A study on disease burden and treatment among patients attending teleconsultation during lockdown period

Background: Covid-19 has been announced as a pandemic by the World Health Organization. To maintain social distancing effectively, the Government of India announced a complete lockdown on March 25th, 2020. As there are no proper transport facilities for patients who need health care services, the Government of Andhra Pradesh started 104 sevakendram as a helpline. Medical services were also provided by this 104 sevakendram through teleconsultation with doctors. The aim and objectives of the study were to study the disease pattern and treatment given to patients attending teleconsultations, to analyze the disease burden among the patients attending teleconsultation, to study the treatment given to the patients attending teleconsultation.Methods: It is a retrospective, observational, and analytical study. After prior IEC clearance and permission from teleconsultation authority, we did the study at Dr.YSR Aarogyasri health care trust, Guntur. Data regarding all calls connected to 104 was collected. Detailed information of the calls related to the Medical officer about the age, gender, disease pattern, and treatment given to the patient was collected. Statistical analysis was done using MS excel software.Results: On average, 104 sevakendram received two hundred valid teleconsultations per day. Most of the calls are related to anxiety and these calls constitute twenty four percent. Treatment given was according to probable diagnosis, mostly symptomatic and continuation of the same treatment.Conclusions: 104 sevakendram has played a vital role in meeting the medical and health requirements of the people suffering from different diseases during the lockdown period.

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Medical Technology and Developing Countries: The Case of Brazil

International Journal of Health Services ◽

10.2190/7h41-xeeb-aqyy-0cn6 ◽

1986 ◽

Vol 16 (3) ◽

pp. 363-373 ◽

Cited By ~ 18

Author(s):

H. David Banta

Keyword(s):

Health Care ◽

Developing Countries ◽

Health Care Services ◽

Medical Technology ◽

Developed Countries ◽

World Health ◽

Care Services ◽

Use Of Technology ◽

The Government ◽

Health Organization

Developing countries, faced with severe resource limitations, are trying to develop modern health care services that deliver sensible medical technologies. Because of their lack of development, these countries must import much technology, while often lacking the expertise to make wise choices. In this article, the case of Brazil is examined. Brazil has shared many of the problems of other developing countries, including inadequate access of the population to health services, maldistribution and excessive use of technology, a relatively weak national industry for production of drugs and medical devices, a weak policy structure for dealing with medical technology, and little tradition of using research or policy analysis as a guide to action. Since the election in 1985 that returned Brazil to democratic rule, the government has taken active steps to address many of these problems. The example of Brazil is important for all of the developing world to examine and follow, where applicable. In addition, North American and European aid programs could play a much more constructive role in helping less developed countries develop their health care services. International organizations such as the World Health Organization must also be active in assisting such countries to improve their decisions concerning medical technology.

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Seminars in social psychiatry in Romania

Psychiatric Bulletin ◽

10.1192/pb.16.6.340 ◽

1992 ◽

Vol 16 (6) ◽

pp. 340-342 ◽

Cited By ~ 2

Author(s):

Greg Wilkinson ◽

Linda Gask ◽

John Henderson

Keyword(s):

Health Care ◽

Health Care Services ◽

Graduate Training ◽

Training Programme ◽

World Health ◽

Psychiatric Training ◽

Regional Office ◽

Care Services ◽

Post Graduate Training ◽

Health Organization

For more than a decade there has been no opportunity for formal post-graduate training in psychiatry in Romania. In February 1992, as part of a World Health Organization (Regional Office for Europe) initiative, we travelled to Romania as WHO temporary advisers to give seminars on: (i) the role of primary health care services in providing mental health care; and (ii) the development of community-based services for the mentally ill and disabled. Our seminars were designed to complement the biological and clinical elements of a developing psychiatric training programme.

