scholarly journals Factors associated with delays in the search for care in neonatal and child deaths in Yucatan, Mexico, 2015–2016

2019 ◽  
Author(s):  
Bernardo Hernandez ◽  
Elsa Rodríguez Angulo ◽  
Erin B Palmisano ◽  
Ricardo Ojeda ◽  
Rafael Ojeda ◽  
...  
Keyword(s):  
Health Services ◽  
Health Problem ◽  
Complete Information ◽  
Cross Sectional Study ◽  
The State ◽  
Care Process ◽  
Public Facility ◽  
Timely Manner ◽  
Cross Sectional ◽  
Quality Health

Abstract Background Reducing neonatal and child mortality is a top priority for global health agendas and relies in part on the degree to which the population can access quality health services in a timely manner. This study explores the delays faced during the search for care by caregivers of children under the age of 5 who died in the State of Yucatan, Mexico, during 2015–2016 using the three delays framework as a way to identify bottlenecks and areas susceptible to intervention to reduce these deaths.Methods Cross-sectional study of all children under 5 years of age who died in the State of Yucatan, Mexico, during 2015 – 2016. Information on delays was obtained through household interviews with the caregiver of the child.Results Among 298 cases of children who experienced a health problem and searched for care, 252 had complete information for the study. Over 61% of those children visited more than one facility to seek care and had long times to start seeking care. The beginning of the search for care process was shorter when mothers or caregivers sought care initially at a public facility, and when some symptoms like coughing, lethargy, or rash were detected in the child. The second delay, travel time to facilities, was longer in children enrolled in Seguro Popular as compared to children covered by other forms of social security. Finally, the third delay, waiting time to be seen in the facility, was more common in public facilities that are not hospitals, and more common among children who also experienced a long travel time.Conclusions The results suggest that health promotion actions to reduce the time to search for care when facing a health problem and providing resources to mothers and caregivers to access health services in a timely manner may reduce these delays. This information can help in the planning of health services and improve their impact on population health.

scholarly journals Aspectos clínicos e epidemiológicos relacionados ao transplante de córneas

2019 ◽  
Vol 13 ◽  
Author(s):  
Mayk Penze Cardoso ◽  
Marcos Antonio Ferreira Júnior ◽  
Elenilda De Andrade Pereira Gonçalves ◽  
Vanessa Giavarotti Taboza Flores ◽  
Élen Ferraz Teston ◽  
...  
Keyword(s):  
Health Services ◽  
Corneal Transplantation ◽  
Epidemiological Data ◽  
Distribution Patterns ◽  
Cross Sectional Study ◽  
The State ◽  
Cross Sectional ◽  
Mato Grosso ◽  
Eye Banks ◽  
Mato Grosso Do Sul

RESUMOObjetivo: caracterizar epidemiologicamente os transplantes de córneas realizados no estado de Mato Grosso do Sul. Método: trata-se de estudo quantitativo, epidemiológico, de desenho transversal. Compor-se-á a amostra de estudo de forma censitária por todos os pacientes em fila de espera, os submetidos ao transplante de córneas e os doadores desse tipo de tecido no Estado de Mato Grosso do Sul. Realizar-se-á a coleta de dados por meio de três instrumentos elaborados para cada população distinta, com as variáveis de dados clínicos e epidemiológicos. Estabelecer-se-ão estatisticamente os padrões de distribuição e as frequências, bem como as medidas de tendência central, além da análise multivariada com aplicação de medidas de magnitude de efeito e associação, de acordo com a natureza de cada variável, a serem apresentados em forma de gráficos e tabelas. Resultados esperados: espera-se identificar as dificuldades encontradas no sistema estadual de transplante de córneas com foco no desenvolvimento de conceitos técnicos, de planejamento e organização do atendimento aos usuários em fila de espera, doadores e transplantados. Descritores: Transplante de Córnea; Doenças da Córnea; Retalhos de Tecido Biológico; Epidemiologia; Serviços de Saúde; Bancos de Olhos.ABSTRACTObjective: to make the clinical and epidemiological characterization of corneal transplants performed in the state of Mato Grosso do Sul. Method: this is a quantitative, epidemiological, cross-sectional study. A sample of the study will be collected in a census form for all patients in queue, those submitted to corneal transplantation and donors of this type of tissue in the State of Mato Grosso do Sul. Data collection will be performed by means of three instruments elaborated for each distinct population, with the variables of clinical and epidemiological data. Distribution patterns and frequencies as well as measures of central tendency will be statistically established, as well as multivariate analysis with application of magnitude of effect and association, according to the nature of each variable, to be presented in charts and tables. Expected results: it is hoped to identify the difficulties found in the state transplant system of corneal aimed at the development of technical concepts, planning and organization of care for waiting users, donors and transplanted patients. Keywords: Corneal Transplantation; Corneal Diseases; Biological Tissue Patchwork; Epidemiology; Health services; Eye Banks. Descriptors: Corneal Transplantation; Corneal Diseases; Free Tissue Flaps; Epidemiology; Health Services; Eye Banks.RESUMENObjetivo: caracterizar epidemiológicamente los trasplantes de córneas hechos en el estado de Mato Grosso do Sul. Método: trata-se de un estudio cuantitativo, epidemiológico, de diseño transversal. La muestra de estudio se compondrá de forma censal por todos los pacientes en cola de espera, los sometidos al trasplante de córneas y los donantes de ese tipo de tejido en el Estado de Mato Grosso do Sul. Se realizará la recolección de datos mediante tres instrumentos preparados para cada población distinta, con las variables de datos clínicos y epidemiológicos. Se establecerán estadísticamente los patrones de distribución y las frecuencias, así como las medidas de tendencia central, además del análisis multivariado con aplicación de medidas de magnitud de efecto y asociación, de acuerdo con la naturaleza de cada variable, que deberán presentarse en forma de gráficos y tablas. Resultados esperados: se espera identificar las dificultades encontradas en el sistema estatal de trasplante de córneas mirando el desarrollo de conceptos técnicos, de planificación y organización de la atención a los usuarios en cola de espera, los donantes y los trasplantados. Descriptores: Trasplante de Córnea; Enfermedades de Córnea; Colgajos Tisulares Libres; Epidemiología; Servicios de Salud; Bancos de Ojos.

