scholarly journals Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain

2021 ◽  
Vol 18 (12) ◽  
pp. 6609
Author(s):  
Gloria Reig-Garcia ◽  
Rosa Suñer-Soler ◽  
Susana Mantas-Jiménez ◽  
Anna Bonmatí-Tomas ◽  
Maria Carmen Malagón-Aguilera ◽  
...  
Keyword(s):  
Primary Care ◽  
Case Management ◽  
Continuity Of Care ◽  
Ad Hoc ◽  
Descriptive Analysis ◽  
Aged Care ◽  
Cross Sectional Study ◽  
Management Model ◽  
Linear Regression Models ◽  
Cross Sectional

Chronic diseases are treated and cared for in different healthcare settings. Continuity of care and the case management model facilitate the integration of processes and care levels. However, there is little evidence regarding the satisfaction of nurses with this model. The purpose of this study was to examine nurses’ satisfaction with continuity of care and the case management model. A cross-sectional study was conducted. An ad hoc questionnaire was administrated to 437 Spanish nurses from the three health care settings that responded. This included items on socio-demographics, employment relationship, and satisfaction with continuity of care and case management. Descriptive analysis and linear regression models were performed. In total, 96.1% of the nurses expressed a high level of satisfaction with continuity of care and 80.7% with the case management model. Nurses in a primary care setting reported the greatest satisfaction with the case management model (B = 0.146, 95% CI = 0.139–0.694, p = 0.003). The nurses’ higher perception of patient satisfaction was associated with greater satisfaction with continuity of care (B = 0.466, 95% CI = −0.367–0.533, p < 0.000). Nurses identified the case management model as an optimal facilitator of continuity of care. While satisfaction with continuity is high, strategies are needed to improve it in primary care centers and aged care homes.

scholarly journals Continuity of care and delivery of diabetes and hypertensive care among regular users of primary care services in Chile: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e027830
Author(s):  
Javiera Leniz ◽  
Martin C Gulliford
Keyword(s):  
Primary Care ◽  
Continuity Of Care ◽  
Cross Sectional Study ◽  
Self Report ◽  
Secondary Outcome ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Care Services

ObjectivesExplore factors related to continuity of care and its association with diabetes and hypertensive care, and disease control.DesignCross-sectional study.SettingData from the Chilean Health National Survey 2009–2010.ParticipantsRegular users of primary care services aged 15 or older.Primary and secondary outcome measuresProportion of hypertensive and diabetic patients with a blood pressure <140/90 mm Hg and HbA1c<7.0% respectively, self-report of diagnosis, treatment and recent foot and ophthalmological exams. Associations between continuity of care, sociodemographic characteristics, and primary and secondary outcomes were explored using logistic regression.Results3887 primary care service users were included. 14.7% recognised a usual GP, 82.3% of them knew their name. Continuity of care was positively associated with age >65 years (OR 4.81, 95% CI 3.16 to 7.32), being female (OR 1.66, 95% CI 1.34 to 2.05), retired (OR 2.22, 95% CI 1.75 to 2.83), obese (OR 1.66, 95% CI 1.29 to 2.14), high cardiovascular risk (OR 2.98, 95% CI 2.13 to 4.17) and widowed (OR 1.50, 95% CI 1.13 to 1.99), and negatively associated with educational level (8–12 vs <8 years OR 0.79, 95% CI 0.64 to 0.97), smoking (OR 0.65, 95% CI 0.52 to 0.82) and physical activity (OR 0.76, 95% CI 0.61 to 0.95). Continuity of care was associated with diagnosis awareness (OR 2.83, 95% CI 1.21 to 6.63), pharmacological treatment (OR 2.04, 95% CI 1.15 to 3.63) and a recent foot (OR 3.17, 95% CI 1.84 to 5.45) and ophthalmological exam (OR 3.20, 95% CI 1.66 to 6.18) in diabetic but not in hypertensive patients.ConclusionsContinuity of care was associated with higher odds of having a recent foot and ophthalmological exam in patients with diabetes, but not with better diseases control. Findings suggest patients with chronic conditions have better continuity of care access.

scholarly journals Evaluation of Nursing Service Management Model applied in hospitals managed by social health organization

