QUALITY OF PRESCRIPTIONS IN PRIMARY CARE: WE NEED TO TARGET THAT

Aim: To identify errors in drug prescriptions and its causes in a primary healthcare center. Method: Cross-sectional study carried out in a primary healthcare center in northeastern Brazil. A total of 707 drug prescriptions were analyzed using an instrument with pre-established criteria, according to the country's legal provisions regarding drug prescription. An Ishikawa diagram was created to identify the possible causes for the identified errors. Results: A total of 138 drug prescriptions (19.5%) presented information failure or inadequacy. From the errors found, 116 (16.41%) were related to information on dosage. The Ishikawa diagram showed opportunity for improvement in management, training, and technical/professional qualification. Conclusion: The errors seen on drug prescriptions at a primary healthcare center were related to illegibility, absence of dosage, and absence of mandatory patient information. Organizational, technical, scientific, and political factors were identified as the roots of the identified errors.

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Abstract P026: Cardiovascular Risk Factors, Lifestyle And Social Determinants: Results From A Population-based Cross-sectional Study In Brazil (laparc Study)

Circulation ◽

10.1161/circ.143.suppl_1.p026 ◽

2021 ◽

Vol 143 (Suppl_1) ◽

Author(s):

Tomás de Souza Mello ◽

Beatriz D Marinho ◽

Rafael B Azevedo ◽

Lucas Antequera ◽

Pedro Julio Velasco ◽

...

Keyword(s):

Risk Factors ◽

Primary Healthcare ◽

Sedentary Lifestyle ◽

Demographic Data ◽

Inverse Association ◽

Socioeconomic Indicators ◽

Cross Sectional ◽

Healthcare Center ◽

Low Education ◽

Primary Healthcare Center

Objective: To evaluate the relationship between the main cardiovascular (CV) risk factors and socioeconomic indicators in a population of young adults provided by a Primary Healthcare Center in a large urban area of Brazil. Methods: Cross-sectional population study that included adults aged between 20- and 50-years old provided by a Primary Healthcare Center in Rio de Janeiro, Brazil. Demographic data (gender and age), socioeconomic data (education level, occupation, employment), CV risk factors (smoking, sedentary lifestyle, obesity, hypertension, diabetes, dyslipidemia) were recorded. The metabolic profile was evaluated through laboratory tests. Those who studied up to high school were considered poorly educated. Results: A total of 604 individuals were enrolled [39% male, mean age: 38.8 ± 8,9 years]. The median of schooling was 12 years. In addition, 288 individuals had high schooling, of which 44.5% were male. A total of 130 individuals did not study or work. Women with low education had a higher risk of smoking, hypertension, and obesity, with no difference regarding labor or study activities. Otherwise, men with low education had higher risk of sedentary lifestyle and hypertension. Among men, not working or studying increased the risk of smoking and hypertension. Conclusions: We found an inverse association between socioeconomic status and the prevalence of CV risk factors. Women are more affected by low schooling, while men are more affected by their working occupation. The study suggests that socioeconomic factors influence the CV risk, affecting men and women differently, pointing to the need for public policies to reverse this situation.

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ANALYSIS OF ACCEPTANCE OF E-HEALTH APPLICATION BY USERS IN PRIMARY HEALTHCARE CENTER IN SURABAYA CITY

The Indonesian Journal of Public Health ◽

10.20473/ijph.v16i1.2021.66-78 ◽

2021 ◽

Vol 16 (1) ◽

pp. 66

Author(s):

Ni Made Mira Wahyu Astani ◽

Ni Luh Putu Arum Puspitaning Ati ◽

Ernawaty Ernawaty

Keyword(s):

Primary Healthcare ◽

Technical Assistance ◽

Design Method ◽

Cross Sectional ◽

Utaut Model ◽

Healthcare Center ◽

Health Application ◽

Primary Healthcare Centers ◽

Primary Healthcare Center ◽

Health Applications

This study used the observational quantitative method to analyze the acceptance of information technology in the form of thee-Health. The theory of acceptance was further analyzed using the Unified Theory of Acceptance and Use of Technology (UTAUT) model. UTAUT model is the latest unified model that is an appropriate to explain the acceptance and use of information systems. The research objective was to analyze perceptions of the use of e-Health applications in the Surabaya City Health Center. The research design method used was cross-sectional design. The selected samples of 100 people were determined by multistage sampling in primary healthcare centers in every area of Surabaya. The independent variables in this study were performance expectancy, effort expectancy, social influence and behavioral intention while the dependent variable was the use of e-Health applications. Data were collected through questionnaires delivered via interviews. The results showed that the lowest indicator of acceptance by the users was the time needed to input data category to the e-Health application. This study concludes that the acceptance of e-Health by users primary healthcare centers in Surabaya is low. This study suggests a more widespread dissemination of information regarding the benefits of the use of e-Health along with technical assistance and guidance on the use of e-Health applications.Keywords: UTAUT Model, e-Health application, primary healthcare center, acceptance

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DETERMINANT FACTORS TO THE EXISTENCE OF AEDES AEGYPTI MOSQUITO IN THE WORKING AREA OF UBUD I HEALTH CENTER GIANYAR REGENCY, BALI

The Indonesian Journal of Public Health ◽

10.20473/ijph.v16i1.2021.101-111 ◽

2021 ◽

Vol 16 (1) ◽

pp. 101

Author(s):

Kadek Risma Yulina Sari

Keyword(s):

Aedes Aegypti ◽

Primary Healthcare ◽

Sampling Technique ◽

Hemorrhagic Fever ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Cross Sectional ◽

