scholarly journals Impact of COVID-19 and Mitigation Plans on Essential Health Services: Institutional Experience of St. Paul’s Hospital Millennium Medical College

2021 ◽  
Author(s):  
Firaol Dandena ◽  
Berhanetsehay Teklewold ◽  
Dagmawi Anteneh
Keyword(s):  
Health Services ◽  
Health Care Services ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Cross Sectional ◽  
Poor Countries ◽  
Medical College ◽  
Treatment Centre ◽  
The Impact

Abstract BackgroundHealth systems around the world are being challenged by on-going COVID-19 pandemic .The COVID-19 pandemic and associated response can have a significant downstream effect on access to routine health care services, and indirectly cause morbidity and mortality from causes other than the disease itself ,especially in resource-poor countries such Ethiopia. This study aimed to explore the impact of the pandemic on these service and measures taken to combat the effect.MethodsThe study was conducted at St. Paul’s hospital millennium medical college (SPHMMC). The study was conducted from December 15, 2020 to January 15, 2021 using comparative cross- sectional study design. We collected data on the number of clients getting different essential healthcare services from May to October 2019 (Pre COVID) and same period in 2020 (during COVID-19 pandemic) from patient registry book. The analysis was done with SPSS version 24 software.ResultOverall, the essential services of SPHMMC were affected by COVID-19 pandemic. The most affected service is inpatient admission that showed 73 % (2044 to 682) reduction from pre- COVID period and the least affected is maternal service, which only decrease by 13% (3671 to 3177). During the 6 months after COVID-19 pandemic, there is a progressive increment in number of clients getting essential health services.ConclusionThe establishment of a triple setup for fighting against COVID-19, which encompass; non COVID service, isolation centre and COVID-19 treatment centre played a vital role in preserving essential health services.

scholarly journals Impact of COVID-19 and mitigation plans on essential health services: institutional experience of a hospital in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Firaol Dandena ◽  
Berhanetsehay Teklewold ◽  
Dagmawi Anteneh
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Treatment Center ◽  
Cross Sectional ◽  
Poor Countries ◽  
Care Services ◽  
The Impact

Abstract Background Health systems around the world are being challenged by an on-going COVID-19 pandemic. The COVID-19 pandemic and associated response can have a significant downstream effect on access to routine health care services, and indirectly cause morbidity and mortality from causes other than the disease itself, especially in resource-poor countries such as Ethiopia. This study aimed to explore the impact of the pandemic on these services and measures taken to combat the effect. Methods The study was conducted at St. Paul’s hospital millennium medical college (SPHMMC) from December 15, 2020 to January 15, 2021 using a comparative cross-sectional study design. We collected data on the number of clients getting different essential health care services from May to October 2019 (Pre COVID) and the same period in 2020 (during a COVID-19 pandemic) from the patient registry book. The analysis was done with SPSS version 24 software. Result Overall, the essential services of SPHMMC were affected by the COVID-19 pandemic. The most affected service is inpatient admission, which showed a 73.3% (2044 to 682) reduction from the pre-COVID period and the least affected is maternal service, which only decreased by 13% (3671 to 3177). During the 6 months after the COVID-19 pandemic, there was a progressive increment in the number of clients getting essential health services. Conclusion and recommendation The establishment of a triple setup for fighting against COVID-19, which encompasses non-COVID services, an isolation center and a COVID-19 treatment center, played a vital role in preserving essential health services.

Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

2020 ◽  
Author(s):  
Dur-e- Nishat
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Medical Profession ◽  
Healthcare Services ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

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.

scholarly journals Factors of tooth extraction among adult patients attending in exodontia department of Dhaka Dental College and Hospital

2013 ◽  
Vol 2 (1) ◽  
pp. 7-10
Author(s):  
T Nasreen ◽  
ME Haq
Keyword(s):  
Tooth Extraction ◽  
Food Habit ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Treatment Schedule ◽  
Cross Sectional ◽  
Dental Patient ◽  
Treatment Centre ◽  
Age Range ◽  
Tooth Extractions

