scholarly journals The quality of the sickness certificate. A case control study of patients with symptom and disease specific diagnoses in primary health care in Sweden

2019 ◽  
Vol 37 (3) ◽  
pp. 319-326 ◽  
Author(s):  
Karin Starzmann ◽  
Per Hjerpe ◽  
Kristina Bengtsson Boström
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Case Control Study ◽  
Case Control ◽  
Primary Health ◽  
Sickness Certificate ◽  
Control Study ◽  
Disease Specific

Clinical cues for detection of people with undiscovered depression in primary health care: a case–control study

2013 ◽  
Vol 15 (03) ◽  
pp. 324-330 ◽  
Author(s):  
Lena Flyckt ◽  
Ejda Hassler ◽  
Louise Lotfi ◽  
Ingvar Krakau ◽  
Gunnar H. Nilsson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Case Control Study ◽  
Case Control ◽  
Primary Health ◽  
Control Study

scholarly journals Factors associated with enrollment for community-based health insurance scheme in Western Ethiopia: Case-control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252303
Author(s):  
Meseret Belete Fite ◽  
Kedir Teji Roba ◽  
Bedasa Taye Merga ◽  
Belay Negash Tefera ◽  
Gemechu Ayela Beha ◽  
...  
Keyword(s):  
Health Care ◽  
Case Control Study ◽  
Wealth Index ◽  
Case Control ◽  
Perceived Health Status ◽  
Community Based ◽  
Factors Associated ◽  
Perceived Quality Of Care ◽  
Control Study

Introduction Modern health services utilization in developing countries has continued low. Financial shortage to access health-care services might be averted by stirring from out-of-pocket payment for health care at the time of use. The government of Ethiopia; depend greatly on foreign aid (50%) and out-of-pocket payments (34%) to fund health services for its population. This study was aimed to identify factors associated with households’ enrollment to CBHI scheme membership. Methods Case-control study design was conducted from May 18–July 27, 2019 among 332 participants (166 enrolled and 166 non-enrolled to CBHI scheme). Simple random sampling technique was used to select the study participants. Bi-variable and multivariable logistic regression model were fitted to identify factors associated with enrollment to community based health insurance. Adjusted odds ratio (AOR) with 95% CI was used to report association and significance was declared at P<0.05. Result A total of 332 (100% response rate) were involved in the study. Educational status (College and above, AOR = 3.90, 95%CI; 1.19, 12.75), good awareness about CBHI scheme (AOR = 21.595, 95% CI; 7.561, 61.681), affordability of premium payment (AOR = 3.403, 95% CI; 5.638–4.152), wealth index {(Poor, AOR = 2.59, 95%CI; 1.08, 6.20), (Middle, AOR = 4.13, 95%CI; 1.11, 15.32)} perceived health status (AOR = 5.536; 95% CI; 1.403–21.845), perceived quality of care (AOR: 21.014 95%CI; 4.178, 105.686) and treatment choice (AOR = 2.94, 95%CI; 1.47, 5.87) were factors significantly associated with enrollment to CBHI. Conclusion Enrolment to CBHI schemes is influenced by educational level, awareness level, affordability of premium, wealth index, perceived health status, perceived quality of care and treatment choice. Implementation strategies aimed at raising community awareness, setting affordable premium, and providing quality healthcare would help in increasing enrollment of all eligible community groups to the CBHI scheme.

scholarly journals Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Rita Fernholm ◽  
Martin J. Holzmann ◽  
Caroline Wachtler ◽  
Robert Szulkin ◽  
Axel C. Carlsson ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Departments ◽  
Case Control Study ◽  
Related Factors ◽  
Safety Issues ◽  
Primary Health ◽  
Increased Risk ◽  
Preventable Harm ◽  
Control Study

Abstract Background Patient safety issues in primary health care and in emergency departments have not been as thoroughly explored as patient safety issues in the hospital setting. Knowledge is particularly sparse regarding which patients have a higher risk of harm in these settings. The objective was to evaluate which patient-related factors were associated with risk of harm in patients with reports of safety incidents. Methods A case–control study performed in primary health care and emergency departments in Sweden. In total, 4536 patients (cases) and 44,949 controls were included in this study. Cases included patients with reported preventable harm in primary health care and emergency departments from January 1st, 2011 until December 31st, 2016. Results Psychiatric disease, including all psychiatric diagnoses regardless of severity, nearly doubled the risk of being a reported case of preventable harm (odds ratio, 1.96; p < 0.001). Adjusted for income and education there was still an increased risk (odds ratio, 1.69; p < 0.001). The preventable harm in this group was to 46% diagnostic errors of somatic disease. Conclusion Patients with psychiatric illness are at higher risk of preventable harm in primary care and the emergency department. Therefore, this group needs extra attention to prevent harm.

