scholarly journals Patient and health system delays among tuberculosis patients attending DOTS centres of Kamrup (metro) district, Assam

2017 ◽  
Vol 4 (6) ◽  
pp. 1961
Author(s):  
Abhishek Gope ◽  
Kanika K. Baruah ◽  
Jutika Ojah ◽  
Rupali Baruah
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Providers ◽  
Patient Delay ◽  
Effective Control ◽  
Care Providers ◽  
System Delay ◽  
Health System Delay ◽  
The Mean ◽  
Formal Health Care

Background: Among the North eastern states, Assam has the highest burden of tuberculosis. Early diagnosis and prompt treatment is essential for effective control of tuberculosis.Methods: A cross sectional study was conducted among new smear positive tuberculosis cases above 15 years in Kamrup (Metrolpolitan) district of Assam from August 2015 to July 2016.Results: The mean patient delay was 34.2 days and the mean health system delay was 30.34 days. Female gender and patients who made first contact with non-formal health care providers were significantly associated with patient delay while illiteracy and age more than 35 years had significant association with health system delay.Conclusions: Median patient delay was found to be more than median health system delay. As patient delay was significantly associated with non-formal health care providers, the study proposes integration of non-formal health care providers with RNTCP which can reduce the patient delay. 

scholarly journals A Study on Health Seeking Behaviors of Patients of Post-Kala-Azar Dermal Leishmaniasis

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Ariful Basher ◽  
Proggananda Nath ◽  
Shah Golam Nabi ◽  
Shahjada Selim ◽  
Md Fashiur Rahman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Patient Delay ◽  
Research Centre ◽  
Initial Symptom ◽  
Care Providers ◽  
System Delay ◽  
Health Seeking ◽  
Kala Azar ◽  
History Of

Post-Kala-Azar Dermal Leishmaniasis (PKDL) remains a major public health threat in Bangladesh. A cross-sectional study was carried out in Surya Kanta Kala azar Research Centre (SKKRC), Mymensingh, from January 2012 to July 2013 to evaluate the health seeking behaviour and the length of delay of PKDL management. The consecutive 200 diagnosed PKDL cases that got treatment in SKKRC hospital were subjected to evaluation. Most (98%) of the patients were not aware and had no knowledge about PKDL, though 87.5% had a history of history of Kala-azar treatment. Many patients reported first to village doctor (15.5%), the pharmacy shop (10%), or traditional health provider (7.5%) upon recognition of symptom. The time between the initial symptom recognition and first medical consultation (patient delay) ranged from 10 days to 4745 days (13 years) with a median of 373 days (mean: 696; IQR: 138 to 900 days). The time between first medical consultations to definite treatment (system delay) ranged from 0 days to 1971 days (5.4 years), with a median delay of 14 days (mean: 46.48; IQR: 7 to 44 days) that was reported in this study. Age, education, occupation, and residential status had significant association with patient delay (P<0.05). Educational status, occupation, number of treatment providers, and first health care provider had a significant association with system delay (P<0.05). Success in PKDL diagnosis and treatment requires specific behavior from patients and health care providers which facilitate those practices.

scholarly journals Tuberculosis’ Total Health care system and patient side diagnosis and Treatment Delay and Associated Factors Among Pulmonary Tuberculosis Patients At Hadiya Zone Public Health Facilities, Southern Ethiopia.

2019 ◽  
Vol 9 (1-s) ◽  
pp. 214-228
Author(s):  
Gedeyon Getahun ◽  
Tilahun Beyene ◽  
Lakew Abebe
Keyword(s):  
Health Care ◽  
Health System ◽  
Treatment Delay ◽  
Health Facilities ◽  
Patient Delay ◽  
System Delay ◽  
Total Delay ◽  
Health System Delay ◽  
Tb Treatment ◽  
Hadiya Zone

