scholarly journals Health Profile of Precarious Migrants Attending the Médecins Du Monde’s Health and Social Care Centres in France: a Cross-Sectional Study

2021 ◽  
Vol 66 ◽  
Author(s):  
Emeraude Halley ◽  
Joris Giai ◽  
Marielle Chappuis ◽  
Anne Tomasino ◽  
Roland Henaine ◽  
...  
Keyword(s):  
General Practice ◽  
Social Care ◽  
National Sample ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Cross Sectional ◽  
Lipid Disorder ◽  
Health And Social Care ◽  
Gum Disease

Objective: The present study aimed to compare the precarious migrants’ health problems managed in Médecins du Monde’s health and social care centres (CASO) with those of patients attending general practice in France.Methods: We compared the most frequent health problems managed in the 19 CASO in metropolitan France with those of a national sample of usual general practice consultations, after standardisation for age and sex.Results: Precarious migrants had fewer health problems managed per consultation than other patients (mean: 1.31 vs. 2.16), and these corresponded less frequently to chronic conditions (21.3% vs. 46.8%). The overrepresented health problems among CASO consultations were mainly headache (1.11% vs. 0.45%), viral hepatitis (1.05% vs. 0.20%), type 1 diabetes (1.01% vs. 0.50%) and teeth/gum disease (1.01% vs. 0.23%). Their underrepresented health problems were mainly lipid disorder (0.39% vs. 8.20%), depressive disorder (1.36% vs. 5.28%) and hypothyroidism (0.50% vs. 3.08%). Prevention issues were nominal in precarious migrants (0.16%).Conclusion: Both chronic somatic and mental conditions of precarious migrants are presumably underdiagnosed. Their screening should be improved in primary care.

scholarly journals Primary care use of laboratory tests in Northern Ireland’s Western Health and Social Care Trust: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026647
Author(s):  
Magda Bucholc ◽  
Maurice O’Kane ◽  
Ciaran Mullan ◽  
Siobhan Ashe ◽  
Liam Maguire
Keyword(s):  
Northern Ireland ◽  
Laboratory Test ◽  
Laboratory Tests ◽  
Social Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Socioeconomic Characteristics ◽  
Health And Social Care ◽  
Test Ordering

ObjectivesTo describe the laboratory test ordering patterns by general practitioners (GPs) in Northern Ireland Western Health and Social Care Trust (WHSCT) and explore demographic and socioeconomic associations with test requesting.DesignCross-sectional study.SettingWHSCT, Northern Ireland.Participants55 WHSCT primary care medical practices that remained open throughout the study period 1 April 2011–31 March 2016.OutcomesTo identify the temporal patterns of laboratory test ordering behaviour for eight commonly requested clinical biochemistry tests/test groups in WHSCT. To analyse the extent of variations in laboratory test requests by GPs and to explore whether these variations can be accounted for by clinical outcomes or geographical, demographic and socioeconomic characteristics.ResultsThe median number of adjusted test request rates over 5 consecutive years of the study period decreased by 45.7% for urine albumin/creatinine ratio (p<0.000001) and 19.4% for lipid profiles (p<0.000001) while a 60.6%, 36.6% and 29.5% increase was observed for HbA1c(p<0.000001), immunoglobulins (p=0.000007) and prostate-specific antigen (PSA) (p=0.0003), respectively. The between-practice variation in test ordering rates increased by 272% for immunoglobulins (p=0.008) and 500% for HbA1c(p=0.0001). No statistically significant relationship between ordering activity and either demographic (age and gender) and socioeconomic factors (deprivation) or Quality and Outcome Framework scores was observed. We found the rural–urban differences in between-practice variability in ordering rates for lipid profiles, thyroid profiles, PSA and immunoglobulins to be statistically significant at the Bonferroni-adjusted significance level p<0.01.ConclusionsWe explored potential factors of the interpractice variability in the use of laboratory tests and found that differences in requesting activity appear unrelated to either demographic and socioeconomic characteristics of GP practices or clinical outcome indicators.

