scholarly journals Pilot Study of Pharmacists’ Attitudes towards and Expectations for Remuneration of Valueadded Pharmacy Services (VAPS) in Bulgaria

Folia Medica ◽  
2020 ◽  
Vol 62 (2) ◽  
pp. 324-330
Author(s):  
Stefan V. Balkanski ◽  
Joana I. Simeonova ◽  
Stanislav R. Gueorguiev ◽  
Elina S. Petkova-Gueorguieva ◽  
Ivan G. Gitev ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Blood Pressure Measurement ◽  
Value Added ◽  
Cross Sectional Study ◽  
Blood Glucose Measurement ◽  
Glucose Measurement ◽  
Community Pharmacies ◽  
Pharmacy Services ◽  
Cross Sectional

Introduction: Value-added pharmacy services (VAPS) are additional services to the traditional pharmacy activities, which do not in­clude dispensing of medicinal products and professional consultation. These services have cost reduction effect on the healthcare system and add value to the work of the pharmacist as a healthcare professional. Aim: To assess the pharmacists’ attitudes and expectations towards the remuneration of value-added pharmacy services (VAPS) in Bulgaria. Materials and methods: A cross-sectional study including pharmacists working in community pharmacies was carried out between August 2018 and October 2018. A web-based 15-item questionnaire was developed. The questionnaire was distributed to all members of the Bulgarian Pharmaceutical Union (n=5165). Two hundred thirty-three questionnaires were filled in and returned (response rate of 4.5%). Data were processed by SPSS v. 24.0. Results: Over 51% of the community pharmacies in Bulgaria offer VAPS, mainly measuring blood pressure (67.4%) and blood glucose (12.9%). Over two-thirds of the pharmacists considered charging a remuneration fee for blood pressure measurement irrelevant. About 30.5% of those who held the opposite opinion proposed that the fee charged should not be higher than EUR 2.56. Over 44% of the re­spondents proposed that the fee for blood glucose measurement should not be higher than the same amount. Most pharmacists (98.3%) supported the idea of charging a remuneration fee for injections and influenza vaccination in a pharmacy. Conclusion: The study shows that pharmacists in Bulgaria are ready to offer VAPS, but additional remuneration for the services should be provided.

scholarly journals Evaluation of the current status of the value-added pharmacy services and pharmacists’ attitude in Bulgaria

Pharmacia ◽  
2019 ◽  
Vol 66 (2) ◽  
pp. 79-83 ◽  
Author(s):  
Stefan Balkanski ◽  
Joana Simeonova ◽  
Ivan Gitev ◽  
Ilko Getov
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Community Pharmacists ◽  
Value Added ◽  
Current Status ◽  
Professional Experience ◽  
Community Pharmacies ◽  
Pharmacy Services ◽  
Medicinal Products ◽  
Professional Consultation

Value-added pharmacy services (VAPS) are additional services to the traditional pharmacy activities, which do not include dispensing of medicinal products and professional consultation. Over 51% of the community pharmacies in Bulgaria offer VAPS but mainly measuring of blood pressure (67.4%) and blood glucose (12.9%). About 60% of community pharmacists in the country are willing to perform other VAPS. About 70% of them believe that patients would rate VAPS as useful. Younger pharmacists with professional experience less than 5 years (90.9%) tend to believe that VAPS would be positively rated by their patients. The study shows that VAPS different from consultation and dispensing of medicinal products have a potential for development in the community pharmacies in Bulgaria.

scholarly journals Accuracy of Self-Reported Hypertension, Diabetes, and Hyperlipidemia among Adults of Liwan, Guangzhou, China

2020 ◽  
Author(s):  
Huijie GUO ◽  
Yi YU ◽  
Yilu YE ◽  
Shudong ZHOU
Keyword(s):  
Blood Pressure ◽  
Blood Glucose ◽  
Health Knowledge ◽  
Blood Pressure Measurement ◽  
Glucose Measurement ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Past ◽  
Arterial Blood ◽  
Self Reports

