scholarly journals Physical examination performed by general practitioners in 5 community health service institutions in Beijing: an observational study

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Yun Wei ◽  
Feiyue Wang ◽  
Zhaolu Pan ◽  
Meirong Wang ◽  
Guanghui Jin ◽  
...  
Keyword(s):  
Health Service ◽  
Observational Study ◽  
Physical Examination ◽  
Community Health ◽  
General Practitioners ◽  
Patient Characteristics ◽  
Community Health Service ◽  
The Status ◽  
Physical Examinations

Abstract Background Physical examination is a core component of consultation. Little is known about the status quo of physical examinations performed by general practitioners in community health service institutions in China. The aim of this study was to investigate general practitioners’ performance of physical examinations in consultations. Methods An observational study was conducted in 5 community health service institutions in Beijing between November 2019 and January 2020. Eleven general practitioners were observed for one workday. Information of consecutive consultations was recorded including patient characteristics, reasons for encounter, physical examinations performed by general practitioners, length of consultation time and time spent on specific activities in consultations. Results A total of 682 consultations of 11 general practitioners were recorded. Physical examinations were performed in 126 consultations (15.8%). Physical examination was more likely to be performed in patients visiting with symptoms (P < 0.001). Majority of the 126 physical examinations were distributed in “Head, face, and neck examination” (n = 54, 42.9%) and “Cardiovascular examination” (n = 55, 43.7%). No physical examination was performed on skin, male genitalia, female breasts and genitalia, and neurological systems. Total 2823 min of activities were observed and recorded. General practitioners only spent 3.1% of the recorded time on physical examination, which was less than the time spent on taking history (18.2%), test (4.9%), diagnosis (22.7%), therapy (38.4%), and health education (8.6%). The average time spent on physical examinations was 0.8±0.4 min per consultation. Conclusion Physical examination was insufficiently performed by general practitioners in community health service institutions in Beijing. More time and commitment should be advocated for improving the quality of physical examinations in primary care.

scholarly journals Physical examination performed by general practitioners in 5 community health service institutions in Beijing: an observational study

2021 ◽  
Author(s):  
Yun Wei ◽  
Feiyue Wang ◽  
Zhaolu Pan ◽  
Meirong Wang ◽  
Guanghui Jin ◽  
...  
Keyword(s):  
Health Service ◽  
Observational Study ◽  
Physical Examination ◽  
Community Health ◽  
General Practitioners ◽  
Patient Characteristics ◽  
Community Health Service ◽  
Physical Examinations ◽  
Beijing China ◽  
Reasons For Encounter

Abstract BackgroundPhysical examination is a central part of consultation. Evidence showed that clinical use of physical examination in hospital has decreased, but little is known about physical examination performed by general practitioners in community health service institutions.ObjectiveThis study aimed to investigate general practitioners’ performance of physical examination in community health service institutions in Beijing.MethodsAn observational study was conducted in 5 community health service institutions in Beijing, China between November 2019 and January 2020. And 11 participated general practitioners were observed for one workday. Information was recorded including patient characteristics, patient reasons for encounter, physical examinations provided by general practitioners, the length of consultation and time spent on specific activities in consultations.ResultsA total of 682 consultations were recorded from 11 general practitioners. Physical examination occurred in 15.8% of the consultations. Among the recorded 126 examinations, most were distributed in “Head, face, and neck examination” (n = 54, 42.9%) and “Cardiovascular examination” (n = 55, 43.7%), and no physical examination was performed on skin, male genitalia, female breasts and genitalia, and neurological systems. A total of 2823 minutes of activities were recorded. general practitioners only spent 3.1% of their time on physical examination, less than the time spent on taking history (18.2%), test (4.9%), diagnosis (22.7%), therapy (38.4%), and health education (8.6%). The mean length of time spent on physical examination portions was 0.8 ± 0.4 minutes.ConclusionPhysical examination was infrequently performed by general practitioners in community health service institutions in Beijing. More time and attention were needed for general practitioners performing a careful and appropriate physical examination in primary care.

