scholarly journals Trends of Follow-Up Clinic Visits and Admissions Three-Months Before and During COVID-19 Pandemic at Tikur Anbessa Specialized Hospital, Ethiopia: an Interrupted Time Series Analysis

2021 ◽  
Author(s):  
Workeabeba Abebe ◽  
Alemayehu Worku ◽  
Tamirat Moges ◽  
Nuhamin Tekle ◽  
Wondowossen Amogne ◽  
...  
Keyword(s):  
Health Care ◽  
Time Series ◽  
Health Care Services ◽  
Care Services ◽  
Specialized Hospital ◽  
Tikur Anbessa Specialized Hospital ◽  
Significant Difference ◽  
The Impact ◽  
Clinic Visits

Abstract Background: Following the first report of the COVID-19 case in Ethiopia on the 13th of March 2020, the country adopted a lockdown policy to contain the spread of the virus. Responding to the health-care burden imposed by the COVID-19 pandemic had to be coupled with ensuring essential health care services. This study assessed the impact of COVID-19 on the trends of non-COVID follow-up visits and admissions at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods: A retrospective, time-series study with the 1st case of COVID-19 report as a reference time examined the trend in follow-up visits and admissions between December 1st, 2019 and May 31st, 2020. A comparison of health care utilization between December 2019 to May 2020 and its equivalent period in 2018/19 was also done. A data abstraction tool was used to collect secondary data from the hospital’s electronic medical recordings and logbooks of each unit. Results: A total of 7,717 visits from eight follow-up clinics and 3,310 admissions were collected during three months before the onset of COVID-19. During the following three months after the pandemic, 4,597 visits and 2,383 admissions were collected. Overall, a 40.4% decrease in follow-up visits and a 28% decline in admissions were observed during the COVID-19. The drop in the daily follow-up visits was observed for both genders. The number of visits in all follow-up clinics in 2019/2020 decreased when compared to the same months in 2018/19(p<0.05). Follow-up visits were substantially lower for renal patients (-68%), patients with neurologic problems (−53.9%), antiretroviral treatment clinics (−52.3%), cardiac patients (−51.4%). Although pediatric emergency admission was significantly lower (−54.1%) from the baseline (p=0.04), admissions from the general pediatric and adult wards did not show a significant difference. Conclusions: Significant decreases in-hospital follow-up clinic visits were observed during the first months of the COVID-19 pandemic. Public health guidance on how best to access care, more for patients with serious illnesses are required. Promoting self-care, alternatives health-care services like home-based care, and phone clinics might be considered for patients with mild symptoms. Further studies needed to track the long-term effect of the pandemic among non-COVID-19 patients.

scholarly journals Trends of follow-up clinic visits and admissions three-months before and during COVID-19 pandemic at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia: an interrupted time series analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Workeabeba Abebe ◽  
Alemayehu Worku ◽  
Tamirat Moges ◽  
Nuhamin Tekle ◽  
Wondowossen Amogne ◽  
...  
Keyword(s):  
Health Care ◽  
Time Series ◽  
Random Fluctuation ◽  
First Report ◽  
Specialized Hospital ◽  
Tikur Anbessa Specialized Hospital ◽  
Significant Difference ◽  
The Impact ◽  
Clinic Visits

Abstract Background Following the first report of the COVID-19 case in Ethiopia on March 13, 2020, the country promptly adopted a lockdown policy to contain the virus’s spread. Responding to the healthcare burden imposed by the COVID-19 pandemic had to be coupled with ensuring essential health care services. This study assessed the impact of COVID-19 on the trends in hospital visits and admissions at Tikur Anbessa Specialized Hospital by comparing the rate of follow-up clinic visits and admissions for the 3 months before and after the first report of the COVID-19 case. Methods A retrospective, time-series study examined the trend in follow-up visits and admissions between December 11, 2019, to June 7, 2020, with the 1st case of the COVID-19 report in Ethiopia (March 13, 2020) as a reference time. To control seasonal effects and random fluctuation, we have compared health care utilization to its equivalent period in 2018/19. A data extraction tool was used to collect secondary data from each unit’s electronic medical recordings and logbooks. Results A total of 7717 visits from eight follow-up clinics and 3310 admissions were collected 3 months before the onset of COVID-19. During the following 3 months after the onset of the pandemic, 4597 visits and 2383 admissions were collected. Overall, a 40.4% decrease in follow-up visits and a 28% decline in admissions were observed during the COVID-19 pandemic. A drop in the daily follow-up visits was observed for both genders. The number of visits in all follow-up clinics in 2019/2020 decreased compared to the same months in 2018/19 (p < 0.05). Follow-up visits were substantially lower for renal patients (− 68%), patients with neurologic problems (− 53.9%), antiretroviral treatment clinics (− 52.3%), cardiac patients (− 51.4%). Although pediatric emergency admission was significantly lower (− 54.1%) from the baseline (p = 0.04), admissions from the general pediatric and adult wards did not show a significant difference. Conclusions A decline in follow-up clinic visits and emergency admissions was observed during the first months of the COVID-19 pandemic. This will increase the possibility of avoidable morbidity and mortality due to non-COVID-19-related illnesses. Further studies are needed to explore the reasons for the decline and track the pandemic’s long-term effects among non-COVID-19 patients.

