scholarly journals The application of lean technologies to optimize oncological screening in the periodic health examination of adult population groups

2021 ◽  
Vol 6 (6-2) ◽  
pp. 145-153
Author(s):  
A. A. Komanenko ◽  
M. V. Avdeeva ◽  
T. Yu. Garifullin ◽  
V. N. Filatov
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cancer Screening ◽  
Adult Population ◽  
Functional Model ◽  
Health Examination ◽  
Periodic Health Examination ◽  
Primary Health ◽  
Number Of Patients ◽  
Oncological Screening

Background. Improving organizational technologies for early detection of cancer using targeted programs for large-scale cancer screening is a priority task of primary health care.The aim: to assess the potential of lean technologies to optimize cancer screening during periodic health examination of the adult population.Materials and methods. To develop an optimal organizational and functional model of cancer screening, a working group was created; information about the current state of the process was collected.Results. A comprehensive analysis of the state of the process revealed the following problems: violation of the algorithms of oncological screening at stage 1 of periodic health examination (13.8 %); cases of non-completion of stage 2 of periodic health examination by patients with suspected colon cancer (20.4 %); queues for endoscopic examinations (14 days) and, as a consequence, not a quick visit to the oncologist of the primary oncology department (17–18 days). After optimization of the periodic health examination: there is no queue for endoscopy for patients with suspected oncopathology; accelerated access of patients with suspected oncopathology to the oncologist of the primary oncology department (from 17–18 to 5 days; p < 0.01). Increased awareness of patients about the rules for preparing for endoscopic examination and a reminder of the date and time of the upcoming endoscopy, there was an increase in the number of patients who completed stage 2 of health examination to exclude/confirm oncopathology (from 79.6 to 90 %; p < 0.05). The frequency of violations by doctors of the oncological screening algorithm decreased from 13.8 to 2.3 % (p < 0.01).Conclusion. The use of lean manufacturing marketing strategies in primary health care has helped to identify, eliminate and control the causes of problems during the first and second stages of clinical examination of patients with suspected oncopathology.

scholarly journals Use of primary health care and participation in colorectal cancer screening – a Danish national register-based study

2020 ◽  
Vol 59 (8) ◽  
pp. 1002-1006
Author(s):  
Rebecca Beatrix Clarke ◽  
Christina Therkildsen ◽  
Mie Agermose Gram ◽  
Klaus Kaae Andersen ◽  
Lina Steinrud Mørch ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Primary Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
National Register ◽  
Primary Health

scholarly journals Non-steroidal anti-inflammatory drugs and gastroprotection in primary health care users

2020 ◽  
Author(s):  
Driton Shabani ◽  
Ardiana Murtezani ◽  
Bernard Tahirbegolli ◽  
Argjira Juniku–Shkololli ◽  
Zana Ibraimi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Urban Areas ◽  
Care Service ◽  
Adult Population ◽  
Health Care Service ◽  
Primary Health ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Gastroprotective Drugs

Objective: The aim of this study is to assess the prevalence of gastroprotection and identify the main factors that influence the taking of protective drugs among the adult population, who are treated with non-steroidal anti-inflammatory drugs (NSAID). Material and Methods: This study was cross-sectional, conducted by including a contingent of 800 users of primary health care services (n=369, 46% males and n=431, 54% females). Included in the study were individuals of both sexes aged 18+ who sought counselling or treatment during the three-month period. The data collection of this study was based on the completion of a structured questionnaire, which included questions related to the use of NSAID and the modalities for the description and application of these drugs, and simultaneous taking of gastroprotective drugs. Results: The prevalence of the gastroprotective drugs use was higher among the elderly, individuals living in urban areas, those with higher education, those with daily use of NSAID, individuals receiving prescriptions from their own doctors, and those suffering side effects from the use of NSAID, as well as subjects that had a longer duration of NSAID use. Conclusion: This paper demonstrates the need to improve the quality of primary health care service through informing and educating patients regarding the need to take gastro-protective drugs for those in high risk of adverse effects manifested by the use of NSAID.

scholarly journals Retention of Knowledge Levels of Health Care Providers in Cancer Screening Through Telementoring

2018 ◽  
pp. 1-7 ◽  
Author(s):  
Roopa Hariprasad ◽  
Sanjeev Arora ◽  
Roshani Babu ◽  
Latha Sriram ◽  
Sarita Sardana ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cancer Screening ◽  
Training Program ◽  
Health Care Providers ◽  
Knowledge Level ◽  
Care Providers ◽  
Screening Programs ◽  
Primary Health ◽  
Retention Of Knowledge