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Maternal near miss morbidity in Colombia: variables related to opportune access to health care related to the number of inclusion criteria

Revista de la Facultad de Medicina ◽

10.15446/revfacmed.v62n4.44397 ◽

2015 ◽

Vol 62 (4) ◽

pp. 553-558 ◽

Cited By ~ 2

Author(s):

José Luis Pérez-Olivo ◽

Esther Liliana Cuevas ◽

Sara García-Forero ◽

Adalberto Campo-Arias

Keyword(s):

Health Care ◽

Access To Health Care ◽

Health Care Services ◽

Near Miss ◽

World Health ◽

Maternal Near Miss ◽

Inclusion Criteria ◽

Care Services ◽

Timely Access ◽

Health Organization

Background. In Colombia, maternal near miss morbidity is monitored in the health surveillance system. The National Health Institute included a special report on cases that met three or more World Health Organization criteria according to the World Health Organization criteria. Objective. To estimate the relationship between variables related to opportune access to health care services in Colombia during 2013 depending on inclusion criteria –three or more– for maternal near miss morbidity. Materials and methods. A cross-sectional analysis of the national registry of obligatory notification on maternal near miss morbidity was performed. Cases with three or more criteria were compared with those with one or two according to some variables related to the timely access of health care services. Results. A total of 8 434 maternal near miss morbidity cases were reported, women were aged between 12 and 51 years old (M=26.4, SD=7.5). 961 (11.4%) lived in remote rural areas; 4 537 (53.8%) were uninsured under the health system, or they were affiliated to either the subsidized or special health care regime; 845 (10.0%) belonged to an ethnic minority; 3 696 (44.4%) were referred to a more complex service; 4 097 (49.2%) were admitted to the intensive care unit; and 3 975 (47.1%) met three or more of the inclusion criteria for maternal near miss morbidity. They were combined to meet three or more of the case inclusion criteria: intensive care unit admission (OR=5.58;IC95% 5.06-6.15); being uninsured or affiliated to the subsidized or special regime (OR=1.57; IC95% 1.42-1.74); and referral to a more complex service (OR=1.18; IC95% 1.07-1.31). Conclusions. In Colombia, the timely access of health care services is related to maternal near miss morbidity with three or more inclusion criteria.

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The Relations between Disability and Environmental Factors: A Pilot Study in Iranian Older Adults

Global Journal of Health Science ◽

10.5539/gjhs.v8n12p87 ◽

2016 ◽

Vol 8 (12) ◽

pp. 87 ◽

Cited By ~ 1

Author(s):

Mohammadreza Shahbazi ◽

Mahshid Foroughan ◽

Mahdi Rahgozar ◽

Reza Salmanroghani

Keyword(s):

Older Adults ◽

Health Care ◽

Environmental Factors ◽

Health Care Services ◽

Cross Sectional Study ◽

World Health ◽

Structural Barriers ◽

Cross Sectional ◽

Care Services ◽

Health Organization

OBJECTIVE: This study explored disability and its correlations with the environmental factors in a group of Iranian older adults.MATERIALS & METHODS: A cross sectional study was performed. One hundred participants receiving adult day care services in Kahrizak center in Iran were selected by using the complete enumeration method. The World Health Organization Disability Assessment Schedule 2 (WHODAS II) and the Craig Hospital Inventory of Environmental Factors (CHIEF) questionnaires were used to collect data.RESULTS: The mean score of disability was 20.61±13.66, and the scores were higher in women compared to men (P=0.001). Among the CHIEF-25 items‚ the most frequently perceived barrier by the participants was transportation followed by home design and unavailability of health care services. There was a significant association between the disability scores and the environmental factors (P<0.001). Also, significant relationships were found between the disability and all the subscales investigated in the study (polices‚ physical/structural‚ attitude/support‚ services/assistance) (P<0.001).CONCLUSION: Appropriate transportation‚ availability to health care services and removing physical/structural barriers should be taken in consideration.

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SATISFACTION SURVEY OF PATIENTS FOR TELEMEDICINE CONSULTATION DURING COVID 19 TRANSMISSIONS

International Journal of Engineering Applied Sciences and Technology ◽

10.33564/ijeast.2021.v06i05.016 ◽

2021 ◽

Vol 6 (5) ◽

Author(s):

