scholarly journals The Perceptions of Patient Copayment on the Reported Adherence to Prescription Medication

2018 ◽  
Vol 10 (11) ◽  
pp. 105 ◽  
Author(s):  
Velisha A. Perumal-Pillay ◽  
Shiraz R. Alli ◽  
Fatima Suleman

BACKGROUND: In South Africa, a large proportion of the population is dependent entirely on the publicly funded system for healthcare, while private funding covers only a small percentage of those who can afford to pay for health insurance or out-of-pocket payments. Non-compliance to medical treatment is a well-known problem and may lead to an increase in healthcare costs. OBJECTIVES: To investigate how the perception of prescription copayments influences medication use and the effect of this on safe and correct medicine usage METHODS: The study was conducted with a sample of patients from the Umbilo suburb of eThekwini, South Africa. Participants were members of a medical scheme and completed a questionnaire after informed consent. The questionnaire design included an eight-item scale to ascertain the degree of concern regarding prescription costs. Quantitative data were analysed using descriptive statistics; associations between household characteristics and outcomes were explored using odds ratios and chi square analysis. RESULTS: Overall 82% of the participants reported that prescription cost was a major factor that influenced medication collection. The association between demographic data and concern scale was assessed and revealed that participants had an increased concern with meeting prescription costs (OR 1.73, 95% CI 0.66-4.52). Most (93%) of the participants with a salary less than ZAR10 000 indicated a concern with prescription costs (chi square=21.7, df=2, p<0.05). CONCLUSION: The study indicated that prescription cost posed as a barrier to medication adherence as the copayment affected patients’ decisions to continue optimal treatment.

Plant Disease ◽  
2004 ◽  
Vol 88 (1) ◽  
pp. 83-83 ◽  
Author(s):  
M. Truter ◽  
F. C. Wehner

Rhizoctonia disease (black scurf of tubers and stem canker) of potato (Solanum tuberosum L.) caused by Rhizoctonia solani Kühn was first recorded in South Africa in 1918 (3). Although the sclerotial form on tubers is one of the most common potato diseases in the country, it is not known which anastomosis groups (AGs) of R. solani are involved. Between 1999 and 2001, R. solani was isolated from 28 plant and 56 soil samples collected in 7 (Eastern Free State, Gauteng, KwaZulu-Natal, Limpopo, Mpumalanga, Northern Cape, and Sandveld) of the 14 potato-production regions of South Africa and screened for hyphal anastomosis with tester strains of R. solani AG-1 to AG-10 according to Carling et al. (1). Of the 411 isolates from tubers with black scurf symptoms, 408 were AG-3 and three were AG-5. Symptomless tubers yielded two AG-3 isolates and three AG-5 isolates. Of 39 isolates from symptomatic stems and roots, 32 were AG-3, five were AG-4, and two were AG-5. Of the 127 isolates obtained from soil, 86, 28, 7, 3, and 3 were AG-3, AG-4, AG-5, AG-7, and AG-8, respectively. More than one AG was isolated from five of the seven regions. Virulence of 40 isolates representative of the above AGs was determined in triplicate on sprouts growing from seed tubers of potato cultivar Up-to-Date in a sand/soil mixture as described by Carling and Leiner (2) but using cultures grown in cornmeal/sand instead of colonized agar disks as inoculum. Damage to sprouts (lesions, girdling, and death) was assessed after 28 days at 16 to 28°C according to the 0 to 4 rating scale (2). Chi-square analysis of the data indicated that AG-3 was the most virulent, with isolates from sclerotia on tubers and lesions on stems more aggressive than those from symptomless tubers or soil. AG-4 and AG-5 caused significantly less disease than AG-3, but none of the AG-7 and AG-8 isolates showed any virulence to potato sprouts. References: (1) D. E. Carling et al. Phytopathology 77:1609, 1987. (2) D. E. Carling and R. H. Leiner. Phytopathology 80:930, 1990. (3) E. M. Doidge. S. Afr. Fruit Growers 5:6, 1918.


