scholarly journals Patients’ perspectives on the use of non-pharmacological home remedies in Geneva: a cross-sectional study

Author(s):  
Neria E. Winkler ◽  
Paul Sebo ◽  
Dagmar M. Haller ◽  
Hubert Maisonneuve

Abstract Background Home remedies are anchored in patients’ everyday life, but their use in Western cultures remains scarcely explored. Our objectives were to investigate primary care patients’ perspectives and use of non-pharmacological home remedies in Geneva (Switzerland).Methods In spring 2020, we conducted a cross-sectional survey among adult primary care patients in randomly selected general practices (N = 15). Patients were recruited in the waiting rooms and asked to complete a questionnaire about their sociodemographic characteristics, their home remedy use, and their expectations and reasons for using (or not using) home remedies. We employed descriptive statistics to summarise the data and logistic regression adjusted for clustering within practices to explore associations between home remedy use and participants’ sociodemographic characteristics.Results 314 of 390 patients agreed to participate in the study (participation rate 80.5%). Home remedies were used by 64.4% of patients. The main reasons given were for preventive purposes (55.3%), self-care (41.0%), as an alternative to conventional medicine (40.5%) and to avoid or delay a medical consultation (38.5%). One-third of patients considered that it was the GP’s role to spontaneously inform them about home remedies (36.4%), another third considered that it was the GP’s role to inform them, but only upon specific request (32.3%), and the last third of patients declared that it was not the GP’s role to provide information about home remedies (30.3%). Patients living in an urban zone (adjusted OR 2.1; 95%CI 1.0-4.4; p 0.05) and those with a tertiary education background (adjusted OR 1.9; 95%CI 1.0-3.6; p 0.05) believed that it was their GP’s role to inform them about home remedies.Conclusions Home remedies are used by a majority of primary care patients in Geneva. For a comprehensive and safe health-care management in the context of patient-oriented medicine, more evidence-based research on efficacy and safety of home remedies as well as their place in primary care consultation is required.

2021 ◽  
Author(s):  
Neria E. Winkler ◽  
Paul Sebo ◽  
Dagmar M. Haller ◽  
Hubert Maisonneuve

Abstract Background: Home remedies are anchored in patients’ everyday life, but their use in Western cultures remains scarcely explored. Our objectives were to investigate primary care patients’ perspectives and use of non-pharmacological home remedies in Geneva (Switzerland).Methods: In spring 2020, we conducted a cross-sectional survey among adult primary care patients in randomly selected general practices (N=15). Patients were recruited in the waiting rooms and asked to complete a questionnaire about their sociodemographic characteristics, their home remedy use, and their expectations and reasons for using (or not using) home remedies. We employed descriptive statistics to summarise the data and logistic regression adjusted for clustering within practices to explore associations between home remedy use and participants’ sociodemographic characteristics.Results: 314 of 390 patients agreed to participate in the study (participation rate 80.5%). Home remedies were used by 64.4% of patients. The main reasons given were for preventive purposes (55.3%), self-care (41.0%), as an alternative to conventional medicine (40.5%) and to avoid or delay a medical consultation (38.5%). One-third of patients considered that it was the GP’s role to spontaneously inform them about home remedies (36.4%), another third considered that it was the GP’s role to inform them, but only upon specific request (32.3%), and the last third of patients declared that it was not the GP’s role to provide information about home remedies (30.3%). Patients living in an urban zone (adjusted OR 2.1; 95%CI 1.0-4.4; p 0.05) and those with a tertiary education background (adjusted OR 1.9; 95%CI 1.0-3.6; p 0.05) believed that it was their GP’s role to inform them about home remedies.Conclusions: Home remedies are used by a majority of primary care patients in Geneva. For a comprehensive and safe health-care management in the context of patient-oriented medicine, more evidence-based research on efficacy and safety of home remedies as well as their place in primary care consultation is required.


2020 ◽  
Vol 14 (2) ◽  
Author(s):  
Tan CE ◽  
Mohd Roozi AH ◽  
Wong WHR ◽  
Sabaruddin SAH ◽  
Ghani NI ◽  
...  

