scholarly journals Factors Associated with Health Care Professionals' Choice of Written Asthma Management Plans

2007 ◽  
Vol 172 (10) ◽  
pp. 1058-1064 ◽  
Author(s):  
Sandra C. Bibb ◽  
Ricky Norwood ◽  
John F. Meyer
2015 ◽  
pp. 1431 ◽  
Author(s):  
Gerda Längst ◽  
Hanna Marita Seidling ◽  
Marion Stützle ◽  
Dominik Ose ◽  
Ines Baudendistel ◽  
...  

2003 ◽  
Vol 29 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Janaína Barbosa Muniz ◽  
Carlos Roberto Padovani ◽  
Irma Godoy

Asthma results from a combination of three essential features: airflow obstruction, hyperresponsiveness of airways to endogenous or exogenous stimuli and inflammation. Inadequacy of the techniques to use different inhalation devices is one of the causes of therapeutic failure. The main purpose of this study was to evaluate how 20 medical students, 36 resident physicians of Internal Medicine/Pediatrics, and 40 asthma patients used three devices for inhalation therapy containing placebo. All patients were followed at the Pulmonary Outpatient Service of Botucatu Medical School and had been using inhaled medication for at least six months. The following devices were evaluated: metered dose inhalers (MDI), dry powder inhalers (DPI), and MDI attached to a spacer device. A single observer applied a protocol containing the main steps necessary to obtain a good inhaler technique to follow and grade the use of different devices. Health care professionals tested all three devices and patients tested only the device being used on their management. MDI was the device best known by doctors and patients. MDI use was associated with errors related to the coordination between inspiration and device activation. Failure to exhale completely before inhalation of the powder was the most frequent error observed with DPI use. In summary, patients did not receive precise instruction on how to use inhaled medication and health care professionals were not well prepared to adequately teach their patients.


2019 ◽  
Vol 53 ◽  
pp. 43 ◽  
Author(s):  
Esther Pereira da Silva ◽  
Antônio Flaudiano Bem Leite ◽  
Roberto Teixeira Lima ◽  
Mônica Maria Osório

OBJECTIVE: To characterize prenatal care and verify possible factors associated with its adequacy. METHODS: This is a cross-sectional study based on interviews with health care professionals and consultations on official documents of women attending prenatal of the primary health care in the city of João Pessoa, capital of Paraíba, in the Northeast region of Brazil. Prenatal care was evaluated by an index with criteria referring to aspects of structure, process and outcome, denominated IPR/Prenatal. The multivariate logistic regression method revealed that demographic, socioeconomic, reproductive and maternal morbidity variables were possible determinants for prenatal adequacy. RESULTS: The survey involved 130 services and 1,625 primary health care patients. Prenatal care was adequate in approximately 23% of the cases. Low prevalence of referral to maternity, educational strategies and examinations were observed. The analysis showed that nonadolescent women (OR = 1,390), with a longer period of schooling (OR = 1.750), higher per capita income (OR = 1,870) and primiparous women (OR = 1,230) were more likely to have an adequate prenatal. CONCLUSIONS: Prenatal care, when evaluated by broader criteria, showed a low percentage of adequacy. Strategies should be developed to ensure the referral to the maternity where the birth will take place and health education activities and examinations to provide adequate prenatal care in the municipality under study. In addition, factors associated with adequacy must be considered by managers and health professionals.


2006 ◽  
Vol 97 (6) ◽  
pp. 784-793 ◽  
Author(s):  
Tze-Pin Ng ◽  
Tow-Keang Lim ◽  
John Abisheganaden ◽  
Philip Eng ◽  
Fai-Lam Sin

2008 ◽  
Vol 44 (5) ◽  
pp. 245-251 ◽  
Author(s):  
Vicente Plaza ◽  
Ignasi Bolívar ◽  
Jordi Giner ◽  
María Antonia Llauger ◽  
Antolín López-Viña ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Virginija Zelenytė ◽  
Leonas Valius ◽  
Auksė Domeikienė ◽  
Rita Gudaitytė ◽  
Žilvinas Endzinas ◽  
...  

Abstract Background The attitudes towards obesity may have an important role on healthier behavior. The goal of the present study was to explore the attitudes towards obesity and to investigate how these attitudes were associated with lifestyle-changing behavior among the patients attending primary care centers, health care professionals and public health experts. Methods This cross-sectional survey study was performed in 10 primary care offices in different regions in Lithuania and in 2 public health institutions. Nine hundred thirty-four patients, 97 nurses, 65 physicians and 30 public health experts have filled the questionnaire about attitudes towards obesity and presented data about lifestyle-changing activities during last 12 months. The attitudes were compared between different respondent groups and factors associated with healthier behaviors were analyzed among overweight/obese individuals in our study population. Results Participants failed to visually recognize correct figure corresponding to male and female with obesity. Majority of respondents’ perceived obesity as a risk factor for heart diseases and diabetes but had less knowledge about other diseases associated with weight. About one third of respondents changed their lifestyle during last 12 months. Overweight individuals with age < 45 years (OR 1.64, 1.06–2.55; p = 0.025) were more likely and those who overestimated current weight (OR 0.44, 0.20–0.96; p = 0.036) less likely to change their lifestyle. Disappointment with their current weight (OR 2.57, 1.36–4.84; p = 0.003) was associated with healthier behavior among participants with obesity. Conclusion Participants had similar body size perception and knowledge about obesity. Younger age had significant association with lifestyle changing behavior among overweight individuals and disappointment with current weight among obese participants.


2021 ◽  
Vol 3 (26) ◽  
pp. 5-27
Author(s):  
Dr. Mohaid Mubark Ahmed ◽  
◽  
Dr. Osman Hamid Abdulhamid ◽  
Dr. Imad Eldin Eljack Suleiman ◽  
◽  
...  

Burnout has long been recognized as a major problem among healthcare professionals and has become much more prevalent in the last decades. Beside healthcare professionals, it also negatively impacts the quality of health care services and patients. To identify the prevalence and factors associated with burnout among health care professionals at primary health care center in Wad Madani Al-Kubra (Sudan) and Sharjah (UAE). This is a comparative, analytical, cross-sectional health facility-based study conducted in primary health care (PHC) at Wad Madani Al-Kubra (Sudan) and Sharjah (UAE). The study assessed burnout among (75 participants in Wad Madani) out of 77 health care professionals with response rate of (97.4%), as well as it assessed (75 participants in Sharjah) out of 86 health care professionals with response rate of (87.2%). For assessment of burnout, the study calculated its prevalence and grade using method of evaluation modified from Maslach Burnout Inventory. All participants whose score was >10 out of 30 considered as positive for burnout. Low, moderate and high burnout was reported for cases score (<10, 11-20, 21-30). Chi-Square test was used for calculation of significance at P value < 0.05 and 95% CI. The data was analyzed by using Statistical Package for Social Sciences (SPSS, ver. 25). Females in Wad Madani & Sharjah groups were (82.7% and 77.3% respectively).Prevalence of burnout in Madani and Sharjah groups was reported with a considerable percentage (45.3% and 57.3%), (P value = 0.096). Low burnout was reported in 52(69.3%) for each of Wad Madani and Sharjah group. High burnout was reported in only 3 participants in Wad Madani group. Burnout is significantly higher among females when compared to males (57.5% vs. 26.7% respectively, P = 0.002). Burnout is significantly increase within increasing in number of patients met per day. The prevalence rate of medical personnel burnout in Alsharja primary health centers, UAE was found slightly higher than Wad Madani group, but no a statistically significant difference between the two groups. Recognition of burnout by health authorities and putting measures to rectify it.


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