2019 ◽  
pp. 097215091988012
Author(s):  
Packiaraj Thangavel ◽  
Pramod Pathak ◽  
Bibhas Chandra

The media and consumer research groups have been keeping the Millennials in spotlight for many years now; perhaps it is time to turn some of the attention on Gen Z, which began its foray into mainstream consumption. This exploratory study examines the shopping orientation of Gen Z online shoppers using the generational cohort theory (GCT) as a framework and provides insights to e-retailers to understand how this generation approaches the online shopping. The penetration of Internet and accelerated growth of online shopping have enthused the e-retailers to offer a wide range of goods at greater efficiency than the traditional players. By cluster analysis (K-means) of nine online shopping orientation factors (two were eliminated prior due to low factor loading scores), four segments were identified: (a) ‘Economic-quality seekers’, (b) ‘Convenience shoppers’, (c) ‘Deal hunting-convenience seekers’ and (d) ‘Brand and quality conscious shoppers’, and the study profiled each segment based on the demographic data through chi-square analysis. Finally, implications for online retailers and marketing practitioners are enumerated towards the end of the article.


2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Asady Asady ◽  
Soraya Ismail ◽  
Marsitah Abdul Jalil ◽  
Oothuman Pakeer

Soil-transmitted helminth (STH) infections by Ascaris lumbricoides, Trichuris trichiura and hookworms still persist in rural and urban areas of developing communities. Recent studies in Malaysia focused on Orang Asli communities and none in the hospital settings. This study aimed to investigate the prevalence and associated risk factors for STH among children admitted to Paediatric ward of the Hospital Tengku Ampuan Afzan (HTAA). This study was conducted among 135 (78 males, 57 females) patients in HTAA from December 2017 to May 2018. Faecal samples were examined using wet smear, Kato-Katz, Harada-Mori and sedimentation techniques. Demographic data and hygiene practice information were collected using a pre-tested questionnaire. The overall prevalence of STH was 5.9% (A.lumbricoides 5.2%, T.trichiura 0.7%, and hookworms 0.7%). Prevalence among males was 3.8% and females 8.8%. Majority (95.6%) were Malays. Chi square analysis showed that factors significantly associated with STH infections are household monthly income (p<0.05), education level of mother (p><0.05) and father (p><0.05), the source of drinking water (p><0.05), the method of garbage disposal (p><0.05). Logistic regression analysis confirmed garbage disposal via burning as a risk factor of STH infections (p= 0.021, OR=23.8, 95% CI=1.6- 350.06). Conclusion: This study shows that the prevalence of STH infections is low in children probably due to the effective implementation of control programs and good hygiene practice. Differences in individual lifestyles and the humid weather condition are probable reasons for sporadic infection to still exist.>


Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Daniel Suto ◽  
Emily Perrinez ◽  
Karen Rapp ◽  
Mohammed Nabulsi ◽  
Thomas M Hemmen

