scholarly journals Quality of Care among Non-Communicable Diseases (NCDs) Service Delivery in South Asia: A Systematic Rapid Review

2021 ◽  
Author(s):  
Saraban Ether ◽  
K M Saif-Ur-Rahman
Keyword(s):  
Cardiovascular Disease ◽  
Quality Of Care ◽  
South Asia ◽  
South Asian ◽  
Communicable Diseases ◽  
Rapid Review ◽  
Cochrane Library ◽  
Non Communicable Diseases ◽  
The Impact

Abstract Background: South Asia is facing the challenges of non-communicable diseases (NCDs) which are getting doubled due to the low quality of care (QoC) around NCD services. This systematic rapid review aims to unpack available approaches to establish the quality of care around NCD services and the impact of those approaches to reduce NCD burden in South Asian countries. Methods: Three electronic databases (Medline, Embase, and the Cochrane Library) were searched. Studies published from 1st January 1990 to 31st December 2020 were included. Studies written in English in the South Asian context following any research design about four major NCDs (cancer, diabetes, cardiovascular disease, chronic respiratory disease), and interventions to achieve QoC were included. Data extraction was done using a pre-specified form. A narrative synthesis was conducted for analyzing the extracted information. This systematic rapid review is registered in PROSPERO (International prospective register of systematic reviews) - CRD42020157401.Results: Among 829 identified studies 13 were included in the review for in-depth analysis. Most of the studies focused on cancer followed by diabetes and cardiovascular disease. Community and clinic-based screening, NCD care education, NCD specialized corner or hospital, and a follow-up system ensure patient satisfaction, accessibility, early detection, timely referral, and help to reduce disease severity, mortality rate, and incidence of the new disease.Conclusions: The effective interventions for improving QoC around NCD services can be scaled up in different settings in South Asia to reduce the burden of NCDs.

scholarly journals Fiber consumption effect on non-communicable disease: how big is the impact?

2020 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
Yuli Indarti
Keyword(s):  
Diabetes Mellitus ◽  
Cardiovascular Disease ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Fiber Intake ◽  
Non Communicable Diseases ◽  
Fiber Consumption ◽  
The Impact ◽  
Non Communicable Disease

Abstract  Non-communicable diseases have effects on the quality of human resources because, in addition to causes of death and morbidity, they also reduce productivity. Fiber intake was allegedly affecting the incidence of non-communicable diseases. The purpose of this literature review is to look at the link between fiber intake and the incidence of non-communicable diseases and the effect of fiber supplements to treat non-communicable diseases. Several literature indicate that fiber intake is associated with cardiovascular disease, diabetes mellitus, cancer, and obesity. Research also shows fiber supplementation can improve metabolic profiles, blood sugar, insulin resistance in cardiovascular and diabetes mellitus patients. Fiber supplementation also reduces the risk of breast cancer. Fiber intake is related to the incidence of non-communicable diseases and can overcome some non-communicable diseases Keywords             : fiber, cardiovascular disease, diabetes mellitus, cancer, supplement 

scholarly journals Has the implementation of time-based-targets for emergency department length-of-stay influenced the quality of care for patients? A systematic review of qualitative literature

2021 ◽  
Author(s):  
Katie Walker ◽  
Bridget Honan ◽  
Daniel Haustead ◽  
David Mountain ◽  
Vinay Gangathimmaiah ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Quality Of Care ◽  
Length Of Stay ◽  
Cochrane Library ◽  
Research Approach ◽  
Successful Implementation ◽  
The Impact ◽  
Qualitative Literature

abstractBackgroundTime-based-targets for emergency department length-of-stay were introduced in England in 2000; followed by Canada, Ireland, New Zealand, and Australia after emergency department crowding was associated with poor quality of care and increased mortality.ObjectivesThe aim of the systematic review was to evaluate qualitative literature to investigate how implementing time-based-targets for emergency department length-of-stay has influenced the quality of care of patients.MethodsSystematic review of qualitative studies that described knowledge, attitudes to or experiences regarding a time-based-target for emergency department length-of-stay. Searches were conducted in Cochrane library, Medline, Embase, CInAHL, Emerald, ABI/Inform, and Informit. Individual studies were evaluated using the Critical Appraisal Skills Programme tool. Individual study findings underwent thematic analysis. Confidence in findings was assessed using the Confidence in the Evidence from Reviews of Qualitative research approach.ResultsThe review included thirteen studies from four countries, incorporating 617 interviews. Themes identified were: quality of care, access block and overcrowding, patient experience, staff morale and workload, intrahospital and interdepartmental relationships, clinical education and training, gaming, and enablers and barriers to achieving targets. The confidence in findings is moderate or high for most themes. More patient and junior doctor perspectives are needed.ConclusionsEmergency time-based-targets have impacted on the quality of emergency patient care. The impact can be both positive and negative and successful implementation depends on whole hospital resourcing and engagement with targets.FundingThe Australasian College for Emergency Medicine provided administrative support for the study, no funding was received.RegistrationPROSPERO CRD42019107755 (prospective)

The impact of socioeconomic position on non-communicable diseases: what do we know about?