scholarly journals The Substance Abuse and Mental Health Services Administration Buprenorphine Practitioner Locator Misrepresents Access to Buprenorphine

2021 ◽  
Author(s):  
Precious Anyanwu ◽  
Tyler J Varisco ◽  
Matthew A. Wanat ◽  
Shweta Bapat ◽  
Kasey Claborn ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Mental Health Services ◽  
Health Services ◽  
Poverty Line ◽  
Cross Sectional Study ◽  
The State ◽  
County Level ◽  
Cross Sectional ◽  
Health Services Administration

Abstract: Aims: To compare county-level differences in the number of buprenorphine prescribers listed in the publicly available Substance Abuse and Mental Health Services Administration (SAMHSA) Buprenorphine Practitioner Locator and in the Drug Enforcement Administration’s (DEA) Controlled Substance Act (CSA) database and to determine if disparities in access exist in poorer areas with more non-white residents. Design: Cross-sectional study Setting: TexasMeasurements: County-level counts of buprenorphine prescribers were calculated from both the publicly available SAMHSA buprenorphine practitioner locator list and the DEA CSA database. These were then used to estimate the number of providers per 100,000 residents in each county. Regional variation in access to buprenorphine was compared descriptively across the state using poverty data from the US Census and county-level demography from the Texas Demographic Center. Results: This study found 68.8% more X-waivered providers on the DEA CSA database (n=2,622) with at least one provider reported in 125 of 144 counties in the state (49.2%) compared to the SAMHSA Buprenorphine Practitioner Locator (n=1,553) with at least one provider reported in 103 counties (40.5%). This difference was magnified in Texas Public Health Region 11. This is the poorest region of the state (23.7% of residents below the federal poverty line) and contains the most non-white residents 87.4% vs 54.9% (SD: 13.6%). This region had the lowest number of buprenorphine prescribers with 3.8 providers per 100,000 on the DEA CSA database and 2.5 providers per 100,000 in the SAMHSA Buprenorphine Practitioner Locator.Conclusions: The lack of a complete, public registry of buprenorphine prescribers makes it difficult for patients to identify a convenient buprenorphine prescriber and for referring physicians to help their patients access care. This may be especially true in poorer and more diverse areas with fewer buprenorphine prescribers.

scholarly journals PENGOBATAN YANG AMAN BERDASARKAN 5 MOMENT FOR MEDICATION SAFETY

2021 ◽  
Vol 5 (1) ◽  
pp. 47
Author(s):  
Ni Putu Aryati Suryaningsih ◽  
Gde Palguna Reganata
Keyword(s):  
Patient Safety ◽  
Health Services ◽  
Medication Safety ◽  
Service Management ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Quality Health ◽  
Management Concept ◽  
Design Result