Background: Delay in TB treatment is significant to both disease prognoses at the individual level and within the community. Even though studies conducted in TB treatment delay there is result inconsistencies due to differences in culture, environment and infrastructure. Objective: the aim of the study is to assess the tuberculosis treatment Delay and associated factor among pulmonary tuberculosis patients. Method: Facility based cross sectional study triangulated by Qualitative study was employed on 340 PTB patients in Hadiya zone public health facilities. Three woredas and health facilities were selected by Simple random sampling method. DOTS user at the beginning of data collection was consecutively recruited in to the study until the intended sample size was fulfilled. Multivariable binary Logistic regression was used. A P-value < 0.05 at 95 % CI was considered statistical significance between dependent and predictors variables. Result: Among 340 PTB patients enrolled in the study, of which 49.1% experienced patient delay, 30% health system delay and 49.8% total delay. Unable to read and write, Poor knowledge of TB (AOR 3.96, 95% CI (2.28   6.86), self-treatment (AOR: 2, 95% CI (1.14, 3.93), financial constraint (AOR: 2.092, 95% CI (1.11, 3.945) , Visiting two or more health care providers (AOR: 3.40, 95% CI (1.910 – 6.07), prolonged referral (AOR: 3.004, 95% CI (1.59, 5.67) were independent predictors of delay. Conclusion: Nearly half of the total delay was contributed by patient delay. Unable to read and write, Poor knowledge of TB, self-treatment, financial constraints, prolonged referral, several visit of health care provider of two or more and ever used other drugs rather than Anti-TB drugs were found to have association with patient delay and health system delay. Keywords: Tuberculosis treatment delay, PTB, patient delay and health system delay, Hadiya zone, Ethiopia.

scholarly journals Job satisfaction and its related factors in health care providers and health workers in Esfarayen

2019 ◽  
Author(s):  
Ahmad Sadeghi ◽  
Hasan Jafari ◽  
Hossein Rouhani ◽  
Akram Zhianifard ◽  
Maryam Siavashi
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Organizations ◽  
Health Workers ◽  
Demographic Variables ◽  
Care Providers ◽  
Related Factors ◽  
Care Workers ◽  
The Mean

Introduction: Job Satisfaction in Health care organizations is one of the important pillars of health promotion, due to the role they play in the prevention, care and treatment. The aim of this study was to determine the job satisfaction and its related factors in health workers in Esfarayen. Methods: This descriptive-analytical study was carried out on 140 health care workers in Esfarayen in 2017. Data was collected using Herzberg job satisfaction questionnaire, and data were analyzed using ANOVA and t-test in SPSS21 software. Results: The mean age of participant was 37 ± 8.34. Most of them were female (70%) and married (85.5%). The average of job satisfaction was 61.45 ± 7.65 (out of 100). The highest job satisfaction score was work ability (73.54 ± 1.08) and the lowest score belonged to supervision ( 49.15 ± 5.73). Among the demographic variables, Job satisfaction was significantly associated with Employment Status (P<0.05). Conclusion: Despite employees have job satisfaction, factors that increase job satisfaction of employees should be considered by the relevant authorities. Establishing suitable job standards, fair and reasonable salary, and the creation of facilities in the workplace can lead to improved employee satisfaction and, consequently, improved service quality.

scholarly journals A Survey of Family Planning Training, Knowledge, and Practices Among Health Care Providers Within the Military Health System at Joint Base Lewis–McChord

2018 ◽  
Vol 184 (5-6) ◽  
pp. e394-e399 ◽  
Author(s):  
Elizabeth I Deans ◽  
Alison L Batig ◽  
Sarah Cordes ◽  
Alicia N Scribner ◽  
Peter E Nielsen ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health System ◽  
Health Care Providers ◽  
Care Providers ◽  
Military Health System ◽  
Military Health ◽  
The Military

The public’s trust and information brokers in health care, public health and research

2019 ◽  
Vol 33 (7/8) ◽  
pp. 929-948 ◽  
Author(s):  
Jodyn Platt ◽  
Minakshi Raj ◽  
Sharon L.R. Kardia
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Information Sharing ◽  
Health Information ◽  
Health Care Providers ◽  
Care Providers ◽  
Content Type ◽  
The Public ◽  
Information Brokers