Stuti Debnath

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Health Care Services ◽

Close Contact ◽

Vital Role ◽

World Health ◽

Age Group ◽

Care Services ◽

Treatment And Prevention ◽

Telemedicine Consultation

Telemedicine was defined by the World Health Organization as “the delivery of health care services by all health care professionals using technology for the exchange of valid information for the diagnosis, treatment, and prevention of disease and injuries”. In the current scenario of COVID19, telemedicine played a vital role in our live by saving our time and also by helping us in maintaining the social distancing norms. Telemedicine consultation helps to minimize the spread of the virus by providing all kind of health care services without the need of going to the close contact to the clinicians. In our city both government and private hospitals have actively participated and provided their every possible way of contribution to various telemedicine activities. The aim & objective of this study is to find out, satisfaction of the patients in using telemedicine consultation during COVID-19 pandemic. A Survey was administered among 30 patients who had received at least one or more than one telemedicine consultation to know the satisfaction for telemedicine consultation during this COVID-19 pandemic. The survey was done among 30 people between the age group of 30- above 60 year during the year 2021. The survey was done through Google Form. Participants responded to survey questions about their telemedicine consultation during COVID-19 pandemic. The result of the survey shows, 60% people from 30-40 age group, 6.7% people from 41-50 age group, 23.3% people from 51-60 age group & 10% people from above 60 age group used telemedicine during this pandemic. My survey also shows that 20% for new complaint, 16.7% follow up, 33.3% for emergency & 30% for covid 19 related reasons used telemedicine and it also shows that 30% people for sick or well check, 40% people used for safety, 26.7% people used to save time and 3.3% people used telemedicine for other reason for most recent visit. From my study I found out that 53.3% people used telephone & 20% used video conference and 26.7%

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Effective Containment of a COVID-19 Subregional Outbreak in Italy Through Strict Quarantine and Rearrangement of Local Health Care Services

Open Forum Infectious Diseases ◽

10.1093/ofid/ofab024 ◽

2021 ◽

Vol 8 (2) ◽

Author(s):

Sara Tedeschi ◽

Lorenzo Badia ◽

Fabio Berveglieri ◽

Rodolfo Ferrari ◽

Simona Coladonato ◽

...

Keyword(s):

Health Care ◽

Health Care Services ◽

World Health ◽

Nasopharyngeal Swab ◽

Local Health ◽

Telephone Contact ◽

Care Services ◽

Local Health Care ◽

Emilia Romagna Region ◽

Health Organization

Abstract Background Since the beginning of the pandemic, the epidemiology of coronavirus disease 2019 (COVID-19) in Italy has been characterized by the occurrence of subnational outbreaks. The World Health Organization recommended building the capacity to rapidly control COVID-19 clusters of cases in order to avoid the spread of the disease. This study describes a subregional outbreak of COVID-19 that occurred in the Emilia Romagna region, Italy, and the intervention undertaken to successfully control it. Methods Cases of COVID-19 were defined by a positive reverse transcriptase polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on nasopharyngeal swab. The outbreak involved the residential area of a small town, with ~10 500 inhabitants in an area of 9 km2. After the recognition of the outbreak, local health care authorities implemented strict quarantine and a rearrangement of health care services, consisting of closure of general practitioner outpatient clinics, telephone contact with all residents, activation of health care units to visit at-home patients with symptoms consistent with COVID-19, and a dedicated Infectious Diseases ambulatory unit at the nearest hospital. Results The outbreak lasted from February 24 to April 6, 2020, involving at least 170 people with a cumulative incidence of 160 cases/10 000 inhabitants; overall, 448 inhabitants of the municipality underwent at least 1 nasopharyngeal swab to detect SARS-CoV-2 (positivity rate, 38%). Ninety-three people presented symptoms before March 11 (pre-intervention period), and 77 presented symptoms during the postintervention period (March 11–April 6). Conclusions It was possible to control this COVID-19 outbreak by prompt recognition and implementation of a targeted local intervention.

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Current situation and capacity to deliver healthcare services at grassroots level in Minh Hoa district, Quang Binh province

Tạp chí Y học Dự phòng ◽

10.51403/0868-2836/2020/247 ◽

2021 ◽

Vol 30 (4) ◽

pp. 27-34

Author(s):

Dang Thanh Nam ◽

Nguyen Thi Thuy Duong ◽

Phan Le Thu Hang ◽

Tham Chi Dung

Keyword(s):

Health Care ◽

Health Care Services ◽

Healthcare Services ◽

Current Situation ◽

Health Care Facilities ◽

National Standard ◽

Health Examination ◽

Care Services ◽

Disease Pattern ◽

Grassroots Level

Strengthening the health care system at grassroots level is a top priority of the Vietnam Government agenda at the present. Recently, the overall system has been improved, however the capacity to deliver healthcare services, especially primary health care was still facing to many shortcomings. The study aimed to assess the current situation and capacity to deliver health care services at grassroots level. All health care facilities in the Minh Hoa district, Quang Binh province in 2018 were selected, included Minh Hoa District Hospital (DHs) and 16 Commune Health Center (CHCs). The results showed that the disease patterns tended to primarily concentrate on the illness which weres related to the human lifestyle and health behaviors such as living habits, eating unhealthy food, stress and also natural environment. Utilization of the curative services increased over the year, especially the laboratory testing and health examination services. However, the facility infrastructures did not meet the national standard. The function rooms in the facilities being degraded and damaged remained at high proportion which were required to renovate. The facilities lacked of large number of essential equipment and materials. In order to strengthen the capacity to deliver the health care services, the study recommended to invest to standardize infrastructure, provision of essential equipment, materials and drugs in correspondent to the disease pattern.

