Differences in Health Access and Disparities between Phone and Video-based Virtual Care: A Cross Sectional Study (Preprint)

2020 ◽  
Author(s):  
Saif Khairat ◽  
Roshan John ◽  
Malvika Pillai ◽  
Barbara Edson ◽  
Robert Gianforcaro
Keyword(s):  
Rural Areas ◽  
Healthcare Delivery ◽  
Cross Sectional Study ◽  
Urgent Care ◽  
Health Access ◽  
P Value ◽  
Delivery Mode ◽  
Sectional Study ◽  
Cross Sectional ◽  
Service Outcomes

BACKGROUND Health systems have rapidly adopted telehealth as an alternative healthcare delivery mode in response to the Covid-19 pandemic. OBJECTIVE The objective of this study was to compare the effectiveness of telemedicine modalities namely, phone and video, on health access, disparities, and service outcomes. METHODS We conducted a cross-sectional study of outpatients with telemedicine visits using a state-wide, on-demand telehealth service. Virtual Urgent Care (VUC) clinic data was collected from March 3rd, 2020 through May 3rd, 2020 using the institutional data warehouse. RESULTS Of 1803 telemedicine visits, 1278 (70.9%) were of patients who were female, 730 (40.5%) were of ages 18-34, 1423 (78.9%) were uninsured. Significant relationships between telemedicine modalities and gender (p-value=0.0002), age (p-value<0.0001), insurance status (p-value<0.0001) health access (p-value = 0.0094), and prescriptions given (p-value < 0.0001). Phone visits provided significantly more access to rural areas than video visits (p<0.01). Of all rural visits, 170 (68%) were from phone visits and 80(32%) were video visits. Significant differences were found in medication prescription rates between phone and video visits (p<0.01), visit wait times (p<0.0001), and visit duration (p<0.0001). CONCLUSIONS We found that the combination of phone and video visits meet the needs of various vulnerable populations, and has substantial effect on improving access, reducing disparities while maintaining high quality telemedicine services. To improve the adoption rates and quality of telemedicine visits, more work is needed in building internet capacity within our rural communities, increasing awareness among patients to choose the correct telemedicine modality, and creating policies to ensure fairness in service outcomes between phone and video visits.

scholarly journals Factors associated with maternal near-miss at public hospitals of South-East Ethiopia: An institutional-based cross-sectional study

2021 ◽  
Vol 17 ◽  
pp. 174550652110606
Author(s):  
Ashenafi Mekonnen ◽  
Genet Fikadu ◽  
Kenbon Seyoum ◽  
Gemechu Ganfure ◽  
Sisay Degno ◽  
...  
Keyword(s):  
Maternal Mortality ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Near Miss ◽  
Early Marriage ◽  
Maternal Near Miss ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Introduction: Maternal near-miss precedes maternal mortality, and women are still alive indicating that the numbers of near-misses occur more often than maternal mortality. This study aims to assess the prevalence of maternal near-miss and associated factors at public hospitals of Bale zone, Southeast Ethiopia. Methods: Facility-based cross-sectional study design was carried out from 1 October 2018 to 28 February 2019, among 300 women admitted to maternity wards. A structured questionnaire and checklist were used to collect data. Epi-info for data entry and statistical package for social science for analysis were used. The descriptive findings were summarized using tables and text. Adjusted odds ratio with 95% confidence interval and p-value < 0.05 were used to examine the association between the independent and dependent variables. Result: The prevalence of maternal near-miss in our study area was 28.7%. Age < 20 years, age at first marriage < 20 years, husbands with primary education, and being from rural areas are factors significantly associated with the prevalence of maternal near-miss. The zonal health department in collaboration with the education department and justice office has to mitigate early marriage by educating the community about the impacts of early marriage on health.

scholarly journals Morbidity and functional ability in the elderly: a cross sectional study in a rural population of Manipur