Purpose Nations such as the USA are investing in technologies such as electronic health records in order to collect, store and transfer information across boundaries of health care, public health and research. Health information brokers such as health care providers, public health departments and university researchers function as “access points” to manage relationships between the public and the health system. The relationship between the public and health information brokers is influenced by trust; and this relationship may predict the trust that the public has in the health system as a whole, which has implications for public trust in the system, and consequently, legitimacy of involved institutions, under circumstances of health information data sharing in the future. This paper aims to discuss these issues. Design/methodology/approach In this study, the authors aimed to examine characteristics of trustors (i.e. the public) that predict trust in health information brokers; and further, to identify the factors that influence trust in brokers that also predict system trust. The authors developed a survey that was administered to US respondents in 2014 using GfK’s nationally representative sample, with a final sample of 1,011 participants and conducted ordinary least squares regression for data analyses. Findings Results suggest that health care providers are the most trusted information brokers of those examined. Beliefs about medical deceptive behavior were negatively associated with trust in each of the information brokers examined; however, psychosocial factors were significantly associated with trust in brokers, suggesting that individual attitudes and beliefs are influential on trust in brokers. Positive views of information sharing and the expectation of benefits of information sharing for health outcomes and health care quality are associated with system trust. Originality/value This study suggests that demonstrating the benefits and value of information sharing could be beneficial for building public trust in the health system; however, trust in brokers of information are variable across the public; that is, knowledge, attitudes and beliefs are associated with the level of trust different individuals have in various health information brokers – suggesting that the need for a personalized approach to building trust.

scholarly journals Impact of Health Insurance on Health Care Utilisation and Out-of-Pocket Health Expenditure in Vietnam

2020 ◽  
Vol 2020 ◽  
pp. 1-16
Author(s):  
Nguyen Thi Thu Thuong ◽  
Tran Quang Huy ◽  
Do Anh Tai ◽  
Tran Nhuan Kien
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Providers ◽  
Health Care Utilisation ◽  
Health Coverage ◽  
Care Providers ◽  
Care Utilisation ◽  
The Mean ◽  
Number Of Visits ◽  
Universal Health

Background. In recent years, health insurance (HI) has been chosen by many low- and middle-income countries to obtain an important health policy target—universal health coverage. Vietnam has recently introduced the Revised Health Insurance Law, and the effects of the voluntary health insurance (VHI) and heavily subsidised health insurance (HSHI) programmes have not yet been analysed. Therefore, this study is aimed at examining the impact of these HI programmes on the utilisation of health care services and out-of-pocket health expenditure (OOP) in general and across different health care providers in particular. Methods. Using the two waves of Vietnam Household Living Standard Surveys 2014 and 2016 and the difference-in-difference method, the impacts of VHI and HSHI on health care utilisation and OOP in Vietnam were estimated. Results. For both the VHI and HSHI groups, we found that HI increased the probability of seeking outpatient care, the mean number of outpatient visits, the total number of visits, and the mean number of visits at the district level of health care providers in the last 12 months. However, there was no evidence that the HSHI programmes increased the mean number of inpatient visits and the number of visits at the provincial hospital. We also found that while the VHI programme reduced OOP for both outpatient and inpatient care, the HSHI scheme did not result in a reduction in OOP for hospitalisation, although HI lowered the total OOP. Similarly, we found that for both groups, HI reduced OOP when the insured visited district and provincial hospitals. However, the statistically significant impact was not demonstrated when the enrolees of HSHI programmes visited provincial hospitals. Conclusion. The study offers evidence that the Vietnamese HI scheme increased health care service utilisation and decreased OOP for the participants of the VHI and HSHI programmes. Therefore, the government should continue to consider improving the HI system as a strategy to achieve universal health coverage.

Health Care Providers’ Perspectives on Patient Delay for Seeking Care for Symptoms of Acute Myocardial Infarction

1999 ◽  
Vol 26 (5) ◽  
pp. 714-733 ◽  
Author(s):  
Jane Zapka ◽  
Barbara Estabrook ◽  
Janice Gilliland ◽  
Laura Leviton ◽  
Hendrika Meischke ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Acute Myocardial Infarction ◽  
Health Care Providers ◽  
Patient Delay ◽  
Care Providers

scholarly journals Hepatitis B virus genotype E infection among Egyptian health care workers

2017 ◽  
Vol 5 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Reem Elmaghloub ◽  
Ashraf Elbahrawy ◽  
Gamal El Didamony ◽  
Ahmed Elwassief ◽  
Abdel-Gawad Saied Mohammad ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis B ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Hbv Infection ◽  
Care Work ◽  
Care Providers ◽  
Health Care Work ◽  
Care Workers ◽  
The Mean

