scholarly journals A retrospective study of medical emergency management in a Health Center in Greece

2021 ◽  
Vol 7 (1) ◽  
pp. 17
Author(s):  
Georgia Kampouridou ◽  
Amalia Arkouda ◽  
Georgia Toylia ◽  
Georgia Gerogianni ◽  
Christina Marvaki
Keyword(s):  
Retrospective Study ◽  
Health Center ◽  
Respiratory Diseases ◽  
Health Centers ◽  
Medical Emergency ◽  
Significant Progress ◽  
Primary Health ◽  
Medical Emergencies ◽  
Common Problems ◽  
Made In

Ιntroduction: Primary Health Centers face a plethora of emergencies of different nature and severity and it is necessary  a decision -whether or not to refer patients to the nearest hospital for further treatment and investigation- to be made.Aim: The aim of the present study was to investigate the management of emergencies in a HC of regional type near a large urban center.Material and Methods: This was a retrospective study. The data of 400 randomly selected patients admitted to the health center with acute conditions during the years 2017-2018 were recorded.Results: Out of all cases examined, 22% were rated as truly medical emergencies and 44% as not; 34% were classified as urgent; 25.9% of patients had arrived within the first hour of onset of symptoms, while 81.7% had already reached within the first 24 hours. Pain and respiratory diseases were the most common problems. In 15% of cases the patient was ambulance-transported to hospital. The proportion of ambulance referral to the nearest hospital was higher in patients with comorbidities (18.8%) than in those without (14.9%); 76% of cases were treated in accordance with evidence-based practice.Conclusions: Despite the significant progress made in treating patients in the community, it is necessary to improve management of non-emergency cases, as well as to improve the procedures for emergencies management in the HCs.

scholarly journals Detection of children with bronchopulmonary pathology and risk of its forming using the «EDIFAR» computer system

2003 ◽  
Vol 2 (4) ◽  
pp. 96-103
Author(s):  
T. V. Zabolotskikh ◽  
Yu. L. Mizernitsky ◽  
L. A. Dartau
Keyword(s):  
Health Service ◽  
Computer System ◽  
Computer Technology ◽  
Respiratory Diseases ◽  
Health Protection ◽  
Official Statistic ◽  
Insurance Medicine ◽  
Primary Health ◽  
Actual Prevalence ◽  
Made In

In the article it has been shown the efficiency of children detection with bronchopulmonary pathology and risk of its forming using the «EDIFAR» computer system. Screening with this computer technology allows in short terms a pictorial view of children’s health on the primary health service territory. This investigation has been made in pediatric polyclinic ‹ 4 in Blagoveshchensk. The results show the actual prevalence of respiratory diseases at children aged 0—7 years and are an evidence of a significant exceeding of disease indices as compared to the official statistic data. Information get with the computer system is necessary not only for address aid but is useful in conditions of insurance medicine and market principles of funds spending for health protection as well.

scholarly journals Evaluation Medicine Availability Before and After NHI Implementation at Health Centers in Keerom District, Papua Province

2017 ◽  
Vol 7 (1) ◽  
pp. 31
Author(s):  
Ivonie Carolien ◽  
Achmad Fudholi ◽  
Dwi Endarti
Keyword(s):  
Health Center ◽  
Drug Distribution ◽  
Essential Medicine ◽  
Health Centers ◽  
Integrated Medicine ◽  
Medicine Management ◽  
Primary Health ◽  
Before And After ◽  
Set Up ◽  
Medicine Availability