Latar Belakang: Pelayanan Farmasi merupakan salah satu kegiatan di pelayanan kesehatan yang  menunjang pelayanan kesehatan yang bermutu. Perubahan paradigma kefarmasian dari terfokus pada obat (drug oriented)  menjadi fokus kepada pasien (patient oriented). Patient Oriented menuntut pelayanan kefarmasian yang komprehensif bertujuan untuk meningkatkan kualitas hidup pasien dan  mengutamakan keselamatan pasien. Dalam meningkatkan keamanan pengobatan pasien, konsep manajemen pelayanan farmasi saat ini bergerak ke arah manajemen obat yang aman (medication safety). WHO mengeluarkan suatu pedoman berupa alat ukur mengenai medication safety 5momen yang mencakup 5 pertanyaan yang digunakan oleh pasien dalam perawatan mereka sendiri guna mencapai pengobatan yang aman. Antibiotik merupakan golongan obat yang paling banyak digunakan di dunia yang digunakan secara tidak tepat dan tidak rasional. Tujuan penelitian untuk mengetahui gambaran penggunaan antibiotika yang aman, berdasarkan 5 Momen for Medication Safety. Metode: Penelitian ini merupakan penelitian dengan pendekatan kuantitatif dengan rancangan penelitian potong lintang deskriptif. Hasil: Secara keseluruhan diperoleh 60% yang menjawab benar , yaitu 72,4% yang mengetahui kapan memulai pengobatan antibiotika, 68,8% yang mengetahui mengkonsumsi antibiotika, 42,6% yang mengetahui menambah antibiotika,  47,2% yang mengetahui mereview pengobatannya, dan 68,8% mengetahui dengan benar menghentikan obat antibiotika. Kesimpulan: 60 % masyarakat yang benar mengetahui pengobatan yang aman penggunaan antibiotika dan 40% yang tidak mengetahuinya.kata kunci: Medication safety, Antibiotika, patient safety.ABSTRACT Pharmacy services are one of the activities in health services that support quality health services. Change paradigms in Pharmacy form drug oriented to patient oriented. Patient oriented. Patient oriented demands comprehensive pharmaceutical services aimed at improving the quality of life of patients and prioritizing patient safety. In improving the safety of patient medication, the current pharmaceutical service management concept is moving towards safe drug management. WHO released a new tool for measuring the medication safety, 5 momen which includes 5 questions used to patient can be  describe in their own care to achieve medication safety. Antibiotics are the most commonly used in the world that are used inappropriately and irrationally. The aim of study was to describe the safe  use of antibiotics based on  5 Momen for medication safety. Methods : This research is a research with a quantitative approach with a descriptive cross-sectional study design. Result of the study Overall, it was found that 60 % who answer correctly, 72,4 % who’s can know when to start antibiotics treatment, 68,8 % can know taking antibiotics, 42,6% can know when must adding the  antibiotics, 47,2% can know review the medication, and  68,8% can know when must stop the antibiotics. Conclusion : 60 % people who are really use the medication safety  and 40 % do not know it.Keyword : Medication safety, Antibiotic, patient safety

scholarly journals Tingkat Kepuasan Pasien Rawat Jalan Terhadap Mutu Pelayanan Kesehatan di Puskesmas Sendana

2021 ◽  
pp. 8-17
Author(s):  
Zulfahmidah Zulfahmidah ◽  
Resky Asfiani Rahman
Keyword(s):  
Health Services ◽  
Health Center ◽  
Health Sector ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Satisfaction Level ◽  
Cross Sectional ◽  
Quality Health ◽  
Quantitative Descriptive ◽  
Quality Health Services

Background and Objectives: Patient satisfaction is an indicator indicator of providing health services to the community. One of the development efforts in the health sector is the availability of quality health services such as the existence of a health center. Puskesmas must have good quality health services that can be seen from the performance or the perceived benefits, in order to give satisfaction to patients. The purpose of this study was to see the level of outpatient satisfaction with health services, so that it can be used as evaluation material for the health center. Methods: This study used a quantitative descriptive research method with a cross-sectional study design. The research variables included the quality of health services which consisted of aspects of reliability, responsiveness, empathy, facilities, and assurance. The population in this study were patients who visited the Sendana Health Center. The sampling technique was accidental sampling and obtained 31 respondents. Results: The results of the study the patient scores were analyzed and grouped according to their level in order to obtain a satisfaction level of 70.4% reliability aspects, 67.5% responsiveness, 66.9% empathy, 57.7% facilities, and 65.3% assurance. Conclusion: Overall satisfaction level is included in the satisfied category.

