scholarly journals Correlation Between Gender and Knowledge, with Practice and Referral Rate of Continuum Rehabilitation Cases by General Practitioners

2020 ◽  
Vol 8 (01) ◽  
pp. 9-17
Author(s):  
Hari Hari Peni Julianti ◽  
Angela BM Tulaar BM Tulaar ◽  
Tirza Z Tamin ◽  
Tanti Ajoe Kesoema, ◽  
Endang Ambarwati, ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Employment Status ◽  
Referral Rate ◽  
Cross Sectional ◽  
Significance Level ◽  
Primary Health ◽  
Knowledge Practice ◽  
Level Of Knowledge

Introduction: Indonesian Health Ministry had a strategy to make the primary care, including rhabilitation program by continuum of care. The purpose of this study was to determine factors related to the levelof knowledge, practice, and referral for continuum care cases that required rehabilitation services in Primary Health Care Doctors.Methods: The study design was cross-sectional. Participants were 23 Primary Health Care Doctors in Wonosobo District. Data collection was conducted in December 2017. The independent variablesconsist of gender, length of work, employment status, while the dependent variables were the level of knowledge, practice and referral cases of maternal, infants and toddlers, adolescents, adults and elderly.The measuring instrument was a questionnaire. Data were tested with chi-square, significance level <0.05.Results: Gender has correlation with the level of knowledge in maternal cases (PR = 0.121, 95% CI = 0.017-0.087, p = 0.026). Gender has correlation to the level of practice in maternal case (PR = 0.121,95% CI = 0.017-0.867, p = 0.026). Employment status has correlation to the referral rate of elderly cases(PR = 10.500, 95% CI = 1.015-108.577, p = 0.029).Conclusion: Gender has correlation with the level of knowledge and practice of maternal cases. Employment status has correlation with the level of referral rate of elderly cases.Keywords: Primary care doctors, Knowledge, Referral, Continuum Rehabilitation

scholarly journals Opinions on mental illness from the perspective of primary care nurses in Portugal

2019 ◽  
Vol 40 ◽  
Author(s):  
Carla Silvia Neves da Nova Fernandes ◽  
Wallace Borges Costa dos Santos ◽  
Wanderson Carneiro Moreira ◽  
Divane de Vargas ◽  
Maria do Perpétuo Socorro de Sousa Nóbrega
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Mental Illness ◽  
Primary Health Care ◽  
Cross Sectional ◽  
Primary Health ◽  
People With Mental Illness ◽  
Primary Care Nurses ◽  
Opinions About Mental Illness ◽  
Unit Of Action

Abstract Objective: To identify the opinions of primary care nurses regarding mental illness and the care provided to this population. Methodology: Cross-sectional, quantitative study with the participation of 328 nurses of primary health care in Porto, Portugal. Data collected between April and August of 2018 through the scale "Opinions about Mental Illness" and socio demographic and labor questionnaire. Descriptive and correlational statistics were applied. Results: A total of 50% of the nurses presented positive opinions about the mental illness. Regarding the assistance provided in their unit of action, 53.4% considered inadequate and 50.3% recognized as adequate their knowledge about the role that primary health care has in assisting the person with mental illness. Conclusion: Positive opinions and recognition of the importance of primary care to people with mental illness are important indicators for qualified mental health care outside the field of specialty.

scholarly journals Challenges and lessons from a primary care intervention in a Brazilian municipality

2019 ◽  
Vol 53 ◽  
pp. 45
Author(s):  
Mônica V Andrade ◽  
Kenya Noronha ◽  
Clareci S Cardoso ◽  
Claudia D L Oliveira ◽  
Júlia A Calazans ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Chronic Conditions ◽  
Household Survey ◽  
Cross Sectional ◽  
Care Network ◽  
The Public ◽  
Primary Health ◽  
Health Care Network

