scholarly journals Knowledge, Attitudes and Practices of Primary Health Care Physicians Regarding Diabetes Management: A Cross Sectional Study in Gharbia Governorate, Egypt

Author(s):  
Mai Mohamed Mahmoud Abu Kahf ◽  
Khalil Mohamed Abbas Ayad ◽  
Mamdoh Ahmed Gabr ◽  
Walaa Mohamed El Sayed Shehata

Background: With increasing prevalence of diabetes mellitus worldwide, primary health care physicians are the main providers of diabetes care and their knowledge, attitudes and practices are important to achieve goals in diabetes management. Objectives: Assessment of the knowledge, attitude and practices (KAP) of primary health care physicians regarding management of diabetes. To find-out gaps between the practices of primary health care physicians and the already established national and international guidelines. Methods: This cross- sectional study was conducted on 144 primary health care physicians working in a randomly chosen primary health care centers in Al Garbia Governorate. Data collected concerning knowledge, attitudes and practices of primary care physicians regarding diabetes management. Results: The study included 144 primary health care physicians working in 38 primary health care centers in Gharbia governorate. About two thirds (95) of the studied physicians were working in rural areas and the rest (49) in urban ones. As regards years since graduation, fifty three of the studied physicians were graduated <5 years and the rest (91) were graduated ≥5 years. Concerning relevant certifications or training courses, about three fourths (106) had relevant past experiences while one fourth (38) had no such experiences. Urban primary care physicians had higher percentage of correct knowledge than the rural ones as regards diagnosis, complications and managements of DM (p value <0.05). Primary care physicians with increased years of practice and who attended relevant training courses had favorable attitude and practices as regards counseling and regular examination of diabetic patients (p value <0.05). Conclusion: The current study revealed a shortage of knowledge, attitude and practices of primary health care physicians as regards management of diabetes. The defect in knowledge and unfavourability of attitude and inappropriateness of practices are obvious in family physicians working in the rural health care facilities, those without relevant experience and those graduated less 5 years.

Author(s):  
Sultan Mohammed Alanazy ◽  
Rakan Ibrahim Alawaji ◽  
Ahmad Hamad Alsager ◽  
Abdulrahman Abdullah Alasqah ◽  
Ahmed Abdullah Aljabr ◽  
...  

Many physicians confuse laryngopharyngeal reflux disease (LPR) with gastroesophageal reflux disease (GERD), leading to misdiagnosis of these two diseases. LPR is a common condition among the population, and physicians should be aware of it to save time, effort, resources, and money. The key objective of the study is to assess the level of knowledge, attitudes, and practices of primary care physicians with respect to LPR and its management and presentation in the Qassim region of Saudi Arabia. Methods: A quantitative observational cross-sectional study was conducted at the primary health care centers in the Qassim region of Saudi Arabia. The sample included willing respondents among the primary health care physicians in these health care centers. Written consent was obtained from each participant before including their data in the study. The data were tabulated and analyzed using SPSS version 25. Results: The sample consisted of 109 clinicians from different specialties. The average age of the respondents was 44.3 years (standard deviation [SD]: 9.35 years, 95% confidence interval [CI]: 35.7, 52.9) with an average experience of 12.94 years (SD: 8.58 years, 95% CI: 11.3, 14.6). Forty-six percent (46.8%) of the respondents did not agree that there is an association between sinusitis and LPR.  About (43.11%) of clinicians said that they always educate patients about LPR, compared to (24.77%) of the clinicians who said that they do not educate patients about LPR. Conclusions: Clinicians in the Qassim region of Saudi Arabia have relatively good knowledge, attitudes, and practices with regard to LPR.


2020 ◽  
Author(s):  
Rabia Khalid Alduraibi ◽  
Turky H Almigbal ◽  
Abdullah A Alrasheed ◽  
Mohammed Ali Batais

Abstract Background: Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigated pre-travel counselling in Saudi Arabia. This study aims to assess the knowledge, attitudes and practices of primary health care (PHC) physicians regarding pre-travel counselling for patients with type 2 diabetes.Methods: This cross-sectional study was conducted in PHC centres under the Ministry of Health in Riyadh, Saudi Arabia, during the period 2018-2019. A cluster multistage random sampling technique was used to recruit physicians. The data were collected through a self-administered questionnaire.Results: Three hundred and eighty-five primary health care physicians were recruited. This study showed that more than half (57.9%) of PHC physicians had poor knowledge scores. Additionally, the following characteristics were significantly associated with poor knowledge: being younger in age, being male, being Saudi, being a general practitioner, and having limited (0-5 years) experience. A total of 183 (47.5%) subjects showed disagreement attitudes towards the importance of pre-travel counselling among patients with diabetes. Furthermore, these disagreement attitudes were significantly associated with being older and having more years of experience. The majority (62.6%) of the physicians had poor practice scores. Poor practices were detected among physicians who were younger, male, and Saudi and who had a general practitioner specialty and degree.Conclusions: It could be concluded that a gap was detected in the knowledge and practices of primary health care physicians regarding pre-travel counselling for people with type 2 diabetes. Therefore, it is necessary to create easily accessible travel medicine education programmes for Saudi PHC providers to improve the management of travellers with diabetes.Trial registrationNot applicable


2021 ◽  
Vol 2 (2) ◽  
pp. 24-27
Author(s):  
Najma Javed ◽  
Sumera Naz

To explore the basic knowledge of primary health care doctors on transmission routes, risk factors and management of HCV infection. A cross-sectional facility based study of six-month (Dec. 2008 - June 2009). Universal sampling technique. Thirty three Basic Health Units (BHUs) in Islamabad and Rawalpindi districts with their attached 07 dispensaries were surveyed. A total of 40 Primary Health Care Physicians (PHCPs) from two cities (Islamabad and Rawalpindi) were interviewed. A pretested questionnaire with multiple choices was used to record their knowledge on transmission routes, causative factors and management of this infection. A total of 40 primary care physicians were interviewed. There was poor knowledge about modes of disease transmission while diagnosis and treatment was wellknown in the majority. The frequency of disease transmission to neonate and the time of checking the child in case of a HCV positive mother were not known by many GPs, which need to be taken seriously specially in our setting where GP is the first or second line person that is approached by the patient. Majority of the physicians knew that HCV is not transmitted through breast feeding. Genotyping is done by about 61% physicians thus adding a very expensive test with very limited use. About 60% GPs counsel the patients that are found positive for the test, which is a good sign. The study identified a strong need for continuing education program for the primary care physicians on HCV infection.


