scholarly journals Quality of primary health care: an analysis of avoidable hospitalizations in a Minas Gerais county, Brazil

2015 ◽  
Vol 20 (4) ◽  
pp. 1285-1293 ◽  
Author(s):  
Carolina Costa Valcanti Avelino ◽  
Sueli Leiko Takamatsu Goyatá ◽  
Denismar Alves Nogueira ◽  
Ludmila Barbosa Bandeira Rodrigues ◽  
Sarah Maria Souza Siqueira
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Circulatory System ◽  
Minas Gerais ◽  
Average Hospital ◽  
Medical Diagnoses ◽  
Avoidable Hospitalizations ◽  
Primary Health

The aim of the study was to evaluate the quality of primary health care based on avoidable hospitalizations of men and women of all ages, from 2008 to 2012 in Alfenas County in the south of Minas Gerais state. This was an ecological study based on data from the Hospital Information System (HIS). The medical diagnoses selected for the study were pneumonia, diabetes mellitus and diseases of the circulatory system. There was a predominance of elderly males diagnosed with pneumonia, with an average hospital stay of five days. Admission rates for diseases of the circulatory system and diabetes mellitus tended to remain stable during the study period. While for pneumonia there was a tendency of growth that reached a plateau in early March 2009, bringing the average rate up from 2.01 to 3.51. The data suggest that primary health care is poorly organized to meet these diagnoses, particularly for pneumonia.

Quality of life and adherence to mediterranean diet among type 2 diabetes mellitus patients of a primary health care clinic in Hebron city, Palestine

2021 ◽  
pp. 1-10
Author(s):  
Manal Badrasawi ◽  
May Hamdan ◽  
Mohammad Al Tamimi
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Mediterranean Diet ◽  
Well Being ◽  
Care Clinic ◽  
Primary Health Care Clinic ◽  
Primary Health

BACKGROUND: Diabetes mellitus (DM) is a lifelong metabolic disease with a high rate of mortality and morbidity. Uncontrolled and untreated diabetes results in serious complications that subsequently cause patients’ quality of life (QoL) to deteriorate. Adherence to Mediterranean diet (MD) may relieve the complications of diabetes, thereby improving the quality of life for these patients. OBJECTIVE: The aim of this study was to assess the QoL of DM patients who adhered to MD. METHODS: In this cross-sectional study, we examined the QoL and MD data of 106 DM II patients being treated at a primary health care clinic in Hebron. We used the SF-36 questionnaire to measure the patients’ QoL and the MEDAS tool to assess their MD adherence. We also recorded their anthropometric measurements, abdominal obesity, lifestyle habits and blood biochemical results. RESULTS: The sample comprised male and female DM II patients between the ages of 35 and 72, with their mean age being 55.8±10.24. Patients’ QoL scores showed a significant relationship with three BMI categories, i.e., total QoL score, physical function, and pain domains (p <  0.05). In terms of diet, high adherence to MD had a positive impact on all domains and on patients’ total QoL with significant differences in physical functioning, emotional well-being, social functioning and pain domains. CONCLUSION: Patients’ QoL domains were relatively low and highly affected by DM II. Patients with greater MD adherence reported higher scores in all QoL domains. Significantly higher scores were noted for the physical, social and pain domains. Hence, MD is a recommended dietary pattern for DM II patients to achieve a better QoL.

scholarly journals AVALIAÇÃO DA ESTRATÉGIA SAÚDE DA FAMÍLIA EM SÃO SEBASTIÃO – DISTRITO FEDERAL

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Virgílio Luiz Marques De Macedo ◽  
Luciana Fontes Vieira ◽  
Rinaldo De Souza Neves ◽  
Suderlan Sabino Leandro
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Family Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Distrito Federal ◽  
First Contact