scholarly journals Exploring Advance Care Planning in Taiwanese Indigenous Cancer Survivors: Proposal for a Pilot Case-Control Study (Preprint)

2015 ◽  
Author(s):  
In-Fun Li ◽  
Yvonne Hsiung
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Indigenous Peoples ◽  
Case Control Study ◽  
Case Control ◽  
Advance Care ◽  
Eol Care ◽  
The Impact ◽  
Control Study

BACKGROUND Research on Taiwanese indigenous cancer survivors’ end-of-life (EOL) planning is still in its infancy, despite recent government and societal efforts to promote quality EOL care. Previous national studies in Taiwan have characterized indigenous peoples as a socioeconomically disadvantaged minority group. Compared with their mainstream cohorts, these remote residents are vulnerable to multiple social welfare problems, receiving and accessing little in the way of health care in rural mountain areas. Although advance care planning (ACP) has been shown to help patients achieve better quality of dying, very little is known about indigenous intentions for such interventions. Relevant studies are scarce in Taiwan, and programs for cancer survivors have been based almost entirely on nonindigenous populations. Since there has been no research on Taiwanese indigenous people’s aims for ACP, there is a need to understand the impact of survivorship on ACP readiness among those who are currently living with, through, and beyond cancer. OBJECTIVE We aim to identify differences in ACP intent and readiness among indigenous peoples with and without cancer diagnoses. We will identify the impact of factors such as tribal cultural beliefs and quality of life along with cancer exposure on the outcome of ACP readiness differences. In particular, we will examine the effects of ACP knowledge from previous ACP participation, EOL care experiences, and personal registry status of Do-Not-Resuscitate (DNR) in the national database. A secondary objective is to describe indigenous people’s intent to participate in public education related to EOL planning. METHODS A descriptive case-control study (N=200) is proposed where controls are matched to cases’ attributes of age, gender, and cancer diagnosis. This matching analysis allows assessment of cancer as an exposure while taking into account age and gender as confounding variables. We are currently in the process of training personnel and extracting clinical and administrative information from the health care system of collaborating facilities. This carefully designed study provides a unique opportunity because for the first time in Taiwan, cancer survivorship and ACP readiness for EOL planning will be examined among difficult-to-reach indigenous peoples. RESULTS We plan to complete this study in approximately 3 years. CONCLUSIONS In this study, we expect to survey palliative care usage in the remote indigenous group, understand factors that influence ACP readiness, and later foster culturally appropriate ACP public participation and policies in order to facilitate collaboration between cancer health care providers in various Taiwanese subcultures.

Client characteristics and satisfaction with the quality of primary health-care services in Calabar, Nigeria

2020 ◽  
Vol 3 ◽  
pp. 1-8
Author(s):  
H. C. Okeke ◽  
P. Bassey ◽  
O. A. Oduwole ◽  
A. Adindu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Client Satisfaction ◽  
Demographic Characteristics ◽  
Care Providers ◽  
Client Characteristics ◽  
Study Objective ◽  
Primary Health

Different mix of clients visit primary health care (PHC) facilities, and the quality of services is critical even in rural communities. The study objective was to determine the relationship between socio-demographic characteristics and client satisfaction with the quality of PHC services in Calabar Municipality, Cross River State, Nigeria. Specifically to describe aspects of the health facilities that affect client satisfaction; determine the health-care providers’ attitude that influences client satisfaction; and determine the socio-demographic characteristics that influence client satisfaction with PHC services. A cross-sectional survey was adopted. Ten PHCs and 500 clients utilizing services in PHC centers in Calabar Municipality were randomly selected. Clients overall satisfaction with PHC services was high (80.8%). Divorced clients were less (75.0%) satisfied than the singles and the married counterparts (81%), respectively. Clients that were more literate as well as those with higher income were less satisfied, 68.0% and 50.0%, respectively, compared to the less educated and lower-income clients, 92.0% and 85.0% respectively. These differences in satisfaction were statistically significant (P = 0.001). Hence, it was shown that client characteristics such as income and literacy level show a significant negative relationship with the clients satisfaction with the quality of PHC services in Calabar Municipality.

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