DIABETES MANAGEMENT AT COMMUNE HEALTH CENTERS OF THUA THIEN HUE PROVINCE

2019 ◽  
pp. 106-108
Author(s):  
Duc Toan Vo ◽  
Nam Hung Nguyen ◽  
Ho Thi Quynh Anh Le ◽  
Minh Tam Nguyen
Keyword(s):  
Primary Care ◽  
Early Detection ◽  
Diabetes Management ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Key Words Diabetes ◽  
Diabetes Diagnosis ◽  
Cross Sectional ◽  
Management Services

Diabetes and its consequences have become serious public health problems in many countries. Enhancing continuity of care and diabetes management at primary care plays a crucial, sustainable and cost-effective role in health care. Objectives: To describe the current situation of diabetes management at commune health centers (CHCs) in Thua Thien Hue province. Methods: A cross-sectional study was conducted in the total 152 CHCs in Thua Thien Hue province. Service availability and readiness assessment (SARA-WHO) instrument was used to assess diabetes management of CHCs. Results: Diabetes diagnosis and/or treatment were available at 40.8% of CHCs surveyed. There was a low percentage of CHCs fully equipped for screening and early detection of diabetes (18.4%). Most of CHCs delivered prevention services regarding risk factors of diabetes. All CHCs weren’t equipped with adequate medication for diabetes management prescribed by the Ministry of Health. Metformin (33.6%) and gliclazide (28.3%) were offered at the CHCs. Conclusion: Diabetes prevention and management services at grassroots level have not been fully and widely deployed throughout the province. It’s strongly recommended to enhance the availability and readiness of diabetes management services and to invest the essential supplies and medication for diabetes screening, early detection and treatment at primary care, particularly for CHCs in the rural and mountainous areas. Key words: Diabetes management, commune health center, primary care, SARA

The importance of early detection of child neurodevelopment in primary care in Colombia

2017 ◽  
Vol 41 (S1) ◽  
pp. S740-S740
Author(s):  
A.M. Romero Otalvaro ◽  
M. Munoz-Argel
Keyword(s):  
Primary Care ◽  
Child Development ◽  
Early Detection ◽  
Health Sector ◽  
Cross Sectional Study ◽  
Caribbean Region ◽  
Cross Sectional ◽  
Systematic Assessment ◽  
Child Neurodevelopment ◽  
Demographic Survey

IntroductionThe systematic assessment of child development for the first 30 months of age is essential in the monitoring of health outcomes; this requires to have a structured protocol to systematically observe the milestones that have to be achieved at each stage of child development, and prevent deficiencies related to risk factors, reduce and prevent special needs arising from a deficit of the neurodevelopment.ObjectiveDescribe the results of the evaluation of early detection of neurodevelopment problems in subjects from 0–30 months of age who assist to child developmental centers in municipalities located in the Colombian Caribbean region; the main need for intervention was characterized with different neurodevelopment problems.MethodsA cross-sectional study was developed. Childs from 0–30 months of age who attended to the child development centers were tested. Exclusion criteria were not stipulated. The ASQ-3 and a demographic survey (Graffar's survey) were administrated, in order to correlate the social level and the overall results.ResultsThe study included 750 boy/girl. The maturational development for each age group was determined, an analysis of each neurodevelopment area was conducted and the results were correlated with the demographic survey.ConclusionsHigh levels of suspicion of possible neurodevelopment problems and the referral to diagnostic evaluation were observed for access to appropriate treatments. Early detection is highlighted as a tool in primary care that optimizes health sector resources and act in the appropriate periods of plasticity of child development.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The Correlation of Knowledge and Breast Cancer Early Detection through BSE/Breast Self Examination in Nglames Villages Madiun

2015 ◽  
Vol 2 (3) ◽  
pp. 276-281
Author(s):  
Rika Maya Sari
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Cross Sectional Study ◽  
Health Centers ◽  
P Value ◽  
Cross Sectional ◽  
Breast Self Examination ◽  
Cancer Early Detection ◽  
Self Examination ◽  
Improve Health

In Indonesia, based on data from the Global Burden of Cancer (Globocan), breast cancer inwomen (26 per 100,000), followed by uterus cancer (16 per 100,000). The easiest way and does notrequire a fee for early detection of breast cancer is the breast self examination (BSE). The purpose ofstudy was to analyze the correlation of women knowledge and early detection of breast cancer throughthe BSE. The design was analytic cross sectional study with the sample of 98 mothers in the villageNglames Madiun district. The data was collected using questionnaires and analyzed with Chi Square.The results showed most women had the knowledge and efforts of BSE well and there was a correlationsbetween women’s knowledge and early detection of breast cancer through the BSE with a significancelevel of p value 0,010 <0,05. The women were expected to enhance the knowledge about early detectionof breast cancer and for health centers to improve health education efforts in the community about theimportance of early detection of breast cancer.

