scholarly journals Changes in prescriptions on opioids in primary health care during the years 2008-2017

2021 ◽  
Vol 107 (10) ◽  
pp. 455-459
Author(s):  
Sigríður Óladóttir ◽  
◽  
Jón Steinar Jónsson ◽  
Margrét Ólafía Tómasdóttir ◽  
Hannes Hrafnkelsson ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Pain Treatment ◽  
Health Clinic ◽  
Defined Daily Dose ◽  
Age Group ◽  
Opioid Prescription ◽  
Health Clinics ◽  
Primary Health ◽  
Research Period

INTRODUCTION: In recent decades there has been a notable increase in the prescription of opioids in western countries. With this rise in use of opioids the risk of side effects, opioid abuse and deaths linked to opioids have become more apparent. The increase in opioid prescription may partly stem from a change in attitude in relation to pain management. Research has shown that pain is among the most common reasons people seek medical care and chronic pain is prevalent. Iceland is leading the Nordic countries in opioid prescriptions. OBJECTIVE: To examine prescriptions of opioids in primary car in Iceland for all age group from 2008 to 2017. METHODS: The research included all opioid prescription in every health clinic in the capital area in Iceland the between 2008 and 2017. Population in the capital area in this time period was between 201 and 222 thousand people. Data was collected from medical records database of the primary health care and approximatley 68.000 individuals had received a prescription for opioids during the research period. RESULTS: During the research period there was a 17,2% (p<0,01) increase in DDD/1000 inhabitants/day (Defined daily dose) for opioids. About a third of those who got the prescription were men and that ratio did not change during the period. proportionately, the biggest change in DDD/1000 inhabitants/day was in the age group made of people 90 years old and older, about 40,5% (p<0,01). The biggest increase in number of people getting a prescription for opioids was in the age group 30-39, about 25,5% (p<0,01). Number of prescriptions increased in every category of opioids, measured in DDD/1000 inhabitants/day,15,3% (p<0,01) in parkódin, 20,7% (p<0,01) in parkódín forte, 4,7% (p<0,01) in tramadol and 85,6% (p<0,01) in the strongest opioids. Discussion: the evolution of prescriptions for every type of opioid to the clients of the health clinics in the capital area that occured in the years from 2008 to 2017, proportionately highest for the strongest opioids, should encourage a review of pain treatment within the health clinics and development within that field.

scholarly journals Patient Experience of Primary Health Care Users in KwaZulu-Natal

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Hope Padayachee ◽  
Muhammad E Hoque ◽  
Emmanuel Mutambara
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Patient Experience ◽  
Health Sector ◽  
Health Clinic ◽  
P Value ◽  
Cross Sectional ◽  
Health Clinics ◽  
Primary Health ◽  
Kwazulu Natal

This study was conducted to evaluate Patient Experience in primary health clinics in the province of KwaZulu-Natal (KZN). A quantitative study approach included 280 participants. The descriptive cross sectional study utilised a self-administered questionnaire as the research instrument, which was distributed to the target population of primary health care (PHC) users. The overall Patient Experience-Satisfaction showed that more than half of the respondents were not satisfied with the current Patient Experience in the primary health clinic. There was a significant association with age and the overall Patient Experience-Satisfaction (p<0.05). Older patients indicate a favourable Patient Experience when compared to younger patients, who are more critical of the Patient Experience elicited in primary health clinics. The results showed that gender did not significantly affect the overall Patient Experience-Satisfaction (p=0.957). Race significantly affected Patient Experience (p value = 0.011) with black respondents having a significantly lower mean rank of Patient Experience when compared to Indian respondents. There was an overall negative perception toward the Patient Experience elicited in users. There is an urgent need to review the service delivery of clinics. The need for a Patient Experience Model is highlighted for the health sector in South Africa.

Comparing ICD-9-CM and ICD-10 Classification Systems in a Primary Health Care Setting: Some Initial Observations

1995 ◽  
Vol 25 (3) ◽  
pp. 83-86 ◽  
Author(s):  
Sue Walker ◽  
Maryann Wood ◽  
Jeffrey Wilks ◽  
Jennifer Nicol
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Setting ◽  
Classification Systems ◽  
Empirical Testing ◽  
Primary Health Care Setting ◽  
Health Clinics ◽  
Primary Health ◽  
Icd 10 ◽  
Using Data

The ICD-10 is due to be introduced into Australia during the late 1990s, superseding the current and widely used ICD-9-CM. Improvements in areas such as number of codes, an expanded external cause framework, and more context to injuries are expected to make the ICD-10 a more streamlined system for practitioners. The present study examined both classification formats using data from 1183 presentations to primary health clinics at island tourist resorts. Some initial observations are made about differences in the two systems, highlighting the greater coding detail provided by the ICD-10, particularly in the area of injuries. It is recommended that further empirical testing be undertaken using the ICD-10 in a variety of settings so as to identify benefits in the coding of both medical conditions and injuries.