Background: We aimed to determine the accuracy of self-reported diabetes, hypertension, and hyperlipidemia in Chinese adults and examine factors that affect the accuracy of self-reports. Methods: This representative cross-sectional survey was conducted in Liwan District, Guangzhou City, Southeast China. Self-reported data were collected using a structured questionnaire. Biometrical data were recorded, including blood lipid, blood glucose and arterial blood pressure levels. Sensitivity, specificity, and κ values of self-reports were used as measurements of accuracy or agreements. The Robust Poisson-GEE was applied to determine the association of participants’ characteristics with the accuracy of self-reports. Results: Self-reported and biometrical data of 1278 residents aged 18 yr and older (693 women and 585 men) were used to calculate three measures of agreement. The agreement between self-reports and biomedical measurements was substantial for both hypertension and diabetes (κ=0.77 and 0.76), but only slight for hyperlipidemia (κ=0.06). Similarly, the sensitivity was higher for hypertension and diabetes (72.3% and 71.2%) than for hyperlipidemia (6.8%), while the specificity was high overall (≥98%). The factors associated with an accurate self-reported diagnosis in respondents with disease included having undergone blood pressure measurement (for hypertension) or blood glucose measurement (for diabetes) in the past 6 month, having attended health knowledge lectures in the past year and having social health insurances (for hypertension), and having undergone physical discomfort in the past 2 weeks (for hypertension and diabetes). Conclusion: The accuracy of self-reported hypertension and diabetes was high, whereas that of self-reported hyperlipidemia was lower among the population.

scholarly journals COMPARISON OF ANXIETY LEVEL, BLOOD PRESSURE AND PULSE PARAMETERS OF PATIENTS WITH AND WITHOUT CORONARY ANGIOGRAPHY EXPERIENCE: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 54 (1) ◽  
pp. 107-115
Author(s):  
Yasemin Altınbaş ◽  
Emine Derya Derya Ister
Keyword(s):  
Blood Pressure ◽  
Coronary Angiography ◽  
Trait Anxiety ◽  
Blood Pressure Measurement ◽  
Cross Sectional Study ◽  
Study Data ◽  
Cross Sectional ◽  
Significant Difference ◽  
State And Trait Anxiety ◽  
The Mean

Objective: The study aimed to compare state and trait anxiety, blood pressure, and heart rate of patients with and without coronary angiography experience who undergo coronary angiography intervention. Methodology: This study is cross-sectional comparative research. A total of 160 patients, including 80 patients undergo for the first time coronary angiography and 80 patients with at least one experience of coronary angiography were included in the sample of the study. In the study, data were collected using 'Patient Information Form' and 'State-Trait Anxiety Inventory', blood pressure measurement device, and pulse oximeter. Results: The mean of state anxiety scores of the patients with and without CA experience were 39.35±5.31 and 39.98±4.04, respectively; (p=0.395). The mean of trait anxiety scores of the patients with and without CA experience were 44.73±6.84 and 44.51±6.05, respectively (p=0.826).  There was no statistically significant difference observed in state and trait anxiety between two groups. Before the CA procedure, the systolic and diastolic blood pressure average of the patients with CA experience were statistically higher than those without CA experience (p<0.05). Conclusion: The anxiety levels of the patients before the CA were observed to be similar and moderate, regardless of their CA experience. It was observed that patients with CA experience before CA procedure had higher systolic and diastolic blood pressures compared to the group without experience.

A study of blood pressure in school children between the age of 6-12 years in Chennai, India: a cross sectional study

2017 ◽  
Vol 4 (6) ◽  
pp. 2205
Author(s):  
Madhivanan S. ◽  
Harikrishnan E. ◽  
Kumarasamy K.
Keyword(s):  
Blood Pressure ◽  
Clinical Examination ◽  
Economic Status ◽  
Blood Pressure Measurement ◽  
Cross Sectional Study ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean

Background: Blood pressure measurements in childhood are an important clinical examination. Present study was done to evaluate the normal range of blood pressure (BP) in children aged 6-12 years and to find its relationship with regard to age, sex, height and weight criteria and comparing the values with the available standards.Methods: This prospective cross-sectional study was done in primary and middle schools of Chennai from January 2016 to May 2017. Three readings of blood pressure were recorded for each subject and were correlated with age, gender, socioeconomic status and anthropometry. Data was analysed on SPSS 20.0. P value of <0.05 was considered significantResults: A total of 2002 children (1026 boys, 976 girls) of age between 6-12 years were examined over 18 months. There was an upward trend in both systolic (r = 0.437, P<0.001) and diastolic BP (r = 0.386, P <0.001) with age. There was no statistically significant difference in mean systolic and diastolic BP with gender (P = 0.10), weight (P = 0.10) and height (P = 0.10). There was a statistically significant difference between the mean systolic and diastolic BP between low and high socio-economic groups (P <0.0001). The proportion of children with hypertension was 9.54% with a slight female preponderance.Conclusions: Blood pressure measurement in children is pivotal in clinical examination. It shows a linear relationship with age and varies across socio-economic status. Periodic recording of BP would enable identify hypertension at an early age.