In the management of the adult dental patient efforts are geared towards the preservation of permanent dentition as it is important for maintaining normal occlusal relationship, play role in aesthesis, speech, influence food habit and nutrition. This hospital based descriptive type of cross sectional study was done at Exodontia Department of Dhaka Dental College and Hospital to identify the factors that contribute in tooth extraction among the respondents. The study was carried out during the month of January to June 2009 and 110 respondents selected purposively. The study showed the majority of the respondents (57.3%) were in the age group of 20-39 years. Their mean age was 36.85.years, SD of age was ±13.85 and age range was 15-85 years. Among the respondents 46.4% were male and 53.6% were female. Dental caries was the leading cause of tooth extractions in 68% cases. It was also observed that post filling complication contributed in 33% cases of extraction. Patient requests due to economic cause in 16% cases, negligence in 11% cases and even distance of the treatment centre from residence reported in 15% cases. The treatment philosophy of the centre played a vital role. Heavy rush of the patient and inconvenient conservative treatment schedule caused many unnecessary extractions DOI: http://dx.doi.org/10.3329/bjodfo.v2i1.15996 Ban J Orthod & Dentofac Orthop, October 2011; Vol-2, No.1, 7-10

The Effect of Telemedicine on Patients’ Compliance in Family Medicine Follow-ups in Qatar

Avicenna ◽  
2021 ◽  
Vol 2022 (1) ◽  
Author(s):  
Yaman M. AlAhmad ◽  
Duaa Mahmoud Haggeer ◽  
Abrar Yaser Alsayed ◽  
Mahmoud Y. Haik ◽  
Leen Maen AbuAfifeh ◽  
...  
Keyword(s):  
Health Care ◽  
Family Medicine ◽  
Health Care Services ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Telephone Consultation ◽  
Face To Face ◽  
Primary Health Care Centers

Introduction: Telemedicine is the delivery of health care services to patients distantly. During the Coronavirus Disease 2019 (COVID-19) pandemic, telemedicine has become an essential implement in delivering healthcare services worldwide. Accordingly, in March 2020, the Primary Health Care Centers (PHCCs) in Qatar has started telephone consultation follow-up appointments in Family Medicine (FM) clinics instead of conventional consultation. Given the limited data about telephone consultations in Qatar, our aim of this study is to investigate the possible impact of telemedicine on chronic disease patients’ follow-up compliance. Methods: This study compares the compliance of adult patients with chronic diseases following-up within FM clinics in Qatar's PHCC through telephone consultations with a minimum of three telephone consultations ordered between April to November 2020, in comparison to the compliance of the same group of patients to their prior face-to-face follow-up consultations in FM clinics with a minimum of three face-to-face ordered follow up appointments between April to November 2019. A cross-sectional study will be carried out to investigate the effect of telephone consultation in PHCC on patients’ compliance with reference to conventional face-to-face consultation. Patients’ data will be received from Health Information Management in twenty-seven PHCCs in Qatar. Conclusion: Due to the limited studies on the effectiveness of telemedicine on patient compliance in FM follow-ups within Qatar's PHCC, comparing patients’ follow-up compliance with telephone consultations to their prior face-to-face consultations would be helpful in assessing patients’ quality of care delivering within FM clinics. With telecommunication being easily accessible and time-efficient, it is believed, when used correctly, it might improve compliance and adherence to the management prescribed by the physician and follow-up appointments in Qatar's PHCC. In addition, this study will help in providing recommendations that could guide the organization on forming policies to be applied in PHCCs after the resolution of the COVID-19 pandemic.

scholarly journals Barriers to the use of health services among deaf and hard of hearing adults in Greece: a Cross-Sectional Study

2018 ◽  
Vol 6 (4) ◽  
pp. 638 ◽  
Author(s):  
Dialechti Tsimpida ◽  
Daphne Kaitelidou ◽  
Petros Galanis
Keyword(s):  
Health Services ◽  
Sign Language ◽  
Hard Of Hearing ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Minority Population ◽  
Health Providers ◽  
Cross Sectional ◽  
Use Of Health Services

