scholarly journals Medication non-adherence related to patients’ attitudes and knowledge rather than socio-cultural factors: a study of cardiac clinic attendees at a public healthcare institute

2019 ◽  
Vol 6 (2) ◽  
pp. 480
Author(s):  
Mandreker U. Bahall
Keyword(s):  
Associated Factors ◽  
Healthcare Providers ◽  
Medication Use ◽  
Cross Sectional Study ◽  
Public Healthcare ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Medication Effects ◽  
Data Collection Instrument ◽  
Adherence Data

Background: Medication non-adherence contributes significantly to sub-optimum care, for reasons that could be unique to specific localities. The study sought to identify reasons for non-adherence and associated factors in cardiac clinic attendees at a leading tertiary health institution in Trinidad and Tobago.Methods: This cross-sectional study included a convenience sample of cardiac clinic attendees. The data collection instrument was a questionnaire comprising items regarding socio-demographic characteristics, medical history, social support and reasons for medication non-adherence. Data were collected between March and July, 2016. Non-adherence was identified with total scores of >1 using selected similar questions to that used in the Morisky four-item adherence instrument. Data analyses involved both descriptive and inferential methods.Results: Non-adherent patients represented the largest proportion of participants (n=270, 78.3%). Participants were predominantly women, aged >50 years, of Indo-Trinidadian descent, married, and unemployed. Carelessness (n=251, 93.0%), ceasing medication use when feeling well (n=217, 80.4%), forgetfulness (n=187, 69.3%), and ceasing medication use when feeling worse (n=151, 50.6%) were the leading reasons for non-adherence, followed by unpleasant effects of medication and cost (n=144, 53.3%). Associated factors included feeling that one would become more ill upon ceasing medication use (p=0.003), the importance of understanding the reasons for taking medication (p=0.017), the importance of following physicians’ instructions (p=0.023), and educational level (p=0.040).Conclusions: Effective communication regarding patients’ concerns and potential adverse medication effects between patients and healthcare providers could promote greater adherence.

scholarly journals Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study

2020 ◽  
Vol 17 (17) ◽  
pp. 6320
Author(s):  
Ju Young Kim ◽  
Dae In Kim ◽  
Hwa Yeon Park ◽  
Yuliya Pak ◽  
Phap Ngoc Hoang Tran ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs

The purpose of this study was to examine the current utilization of healthcare services, exploring unmet healthcare needs and the associated factors among people living in rural Vietnam. This cross-sectional study was conducted with 233 participants in a rural area. The methods included face-to-face interviews using a structured questionnaire, and anthropometric and blood pressure measurements. We considered participants to have unmet health needs if they had any kind of health problem during the past 12 months for which they were unable to see a healthcare provider. Multivariate logistic regression analysis was performed to determine the factors associated with unmet healthcare needs. Of the participants, 18% (n = 43) had unmet healthcare needs, for reasons like transportation (30%), a lack of available doctors or medicine (47%), and communication issues with healthcare providers (16%). The multivariate logistic regression showed that living in a rural area, having stage 2 hypertension, and having insurance were associated with unmet healthcare needs. To better meet the healthcare needs in rural or suburban areas of Vietnam, allocation of adequate healthcare resources should be distributed in rural areas and insurance coverage for personalized healthcare needs might be required. Efforts should focus on availability of medicine, improvement of transportation systems, and communication skills of healthcare providers to improve access to healthcare services.

scholarly journals Poor COVID-19 Preventive Practice among Healthcare Workers in Northwest Ethiopia, 2020

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Belayneh Ayanaw Kassie ◽  
Aynishet Adane ◽  
Eskeziaw Abebe Kassahun ◽  
Amare Simegn Ayele ◽  
Aysheshim Kassahun Belew
Keyword(s):  
Work Experience ◽  
Healthcare Workers ◽  
Associated Factors ◽  
Multivariable Analysis ◽  
Healthcare Providers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Cross Sectional ◽  
Preventive Practice

Background. The novel coronavirus disease (COVID-19) pandemic outbreak affects the global social, economic, and political context and becomes a significant threat to healthcare providers who are among the exposed groups to acquire and transmit the disease while caring and treating patients. It is crucial to comply with prevention recommendations so as to stay safe and protected. Therefore, this study aimed to assess COVID-19 preventive practice and associated factors among healthcare workers in Northwest Ethiopia. Methods. An institution-based cross-sectional study was conducted among 630 healthcare workers in Northwest Ethiopia from March to April 2020. A multistage sampling technique was used to select study participants. A pretested and structured self-administered questionnaire was used to collect data. The data were entered using Epi Info 7 and analyzed using STATA 16 statistical software. Both bivariate and multivariable logistic regression analyses were employed to identify associated factors. Adjusted odds ratio (AOR) with 95% confidence interval was used to determine independent predictors of COVID-19 preventive practice. In multivariable analysis, a variable with a P value of less than 0.05 was considered as statically significant. Result. Among 630 healthcare workers participated in the study, the overall good preventive practice towards COVID-19 was found to be 38.73% (95% CI: 34.8, 42.5). Being a male healthcare provider (AOR = 1.48; 95% CI: 1.02, 2.10), having work experience of 6–10 years (AOR = 2.22; 95% CI: 1.23, 4.00), and having poor attitude towards COVID-19 (AOR = 2.22; 95% CI: 1.03, 2.22) were found to be significantly associated with poor COVID-19 preventive practice among healthcare workers. Conclusion. Overall compliance towards COVID-19 preventive practice among healthcare workers was found to be low. Multiple education and training platforms with focus on COVID-19 preventive measures and adequate personal protective equipment and supplies should be provided for healthcare providers.