The availability of medicine in health center is associated with medicine management system and should be supported by adequate and sustainable resource. The Implementation of National Health Insurance (NHI) program will increase the need for medicine, to describe the medicine availability at primary health center before and after NHI, to identify the factors affect the availability, to compile solutions to increase the medicine availability at health centers in Keerom District. This research method was a descriptive. The data has been gathered based on observations to primary health center’s document of 2012 to 2015, for 35 indicator medicine, and interview with  the medicine manager and  the chief of health center, the manager of pharmacy district and the chief of health office at Keerom District. The data analysis was presented by charts, tables, and in narrative description. The results were  the availability of medicine at the health centers in Keerom District, before and after NHI program was same, by category of supply was safe, but insufficient as health center’s need. The medicine availability was not appropriate with essential medicine list and illness, the expired and defected medicine still be found, and  stock out time increased after NHI. In that period, the factors affect were, the demand process has not been optimal, insuffiecient and uneven distribution, lack of personel and  inadequate supporting for drug distribution charges the solution proposed were,  to improve knowledge and skill for medicine manager of health center, to plan pharmacist requirements, to set up medicine management information system, to do the integrated medicine planning and to provide the enough cost of distribution.

scholarly journals The Primary Health Center Factors Associated with Contraceptive Use Among Women in Indonesia

2021 ◽  
Vol 8 (4) ◽  
pp. 261
Author(s):  
Arini Hardianti ◽  
Siswanto Agus Wilopo ◽  
Mohammad Hakimi ◽  
Althaf Setiawan
Keyword(s):  
Health Care ◽  
Health Center ◽  
Access To Health Care ◽  
Multivariable Analysis ◽  
Health Centers ◽  
Modern Contraceptive ◽  
Research Subjects ◽  
Primary Health ◽  
Contraceptive Utilization ◽  
Days Open

<em><em>Access to health care, especially health care’s days open was one of the important poin to increasing contraceptive user. Many people who want to use contraception tend to want to get the method in the same day when visited the health care. The aim of this study is to find the relationship health care days open and contraceptive utilization. The cross-sectional study used Performance Monitoring and Accountability (PMA) 2020 data in 33 provinces of Indonesia in 2015. The research subjects were primary health care (Puskesmas). In this research, a number of districts were merged to reach a minimum number of respondents of 30 women. One hundred and four health center were studied and analyzed with t-test and correlation, and multivariable analysis by looking at the level of significance p &lt;0.05, and multivariable analysis. Female, household, and service delivery point questionnaire were used in this study. Result: All health centers in 76% area in Indonesia open more than five days a week and no stock out more than five contraceptive methods. All health centers in 69% area provides more than 5 methods. Days open statistically significant with modern contraceptive utilization after considering the stock out and method provides. Conclusion: contraceptive days open in health care generally good and have relation with contraceptive utilization after considers the stock and how many methods they provide.</em></em>

scholarly journals Epidemiology of interstitial lung disease in Palestine: first national data

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Hasan S. Yamin ◽  
Amro Y. Alastal ◽  
Izzedin Bakri
Keyword(s):  
Lung Cancer ◽  
Interstitial Lung Disease ◽  
Lung Diseases ◽  
Respiratory Diseases ◽  
Interstitial Lung Diseases ◽  
Newly Diagnosed ◽  
Significant Progress ◽  
National Data ◽  
The World ◽  
Made In

Significant progress has been made in recent years in understanding the epidemiology of interstitial lung diseases (ILD) across the world, but the amount of information available is still small compared to other respiratory diseases like obstructive lung diseases or lung cancer. In this study we tried to explore the epidemiology of ILD in a virgin area of the world (Palestine), by describing a retrospectively collected cohort of newly diagnosed ILD cases in a single – and the only – Pulmonology center in Palestine over two years.

scholarly journals Mobile teledermatology in diagnosis and management of two tinea incognito cases at a primary health center of semi-urban Kathmandu

2018 ◽  
Vol 8 (3) ◽  
pp. 69-72
Author(s):  
Shumneva Shrestha ◽  
Randhir Sagar Yadav ◽  
Suwash Baral ◽  
Dwarika Prasad Shrestha
Keyword(s):  
Health Center ◽  
Skin Diseases ◽  
Health Workers ◽  
Fungal Infections ◽  
Effective Means ◽  
Medical Officer ◽  
Health Centers ◽  
Primary Health Center ◽  
Primary Health ◽  
Tinea Incognito