OBJECTIVE: To address the implementation of the Lab for Innovation in Chronic Conditions in Santo Antonio do Monte, indicating the main challenges and lessons of a new chronic condition model. METHODS: This is an observational study based on two sources of data: 1) two cross-sectional household surveys, 2013 (2012 as reference year) and 2015 (2014 as reference year), representative for the entire population and four target groups (pregnant women; children under two years old; individuals with hypertension and diabetes); medical records of individuals who self-reported having hypertension or diabetes in the household survey of 2013. A descriptive statistics analysis was performed. RESULTS: The main findings showed that the public health system is the main provider of health services, mainly primary care, in Santo Antonio do Monte. Besides, the implementation of Lab for Innovation in Chronic Conditions showed the importance of building a Primary Health Care network in small municipalities. CONCLUSIONS: Community health agents and health managers played a fundamental role in the Primary Health Care network. The case study of Santo Antonio do Monte poses some challenges and lessons that clarify future interventions on building a Primary Health Care network that is essential to provide an adequate and longitudinal care to chronic conditions.

Primary Health Care Pediatricians’ Self-Perception of Theoretical Knowledge and Practical Skills in Life-Threatening Emergencies: A Cross-Sectional Study

2020 ◽  
Vol 35 (2) ◽  
pp. 152-159
Author(s):  
José Antonio Cernuda Martínez ◽  
Rafael Castro Delgado ◽  
Pedro Arcos González
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Theoretical Knowledge ◽  
Practical Skills ◽  
Self Perception ◽  
Cross Sectional ◽  
Emergency Procedures ◽  
Primary Health ◽  
Life Threatening

AbstractIntroduction:Within out-of-hospital emergencies, Primary Health Care (PHC) pediatricians will likely be the first to provide health care at the scene of a life-threatening emergency (LTE) in children. Pediatricians should be trained to initially intervene, safely and effectively the LTEs, including the activation of Emergency Medical Systems (EMS), an adequate stabilization of patients and transport to the hospital.Study Objectives:The aims of this study are to know the training received for out-of-hospital LTEs by PHC pediatricians of the Principality of Asturias (Spain) and the perception they have about their own theoretical knowledge and practical skills in a series of emergency procedures used in LTEs; also, to analyze the differences according to the geographical context of their work.Methods:This was a cross-sectional, descriptive, and observational study of a sample of 27 PHC pediatricians from PHC Service of Asturias, Spain, from among the total of 88 pediatricians who make up the staff of pediatricians, conducted from April through May 2019. The survey was designed ad hoc using the Curriculum in Primary Care Pediatrics (CPCP) proposed by the European Confederation of Primary Care Pediatricians (ECPCP; Europe), which indicates the theoretical and practical procedures that must be acquired by the PHC pediatricians. It is composed of 30 procedures or techniques employed in LTEs using a 11-point Likert scale rating to detect their self-perception about theoretical knowledge and practical skills from zero (“Minimum”) to 10 (“Maximum”).Results:There are significant differences in the mean of theoretical knowledge and practical skills in many procedures or techniques studied, depending on the different areas of work.Conclusion:Asturian pediatricians are generally well-prepared to solve LTEs with a few exceptions. The degree of self-perception and acquisition of general theoretical knowledge and general practical skills in LTEs is heterogeneous, with differences according to the scope of work.

scholarly journals Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

2020 ◽  
Vol 86 (1) ◽  
Author(s):  
Ahmed Kharbach ◽  
Majdouline Obtel ◽  
Abderrahmane Achbani ◽  
Youssef Bouchriti ◽  
Kenza Hassouni ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Level Of Knowledge ◽  
Primary Health Care Centers ◽  
Health Care Centers

scholarly journals Patient safety culture in Primary Health Care

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e70874
Author(s):  
Jéssica Karine Lopes Bohrer ◽  
Ana Catarina Laboissière Vasconcelos ◽  
Ana Lúcia Queiroz Bezerra ◽  
Cristiane Chagas Teixeira ◽  
Juliane Andrade ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Care Health