The Impact of War on Population Health

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Turkan Ahmet
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Services ◽  
Negative Effects ◽  
The Past ◽  
Care Services ◽  
Physical Environments ◽  
The Social ◽  
Personal Experiences ◽  
The Impact

The past few decades of ongoing war in Iraq has had a dramatic impact on the health of Iraq’s population. Wars are known to have negative effects on the social and physical environments of individuals, as well as limit their access to the available health care services. This paper explores the personal experiences of my family members, who were exposed to war, as well as includes information that has been reviewed form many academic sources. The data aided in providing recommendations and developing strategies, on both local and international levels, to improve the health status of the populations exposed to war.

A Study on the Impact of Demonetization on Utilisation of Private Health Care Services in a South Indian City

2020 ◽  
Vol 11 (2) ◽  
pp. 485
Author(s):  
Vijay K. Yalanchmanchili ◽  
N. Partha Sarathy ◽  
U. Vijaya Kumar ◽  
M. Ravi Kiran ◽  
Kalapala Abhilash
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Private Health Care ◽  
Care Services ◽  
South Indian ◽  
Indian City ◽  
The Impact

scholarly journals Health care services and costs after hip fracture, comparing conventional versus standardised care: A retrospective study with 12-month follow-up

Injury ◽  
2021 ◽  
Author(s):  
Kristin Haugan ◽  
Vidar Halsteinli ◽  
Øystein Døhl ◽  
Trude Basso ◽  
Lars G. Johnsen ◽  
...  
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Hip Fracture ◽  
Health Care Services ◽  
Care Services

Perceptions of the impact of health-care services provided to palliative care clients and their carers 274

2010 ◽  
Vol 16 (6) ◽  
pp. 274-284 ◽  
Author(s):  
Tanya Connell ◽  
Ritin S Fernandez ◽  
Rhonda Griffiths ◽  
Duong Tran ◽  
Meera Agar ◽  
...  
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Services ◽  
Care Services ◽  
The Impact

Evaluation of Health Care Services Provided in Political Public Meetings in Turkey: A Forgotten Detail in Politics

2018 ◽  
Vol 33 (6) ◽  
pp. 607-613
Author(s):  
Mehmet Ali Ceyhan ◽  
Gültekin Günhan Demir ◽  
Gamze Babur Güler
Keyword(s):  
Health Care ◽  
Political Parties ◽  
Health Care Services ◽  
Heat Index ◽  
Election Campaign ◽  
Medical Conditions ◽  
Public Meetings ◽  
Care Services ◽  
Number Of Patients ◽  
The Impact