Nursing Care Systematization: Applicability to Primary Care

2020 ◽  
Vol 42 ◽  
pp. e48465
Author(s):  
Emilli Karine Marcomini ◽  
Nanci Verginia Kuster de Paula ◽  
Daiane Cortez Raimondi
Keyword(s):  
Primary Care ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
Health Centers ◽  
Care Practice ◽  
Cross Sectional ◽  
Primary Care Teams ◽  
Time Availability ◽  
Health Zone ◽  
Nursing Professionals

Nursing Care Systematization (NCS) is an organized and systematized process that concerns nursing professionals who provide quality assistance, being a mandatory tool in all health centers. Despite this factor, there is a visible resistance from nursing to the operationalization of a systematized care. Thus, the present study aims to analyze the applicability of nursing care systematization and the knowledge that primary care nurses have of this process. This is a descriptive, cross-sectional study with quanti-qualitative approach, conducted with nurses working in primary care teams from a regional health zone in the state of Paraná, Brazil. Out of the 44 participant nurses, only 20.5% claimed to take all steps in the nursing process during their care practice, and 43.2% do not know about the Resolution of the Federal Nursing Council that addresses NCS application. This low NCS applicability is worrisome, since it is related to the quality, resolution and security of care provision. The applicability of the systematization within the assessed teams is quite fragmented and small; besides, their NCS knowledge is insufficient considering that this is such a relevant tool to a nurse’s professional practice. It is possible to notice numerous fragilities and difficulties in the application of NCS to primary care, with highlight to time availability, overworked nurses, and need for training.

scholarly journals Prescription Practice for Diabetes Management among a Female Population in Primary Health Care

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Fouzia A. ALHreashy ◽  
Abdulelah F. Mobierek
Keyword(s):  
Primary Care ◽  
Diabetes Care ◽  
Diabetes Management ◽  
Antihypertensive Drugs ◽  
Cross Sectional Study ◽  
Diabetic Patients ◽  
Sample Population ◽  
Cross Sectional ◽  
Female Population ◽  
Prescription Practice

Introduction. Prescription for diabetes care is an important practice in primary care. Methods. This is a descriptive study carried out on at primary care clinics over a five-month period at Al Imam Medical Complex, Riyadh, Saudi Arabia. It was cross-sectional study of 160 female diabetic patients, who visited the services between January and May, 2012. Data were collected from the medical records on the clinical characteristics and drugs prescribed for their diabetic management. Results. The majority of the sample population (82%) was older than 40 years old. Half of them had concomitant hypertension, hyperlipidemia, and obesity. There were 500 prescriptions for diabetes management. More than 57% of participants were on two or more drugs for hyperglycemia. Metformin was the most common drug prescribed. Metformin and sulphonylurea were the most common combined medications. Most of cases ( 70%) were on a combination of antihypertensive drugs. ACE or ARBs and diuretic was the most common combined prescriptions. Statins and aspirin were used by 41% and 23.8% of the research population, respectively. Conclusion. Polypharmacy is a feature in diabetes care. Most of the prescription practice for diabetic care follows the recommended guidelines for hyperglycemia and hypertension. Management of dyslipidemia among diabetic patients, however, is an area that needs to be developed.

scholarly journals Dermoscopic Lotus of Learning: Implementation and Dissemination of a Multimodal Dermoscopy Curriculum for Primary Care

2021 ◽  
Vol 8 ◽  
pp. 238212052198998
Author(s):  
Elizabeth Seiverling ◽  
Hadjh Ahrns ◽  
Kathryn Stevens ◽  
Lindsay Ayers ◽  
Tyler Nussinow ◽  
...  
Keyword(s):  
Primary Care ◽  
Learning Strategies ◽  
Cost Effective ◽  
Primary Care Providers ◽  
Skin Lesions ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Primary Care Residency ◽  
Workshop Intervention

Dermoscopy is a cost-effective tool for detection of skin cancers yet there is limited training available for primary care. The goal of this project was to develop, implement, and disseminate a multimodal curriculum for primary care across a health system based on a previously validated algorithm (Triage Amalgamated Dermoscopic Algorithm; TADA). This cross-sectional study analyzes the dermoscopy workshop intervention of a dermoscopy multimodal curriculum. Volunteers attended one 120-minute dermoscopy workshop on benign and malignant growths using a validated algorithm. Participants took a 30-image pre- and posttest. Survey questions on dermoscopy use, preferences for learning, and skin biopsy performance were included to enhance curriculum development. About 96 participants completed both pre- and postintervention tests. The mean preintervention score (out of 30) was 18.6 and increased to 24.4 on the postintervention evaluation. There was a statistically significant improvement in scores for both benign and malignant skin growths after the intervention ( P < .05). Short dermoscopy workshops have a positive intervention effect when training primary care providers to identify images of benign and malignant dermoscopic skin lesions. A multimodal dermoscopy curriculum allows learners to build on initial training using spaced review and blended learning strategies. The “Dermoscopic Lotus of Learning” has the potential to be a model for other primary care residency programs. A healthy partnership between dermatologists and primary care is essential.