scholarly journals Prevalence of hypertension amongst employee’s state insurance beneficiaries of four districts in Haryana

2020 ◽  
Vol 7 (2) ◽  
pp. 604
Author(s):  
Sangeeta Narang ◽  
Mitasha Singh ◽  
Jyoti Yada ◽  
Shivam Dixit ◽  
Narendra Singh
Keyword(s):  
Blood Pressure ◽  
Blood Pressure Measurement ◽  
Family Health ◽  
Cross Sectional Study ◽  
Industrial Workers ◽  
Cross Sectional ◽  
History Of ◽  
Associated Risk Factors ◽  
Self Administered Questionnaire ◽  
Timely Treatment

Background: Raised blood pressure (hypertension) caused an estimated 9.4 million deaths in 2010. 22% of adults aged 18 years and over around the world had raised blood pressure in 2014 In India prevalence of Hypertension is 22.4% (13.5% in Haryana, district Faridabad) according to National Family Health Survey 2015-2016. A number of studies have estimated the prevalence of hypertension in general population in our country but data regarding the prevalence of hypertension in industrial workers has not been documented in the recent past. The objectives of the study were to calculate the prevalence of hypertension and its associated risk factors in employee’s state insurance (ESI) beneficiaries in four districts in Haryana.Methods: Cross-sectional study was done on 365 ESI beneficiaries working in industries in four districts of Haryana. Predesigned structured self-administered questionnaire was used for interview. Blood pressure measurement and all the anthropometric measurements were done by the following standardized technique.Results: The overall prevalence of hypertension was found to be 17.26%. The severity of hypertension increased significantly with age (p=0.006). Overweight and obese participants had higher proportion of hypertensive, however, history of shift duty, drug abuse, tobacco and alcohol intake did not show a significant trend of severity of HTN.Conclusions: From the results of the present study, it can be concluded that there are a large number of undiagnosed cases of hypertension amongst employee’s state insurance corporation (ESIC) beneficiaries. It is, therefore recommended that health check-up and awareness camps should be conducted on regular basis for early detection and timely treatment of hypertension.

Magnitude of metabolic syndrome and its components among adult residents of Mekelle city, Northern Ethiopia, community-based cross-sectional study.

2020 ◽  
Author(s):  
Gebremedhin Gebreegziabiher Gebrehiwot ◽  
Tefera Belachew ◽  
Kibrti Mehari ◽  
Dessalegn Tamiru
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Blood Glucose ◽  
Cross Sectional Study ◽  
Blood Cholesterol ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Mekelle City

Abstract Background: Metabolic Syndrome is becoming a big public health problem in developing countries like Ethiopia. The risk of dying from NCDs in low and lower-middle-income countries is almost two times that in high-income countries. NCDs account for 42% of deaths in Ethiopia. The trend of deaths due to NCD is increasing over time in Ethiopia. The objective of this study was to assess the magnitude of metabolic syndrome and its components among adult residents of Mekelle city.Method: a community-based cross-sectional study was conducted from July to September 2019 among adults aged 20 years and above in Mekelle city. Around 266 study participants were selected using a simple random sampling technique. Sociodemographic, lifestyle, anthropometric measurements, and blood biochemical tests were performed using WHO stepwise technique. Blood glucose and lipid profiles were determined after overnight fasting. The classification of metabolic syndrome was based on the international diabetic federation criteria. Descriptive statistics and logistic regression analysis were done using SPSS version 24.Result: the prevalence of Metabolic syndrome was 21.8%. Elevated waist circumference was the most prevalent metabolic syndrome component followed by hypertriglyceridemia, with a prevalence of 41.7% and 38.0% respectively. The prevalence of the remaining three components of MetS were also 33.8%, 32.7%, 21.4%, and 14.3% for systolic blood pressure, diastolic blood pressure, fasting blood glucose, and lower high-density lipoprotein cholesterol respectively. Age of 40 years and above, the highest rank of monthly income, blood cholesterol greater than 200mg/dl, waist to height ratio greater than 0.55, and walking at least 10 minutes daily were identified as significant predictors of metabolic syndrome.Conclusion : Adult residents of Mekelle city have a high magnitude of Metabolic syndrome and its components which may aggravate the risk of developing cardiovascular disease. This result emphasizes an urgent need for a public health strategy for preventive, early detection, and management of metabolic syndrome, and its individual components.

Sign in / Sign up

Export Citation Format

Share Document