scholarly journals REASONS FOR CHANGE OF GENERAL PRACTITIONER - STUDY AMONG PATIENTS

2021 ◽  
Vol 27 (3) ◽  
pp. 3847-3850
Author(s):  
Biserka I. Vasileva ◽  
◽  
Milena D. Karcheva ◽  
Keyword(s):  
Public Health ◽  
General Practitioner ◽  
Prior Knowledge ◽  
Health Reform ◽  
Free Choice ◽  
Specific Information ◽  
Personal Physician ◽  
Microsoft Office ◽  
Research Show ◽  
Number Of Authors

The health reform carried out in our country has resulted in a number of both positive and undesirable results in outpatient medical care, which requires an increase in the level of public health in the country. The introduction of free choice of GPs in our country made it possible for his patients to change freely. The purpose of this study is to analyze the patient's motives for changing P. Material/methods: A survey was conducted among respondents in the period 1-30 September 2018 in the Pleven region. Patients visited their GPs during the study period. A direct individual anonymous survey was conducted containing 35 questions, of which 29 closed questions, 4 semi-open and 2 open-ended questions. The results were processed through Microsoft Office Excel 2007. Results: The analysis of a number of authors, as well as our own empirical research, show the existence of a number of motives for changing the choice of patients for a personal physician. The patient's prior knowledge of the qualities and competencies of the chosen physician is very low. This choice of patients is most often spontaneous, random and not sufficiently substantiated with specific information. In any case, this reduces the effectiveness of the free choice of doctor. Conclusions: It is necessary to improve the organization of admission of patients by GPs.

Crowdsourcing Covid-19 signals in sub-Saharan Africa: Leveraging digital contributor networks for participatory surveillance of Covid-19 symptoms and deaths (Preprint)

2020 ◽  
Author(s):  
Ngozi A Erondu ◽  
Sagal A Ali ◽  
Mohamed Ali ◽  
Schadrac C Agbla
Keyword(s):  
Public Health ◽  
Sub Saharan Africa ◽  
Specific Information ◽  
Surveillance Systems ◽  
Health Seeking ◽  
African Countries ◽  
Cross Sectional Survey ◽  
Local Networks ◽  
The World ◽  
Sub Saharan

BACKGROUND In sub-Saharan Africa, underreporting of cases and deaths has been attributed to various factors including, weak disease surveillance, low health-seeking behaviour of flu like symptoms, and stigma of Covid-19. There is evidence that SARS-CoV-2 spread mimics transmission patterns of other countries across the world. Since the Covid-19 pandemic has changed the way research can be conducted and in light of restrictions on travel and risks to in-person data collection, innovative approaches to collecting data must be considered. Nearly 50% of Africa’s population is a unique mobile subscriber and it is one of the fastest growing smart-phone marketplaces in the world; hence, mobile phone platforms should be considered to monitor Covid-19 trends in the community. OBJECTIVE We demonstrate the use of digital contributor platforms to survey individuals about cases of flu-like symptoms and instances of unexplained deaths in Ethiopia, Kenya, Nigeria, Somalia, and Zimbabwe. METHODS Rapid cross-sectional survey of individuals with severe flu and pneumonia symptoms and unexplained deaths in Ethiopia, Kenya, Nigeria, Somalia and Zimbabwe RESULTS Using a non-health specific information platform, we found COVID-19 signals in five African countries, specifically: •Across countries, nearly half of the respondents (n=739) knew someone who had severe flu or pneumonia symptoms in recent months. •One in three respondents from Somalia and one in five from Zimbabwe respondents said they knew more than five people recently displaying flu and/or pneumonia symptoms. •In Somalia there were signals that a large number of people might be dying outside of health facilities, specifically in their homes or in IDP or refugee camps. CONCLUSIONS Existing digital contributor platforms with local networks are a non-traditional data source that can provide information from the community to supplement traditional government surveillance systems and academic surveys. We demonstrate that using these distributor networks to for community surveys can provide periodic information on rumours but could also be used to capture local sentiment to inform public health decision-making; for example, these insights could be useful to inform strategies to increase confidence in Covid19 vaccine. As Covid-19 continues to spread somewhat silently across sub-Saharan Africa, regional and national public health entities should consider expanding event-based surveillance sources to include these systems.

The public's view of public health in mid-Victorian Britain

Urban History ◽  
1994 ◽  
Vol 21 (2) ◽  
pp. 237-250 ◽  
Author(s):  
Michael Sigsworth ◽  
Michael Worboys
Keyword(s):  
Public Health ◽  
Middle Class ◽  
Working Class ◽  
Health Reform ◽  
Great Majority ◽  
Personal Hygiene ◽  
The Public ◽  
Victorian Britain ◽  
Physical Conditions ◽  
Public Health Reform