scholarly journals The prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Danae Koetaan ◽  
Andrea Smith ◽  
Anke Liebenberg ◽  
Marietjie Brits ◽  
Christos Halkas ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Free State ◽  
Health Clinic ◽  
Cross Sectional ◽  
Health Care Clinics ◽  
Primary Health ◽  
History Of

Background: The Constitution of South Africa stipulates that all children have the right to basic nutrition; however, a great number of South African children are underweight for age. It is important to address malnutrition as it is associated with more than 50% of all child deathsin developing countries and also increases the risk for infective diseases.Aim: To determine the prevalence of underweight in children aged 5 years and younger attending primary health care clinics in the Mangaung area, Free State, and determine the possible underlying causes thereof.Setting: Six preselected primary health care clinics in the Mangaung area.Methods: This was a cross-sectional study. Demographic and clinical information and anthropometric measurements were collected from the children’s Road-to-Health clinic cards,obtained from the children’s caregivers.Results: In total, 240 children were included, of which 51.7% were girls. The median age was 7.5 months. The weight-for-age graph revealed that 7.7% (95% confidence interval: 4.8%;11.9%) of children were underweight or severely underweight for age. Length-for-age and weight-for-height graphs were mostly incomplete. Underweight children differed from normal weight children regarding birth weight (low birth weight 70.6% vs. 12.4%) and history of malnutrition (60.0% vs. 7.1%).Conclusion: The prevalence of underweight in children aged 0–5 years attending primary health care clinics in Mangaung is 7.7% based on information available from Road-to-Healthcards. This figure could be higher if these cards were filled in more accurately. A low birth weight and history of malnutrition are associated with underweight.

scholarly journals ASSESSMENT OF AWARENESS OF FAMILY PHYSICIANSABOUT THE OSTEOPOROSIS AS A PROBLEM OF ELDERLY

2017 ◽  
Vol 9 (1) ◽  
pp. 79-82
Author(s):  
O Yu Kuznetsova ◽  
I E Moiseeva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Age Group ◽  
Treatment Of Osteoporosis ◽  
Family Doctors ◽  
Primary Health ◽  
Prevalence Of Osteoporosis

The prevalence of osteoporosis in Russia is about 10%, and in the age group over 50 years - up to 25-35%. The role of primary care physicians in the prevention, diagnosis and treatment of this disease is high, because 80% of patients seeking medical help in primary health care. The article presents the results of the assessment of the awareness of the general practitioners (family doctors) on the preven- tion, diagnostics and treatment of osteoporosis

scholarly journals Guidelines to reduce sexually trasmitted infections at primary health care centres - Part 2

Curationis ◽  
2007 ◽  
Vol 30 (4) ◽  
Author(s):  
S.T.J. Molapo ◽  
T.M.M. Maja ◽  
S.C.D. Wright
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Diseases ◽  
Health Clinic ◽  
Structured Interviews ◽  
Care Clinic ◽  
Professional Nurse ◽  
Sexually Transmitted ◽  
Primary Health

Sexually transmitted diseases are the second highest cause of death among women aged 15-44 years. The incidence and prevalence of sexually transmitted diseases is on the increase at many health care centres despite their dreadfulness and many preventative measures. According to the Scope of Practice of registered professional nurses working in a community health clinic, the registered professional nurse has a responsibility to prevent disease and promote health as well as do research. This paper aims to describe guidelines to reduce sexually transmitted infections at primary health care centres based on research done to investigate the community specific knowledge, attitudes and perceptions regarding sexually transmitted infections. Structured interviews were used to collect data from 1694 participants (males and females) who were consulted at a primary health care clinic in Mamelodi, Gauteng province. Existing patients’ records were also utilised to calculate the incidence rate of sexually transmitted infections. Data were computerised and analysed quantitatively to reflect the results in frequencies and percentages as reported in Part 1 of this research. Guidelines to direct the practice of registered professional nurse were developed based on the findings of the results. These guidelines must underpin community specific interventions to reduce the incidence of sexually.

