scholarly journals Patient safety in primary health care and polypharmacy: cross-sectional survey among patients with chronic diseases

2019 ◽  
Vol 27 ◽  
Author(s):  
Lorena Ulhôa Araújo ◽  
Delba Fonseca Santos ◽  
Emerson Cotta Bodevan ◽  
Hellen Lilliane da Cruz ◽  
Jacqueline de Souza ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Chronic Diseases ◽  
Inappropriate Medication ◽  
Prevalence Ratio ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health

Objective: to characterize and determine the polypharmacy prevalence in patients with chronic diseases and to identify the factors associated, in order to improvement of pharmaceutical care focused on patient safety. Methods: cross-sectional study included 558 patients, covered by primary health care, using a household and structured questionnaire. We analyzed the data on polypharmacy and its clinical and socioeconomic factors. Poisson regression analysis with robust variance was applied, with results expressed in prevalence ratio. Results: the results showed that polypharmacy (consumption of four or more drugs) was of 37.6%. The prevalence ratio analyses identified independent variables associated with polypharmacy: age (3.05), economic strata (0.33), way of medication acquisition through a combination of out-of-pocket and Brazilian public health system (1.44), diabetes and hypertension (2.11), comorbidities (coronary artery disease 2.26) and hospital admission (1.73). In the analyses, inappropriate medication use of the 278 patients (≥ 65 years) was associated with polypharmacy (prevalence ratio 4.04). Conclusion: polypharmacy study becomes an opportunity to guide the strategies for the patient safety to promote the medication without harm in chronic diseases.

scholarly journals Patient safety culture in Primary Health Care

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70874
Author(s):  
Jéssica Karine Lopes Bohrer ◽  
Ana Catarina Laboissière Vasconcelos ◽  
Ana Lúcia Queiroz Bezerra ◽  
Cristiane Chagas Teixeira ◽  
Juliane Andrade ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Care Health

Objective: to evaluate the patient safety culture in a primary care health unit. Methods: cross-sectional study conducted with 51 professionals linked to Primary Health Care. Data were collected using the self-administered instrument Medical Office Survey on Patient Safety Culture, translated, adapted and validated for use in Brazil. Descriptive statistical analysis was performed. Nurses, physicians, Community Health Agents, among other professionals participated. Results: the dimensions of the patient safety culture in Primary Health Care indicated opportunities for improvement or weaknesses in the service. The general assessment of patient safety and the global assessment of the quality of care provided in Primary Health Care were appointed as good or fair. Conclusion: the safety culture in Primary Care did not identify strong dimensions; there were problems with equipment, performance and availability of test results and exchange of information with imaging centers/laboratories in the care network.

scholarly journals CULTURE OF PATIENT SAFETY IN PRIMARY HEALTH CARE IN A LARGE MUNICIPALITY IN THE PERCEPTION OF WORKERS

2020 ◽  
Vol 29 ◽  
Author(s):  
Lilian Louzada Macedo ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
Ana Maria Rigo Silva ◽  
Edmarlon Girotto
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Health Workers ◽  
Large City ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health

ABSTRACT Objective: to characterize patient safety according to the perception of primary health care workers in a large city in Paraná. Method: cross-sectional study, in which information was collected using the "Research on Patient Safety Culture for Primary Care" instrument, which was self-answered by health workers working in primary care, from April to June 2017. The Statistical Package for the Social Sciences program was used for data analysis. Results: it was found that as for the frequency of problems related to patient safety and quality of care, the “medical record/patient record being unavailable when needed” and “patient not getting an appointment within 48 hours was considered as a serious or acute problem”. Regarding the support of managers/administrators/leaders, the overall frequency of positive responses was only 38.4%. The section on global safety assessment showed the highest overall percentage of positive responses (79.0%). Workers in the southern region of the municipality under study had a worse assessment of the work process, communication, monitoring and manager support (45.5%, 61.6% and 29.3% of positive responses, respectively). Conclusion: it is concluded that there is a need to strengthen the culture of patient safety at this level of care, strengthening and valuing the performance of all workers, with the intensification of permanent education and the use of soft technologies.

scholarly journals Nutritional Knowledge and Awareness of Primary Health Care Physicians Working in Hail Region, Saudi Arabia: A Cross-Sectional Study