Objetivo: Avaliar a qualidade da assistência prestada por profissionais da Estratégia Saúde da Família em São Sebastião, Distrito Federal, na atenção a pacientes portadores de Hipertensão Arterial Sistêmica e Diabetes Mellitus. Metodologia: Trata-se de um estudo descritivo-exploratório transversal de cunho quantitativo com 107 usuários e 27 profissionais de saúde. Resultados: Foram avaliados como satisfatórios pelos usuários apenas os atributos acesso de primeiro contato – utilização e coordenação – sistema de informação. Para os profissionais, os atributos acesso de primeiro contato – acessibilidade e orientação comunitária foram considerados insatisfatórios, indicando que a qualidade da assistência por meio do acesso e informação é aceitável para os usuários e deficiente para os profissionais. Conclusão: Os dados apresentados evidenciam que a Atenção Primária a Saúde não está exercendo sua função de porta de entrada, de coordenadora e ordenadora da Rede de Atenção à Saúde.Descritores: Avaliação em Saúde; Atenção Primária à Saúde; Estratégia de Saúde da Família; Hipertensão; Diabetes Mellitus.EVALUATION OF THE FAMILY HEALTH STRATEGY IN SÃO SEBASTIÃO - FEDERAL DISTRICTObjective: To evaluate the quality of care provided by the health team of Primary Health Care of São Sebastião, Distrito Federal, in the attention to patients with Systemic Arterial Hypertension and Diabetes Mellitus. Method: This is a descriptive-exploratory cross-sectional quantitative study with 107 patients e 27 health profissionals. Results: Only the attributes of first contact access - utilization and coordination - information system were evaluated as satisfactory by the users. For professionals, the attributes of first contact access - accessibility and community orientation were considered unsatisfactory, indicating that the quality of care through access and information is acceptable for users and disabled for professionals. Conclusion: The data presented shows that Primary Health Care is not performing its function as gateway, as coordinator and ordinator of the Health Care Network.Descriptors: Health Evaluation; Primary Health Care; Hypertension; Diabetes Mellitus.EVALUACIÓN DE LA ESTRATEGIA SALUD DE LA FAMILIA EN SÃO SEBASTIÃO - DISTRITO FEDERALObjetivo: Evaluar la calidad de la asistencia prestada por profesionales de la Estrategia Salud de la Familia en São Sebastião, Distrito Federal, en la atención a pacientes portadores de Hipertensión Arterial Sistémica y Diabetes Mellitus. Método: Se trata de un estudio descriptivo-exploratorio transversal de cuño cuantitativo com 107 clientes e 27 profesionales de salud. Resultados: Se evaluaron como satisfactorios por los usuarios sólo los atributos acceso de primer contacto - utilización y coordinación - sistema de información. Para los profesionales, los atributos acceso de primer contacto - accesibilidad y orientación comunitaria se consideraron insatisfactorios, indicando que la calidad de la asistencia a través del acceso e información es aceptable para los usuarios y deficiente para los profesionales. Conclusión: Los datos presentados evidencian que la Atención Primaria a la Salud no está ejerciendo su función de puerta de entrada, de coordinadora y ordenadora de la Red de Atención a la Salud.Descriptores: Evaluación en Salud; Atención Primaria de Salud; Hipertensión; Diabetes Mellitus.

scholarly journals Associations between quality of work features in primary health care and glycaemic control in people with Type 2 diabetes mellitus: A nationwide survey

2019 ◽  
Vol 13 (2) ◽  
pp. 176-186
Author(s):  
Rebecka Husdal ◽  
Eva Thors Adolfsson ◽  
Janeth Leksell ◽  
Björn Eliasson ◽  
Stefan Jansson ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Health Care ◽  
Type 2 Diabetes Mellitus ◽  
Primary Health Care ◽  
Nationwide Survey ◽  
Quality Of Work ◽  
Primary Health

Health-related quality of life in diabetes mellitus patients in primary health care

2021 ◽  
Author(s):  
Isabel Gálvez Galán ◽  
Macarena Celina Cáceres León ◽  
Jorge Guerrero-Martín ◽  
Casimiro Fermín López Jurado ◽  
Noelia Durán-Gómez
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Health Related Quality ◽  
Primary Health ◽  
Related Quality ◽  
Health Related

Client characteristics and satisfaction with the quality of primary health-care services in Calabar, Nigeria

2020 ◽  
Vol 3 ◽  
pp. 1-8
Author(s):  
H. C. Okeke ◽  
P. Bassey ◽  
O. A. Oduwole ◽  
A. Adindu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Client Satisfaction ◽  
Demographic Characteristics ◽  
Care Providers ◽  
Client Characteristics ◽  
Study Objective ◽  
Primary Health

Different mix of clients visit primary health care (PHC) facilities, and the quality of services is critical even in rural communities. The study objective was to determine the relationship between socio-demographic characteristics and client satisfaction with the quality of PHC services in Calabar Municipality, Cross River State, Nigeria. Specifically to describe aspects of the health facilities that affect client satisfaction; determine the health-care providers’ attitude that influences client satisfaction; and determine the socio-demographic characteristics that influence client satisfaction with PHC services. A cross-sectional survey was adopted. Ten PHCs and 500 clients utilizing services in PHC centers in Calabar Municipality were randomly selected. Clients overall satisfaction with PHC services was high (80.8%). Divorced clients were less (75.0%) satisfied than the singles and the married counterparts (81%), respectively. Clients that were more literate as well as those with higher income were less satisfied, 68.0% and 50.0%, respectively, compared to the less educated and lower-income clients, 92.0% and 85.0% respectively. These differences in satisfaction were statistically significant (P = 0.001). Hence, it was shown that client characteristics such as income and literacy level show a significant negative relationship with the clients satisfaction with the quality of PHC services in Calabar Municipality.

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