scholarly journals ANALISIS PENGARUH PELAYANAN PUSKESMAS DAN KINERJA PEGAWAI TERHADAP KEPUASAN PELANGGAN DI PUSKESMAS DINOYO KOTA MALANG JAWA TIMUR

2020 ◽  
Vol 3 (2) ◽  
pp. 120
Author(s):  
Rully Suwartiningsih
Keyword(s):  
Quality Of Service ◽  
Health Service ◽  
Customer Satisfaction ◽  
Community Health ◽  
Health Center ◽  
Employee Performance ◽  
Community Health Center ◽  
Community Health Service ◽  
Performance Satisfaction

AbstrakMasalah pelayanan sebenarnya bukanlah hal yang sulit atau rumit, tetapi apabila hal ini kurang diatasi maka dapat menimbulkan masalah serta peningkatan kinerja pegawai yang bagus merupakan kunci sukses untuk membangun keberhasilan Puskesmas dalam melayani pasien. Untuk meningkatkan kualitas pelayanan dan kinerja pegawai, Puskesmas Dinoyo Kota Malang akan mampu mendapatkan profitabilitas yang diperoleh dari kepuasan pasien oleh sebab diharapkan mampu meningkatkan kualitasnya puskesmas. Tujuan dari penelitian ini adalah: untuk menganalisis pengaruh pelayanan Puskesmas dan kinerja pegawai terhadap kepuasan pelanggan di Puskesmas Dinoyo Kota Malang Jawa Timur. Sampel yang digunakan dalam penelitian ini adalah pasien atau pelanggan dari Puskesmas Dinoyo selama satu minggu pada bulan Nopember tahun 2017. Hasil penelitian menunjukkan bahwa pengaruh pengaruh Puskesmas dan kinerja pegawai terhadap kepuasan pelanggan di Puskesmas Dinoyo Kota Malang  Jawa Timur  negatif dan tidak signifikan. Dalam penelitian ini juga mengindikasikan bahwa secara simultan pelayanan Puskesmas dan kinerja pegawai memiliki pengaruh terhadap kepuasan pelanggan Puskesmas.Kata kunci : pelayanan puskesmas, kinerja pegawai, kepuasan pelanggan Abstract            The problem of service is not difficult and complicated, but if this matter is not be overcame so it can make some problems and a good employee performance is a key of success  to build the success of Community Health Center on servicing the patient. To develop the quality of service and employee performance, Community Health Center Dinoyo Malang City will be able to get the profitability that obtained from the satisfaction customer, so for that reason it expected to develop the quality of Community Health Center.The objectives of this research is: to analyze the effect of the service of Community Health Center and the Employee Performance to Customer Satisfaction in Community Health Center Dinoyo Malang City East Java. Using of sample from this study is the patient of Community Health Center Dinoyo for a week on November at 2017. The result of this research shows that the service of Community Health Service and Employee Performance to Customer Satisfaction in Community Health Center in Dinoyo Malang City East Java is negative and not significant. In this research also indicates that the service of Community Health Center and Employee Performance have the effect to the satisfaction customer of Community Health Center simultaneously.Keyword : service of community health center, employee performance, satisfaction performance

scholarly journals General practitioners’ knowledge of gout and its management: a case study in Beijing

2021 ◽  
Vol 22 ◽  
Author(s):  
Min Liu ◽  
Zhenlei Gao ◽  
Xuelei Zhang ◽  
Xiaoxu Yuan ◽  
Yuewu Lu ◽  
...  
Keyword(s):  
Health Service ◽  
Community Health ◽  
General Practitioners ◽  
Personal Information ◽  
Community Health Service ◽  
Diagnosis And Treatment ◽  
Basic Knowledge ◽  
Optimal Decision ◽  
Treat To Target ◽  
Tongzhou District