Introduction: Inclusion of diverse patients in clinical trials is essential to represent patient populations and to ensure that results are generalizable. Analysis of this topic is motivated by prior reports of clinical trials underrepresenting historically disadvantaged groups. We aimed to understand if the clinical trial population is representative of the overall stroke population in our community. Methods: We obtained clinical and demographic data from hospital administrative records including all acute ischemic stroke patients between March 2019 and February 2020. Consent was counted when a signed consent for study participation was documented in the inpatient record. Enrollment in studies with a primary inpatient population at the time of consent (MOST, TIMELESS, ARCADIA, SleepSMART, and STRONG) were included. Patients with consent (CP) and without consent (NCP) were compared using chi-square analysis and t-test probability with SPSS. Results: During the study period, 504 patients met the above criteria; 55 were consented to participate in clinical trials. Overall CP did not differ from NCP in % women (45.5% vs 41.2%, not significant), Hispanic ethnicity, discharge medications, hypertension, diabetes, heart failure, drug and alcohol abuse, atrial fibrillation, and payer (Medicare versus non-Medicare). Median age was lower in CP compared to NCP (63 ± 12.8 vs. 67 ± 13.9, p=.046). The mean NIHSS was lower in CP (6.37 ± 5.95 vs. 8.21 ± 8.91, p=.048). The CP group had lower incidence of prior stroke (9.1% vs. 20.9%, p=.037), less dyslipidemia (12.7% vs. 30.1%, p=.007), fewer comorbidities on average (1.9 ± 1.1 vs. 2.2 ± 1.5, p=.044), was less likely to identify as Asian (0% vs. 8.4%, p=.015) and more likely to identify as white (59.3% vs. 45.7%, p=.045). The CP group was more likely to have migraine (12.7% vs. 1.8% p<.001) and were discharged on more stroke risk-factor modifying medications (2.2 ± .558 vs. 1.9 ± .902, p=.001). Conclusions: While the study population is largely representative, they are more likely to be White, with lower stroke severity, fewer medical comorbidities and less likely to be Asian. We plan to expand this analysis to include more study centers and to guide future clinical trial design.


2021 ◽  
Author(s):  
Bolaji Felicia Udomah ◽  
Uriel Oludare Ashaolu ◽  
Charles Oluwatemitope Olomofe ◽  
Olufunke Folasade Dada ◽  
Victor Kehinde Soyemi ◽  
...  

Background: The Coronavirus Disease 2019(COVID-19) is far from over, although appreciable progress have been made to limit the devastating effects of the pandemic across the globe. Adequate knowledge and risk perception is a critical assessment that is required to ensure proper preventive measures. This study assessed these among Nigerians. Methods: The study was a cross-sectional assessment of 776 consenting Nigerian adults that were distributed across the 6 geo-political zones and the Federal Capital Territory. Online pre-tested, semi-structured questionnaire were used to obtain the socio-demographic data and assessed the knowledge and risk perception of the participants to COVID-19. The knowledge of COVID-19 was assessed based on the number of accurate responses given in comparison to average scores. Chi-square analysis was computed to analysis the association between socio-demographic characteristics and knowledge of COVID-19 and risk perception. Data analysis was done using SPSS version 21, the level of significance was set at value p<0.05 at 95% confidence interval. Results: Majority of the participants were male 451 (58.1%), there was a good knowledge of COVID-19 among 90.3% of respondents with 57% having positive risk perception. There was a statistically significant relationship between good knowledge and positive risk perception of COVID-19 (p < 0.001). Annual income (p =0.012) and the perception that vaccines are good significantly predict positive risk perception of COVID-19 among the respondents. Conclusion: A good knowledge of COVID-19 and vaccination against the virus were the two most important factors that determined risk perception among the population. This may be because of the widespread advocacy, and it portends a good omen at combating COVID-19 menace. Key words: COVID-19, Risk perception, Nigerians


2019 ◽  
Vol 8 (4) ◽  
pp. 385
Author(s):  
Titiek Hidayati ◽  
Arya Adiningrat ◽  
Akrom Akrom

<p>End-stage renal disease (ESRD) is one of the public health problems in Indonesia. This study aimed to determine the clinical condition of premorbid and the incidence of ESRD. The study design is a case-control. The number of volunteers involved in this study was 100 patients. The cases were ESRD patients who were determined by the criteria of Pernefri and the controls were patients from the same hospital who were not ESRD by the requirements of ESRD Pernefri. Inclusion criteria of the study sample were ESRD sufferers need routine hemodialysis and doctor's diagnosis supported by laboratory data, 15-75 years old and willing to fill out inform consent. Exclusion criteria for the study sample were patients with congenital kidney disease, Have a history of kidney transplants, and mental disorder. We collected demographic data, and patient’s clinical and drug history from medical records. Chi-square analysis with 2x2 tables and the Fisher's exact test were used to determine the relationship of clinical conditions and history of disease with the incidence of ESRD. The results showed that anemia, hyperglycemia, and hypertriglyceridemia were related to the prevalence of ESRD. History of hypertension, diabetes mellitus, dyslipidemia, and family history of ESRD are associated with an increased incidence of ESRD.</p>


