primary health care settings
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H-INDEX

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2021 ◽  
Author(s):  
Abebe sorsa Badacho ◽  
Ozayr H Mahomed

Abstract ObjectiveThe main review objective of this scoping review is to identify the evidence on the patient outcomes of integrated NCD and HIV services, the type of models used, barriers and facilitators of effective integrated services for early detection and management of hypertension and diabetes in adults PLWH in primary health care settings of Low-income countries. Introduction:Non-communicable diseases (NCDs) raise global public health challenges in all population groups, but the prevalence of hypertension and diabetes is highly rising among people living with HIV (PLWH). This population group requires evidence-based care for early detection and management of hypertension and diabetes. However, there is a lack of evidence regarding the impact of integrated NCD and HIV services on outcomes of PLWH, its feasibility and effectiveness of services provision and the type of models used in strengthened and sustainable services for early detection and management of hypertension and diabetes in primary health care settings. It is necessary to map and models of integrated NCD and HIV services for PLWH and its feasibility and effectiveness as well patient outcomes in a primary health care setting in low-income countries Inclusion criteria: This scoping review will consider studies focusing on the model of integrated Non-communicable and HIV services for adult people living with HIV, including the type of models used, its feasibility, effectiveness and outcome of integrated services in primary health care settings. All published and grey literature will be included in the review. Methods: The search will be carried out using PubMed, MEDLINE with full text via EBSCO host, Google Scholar, Science Direct and Scopus, for a comprehensive search. Using MESH terms, an advanced search will be conducted and also will include grey literature through OpenGrey. This review will be restricted to studies published in English because of the feasibility of translating languages other than English. A three-step search strategy will be used, and the articles identified in the databases will be organised, and the duplicates will be removed. Two independent reviewers will review the titles and abstracts. Full texts will be imported into a bibliographic reference management system. The findings will be presented in tables and descriptive summaries.


2021 ◽  
Author(s):  
Ponlagrit Kumwichar ◽  
Virasakdi Chongsuvivatwong ◽  
Tagoon Prappre

BACKGROUND In Thailand, the healthcare system has struggled to cope with the coronavirus disease 2019 (COVID-19), resulting in directly observed therapy (DOT) for tuberculosis (TB) being de-emphasized. Video observed therapy (VOT) or, more specifically, the Thai VOT “TH VOT” system, was then developed to replace DOT. According to the pilot study, the system needed a notification to improve usability and user compliance. The updated version of the TH VOT system thus enabled LINE notifications. OBJECTIVE This study aimed to reassess the user compliance and usability of the updated TH VOT system. METHODS This study was conducted in Hat Yai and Meuang Songkhla districts in Songkhla Province, Southern Thailand. The system was used by not only TB patients but also TB staff as observers in primary health care settings. Some of the observers used the simulated VOT system instead of the actual system due to the lack of participating patients in their jurisdiction. After 30-day usage, VOT session records were analyzed to determine the compliance of the patients and observers. The User Experience Questionnaire (UEQ) was administered to reassess the usability of the system and compare the ratings of the participants with the general benchmark scores of the UEQ. The results were summarized to reveal the user compliance and usability based on three groups: the patient, actual VOT observer, and simulated VOT observer. RESULTS Of the 19 observers, 10 were used the actual VOT, and the remaining 9 used the simulated VOT; there were also 10 TB patients. The patients, actual VOT observers, and simulated observers had about 80%, 65%, and 50% compliance, respectively, in terms of following the standard operating procedures every day. The scores of all groups on all dimensions were well above the average scores. There was no significant difference in any of the dimensional scores among the three groups. CONCLUSIONS The updated version of the TH VOT was deemed usable by both the patients and the healthcare staff. Compliance to use the system was high among the patients but moderate among the observers.


2021 ◽  
Vol 4 (9) ◽  
pp. e2127573
Author(s):  
Yuan Lu ◽  
Haibo Zhang ◽  
Jiapeng Lu ◽  
Qinglan Ding ◽  
Xinyue Li ◽  
...  

2021 ◽  
Author(s):  
Teresa Reis ◽  
Helena Serra ◽  
Inês Faria ◽  
Miguel Xavier

Abstract Background: This qualitative study explores General Practitioners’ (GPs) perspectives on solutions to address the problem of excessive prescription of benzodiazepines (BZDs). Over-prescription of BZDs at a primary health care settings is a prevalent issue in the region under analysis, but also elsewhere internationally. GPs are the gatekeepers to these medicines in primary care, but for several subjective, organizational and external reasons, they find it difficult to change current prescription patterns. Simultaneously, GPs recognize the issue of BZD excessive prescription practices, and propose possible solutions to invert the trend.Methods: Qualitative data were collected in seven primary health care centers in an interior and mostly rural region of Portugal. We conducted 12 semi-structured interviews with GPs. Interviews were audio-recorded, transcribed verbatim and underwent thematic analysis. The themes were integrated and organized into eight axes for action.Results: Solutions proposed by GPs focused on organizational aspects, such as human resources, infrastructure and training (including on withdrawal schemes), alternative approaches, and wider community-based initiatives to counter societal aspects affecting mental health in the identified region. The themes were integrated and organized into eight axes for action.Conclusions: The findings provide an assessment of the priorities to change excessive BZDs prescription, as suggested by the GPs in primary health care settings, and hence reflecting what they consider to be context specific needs. Both experts and multi-stakeholders bottom-up perspectives should be taken into account when proposing new policies and local strategies to tackle current excessive BZD prescription, especially considering the failure of previous strategies to change this well-known public health issue. We consider that our results to be generalizable to all countries where primary health care plays a central role in care provision.Trial registration: ClinicalTrials.gov number NCT04925596


Author(s):  
Tatiana Longo Borges ◽  
Ligiane Paula da Cruz de Sousa ◽  
Emilene Reisdorfer ◽  
Kelly Graziani Giacchero Vedana ◽  
Sandra Cristina Pillon ◽  
...  

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