Dentition and Oral Health Status in Children and Adolescents with Type 1 Diabetes Mellitus

2012 ◽  
Vol 9 (2) ◽  
pp. 19-21
Author(s):  
Farhana Nasrin ◽  
Mohammad Golam Iqbal ◽  
Md Shahed Shahed Rafi Pavel ◽  
Akashlynn Badruddoza ◽  
Riasat Hasan
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Children And Adolescents ◽  
Oral Mucosa ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Oral Health Status ◽  
Cross Sectional ◽  
Type 1 Dm

The descriptive type of cross-sectional study was conducted to find out the status of dentition and oral health in children and adolescents with type-1 DM in BIRDEM, Dhaka, from 1st January to 30th June 2010. Fifty two (52) samples of 5 to 19 years of age were studied to check their oral health problems. Results showed 35(67.3%) of respondents were suffering from gingivitis and dental caries, 13(25%) respondents had periodontitis and 4(7.7%) respondents had attrition and mobility. Overall prevalence of oral health problems were more in male (53.8%) than female respondents (46.2%). The Highest number (57.7%) of oral health problems occurred in 16~19 years age  group (mean age 15.29}3.35years). Majority (53.8%) of the respondents did not check their blood glucose level regularly and 76.9% respondents visit dental surgeon when needed. Three fourth (75%) of the respondents brush their teeth before breakfast and 92.3% respondents used to clean their teeth only once a day. With type 1 DM, maximum respondents have ulceration of oral mucosa (76.9%) and only 5.8% respondents have normal oral mucosa. Three fourth (73.1%) of the respondents had unhealthy tonsils and maximum (57.7%) respondents had ulceration of tongue. Near about half of the respondents (48.1%) had good oral health status among children and adolescents with type 1 DM. DOI: http://dx.doi.org/10.3329/cdcj.v9i2.12317 City Dental College J. Volume-9, Number-2, July-2012

scholarly journals Integrated care: mobilising professional identity

2018 ◽  
Vol 32 (5) ◽  
pp. 726-740 ◽  
Author(s):  
Stephanie Best ◽  
Sharon Williams
Keyword(s):  
Professional Identity ◽  
Integrated Care ◽  
Social Care ◽  
Healthcare Systems ◽  
Cross Sectional Study ◽  
Key Factors ◽  
Cross Sectional ◽  
Content Type ◽  
Health And Social Care ◽  
The Uk

Purpose Integrated care has been identified as essential to delivering the reforms required in health and social care across the UK and other healthcare systems. Given this suggests new ways of working for health and social care professionals, little research has considered how different professions manage and mobilise their professional identity (PI) whilst working in an integrated team. The paper aims to discuss these issues. Design/methodology/approach A qualitative cross-sectional study was designed using eight focus groups with community-based health and social care practitioners from across Wales in the UK during 2017. Findings Participants reported key factors influencing practice were communication, goal congruence and training. The key characteristics of PI for that enabled integrated working were open mindedness, professional trust, scope of practice and uniqueness. Blurring of boundaries was found to enable and hinder integrated working. Research limitations/implications This research was conducted in the UK which limits the geographic coverage of the study. Nevertheless, the insight provided on PI and integrated teams is relevant to other healthcare systems. Practical implications This study codifies for health and social care practitioners the enabling and inhibiting factors that influence PI when working in integrated teams. Originality/value Recommendations in terms of how healthcare professionals manage and mobilise their PI when working in integrated teams are somewhat scarce. This paper identifies the key factors that influence PI which could impact the performance of integrated teams and ultimately, patient care.

scholarly journals Linkage of national health and social care data: a cross-sectional study of multimorbidity and social care use in people aged over 65 years in Scotland

2020 ◽  
Author(s):  
David A G Henderson ◽  
Iain Atherton ◽  
Colin McCowan ◽  
Stewart W Mercer ◽  
Nick Bailey
Keyword(s):  
Social Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
Logistic Regression Models ◽  
Care Services ◽  
Health And Social Care ◽  
Care Survey ◽  
Average Marginal Effects ◽  
The Relationship

Abstract Background little is known about the relationship between multimorbidity and social care use (also known as long-term care). The aim of this study was to assess the relationship between receipt of formal social care services and multimorbidity. Methods this retrospective data linkage, observational study included all individuals over the age of 65 in the population of Scotland in financial years 2014–15 and 2015–16 (n = 975,265). The main outcome was receipt of social care measured by presence in the Scottish Social Care Survey. Logistic regression models were used to assess the influence of multimorbidity, age, sex and socioeconomic position on the outcome reporting average marginal effects (AME). Findings 93.3% of those receiving social care had multimorbidity, 16.2% of those with multimorbidity received social care compared with 3.7% of those without. The strongest magnitudes of AME for receiving social care were seen for age and multimorbidity (respectively, 50 and 18% increased probability comparing oldest to youngest and most severe multimorbidity to none). A 5.5% increased probability of receiving social care was observed for the most-deprived compared with the least-deprived. Interpretation higher levels of social care receipt are observed in those with increasing age, severe multimorbidity and living in more deprived areas. Multimorbidity does not fully moderate the relationship between social care receipt and either age or deprivation.