2013 ◽  
Vol 18 (1) ◽  
Author(s):  
Christine Janse van Rensburg ◽  
Jhalukpreya Surujlal

One of the transitions from adolescence to adulthood is the admission of students to a university setting. Accompanying this transition is a new-found independence which results in university students having more autonomy over their lifestyles and behaviours. The assumption in this setting is that many students are likely to engage in unhealthy and risky lifestyle behaviours which include alcohol abuse, tobacco use, physical inactivity and unhealthy dietary practices which may adversely affect their health in the long-term. In South Africa, research with regard to health and lifestyle patterns amongst both male and female young adults remains limited. The purpose of this study was, therefore, to investigate whether male and female students differed in relation to their health and lifestyles, as well as the related consequences thereof. A convenience sampling technique was used, where questionnaires were administered to 400 students at three university campuses in the Gauteng province of South Africa. An exploratory data analysis for health factors was used in order to retrieve relevant factors from a factor and regression analysis. Differences in gender were tested by using cross-tabulation for descriptive statistics and Chi-square analysis. The study found no statistically-significant differences between genders relating to the three emerging health factors, namely Gastrointestinal, Upper Respiratory Infections and Total Health Problems. However, descriptive statistics of lifestyle habits revealed that more female students exercised, smoked and binged on food than their male counterparts. It was also found that female students reported a higher incidence of stress than male students. It was concluded that university students do indeed engage in behaviours and lifestyles that place them at risk for serious health problems.In die oorgang van adolessensie na jong volwassene, bevind studente hulself binne ’n universiteitsomgewing. Gepaartgaande met hierdie oorgang word nuutgevonde vryheid verkry, wat veroorsaak dat universiteitstudente meer beheer oor hul lewenstyl en gedrag uitoefen. Die waarskynlikheid bestaan dat baie studente in hierdie omgewing betrokke sal raak by ’n ongesonde en gewaagde lewenstyl, wat alkohol misbruik, tabak gebruik, fisieke onaktiwiteit en ongesonde eetgewoontes insluit. Bogenoemde is faktore wat student se gesondheid oor die langtermyn nadelig sal beïnvloed. Navorsing in Suid-Afrika oor gesondheid en lewenstylpatrone van verskillende geslagsgroepe onder jong volwassenes is skaars. Die doel van hierdie studie was dus om ondersoek in te stel aangaande geslagsverskille in gesondheid en lewenstyl van studente, asook die betrokke nagevolge daarvan. ’n Gerieflikheids-steekproeftegniek is gebruik waartydens 400 vraelyste aan studente by drie verskillende universiteitskampusse in die Gauteng provinsie in Suid-Afrika versprei is. ’n Ondersoekende data analiese vir gesondheidsfakore is gebruik om toepaslike faktore te verkry vanuit ’n faktor- en regressie analiese. Geslagsverskille is getoets deur gebruik te maak van kruis-tabulering vir beskrywende statistiek asook ’n ‘Chi-square’ analiese. Die studie het geen statisties-betekenisvolle verskille tussen geslagte getoon ten opsigte van die drie gesondheidsfaktore naamlik Gastro-intestinale, Boonste Asemhalingstelsel en Totale Gesondheid Probleme nie. Nietemin het beskrywende statistiek ten opsigte van lewenstyl gewoontes egter onthul dat meer vroulike studente aan fisieke aktiwiteit delneem, rook en hul vergryp aan kos. Daar is ook gevind dat vroulike studente meer gevalle van spanning gerapporteer het as manlike studente. Die gevolgtrekking is dus dat universiteitstudente wel betrokke raak by gedrag en lewenstyle wat hul in gevaar stel vir ernstige gesondheidsprobleme.