2020 ◽  
Vol 7 (5) ◽  
pp. 1784
Author(s):  
Ningombam Joenna Devi ◽  
Bishwalata Rajkumari ◽  
Longjam Usharani Devi
Keyword(s):  
Activities Of Daily Living ◽  
Rural Areas ◽  
Functional Ability ◽  
Daily Living ◽  
Multivariate Logistic Regression Analysis ◽  
Functional Independence ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Background: Elderly in India suffers from both communicable and non-communicable diseases, also functional independence reduces due to physiological changes. This study aims to determine the pattern of morbidity, functional ability in activities of daily living (ADL), instrumental activities of daily living (IADL) and to assess any factors associated with ADL.Methods: A cross-sectional study was conducted from May 2017 to April 2019 among 420 elderly aged 60 years and above residing in rural areas of Wangoi in Manipur. Probability proportional to size (PPS) sampling method was used to select 6 villages out of 28 villages. A pre-tested interview schedule was used as study tool. Data were analysed using SPSS IBM statistics version 21 using mean, SD, proportion, chi-squared (χ²) test, univariate and multivariate logistic regression analysis were performed taking p-value<0.05 as statistically significant.Results: Some form of morbidity was reported by 49.1% of the respondents. The prevalence of dependent according to ADL was 8.1%. According to IADL score, 97.6% female and 46% male have limitation. Elder age group, female gender, living without spouse, illiterate were significantly associated with dependency according to ADL. In adjusted analysis, every unit increased in age, risk of being dependent increases significantly by 10% [AOR=1.10 (1.04-1.16)].Conclusions: Almost half of respondents had some form of morbidity. Only a few (4.5%) were dependent according to ADL. A more comprehensive study covering different communities using various laboratory investigations can be conducted in Manipur.

scholarly journals Willingness and Perception of Dental Interns towards Working in Rural Areas in Riyadh, Saudi Arabia- A Cross-sectional Study

2020 ◽  
Author(s):  
Sanjeev Balappa Khanagar ◽  
Khaled Mubarak Alfaran ◽  
Yaser Basher Alenazi ◽  
Abdulrahman Majed Aloqayli ◽  
Abdulmalik Hesham Alsahhaf ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Rural Areas ◽  
Urban Areas ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Dental Students ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Population Ratio

Introduction: The shortage of dental workforces in rural areas is a major concern in Saudi Arabia, which affects the delivery of oral health care services. Although there is an improvement in the dentist to population ratio, there still a wide disparity in dentist to population ratio in rural and urban areas. Aim: To assess the perception of dental interns to work in rural areas in Riyadh, Saudi Arabia and to know their willingness to serve rural population and factors associated with their decision. Materials and Methods: A cross-sectional study was conducted among 400 dental interns from 6 dental colleges located in Riyadh, Saudi Arabia over a period of October to December 2019. Data was collected using a self-administered structured close ended questionnaire. Chi-square test and multiple logistic regression analysis were applied to measure the association of age, gender and marital status on their responses. A p-value <0.05 was considered as statistically significant. Results: Out of 400 participants, 58% were willing to work in rural areas. Close proximity to hometown, in need for a job, rural placement program, fees and loan forgiveness and having rural background were the most favouring factors for working in rural area, whereas unfavourable working condition, lack of transportation facilities, poor accommodation, less scope for professional development and lack of necessary infrastructure were the main factors for reluctance. The male participants, Saudi nationals, rural residents, and the one whose fathers are less educated, were more likely to work in rural areas. Conclusion: Based on the findings of the study a comprehensive human resource strategy be designed by health or medical educators in order to encourage dental students to take up jobs in rural areas.

scholarly journals Prevalence, combinations and associations of components of MetS among adults aged 40 years and above from rural Kerala: a cross-sectional study

2020 ◽  
Vol 7 (11) ◽  
pp. 4609
Author(s):  
Thiyagarajan Palanichamy ◽  
Vasantha Elango
Keyword(s):  
Metabolic Syndrome ◽  
Rural Areas ◽  
Action Plan ◽  
Cross Sectional Study ◽  
Abdominal Circumference ◽  
Health Concern ◽  
P Value ◽  
Sectional Study ◽  
Clinical Tool ◽  
Cross Sectional

