Assessing Capacity to Manage Non-Communicable Diseases at the Primary Care Level: Findings from a Cross-Sectional Survey of Health Centres in Cambodia

2021 ◽  
Author(s):  
Nirmali Sivapragasam ◽  
Pheak Chhoun ◽  
Hero Kol ◽  
Lun Chhun ◽  
Siyan Yi ◽  
...  
Keyword(s):  
Primary Care ◽  
Communicable Diseases ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Level ◽  
Primary Care Level ◽  
Non Communicable Diseases ◽  
Health Centres

scholarly journals Patients’ perceptions of continuity of care across primary care level and emergency departments in Belgium: cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033188
Author(s):  
Marlene Karam ◽  
Anne-Sophie Lambert ◽  
Jean Macq
Keyword(s):  
Primary Care ◽  
Continuity Of Care ◽  
Emergency Departments ◽  
Structural Factors ◽  
Fee For Service ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Level ◽  
Primary Care Level ◽  
Individual Level

ObjectivesTo assess patients’ perceptions of continuity of care (COC) across primary care level and emergency departments (EDs) and to identify contextual and individual factors that influence this perception.DesignCross-sectional multicentre survey.SettingFive EDs in Brussels and Wallonia.Participants501 adult patients referred to the ED by their primary care physician (PCP). Patients with cognitive impairment or in critical condition were excluded.ResultsPatients perceived high levels of the three types of COC. On an individual level, older patients showed a perception of higher levels of continuity. Lower levels of informational and management continuity were observed among patients suffering from chronic diseases and patients with a high level of education. Patients also perceived a redundancy of medical exams, in parallel to a high degree of accessibility between care levels. On an organisational level, three structural factors were identified as barriers to COC, namely, ED workload, suboptimal sharing information system and the current fee-for-service payment system that encourages competition and hinders coordination between actors.ConclusionBelgian healthcare services seem satisfying for patients and easily accessible. However, efforts need to be directed towards improving their efficiency. A stronger primary care level is also needed to benefit the healthcare system by reducing overuse of emergency services. On the individual level, a more enhanced patient-centred approach could be beneficial in improving patients experience of care.

Raising burden of non-communicable diseases: importance of integrating Yoga and Naturopathy at primary care level

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Hyndavi Salwa ◽  
Pradeep M.K. Nair
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Care Delivery ◽  
Total Mortality ◽  
Holistic Approach ◽  
Communicable Diseases ◽  
Care Level ◽  
Primary Care Level ◽  
Non Communicable Diseases ◽  
The People

AbstractPrimary health care is a vital component in health care delivery. Non-communicable diseases (NCD’s) are rising like a major threat to human survival, which is expected to account for 75% of the total mortality by 2030. Lifestyle and behavioural changes are reckoned as the way ahead. Yoga and Naturopathy, a drugless system of medicine has intersecting paradigms which addresses all planes of health effectively. Yoga and Naturopathy through its holistic approach educate and make the people responsible for their own health. It has shown its efficacy in alleviating and preventing various NCD’s. A systematic approach should be initiated, which can channelize the integration of Yoga and Naturopathy at the primary care level considering its cost-effectiveness and efficacy over NCD’s.

scholarly journals A Delphi study for exploring nutritional policy priorities to reduce prevalence of non-communicable diseases in Islamic Republic of Iran

2019 ◽  
Vol 9 (3) ◽  
pp. 241-247 ◽  
Author(s):  
Hassan Eini Zinab ◽  
Naser Kalantari ◽  
Alireza Ostadrahimi ◽  
Jafar Sadegh Tabrizi ◽  
Samira Pourmoradian
Keyword(s):  
Delphi Study ◽  
Community Education ◽  
Policy Option ◽  
Communicable Diseases ◽  
Food Labeling ◽  
Policy Options ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Priority Policy

Background: Identifying and prioritizing the most appropriate policies for enhancing nutritional habits are vital for the prevention and control of non-communicable diseases (NCDs). This study was conducted to prioritize the nutritional policies in Iran. Methods: A cross-sectional survey applying the two-round Delphi technique was used to prioritize policy options in preventing the burden of NCDs. In the first round, the experts in health and nutrition policy were asked to prioritize 21 policy options on a 5-point Likert scale. After analyzing the first-round questionnaire, the highest mean and lowest dispersion index were calculated as an indicator of high-priority options. In the second round, the policy options suggested by the participants were added to the second-round questionnaire. Finally, the questionnaires were sent to all the participants in case they desired to change their opinions. Results: The expert achieved consensus on “principles of healthy eating” courses in the curriculum of students as a high-priority policy option. In this regard, “promoting community education and customizing healthy food choice” was the next high priority policy option. On the other hand, the lowest policy priority option was “sending free/low-price healthy drinks at home”. The three high priority policy categories were reformulating the content of food, enhancing the consumers’ knowledge, and food labeling, respectively. Conclusion: Our findings showed that reformulation, food promotion, and food labeling had the highest priorities for preventing NCDs in Iran. Although food provision policies were costeffective in developing countries such as Iran, it is essential to provide sub-structures for the reformulation of food products.