Rationale, Aims and Objectives: To explore the issues related to the use of health services by deaf and hard of hearing adults in Greece.Method: The study population consisted of 140 adults with hearing loss (86 deaf and 54 hard of hearing). We gathered information about sociodemographic characteristics, use of health services characteristics, satisfaction from health providers and complaints during the use of health services.Results: A considerable percentage of the participants did not make appropriate use of healthcare services, as they made avoidable visits to emergency departments even for minor, short-term conditions (p=0.002) or used to just wait for the symptoms to pass in an illness occurrence (p=0.06). They also experienced major difficulties as part of the health visit (p=0.01) and the quality of communication with health providers (p=0.002). The absence of assistive technology, along with the lack of low availability of Sign Language interpreters, were important barriers for those that communicate in Sign Language. Regarding the engagement with healthcare providers, there were high rates of dissatisfaction from doctors, nurses and receptionists related to issues during the use of health services.Conclusions: Our results underscore the fact that deaf and hard of hearing persons constitute a minority population that experience major barriers during the use of health services and considerable difficulties in the healthcare provider-patient relationship. In light of these findings, a special effort must be made to ensure that deaf and hard of hearing individuals receive appropriate, ethical and person-centered healthcare.

scholarly journals Delays and Disruptions in Cancer Health Care Due to COVID-19 Pandemic: Systematic Review

2021 ◽  
pp. 311-323
Author(s):  
Rachel Riera ◽  
Ângela Maria Bagattini ◽  
Rafael Leite Pacheco ◽  
Daniela Vianna Pachito ◽  
Felipe Roitberg ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Services ◽  
Methodological Quality ◽  
Data Extraction ◽  
Cross Sectional Study ◽  
Routine Activity ◽  
Cross Sectional ◽  
Cancer Services ◽  
The Impact

PURPOSE There has been noteworthy concern about the impact of COVID-19 pandemic on health services including the management of cancer. In addition to being considered at higher risk for worse outcomes from COVID-19, people with cancer may also experience disruptions or delays in health services. This systematic review aimed to identify the delays and disruptions to cancer services globally. METHODS This is a systematic review with a comprehensive search including specific and general databases. We considered any observational longitudinal and cross-sectional study design. The selection, data extraction, and methodological assessment were performed by two independent reviewers. The methodological quality of the studies was assessed by specific tools. The delays and disruptions identified were categorized, and their frequency was presented. RESULTS Among the 62 studies identified, none exhibited high methodological quality. The most frequent determinants for disruptions were provider- or system-related, mainly because of the reduction in service availability. The studies identified 38 different categories of delays and disruptions with impact on treatment, diagnosis, or general health service. Delays or disruptions most investigated included reduction in routine activity of cancer services and number of cancer surgeries; delay in radiotherapy; and delay, reschedule, or cancellation of outpatient visits. Interruptions and disruptions largely affected facilities (up to 77.5%), supply chain (up to 79%), and personnel availability (up to 60%). CONCLUSION The remarkable frequency of delays and disruptions in health care mostly related to the reduction of the COVID-19 burden unintentionally posed a major risk on cancer care worldwide. Strategies can be proposed not only to mitigate the main delays and disruptions but also to standardize their measurement and reporting. As a high number of publications continuously are being published, it is critical to harmonize the upcoming reports and constantly update this review.

scholarly journals An assessment of mental health status of physicians working in medical college hospitals of Dhaka city

2020 ◽  
Vol 32 (2) ◽  
pp. 37-39
Author(s):  
Kazi Mahbubul Haque ◽  
Md Shafiqul Islam ◽  
Saida Sharmin
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Health Status ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Mental Health Status ◽  
Dhaka City ◽  
Cross Sectional ◽  
Medical College ◽  
The Impact