scholarly journals Assessing the care of doctors, nurses, and nursing technicians for people in situations of sexual violence in Brazil

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0249598
Author(s):  
Liene Martha Leal ◽  
Maria Auxiliadora Figueredo Vertamatti ◽  
Victor Zaia ◽  
Caio Parente Barbosa
Keyword(s):  
Health Services ◽  
Sexual Violence ◽  
Cross Sectional Study ◽  
Public Health Services ◽  
Cross Sectional ◽  
Evaluation Form ◽  
Patient Assistance ◽  
Specialized Care ◽  
Quality Health ◽  
Structure Evaluation

This study aimed to assess the quality of care for people in situations of sexual violence in health services, identifying positive and negative indicators, and suggest solutions. This is a cross-sectional study with a quantitative approach and convenience sampling. The sample consisted of 134 professionals (doctors, nurses, and nursing technicians) working in public health services. Three instruments were used, namely, a structure evaluation form, a questionnaire, and a process evaluation form. The results revealed eight positive indicators (adequate infrastructure; rooms for patient assistance; gynecological bed; visual and auditory privacy; waiting rooms; a professional team comprising physicians, nurses, nursing technicians, and receptionists; adequate training of staff to provide health services to people in situations of sexual violence; and most healthcare professionals asking their patients about possible sexual violence situations) and nine negative indicators (reduced number of rooms for patient assistance with toilets; absence of protocols to identify and assist people in situations of sexual violence; absence of leaflets, posters, and other materials on sexual violence; absence of a referral flow chart (specific for people in situations of sexual violence) to specialized services; reduced number of consultations with suspected and/or confirmed cases of sexual violence; non-use of specific protocols; not referral of these patients to the specialized care network; most professionals consider the health unit where they work as unable to help people in situations of sexual violence; a decrease in attendance at health facilities that do not have a protocol for assisting people in situations of sexual violence), making clear the interventions necessary to promote the provision of quality health services that meet the specific needs of people in situations of sexual violence. These indicators are expected to provide subsidies for the improvement of public policies aimed at listening, welcoming, identifying, and treating people in situations of sexual violence.

scholarly journals Health Insurance and Healthcare Quality: A Comparative Study between Insured and Uninsured Patients at a Teaching Hospital in Northeast Nigeria

2020 ◽  
pp. 13-19
Author(s):  
O. E. Daramola ◽  
A. F. Oderinde ◽  
C. M. Anene ◽  
J. M. Abu ◽  
T. M. Akande
Keyword(s):  
Quality Of Care ◽  
Health Insurance ◽  
Health Services ◽  
Teaching Hospital ◽  
Healthcare Quality ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Quality Health ◽  
The Difference

Objective: Patients’ perception of the quality of care is essential in assessing health services and feedbacks from patient satisfaction surveys are useful in healthcare quality improvements. Methods: A descriptive cross-sectional study was done to evaluate satisfaction with the quality of care among insured patients under the National Health Insurance Scheme (NHIS) and uninsured (Out-of-Pocket paying) patients at University of Maiduguri Teaching Hospital (UMTH), Maiduguri, Borno State, Nigeria. Data were collected from 115 respondents from each group selected by systematic random sampling; using self-administered questionnaires. Analysis was done using IBM SPSS Statistics 20.0. Results: The overall mean satisfaction for the uninsured group (73.1 ± 7.2) was higher than that of the insured group (71.2 ± 7.5). However, the difference was not statistically significant, p = 0.063. The observed satisfaction levels in the various areas of services accessed among the insured and uninsured group in this study are comparable, except for the significant differences observed in satisfaction with hospital facilities and the availability of prescribed drugs, suggesting the need for the improvement of hospital facilities and availability of drugs. Conclusion: Despite complaints about the NHIS, it is still generally preferred to out-of-pocket payment by both groups. Therefore, more efforts should be made to expand the population coverage of health insurance to allow the inclusion of more people, while the need for continuous improvement of quality health services cannot also be overemphasized.

scholarly journals Evaluation of e-health (Seha) application: a cross-sectional study in Saudi Arabia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abeer Alharbi ◽  
Joharah Alzuwaed ◽  
Hind Qasem
Keyword(s):  
Saudi Arabia ◽  
Health Services ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Advanced Technology ◽  
Sectional Study ◽  
Cross Sectional ◽  
Technical Problems ◽  
Significant Difference ◽  
Ease Of Access