2021 ◽  
Vol 74 (suppl 5) ◽  
Author(s):  
Elizabeth Akemi Nishio ◽  
Maria Lucia Alves Pereira Cardoso ◽  
Maria Elisabete Salvador ◽  
Maria D’Innocenzo
Keyword(s):  
Service Management ◽  
Descriptive Analysis ◽  
Transition Process ◽  
Cross Sectional Study ◽  
Social Health ◽  
Management Model ◽  
Cross Sectional ◽  
Nursing Service ◽  
Hospital Nursing ◽  
Health Organization

ABSTRACT Objective: Evaluate the Hospital Nursing Service Management Model from the perspective of nurses from hospitals managed by social health organization, considering the type and dimensions of the model. Methods: This is an exploratory, cross-sectional study with a quantitative approach; census population. The evaluation was conducted in 15 hospitals based on the Index of Professional Nursing Governance, including the descriptive analysis of the k-means method and multiple linear regression to score the instrument. Data collection was performed online, stored in REDCap®. Results: Of 1,523 invited, 680 (44.6%) accepted and 518 (34.1%) completed the questionnaire. With a general average of 184.3 points, 12 hospitals indicated shared; and 3 (20%), traditional governance (average of 165.7 points). Conclusion: Managers presented a lower perception of shared governance with professionals without a management function. The type of function and time of activity at the institution influenced the results. The present model is hybrid, in the transition process from the traditional to corporate.

scholarly journals The Cultural Diversity of Dementia Patients and Caregivers in Primary Care Case Management: a Pilot Mixed Methods Study

2021 ◽  
Vol 24 (3) ◽  
pp. 184-194
Author(s):  
Xin Qiang Yang ◽  
Isabelle Vedel ◽  
Vladimir Khanassov
Keyword(s):  
Primary Care ◽  
Mixed Methods ◽  
Case Management ◽  
Cultural Diversity ◽  
Cross Sectional Study ◽  
Mixed Methods Study ◽  
Foreign Born ◽  
Cross Sectional ◽  
Dementia Patients ◽  
Qualitative Descriptive

Context The Canadian reality of dementia care may be complicated by the cultural diversity of patients and their informal caregivers. Objectives To what extent do needs differ between Canadian- and foreign-born patients and caregivers? What are their experiences with the illness in primary care case management? Methods Mixed methods, sequential explanatory design (a cross-sectional study, followed by a qualitative descriptive study), involving 15 pairs of patients and caregivers. Results Foreign-born patients had more needs compared to their Canadian-born counterparts. Foreign-born caregivers reported more stress, more problems, and increased need for services. However, the reported experiences of Canadian- vs. foreign-born individuals were similar. Conclusion The results remain hypothesis-generating. The present pilot illustrated the suitability of mixed methods to this area of study, which deserves further investigation to better serve all mem­bers of a population already vulnerable by age and disease.

scholarly journals Secondary care in oral health in small municipalities: a cross-sectional evaluation of demand x access

2018 ◽  
Vol 66 (1) ◽  
pp. 70-76
Author(s):  
Wellen Carla da Luz Benfica COSTA ◽  
Marcos Azeredo Furquim WERNECK ◽  
Andréa Clemente PALMIER
Keyword(s):  
Primary Care ◽  
Oral Health ◽  
Descriptive Analysis ◽  
National Policy ◽  
Cross Sectional Study ◽  
Minas Gerais ◽  
Primary Care System ◽  
Cross Sectional ◽  
Permanent Molar ◽  
Age Range

ABSTRACT Objective: To know the demand and access to specialized procedures in Oral Health in 10 municipalities in the region of Guanhães, Minas Gerais, Brazil, which do not have a Dental Specialty Center. Methods: Cross-sectional study was conducted with 30 dental surgeons of the Primary Care system. These dentists recorded all the patients who were treated from July to November 2016, and who were shown to be in need of being assigned to specialized procedures in oral health. The descriptive analysis was developed in the software SPSS for Windows version 18.0. The study was approved by the Research Ethics Committee of the Federal University of Minas Gerais (ruling 1.615.701). Results: 1085 patients assigned for specialized procedures in Oral Health were evaluated. The majority of these patients were women (56.6%), within an age-range from 13-34 years (51.9%). Among the specialties evaluated, 61% of the patients presented the need for endodontic treatment, with the most compromised tooth being the first permanent molar (33.2%). The outcomes were recorded for 435 (40.1%) patients. Among these, 19.8% of the procedures were performed in the health unit itself and in 45.5% extractions were performed. Conclusion: Limited access to specialized Oral Health procedures was verified. To enable the Oral Health National Policy to consider the specificities of such regions, it is suggested that the scope of action of the oral health teams in primary care is expanded, or that less expensive specialized services are created, so that the access to this level of oral health is assured to all referred patients.