Mental health status is often ignored in our country. Even many health care professionals commonly ignore the impact of mental illness on both daily and professional lives, which may lead to dire consequences. The purpose of this study was to find the mental health status of physicians working in medical college hospitals of Dhaka city. A cross sectional study was conducted from January to December 2015 for this purpose among 215 number of respondents selected conveniently. Data were collected from 210 physicians by face-to face interview using a semi structured questionnaire containing 4DSQ (Four-Dimensional Symptom Questionnaire), socio economic and other variables. The prevalence of mental illness was calculated according to the scoring system of the scale. Mental illness prevalence was as follows: distress 20%, Anxiety 15.7%, Depression 15.2% and Somatization 8.6%. Majority of the respondents were interns and below 30 years of age. However, in light of current pandemic situation, regular assessment of health personnel’s mental health is needed more than ever. Bang J Psychiatry 2018;32(2): 37-39

scholarly journals Impact of new MBBS curriculum on the 1st year students and burden on teaching faculty: Are we making the balance?

2021 ◽  
Vol 64 ◽  
pp. S59-S61
Author(s):  
Naveen Kotur ◽  
M. R. Anitha ◽  
Nanda Sappandi ◽  
Niranjan Murthy ◽  
Shilpashree Madhava Kunjathur ◽  
...  
Keyword(s):  
Medical Students ◽  
Cross Sectional Study ◽  
Medical Council ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Medical College ◽  
Research Activities ◽  
Teaching Faculty ◽  
Time Utilization ◽  
The Impact

Objectives: The Medical Council of India has introduced competency based medical education (CBME) for all the undergraduate medical students across the country. We conducted this study to assess the impact of new curriculum on students’ performance and the differential time utilization of the teaching faculty. Materials and Methods: It is a cross-sectional study conducted at ESIC Medical College and PGIMSR, Bengaluru during January to March 2020. The college has an intake of 100 under-graduate students for an academic year. The sources of data included internal marks of the students and a semi-structured questionnaire for teaching faculty. Results: The mean (range) marks obtained by the students of 2018-19 and 2019-20 batch were found to be (a) theory: 48.75 (7 to 83) and 50.71 (10 to 78) (b) practical’s: 64.88 (38 to 90) and 69.70 (30 to 93). The man hours per week-faculty for different teaching activities during 2018-19 and 2019-20 were as follows: (a) theory teaching: 6 (16%) (b) practical teaching: 12 (32%) (c) research activities: 6 (16%) (d) planning activities: 8 (21%) (e) administrative activities: 6 (16%). Conclusion: The newer MBBS curriculum is found to be promising for the medical students but it is taking a huge toll on the teaching faculty. Measures to promote research and faculty strength in the existing medical colleges should be prioritized by policy makers.

scholarly journals Pattern Of Infections In Custodial Deaths – A Forensic Autopsy Study

2022 ◽  
Vol 8 (1) ◽  
pp. 268-273
Author(s):  
Kuldip Kumar
Keyword(s):  
Staphylococcus Aureus ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Female Inmates ◽  
Age Group ◽  
Risk Environment ◽  
Autopsy Study ◽  
Cross Sectional ◽  
Medical College ◽  
Death Cases

Background: In a country like India, the prisoner cells are not well structured. For instance prisons are known to be a high risk environment for infections like tuberculosis (TB), HIV, HCV, HBV etc. due to overcrowding, low levels of nutrition, poor infection control and lack of accessible healthcare services. This study is an effort to know about the pattern of infections in custodial death cases detected during post mortem examination. Aims and Objectives: To determine the common infections and to know the mortality caused by infections among prisoners in custody, people in police custody and mentally ill patients in mental health institute in Punjab.Methods:This cross sectional study of 100 cases of custodial deaths from 1st Jan 2019 to 4thMay 2021, was carried out in the Forensic Medicine department in collaboration with department of Microbiology, Govt. Medical College, Amritsar.Results:Klebsiella Pneumoniae (37.5%) is more common in age group of 10-30 years while Staphylococcus Aureus (35.9%) infection was more common in the age group of 31 to 50 years. Incidence of positive growth of infections was slightly more in female inmates (76.9%) as compared to the males (75.9%). Inmates from urban area background showed more growth of Staphylococcus Aureus (35.7%) than from rural area background(25%).Conclusions:Timely medical diagnosis and treatment of each prisoner with availability of good doctors are the important issues relating to the healthcare of the individuals in custody.

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