Healthcare Center ◽

Water Ph ◽

Primary Healthcare Center

Ubud I Primary Healthcare Center's working area showed an annual increase in dengue hemorrhagic fever (DHF) cases and deaths. It reported the highest DHF cases out of 13 Primary Healthcare Centers in Gianyar district. The purpose of this study was to analyze the determinants of the Aedes aegypti larvae' existence in the Ubud I Primary Healthcare Center 's working area, Gianyar district, Bali. This research was an analytic observational study with a cross-sectional study design. The research sample was 95 respondents chosen randomly using the simple random sampling technique. The high DHF cases in the Ubud I Primary Healthcare Center working area can be referred to environmental factors and community behavior factors. Interviews, larvae observation and other observations were done to collect data. Chi-square statistical test was used for data analysis. The results showed that there was a relationship between the MNE-DHF actions (p = 0.047), water PH (p = 0.001), container color (p = 0,000) to Aedes aegypti larvae' presence. On the other hand, MNE-DHF knowledge (p = 1.00) and room humidity (p = 0.357) showed no relationship with Aedes aegypti larvae' presence. Thus, it has been concluded that community actions, container color, and water pH have significant relationships with the larvae' existence. It is recommended to increase community awareness of applying more environmental management precautions.Keywords: Container’s Color, Dengue Fever, Aedes aegypti

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URBAN-RURAL DISPARITY: THE UTILIZATION OF PRIMARY HEALTHCARE CENTERS AMONG ELDERLY IN EAST JAVA, INDONESIA

Jurnal Administrasi Kesehatan Indonesia ◽

10.20473/jaki.v7i2.2019.147-154 ◽

2019 ◽

Vol 7 (2) ◽

pp. 147 ◽

Cited By ~ 1

Author(s):

Ratna Dwi Wulandari ◽

Agung Dwi Laksono

Keyword(s):

Primary Healthcare ◽

Rural Areas ◽

Health Research ◽

Urban Areas ◽

The Elderly ◽

Utilization Of Health Services ◽

Healthcare Center ◽

Urban Rural ◽

Primary Healthcare Centers ◽

Primary Healthcare Center

Background: Urban always attracts investors to invest. Health facilities in urban areas are growing rapidly compared to villages. This condition is estimated to contribute to the disparity of urban-rural areas in the utilization of health services. Studying the utilization of health services is a way to evaluate the performance of the health care system through its output.Aim: This study analyzed the urban-rural disparity in the utilization of primary healthcare center by the elderly.Method: This study used in the 2013 Basic Health Research raw data. The 2013 Basic Health Research was designed as a cross-sectional survey. With the multi-stage cluster random sampling method, 25,813 elderly people in East Java Province participated. Data were analyzed using Multinomial Logistic Regression tests.Results: Elderly people in urban areas have a better probability of outpatient use of 1.208 than those living in rural areas (OR 1.208; 95% CI 1.057-1.380). The elderly who have a primary school and under education have the possibility of 1.558 times more utilizing outpatients in primary healthcare centers than the elderly who have college education levels (OR 1.558; 95% CI 1.001-2.424).Conclusion: There was a disparity between urban and rural areas in the utilization of outpatient primary healthcare centers in East Java by the elderly. Policymakers in East Java are recommended to improve facilities and infrastructure of the primary healthcare centers in rural areas by paying attention to the results of this study.Keywords: elderly, urban-rural disparities, primary healthcare center, healthcare utilization, inpatient-outpatient.

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Off-label drug prescriptions in French general practice: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-026076 ◽

2019 ◽

Vol 9 (4) ◽

pp. e026076 ◽

Cited By ~ 1

Author(s):

François Drogou ◽

Allison Netboute ◽

Joris Giai ◽

Xavier Dode ◽

David Darmon ◽

...

Keyword(s):

General Practice ◽

Drug Prescription ◽

Low Frequency ◽

Cross Sectional Study ◽

Drug Prescriptions ◽

Off Label Use ◽

Sectional Study ◽

Cross Sectional ◽

Off Label ◽

Label Use

ObjectivesOff-label drug prescribing is a public health and economic issue. The aim of this study was to describe off-label prescription in general practice in France, in terms of frequency and nature, and to identify its main determining factors.DesignMulticentre cross-sectional studySettingTwenty-three training general practice officesParticipantsAll the voluntary patients coming for a medical consultation or visited at home over a cumulative period of 5 days per office between November 2015 and January 2016.MethodsEleven interns, acting as observers, collected data. Two reviewers analysed the drugs prescribed by the trainers, in order to identify those prescribed off-label in terms of their indication or the age of the patient. We used a univariate, then a multivariate model, based on hierarchical mixed-effects logistic regression.ResultsAmong the 4932 drug prescriptions registered, 911 (18.5%[95% CI17.4% to 19.6%]) were off-label, of which 865 (17.6%) due to the indication of the drug and 58 (1.2%) due to the age of the patient. The prescription never mentioned the off-label use, neither was the patient informed of it, as required by the French law. With the multivariate analysis, variables contributing to off-label prescription were the number of drugs (OR=1.05 for each additional drug), the initiation of new drug therapy (OR=1.26) and the non-specific goal of the prescription (OR=1.43); the age of the patient ≤14 years (OR=1.42); the rural location of the physician’s practice (OR=1.38) and the low frequency of the visits of national health insurance representatives (OR=0.93).ConclusionAlmost one out of five drugs prescribed in French general practice was off-label. It seems necessary to better train physicians in clinical pharmacology, to provide them with more effective drug prescription software, to reinforce postmarketing surveillance and to clearly define off-label use by consensus.

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