Profile of multimorbidity in outpatients attending public healthcare settings: A descriptive cross-sectional study from Odisha, India

Background: obstetric violence can partially be represented by the high number of interventions and medicalization rates during the birthing process. The objective of the present study was to determine the interventionism and medicalization levels during childbirth in Spain. Methods: a descriptive, retrospective, and cross-sectional study was conducted between January 2018 and June 2019. Results: the intervention percentages were 34.2% for Kristeller maneuver and 39.3% for episiotomy. Differences appeared in public, private, and mixed healthcare settings (p < 0.001). The mean satisfaction, with healthcare in the different settings, was estimated at 6.88 points (SD ± 2.146) in public healthcare, 4.76 points (SD ± 3.968) in private healthcare, and 8.03 points (SD ± 1.930) in mixed healthcare (p < 0.001). No statistically significant differences were found in Spanish autonomous communities. Conclusions: births in Spain seem to be highly intervened. In this study, a certain equity criterion was found concerning interventionism during childbirth in Spain. Healthcare influenced female intervention, satisfaction, and perception levels for obstetric violence; this evidences that female empowerment plays an important role.

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Care coordination in two of Bogota’s public healthcare networks: A cross-sectional study among doctors

International Journal of Care Coordination ◽

10.1177/2053434519892469 ◽

2019 ◽

Vol 22 (3-4) ◽

pp. 127-139 ◽

Cited By ~ 1

Author(s):

Andrés Daniel Gallego-Ardila ◽

Ángela María Pinzón-Rondón ◽

Amparo Susana Mogollón-Pérez ◽

Carol Ximena Cardozo ◽

Ingrid Vargas ◽

...

Keyword(s):

Job Satisfaction ◽

Care Coordination ◽

Clinical Management ◽

Waiting Times ◽

Clinical Information ◽

Cross Sectional Study ◽

Public Healthcare ◽

Sectional Study ◽

Cross Sectional ◽

High Level

Introduction Care coordination is a priority concern for healthcare systems. In Colombia, there is a lack of information on the topic. This study analysed how doctors of two Bogotá’s public healthcare networks perceived coordination between healthcare levels and what factors are associated with their perception. Methods A cross-sectional study using the COORDENA-CO questionnaire to a sample of 363 doctors (network-1 = 181; network-2 = 182) in 2015. The questionnaire asks about types and dimensions of care coordination: information and clinical management, with items in a Likert scale, as well as conditions regarding health system, organisational and doctors’ conditions. Descriptive statistics and logistic regression analysis were performed. Results The doctors’ perception of a high level of coordination did not exceed 25.4%. On coordination of information, limited transfer of clinical information was found. Concerning clinical management, there were limited care coherence, deficits in patient follow-up and lengthy waiting times for specialised care. A high perception of coordination were associated with being female, being over 50 years old, being a specialist, having less than one year’s working experience, working less than 20 h per week at the centre, forming part of network-1, having time available for performing coordination tasks, having job satisfaction and not identifying limitations imposed by healthcare insurers. Discussion There was limited perception of coordination, in its different dimensions and types with some differences between networks. The results support the importance of guaranteeing job satisfaction, ensuring sufficient time to coordination-related activities and intervening in the restrictions imposed by healthcare insurers to improve care coordination.

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Clostridioides difficile ribotypes 001 and 126 were predominant in Tehran healthcare settings from 2004 to 2018: a 14-year-long cross-sectional study

Emerging Microbes & Infections ◽

10.1080/22221751.2020.1780949 ◽

2020 ◽

Vol 9 (1) ◽

pp. 1432-1443 ◽

Cited By ~ 1

Author(s):

Masoumeh Azimirad ◽

Marcela Krutova ◽

Abbas Yadegar ◽

Shabnam Shahrokh ◽

Meysam Olfatifar ◽

...

Keyword(s):

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Healthcare Settings ◽

Clostridioides Difficile

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Care coordination across levels in Latin American public healthcare networks: cross-sectional study

European Journal of Public Health ◽

10.1093/eurpub/cky214.124 ◽

2018 ◽

Vol 28 (suppl_4) ◽

Author(s):

A Miranda Mendizabal ◽

I Vargas ◽

AS Mogollón-Pérez ◽

P Eguiguren ◽

I Samico ◽

...

Keyword(s):

Latin American ◽

Care Coordination ◽

Cross Sectional Study ◽

Public Healthcare ◽

Sectional Study ◽

Cross Sectional

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Exposure to environmental tobacco smoke in Chaves after the implementation of the law 37/2007. A cross-sectional study in two healthcare settings

Revista Portuguesa de Pneumologia (English Edition) ◽

10.1016/j.rppnen.2013.02.010 ◽

2013 ◽

Vol 19 (4) ◽

pp. 168-174

Author(s):

C. Paradela ◽

M. Pérez-Ríos ◽

A. Ruano-Ravina ◽

J.M. Barros-Dios

Keyword(s):

Environmental Tobacco Smoke ◽

Tobacco Smoke ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Healthcare Settings ◽

The Law

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Patient delay and associated factors among tuberculosis patients in Gamo zone public health facilities, Southern Ethiopia: An institution-based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0255327 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0255327

Author(s):

Asrat Arja ◽

Wanzahun Godana ◽

Hadiya Hassen ◽

Biruk Bogale

Keyword(s):

Cross Sectional Study ◽

Health Facilities ◽

Patient Delay ◽

Southern Ethiopia ◽

Public Healthcare ◽

Sectional Study ◽

Cross Sectional ◽

Tuberculosis Patients ◽

Factors Associated ◽

Presenting Symptoms

Background Delayed tuberculosis diagnosis and treatment increase morbidity, mortality, expenditure, and transmission in the community. Early diagnosis and initiation of treatment are essential for effective TB control. Therefore, the main objective of this study was to assess the magnitude and factors associated with patient delay among tuberculosis patients in Gamo Zone, Southern Ethiopia. Methods A cross-sectional study was conducted in Gamo Zone, Southern Ethiopia from February to April 2019. Fifteen health facilities of the study area were selected randomly and 255 TB patients who were ≥18 years of age were included. Data were collected using a questionnaire through face-to-face interviews and analyzed using SPSS version 20.0. Patient delay was analyzed using the median as the cut-off value. Multivariable logistic regression analysis was fitted to identify factors associated with patient delay. A p-value of ≤ 0.05 with 95% CI was considered to declare a statistically significant association. Results The median (inter-quartile range) of the patient delay was 30 (15–60) days. About 56.9% of patients had prolonged patients’ delay. Patient whose first contact were informal provider (adjusted odds ratio [AOR]: 2.24; 95% confidence interval [CI] 1.29, 3.86), presenting with weight loss (AOR: 2.53; 95%CI: 1.35, 4.74) and fatigue (AOR: 2.38; 95%CI: 1.36, 4.17) and body mass index (BMI) categories of underweight (AOR: 1.74; 95%CI: 1.01, 3.00) were independently associated with increased odds of patient delay. However, having good knowledge about TB (AOR: 0.44; 95% CI: 0.26, 0.76) significantly reduce patients’ delay. Conclusion In this study, a significant proportion of patients experienced more than the acceptable level for the patient delay. Knowledge about TB, the first action to illness, presenting symptoms, and BMI status were identified factors associated with patient delay. Hence, raising public awareness, regular training, and re-training of private and public healthcare providers, involving informal providers, and maintenance of a high index of suspicion for tuberculosis in the vulnerable population could reduce long delays in the management of TB.

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