Abstract Background: The incidence of gout has increased rapidly in recent years, and the suspected lack of awareness of gout among general practitioners may lead to misdiagnosis and inappropriate treatment. Aim: To assess general practitioners’ management of gout at community health service clinics in the Tongzhou district of Beijing, as well as the factors that contributed to optimal decision making. Methods: A survey based on current guidelines for assessment and management of gout was sent to 245 general practitioners at community health service clinics in the Tongzhou district of Beijing. The questionnaire included personal information of general practitioners and ten items that addressed knowledge of gout. Our questionnaire was self-administered and distributed electronically via WeChat, and data were collected on a platform called ‘Wenjuanwang’. Statistical analysis was performed using SPSS version 19.0 software. Results: Totally, 216 general practitioners responded to the survey. About three-quarters (71.8%) reported having received Continuing Medical Education (CME) about gout. More than half (54.6%) reported an awareness of treat to target (T2T) for gout. However, the overall rate of good understanding of gout was only 6.5%, a basic knowledge of gout was 55.6%, and understanding about gout diagnosis and treatment was only 11.1%. The general practitioners’ understanding of basic concepts related to gout indicated that CME could improve their understanding (P < 0.05). An analysis of the general practitioners’ rate of comprehension of gout diagnosis and treatment showed that education level, CME, and familiarity with T2T could improve understandings of gout diagnosis and treatment (P < 0.05). Conclusion: There are serious deficits in understandings about gout among general practitioners in the Tongzhou district of Beijing. Quality CME is needed to improve Chinese general practitioners’ management of gout.

scholarly journals Retrospective observational study of ethnicity-gender pay gaps among hospital and community health service doctors in England

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e051043
Author(s):  
Carol Woodhams ◽  
Mark Williams ◽  
Jane Dacre ◽  
Ira Parnerkar ◽  
Mukunda Sharma
Keyword(s):  
Health Service ◽  
Observational Study ◽  
Community Health ◽  
White Men ◽  
Community Health Service ◽  
Retrospective Observational Study ◽  
Full Time ◽  
Full Time Equivalent ◽  
Pay Gap ◽  
Indian Men

ObjectivesTo identify differences in average basic pay between groups of National Health Service (NHS) doctors cross-classified by ethnicity and gender. Analyse the extent to which characteristics (grade, specialty, age, hours, etc.) can explain these differences.DesignRetrospective observational study using repeated cross-section design.SettingHospital and Community Health Service (HCHS) in England.ParticipantsAll HCHS doctors in England employed by the NHS between 2016 and 2020 appearing in the Digital Electronic Staff Record dataset (average N=99 953 per year).Main outcome measuresHours-adjusted full-time equivalent pay gaps; given as raw data and further adjusted for demographic, job, and workplace characteristics (such as grade, specialty, age, whether British nationality, region) using multivariable regression and statistical decomposition techniques.ResultsPay gaps relative to white men vary with the ethnicity-gender combination. Indian men slightly out-earn white men and Bangladeshi women have a 40% pay gap. In most cases, pay gaps can largely be explained by characteristics that can be measured, especially grade, with the extent varying by specific ethnicity-gender group. However, a portion of pay gaps cannot be explained by characteristics that can be measured.ConclusionsThis study presents new evidence on ethnicity-gender pay gaps among NHS doctors in England using high quality administrative and payroll data. The findings indicate all ethnicity-gender groups earn less than white men on average, except for Indian men. In some cases, these differences cannot be explained giving rise to discussions about the role of discrimination.