scholarly journals Disclosure of Traditional and Complementary Medicine Use and Its Associated Factors to Medical Doctor in Primary Care Clinics in Kuching Division, Sarawak, Malaysia

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Anak Kelak Johny ◽  
Whye Lian Cheah ◽  
Safii Razitasham
Keyword(s):  
Primary Care ◽  
Complementary Medicine ◽  
Associated Factors ◽  
Primary Care Clinic ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Medical Doctor ◽  
Open Communication ◽  
Cross Sectional ◽  
Care Clinic

The decision by the patients to disclose traditional and complementary medicine (TCM) use to their doctor is an important area to be explored. This study aimed to determine the disclosure of TCM use and its associated factors to medical doctor among primary care clinic attendees in Kuching Division, Sarawak. It was a cross-sectional study using questionnaire, interviewer administered questionnaire. A total of 1130 patients were screened with 80.2% reporting using TCM. Logistic regression analysis revealed that being female (AOR = 3.219, 95% CI: 1.385, 7.481), perceived benefits that TCM can prevent complication of illness (AOR = 3.999, 95% CI: 1.850, 8.644) and that TCM is more gentle and safer (AOR = 4.537, 95% CI: 2.332, 8.828), perceived barriers of not having enough knowledge about TCM (AOR = 0.530, 95% CI: 0.309, 0.910), patient dissatisfaction towards healthcare providers being too business-like and impersonal (AOR = 0.365, 95% CI: 0.199, 0.669) and paying more for healthcare than one can afford (AOR = 0.413, 95% CI: 0.250, 0.680), and accessibility of doctors (AOR = 3.971, 95% CI: 2.245, 7.023) are the predictors of disclosure of TCM use. An open communication between patients and doctor is important to ensure safe implementation and integration of both TCM and medical treatment.

scholarly journals Preparedness for neonatal emergencies at birth and associated factors among healthcare providers working at hospitals in northwest Ethiopia: a multi-center cross-sectional study

Heliyon ◽  
2021 ◽  
pp. e08641
Author(s):  
Azmeraw Ambachew Kebede ◽  
Birhan Tsegaw Taye ◽  
Kindu Yinges Wondie ◽  
Agumas Eskezia Tiguh ◽  
Getachew Azeze Eriku ◽  
...  
Keyword(s):  
Associated Factors ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Cross Sectional

Depression, Suicidal Ideation and Perceived Stress in Italian Humanities Students: A Cross-Sectional Study

2020 ◽  
pp. 003329412098444
Author(s):  
Fabrizio Bert ◽  
Maria Ferrara ◽  
Edoardo Boietti ◽  
Elisa Langiano ◽  
Armando Savatteri ◽  
...  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Perceived Stress ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Health Issues ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Mental Health Issues

Mental health issues are common among university students. Nevertheless, few studies focused on Italian students. This study aimed to assess prevalence and associated factors of perceived stress (PS), depressive symptoms (DS) and suicidal ideation (SI) in an Italian sample. A cross-sectional study was conducted amongst a convenience sample of students in humanities field (2018). Questionnaires were self-administered. Outcomes were assessed through Beck Depression Inventory-II (DS, SI) and Perceived Stress Scale (PS). Multivariable regressions were performed (p-value < 0.05 significant; sample size = 203). DS and SI prevalence was 30.6% and 8.8%. PS median score was 20 (IQR = 11), 87.7% reported moderate/severe PS. DS likelihood was increased by psychiatric disorders family history and not attending first year of course and decreased by not thinking that university hinders personal activities. Chronic disease and higher stress score increased SI probability; good/excellent family cohesion reduced it. Being female, thinking that university hinders resting/relaxing, seeing a psychologist/psychiatrist were positively associated with PS; having no worries about future was negatively associated. A high prevalence of mental health issues was reported, with miscellaneous associated factors that were linked to both private and social aspects. Universities must be aware of this to provide efficient preventive measures.

scholarly journals Unmet Healthcare Needs and Associated Factors in Rural Vietnam: A Cross-Sectional Study

2020 ◽  
Author(s):  
Ju Young Kim ◽  
Ju Young Kim ◽  
Dae In Kim ◽  
Hwa Yeon Park ◽  
Yuliya Pak ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Associated Factors ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs

