scholarly journals Factors associated with patients’ and GPs’ assessment of the burden of treatment in multimorbid patients: a cross-sectional study in primary care

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Lilli Herzig ◽  
Andreas Zeller ◽  
Jérôme Pasquier ◽  
Sven Streit ◽  
Stefan Neuner-Jehle ◽  
...  
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Burden Of Treatment ◽  
Multimorbid Patients

scholarly journals Factors associated with health literacy in multimorbid patients in primary care: a cross-sectional study in Switzerland

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018281 ◽  
Author(s):  
Alexandra A N’Goran ◽  
Jérôme Pasquier ◽  
Anouk Deruaz-Luyet ◽  
Bernard Burnand ◽  
Dagmar M Haller ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Health Literacy ◽  
Cross Sectional Study ◽  
Treatment Burden ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Multimorbid Patients

ObjectiveTo identify factors associated with health literacy in multimorbid patients.DesignA nationwide cross-sectional study in Switzerland. Univariate and multivariate linear regressions were calculated to identify variables associated with health literacy. A multiple imputation approach was used to deal with missing values.ParticipantsMultimorbid patients recruited in primary care settings (n=888), above 18 years old and suffering from at least 3 of 75 chronic conditions on a predefined list based on the International Classification of Primary Care 2.Main measuresHealth literacy was assessed using the European Health Literacy Survey project questionnaire (HLS-EU 6). This comprises six items scored from 1 to 4 (very difficult=1, fairly difficult=2, fairly easy=3, very easy=4), and the total health literacy score is computed as their mean. As we wished to understand the determinants associated with lower health literacy, the HLS-EU 6 score was the only dependent variable; all other covariates were considered independent.ResultsThe mean health literacy score (SD) was 2.9 (0.5). Multivariate analyses found significant associations between low health literacy scores and treatment burden scores (β=−0.004, 95% CI −0.006 to 0.002); marital status, predominantly the divorced group (β=0.136, 95% CI 0.012 to 0.260); dimensions of the EuroQuol 5 Dimension 3 Level (EQ5D3L) quality of life assessment, that is, for moderate problems with mobility (β=−0.086, 95% CI −0.157 to 0.016); and with moderate problems (β=−0.129, 95% CI −0.198 to 0.060) and severe problems with anxiety/depression (β=−0.343, 95% CI −0.500 to 0.186).ConclusionsMultimorbid patients with a high treatment burden, altered quality of life by problems with mobility, anxiety or depression, often also have low levels of health literacy. Primary care practitioners should therefore pay particular attention to these patients in their daily practice.

scholarly journals Adherence to treatment and related factors among patients with chronic conditions in primary care: a cross-sectional study

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Cesar I. Fernandez-Lazaro ◽  
Juan M. García-González ◽  
David P. Adams ◽  
Diego Fernandez-Lazaro ◽  
Juan Mielgo-Ayuso ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Cross Sectional Study ◽  
World Health ◽  
Healthcare Team ◽  
Sectional Study ◽  
Adherence To Treatment ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background Adherence to treatment, a public health issue, is of particular importance in chronic disease therapies. Primary care practices offer ideal venues for the effective care and management of these conditions. The aim of this study is to assess adherence to treatment and related-factors among patients with chronic conditions in primary care settings. Methods A cross-sectional study was conducted among 299 adult patients with ≥1 chronic condition(s) and prescribed medication in primary healthcare centers of Spain. The Morisky-Green-Levine questionnaire was used to assess medication adherence via face-to-face interviews. Crude and adjusted multivariable logistic regression models were used to analyze factors associated with adherence using the Multidimensional Model proposed by the World Health Organization — social and economic, healthcare team and system-related, condition-related, therapy-related, and patient-related factors. Results The proportion of adherent patients to treatment was 55.5%. Older age (adjusted odds ratio 1.31 per 10-year increment, 95% CI 1.01–1.70), lower number of pharmacies used for medication refills (0.65, 95% CI 0.47–0.90), having received complete treatment information (3.89, 95% CI 2.09–7.21), having adequate knowledge about medication regimen (4.17, 95% CI 2.23–7.80), and self-perception of a good quality of life (2.17, 95% CI 1.18–4.02) were independent factors associated with adherence. Conclusions Adherence to treatment for chronic conditions remained low in primary care. Optimal achievement of appropriate levels of adherence through tailored multifaceted interventions will require attention to the multidimensional factors found in this study, particularly those related to patients’ education and their information needs.

