portals provide patients access to clinical information, electronic messaging with the clinical team, and appointment and billing information. This type of access supports patient empowerment by engaging patients in their own care. Patients desire online access to information. The health care industry, like any other, must respond to the needs of its consumers. Oncology practices face unique challenges to meeting this need because of the complex nature of medical records of patients with cancer. Health care providers worry about the consequences of patients receiving “bad news” online, thereby increasing patient anxiety. This anxiety may, in turn, increase providers' workload by creating additional calls or visits to the office. These valid concerns require careful consideration when implementing a PHR or patient portal into a practice. Providers will benefit from a clear understanding of actual compared with potential risks and benefits. Much of the concerns about the negative effect on providers' workload and the potential increase in patients' anxiety have not been borne out. On the other hand, the implementation strategy, governance structure, and end-user education are crucial components to ensuring success. Successful implementation of a PHR or patient portal affords the opportunity to improve patient satisfaction and increase efficiency in provider workflow. The possibility exists to improve patient outcomes by engaging the patient in decision making and follow through.

scholarly journals AN OBSERVATIONAL STUDY OF ATYPICAL ECLAMPSIA AND ITS MANAGEMENT IN TERTIARY CARE CENTER OF CENTRAL INDIA

2021 ◽  
Vol 9 (02) ◽  
pp. 659-662
Author(s):  
Aarti Jeenwal ◽  
◽  
Anupama Dave ◽  
Ranjana Patil ◽  
Pooja Gangwar ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Gestational Hypertension ◽  
Care Center ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Central India ◽  
Care Providers ◽  
Prodromal Symptoms ◽  
Atypical Form ◽  
Atypical Presentations

Background: Eclampsia is development of convulsions and/or unexplained coma at more than 20 weeks gestation and /or less than 48 hours after delivery.In case if eclampsia occurs before 20 weeks or after 48 hours postpartum or in absence of typical signs of hypertension and/or proteinuria, it is called atypical eclampsia. Diagnosis and management of these cases is a challenge for obstetricians. Method: An observational Prospective study conducted in the Department of Obstetrics and Gynecology, M.G.M. Medical College and M.Y.H. Hospital Indore, from Jan 2019 - Dec 2019. Data was collected regarding the relationship of the patients first seizure to delivery interval, prodromal symptoms, use of magnesium sulfate, antihypertensive therapy and follow up medical care. Results: Total 284 eclampsia patient were admitted in the year, of which 59 (20.7%) of these patient showed atypical feature.Moratlity in eclampsia patient in the year was 34 out of the total 96 maternal death i.e. 35.41% in year. Out of these 34eclamptic deaths, death due to atypical eclampsia was 09 i.e. 26.47%.Main cause of mortality in both eclampsia and atypical form was Pulmonary edema. Conclusion: We recommend that health care providers in obstetric practice should have a high index of suspicion for the potential atypical clinical manifestations of eclampsia, irrespective of gestational age at the time of onset or the number of days after delivery, prodromal symptoms, gestational hypertension or pre eclampsia or proteinuria. Obstetricians should be aware of atypical presentations, maintain a high level of suspicion, and be ready to take immediate steps.

scholarly journals Knowledge and Attitudes of Health Care Providers Toward Transgender Patients Within a Rural Tertiary Care Center

2019 ◽  
Vol 4 (1) ◽  
pp. 24-34 ◽  
Author(s):  
Shon P. Rowan ◽  
Christa L. Lilly ◽  
Robert E. Shapiro ◽  
Kacie M. Kidd ◽  
Rebecca M. Elmo ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Care Providers ◽  
Knowledge And Attitudes

scholarly journals Sickness presenteeism among health care providers in an academic tertiary care center in Riyadh

2017 ◽  
Vol 10 (6) ◽  
pp. 711-715 ◽  
Author(s):  
Mohammed Al Nuhait ◽  
Khaled Al Harbi ◽  
Amjad Al Jarboa ◽  
Rami Bustami ◽  
Shmaylan Alharbi ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Care Providers ◽  
Sickness Presenteeism

scholarly journals Overuse of Health Care in the Emergency Services in Chile

2021 ◽  
Vol 18 (6) ◽  
pp. 3082
Author(s):  
Ximena Alvial ◽  
Alejandra Rojas ◽  
Raúl Carrasco ◽  
Claudia Durán ◽  
Christian Fernández-Campusano
Keyword(s):  
Public Health ◽  
Emergency Services ◽  
Clinical Care ◽  
Tertiary Care ◽  
Public Health Policies ◽  
The Public ◽  
Healthcare Network ◽  
Use Of Emergency Services ◽  
Low Coverage ◽  
Different Levels

The Public Health Service in Chile consists of different levels of complexity and coverage depending on the severity and degree of specialization of the pathology to be treated. From primary to tertiary care, tertiary care is highly complex and has low coverage. This work focuses on an analysis of the public health system with emphasis on the healthcare network and tertiary care, whose objectives are designed to respond to the needs of each patient. A review of the literature and a field study of the problem of studying the perception of internal and external users is presented. This study intends to be a contribution in the detection of opportunities for the relevant actors and the processes involved through the performance of Triage. The main causes and limitations of the excessive use of emergency services in Chile are analyzed and concrete proposals are generated aiming to benefit clinical care in emergency services. Finally, improvements related to management are proposed and the main aspects are determined to improve decision-making in hospitals, which could be a contribution to public health policies.

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