scholarly journals Characteristics of citizens and their use of teleconsultation in Primary Care in the Catalan public health system before and during COVID: Retrospective Descriptive Cross-Sectional Study (Preprint)

2021 ◽  
Author(s):  
Oscar Solans ◽  
Josep Vidal-Alaball ◽  
Pasqual Roig Cabo ◽  
Núria Mora ◽  
Ermengol Coma ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health System ◽  
Rural Areas ◽  
Public Health System ◽  
Descriptive Analysis ◽  
Low Complexity ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Predominantly Female

BACKGROUND eConsulta (asynchronous and two-way teleconsultation in Primary Care) is one of the most important telemedicine developments in the Catalan public health system, a service that has been heavily boosted by the outbreak of the pandemic. It is vitally important to know the characteristics of its users in order to be able to meet their needs and have an idea of who is being covered (and who is not) through this service in a context where there is less accessibility to the health system. OBJECTIVE Undertake a descriptive analysis of the profile of the citizens who use the tool and the type of use they make of it to gain an understanding of the elements that characterize their decision to use it, making a distinction between those who used it before and those who have used it since the outbreak of the COVID-19 pandemic METHODS Descriptive observational study based on administrative data. The study differentiates between the pre and during COVID periods, taking as the cut-off point the day the state of emergency was declared in Spain (13 March 2020), and between users who send messages and those who only receive them. The main study variable is the use of the eConsulta service. RESULTS The pandemic has resulted in almost triple the number of unique users in just the first three months observed (220,043/76,598, 2.87). Since the start of the COVID outbreak, although users have continued to be predominantly female, they are systematically younger than before, more actively employed and with less complex pathologies for the two user profiles analysed. There is also a relative decrease in the number of conversations initiated by higher-income urban citizens and an increase in users in rural areas. CONCLUSIONS This study identifies a change in the profile of citizens who use the eConsulta tool, which as a result of the COVID-19 pandemic now has a profile similar to that of the average citizen: actively employed, with low complexity of pathology and who receives more messages proactively from the health professionals through eConsulta. The pandemic has helped to generalize the use of telemedicine as a tool to compensate to some extent for the decline in face-to-face visits, especially in younger citizen profiles.

scholarly journals Undescended testis: Knowledge and Practice Among Primary Care Physicians in Bahrain

2020 ◽  
Vol 33 (1) ◽  
pp. 8-13
Author(s):  
Sara A. Ahmed ◽  
Mohamed Mubarak ◽  
Mahmood Abbas ◽  
Shaikh A. Hamid ◽  
Arbinder K.Singal
Keyword(s):  
Primary Care ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Screening Program ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Average Score ◽  
P Value ◽  
Cross Sectional ◽  
Work Up

Background & Objectives: Un-descended testis (UDT) is the most common congenital anomaly in male newborns. Spontaneous descent of testes does not occur beyond six months of age. As Bahrain has a universal child screening program, primary care physicians are the first physicians to encounter these children. This study aimed to investigate the knowledge of UDT, its work up and management among primary care physicians in Bahrain. Awareness of recent guidelines and current recommended practices in management were evaluated. Materials & Methods: This cross-sectional study was based on a self-administered 12-item questionnairewith questions about incidence, pathophysiology, examination, management and complications of undescended testes, which was distributed among 101 among primary care physicians. Data was expressed as mean±standard deviation and measures of central tendency were used for descriptive analysis. P value was set at <0.05. Results: An equal number of family physicians and pediatricians completed the survey, while general practitioners formed the lowest proportion of responders. Most of the responders had at least 5 years of experience (72.3%) and encountered an average of one to four cases of UDT per year (70.3%). With respect to the knowledge of UDT and specialty (p >0.05), work experience (p >0.05) or annual case load (p >0.05) was observed. The average score in this cohort was 5.9 out of a maximum of 10 points. About 50.5% of the respondents scored between 5 and 6 points (50.5%). Conclusions:A remarkablegap in the knowledge about the different aspects of UDT amongst primary care physicians was documented.