What did the public think about public health reform in mid-Victorian Britain? Historians have had a lot to say about the sanitary mentality and actions of the middle class, yet have been strangely silent about the ideas and behaviour of the working class, who were the great majority of the public and the group whose health was mainly in question. Perhaps there is nothing to say. The working class were commonly referred to as ‘the Great Unwashed’, purportedly ignorant and indifferent on matters of personal hygiene, environmental sanitation and hence health. Indeed, the writings of reformers imply that the working class simply did not have a sanitary mentality. However, the views of sanitary campaigners should not be taken at face value. Often propaganda and always one class's perception of another, in the context of the social apartheid in Britain's cities in the mid-nineteenth century, sanitary campaigners' views probably reveal more about middle-class anxieties than the actual social and physical conditions of the poor. None the less many historians still use such material to portray working-class life, but few have gone on to ask how public health reform was seen and experienced ‘from below’. Historians of public health have tended to portray the urban working class as passive victims who were rescued by enlightened middle-class reformers. This seems to be borne out at the political level where, unlike with other popular movements of the 1840s and after, there is little evidence of working-class participation in, or support for, the public health movement.

scholarly journals Perspektif Aset Ekonomi Berbasis Keumatan Pada Amal Usaha Muhammadiyah Klinik Kesehatan

2021 ◽  
Vol 4 (1) ◽  
pp. Editing
Author(s):  
Diyah Probowulan ◽  
Nina Martiana
Keyword(s):  
Public Health ◽  
Health Services ◽  
Human Resource ◽  
Community Health Services ◽  
Public Health Services ◽  
Community Based ◽  
Non Profit ◽  
The People ◽  
Economic Assets ◽  
Research Show

Muhammadiyah's charitable efforts as a community based on economic assets have a significant number of assets that are non-profit oriented. This certainly will be very different in the perspective of economic assets when viewed from the accounting field because Muhammadiyah charity efforts are based on publicity, this is very interesting to study because there are still a lack of public-based research. The purpose of this study is to reveal the perspective of the meaning of charity business as a community based on economic assets in the Muhammadiyah Business Charity sector in health in Jember Regency. This research uses a phenomenology paradigm with qualiative methods to interpret charity business as an asset-based economy of humanity. The perspective of economic assets is similar to the founders statement of Muhammadiyah, KH Ahmad Dahlan, such as ta'awun, tawashi ', and fastabikhul khoirot. When the internalization of economic assets is successful, the performance of charity efforts will continue to increase and not cause fundamental ideological conflicts. The results of the research show that Amal is a community-based economic asset and human resource as an economic driver of the people, of course as a means of propaganda, a means of improving public health services, and as an organizational asset. In essence, the charitable endeavors of Ranap Ambulu clinic, Asyifa Wuluhan Clinic, Ar Rahman Bangsalsari Clinic and dr. Suherman Sumbersari in Jember Regency is a means to improve the community health services community and also the assets of Muhammadiyah organizations in Jember Regency.Keywords Business Charity, Perspective, Economic Assets, PhenomenologyAbstrak: Upaya amal usaha Muhammadiyah sebagai komunitas yang didasarkan pada aset ekonomi memiliki sejumlah besar aset yang berorientasi nirlaba. Ini tentu akan sangat berbeda dalam perspektif aset ekonomi jika dilihat dari bidang akuntansi karena upaya amal usaha Muhammadiyah didasarkan pada publisitas, ini sangat menarik untuk dikaji karena masih kurangnya penelitian berbasis publik. Penelitian ini bertujuan untuk mengungkap perspektif makna aset ekonomi amal usaha Muhammadiyah di bidang kesehatan di Kabupaten Jember. Penelitian ini menggunakan paradigma kualitatif dengan metode fenomenologis interpretif untuk menginterpretasikan aset ekonomi amal usaha berbasis keumatan. Perspektif aset ekonomi dikonfirmasi oleh nilai permaknaan yang dipromosikan oleh pendiri Muhammadiyah yaitu Kyai Haji Ahmad Dahlan, antara lain ta'awun, tawashi ', dan fastabikhul khoirot. Kemudian makna aset ekonomi diinternalisasi dalam semua upaya amal melalui beberapa tahap secara bersamaan. Ketika internalisasi aset ekonomi berhasil, kinerja upaya amal akan terus meningkat dan tidak menyebabkan konflik ideologis mendasar. Hasil penelitian menunjukkan bahwa Amal adalah aset ekonomi berbasis masyarakat dan sumber daya manusia sebagai pendorong ekonomi rakyat, tentu saja sebagai sarana propaganda, sarana meningkatkan pelayanan kesehatan masyarakat, dan sebagai aset organisasi. Intinya, upaya amal klinik Ranap Ambulu, Klinik Asyifa Wuluhan, Klinik Ar Rahman Bangsalsari dan dr. Suherman Sumbersari di Kabupaten Jember adalah sarana untuk meningkatkan pelayanan kesehatan masyarakat dan juga aset organisasi Muhammadiyah di Kabupaten Jember.Kata Kunci:  Amal Usaha, Aset Ekonomi, Berbasis Keumatan 

Consequences of radical public health reform in England

2013 ◽  
Vol 23 (3) ◽  
pp. 6-7
Author(s):  
Laura Aylett ◽  
Helen Donovan
Keyword(s):  
Public Health ◽  
Health Reform ◽  
Public Health Reform
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