scholarly journals Association between socioeconomic status and prevalence of non-communicable diseases risk factors and comorbidities in Bangladesh: findings from a nationwide cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025538 ◽  
Author(s):  
Tuhin Biswas ◽  
Nick Townsend ◽  
Md Saimul Islam ◽  
Md Rajibul Islam ◽  
Rajat Das Gupta ◽  
...  
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Outcome Measures ◽  
Adult Population ◽  
Multivariable Analysis ◽  
Communicable Diseases ◽  
Secondary Outcome ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Communicable Diseases

ObjectivesThis study aimed to examine the prevalence and distribution in the comorbidity of non-communicable diseases (NCDs) among the adult population in Bangladesh by measures of socioeconomic status (SES).DesignThis was a cross-sectional study.SettingThis study used Bangladesh Demographic and Health Survey 2011 data.ParticipantsTotal 8763 individuals aged ≥35 years were included.Primary and secondary outcome measuresThe primary outcome measures were diabetes mellitus (DM), hypertension (HTN) and overweight/obesity. The study further assesses factors (in particular SES) associated with these comorbidities (DM, HTN and overweight/obesity).ResultsOf 8763 adults,12% had DM, 27% HTN and 22% were overweight/obese (body mass index ≥23 kg/m2). Just over 1% of the sample had all three conditions, 3% had both DM and HTN, 3% DM and overweight/obesity and 7% HTN and overweight/obesity. DM, HTN and overweight/obesity were more prevalent those who had higher education, were non-manual workers, were in the richer to richest SES and lived in urban settings. Individuals in higher SES groups were also more likely to suffer from comorbidities. In the multivariable analysis, it was found that individual belonging to the richest wealth quintile had the highest odds of having HTN (adjusted OR (AOR) 1.49, 95% CI 1.29 to 1.72), DM (AOR 1.63, 95% CI 1.25 to 2.14) and overweight/obesity (AOR 4.3, 95% CI 3.32 to 5.57).ConclusionsIn contrast to more affluent countries, individuals with NCDs risk factors and comorbidities are more common in higher SES individuals. Public health approaches must consider this social patterning in tackling NCDs in the country.

scholarly journals Prison primary care and non-communicable diseases: a data-linkage survey of prevalence and associated risk factors

BJGP Open ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. bjgpopen19X101643 ◽  
Author(s):  
Nat MJ Wright ◽  
Philippa Hearty ◽  
Victoria Allgar
Keyword(s):  
Risk Factors ◽  
Physical Health ◽  
Respiratory Disease ◽  
Prison Population ◽  
Communicable Diseases ◽  
Self Report ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Non Communicable Diseases ◽  
Clinical Records

BackgroundThe size and mean age of the prison population has increased rapidly in recent years. Prisoners are a vulnerable group who, compared with the general population, experience poorer health outcomes. However, there is a dearth of research quantifying the prevalence of non-communicable diseases (NCDs) among prisoner populations.AimTo explore both the prevalence of NCDs and their risk factors.Design & settingA cross-sectional survey was undertaken that was compared with clinical records in two male prisons in the north of England.MethodSelf-report surveys were completed by 199 prisoners to assess sociodemographic characteristics, general health, NCD prevalence, and risk factor prevalence. Data were checked against that retrieved from prison clinical records.ResultsIt was found that 46% reported at least one NCD and 26% reported at least one physical health NCD. The most common self-reported NCD was 'anxiety and depression' (34%), followed by 'respiratory disease' (17%), and 'hypertension' (10%). Having a physical health NCD was independently associated with increasing age or drug dependence.The level of agreement between clinical records and self-report ranged from 'fair' for alcohol dependence (kappa 0.38; P<0.001) to 'very good' for diabetes (kappa 0.86; P<0.001).ConclusionCompared with mainstream populations and despite high prevalence of risk factors for NCDs physical illness NCDs, with the exception of respiratory disease, are less common. However, poor mental health is more common. These differences are possibly owing to the younger average age of prison populations, since prevalence of risk factors was reported as high.Secondary data analysis of clinical records is a more methodologically robust way of monitoring trends in prisoner population disease prevalence.

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