scholarly journals Multiple Micronutrients, Including Zinc, Selenium and Iron, Are Positively Associated with Anemia in New Zealand Aged Care Residents

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1072
Author(s):  
Sue O. MacDonell ◽  
Jody C. Miller ◽  
Michelle J. Harper ◽  
Malcolm R. Reid ◽  
Jillian J. Haszard ◽  
...  
Keyword(s):  
New Zealand ◽  
Iron Deficiency ◽  
Interleukin 6 ◽  
Aged Care ◽  
Cross Sectional Study ◽  
Low Grade ◽  
Micronutrient Deficiencies ◽  
Plasma Zinc ◽  
Linear Regression Models ◽  
Cross Sectional

Anemia is a significant comorbidity for older adults not fully attributable to iron deficiency. Low-grade inflammation and other micronutrient deficiencies also contribute. This cross-sectional study examined the relationships between nutrient and non-nutrient factors with hemoglobin and anemia in 285 residents (>65 years) of 16 New Zealand aged-care facilities. Blood samples were analyzed for hemoglobin, ferritin, sTfR, hepcidin, zinc, selenium, and interleukin-6 (IL-6), (with ferritin, sTfR, zinc and selenium adjusted for inflammation). Linear regression models examined the relationships between micronutrient biomarkers (iron, zinc, selenium, vitamin B-12 and D), age, sex, and health factors with hemoglobin. Thirty-two percent of participants exhibited anemia, although <2% had either depleted iron stores or iron deficiency. Plasma zinc and selenium deficiencies were present in 72% and 38% of participants, respectively. Plasma zinc and total body iron (TBI) were positively associated (p < 0.05) with hemoglobin, while gastric acid suppressing medications, hepcidin, and interleukin-6 were inversely associated. These relationships were maintained after the application of anemia cut-offs. These findings emphasize the importance of considering multiple micronutrient deficiencies as risk factors for anemia.

Frequency of Neck and Upper Extremity Musculoskeletal Disorders in Dentists

2020 ◽  
Vol 9 (3) ◽  
pp. 207-211
Author(s):  
Sidra Sarwar ◽  
Sara Khalid ◽  
Tahir Mahmood ◽  
Hadeeqa Jabeen ◽  
Shahid Imran
Keyword(s):  
Upper Extremity ◽  
Musculoskeletal Disorders ◽  
Health Care Professionals ◽  
Descriptive Analysis ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Dental Hospital ◽  
Upper Extremity Musculoskeletal Disorders ◽  
And Performance

Background: Musculoskeletal disorders are not only becoming prevalent among health care professionals in our country but are affecting their health and performance adversely. They are caused by poor ergonomics and awkward posture during work activities. The purpose of this study was to determine the frequency of neck and upper limb musculoskeletal disorders in dentists of Lahore, Pakistan. Material and Methods: This cross-sectional study was conducted during October 2017 to March 2018. The data was collected using convenient sampling technique from 162 Dentists including 52 males and 110 females of Children hospital Lahore, Punjab Dental hospital and Fatima Memorial Hospital, Lahore. Data was collected by using Mangalore Questionnaire for identification of musculoskeletal disorders. Descriptive analysis of the data was done using SPSS version 22.0. Results: Of 162 dentists, 115 (71%) suffered from musculoskeletal disorders. Shoulder was the most commonly affected region (30.9%) followed by neck (25.9%), arm (6.2%), wrist (4.3%), elbow (3.1%) and forearm (0.6%). Pain (45.7%) was found to be the most common complaint followed by muscle weakness (20.4%), paraesthesia (3.7%) and swelling (1.2%). Conclusions: It was concluded that majority of the dentists were suffering from musculoskeletal disorders with shoulder as the most affected region and pain as the most frequent complaint. Key words: Dentists, Musculoskeletal disorders, Neck pain, Upper extremity

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