scholarly journals Safety Culture at Primary Healthcare Level: A Cross-Sectional Study among Employees with a Leadership Role

2019 ◽  
Vol 59 (1) ◽  
pp. 42-46
Author(s):  
Zalika Klemenc-Ketiš ◽  
Antonija Poplas Susič
Keyword(s):  
Community Health ◽  
Safety Culture ◽  
Primary Healthcare ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Leadership Role ◽  
Community Health Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Stress Recognition

Abstract Introduction An effective leadership is critical to the development of a safety culture within an organization. With this study, the authors wanted to assess the self-perceived level of safety culture among the employees with a leadership function in the Ljubljana Community Health Centre. Methods This was a cross-sectional study in the largest community health centre in Slovenia. We sent an invitation to all employees with a leadership role (N=211). The Slovenian version of the SAQ – Short Form as a measurement of a safety culture was used. The data on demographic characteristics (gender, age, role, work experience, working hours, and location of work) were also collected. An electronic survey was used. Results The final sample consisted of 154 (69.7%) participants, out of which 136 (88.3%) were women. The mean age and standard deviation of the sample was 46.2±10.5 years. The average scores for the safety culture domains on a scale from 1 to 5 were 4.1±0.6 for Teamwork Climate, Safety Climate, and Working Conditions and Satisfaction, 3.7±0.5 for Perception of Management, 3.6±0.4 for Communication, and 3.5±0.6 for Stress Recognition. Conclusion The safety culture among leaders in primary healthcare organizations in Slovenia is perceived as positive. There is also a strong organizational culture. Certain improvements are needed, especially in the field of communication and stress recognition with regards to safety culture.

scholarly journals Cross-sectional study of factors associated with community health centre use in a recently urbanised community in Chengdu, China

BMJ Open ◽  
2017 ◽  
Vol 7 (6) ◽  
pp. e014510 ◽  
Author(s):  
Danping Liu ◽  
Hongdao Meng ◽  
Debra Dobbs ◽  
Kyaien O Conner ◽  
Kathryn Hyer ◽  
...  
Keyword(s):  
Community Health ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Community Health Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated

scholarly journals A study on relationship of age at first coitus and number of conceptions with the development of uterine cervical dysplasia in women undergoing VIA screening at community health centre, Muradnagar, U.P., India

2018 ◽  
Vol 5 (3) ◽  
pp. 939
Author(s):  
Sunita Vashist ◽  
Narendra Singh
Keyword(s):  
Community Health ◽  
Health Centre ◽  
Cervical Dysplasia ◽  
Cross Sectional Study ◽  
Community Health Centre ◽  
Early Age ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Her Family ◽  
Uterine Cervical Dysplasia

Background: Cancer of cervix is a common cancer that affects Indian women physically psychologically, socially and financially. The disease affects not just the women but also her family and society. Development of cervical dysplasia is highly associated with age of first coitus and number of conception of women. This study was designed to study the correlation between age of first coitus and number of conceptions in women with development of uterine cervical dysplasia. Methods: This study was done at the Community Health Centre (CHC), Muradnagar. It was a cross-sectional study done by using VIA (visual inspection using acetic acid) technique on uterine cervix on 1250 women aged above 30 years of age attending gynaecology OPD of CHC, Muradnagar, Ghaziabad, U.P. Purposive sampling was used to enrol all the women who were attending the gynaecology OPD at CHC and were coming in the eligibility criteria. Results: Out of 1250 women 14 were found to be VIA positive, out of which 4 cases came out to be positive for dysplasia after doing biopsy under colposcopy. Conclusions: Development of cervical dysplasia is highly correlated with early age at first coitus and more number of conceptions in women. As cervical dysplasia is highly associated with early age at first coitus and more conceptions, so more screening for cervical dysplasia required in women having first coitus at early age and having more conceptions.  

scholarly journals Profile of Sexually Transmitted Infections (STIs) among Patients Attending Community Health Centre (CHC), Rangat

2019 ◽  
Vol 08 (01) ◽  
pp. 33-37
Author(s):  
Pradeep B ◽  
Keyword(s):  
Community Health ◽  
Sexually Transmitted Infections ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Community Health Centre ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Sexual Contacts ◽  
Trichomonas Vaginitis

Background: The sexually transmitted infections are common communicable diseases spread through sexual contacts and caused by a broad range of pathogens, e. g., bacteria, chlamydia, virus, fungus, protozoa, ectoparasites, etc. Methods: The study was conducted at Community Health Centre, Rangat, Middle Andaman. This was a cross sectional study involving all the patients attended CHC, Rangat during the period from April, 2017 to October, 2019. The statistical data is expressed as numbers and percentages. Result: 23 patients were diagnosed to have STIs during the study period. Herpes genitalis is the predominant STI diagnosed in 6 patients followed by condyloma acuminata, chancroid, molluscum, trichomonas vaginitis and bacterial vaginosis. Conclusion: Thus, we performed this study to analyse the prevalence of sexually transmitted infection among patients attending CHC, Rangat. This study will be useful for planning and implementation of health care.

