scholarly journals How Do Out-of-Pocket Expenditures Affect Healthcare: A Qualitative Insight of Acute Exacerbation among Asthma Patients

Author(s):  
Muhammad Shahid Iqbal ◽  
Fahad I. Al-Saikhan ◽  
Nehad J. Ahmed ◽  
Muhammad Zahid Iqbal

Introduction: This study was designed to determine the out of pocket costs (OOPCs) of acute exacerbation of asthma (AEA) in asthma patients attending a public hospital. Methodology: A cross-sectional study was done by interviewing the patients using the convenience sampling technique. Data were obtained based on per episode of AEA. OOPCs were calculated based on direct and indirect costs. A total of 128 patients participated in the study. The data were analyzed with SPSS ver 23. Results: The study group comprised of 88 males (68.8%), 57 (44.5%) singles and 67 (52.3%) less than 40 years of age. There were considerable differences found between the severity levels and lengths of hospital stay towards the OOPCs. Conclusion: The severity of the AEA and length of stay in the hospital increase the per episode OOPCs of AEA among asthma patients.

2012 ◽  
Vol 1 (2) ◽  
pp. 38-46
Author(s):  
Sadaf Shafqat ◽  
Sarah Omer ◽  
Marina Ayub ◽  
Asma Faheem ◽  
Muhammad Shahid ◽  
...  

OBJECTIVE To determine the awareness and perception of Physical Therapy as a career among the intermediate students of Karachi. STUDY DESIGN It is a cross sectional study. STUDY SETTINGS AND PARTICIPANTS The settings of this study were two Private and two Government sector Intermediate colleges, offering Pre-medical and participants were students studying in these colleges. SAMPLING TECHNIQUE Non-probability convenience sampling technique. RESULTS Results revealed that only 13.5% of students were well aware of physical therapy as a profession in government and private colleges whereas, 31% in government colleges and 26.5% in private colleges had little knowledge. While 28% government and 30.5% in private were totally unaware of it. 75.7% and 83.5% from government and private sector students responded that physical therapy will be most rewarded in Orthopedic/Musculoskeletal fields respectively. CONCLUSIONS The awareness of Physical Therapy as a career among intermediate students would help in creating more effective marketing strategies. Unfortunately, a small percentage of the students are aware of physiotherapy and the services provided by this profession which implies that there is an urgent need for marketing campaign.


2020 ◽  
Vol 24 (1) ◽  
pp. 8-12
Author(s):  
Sheena Shamoon ◽  
Khushbakht Ms. ◽  
Saleha Ahmed Khan ◽  
Maheen Sajid ◽  
Syeda Rija Hussain ◽  
...  

Aims/objectives: Coronavirus pandemic has been declared a health emergency worldwide. Millions of people have been affected by it. The objective of this study was to assess anxiety and depression among people who are confined to their homes due to the covid-19 pandemic so that measures can be taken to reduce the frequency and effects of psychological distress during mass lockdowns in the future.Materials and methods: The study population consisted of educated adults of Rawalpindi and Islamabad who have been under strict lockdown. A non-probability convenience sampling technique was used. Informed consent was taken. Data were collected via a questionnaire based on the HADS scale. For data analysis, SPSS version 25 was used.Results: This descriptive, cross-sectional study was conducted among 615 individuals, out of which 15 did not meet the inclusion/exclusion criteria. The majority were females (80.2%). The average age was 22.6 years. 37.5% were found to have anxiety, whereas 21% had depression. Borderline cases of anxiety and depression were 27.5% and 28.3%, respectively. The frequency of anxiety and depression was found to be higher in females than males, 39.5% vs 29.4%, and 22.4% vs 11.5% respectively. The correlation of HADS scores with other demographic parameters was studied, but no significant relationship was found.Conclusions: The study reveals a high prevalence of anxiety and depression among individuals during lockdowns. The development of a comprehensive educational and emotional support system is required for the improvement of the mental health of individuals.


Author(s):  
Agani Afaya ◽  
Solomon Mohammed Salia ◽  
Frederick Yaw Opare ◽  
Samira Ali ◽  
Richard Adongo Afaya