scholarly journals Primary care and population factors associated with NHS Health Check coverage: a national cross-sectional study

2013 ◽  
Vol 35 (3) ◽  
pp. 431-439 ◽  
Author(s):  
M. Artac ◽  
A. R. H. Dalton ◽  
H. Babu ◽  
S. Bates ◽  
C. Millett ◽  
...  
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Health Check ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Nhs Health Check

Factors associated with inappropriate attitude towards antibiotic usage among outpatients of a large public primary care center in Malaysia: A cross sectional study.

2020 ◽  
Author(s):  
Zati Sabrina Ahmad Zubaidi ◽  
Khasnur Abdul Malek ◽  
Zaliha Ismail
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Antibiotic Usage ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Care Specialist ◽  
Low Education ◽  
Knowledge And Attitude ◽  
The Relationship

Abstract Background: Antibiotic resistance is one of the biggest global threat in modern medicine. The situation is even more consequential in lower-and middle-income countries (LMIC) as financial limitations and political instability may become barriers to an impactful health policy. Therefore, The World Health organization has urge all nations to increase public awareness on antibiotic through effective educational interventions. In order for interventions to be successful, it is important to acknowledge that each country is unique in its problems as the demographic in LMIC are diverse. This study aims to identify the community’s attitude appropriateness towards antibiotic usage and their knowledge gaps, the relationship between antibiotic knowledge and their attitude as well as factors associated with inappropriate attitude towards antibiotic among outpatients attending an established primary care specialist center in Malaysia.Methodology : This cross-sectional study was conducted among 256 respondents attending a public primary care specialist clinic center. Those who fulfilled the inclusion and exclusion criteria from June to August 2017 were given a self-administered, validated and translated questionnaire. Pearson correlation was used to deduce the relationship between knowledge and attitude. Chi square test, independent t-test and multiple logistic regression were used to determine factors associated with inappropriate attitude towards antibiotic.Results: It was found that the respondents’ mean attitude and knowledge score were 29.5 ± 4.19 and 5.94 ± 2.4 respectively. The highest inappropriate attitude response was expecting antibiotic from the doctor for common colds and the most frequent incorrect knowledge response was on the domain of role of antibiotics. There is a weak positive relationship between antibiotic knowledge and attitude (r=0.315, n=256, p=0.0001). Respondents with low education level and poor antibiotic knowledge were at least 2.5 times more likely to have inappropriate attitude when handling antibiotics.Conclusion: Our study demonstrated the common inappropriate attitude towards antibiotic and areas of knowledge gap among the population. Antibiotic education should be incorporated in non-pharmacological measures of viral illnesses that is targeted among those with low education and poor antibiotic knowledge. The weak relationship between antibiotic knowledge and attitude suggest that health campaign should focus on behavioral change rather than a theoretical approach.

scholarly journals Factors associated with shared decision making among primary care physicians: Findings from a multicentre cross-sectional study

2017 ◽  
Vol 21 (1) ◽  
pp. 212-221 ◽  
Author(s):  
Matthew Menear ◽  
Mirjam Marjolein Garvelink ◽  
Rhéda Adekpedjou ◽  
Maria Margarita Becerra Perez ◽  
Hubert Robitaille ◽  
...  
Keyword(s):  
Primary Care ◽  
Decision Making ◽  
Shared Decision Making ◽  
Primary Care Physicians ◽  
Cross Sectional Study ◽  
Shared Decision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals Factors associated with knowledge of self-management of worsening asthma in primary care patients: a cross-sectional study

2020 ◽  
pp. 1-7
Author(s):  
Philip Wireklint ◽  
Mikael Hasselgren ◽  
Scott Montgomery ◽  
Karin Lisspers ◽  
Björn Ställberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Self Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Primary Care Patients

Trends in prescribing of gluten-free foods in primary care

2018 ◽  
Vol 56 (9) ◽  
pp. 100-100
Keyword(s):  
Primary Care ◽  
Geographical Variation ◽  
Cross Sectional Study ◽  
Gluten Free ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

Review of: Walker AJ et al. Trends, geographical variation and factors associated with prescribing of gluten-free foods in English primary care: a cross-sectional study. BMJ Open 2018;8:e021312.

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