Objective: to evaluate the patient safety culture in a primary care health unit. Methods: cross-sectional study conducted with 51 professionals linked to Primary Health Care. Data were collected using the self-administered instrument Medical Office Survey on Patient Safety Culture, translated, adapted and validated for use in Brazil. Descriptive statistical analysis was performed. Nurses, physicians, Community Health Agents, among other professionals participated. Results: the dimensions of the patient safety culture in Primary Health Care indicated opportunities for improvement or weaknesses in the service. The general assessment of patient safety and the global assessment of the quality of care provided in Primary Health Care were appointed as good or fair. Conclusion: the safety culture in Primary Care did not identify strong dimensions; there were problems with equipment, performance and availability of test results and exchange of information with imaging centers/laboratories in the care network.

scholarly journals Baseline assessment of patient safety culture in primary care centres in Kuwait: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Talal ALFadhalah ◽  
Buthaina Al Mudaf ◽  
Hanaa A. Alghanim ◽  
Gheed Al Salem ◽  
Dina Ali ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Safety Culture ◽  
Patient Safety Culture ◽  
Multivariate Regression Analysis ◽  
Healthcare Services ◽  
Cross Sectional ◽  
Significance Level ◽  
Primary Health

Abstract Background Assessments of the culture surrounding patient safety can inform healthcare settings on how their structures and processes impact patient outcomes. This study investigated patient safety culture in Primary Health Care Centres in Kuwait, and benchmarked the findings against regional and international results. This study also examined the association between predictors and outcomes of patient safety culture in these settings. Methods This cross-sectional quantitative study used the Medical Office Survey on Patient Safety Culture. The study was targeted at staff of all the Primary Health Care Centres in Kuwait with at least one year of experience. Data were analysed using SPSS 23 at a significance level of ≤ .05. Univariate (means, standard deviations, frequencies, percentages) and bivariate (chi-squared tests, student t-tests, ANOVA F-tests, Kruskal–Wallis tests, Spearman’s correlation) analyses provided an overview of participant socio-demographics and the association between patient safety culture composites and outcomes. We undertook a multivariate regression analysis to predict the determinants of patient safety culture. Results were benchmarked against similar local (Kuwait, 2014), regional (Yemen, 2015) and international (US, 2018) studies. Results The responses of 6602 employees from 94 centres were included in the study, with an overall response rate of 78.7%. The survey revealed Teamwork (87.8% positive ratings) and Organisational Learning (78.8%) as perceived areas of strength. Communication about Error (57.7%), Overall Perceptions of Patient Safety and Quality (57.4%), Communication Openness (54.4%), Owner/Managing Partner/Leadership Support for Patient Safety (53.8%) and Work Pressure and Pace (28.4%) were identified as areas requiring improvement. Benchmarking analysis revealed that Kuwait centres are performing at benchmark levels or better on four and six composites when compared to international and regional findings, respectively. Regression modelling highlighted significant predictions regarding patient safety outcomes and composites. Conclusions This is the first major study addressing the culture of patient safety in public Primary Health Care Centres regionally. Improving patient safety culture is critical for these centres to improve the quality and safety of the healthcare services they provide. The findings of this study can guide country-level strategies to develop the systems that govern patient safety practices.

scholarly journals Body Mass Index Assessment of Health Care Professionals in a Primary Care Setting in Portugal: a Cross Sectional Study

2014 ◽  
Vol 27 (5) ◽  
pp. 609 ◽  
Author(s):  
Inês Campos-Matos ◽  
André Peralta-Santos ◽  
Bernardo Gomes ◽  
Gustavo Borges ◽  
Pedro Aguiar
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Body Mass ◽  
Health Care Professionals ◽  
Care Setting ◽  
Primary Care Setting ◽  
Cross Sectional ◽  
Primary Health