scholarly journals Primary care use of laboratory tests in Northern Ireland’s Western Health and Social Care Trust: a cross-sectional study

2019 ◽  
Author(s):  
Magda Bucholc ◽  
Maurice J O’Kane ◽  
Ciaran Mullan ◽  
Siobhan Ashe ◽  
Liam Maguire
Keyword(s):  
Laboratory Test ◽  
Social Care ◽  
Median Number ◽  
Cross Sectional Study ◽  
Practice Variation ◽  
Cross Sectional ◽  
Outcome Indicators ◽  
Health And Social Care ◽  
General Practices ◽  
Test Ordering

AbstractObjectivesTo describe the laboratory test ordering patterns by general practitioners (GPs) in Northern Ireland Western Health and Social Care Trust (WHSCT) and establish demographic and socio-economic associations with test requesting.DesignCross-sectional study.SettingWestern Health and Social Care Trust, Northern IrelandParticipants55 WHSCT general practices requesting laboratory tests in the period from 1 April 2011 to 31 March 2016OutcomesTo identify the temporal patterns of laboratory test ordering behaviour for 8 commonly requested clinical biochemistry tests/test groups in WHSCT. To analyse the extent of variations in laboratory test requests by GPs and to determine whether these variations can be accounted for by clinical outcomes or geographical, demographic, and socioeconomic characteristics.ResultsWe identified substantial changes in the median number of request rates over five consecutive years of the study period as well as a large variation of adjusted test request rates for individual tests (lowest for electrolyte profiles, liver profiles, and HbA1c and highest for immunoglobulins). No statistically significant relationship between ordering activity and either demographic (age and gender) and socioeconomic factors (deprivation) or Quality and Outcome Framework (QOF) scores was observed. We found that practice setting accounted for some of the between-practice variation in test requesting. Rural practices were characterized by both higher between practice variability and median number of order tests than urban practices at all time points.ConclusionsA large between-practice variation in GP laboratory test requesting appears unrelated to demographic and socioeconomic indicators of the practices or crude clinical outcome indicators, most likely reflects differences in the clinical practice of individuals, potentially amenable to change through clinical interventions.Strengths and limitations of this studyThe study provides a comprehensive analysis of temporal changes in laboratory test utilization patterns and establishes the extent of variability in test requesting activity across general practices in Northern Ireland’s Western Health and Social Care Trust.The substantial variation in test ordering, not related to demographic and socioeconomic characteristics of practices, practice location or clinical outcome indicators, may reflect inappropriate laboratory test utilization and hence, suggest a potential for more efficient demand management of laboratory services.Given a cohort of general practices within one catchment area, our results provide evidence of differences in behaviour of individual GPs when managing patients with similar clinical symptoms.Failure to collect and cross-tabulate data on characteristics of general practitioners (GPs), such as GP’s age, years of experience, medical training was a study limitation and a missed opportunity in assessing the influence of practitioner factors on the variation in test ordering behaviour.

Perception of Therapeutic Education in Diabetic Patients at Tit Melil Health Center

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mory Sanoh
Keyword(s):  
Well Being ◽  
Cross Sectional Study ◽  
Basic Element ◽  
Therapeutic Education ◽  
Diabetic Patients ◽  
Oral Antidiabetics ◽  
Educational Training ◽  
Cross Sectional ◽  
Type 2 Diabetics

Introduction : A chronic condition like diabetes interferes with an individual's well-being, and if some of their needs are not met because of the disease, their quality of life is reduced. In this context, therapeutic education constitutes a basic element in the management of diabetes.Materials and Methods : A cross-sectional study by self-administered questionnaire and interviews which were carried out with all type 1 and type 2 diabetics, consultants at the level of the Tit Mélil Primary Health Care establishment, in 2019 and who benefited from or not therapeutic education, with or without complications.Result : The study included 50 diabetic patients, surveys show us that type 1 diabetic patients were 13 (26%). And type 2.37 (74%). Regarding the organization of care, 74% of patients say they are under treatment with oral antidiabetics, 10% oral antidiabetics and insulins, 6% insulin therapy and others under diet. Speaking of Food, 76.5% of diabetics know the importance and know what foods to avoid.Conclusion : TVE is possible, it will result in a change in the structure of programs and new educational training for caregivers.

A Cross-Sectional Study of Common Health Problems of the Elderly

2011 ◽  
Vol 4 (5) ◽  
pp. 509-511
Author(s):  
Pranay Gandhi ◽  
◽  
Sunita Sharma ◽  
Prateek Gandhi
Keyword(s):  
The Elderly ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Cross Sectional
Sign in / Sign up

Export Citation Format

Share Document