scholarly journals Reasons women terminate their pregnancies legally and their contraceptive practices at Soshanguve 3 Community Health Centre, Tshwane district, South Africa

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
David K.K. Masanabo ◽  
Indiran Govender ◽  
Tombo Bongongo
Keyword(s):  
South Africa ◽  
Community Health ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Community Health Centre ◽  
Cross Sectional ◽  
North West ◽  
The North ◽  
Financial Difficulties ◽  
Rural Zone

Background: Various reasons have been cited in studies conducted in South Africa on why women legally terminate their pregnancies. We sought to determine the reasons for women to terminate their pregnancies legally and their contraceptive practices. This study was conducted at Soshanguve 3 Community Health Centre (CHC), located in a semi-rural zone in the north-west of Pretoria, Gauteng province of South Africa.Method: A cross-sectional study design was adopted in this study.Results: Of the 250 respondents, high participation (23.2%) was noted amongst women aged 18–20 years. Eighty-three (33.2%) respondents did not have children, 108 (43.2%) had completed their secondary school education and 226 (90.4%) were Christian. Of the participants, 80% were single and 62.8% were unemployed. About 85.6% (214) of respondents had not had a previous abortion. A total of 24% of respondents requested abortion because they wanted to focus on their education, while 23.1% were not ready to be parents and 21.7% experienced financial difficulties. With regard to practice, all respondents had already used contraception and the most used contraceptive was the male condom (43.5%), followed by an injectable contraceptive (7.1%).Conclusion: While academic reasons, not being ready to be a parent and financial difficulties were named as the main reasons for terminating a pregnancy legally, the selected pregnant women at Soshanguve 3 CHC demonstrated an unsatisfactory practice of contraceptive measures.

scholarly journals The safety culture of the Ljubljana community health centre’s employees

2021 ◽  
Vol 60 (3) ◽  
pp. 145-151
Author(s):  
Špela Tevžič ◽  
Antonija Poplas-Susič ◽  
Zalika Klemenc-Ketiš
Keyword(s):  
Patient Safety ◽  
Community Health ◽  
Safety Culture ◽  
Health Centre ◽  
Patient Safety Culture ◽  
Community Health Centre ◽  
Health Concern ◽  
Successful Implementation ◽  
Global Public Health ◽  
Cross Sectional

Abstract Introduction Patient safety is one of the key aspects of healthcare quality and a serious global public health concern. Patient safety culture is a part of the patient safety concept. In Slovenia, primary care is easily accessible, and for medical care, it serves as a gatekeeper to hospital care. For several years, the quality and safety at the primary healthcare level have been the focus of several studies. The present study aimed to assess patient safety culture among all employees of the Community Health Centre Ljubljana. Methods We conducted a cross-sectional study in 2017 using the Slovene version of “Medical Office Survey on Patient Safety Culture” from the Agency for Healthcare Research and Quality. Mean percent positive scores on all items in each composite were calculated according to a user guide. Results The final sample contained 1021 participants (67.8% response rate), of which 909 (89.0%) were women. The mean age of the sample was 43.0±11.0 years. The dimensions most highly rated by the respondents were: teamwork and patient care tracking/follow-up. The lowest scores came from leadership support for patients’ safety and work pressure and pace. Conclusion Patient safety culture in the Community Health Centre Ljubljana is high, but there are certain areas of patient safety that need to be evaluated further and improved. Our study revealed differences between professions, indicating that a customized approach per profession group might contribute to the successful implementation of safety strategies. Patient safety culture should be studied at national levels.

scholarly journals Trends and differences in sexual practices and sexually transmitted infections in men who have sex with men only (MSMO) and men who have sex with men and women (MSMW): a repeated cross-sectional study in Melbourne, Australia

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037608
Author(s):  
Mario Martín-Sánchez ◽  
Richard Case ◽  
Christopher Fairley ◽  
Jane S Hocking ◽  
Catriona Bradshaw ◽  
...  
Keyword(s):  
Health Centre ◽  
Cross Sectional Study ◽  
Sexual Practices ◽  
Sectional Study ◽  
Anal Sex ◽  
Cross Sectional ◽  
Men And Women ◽  
Sexually Transmitted ◽  
Receptive Anal Sex ◽  
Sex With Men

ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.

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