Skin diseases are among leading health problems in Nepal. Fungal infections are the tenth most common reason of OPD visits in Nepal. Due to inappropriate or inadequate treatment, clinically modified tinea infections known as tinea incognito is very common. There is no dermatological care in the primary health centers. The medical officers in these centers have inadequate training to manage skin diseases, while the health workers have no training. Most dermatologists are based in tertiary hospitals and medical colleges of bigger cities. Mobile teledermatology is an innovative method to provide dermatological care to the health centers where there are no dermatologists. It is equally effective means of on-site training for the medical officers. We report two cases of tinea incognito, which were treated by a medical officer at a primary health center with the aid of mobile teledermatology consultation provided by a dermatologist.

scholarly journals Measurement of Adherence Level of Pulmonary Tuberculosis Drugs use in Patients in the Primary Health Centers in Karawang Regency, West Java, Indonesia, using MMAS Instrument

2021 ◽  
pp. 115-120
Author(s):  
Maya Arfania ◽  
Dedy Frianto ◽  
Diany Astuti ◽  
Ebta Narasukma Anggraeny ◽  
Triani Kurniawati ◽  
...  
Keyword(s):  
Health Center ◽  
Smoking Status ◽  
Health Centers ◽  
Primary Health Center ◽  
Adherence Level ◽  
Duration Of Treatment ◽  
West Java ◽  
Pulmonary Tb ◽  
Primary Health ◽  
Center Area

Aims: This study aims to determine the level of drug adherence in patients with pulmonary tuberculosis at the Cilamaya Kulon Primary Health Center area, Karawang Regency, West Java, Indonesia. Study Design: The measurement of adherence level was carried out using the MMAS (Morisky Medication Adherence Scale) instrument. Place and Duration of Study: This study was conducted at Cilamaya Kulon Primary Health Center area, specifically in Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency, West Java, Indonesia, from July to September 2021. Methodology: A cross-sectional design with a purposive sampling data collection method was used. Furthermore, the subjects were pulmonary TB patients from the Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency. The instrument used was the MMAS questionnaire sheet, and data analysis was performed using SPSS (version 22.0) and continued with statistical tests using the chi-square test. Results: The results showed there was no significant relationship (p>0.05) between age, gender, educational status, employment status, income level, smoking status, duration of treatment, drugs side effects, medication supervision, and patient motivation for drugs adherence in the Cilamaya Kulon Primary Health Center area. Furthermore, the level of medication adherence of pulmonary TB patients at this Primary Health Center area was high with a value of 84.13%. Conclusion: Adherence to medication in pulmonary TB patients was not influenced by age, gender, educational status, employment status, income level, smoking status, duration of treatment, drug side effects, medication supervision, and patient motivation. Therefore, the adherence level is included in the high category.

scholarly journals Health Care Facility Mapping with GIS in Majuli, India

2019 ◽  
Vol 9 (2) ◽  
pp. 5250-5253
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Center ◽  
Community Health Centers ◽  
Care Facility ◽  
Health Care Facility ◽  
Secondary Data ◽  
Health Centers ◽  
Primary Health ◽  
Development Block

This paper concerns the availability of healthcare facilities including primary health centers (PHC), sub-centers and community health centers in the Majuli region, Jorhat district of Assam, India. Majuli Consist of two development blocks i.e. Ujoni Majuli and Majuli blocks. The paper is based on secondary data and analyses are done in GIS environment. It is identified that primary health care centers are not equally distributed in Majuli development block but instead of PHC there are lots of sub-centers and community health centers are available in the study area. Again availability of sub-centers is found satisfactory in both of these blocks. The number of community health centers is very low in the whole region of Majuli. The result also shows served areas of primary health center in Ujoni Majuli block (77.13%) is much higher than the Majuli Development block (43.70%), again for sub-center and community health center, it is found satisfactory than the PHC service area in both of the blocks.

scholarly journals Analysis of Factors Causing High Referral Rates at Primary Health Center in the JKN Era: A Literature Review

