scholarly journals An Objective Way to Evaluate Continuity of Care in Residency

Author(s):  
Brendan Chad Kushneriuk ◽  
Jason Hosain

Objective: To develop a tool to assess Canadian family medicine residents in regards to continuity of care (COC).Design: Analysis of the first 100 patient visits of family medicine residents during their four-month block time in the second year of residency. Data was collected between the years of 2009 and 2012 and used to construct standardized curves for COC.Setting: West Winds Primary Health Centre in Saskatoon, Saskatchewan.Participants: 36 second-year family medicine residents training at West Winds Primary Health Centre in Saskatoon, Saskatchewan.Main outcome measures: The number of unique patients that a family medicine second-year resident encounters within the first 100 patient visits of family medicine block time.Results: Family medicine residents demonstrate individual variation in the number of unique patients they encounter within one hundred patientvisits.Conclusion: It is possible to develop a tool that can assess second-year family medicine residents in their ability to practise COC. This tool can be used to identify residents in difficulty, such that appropriate interventions can be made early on in their family medicine block time. Further research, involving residents from across Canada, is needed before this tool can be employed in a widespread manner.

Author(s):  
Anthony O. Betiku ◽  
Akinsola B. Folashade ◽  
Olufisayo T. Aribaba ◽  
Omodele O. Jagun ◽  
Omobola O. Oduyoye

Background: Patient satisfaction need to be assessed to enable the health care provider assess the quality of care from the patients’ perspective. This study aimed to assess and compare the level of patient satisfaction with the two main health services (primary eye care and family medicine services) at primary health centre (PHC), Pakoto, Ifo local government area of Ogun State, Nigeria.Methods:  This study was a descriptive cross-sectional study. A total of 280 adult patients attending the eye clinic and family medicine clinic at the PHC, Pakoto were recruited. A structured, interviewer-administered questionnaire-the patient satisfaction questionnaire (PSQ-III) was used. Data analysis was done using Epi Info 7.0.9.7 version.Results: The average overall mean score was higher in the eye clinic (3.7±0.4) than the family medicine clinic (3.5±0.3) and mean difference was statistically significant (p=0.004, t=-2.876). Most listed areas of dissatisfaction by respondents in the eye clinic were waiting period (17.2%) and number and visiting days of doctors (19%). However, at the family medicine clinic the most listed areas of dissatisfaction were all aspects of medical care (17.7%), electricity (17.7%) and toilet facilities (14.7%). There was significant association between income and general satisfaction (p=0.001)Conclusions: Most patients were generally satisfied with medical care at both clinics studied at the PHC, Pakoto. However, areas of dissatisfaction included waiting period, number of doctors and visiting days and provision of basic amenities. The study recommends that doctors should be encouraged to reside at the PHC, Pakoto and there should be provision of good basic amenities. 


Study was carried out in the Kalppara tribal colony under the panchayat of Chelakkara, Thrissur District in order to analyse the health status and to study effect of environment on health. The total population of the tribal colony is 108, 22 families. Survey was conducted in the colony focussing on their health issues. Our study revealed that rather than few common diseases like fever and cold no other major diseases were found in the population which can be attributed to the geographical factors. Primary health centre facility is utilised well by the people and health status is satisfactory in this colony.


2015 ◽  
Vol 3 (1) ◽  
pp. 11-14
Author(s):  
Doddihal Chandrika ◽  
◽  
Metgud Chandra ◽  
Katti Sangappa ◽  
Mallapur Maheshwar ◽  
...  

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