scholarly journals The Humanistic and Economic Burden Associated with Anxiety and Depression among Adults with Comorbid Diabetes and Hypertension

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Kimberly Wallace ◽  
Xiaohui Zhao ◽  
Ranjita Misra ◽  
Usha Sambamoorthi
Keyword(s):  
Economic Burden ◽  
Diabetes Management ◽  
Medical Expenditure Panel Survey ◽  
Cost Effective ◽  
Cross Sectional Study ◽  
Medical Expenditure ◽  
Depression And Anxiety ◽  
Annual Household Income ◽  
Healthcare Expenditures ◽  
Cross Sectional

We conducted a retrospective cross-sectional study to estimate the humanistic and economic burden associated with depression and anxiety among adults with comorbid diabetes and hypertension. Pooled data from the 2013 and 2015 Medical Expenditure Panel Survey were used to include adults (≥18 years old) who were alive and diagnosed with both diabetes and hypertension during the observation period. We assessed the humanistic burden with health-related quality of life (HRQoL) and economic burden with the total annual healthcare expenditures. Depending on the presence/absence of depression and anxiety, the study sample was divided into four groups (i.e., no depression/anxiety, depression only, anxiety only, and depression and anxiety). Multivariable regression analyses were used to evaluate the associations between the depression/anxiety categories and disease burden measures. The incremental burden associated with depression and/or anxiety was estimated with the counterfactual recycled prediction. Of the 4560 adults with comorbid diabetes and hypertension, 13.2% reported depression only, 8.7% reported anxiety only, and 7.7% reported both. Results from adjusted analyses indicated that the presence/absence of depression and anxiety was associated with significantly poorer HRQoL, especially on the mental component. Having either depression or anxiety corresponded to reduced mental component summary scores by more than four points. The reduction was as high as 10.35 points when both conditions occurred. Comparing to adults without depression or anxiety, the per-capital incremental annual healthcare expenditures were $4607 for the depression group, $2481 for the anxiety group, and $8709 for adults with both conditions. Furthermore, adults with depression and anxiety were 58% more likely to spend at least 10% of annual household income on healthcare as compared to those with neither the conditions. Our results highlight the needs for integrating cost-effective mental health services into diabetes management to improve the HRQoL and reduce healthcare costs for adults with comorbid diabetes and hypertension.

AVAILABILITY AND READINESS OF CARDIOVASCULAR DISEASE MANAGEMENT SERVICES AT COMMUNE HEALTH CENTERS OF THUA THIEN HUE PROVINCE

2019 ◽  
pp. 78-84
Author(s):  
Duc Toan Vo ◽  
Ho Thi Quynh Anh Le ◽  
Minh Tam Nguyen
Keyword(s):  
Health Care ◽  
Cardiovascular Diseases ◽  
Enzyme Inhibitor ◽  
Cost Effective ◽  
Health Centers ◽  
Primary Health Care System ◽  
Mountainous Area ◽  
Channel Blockers ◽  
Cross Sectional ◽  
Management Services

Introduction: Cardiovascular diseases (CVDs) take the lives of 17.9 million people every year, 31% of all global deaths. Most patients with CVDs can be diagnosed, treated and managed by health-care practitioners at the primary health care system. Strengthening CVDs patients management and continuity of care in Commune health centres (CHCs) play an important, sustainable and cost-effective solutions. Objectives: To describe the current situation of CVDs management at commune health centers in Thua Thien Hue province. Methods: A cross-sectional study was conducted in the total 152 CHCs in Thua Thien Hue province. Service availability and readiness assessment (SARA-WHO) instrument was used to assess CVDs management of CHCs. Results: CVDs diagnosis and/or treatment were available at 97.4% of CHCs surveyed. Most CHCs were fully builted in equipments for screening and early detection of CVDs (>99%). Most CHCs delivered prevention services regarding risk factors of CVDs. More than 85% of CHCs weren’t equipped with adequate medicines for CVDs management prescribed by the Ministry of Health. Calcium channel blockers (90,8%) and angiotensin converting enzyme inhibitor (77%) were offered at the CHCs. Conclusion: CVDs prevention and management services at grassroots level have been fully and widely deployed throughout the province. It’s strongly recommended to enhance the availability of medication for CVDs, especially in mountainous area. The service readiness indicator of CVDs management in Thua Thien Hue Province is 67.9 points. Key words: Cardiovascular diseases management, commune health center, primary care, SARA

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