E-Health as a Service Software of Medical System in Prototype Modeling

2017 ◽  
Vol 4 (2) ◽  
pp. 99-104
Author(s):  
Agus Nursikuwagus
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Service ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Community Health Service ◽  
Medical System ◽  
Medical Prescription ◽  
Uml Diagrams

Information system at community health center is an information system that has several activities, such as registration, medical record, health care, and reporting.  Day to day operation, community health service, is using process manually. It is cause the stack of service. Sometime, the patient has to wait within several times. For Further, the patient did not know that the queuing is full. In order to help the problem, this paper wants to show about E-Health as service software. The research is completed by conveying the model like UML diagram. The UML diagrams are consisting such as usecase, class, activity, and component. The sequence of system construct is using Prototype Paradigm. The result is the software which has ability to service patient start from registration, medical check, medical prescription, until reporting. As an impact for Community health service is the service more efficiency. The system is able to control the medicine and reporting on day to day operation.   REFERENCES[1] Susanto, Gunawan,” Sistem Informasi Rekam Medis PadaRumah Sakit Umum Daerah (RSUD) Pacitan Berbasis WebBase”. Pacitan. 2012.[2] B, Nugroho, S.H. Fitriasih, B. Widada, “Sistem InformasiRekam Medis Di Puskesmas Masaran I Sragen”. JournalTIKomSiN, vol.5, no.1, p.49-56, 2017.[3] G.G.S. Bagja,” Membangun Sistem Informasi KesehatanPuskesmas Cibaregbeg”, Univ. Komp. Indonesia, 2010.[4] A.M. Herdy, Aulia, M. Amran, D. Novita, “PerancanganSistem Informasi Pelayanan Medis Di Puskesmas SungaiDua”, STMIK MDP. 2014.[5] J. Sundari, “Sistem Informasi Pelayanan Puskesmas BerbasisWeb”, Int.Journal.on Soft.Eng, vol.2, no.1, p.57-62, 2016.[6] R.S. Pressman, Software Engineering A PractitionersApproach. Nineth Edition, Addsion Wesley, 2011.[7] G. Booch, J. Rumbaugh, I. Jacobson, Unified ModelingLanguage User Guide, Addison-Wesley, 1999.[8] I, Daqiqil. (2011, August 2). Framework CodeIgnite. [Online].Available: http://koder.web.id/buku-codeigniter-gratis/

scholarly journals The training contents, problems and needs of doctors in urban community health service institutions in China

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Shuang Shao ◽  
Tao Wu ◽  
Aimin Guo ◽  
Guanghui Jin ◽  
Rui Chen ◽  
...  
Keyword(s):  
Health Service ◽  
Community Health ◽  
Urban Community ◽  
Community Health Service

The Effect of Counselling Intervention during Antenatal Care on the Knowledge and Attitude about Danger Signs in Pregnancy: A Cross-Sectional Study in Takalar Regency -

2020 ◽  
Vol 10 (2) ◽  
pp. 51-55
Author(s):  
Nurhikmah ◽  
Tahir Abdullah ◽  
Stang ◽  
Suriah ◽  
Andi Imam Arundhana ◽  
...  
Keyword(s):  
Health Service ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Community Health ◽  
Health Workers ◽  
Community Health Service ◽  
Cross Sectional ◽  
Danger Signs ◽  
Knowledge And Attitude ◽  
In Pregnancy

Objective: This study was to examine the effects of counselling delivered during antenatal care on the knowledge and attitudes of pregnant women about danger signs in pregnancy.Methods: This was a pre-experimental design using one group pre- and post-test only. This study was conducted in Takalar, specifically within Sanrobone Community Health Service working area. Takalar is located in South Sulawesi Province Indonesia and this area is coastal with the majority of people working as a fisherman. Participants of this study were pregnant women living in the villages which are included in the working area of Sanrobone Community Health Service.Results: The study shows that counselling improved knowledge and attitude of pregnant women about danger signs in pregnancy (p=0.011 and p=0.025, respectively). The number of pregnant women with good knowledge and positive attitude increased after the intervention (43.8% vs 93.8%, 62.5% vs 93.8%, respectively).Conclusions: In can be concluded that intervention by means of counselling can improve the knowledge and attitude of pregnant women about danger signs in pregnancy. Therefore, it is important to implement the counselling program delivered by health workers in Community Health Service in order to mitigate the risk of maternal mortality.

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