2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Abdullah Asady ◽  
Pakeer Oothuman ◽  
Soraya Ismail ◽  
Marsitah Abdul Jalil

Introduction: Soil-transmitted helminth (STH) infections by Ascaris lumbricoides, Trichuris trichiura and hookworms still persist in poor communities in rural and urban areas. Recent studies in Malaysia focused on Orang Asli communities and few in hospital settings. This study determines the prevalence and risk factors for STH among children admitted to Paediatric ward of Hospital Tengku Ampuan Afzan (HTAA). Materials and Methods: This study was conducted among 133 (77 males, 56 females) paediatric patients in Hospital Tengku Ampuan Afzan from Dec 2017 to May 2018. Faecal samples were examined using wet smear, Kato-Katz, Harada-Mori and sedimentation techniques. Demographic data and hygiene practice information were collected using a pre-tested questionnaire. Results: The overall prevalence of STHs was 6% (A.lumbricoides 5.3%, T.trichiura 0.8%, and hookworms 0.8%). Prevalence among males was 3.9% and females 8.9%. Majority (94.7%) were Malays. There were two Orang Asli children and both were infected, one of whom had a mixed infection. Chi square analysis showed that the important risk factors for STH infections are education level of mother (p<0.05) and father (p<0.05), the source of drinking water (p<0.05), and the method of trash disposal (p<0.05). Conclusion: This study shows that the prevalence of STH infections is low in children due to better socio-economy and good hygiene practice. Differences in individual lifestyles and humid weather condition are probable reasons for sporadic infection to still exist.


2019 ◽  
Vol 12 (1) ◽  
pp. 42-51
Author(s):  
Dwi Indah Sulistiani ◽  
Ujang Maman ◽  
Junaidi J

Objective of this research; 1) determine the perception of ranchers against the properties and behavior of the leadership of the companion in the Society of Al-Awwaliyah 2) analyze the relationship between productivity breeder with productivity of livestock in the Society of Al-Awwaliyah 3) identify the relationship perceptions of ranchers against the leadership companion with productivity of livestock in the Society of Al-Awwaliyah , The data used in this study are primary and secondary data. Primary data were obtained from questionnaires which stem from ranchers while secondary data sourced from literature in the form of books and articles. Data processing was performed using Chi-square analysis using SPSS software version 21. One of the factors relating to the productivity of ranchers is the perception of ranchers against the leadership of their companion. Leadership companion views of the nature and behavior of which is owned by a companion. Productivity ranchers indirectly related to the productivity of the cattle business. Characteristics breeder visits of age, years of education, experience ranchers, and businesses in addition to ranchers. The results of data analysis showed that there is a significant relationship between business other than ranchers with ranchers productivity. The relationship between the perception of the nature of the companion breeder with productivity ranchers produce Pearson Chi-Square value is 9.751 and Asymp. Sig. (2-sided) of 0.002. This is due to interest ranchers against leadership qualities possessed by a companion who produce prolific ranchers. Ranchers consider that a companion of his leadership qualities are ideal as a companion.


2018 ◽  
Vol 34 (1) ◽  
Author(s):  
Dewi Rosiana ◽  
Achmad Djunaidi ◽  
Indun Lestari Setyono ◽  
Wilis Srisayekti

This study aims to describe the effect of sanctions (individual sanctions, collective sanctions, and absence of sanctions) on cooperative behavior of individuals with medium trust in the context of corruption. Both collective sanctions and individual sanctions, are systemic, which means sanctioning behavior is exercised not by each individual but by the system. Cooperative behavior in this context means choosing to obey rules, to reject acts of corruption and to prioritize public interests rather than the personal interests. Conversely, corruption is an uncooperative behavior to the rules, and ignores the public interest and prioritizes personal interests. Research subjects were 62 students. The Chi-Square Analysis was used to see the association between the variables and the logistic regression model was applied to describe the structure of this association. Individual sanction is recommended as punishment to medium trust individuals to promote cooperative behavior in the context of corruption. The results showed that individuals with medium trust had more cooperative behavior.


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