2020 ◽  
Vol 9 (2) ◽  
pp. 57
Author(s):  
Syamira Nurjannah Ramadhani
Keyword(s):  
Literature Review ◽  
Human Resources ◽  
Health Center ◽  
Health Centers ◽  
Google Scholar ◽  
Referral System ◽  
Primary Health Center ◽  
Primary Health ◽  
Medical Materials ◽  
Medical Indications

Background: The implementation of the referral system in the JKN era is not yet running optimally due to an increase in the number of referrals from FKTP to FKRTL. The applicable standard for referral ratio is 15%, from the total BPJS patient visits every month, but the above standard reference ratio is still found in various health centers in Indonesia.Objectives: This study aims to determine the factors that cause the high number of referrals in health centers in the JKN era Methods: This research is a type of literature review where the articles obtained are sourced from Google Scholar as a database. There were 13 articles published from 2010 to 2020 that were considered relevant to the research topicResults: Research shows that Primary Health Center with increased referral are caused by low quality and quantity of human resources, lack of SOP, lack of complete and adequate facilities and infrastructure, medical indications suffered by patients beyond the ability of Primary Health Center, incompleteness of medicines and medical materials and lack of understanding patients with the referral systemConclusions: Factors causing the high number of referrals in health centers in the JKN era included the availability of human resources, the existence of SOPs, the completeness of facilities and infrastructure, types of medical indications, availability of medicines and patient behavior

Incidence and Outcomes after Out-of-Hospital Medical Emergencies in Gambia: A Case for the Integration of Prehospital Care and Emergency Medical Services in Primary Health Care

2018 ◽  
Vol 33 (6) ◽  
pp. 650-657
Author(s):  
Sunkaru Touray ◽  
Baboucarr Sanyang ◽  
Gregory Zandrow ◽  
Isatou Touray
Keyword(s):  
Health Care ◽  
Emergency Medical Services ◽  
Emergency Care ◽  
Prehospital Care ◽  
The Gambia ◽  
Medical Emergency ◽  
Medical Services ◽  
Primary Health ◽  
Emergency Medical ◽  
Medical Emergencies

AbstractBackgroundThe Gambia is going through a rapid epidemiologic transition with a dual disease burden of infections and non-communicable diseases occurring at the same time. Acute, time-sensitive, medical emergencies such as trauma, obstetric emergencies, respiratory failure, and stroke are leading causes of morbidity and mortality among adults in the country.ProblemData on medical emergency care and outcomes are lacking in The Gambia. Data on self-reported medical emergencies among adults in a selection of Gambian communities are presented in this report.MethodsA total of 320 individuals were surveyed from 34 communities in the greater Banjul area of The Gambia using a survey instrument estimating the incidence of acute medical emergencies in an adult population. Self-reported travel time to a health facility during medical emergencies and patterns of health-seeking behavior with regard to type of facility visited and barriers to accessing emergency care, including cost and medical insurance coverage, are presented in this report.ResultsOf the 320 individuals surveyed, 262 agreed to participate resulting in a response rate of 82%. Fifty-two percent of respondents reported an acute medical emergency in the preceding year that required urgent evaluation at a health facility. The most common facility visited during such emergencies was a health center. Eighty-seven percent of respondents reported a travel time of less than one hour during medical emergencies. Out-of-pocket cost of medications accounted for the highest expenditure during emergencies. There was a low awareness and willingness to subscribe to health insurance among individuals surveyed.Conclusion: There is a high incidence of acute medical emergencies among adults in The Gambia which are associated with adverse outcomes due to a combination of poor health literacy, high out-of-pocket expenditures on medications, and poor access to timely prehospital emergency care. There is an urgent need to develop prehospital acute care and Emergency Medical Services (EMS) in the primary health sector as part of a strategy to reduce mortality and morbidity in the country.TourayS, SanyangB, ZandrowG, TourayI. Incidence and outcomes after out-of-hospital medical emergencies in Gambia: a case for the integration of prehospital care and Emergency Medical Services in primary health care. Prehosp Disaster Med. 2018;33(6):650–657.

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