AbstractBackgroundPolitical parties in Turkey execute political public meetings (PPMs) during their election campaign for members of the parliament (MoP). A great number of people attend these meetings. No guidelines exist regarding preparation and organization of health care services provided during these meetings. Furthermore, there is no study evaluating health care problems encountered in previous PPMs.ObjectivePolitical parties arranged PPMs in 2015 during the election campaign for general election of MoP. The present study aimed to investigate the context of health care services, the distribution of assigned health staff, as well as the number and the symptoms of patients admitted in health care tents in these PPMs.MethodsTwo general elections for MoP were done in Turkey on June 7, 2015 and November 1, 2015. Health care services were provided by the City Emergency Medical Services Department (CEMSD) in the cities. Demographic characteristics, symptoms, comorbid conditions, treatment, discharge, and hospital transfer of the patients were obtained from patient medical registration records. Information about the distribution and the number of the assigned staff was received from local CEMSDs. The impact of variables such as the number of attendees, heat index, humidity, and the day of the week on the number of patients and the patient presentation rate (PPR) were analyzed.ResultsA total of 97 PPMs were analyzed. The number of total attendees was 5,265,450 people. The number of patients seeking medical help was 1,991. The PPR was 0.5 (0.23-0.91) patients per 1,000 attendees. Mean age of the patients was 40 (SD=19) years old while 1,174 (58.9%) of the patients were female. A total of 1,579 patients were treated in the tents and returned to the PPM following treatment. Two-hundred and three patients were transferred to a hospital by ambulance. Transfer-to-hospital ratio (TTHR) was 0.05 (0.0-0.13) patients per 1,000 attendees. None of the patients suffered sudden cardiac death (SCD) or cardiac arrest. Medical conditions were the main cause for admission. The most common symptoms were dizziness, low blood pressure, fatigue, and hypertension, respectively. The most commonly used medical agents included pain killers and myorelaxants. The number of attendees, heat index, and weekend days were positively correlated with the number of the patients.Conclusion: The majority of medical conditions encountered in PPMs are easily treatable in health care tents settled in the meeting area. The number of attendees, heat index, and weekend days are factors associated with the number of patients.CeyhanMA, DemirGG, GülerGB. Evaluation of health care services provided in political public meetings in Turkey: a forgotten detail in politics. Prehosp Disaster Med. 2018;33(6):607–613.

scholarly journals The Association of Residence Permits on Utilization of Health Care Services by Migrant Workers in China

2021 ◽  
Vol 18 (18) ◽  
pp. 9623
Author(s):  
Haochuan Xu ◽  
Han Yang ◽  
Hui Wang ◽  
Xuefeng Li
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Access ◽  
Migrant Workers ◽  
Health Care Services ◽  
Public Health Care ◽  
Chinese Government ◽  
Care Access ◽  
Care Services ◽  
The Impact

Due to the limitations in the verifiability of individual identity, migrant workers have encountered some obstacles in access to public health care services. Residence permits issued by the Chinese government are a solution to address the health care access inequality faced by migrant workers. In principle, migrant workers with residence permits have similar rights as urban locals. However, the validity of residence permits is still controversial. This study aimed to examine the impact of residence permits on public health care services. Data were taken from the China Migrants Dynamic Survey (CMDS). Our results showed that the utilization of health care services of migrant workers with residence permits was significantly better than others. However, although statistically significant, the substantive significance is modest. In addition, megacities had significant negative moderating effects between residence permits and health care services utilization. Our research results emphasized that reforms of the household registration system, taking the residence permit system as a breakthrough, cannot wholly address the health care access inequality in China. For developing countries with uneven regional development, the health care access inequality faced by migrant workers is a structural issue.

scholarly journals Community Residents’ Awareness of Family Doctor Contract Services, Signing With Family Doctor, Willingness to Use Community Health Care Centers: A Community-Based Analysis in Shenzhen, China

2020 ◽  
Author(s):  
Qingming Zheng ◽  
Lu Shi ◽  
Tiantian Pang ◽  
Willie Leung
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Health Care Services ◽  
Family Doctor ◽  
Disease Status ◽  
Care Services ◽  
Community Health Care Centers ◽  
Primary Health Care Services ◽  
Willingness To Use ◽  
The Impact

Abstract Background: Family doctor contracted services (FDCS) began in China in 2016. Shenzhen, one of the most developed cities in China, implemented a family doctor (FD) policy in 2017. The objectives of this study were to identify the impact of the awareness of the FD and signing with a FD on health care seeking behavior, as well as the impact of chronic disease status on the awareness of FDs and signing with a FD. Methods: Cross-sectional secondary data based on residents living in Luohu district was used for analysis. Linear probability models (LPM) were used to determine the relationship between willingness to use community health care centers (CHCs) and awareness of the FDCS, as well as the association between willingness to use CHCs and signing with a FD. LPM was also used to estimate the association between chronic disease status and awareness of the FDCS, as well as the association between chronic disease status and signing with a FD.Results: Among 1205 adults included in analysis, 27% of the participants knew the FDCS, 5% signed with FD, and 20% had chronic disease. Both awareness of the FDCS and signing with a FD significantly increased the probability of using CHCs. The results indicated that participants with chronic disease were more likely to be aware of the FDCS and sign with a FD.Conclusions: Consequently, this study provided evidence that awareness of FDCS and signing with a FD had positive impact on utilization of primary health care services in the at community level. Also, individuals with chronic disease tend to use FDCS. More interventions to improve awareness of FDCS can help to increase the utilization of primary health care services.

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