scholarly journals Preference of tertiary care centres over peripheral health centres for routine NCD care: a cross-sectional study in hypertensive and diabetic individuals

Author(s):  
Sumanth Maliikarjuna Majgi ◽  
Swathi Kamal S.

Background: Although there is a program for non-communicable diseases (NCD) control and facilities for their  management at the peripheral health centres (PHCs), many patients visit tertiary health care centres (THCs),  spending 25 -35% of their income for health care on a long term basis for routine NCD care. Objective of the study was to identify the reasons for these patients not visiting the nearest PHC facility and to estimate the money and the time spent by the patients visiting the THC for such unwarranted visits.Methods: This cross-sectional study was conducted on 207 patients with diabetes mellitus and/or hypertension at Medicine OPD at K. R. Hospital, Mysuru, THC and the patients were interviewed with the help of a questionnaire.Results: All 207 (100%) were routine NCD care. 44% of the participants stated that they felt satisfied with services at THC while 5.8% had no specific reason to state for choosing to seek NCD care at THCs. Also, many patients are not aware of the facilities available at the PHC and hence visit THCs, even for routine NCD care. The average overall expense incurred per person per visit to the THC was approximately Rs. 640. The costs incurred on transportation and on drugs were statistically significant. The major contributing component for the total expense incurred was found to be the money spent on the drugs.Conclusions: Strengthening health systems are recommended by improvement in availability and prescription of essential NCD drugs along with creating awareness about various government schemes that offer good financial coverage for the poor households.

2016 ◽  
Vol 51 (6) ◽  
pp. 763-776 ◽  
Author(s):  
Heather Palis ◽  
Kirsten Marchand ◽  
Defen Peng ◽  
Jill Fikowski ◽  
Scott Harrison ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260317
Author(s):  
Victoria Dorothea Witt ◽  
Gabriel Baur ◽  
Jule Ecke ◽  
Anja Kirchner ◽  
Björn Hauptmann

Background During the SARS CoV-2 pandemic, telemedicine experienced an enormous boom. Also, for Parkinson’s patients there are upcoming alternatives to regular care. Objective The aim of the present study was to interview Parkinson’s patients under the impression of the first lockdown in Germany about their health care situation, but especially about the use of and attitudes towards videotherapy and -consultation. Methods Northern German members of the German Parkinson Association were mailed a 16-item questionnaire including demographic questions on a one-time basis. The voluntary participants answered regarding their health care situation during the first German SARS CoV-2 lockdown, as well as attitudes towards videotherapy/-consultations. Results The 332 (of 974 questionnaires) responding evaluated their care situation predominantly (58.7%) unchanged during lockdown. There was hardly any previous experience in the areas of videotherapy and -consultations (15.4% and 3%, respectively), but at the same time mostly imaginability of implementation (54.2% and 56%, respectively) and the belief that they could motivate themselves to do so (51.8%). A total of 69% welcomed technical support for the implementation of videotherapy. Conclusion In principle, there seems to be both, a need and an interest in telematics in healthcare such as videotherapy and video consultations, even if further barriers such as technical implementation need to be addressed. An expansion of telemedical services and infrastructure seems desirable not only in the pandemic situation, but also in the long term against the backdrop of demographic change, especially in an area like Schleswig-Holstein. Further studies are needed.


Author(s):  
Sushama S. Thakre ◽  
Subhash B. Thakre ◽  
Priti N. Tiwari ◽  
Hitesh C. Tayade

Background: Breastfeeding is the most important intervention for reducing infant mortality and ensuring normal growth and development of a child. Objective of this study was to assess the knowledge, attitude, and practices toward Breastfeeding among lactating mothers visiting immune-prophylaxis clinic of tertiary health care centre, Nagpur Maharashtra.Methods: A hospital-based cross-sectional study was conducted among 400 mothers at tertiary health care centre, Nagpur in the state of Maharashtra, India. The lactating mothers whose children under the age of 3 years were interviewed.Results: Maximum number of women were in the age group of 26-30 years (46%). Mothers with parity >1 had satisfactory knowledge regarding breastfeeding (p=0.0001). Prevalence of exclusive breastfeeding rate was found to be 86%.Conclusions: Efforts should be strengthened to make mothers aware of health benefits of breastfeeding for themselves and their offspring to improve the overall maternal and child health.


2021 ◽  
pp. 30-32
Author(s):  
Vikesh Gupta ◽  
Sukhjit Singh ◽  
Vineet Kumar ◽  
Pankaj Kanwar

Background: COVID-19 pandemic is a novel viral illness due to which an uncertainty has developed among the general public as well as the health care workers (HCWs) regarding the future of mankind. This has resulted in burnout among the HCWs which has been reported by researchers from different parts of the world. Method: A cross sectional study was done among health care workers (faculty members, residents, nurses and interns) working in different specialties of a tertiary care health centre of Northern India. A self-designed performa containing sociodemographic details along with “Burnout Self-Test” scale was used to obtain the prevalence of burnout among HCWs. Result: Among 192 participants, the signs of burnout were found in 148 participants (77.1%) and most had mild burnout 90 (46.88). Conclusion: Burnout amongst health care workers is high particularly in unmarried and female HCWs.


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