Purpose Every year > 450,000 individuals are diagnosed with cancer and approximately 350,000 die of it in India. The Ministry of Health and Family Welfare has released an Operational Framework for the Management of Common Cancers that highlights population-based cancer screening programs in primary health care facilities by health care providers (HCPs) and capacity building of HCPs. The purpose of this study is to present a low-cost training model that is highly suitable for resource-deficient settings, such as those found in India, through Extension for Community Health Outcome (ECHO), a knowledge-sharing tool, to enable high-quality training of HCPs. Materials and Methods An in-person, 3-day training program was conducted for 27 HCPs in the tribal primary health care center of Gumballi in Karnataka, India, to teach the basics of cancer screening in oral, breast, and cervical cancer. The training of HCPs was done using the ECHO platform while they implemented the cancer screening, thus enabling them to build the much needed knowledge and skill set to conduct cancer screening in their respective communities. Results The knowledge level of the HCPs was tracked before the intervention, immediately after the 3-day training program, and 6 months after the ECHO intervention, which clearly showed progressive acquisition and retention of knowledge. A marked improvement in knowledge level score from an average of 6.3 to 13.7 on a 15-point scale was noticed after the initial in-person training. The average knowledge further increased to a score of 14.4 after 6 months as a result of training using the ECHO platform. Conclusion ECHO is an affordable and effective model to train HCPs in cancer screening in a resource-constrained setting.

scholarly journals Process approach to management of patients with proximal femur fracture in city out-patient hospital

2019 ◽  
Vol 4 (3) ◽  
pp. 46-49
Author(s):  
I. M Nazarkina ◽  
S. A Suslin ◽  
O. V Khmelevskikh ◽  
M. M Fedoseev ◽  
A. N Bratiychuk ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Proximal Femur ◽  
Femur Fracture ◽  
Care Center ◽  
Process Approach ◽  
Proximal Femur Fracture ◽  
Health Care Center ◽  
Primary Health ◽  
Number Of Patients

Objectives - to analyze the results of process approach to managing patients with proximal femur fracture during one year after the injury, in primary health care center. Materials and methods. We compared the clinical data of patients with proximal femur fracture before the implementation of process management in primary health care and after it. The total number of patients was 233. We used statistical, analytical research methods, as well as organizational modeling. Results. The active use of process approach in the clinic resulted in statistically significant improvement in patients' complete rehabilitation, reduction of the number of local and general complications, and decrease of mortality rate during the first year after the injury from 35.2% to 8.5%. Conclusion. At the stage of primary health care, a step-by-step algorithm, which activates the patients effectively by involving a surgeon, a therapist and the patient's relatives in the rehabilitation process, contributes to mortality reduction, improvement of treatment and rehabilitation results.

scholarly journals Analysis of tuberculosis program management in primary health care

2020 ◽  
Author(s):  
Ni Njoman Juliasih ◽  
Soedarsono ◽  
Reny Mareta Sari
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Program Management ◽  
Case Finding ◽  
Molecular Testing ◽  
Adequate Treatment ◽  
Control Programs ◽  
Primary Health ◽  
Number Of Patients ◽  
To Come

Background: This study discusses the analysis of Tuberculosis (TB) program management at the Perak Timur Primary Health Care (PHC) and the Sawahan PHC in Surabaya. Early detection and adequate treatment can prevent transmission and improve control programs. Objective: This study aims to analyze management of the tuberculosis program at PHCs in Surabaya. Methods: The research method used is qualitative research. Data collection was done by interviewing tuberculosis officers about TB program and carrying out observations at the PHCs. Results: The study showed that case finding in the Perak Timur PHC and the Sawahan PHC was passive-active. The Perak Timur PHC has facilities for rapid molecular testing, while the Sawahan PHC have to go to a center for Health Laboratory if rapid molecular testing is needed. In terms of treatment, patients at the Perak Timur PHC would come according to an agreement with TB officer, while at the Sawahan PHC, patients have to come every Monday. Officer at the Perak Timur PHC tended to accommodate the needs of TB patients compared to officer at the Sawahan PHC. The level of adherence to taking medication in two PHCs is good but there are a number of patients who have not really understood the frequency of taking medication. Conclusion: Generally, both PHCs have good TB program management but the Perak Timur PHC tends to be more flexible towards patients while the Sawahan PHC tends to be stricter towards patients.

Simulation-based ventilatory training for the caregivers at primary and rural health care workers in Central India for dealing with COVID-19 pandemic: recommendations

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Shraddha Aditya Patel ◽  
Gajanan Chavan ◽  
Mahendra Gudhe ◽  
Aparna Upadhye ◽  
Vandana Lohana ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Healthcare System ◽  
Health Care System ◽  
Training Session ◽  
Rural Hospitals ◽  
Primary Health ◽  
Number Of Patients ◽  
Simulation Based ◽  
Care System

Abstract In 2020 COVID-19 made a major burden on health care system. The capacity of the healthcare system particularly emergency departments, ICU, hospital beds are insufficient to manage the increasing number of patients in cities and rural areas too. The primary health care centers and rural hospitals need preparedness for such disasters conditions. Novel and future oriented solutions are needed to effectively address the unprecedented pressure on the healthcare systems created by the COVID-19 pandemic. Considering the lacunae in healthcare system at primary level, various challenges encountered during pandemic has been identified and training session in consortia with simulation based training program for the training of the doctors, nurses, attendants and other related healthcare staff of Primary Health Center and Rural Hospitals intending to prepare them for future challenges in ventilatory care of COVID-19 has been carried out. After these training session certain conclusions and recommendations were drawn which could be able our health care system to be prepared for more critical situations and we can take our primary health care system at new horizon.

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