<p><strong>Introduction:</strong> Obesity is an important public health problem because it is a risk factor for numerous diseases and is associated with a higher death risk. Evidence concerning the prevalence of excess weight in health professionals is scarce and this group is often overlooked in weight interventions programs. This paper aims to estimate the prevalence of obesity and overweight among Portuguese primary health care professionals and to describe differences between occupational groups.<br /><strong>Material and Methods:</strong> This was a cross sectional study based on a primary care setting in Portugal in 2011. We collected data on occupation, age, sex and height of professionals from four primary care centers. We did a descriptive analysis of the main variables and an analysis of covariance to compare mean Body Mass Index.<br /><strong>Results:</strong> Our sample represented 52.8% of the total population of the four primary care centers, and 38.6% were overweight and 16.9% were obese. When adjusted for age and gender, health service personnel had the highest average Body Mass Index, followed by nurses, physicians, and superior technicians, in that order.<br /><strong>Discussion:</strong> Although we can’t ensure the generalisation of the results and cannot exclude the possibility of sampling bias, these results suggest high prevalence obesity and overweight in workers of primary health care in Portugal.<br /><strong>Conclusion:</strong> In this primary care setting more than half of the health care professionals were overweight or obese. Tailored interventions might be needed to tackle this issue.</p><p><br /><strong>Keywords:</strong> Body Mass Index; Health Personnel; Obesity; Portugal; Primary Health Care; Prevalence.</p>

scholarly journals Study of the Strengths and Weaknesses of Nursing Work Environments in Primary Care in Spain

2021 ◽  
Vol 18 (2) ◽  
pp. 434
Author(s):  
Vicente Gea-Caballero ◽  
José Ramón Martínez-Riera ◽  
Pedro García-Martínez ◽  
Jorge Casaña-Mohedo ◽  
Isabel Antón-Solanas ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Primary Health Care ◽  
Health Outcomes ◽  
Work Environments ◽  
Head Nurse ◽  
Cross Sectional ◽  
Primary Health

Background: Nursing work environments are defined as the characteristics of the workplace that promote or hinder the provision of professional care by nurses. Positive work environments lead to better health outcomes. Our study aims to identify the strengths and weaknesses of primary health care settings in Spain. Methods: Cross-sectional study carried out from 2018 to 2019. We used the Practice Environment Scale of the Nursing Work Index and the TOP10 Questionnaire of Assessment of Environments in Primary Health Care for data collection. The associations between sociodemographic and professional variables were analyzed. Results: In total, 702 primary care nurses participated in the study. Responses were obtained from 14 out of the 17 Spanish Autonomous Communities. Nursing foundation for quality of care, management and leadership of head nurse and nurse–physician relationship were identified as strengths, whereas nurse participation in center affairs and adequate human resources to ensure quality of care were identified as weaknesses of the nursing work environment in primary health care. Older nurses and those educated to doctoral level were the most critical in the nursing work environments. Variables Age, Level of Education and Managerial Role showed a significant relation with global score in the questionnaire. Conclusion: Interventions by nurse managers in primary health care should focus on improving identified weaknesses to improve quality of care and health outcomes.

scholarly journals Knowledge, Attitude and Practice Survey of the Recommended Infant Feeding Guidelines for HIV Positive Mothers by Primary Health Care Workers in Uyo, Nigeria

2020 ◽  
pp. 23-34
Author(s):  
Emem A. Bassey ◽  
Udeme E. Ekrikpo ◽  
Anyiekere M. Ekanem
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Infant Feeding ◽  
Health Care Workers ◽  
Cross Sectional ◽  
Infected Woman ◽  
Primary Health ◽  
Adequate Food ◽  
Care Workers ◽  
Level Of Knowledge

Background: Safe and appropriate feeding is a key intervention that can prevent mother to child transmission of HIV. This study aimed at determining the level of knowledge, attitude and current practice of primary health care (PHC) workers in Uyo of the recommended infant feeding guidelines for infants of HIV-infected mothers. Methodology: This was an analytical cross-sectional study carried out among 130 primary health care workers in 15 PHCs in Uyo metropolis, Akwa Ibom State, Nigeria. Data was collected using self-administered questionnaires in English and analyzed using the Statistical Package for Social Sciences (SPSS) version 25.0. Results: Nineteen (14.6%) and 111 (85.4%) respondents had a fair and poor level of knowledge of MTCT of HIV and infant feeding options respectively. One hundred and six (81.5%) and 100 (76.9%) respondents had received training on PMTCT of HIV and infant feeding counselling for HIV-infected mothers respectively. The majority of respondents exhibited positive attitude regarding infant feeding options for HIV exposed babies. One hundred and twenty (92.3%) considered it correct for an HIV-infected woman to breastfeed her baby and 125 (96.2%) considered breast milk alone adequate food for babies in the first 6 months of life. Predictor of negative attitude was lack of training on infant feeding counseling (OR 15, P=0.02, 95%CI 1.64-138.07). Most 107 (82.3%) cited exclusive breastfeeding with introduction of complementary feeds at 6 months as the most common method accepted by their clients. Conclusion: Gaps in the knowledge of PHC workers in Uyo on MTCT and Infant feeding options and practice were identified which can be addressed by qualitative training, effective monitoring and supportive supervision.