Abstract Background: Although health status in Vietnam has been much improved, people living in rural areas have faced several challenges, including a rapid increase of the aging population, inadequate capacity of health system, and problems of inequities in access to the healthcare system. The purpose of this study was to examine the current utilization of healthcare services, exploring unmet healthcare needs and their associated factors among adults living in rural Vietnam.Methods: This cross sectional study was conducted with 233 participants in a rural area of Binh Phuoc province and a suburban area of Da Lat city in Vietnam from October–December 2017. The methods included face-to-face interviews using a structured questionnaire as well as anthropometric and blood pressure measurements. We considered participants to have unmet health needs if they had any kind of health problem during the past 12 months for which they were unable to see a healthcare provider in the same period. Multivariate logistic regression analysis was performed to determine the factors associated with unmet healthcare needs.Results: Of the participants, 18% (n=43) had unmet healthcare needs. The common causes of unmet healthcare were transportation (30%), a lack of available doctors or medicines (47%), and communication issues with healthcare providers (16%). The multivariate logistic regression showed that having stage 2 high blood pressure and reporting no place to go for medical problems were associated with unmet healthcare needs.Conclusions: Healthcare services are still needed in disadvantaged group living in rural or suburban area of Vietnam. Efforts should focus on availability of medicines, improvement of transportation system as well as communication skills of healthcare providers to improve access to healthcare services.

Self-Care Behavior and Associated Factors among Heart Failure Patients in Tigray, Ethiopia: A Cross-Sectional Study

2020 ◽  
pp. 105477382096124
Author(s):  
Tsegu Hailu Gebru ◽  
Kalayou Kidanu Berhe ◽  
Weyzer Tilahun Tsehaye ◽  
Haftea Hagos Mekonen ◽  
Kbrom Gemechu Kiros ◽  
...  
Keyword(s):  
Heart Failure ◽  
Associated Factors ◽  
Healthcare Providers ◽  
Self Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Heart Failure Patients ◽  
Co Morbidity ◽  
Care Behavior

The purpose of this study was to assess the prevalence of self-care behavior and associated factors among heart failure patients. This institutional-based cross-sectional study design was done in Tigray region, Ethiopia. The data collection process was made between February and April 2018. An interviewer assisted structured questionnaire and medical chart review was used to collect the data. Data was entered and analyzed using Statistical Package for the Social Science (SPSS) version 22. Bivariate and multivariable logistic regression were conducted to identify the predictors ( p < .05). In this study, a total of 408 study subjects was included. The mean age of the participants was 45.4 (±19). The overall prevalence of good self-care behavior was 45.8% (95% CI: 40.9–50.5). Regression analysis revealed that age, educational level, co-morbidity, knowledge about heart failure, and social support were significantly associated with self-care behavior. Healthcare providers should strengthen patient education to improve self-care behavior.

scholarly journals Knowledge Sharing Practice and Its Associated Factors Among Healthcare Providers at University of Gondar Comprehensive Specialized Hospital, North West Ethiopian: Cross-sectional Study

2021 ◽  
Author(s):  
Addisalem Workie Demsash ◽  
Biniyam Chakilu ◽  
Atsede Mazengia
Keyword(s):  
Logistic Regression ◽  
Knowledge Sharing ◽  
Associated Factors ◽  
Logistic Regression Model ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
The Right

Abstract Background In healthcare, information and knowledge needs of health care providers arise in the patient care process. However, the right information and knowledge at the right time and place to the right person is not reached so far yet. Thus, leads limited knowledge sharing practice among health providers in Ethiopia. Objectives The objectives of the study were to assess knowledge sharing practice and associated factors among healthcare providers at University of Gondar hospital. Methods Institutional based cross-sectional study design was conducted through stratified simple random sampling technique among 423 samples from February 24 up to March 27, 2020. Pretested and self-administered questionnaire was used. Epi info version 7 and stata version 15 software were used for data entry, processing and analysis respectively. Descriptive statistics and multivariable logistic regression model were applied to describe the study objects and to assess knowledge sharing practice and its associated factors by considering P value ≤ 0.05. Results 423 respondents were participated with 100% response rate. From the total respondents, 222 of 423 (52.48%) of respondents were male. More than two third (66.90%) of respondents were degree and diploma holders. Nearly three fourth of 423 (74.70%) healthcare providers were under the age group of 21–30 years. The level of knowledge sharing practice among the respondents was 65.01% (95% CI: 60.46–69.56). In multivariable logistic regression model awareness AOR = 2.44, 95% CI= [1.32–4.50], willingness AOR = 1.96, 95% CI= [1.10–3.53], loss of knowledge power AOR = 0.192, 95% CI= [.12-.32], availability of health information resource AOR = 2.00, 95% CI= [1.56–5.38] and opportunity AOR = 2.91, 95% CI= [1.71–4.95] were significantly associated with knowledge sharing practice. Conclusions Knowledge sharing practice of healthcare providers is higher as compared with most studies conducted in Ethiopia. However, it needs further opportunity, resource allocation and supportive leadership.

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