Background: Metabolic syndrome (MetS) is a growing public health concern worldwide. A nation-wide diabetes screening campaign by the union health ministry found rural areas of selected district of Kerala had16% prevalence of lifestyle diseases. One of the objectives of WHO developed action plan for global implementation of strategies in prevention and control of non-communicable diseases (NCDs) advocates identifying MetS, a simple clinical tool, for predicting diabetes mellitus and cardiovascular diseases among population. The study aimed to estimate the prevalence of metabolic syndrome and its components among the adults aged 40 and above from rural Kerala and to determine the association with socio-demographic characteristics like co-variables of the study population.Methods: A cross-sectional study conducted among adult subjects aged 40 and above from rural field practice areas visiting RHTC. Socio-demographic profile, personal habits and history on NCDs recorded. Blood pressure and abdominal circumference measured. Fasting plasma glucose (FPG), triglyceride (TG), and high-density lipoprotein (HDL) levels were estimated. Modified NCEP-ATP III (SAS), 2009 criteria was used to diagnose MetS. Study variables were analysed for associations and comparison of means with appropriate statistical methods.Results: The prevalence of metabolic syndrome (MetS) was 29.3%. 57.9% elevated FPG, 37% Triglyceridemia, 24% sub-optimal HDL, 38.3% abdominal obesity, 38.3% elevated BP, 52% insulin resistance were recorded. Among MetS subjects 50% were in 50-59 years age group and MetS had statistically significant association with age (p value 0.005).Conclusions: Moderate prevalence of metabolic syndrome among rural subjects needs strengthening health education and screening services on NCDs. 

scholarly journals A cross sectional study on household dependence on well water, source of contamination and well protection measures adopted by an urban and rural population in Kollam, Kerala

2021 ◽  
Vol 8 (6) ◽  
pp. 3042
Author(s):  
Jeffy Binu ◽  
Halma Salam ◽  
Jibina K. A. ◽  
Fathahiya Fazil ◽  
Hasnath K. T. ◽  
...  
Keyword(s):  
Rural Areas ◽  
Water Source ◽  
Cross Sectional Study ◽  
Septic Tank ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Protection Measures ◽  
Urban And Rural Areas ◽  
Dug Well

Background: Wells are a common ground water source readily explored to meet community water requirement. Open wells of Kerala have the problem of bacterial contamination, which causes diarrhea diseases especially in children. Close proximity of well to septic tank, waste pit and cattle shed can be considered as a leading cause of contamination of water. The present study had gone into the details of dependence of dug well, possible source of contamination and protective measures taken for drinking water safely by various households in both urban and rural population.Methods: Cross sectional study design applied in order to address the objectives of the study. Using systematic random sampling techniques 80 households were selected from urban and rural areas. Pretested interview schedule were used as the data collection tool.Results: 100% of households are depending on dug well for all their use like drinking, cooking, cleaning etc. 95% households treat water and among them 93.4% boil water before drinking. 40% of houses followed well protection measures. Significant association was found between urban and rural set-up in the distance of well from septic tank (p value is 0.004<0.01). There is statistically significant association in frequency of chlorination in urban and rural population (p value is 0.015<0.05). Occurrence of diarrhea was found to be nil in past two weeks from the time of data collection among under-fives.Conclusions: Disease like diarrhea can be prevented in under-fives by following well protection measures and boiling water before drinking in both urban and rural areas.

Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi

2017 ◽  
Vol 6 (2) ◽  
pp. 129
Author(s):  
Entia Nopa ◽  
Ranissa Dwi Imansari ◽  
Irwandi Rachman
Keyword(s):  
Cross Sectional Study ◽  
Personal Hygiene ◽  
P Value ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional

Faktor Risiko Kejadian Penyakit Kulit Pada Pekerja Pengangkut Sampah Di Kota Jambi 1Entianopa, 2Ranissa Dwi Imansari, 3Irwandi Rachman       123Program Studi Kesehatan Masyarakat STIKES Harapan Ibu, Jambi   Abstrak Latar Belakang: Kulit merupakan organ terbesar pada tubuh manusia yang membungkus otot-otot dan organ-organ dalam serta merupakan jalinan jaringan pembuluh darah, saraf, dan kelenjar yang tidak berujung, semuanya memiliki potensi untuk terserang penyakit yang salah satunya adalah penyakit kulit. Penyakit kulit merupakan salah satu gangguan kesehatan yang sering dialami oleh pekerja pengangkut sampah. Berdasarkan komposisi sampah yang diangkut serta waktu paparan kerja. Tujuan penelitian ini untuk mengetahui hubungan antara masa kerja, pemakaian Alat Pelindung Diri (APD), dan personal hygiene dengan kejadian penyakit kulit pada pekerja pengangkut sampah di Kota Jambi. Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian cross sectional study. Sampel penelitian yaitu sebanyak 62 pekerja pengangkut sampah yang berada di Kantor Pekerjaan Umum dan Penata Ruang, yang mana seluruh populasi dijadikan sampel. Data dikumpulkan berdasarkan pemeriksaan kesehatan oleh dokter dan dengan kuesioner, kemudian dianalisa menggunakan uji statistik chi-square. Hasil: Hasil menunjukan bahwa pekerja yang mengalami penyakit kulit sebanyak 35 pekerja (56,5%). Berdasarkan hasil analisis chi-square didapatkan bahwa ada hubungan yang bermakna antara masa kerja dengan kejadian penyakit kulit pada pekerja pengangkut sampah dimana nilai (p-value= 0,006), Pemakaian Alat Pelindung Diri (APD) nilai (p-value= 0,008), personal hygiene nilai (p-value= 0,008). Kesimpulan: Untuk meminimalisir risiko terjadinya penyakit kulit pada pekerja pengangkut sampah disarankan perlunya disusun standar operasional prosedur yang aman, penyediaan sarana sanitasi agar dapat mengurangi resiko terkena penyakit kulit. Pentingnya pemakaian APD dan perilaku hidup bersih dan sehat selama bekerja, serta diharapkan pekerja menggunakan APD pada saat bekerja dan lebih memperhatikan personal hygiene.   Kata kunci      : Masa Kerja, APD, Personal Hygiene

POLA ASUH ORANGTUA TERHADAP TINGKAT KEMANDIRIAN PERSONAL HYGIENE CUCI TANGAN DAN GOSOK GIGI PADA ANAK PRASEKOLAH

2020 ◽  
Vol 15 (2) ◽  
pp. 200-205
Author(s):  
Dina Dewi Anggraini
Keyword(s):  
Survey Research ◽  
Quantitative Study ◽  
Parenting Style ◽  
Cross Sectional Study ◽  
Personal Hygiene ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Test Analysis ◽  
The Relationship