2021 ◽  
Vol 9 (2) ◽  
pp. 402-408
Author(s):  
Eyad Al Shammari ◽  
Syed Amir * Ashra ◽  
Raid Al Shammari ◽  
Abdulrahman Al Rashidi ◽  
Amir Mahgoub Awadelkareem ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Poor Response ◽  
Cross Sectional Study ◽  
Nutritional Knowledge ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Physicians

Nutrition and its awareness play an important role in medical education for the management, as well as in the treatment of various chronic illnesses. Moreover, it always has been a concern about the knowledge and awareness of nutrition among physicians. Therefore, we aimed to study the nutritional knowledge, as well as awareness of primary health care physicians (PHC) working in Hail City, Saudi Arabia. A questionnaire-based cross-sectional survey was conducted among PHC physicians working in Hail, Saudi Arabia from September 2019 to December 2019. The questionnaire was distributed to PHC physicians and responses were recorded and data were statistically analyzed by applying Chi-square tests using SPSS 21.0. Questionnaires were circulated to 124 physicians, participated in this study. However, out of 124 physicians only 41 physicians filled out the complete questionnaire, indicating a very poor response rate (33%). The mean percentage of correct answers was 71.56%. Physicians who described their knowledge as “good” were found to be 75%. Furthermore, physicians working in PHC centers were aware of the basic nutritional knowledge regarding food content, pregnancy, lactation, diabetes, hypertension, etc. Our assessment revealed that physicians working in PHC of Hail Region had average nutritional knowledge. Moreover, it was also found that addition of various nutrition related educational programs in medical schools and hospital premises would improve the knowledge and awareness among the physicians.

scholarly journals PRIMARY HEALTH CARE AS A SCENARIO FOR ASSESSING THE PATIENT'S SAFETY CULTURE

2019 ◽  
Vol 5 ◽  
Author(s):  
Catiele Raquel Schmidt ◽  
Fabiano Pereira dos Santos ◽  
Marli Maria Loro ◽  
Marina Mazzuco de Souza ◽  
Adriane Cristina Bernat Kolankiewicz
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Family Health ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Multiprofessional Team ◽  
Safety Attitudes ◽  
Unit Management ◽  
Primary Health

Objective: To evaluate attitudes and perceptions about the culture of patient safety by professionals working in primary health care. Method: A cross-sectional study, developed with professionals from the multiprofessional team, who work in basic and family health units of a municipality in the northwest of the State of Rio Grande do Sul. For data collection from June to December 2016, the Safety Attitudes Questionnaire - Outpatient version. Responses follow the Likert scale, and scores were considered positive when ≥7.5. Results: 172 professionals from the multiprofessional team participated in the study. The domains that showed positive results were patient safety and unit management. The lowest scores occurred in the error and working conditions domains. Conclusion: We identified weaknesses in the results, and the need for investments in structure, training and awareness of professionals, managers and users in order to consolidate safe care.Objective: To evaluate attitudes and perceptions about the culture of patient safety by professionals working in primary health care. Method: A cross-sectional study, developed with professionals from the multiprofessional team, who work in basic and family health units of a municipality in the northwest of the State of Rio Grande do Sul. For data collection from June to December 2016, the Safety Attitudes Questionnaire - Outpatient version. Responses follow the Likert scale, and scores were considered positive when ≥7.5. Results: 172 professionals from the multiprofessional team participated in the study. The domains that showed positive results were patient safety and unit management. The lowest scores occurred in the error and working conditions domains. Conclusion: We identified weaknesses in the results, and the need for investments in structure, training and awareness of professionals, managers and users in order to consolidate safe care.

scholarly journals Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Convergent Validity ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Programme ◽  
Discriminative Validity ◽  
Primary Health ◽  
Related Quality

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.

scholarly journals Factors Related to Primary Health Care Provision: A Cross-Sectional Study in an Elderly Rural Population

2015 ◽  
Vol 38 (5) ◽  
pp. 343-356
Author(s):  
Ana Maseda ◽  
José Carlos Millán-Calenti ◽  
Julia Carpente ◽  
José Luis Rodríguez-Villamil ◽  
Carmen de Labra
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Population ◽  
Cross Sectional Study ◽  
Health Care Provision ◽  
Care Provision ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health
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