2020 ◽  
Author(s):  
Rabia Alduraibi ◽  
Turky H Almigbal ◽  
Abdullah A Alrasheed ◽  
Mohammed Ali Batais

Abstract Background Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigated pre-travel counselling in Saudi Arabia. This study aims to assess the knowledge, attitudes and practices of primary health care (PHC) physicians regarding pre-travel counselling for patients with type 2 diabetes. Methods This cross-sectional study was conducted in PHC centres under the Ministry of Health in Riyadh, Saudi Arabia, during the period 2018-2019. A cluster multistage random sampling technique was used to recruit physicians. The data were collected through a self-administered questionnaire. Results Three hundred and eighty-five primary health care physicians were recruited. This study showed that more than half (57.9%) of PHC physicians had poor knowledge scores. Additionally, the following characteristics were significantly associated with poor knowledge: being younger in age, being male, being Saudi, being a general practitioner, and having limited (0-5 years) experience. A total of 183 (47.5%) subjects showed disagreement attitudes towards the importance of pre-travel counselling among patients with diabetes. Furthermore, these disagreement attitudes were significantly associated with being older and having more years of experience. The majority (62.6%) of the physicians had poor practice scores. Poor practices were detected among physicians who were younger, male, and Saudi and who had a general practitioner specialty and degree. Conclusions It could be concluded that a gap was detected in the knowledge and practices of primary health care physicians regarding pre-travel counselling for people with type 2 diabetes. Therefore, it is necessary to create easily accessible travel medicine education programmes for Saudi PHC prosviders to improve the management of travellers with diabetes.


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Rabia Khalid Alduraibi ◽  
Turky H. Almigbal ◽  
Abdullah A. Alrasheed ◽  
Mohammed Ali Batais

Abstract Background Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigated pre-travel counselling in Saudi Arabia. This study aims to assess the knowledge, attitudes and practices of primary health care (PHC) physicians regarding pre-travel counselling for patients with type 2 diabetes. Methods This cross-sectional study was conducted in PHC centres under the Ministry of Health in Riyadh, Saudi Arabia, during the period 2018–2019. A cluster multistage random sampling technique was used to recruit physicians. The data were collected through a self-administered questionnaire. Results Three hundred and eighty-five primary health care physicians were recruited. This study showed that more than half (57.9%) of PHC physicians had poor knowledge scores. Additionally, the following characteristics were significantly associated with poor knowledge: being younger in age, being male, being Saudi, being a general practitioner, and having limited (0–5 years) experience. A total of 183 (47.5%) subjects showed disagreement attitudes towards the importance of pre-travel counselling among patients with diabetes. Furthermore, these disagreement attitudes were significantly associated with being older and having more years of experience. The majority (62.6%) of the physicians had poor practice scores. Poor practices were detected among physicians who were younger, male, and Saudi and who had a general practitioner specialty and degree. Conclusions It could be concluded that a gap was detected in the knowledge and practices of primary health care physicians regarding pre-travel counselling for people with type 2 diabetes. Therefore, it is necessary to create easily accessible travel medicine education programmes for Saudi PHC providers to improve the management of travellers with diabetes.


2020 ◽  
Author(s):  
Rabia Alduraibi ◽  
Turky H Almigbal ◽  
Abdullah A Alrasheed ◽  
Mohammed Ali Batais

Abstract Background: Travel has become an integral part of Saudi life. People with diabetes face many challenges while travelling that can have detrimental effects on glycaemic control. However, no previous studies have investigated pre-travel counselling in Saudi Arabia. This study aims to assess the knowledge, attitudes and practices of primary health care (PHC) physicians regarding pre-travel counselling for patients with type 2 diabetes.Methods: This cross-sectional study was conducted in PHC centres under the Ministry of Health in Riyadh, Saudi Arabia, during the period 2018-2019. A cluster multistage random sampling technique was used to recruit physicians. The data were collected through a self-administered questionnaire.Results: Three hundred and eighty-five primary health care physicians were recruited. This study showed that more than half (57.9%) of PHC physicians had poor knowledge scores. Additionally, the following characteristics were significantly associated with poor knowledge: being younger in age, being male, being Saudi, being a general practitioner, and having limited (0-5 years) experience. A total of 183 (47.5%) subjects showed disagreement attitudes towards the importance of pre-travel counselling among patients with diabetes. Furthermore, these disagreement attitudes were significantly associated with being older and having more years of experience. The majority (62.6%) of the physicians had poor practice scores. Poor practices were detected among physicians who were younger, male, and Saudi and who had a general practitioner specialty and degree.Conclusions: It could be concluded that a gap was detected in the knowledge and practices of primary health care physicians regarding pre-travel counselling for people with type 2 diabetes. Therefore, it is necessary to create easily accessible travel medicine education programmes for Saudi PHC providers to improve the management of travellers with diabetes.Trial registrationNot applicable


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