Background: Despite the advancement in malaria treatments and management; malaria morbidity and mortality is still on the increase. This phenomenon has been mostly attributed to the emergence and transmission resistance of the plasmodium parasite to drugs; which is as a result of non-adherence to anti-malaria medication. Therefore, the purpose of this study was to assess patients’ adherence to anti-malarial medications and the factors influencing their adherence in the Volta regional hospital.Methods: A descriptive cross-sectional study was employed. Convenience sampling technique was used in recruiting respondents. Data were collected within a period of 8 weeks from April to May 2017. Data were analyzed using descriptive statistics in the form of frequencies, percentages, mean and standard deviations which was generated by the use of IBM statistical package for social sciences version 23.Results: The average age of respondents surveyed for this study was 32.27±11.09 ranging from of 19 to 68 years. Majority (51.7%) of respondents were females and 76.7% of them being Christians. The study findings revealed that 36.6% of patient were completely adherent to anti-malarial medication. Over 90% of respondents agreed that the malarial medication had bad taste and it was an unpleasant feeling for them taking it.Conclusions: Poor adherence to antimalaria medications could play a role in the future development of drug resistance. As such, identifying ways to improve anti-malarial compliance will help mitigate drug resistance. Therefore, further studies should be carried out on ways to improve patients’ adherence to antimalarial medication.


Background: Learning is an ongoing process. To achieve desired learning outcomes of the academic journey, students must possess motivation, resilience, and effective communication skills. The positive motivation regarding the academic journey increase students' motivation for learning. This will benefit students to achieve desired results without major obstacles. Objective: To identify the nursing students’ motivation towards their academic journey. Methods: This was a cross-sectional study. Nursing students of first & second year were invited to participate voluntarily. Informed consent was employed before data collection. Two Nursing Colleges affiliated with Peoples University of Medical and Health Sciences for Women Nawabshah were selected as a study site and the duration was from 16th February to 28th February 2021. The convenience sampling technique was used to collect data through a structured, 28-item Academic Motivational Scale. Results: The response rate was of the survey was 100% as all the approached participants responded and completed the survey. The results showed that nursing students were extrinsically motivated (x̅=3.78 & SD =1.192) than internally motivated (x̅ =3.41 & SD=1.128). The main reasons for their extrinsic motivation were to seek a good salary job and live a good life. Conclusion: Students were extrinsically motivated therefore the intrinsic motivation needs to be enhanced through improving the image of the profession among students, making them autonomous, self-directed, and listening to them for understanding their life situations.


2021 ◽  
Vol 12 (1) ◽  
pp. 10-15
Author(s):  
Shamim Ahmed ◽  
Md Ismail Khan

This descriptive type of cross-sectional study was conducted to find out the views of undergraduate dental college teachers about the PowerPoint presentations as instructional media used by teachers in dental colleges of Bangladesh. The study period was from January 2018 to December 2018. The study was carried out among the teachers of all 4 phases of BDS course of 2 government and 2 non-government dental colleges of Bangladesh. Out of 4 dental colleges, 2 were within Dhaka and 2 were outside Dhaka. The sample size was 100 for teachers. Convenience sampling technique was adopted for data collection. Self-administered semi-structured questionnaires using five points Likert scale were used for collections of data from teachers. The study revealed that 72% teachers consider Eye appealing appearance for choosing PowerPoint slides and 58% teachers did not use master slide. For selection of font style, 67% teacher agreed they consider readability, 88% agreed they consider visibility from last bench of classroom to select font size but 61% teacher disagree that they consider background for selecting font color. The study recommended, during the preparation of a PowerPoint presentation by teachers some areas like using the master slide, background, the number of words and lines need attention. Bangladesh Journal of Medical Education Vol.12(1) 2021: 10-15


2020 ◽  
Vol 28 (1) ◽  
pp. 26-39
Author(s):  
Abir El-Haouly ◽  
Anais Lacasse ◽  
Hares El-Rami ◽  
Frederic Liandier ◽  
Alice Dragomir

Background: In publicly funded healthcare systems, patients do not pay for medical visits but can experience costs stemming from travel or over-the-counter drugs. We lack information about the extent of this burden in Canadian remote regions. This study aimed to: (1) describe prostate cancer-related out-of-pocket costs and perceived financial burden, and (2) identify factors associated with such a perceived burden among prostate cancer patients living in a remote region of the province of Quebec (Canada). Methods: A cross-sectional study was conducted among 171 prostate cancer patients who consulted at the outpatient clinic of the Centre Hospitalier de Rouyn-Noranda. Results: The majority of patients (83%) had incurred out-of-pocket costs for their cancer care. The mean total cost incurred in the last three months was $517 and 22.3% reported a moderate, considerable or unsustainable burden. Multivariable analysis revealed that having incurred higher cancer-related out-of-pocket costs (OR: 1.001; 95%CI: 1.001–1.002) private drug insurance (vs. public, OR: 5.23; 95%CI: 1.13–24.17) was associated with a greater perceived financial burden. Having better physical health-related quality of life (OR: 0.95; 95%CI: 0.913–0.997), a university education (vs. elementary/high school level, OR: 0.03; 95%CI: 0.00–0.79), and an income between $40,000 and $79,999 (vs. ≤ $39,999, OR: 0.15; 95%CI: 0.03–0.69) were associated with a lower perceived burden. Conclusion: Prostate cancer patients incur out-of-pocket costs even if they were diagnosed many years ago and the perceived burden is significant. Greater attention should be paid to the development of services to help patients manage this burden.