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Prison Health as Public Health in Ontario Corrections

Journal of Community Safety and Well-Being ◽

10.35502/jcswb.122 ◽

2020 ◽

Vol 5 (1) ◽

pp. 19

Author(s):

Yoko Murphy ◽

Howard Sapers

Keyword(s):

Public Health ◽

Health Care ◽

Health Care Services ◽

Care Needs ◽

Term Care ◽

Care Services ◽

Prison Health ◽

Independent Review ◽

Recent Reform ◽

The Government

The majority of incarcerated individuals in Canada, and especially in Ontario provincial correctional institutions, are released into the community after a short duration in custody. Adult correctional populations have generally poor health, including a heightened prevalence of mental health and substance use disorders. There are legal and ethical obligations to address health care needs of incarcerated individuals, and also public health benefits from ensuring adequate, appropriate, and accessible health services to individuals in custody. The Independent Review of Ontario Corrections recommended the transformation of health care in Ontario provincial corrections in 2017, including transferring health service responsibilities to the Ministry of Health and Long-Term Care. The Correctional Services and Reintegration Act, 2018, would affirm the provincial government’s obligation to provide patient-centred, equitable health care services for individuals in custody. We encourage the Government of Ontario to proclaim the Act and continue the momentum of recent reform efforts in Ontario.

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THE HEALTH-CARE NEEDS AMONG OLDER PERSONS IN AN INDONESIAN URBAN SETTING

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i7.18300 ◽

2017 ◽

Vol 10 (7) ◽

pp. 233

Author(s):

Setiawan E ◽

Poedjibudojo J K ◽

Tondok Ms

Keyword(s):

Health Care ◽

Older Persons ◽

Health Care Services ◽

Capital City ◽

Urban Setting ◽

Health Care Needs ◽

Care Needs ◽

Care Services ◽

Unmet Health Care Needs ◽

The Government

Objective: The unmet health-care needs among older persons population should be identified and anticipated due to hideous potential impacts. Ironically, no published study regarding this phenomenon was found in Indonesia. Derived from the Indonesian population and civil data, this study was conducted to identify the health-care needs of urban older people living on Java Island, the most populated island in Indonesia.Methods: A qualitative study was conducted in 3 subdistricts in Surabaya, the capital city of East Java, namely, Rungkut, Kenjeran, and Tenggilis. There were 9 focus group discussions (FGDs) conducted during March-August 2015. Participants in this study were recruited purposively, i.e., person in charge of “Karang Werda,” and the discussion explored thematically various topics in the area of unmet health needs phenomena related to: (1) Availability, (2) accessibility, and (3) acceptability. A FGD guide was developed to ensure in-depth discussion.Results: There were 90 older persons serving as volunteers who participated in this study. The unmet health-care needs addressed by participants in this study were (1) Integrated and specialized health-care services for older persons and (2) skillful yet age-friendly health-care personnel were needed by participants. Our findings pointed out that the unmet health-care needs in Indonesian urban settings were classified as primarily availability, accessibility, and acceptability issues.Conclusion: The government needs to take actions to solve the challenges related to the fulfillment of health-care needs among older persons in Indonesia. Further study of the health care personnel’s beliefs and attitudes in providing care among older persons needs to be conducted to provide a more holistic picture of the phenomena before making any strategy for the future Indonesia’s health-care system.

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Health and healthcare in the year 2040 – Facts for planning a complex and uncertain future

European Journal of Public Health ◽

10.1093/eurpub/ckz185.595 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

T Funk ◽

B Forsberg

Keyword(s):

Health Care ◽

Burden Of Disease ◽

Health Care Services ◽

Disease Burden ◽

Health Planning ◽

Health Care Planning ◽

Care Needs ◽

Future Health ◽

Care Services ◽

Future Health Care

Abstract Background In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work. Methodology Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel. Results Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase. Discussion A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging. Key messages To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.

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