Prevalence, symptom patterns and comorbidity of anxiety and depressive disorders in primary care in qatar

2011 ◽  
Vol 26 (S2) ◽  
pp. 138-138
Author(s):  
A. Bener
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Anxiety Disorder ◽  
Anxiety Disorders ◽  
Depressive Disorders ◽  
Common Symptom ◽  
Age Group ◽  
Depression And Anxiety ◽  
Primary Health ◽  
Co Morbidity

AimTo determine the prevalence of anxiety and depressive disorders in Qatari population who attend the primary health care settings and examine their symptoms patterns and co-morbidity.DesignA cross sectional.SettingPrimary health care center, QatarSubjectsA total of 2080 Qatari subjects aged 18 to 65 years were approached and 1660 (79.8%) patients participated in this study.MethodsThe study was based on a face to face interview with a designed diagnostic screening questionnaire which consists of 17 questions about symptoms and signs of anxiety and depression disorders. Physicians determined the definitive diagnosis for depression and anxiety disorders by further checking and screening their symptoms.ResultsThe overall prevalence of depression and anxiety disorder was 13.5% and 10.3% respectively. Qatari women were at higher risk for depression (53.1% vs 46.9%) and anxiety disorder (56.7% vs 43.3%) compared to men. More than half of the sufferers with anxiety (56.7%) and depression (53.1%) were Qatari women with a higher frequency in the age group 1834 years. There were significant differences between men and women with depression in terms of age group (p = 0.004), marital status (p = 0.04), occupation (p < 0.001) and household income (p = 0.002). Nervousness was the most common symptom in subjects with anxiety disorders (68.4%), whereas sleep difficulty was the most common symptom in subjects with depressive disorder (59.4%).ConclusionThe depression was more prevalent in Qatari than anxiety disorders. The high risk groups of depression and anxiety disorders were being female, married, middle aged and highly educated.

scholarly journals Analisis Perhitungan Kapitasi pada Fasilitas Kesehatan Tingkat Pertama yang Bekerja Sama dengan BPJS Kesehatan KCU Kota Bogor Tahun 2015

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ayu Novia Kurnia ◽  
Atik Nurwahyuni
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Age Groups ◽  
Individual Risk ◽  
Age Group ◽  
Cross Sectional ◽  
Care Level ◽  
Primary Health ◽  
Primary Health Care Level ◽  
Cross Sectional Design

 Abstrak Berdasarkan PMK No. 69 Tahun 2013, tarif kapitasi ditetapkan sama untuk semua kelompok umur, hanya dibedakan antar FKTP. Tarif kapitasi tersebut tidak disesuaikan dengan risiko individu. Penelitian ini bertujuan untuk menghitung tarif kapitasi berdasarkan risiko umur menggunakan metode penelitian cross sectional. Hasil dari penelitian ini yaitu tarif kapitasi berdasar­kan kelompok umur pada puskesmas, DPP, dan klinik. Hasil tarif kapitasi tersebut menunjukkan bahwa terdapat perbedaan tarif antar kelompok umur dengan kapitasi tertinggi terdapat pada kelompok umur 0-4 dan ≥ 50 tahun dan tarif kapitasi cenderung turun pada kelompok umur produktif. Abstract Based on PMK No. 69 in 2013, capitation is set at the same tariff for all age groups and only distinguished for each primary health care. Capitation is not adjusted by individual risk. This study aimed to calculate the capitation by age, using cross sectional design. The result of this study was capitation by age groups at the primary health care level. It was indicated that there was different capitation between age groups, with higher capitation observed in the age group of 0-4 and ≥50 years old and declining in productive age.

scholarly journals Kepuasan Pasien Rawat Jalan terhadap Pelayanan Kefarmasian di Rumah Sakit dan Puskesmas di 11 Provinsi di Indonesia

2020 ◽  
pp. 42-49
Author(s):  
Nita Prihartini ◽  
Yuyun Yuniar ◽  
Andi Leny Susyanty ◽  
Raharni Raharni
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sex Education ◽  
Pharmaceutical Products ◽  
Further Education ◽  
Pharmaceutical Services ◽  
Age Group ◽  
Cross Sectional ◽  
Primary Health

Pharmaceutical services is a direct service and responsible to patients relating to pharmaceutical products aimed to improve the quality of life of patients. Quality of pharmaceutical services can be assessed based on outpatient satisfaction. The aim of the study was to compare the satisfaction of outpatients with pharmaceutical services in hospitals and primary health care. This study used a cross-sectional comparative study design and was conducted in February-November 2017 in 11 provinces, each province consisting of 2 districts/cities selected purposively. Samples were outpatients who got medicines in hospitals or primary health care at least 31 patients in each pharmacy. Satisfaction was assessed by the dimension of responsiveness, reliability, collateral, friendliness, and physical evidence. Data was collected by the questionnaires and analyzed using chi-square test. The results of the study show that outpatient satisfaction with pharmaceutical services in hospital and primary health care was 90,9% and 96.6%, respectively. The largest percentage of outpatients in hospitals and primary health care are in the age group of 40-59 years, female, has further education, and not working/housewives. There were significant differences in the age group, gender, and education of outpatients between hospitals and primary health care. There was no significant relationship between the characteristics (age, sex, education, occupation) of outpatients and satisfaction with pharmaceutical services in hospitals and primary health care

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