2020 ◽  
pp. 175791392091495
Author(s):  
S Lago - Peñas ◽  
B Rivera ◽  
D Cantarero ◽  
B Casal ◽  
M Pascual ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Socioeconomic Position ◽  
Heart Diseases ◽  
Oecd Countries ◽  
Communicable Diseases ◽  
Health Concern ◽  
Cochrane Library ◽  
Significant Heterogeneity ◽  
Non Communicable Diseases ◽  
The Impact

Aims: Non-communicable diseases (NCDs) have become a primary health concern for most countries around the world. The aim of this research is to analyze the relevant evidence that determines the effect of socioeconomic position (SEP) on the incidence and prevalence of NCDs. Methods: A systematic literature search was performed using PubMed, Cochrane Library, and Web of Science to identify evidence regarding the relationship between income inequalities and NCDs, between 2005 and 2015. The final selection of papers was based on applied studies focusing on Organisation for Economic Co-operation and Development (OECD) countries and articles referring to three main groups of chronic diseases: cardiovascular and heart diseases, cancer, and diabetes. Results: A final set of 47 selected studies were fully taken into account in this review. Despite significant heterogeneity in exposure and outcomes measures, overall the evidence suggests that having low SEP increases the risk of developing cardiovascular diseases (CVDs), lung and breast cancer, and type 2 diabetes. SEP is also associated with multiple NCD risk factors such as smoking and physical inactivity. Conclusion: Low socioeconomic status appears to have a significant consistent impact on mortality and morbidity caused by NCDs in OECD countries. Social and economic disadvantages are associated with health inequalities in terms of access to care, increased incident risk of NCDs, and early death. These findings point to the need for public health strategies and research to address socioeconomic status disparity among individuals.

scholarly journals Impact of GP gatekeeping on quality of care, and health outcomes, use, and expenditure: a systematic review

2019 ◽  
Vol 69 (682) ◽  
pp. e294-e303 ◽  
Author(s):  
Poompong Sripa ◽  
Benedict Hayhoe ◽  
Priya Garg ◽  
Azeem Majeed ◽  
Geva Greenfield
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Health Outcomes ◽  
Direct Access ◽  
Cochrane Library ◽  
Patients With Cancer ◽  
The Impact

BackgroundGPs often act as gatekeepers, authorising patients’ access to specialty care. Gatekeeping is frequently perceived as lowering health service use and health expenditure. However, there is little evidence suggesting that gatekeeping is more beneficial than direct access in terms of patient- and health-related outcomes.AimTo establish the impact of GP gatekeeping on quality of care, health use and expenditure, and health outcomes and patient satisfaction.Design and settingA systematic review.MethodThe databases MEDLINE, PreMEDLINE, Embase, and the Cochrane Library were searched for relevant articles using a search strategy. Two authors independently screened search results and assessed the quality of studies.ResultsElectronic searches identified 4899 studies (after removing duplicates), of which 25 met the inclusion criteria. Gatekeeping was associated with better quality of care and appropriate referral for further hospital visits and investigation. However, one study reported unfavourable outcomes for patients with cancer under gatekeeping, and some concerns were raised about the accuracy of diagnoses made by gatekeepers. Gatekeeping resulted in fewer hospitalisations and use of specialist care, but inevitably was associated with more primary care visits. Patients were less satisfied with gatekeeping than direct-access systems.ConclusionGatekeeping was associated with lower healthcare use and expenditure, and better quality of care, but with lower patient satisfaction. Survival rate of patients with cancer in gatekeeping schemes was significantly lower than those in direct access, although primary care gatekeeping was not otherwise associated with delayed patient referral. The long-term outcomes of gatekeeping arrangements should be carefully studied before devising new gatekeeping policies.

scholarly journals Identifying and Describing Impact of Disasters on Non-Communicable Diseases: A Systematic Review

2021 ◽  
Author(s):  
Elham Ghazanchaei ◽  
Davoud Khorasani-Zavareh ◽  
Javad Aghazadeh-Attari ◽  
Iraj Mohebbi
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Cardiovascular Disease ◽  
Natural Disasters ◽  
Respiratory Disease ◽  
Communicable Disease ◽  
Chronic Respiratory Disease ◽  
Communicable Diseases ◽  
Non Communicable Diseases ◽  
The Impact