scholarly journals Avaliação dos atributos da atenção primária à saúde nas ações de controle da hanseníase [Assessment of the attributes of primary health care in leprosy control actions] [Evaluación de los atributos de la atención primaria a la salud en las acciones de control de la lepra]

2018 ◽  
Vol 26 ◽  
pp. e31925 ◽  
Author(s):  
Nayara Figueiredo Vieira ◽  
Fernanda Moura Lanza ◽  
Francisco Carlos Félix Lana ◽  
José Ramón Martínez-Riera
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Minas Gerais ◽  
Control Measures ◽  
Assessment Instrument ◽  
Cross Sectional ◽  
Primary Health ◽  
Leprosy Control

Objetivo: avaliar a presença e extensão dos atributos da atenção primária nas ações de controle da hanseníase, na visão dos profissionais de saúde. Método: estudo transversal, envolvendo 251 profissionais da atenção primária de Betim. Utilizou-se o Instrumento de avaliação de desempenho da atenção primária nas ações de controle da hanseníase, mediante entrevistas, sendo o escore calculado por meio da média das respostas dadas pelas Escala de Likert. Foi aprovado pelo Comitê de Ética e Pesquisa da Universidade Federal de Minas Gerais. Resultados: forte orientação do serviço (≥6,6) nos atributos porta de entrada, integralidade dos serviços disponíveis e prestados, e orientação familiar; e fragilidades (<6,6) no acesso, orientação comunitária e profissional. Conclusão: ao avaliar a presença e extensão dos referidos atributos, os profissionais constataram deficiências que prejudicam a qualidade das ações de controle da hanseníase. Torna-se necessário integrar as ações da endemia na atenção primária para eliminar esse grave problema de saúde pública.ABSTRACTObjective: to evaluate the presence and extent of the attributes of primary health care in leprosy control measures in the view of health professionals. Method: this cross-sectional study involved 251 primary health care personnel in Betim. The Assessment Instrument primary care performance in leprosy control measures was used through interviews, with scores calculated as means of Likert Scale responses. The study was approved by the research ethics committee of Minas Gerais Federal University. Results: strengths (≥ 6.6) were service orientation to gateway attributes, comprehensiveness of services available and provided, and the family; and weaknesses (<6.6) were access, and orientation towards the community and health professionals. Conclusion: when evaluating the presence and extent of the attributes, the health professionals found deficiencies that impaired the quality of leprosy control measures. Measures to address the endemic must be integrated into primary care in order to eliminate this serious public health problem.RESUMENObjetivo: evaluar la presencia y extensión de los atributos de la atención primaria en las acciones de control de la lepra desde el punto de vista de profesionales de salud. Método: estudio transversal, involucrando a 251 profesionales de la atención primaria de Betim. Se utilizó el Instrumento de evaluación de rendimiento de la atención primaria en las acciones de control de la lepra, a través de entrevistas, siendo la puntuación calculada a través del promedio de las respuestas dadas por la escala de Likert. Estudio aprobado por el Comité de Ética en Investigación de la Universidad Federal de Minas Gerais. Resultados: fuerte orientación del servicio (≥6,6) en los atributos puerta de entrada, integralidad de los servicios disponibles y ofrecidos, orientación familiar y fragilidades (<6,6) en el acceso, orientación comunitaria y profesional. Conclusión: al evaluar la presencia y extensión de los mencionados atributos, los profesionales constataron deficiencias que perjudican la calidad de las acciones de control de la lepra. Se hace necesario integrar las acciones de la endemia en la atención primaria para eliminar este grave problema de salud pública.

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