AbstractBackground and ObjectivesHealth Care Workers (HCWs) are at a high risk of needle stick injuries and HBV infection in Egypt; this problem is further aggravated by low Hepatitis B (HB) vaccination coverage. Limited data are available on the prevalence of HBV infection in Egyptian HCWs. In this study, we aimed to assess the HBV infection rate and genotypes among Egyptian HCWs.MethodsFive hundred and sixty-four (564) HCWs were included. Of them, 258 (45.74%) were health care providers and 306 (54.25%) were non-health care providers. All HCWs completed both the study questionnaires and provided a blood sample for HBV testing. Indeed, all HCWs were tested for Hepatitis B surface antigen (HBsAg) and antibody to Hepatitis B core antigen (anti-HBc), by enzyme-linked immunosorbent assay. HBVDNA was checked for HCWs who tested positive for HBsAg and/or anti-HBc, by nested Polymerase Chain Reaction (PCR). HBVDNA positive HCWs were further subjected to HBV genotyping.ResultsThe mean age of included HCWs was 33.0 ± 9.8 years, of whom 319 (56.56%) were males. The mean duration of health care work was 9.3 ± 6.7 years. The frequency of HBsAg and anti-HBc were 1.4%, and 24.5%, respectively. Old age and prolonged duration of health care work were significantly associated with anti-HBc seropositivity. Among 140 HCWs positive for HBsAg and/or anti-HBc, 14 (10 %) had positive HBVDNA by PCR. HBV/E (n= 7), HBV/D (n= 3) and co-infection with E and D (n= 4) genotypes were detected.ConclusionEgyptian HCWs have a significantly high rate of HBV exposure. The detection of HBV/E genotype among Egyptian HCWs suggests prevalent transmission of HBV/E among Egyptian populations.

Full Disclosure When Bad Things Happen

2007 ◽  
Vol 26 (2) ◽  
pp. 131-132 ◽  
Author(s):  
Sherri Lee Simons
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Institute Of Medicine ◽  
Care Providers ◽  
Full Disclosure ◽  
Care Systems

SINCE THE RELEASE OF THE Institute of Medicine report “To Err Is Human: Building a Safer Health System,” much attention has been focused on redesigning health care systems and implementing safer practices.1 At the same time, health care providers continue to grapple with the ways in which institutions and caregivers respond when preventable injuries occur.2–5

scholarly journals Stress, Resilience and Moral Distress among Health Care Providers During COVID-19 Pandemic

Esculapio ◽  
2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Ahmed Latif ◽  
◽  
Sobia Yaqub ◽  
Qudsia Anwar Dar ◽  
Umer Sultan Awan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Moral Distress ◽  
High Stress ◽  
Care Providers ◽  
Online Questionnaire ◽  
Stress Resilience ◽  
Stress Scale ◽  
Distress Score ◽  
The Mean

Objective: This study aims to determine level of stress, resilience and moral distress among health care providers during covid-19 pandemic. Methods: This is a cross-sectional study performed using an online questionnaire. Data was collected from Health Care Providers, working in various tertiary care hospitals of Lahore, using an online questionnaire. Perceived stress scale (PSS), Connor-Davidson Resilience Scale (CD-RISC 10) and Moral Distress Thermometer were used to determine level of stress, resilience and moral stress respectively among the HCPs. Scores on the PSS can range from 0 to 40 with scores of 0-13, 14-26 and 27-40 being considered as low, moderate and high stress respectively. The Moral Distress Thermometer has scores ranging from 0-10 with value of ≥4 considered high. Data was analyzed using SPSS version.23.Descriptive variables were reported as means and frequencies. Intergroup analysis was done using Chi square test with p<0.05 taken as significant. Results: A total of 278 (n=278) HCPs participated in study. According to the PSS (Perceived Stress Scale) scores, 5.03% (14) reported low, 86.69% (241) moderate and 8.27% (23) high stress levels. The mean stress score is 21.56+/-4.32. Providing patient care (mean = 2.28+/-1.15 SD) and transmitting infection to others (mean = 3.02+/-1.10 SD) were deemed major causes of stress. The mean CD-RISC score was 23.14+/-7.81 SD. Only 10.8% (30) had a score of ≥ 32. The mean Moral Distress score was 4.2+/-2.98 SD, with 53.2% (149) participants reporting high Moral distress (score ≥4). Conclusion: The high level of stress among HCPs during COVID-19 pandemic highlights the need of urgent measures to overcome this psychological issue which if left un-addressed can affect performance of HCPs. Key Words: Stress, Resilience, HCPs How to cite: Latif A., Yaqub S., Dar A.Q., Awan S.U., Farhat Hina., Khokhar A.M., Stress, Resilience and Moral Distress among Health care Providers during COVID-19 pandemic. Esculapio 2021;17 (01):79-82

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