Background: Patients with non-communicable diseases are vulnerable to disasters. This is a systematic review describing the impact of disasters on non-communicable diseases. Methods: A systematic review was conducted using PRISMA standards. Relevant articles published from 1997 to 2019 collected by searching the Scopus, PubMed, Science Direct, databases. We specifically examined reports describing NCDs and including the key words “non-communicable disease and Disasters”. NCDs included cardiovascular, respiratory, diabetes, cancer and mental health diseases. Results: Of the 663 studies identified, only 48 articles met all the eligibility criteria. Most studies have shown the impact of all natural disasters on non-communicable diseases (39.8% n=19). The largest study was the effect of earthquakes on non-communicable diseases (29.2% n=14). For the NCDs targeted by this research, most of the included studies were a combination of four diseases: cardiovascular disease, respiratory disease, diabetes and cancer (44% n=21). Followed by cardiovascular disease (14.6% n=7), chronic respiratory disease (12.5% n=6), diabetes and cancer (6.2% n=3) and mental health (12.5% n=6). Conclusion: The incidence of disasters affects the management of treatment and care for patients with NCDs. Specific measures include a multi-part approach to ensuring that patients with non-communicable diseases have access to life-saving services during and after disasters. The approach of the health system should be expanded from traditional approaches to disasters and requires comprehensive planning of health care by policy makers and health professionals to develop effective strategies to enable patients to access medical, therapeutic and diagnostic services in natural disasters.

scholarly journals Burden of Non-Communicable Diseases in South Asia – A Clinical Review

1970 ◽  
Vol 6 (2) ◽  
pp. 97-102 ◽  
Author(s):  
Md Salehuddin ◽  
Mamrun Nahar Choudhury ◽  
Neena Islam ◽  
Md Zillur Rhaman ◽  
Shantonu Kumar Ghosh ◽  
...  
Keyword(s):  
Risk Factors ◽  
South Asia ◽  
Communicable Diseases ◽  
Noncommunicable Diseases ◽  
Medical Attention ◽  
Surveillance Systems ◽  
Non Communicable Diseases ◽  
The Poor ◽  
The Rich ◽  
The Impact

Non-communicable diseases (NCDs) such as cardiovascular diseases, diabetes mellitus, cancer, and chronic respiratory diseases are on the rise in South East Asia Region (SEAR). NCDs account for nearly 54% of the deaths, significant amount of disabilities and huge socioeconomic losses in countries of SEAR. NCDs are caused by a set of behavioural risk factors, such as tobacco and alcohol consumption, physical activity and unhealthy diet (high in salt, sugar and fat and low in fruits and vegetables) and biological risk factors like raised blood pressure, raised blood sugar and impaired cholesterol levels and others.South Asia is experiencing urbanization, with widening incme and social inequities. The impact of noncommunicable diseases on the rich and the poor are likely to be different, in terms of both the principal causes and manifestations. As the rich are likely to reconnise their risk earlier and seek medical attention, they will develop chronic but manageable disease; as the poor are likely to be less aware of their risk and less able to access medical care, they will develop rapidly progressive disease with early and sudden fatal outcomes To challenge to public health is to anticipate and avert an epidemic of non-communicable diseases.NCDs risk factors can be reduced with existing knowledge through cost- effective policies and programmes, Establishment of surveillance systems for non-communicable diseases and their risk factors is essential for developing prevention strategies and monitoring the impact of control programmes.Key Words: Non-communicable diseases; South Asia; Risk factors; BurdenDOI: 10.3329/uhj.v6i2.7255University Heart Journal Vol. 6, No. 2, July 2010 pp.97-102

Indirect maternal deaths

2018 ◽  
pp. 108-111
Author(s):  
Heather Lytle ◽  
Beatrice Chikaphonya-Phiri ◽  
Abi Merriel
Keyword(s):  
Cardiovascular Disease ◽  
Health Policy ◽  
Pregnant Woman ◽  
Causes Of Death ◽  
Communicable Diseases ◽  
Physiological Changes ◽  
Maternal Deaths ◽  
Non Communicable Diseases ◽  
The Impact

Indirect maternal deaths account for over a quarter of maternal deaths worldwide. Deaths from indirect causes include communicable and non-communicable diseases, as well as pre-existing and new conditions. Prevention of indirect maternal deaths has received less attention than direct causes of death, where interventions can be targeted around the time of delivery. Indirect deaths can be more complex to address as pregnancy brings unique health challenges due to the changing physiology of a pregnant woman. These physiological changes are summarised alongside the impact of some communicable (e.g. malaria) and non-communicable diseases (e.g. cardiovascular disease) on indirect deaths. The challenges in diagnosing, and therefore measuring, indirect deaths are discussed, as are challenges in deciding whether these deaths are incidental or exacerbated by pregnancy. A focus on improving both research and health policy is needed to address the challenges brought about by the increasing burden of indirect deaths.

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