scholarly journals Comparison of patients’ satisfaction with eye care and family medicine services at a primary health centre in Ogun State, Nigeria

2021 ◽  
Vol 8 (12) ◽  
pp. 5687
Author(s):  
Anthony O. Betiku ◽  
Akinsola B. Folashade ◽  
Olufisayo T. Aribaba ◽  
Omodele O. Jagun ◽  
Omobola O. Oduyoye
Keyword(s):  
Patient Satisfaction ◽  
Family Medicine ◽  
Health Centre ◽  
Primary Health Centre ◽  
Eye Care ◽  
Medicine Clinic ◽  
Ogun State ◽  
Primary Health ◽  
The Family ◽  
Eye Clinic

Background: Patient satisfaction need to be assessed to enable the health care provider assess the quality of care from the patients’ perspective. This study aimed to assess and compare the level of patient satisfaction with the two main health services (primary eye care and family medicine services) at primary health centre (PHC), Pakoto, Ifo local government area of Ogun State, Nigeria.Methods:  This study was a descriptive cross-sectional study. A total of 280 adult patients attending the eye clinic and family medicine clinic at the PHC, Pakoto were recruited. A structured, interviewer-administered questionnaire-the patient satisfaction questionnaire (PSQ-III) was used. Data analysis was done using Epi Info 7.0.9.7 version.Results: The average overall mean score was higher in the eye clinic (3.7±0.4) than the family medicine clinic (3.5±0.3) and mean difference was statistically significant (p=0.004, t=-2.876). Most listed areas of dissatisfaction by respondents in the eye clinic were waiting period (17.2%) and number and visiting days of doctors (19%). However, at the family medicine clinic the most listed areas of dissatisfaction were all aspects of medical care (17.7%), electricity (17.7%) and toilet facilities (14.7%). There was significant association between income and general satisfaction (p=0.001)Conclusions: Most patients were generally satisfied with medical care at both clinics studied at the PHC, Pakoto. However, areas of dissatisfaction included waiting period, number of doctors and visiting days and provision of basic amenities. The study recommends that doctors should be encouraged to reside at the PHC, Pakoto and there should be provision of good basic amenities. 

scholarly journals An Objective Way to Evaluate Continuity of Care in Residency

2015 ◽  
Vol 2 (1) ◽  
Author(s):  
Brendan Chad Kushneriuk ◽  
Jason Hosain
Keyword(s):  
Family Medicine ◽  
Outcome Measures ◽  
Continuity Of Care ◽  
Individual Variation ◽  
Health Centre ◽  
Primary Health Centre ◽  
Primary Health ◽  
Block Time ◽  
Second Year ◽  
Family Medicine Residents

Objective: To develop a tool to assess Canadian family medicine residents in regards to continuity of care (COC).Design: Analysis of the first 100 patient visits of family medicine residents during their four-month block time in the second year of residency. Data was collected between the years of 2009 and 2012 and used to construct standardized curves for COC.Setting: West Winds Primary Health Centre in Saskatoon, Saskatchewan.Participants: 36 second-year family medicine residents training at West Winds Primary Health Centre in Saskatoon, Saskatchewan.Main outcome measures: The number of unique patients that a family medicine second-year resident encounters within the first 100 patient visits of family medicine block time.Results: Family medicine residents demonstrate individual variation in the number of unique patients they encounter within one hundred patientvisits.Conclusion: It is possible to develop a tool that can assess second-year family medicine residents in their ability to practise COC. This tool can be used to identify residents in difficulty, such that appropriate interventions can be made early on in their family medicine block time. Further research, involving residents from across Canada, is needed before this tool can be employed in a widespread manner.

RETROSPECTIVE ANALYSIS OF THE MEDICAL DOCUMENTATION OF PATIENTS WHO APPLIED TO THE AMBULATORY OF GENERAL PRACTICE - FAMILY MEDICINE

2019 ◽  
Vol 72 (5) ◽  
pp. 938-941
Author(s):  
Оlexander Ye. Kononov ◽  
Liliana V. Klymenko ◽  
Ganna V. Batsiura ◽  
Larysa F. Matiukha ◽  
Olha V. Protsiuk ◽  
...  
Keyword(s):  
Family Medicine ◽  
Middle Ages ◽  
Risk Groups ◽  
Medical Documentation ◽  
Aged Patients ◽  
Family Doctors ◽  
Functional Changes ◽  
Medicine Clinic ◽  
Leading Role ◽  
The Family

Introduction: In today’s realities of health care reform in Ukraine family doctors play a leading role. The aim of our work was to analyze the medical cards of patients who applied for medical care to the family medicine clinic. Materials and methods: It was analyzed outpatient medical cards of 87 patients who applied to the family medicine clinic in the Khotov village, Kyiv region. The study included people aged 18 to 60 years, which corresponded to the groups of young and middle ages according to the WHO classification. Review: Our findings indicate the prevalence of functional changes among young people: somatoform dysfunction of the autonomic nervous system - 9 (37,5%) and the development of organic manifestations at middle-aged patients: arterial hypertension - 32 (62,7%) and coronary artery disease - 17 (33,3%). Conclusions: This study is important for determining the risk groups, early diagnosis and prevention of diseases.

scholarly journals Effect of diabetes self-management education on glycaemic control among type 2 diabetic patients at a family medicine clinic in Kenya: A randomised controlled trial

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Catherine W. Gathu ◽  
Jacob Shabani ◽  
Nancy Kunyiha ◽  
Riaz Ratansi
Keyword(s):  
Family Medicine ◽  
Usual Care ◽  
Primary Outcome ◽  
Self Management ◽  
Diabetic Patients ◽  
Educational Approach ◽  
Medicine Clinic ◽  
The Family

Background: Diabetes self-management education (DSME) is a key component of diabetes care aimed at delaying complications. Unlike usual care, DSME is a more structured educational approach provided by trained, certified diabetes educators (CDE). In Kenya, many diabetic patients are yet to receive this integral component of care. At the family medicine clinic of the Aga Khan University Hospital (AKUH), Nairobi, the case is no different; most patients lack education by CDE.Aim: This study sought to assess effects of DSME in comparison to usual diabetes care by family physicians.Setting: Family Medicine Clinic, AKUH, Nairobi.Methods: Non-blinded randomised clinical trial among sub-optimally controlled (glycated haemoglobin (HbA1c) ≥ 8%) type 2 diabetes patients. The intervention was DSME by CDE plus usual care versus usual care from family physicians. Primary outcome was mean difference in HbA1c after six months of follow-up. Secondary outcomes included blood pressure and body mass index.Results: A total of 220 diabetes patients were screened out of which 140 met the eligibility criteria and were randomised. Around 96 patients (69%) completed the study; 55 (79%) in the DSME group and 41 (59%) in the usual care group. The baseline mean age and HbA1c of all patients were 48.8 (standard deviation [SD]: 9.8) years and 9.9% (SD: 1.76%), respectively. After a 6-month follow-up, no significant difference was noted in the primary outcome (HbA1c) between the two groups, with a mean difference of 0.37 (95% confidence interval: -0.45 to 1.19; p = 0.37). DSME also made no remarkable change in any of the secondary outcome measures.Conclusion: From this study, short-term biomedical benefits of a structured educational approach seemed to be limited. This suggested that offering a short, intensified education programme might have limited additional benefit above and beyond the family physicians’ comprehensive approach in managing chronic conditions like diabetes.

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