Introduction: The common cold is the commonest reason for primary care encounters worldwide. This paper aims to describe the reasons that influence patients to seek medical consultation for the common cold. Methods: This was a cross-sectional survey conducted among adult patients of an urban teaching primary care clinic. An adapted bilingual survey form was administered by the researchers to obtain data regarding their decision to seek medical consultation for a cold and the reasons for their decision. Quantitative analyses were done to describe the close-ended responses. Open-ended responses were analysed using a qualitative approach and the frequencies of the themes were reported. Results: A total of 320 respondents participated in this study, with a response rate of 91.4%. They were predominantly females (59.4%), Malay (70.9%), and had tertiary education (65.9%). More than half of the patients (52.5%) said they would seek consultation for cold symptoms. Fever was the commonest symptom (57-61%) which compelled them to seek consultation. The commonest reason for seeking consultation was to get medications (41.7%), whereas the commonest reason not to seek consultation was the practice of self-medication (44.2%). Ethnicity was found to be significantly associated with the decision to seek doctor’s consultation. Conclusion: Colds are usually self-limiting and do not result in complications. Empowering patients by providing appropriate self-care knowledge can help to reduce the burden of primary care services. Patients should be taught about red flag symptoms as well as drug safety for medications commonly taken for colds.


2010 ◽  
Vol 196 (4) ◽  
pp. 302-309 ◽  
Author(s):  
Anna Fernández ◽  
Juan Ángel Bellón Saameño ◽  
Alejandra Pinto-Meza ◽  
Juan Vicente Luciano ◽  
Jaume Autonell ◽  
...  

BackgroundThe World Health Organization (WHO) has stated that the three leading causes of burden of disease in 2030 are projected to include HIV/AIDS, unipolar depression and ischaemic heart disease.AimsTo estimate health-related quality of life (HRQoL) and quality-adjusted life-year (QALY) losses associated with mental disorders and chronic physical conditions in primary healthcare using data from the diagnosis and treatment of mental disorders in primary care (DASMAP) study, an epidemiological survey carried out with primary care patients in Catalonia (Spain).MethodA cross-sectional survey of a representative sample of 3815 primary care patients. A preference-based measure of health was derived from the 12-item Short Form Health Survey (SF–12): the Short Form–6D (SF–6D) multi-attribute health-status classification. Each profile generated by this questionnaire has a utility (or weight) assigned. We used non-parametric quantile regressions to model the association between both mental disorders and chronic physical condition and SF–6D scores.ResultsConditions associated with SF–6D were: mood disorders, β =−0.20 (95% CI −0.18 to −0.21); pain, β = −0.08 (95%CI −0.06 to −0.09) and anxiety, β =−0.04 (95% CI −0.03 to −0.06). The top three causes of QALY losses annually per 100 000 participants were pain (5064), mood disorders (2634) and anxiety (805).ConclusionsEstimation of QALY losses showed that mood disorders ranked second behind pain-related chronic medical conditions.


2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Wai Leng Chow ◽  
Veena D Joshi ◽  
Aung Soe Tin ◽  
Saskia van der Erf ◽  
Jeremy Fung Yen Lim ◽  
...  

2014 ◽  
Vol 38 (5) ◽  
pp. S45
Author(s):  
David C.W. Lau ◽  
Lawrence A. Leiter ◽  
Jacques J.G. Genest ◽  
Stewart B. Harris ◽  
Peter Selby ◽  
...  

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1014 ◽  
Author(s):  
Raymond Boon Tar Lim ◽  
Wei Keong Wee ◽  
Wei Chek For ◽  
Jayalakshmy Aarthi Ananthanarayanan ◽  
Ying Hua Soh ◽  
...  