ABSTRACT   The study aims todetermine the relationship between parenting style and the level of independence of Personal Hygiene Hand Wasting and Tooth Brush in Preschoolers in Kindergarten Negeri Pembina Blora in 2019. The study is a quantitative study, based on the research location including the type of field reseaerch, based on the ansence of the treatment of subjects including survey research, based on time is a cross sectional study, and based on objectives includin correlation analytics. The population in this study were all parents in Kindergarten Negeri Pembina Blora as many as 85 respondents. Based on the sample calculation, the sample obtained in this study that most parent in Kindergarten Negeri Pembina Blora amounted to 70 respondents. Srearmen’s rho test analysis results parenting parents with the level of independence of personal hygiene hand wasting result obtained p value = 0,000 < α (0,05), and parenting patters with the independence of personal hygiene tooth brush obtained results p value = 0,000 < α (0,05). So it can be concluded that were is a significant relationship between parenting parents with the level of independence of personal hygiene washing hands and brushing their tooth at preschoolers in Kindergarten Negeri Pembina Blora in 2019. Keywords: parenting; personal hygiene, preschool ABSTRAK   Penelitian ini bertujuan untuk mengetahui Hubungan Pola Asuh Orangtua Terhadap Tingkat Kemandirian Personal Hygiene Cuci Tangan dan Gogok Gigi pada Anak Prasekolah di TK Negeri Pembina Blora Tahun 2019. Penelitian ini adalah penelitian kuantitatif, berdasarkan tempat penelitian termasuk jenis penelitian lapangan, berdasarkan tidak adanya perlakuan terhadap subjek termasuk penelitian survey, berdasarkan waktu merupakan penelitian cross sectional, dan berdasarkan tujuan termasuk analitik korelasi. Populasi dalam penelitian ini adalah seluruh orangtua di TK Negeri Pembina Blora sebanyak 85 responden. Berdasarkan perhitungan sampel  maka diperoleh sampel pada penelitian ini adalah sebagian orangtua di TK Negeri Pembina Blora sebanyak 70 responden. Hasil analisis uji spearmen’s rho pola asuh orangtua dengan tingkat kemandirian personal hygiene cuci tangan didapatkan hasil p value = 0,000 < α (0,05), dan pola asuh orangtua dengan kemandirian personal hygiene gosok gigi didapatkan hasil p value = 0,000 < α (0,05). Sehingga dapat disimpulkan bahwa ada hubungan yang signifikan antara pola asuh orang tua dengan tingkat kemandirian personal hygiene cuci tangan dan gosok gigi pada anak prasekolah di TK Negeri Pembina Blora Tahun 2019. Kata kunci: pola asuh; personal hygiene; prasekolah

HUBUNGAN DUKUNGAN KELUARGA DENGAN HARGA DIRI (SELF ESTEEM) PENDERITA TUBERKULOSIS PARU DI WILAYAH EKS KAWEDANAN INDRAMAYU

2017 ◽  
Vol 5 (1) ◽  
pp. 32-39
Author(s):  
Dedeh Husnaniyah
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Tuberkulosis Paru merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis. Dampak TB Paru adalah penurunan daya tahan tubuh, kelemahan fisik, merugikan secara ekonomis dan dapat mengakibatkan isolasi sosial. Keadaan tersebut dapat mempengaruhi harga diri penderita TB Paru. Perubahan harga diri pada penderita TB Paru dapat mempengaruhi keberhasilan pengobatan, sehingga dibutuhkan adanya dukungan keluarga. Tujuan Penelitian ini adalah untuk mengidentifikasi pengaruh dukungan keluarga terhadap harga diri penderita TB Paru di Wilayah Puskesmas Eks Kawedanan Indramayu tahun 2015. Jenis penelitian ini adalah deskriptif analitik dengan rancangan penelitian cross sectional study. Pengambilan sampel dilakukan dengan tekhnik total sampling sebayak 45 responden. Hasil penelitian menunjukkan bahwa penderita TB Paru yang memiliki harga diri tinggi sebanyak 23 responden (51,1%) dan yang memiliki harga diri rendah sebanyak 22 responden (48,9%), penderita TB Paru yang mendapatkan dukungan keluarga sebanyak 26 responden (57,8 %) dan yang tidak mendapatkandukungan keluarga sebanyak 19 (42,2 %). Responden yang mendapatkan dukungan keluarga lebih banyak yang memiliki harga diri tinggi dibandingkan dengan responden yang tidak mendapatkan dukungan keluarga yaitu 69,6% dengan nilai p value = 0,047 (< 0,05). Simpulan dari penelitian ini adalah terdapat hubungandukungan keluarga denganharga diri penderita TB Paru. Hasil penelitian ini diharapkan dapat menjadi masukan bagi pemegang program TB untuk memberikan konseling terkait pentingnya dukungan keluarga bagi penderita TB Paru.