Abstract Background The Ministry of Health in Saudi Arabia is expanding the country’s telemedicine services by using advanced technology in health services. In doing so, an e-health application (app), Seha, was introduced in 2018 that allows individuals to have face-to-face visual medical consultations with their doctors on their smartphones. Objective This study evaluated the effectiveness of the app in improving healthcare delivery by ensuring patient satisfaction with the care given, increasing access to care, and improving efficiency in the healthcare system. Methods A cross-sectional study design was used to assess the perceptions of users of the Seha app and non-users who continued with traditional health services. The data were collected using an online survey via Google Forms between June 2020 and September 2020. Independent t tests and chi-square (χ2) tests were conducted to answer the research questions. Results There was a significant difference between users and non-users in terms of ease of access to health services (t =  − 9.38, p < 0.05), with app users having a higher mean score (4.19 ± 0.91) than non-users (3.41 ± 1.00); satisfaction with health services (t =  − 6.33, p < 0.05), with users having a higher mean score (3.96 ± 0.91) than non-users (3.45 ± 0.94); and efficiency (only one visit needed for treatment) (t =  − 3.20, p < 0.05), with users having a higher mean score (3.71 ± 0.93) than non-users (3.45 ± 0.93). There were significant associations between the use of the Seha app and age (χ2 = 8.79, p < 0.05), gender (χ2 = 22.19, p < 0.05), region (χ2 = 19.74, p < 0.05), and occupation (χ2 = 22.05, p < 0.05). There were significant relationships between the three items (on access, satisfaction, and efficiency) and experiencing technical issues (t = 4.47, t = 8.11, and t = 3.24, respectively, p < 0.05), with users who faced technical problems having significantly lower mean scores for all three items. Conclusion This study provided evidence that the Seha app improved the delivery of healthcare in Saudi Arabia. Users of the app had a better health experience in terms of their perceived ease of access to healthcare services; their satisfaction with healthcare services; and the efficiency of the system, measured by the number of required doctor visits. Other factors that appeared to influence the use of the app included age, gender, usual source of care, and technical difficulties.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

scholarly journals Viral Profiling Identifies Multiple Subtypes of Kaposi’s Sarcoma

mBio ◽  
2014 ◽  
Vol 5 (5) ◽  
Author(s):  
Mina C. Hosseinipour ◽  
Kristen M. Sweet ◽  
Jie Xiong ◽  
Dan Namarika ◽  
Albert Mwafongo ◽  
...  
Keyword(s):  
Kaposi's Sarcoma ◽  
Kaposi’S Sarcoma ◽  
Complete Information ◽  
The United States ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Reading Frame ◽  
Real Time Quantitative Pcr ◽  
Treatment Naïve ◽  
First Time

ABSTRACTKaposi’s sarcoma (KS), caused by KS-associated herpesvirus (KSHV), is the most common cancer among HIV-infected patients in Malawi and in the United States today. In Malawi, KSHV is endemic. We conducted a cross-sectional study of patients with HIV infection and KS with no history of chemo- or antiretroviral therapy (ART). Seventy patients were enrolled. Eighty-one percent had T1 (advanced) KS. Median CD4 and HIV RNA levels were 181 cells/mm3and 138,641 copies/ml, respectively. We had complete information and suitable plasma and biopsy samples for 66 patients. For 59/66 (89%) patients, a detectable KSHV load was found in plasma (median, 2,291 copies/ml; interquartile range [IQR], 741 to 5,623). We utilized a novel KSHV real-time quantitative PCR (qPCR) array with multiple primers per open reading frame to examine KSHV transcription. Seventeen samples exhibited only minimal levels of KSHV mRNAs, presumably due to the limited number of infected cells. For all other biopsy samples, the viral latency locus (LANA, vCyc, vFLIP, kaposin, and microRNAs [miRNAs]) was transcribed abundantly, as was K15 mRNA. We could identify two subtypes of treatment-naive KS: lesions that transcribed viral RNAs across the length of the viral genome and lesions that displayed only limited transcription restricted to the latency locus. This finding demonstrates for the first time the existence of multiple subtypes of KS lesions in HIV- and KS-treatment naive patients.IMPORTANCEKS is the leading cancer in people infected with HIV worldwide and is causally linked to KSHV infection. Using viral transcription profiling, we have demonstrated the existence of multiple subtypes of KS lesions for the first time in HIV- and KS-treatment-naive patients. A substantial number of lesions transcribe mRNAs which encode the viral kinases and hence could be targeted by the antiviral drugs ganciclovir or AZT in addition to chemotherapy.

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