Healthy diet remains the primary means to prevent chronic diseases among those with prediabetes. We conducted a mixed methods study, consisting of a cross-sectional survey and in-depth interviews to assess factors associated with fulfilling the healthy plate recommendation, and to explore reasons for the behaviour among primary care patients with prediabetes in Singapore. The prevalence of meeting the recommendation was 57.3%. This was positively associated with being married and negatively associated with being Malay, frequency of eating out weekly and frequency of deep-fried food consumption weekly. The recurrent themes for not meeting the recommendation included family influence, perception of healthy food being not tasty, lack of skills to prepare or choose healthy food, difficulty in finding healthier options when eating out, and healthy food being costly. The recurrent themes for meeting the recommendation included family influence, self-discipline, fear of disease complications, education by healthcare professionals, mass media influence and health promotion campaigns. Much more remains to be done to promote healthy eating among these patients. There were different levels of facilitators and barriers to healthy eating. Apart from the individual and interpersonal levels, practitioners and policy makers need to work together to address the organisational, community and policy barriers to healthy eating.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Birgitta M. Weltermann ◽  
Biljana Gerasimovska-Kitanovska ◽  
Anika Thielmann ◽  
Juliette Chambe ◽  
Heidrun Lingner ◽  
...  

Background.Self-care for common colds is frequent, yet little is known about the spectrum, regional differences, and potential risks of self-care practices in patients from various European regions.Methods/Design.We describe the study protocol for a cross-sectional survey in 27 primary care centers from 14 European countries. At all sites, 120 consecutive adult patients, who visit their general practitioner for any reason, filled in a self-administered 27-item questionnaire. This addresses patients’ self-care practices for common colds. Separately, the subjective level of discomfort when having a common cold, knowing about the diseases’ self-limited nature, and medical and sociodemographic data are requested. Additionally, physicians are surveyed on their use of and recommendations for self-care practices. We are interested in investigating which self-care practices for common colds are used, whether the number of self-care practices used is influenced by knowledge about the self-limited nature of the disease, and the subjective level of discomfort when having a cold and to identify potential adverse interactions with chronic physician-prescribed medications. Further factors that will be considered are, for example, demographic characteristics, chronic conditions, and sources of information for self-care practices. All descriptive and analytical statistics will be performed on the pooled dataset and stratified by country and site.Discussion.To our knowledge, COCO is the first European survey on the use of self-care practices for common colds. The study will provide new insight into patients’ and general practitioners’ self-care measures for common colds across Europe.


2021 ◽  
Author(s):  
Sabrina Paradis ◽  
Jeremy ROUSSEL ◽  
Jean-Luc BOSSON ◽  
Jean-Baptiste KERN

BACKGROUND Smartphone health applications have proved their interest for changing health behaviors. Their use is yet faintly documented in France. OBJECTIVE The main objective was then to evaluate the frequency of use of health apps among patients consult-ing in primary care. The secondary objectives were to evaluate the use of health applications accord-ing to the sociodemographic and medical characteristics of patients and to determine their use. METHODS Population-based crossed-sectional survey carried out between November 2017 and January 2018 in Grenoble area, France, among patients ages between 18 and 69 consulting in 13 primary care physi-cian offices with anonymous paper self-questionnaires. The main criterion was the use of a smartphone health application. RESULTS The participation rate was 49.3% with 597 filled questionnaires. 47.6% (CI [43.6-51.6]) of the sam-ple used at least one smartphone health application. Used health apps were mainly related to well-being, prevention and fitness (66.1%), and to drugs, treatment and follow-up care (50.0%). The asso-ciation factors with the use of health apps were: the use of social networks (OR=3.36), the fact to be a woman (OR=1.77), an age under 30 (OR=2.68), the size of cities (OR=1,81 between 5,001 and 10,000 inhabitants and OR=2.10 for more than 10,000), and the fact to occupy and executive posi-tion, an intellectual profession or and intermediate occupation (OR=1.71). CONCLUSIONS The use of smartphone health application was almost one in two patients and is currently mainly limited to well-being, prevention and fitness in a young population. These tools would become more interesting by reaching a broader population. CLINICALTRIAL The protocol was registered on clinicaltrials.gov (Identifier: NCT03351491).


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