Hubungan Riwayat Sectio Caesarea dan Paritas Terhadap Kejadian Plasenta Previa di RSUD Haji Makassar Tahun 2018

2018 ◽  
Vol 2 (2) ◽  
pp. 125-130
Author(s):  
Noviyani Hartuti
Keyword(s):  
Cross Sectional Study ◽  
Sectio Caesarea ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional

Tujuan Penelitian ini adalah diketahuinya hubungan antara riwayat sectio caesarea dan paritas terhadap kejadian plasenta previa di RSUD Haji Makassar tahun 2018. Penelitian ini menggunakan metode penelitian analitik dengan melakukan pendekatan Cross Sectional Study untuk mengetahui hubungan antara riwayat sectio caesarea dan paritas terhadap kejadian plasenta previa di RSUD Haji Makassar. Secara keseluruhan jumlah populasi yang ada sebanyak 177 orang dan didapatkan besar sampel sebanyak 177 orang dengan menggunakan tekhnik Total Sampling. Dari hasil analisis hubungan antara riwayat sectio caesarea terhadap kejadian plasenta previa yang memiliki riwayat sectio caesarea dan mengalami plasenta previa sebanyak 1 orang (0,6%), sedangkan ibu yang tidak mengalami plasenta previa  sebanyak  9 orang (5,1%), dari paritas ibu dengan paritas tinggi yang mengalami plasenta previa sebanyak 9 orang (5,1%) dan yang tidak mengalami plasenta previa sebanyak 53 orang (29,9%). Hasil penelitian menunjukkan bahwa tidak ada hubungan antara riwayat sectio caesarea terhadap kejadian plasenta previa di RSUD Haji Makassar dengan nilai P-value (0,543), dan ada hubungan antara paritas terhadap kejadian plasenta previa di RSUD Haji Makassar dengan nilai P-value (0,010).  Kesimpulan dari dua variabel yaitu riwayat sectio caesarea tidak berhubungan dengan kejadian plasenta previa sedangkan paritas memiliki hubungan dengan kejadian plasenta previa di RSUD Haji Makassar tahun 2018

Several Components of the Lebanese Mediterranean Diet and Particular Sociodemographic, Medical and Lifestyle Factors may be Associated with Gastroesophageal Reflux Disease in Adults: A Cross-sectional Study in a Middle Eastern Setting

2020 ◽  
Vol 17 (1) ◽  
pp. 82-93
Author(s):  
Mary-Joe Youssef ◽  
Antoine Aoun ◽  
Aline Issa ◽  
Lana El-Osta ◽  
Nada El-Osta ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Gastroesophageal Reflux Disease ◽  
Perceived Stress ◽  
Dietary Habits ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gerd Symptoms

Background: The prevalence of gastroesophageal reflux disease (GERD) is increasing worldwide and the related chronic symptoms can be associated with morbidity and poor quality of life. Objective: The objective of this study was to identify foods and beverages consumed by the Lebanese population, dietary habits, socio-demographic and lifestyle factors, health parameters and perceived stress, implicated in increasing GERD symptoms. Methods: This observational cross-sectional study was carried among Lebanese adults in 2016. A convenient sample of 264 participants was equally divided into a GERD group and a control group. Data on socio-demographic characteristics, lifestyle, health status and dietary habits including Lebanese traditional dishes were collected. The perceived stress scale (PSS) was also used to assess the participants’ perception of stress. Logistic regression analyses were conducted with GERD symptoms (presence or absence) being the dependent variable. Results: The GERD symptoms were significantly associated with age (-p-value=0.017), family history of GERD symptoms (-p-value<0.001), smoking (-p-value=0.003) and chronic medical conditions (-p-value<.001). Regarding the dietary factors, participants who ate three meals or less/day, between meals and outside homes were 2.5, 2.9 and 2.4 times at a higher risk of experiencing GERD symptoms than others, respectively. Moreover, the logistic regression model showed that the GERD symptoms were significantly associated with the consumption of coffee (-p-value=0.037), Lebanese sweets (-p-value=0.027), fried foods (-p-value=0.031), ‘Labneh’ with garlic (-p-value<0.001), pomegranate molasses (-p-value=0.011), and tomatoes (-p-value=0.007). Conclusion: Some specific lifestyle factors and components of the Lebanese Mediterranean diet could be associated with GERD symptoms.

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