2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Ademola Adelekan ◽  
Philomena Omoregie ◽  
Elizabeth Edoni

Public health officials have advocated the involvement of men as a strategy for addressing the dismal performance of family planning (FP) programmes. This study was therefore designed to explore the challenges and determine way forward to male involvement in FP in Olorunda Local Government Area, Osogbo, Nigeria. This cross-sectional study involved the use of a four-stage sampling technique to select 500 married men and interviewed them using semistructured questionnaire. In addition, four focus group discussions (FGDs) were also conducted. Mean age of respondents was 28.5 ± 10.3 years. Some (37.9%) of the respondents’ spouse had ever used FP and out of which 19.0% were currently using FP. Only 4.8% of the respondents had ever been involved in FP. Identified barriers to male involvement included the perception that FP is woman’s activity and was not their custom to participate in FP programme. More than half of the FGD discussants were of the view that men should provide their wives with transport fare and other resources they may need for FP. The majority of the respondents had never been involved in family planning with their wives. Community sensitization programmes aimed at improving male involvement in FP should be provided by government and nongovernmental agencies.


2021 ◽  
Author(s):  
(MD

Abstract Background: Undiagnosed depression among university students has an adverse effect on the wellbeing and academic performance of students. This study aimed to assess the prevalence of depression and associated factors among Debre Birhan university students. Methodology: Institutional based cross-sectional study design is conducted in Debre Birhan University from April to June 2013 E.C. Three hundred sixty nine students participated in this study which was selected by simple random sampling technique. Data were collected by using a self-administered PHQ-9 standard depression questionnaire. First the data was entered into in Epidata 3.1 and then was exported to SPSS version 20 for analysis. Associated factors were identified using binary logistic regression and variables with a p-value < 0.05 were declared as statistically significant factors with the outcome variables. Result: All of the study subjects were between ages 18 and 33 with a mean age of 22.65 9 ± 2.78. The overall prevalence of depression is 17.1%. Among this according to PHQ-9 scores cut scores, 161(43.6 %) scored as normal (0–4), 145(39.3%) scored as mild (5–9), 53(14.4%) scored as moderate (10–14), 4(1.1%) scored as moderately severe (15–19) and 6(1.6%) students scored as sever (> 20). In multivariate analysis being female AOR = 9.28[3.47–24.81], academic year AOR = 0.236[0.059–0.936], smoking 26.3[9.33–74.1] and alcohol use AOR of 2.62[0.95–7.21] are significantly associated with depression. Conclusion and recommendation: This study found a considerable proportion of undergraduate students with depression. Higher institutions need to pay special attention to students especially those who are female, junior students, smokers and alcohol users.


2017 ◽  
Vol 4 (2) ◽  
pp. 110-114 ◽  
Author(s):  
Nabila Kanwal ◽  
Ghazala Riaz ◽  
Muhammad Shahid Riaz ◽  
Shoumaila Safdar

Absenteeism is a usual pattern of absence from a duty or responsibility. Usually, absenteeism is considered as an indication of person poor performance. In this study a descriptive cross sectional study design was used. A close ended questionnaire was used as a research tool. Convenient sampling technique was used. Data was analyzed on SPSS 20 version. Nurses are absent from their duties because they suffer from minor ailments e.g. headache and backache? In response of this question, 42.5% responded said that they are strongly agreed, 17.5% were agreed, 8.8% were neutral, 21.3% were disagreed, and 10% were strongly agreed. Nurses do absent from their work because workload is too heavy, 42.5% were agreed, 30% were strongly agreed, 12.5% were neutral,7.5% were disagreed and 7.5% were also strongly disagreed. The lack of appropriate recognition and reward could lead to dissatisfaction and absenteeism among nurses, in response of this question nurses asked that they do absent 31.3% agreed, 41.3% strongly agreed, 15.0% are neutral, 12.5%are disagreed and 0% are strongly disagreed. Staff absenteeism is a growing management concern. It can contribute to sickness absence, staffing instability, work overload and job dissatisfaction that could have a negative impact on patient care. The rate of absenteeism can be reduced by productive management, and loyal leadership. It will not only reduce absenteeism rate but also improve quality of care toward the patients. In return of good performance nurses need appraisal.Int. J. Soc. Sc. Manage. Vol. 4, Issue-2: 110-114


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