Satisfaction with Quality of Care Received by Patients without National Health Insurance Attending a Primary Care Clinic in a Resource-Poor Environment of a Tertiary Hospital in Eastern Nigeria in the Era of Scaling up the Nigerian Formal Sector Health Insurance Scheme

Background: As the case detection rates of hypertension increase in adult Nigerians, achieving target blood pressure (BP) control has become an important management challenge.Objectives: To describe medication adherence and BP control amongst adult Nigerians with primary hypertension attending a primary care clinic of a tertiary hospital in a resource-poor environment in Eastern Nigeria.Methods: A cross-sectional study was carried out in 140 adult patients with primary hypertension who have been on treatment for at least 6 months at the primary care clinic of Federal Medical Centre, Umuahia. A patient was said to have achieved goal BP control if the BP was < 140 per 90 mmHg. Adherence was assessed in the previous 30 days using a pretested researcher-administered questionnaire on 30 days of self-reported therapy. Adherence was graded using an ordinal scoring system of 0–4; an adherent patient was one who scored 4 points in the previous 30 days. Reasons for non-adherence were documented.Results: Adherence to medication and BP control rates were 42.9% and 35.0% respectively. BP control was significantly associated with medication adherence (p = 0.03), antihypertensive medication duration ≥3 years (p = 0.042), and taking ≥ one form of antihypertensive medication (p = 0.04). BP at the recruitment visit was significantly higher than at the end of the study (p = 0.036). The most common reason for non-adherence was forgetfulness (p = 0.046).Conclusion: The rate of BP control amongst the study population was low, which may be connected with low medication adherence. This study urges consideration of factors relating to adherence alongside other factors driving goal BP control.

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DoloTest in General Practice Study: Sensitivity and Specificity Screening for Depression

International Journal of Family Medicine ◽

10.1155/2012/472505 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8

Author(s):

Kim Kristiansen ◽

Pernille Lyngholm-Kjaerby ◽

Claus Moe

Keyword(s):

Primary Care ◽

Sensitivity And Specificity ◽

Screening Tool ◽

Assessment Tool ◽

Primary Care Clinic ◽

High Sensitivity ◽

Care Clinic ◽

Major Depression Inventory ◽

Hrqol Assessment

Background. Coexistence of pain and depression has significant impact on the patient’s quality of life and treatment outcome. DoloTest is a pain and HRQoL assessment tool developed to provide shared understanding between the clinician and the patient of the condition by a visual profile. Aim. To find the sensitivity and specificity of DoloTest as a screening tool for depression for patients in primary care. Methods. All patients coming to a primary care clinic were asked to fill in a DoloTest and a Major Depression Inventory. Results. 715 (68.5%) of 1044 patients entered the study. 34.4% came due to pain. 16.1% met depression criteria, and 26.8% of patients coming due to pain met criteria for depression. 65.6% of the men and 54.2% of the women meeting the criteria for depression came due to pain. Depressed patients had statistically significant higher scores on all DoloTest domains. Selecting the cutoff value for the domain “low spirits” to be “65” (0–100) for depression gave a sensitivity of 78% (70–85%) and a specificity of 95% (93–96%) for meeting depression criteria. Conclusion. DoloTest can with a high sensitivity and specificity identify persons meeting criteria for depression and is an easy-to-use screening tool to identify patients with the coexistence of pain and depression.

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Evaluating quality of diabetic care in patients with severe mental illness (SMI) in an academic primary care clinic

Endocrine Abstracts ◽

10.1530/endoabs.56.p349 ◽

2018 ◽

Author(s):

Rujuta Katkar ◽

Gregory Gudleski ◽

Smita Bakhai

Keyword(s):

Primary Care ◽

Mental Illness ◽

Severe Mental Illness ◽

Primary Care Clinic ◽

Care Clinic ◽

Academic Primary Care ◽

Diabetic Care

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Metabolic Syndrome in a Sub-population of Geriatric Nigerians in a Primary Care Clinic of a Tertiary Hospital in South-Eastern Nigeria

British Journal of Medicine and Medical Research ◽

10.9734/bjmmr/2016/23672 ◽

2016 ◽

Vol 13 (5) ◽

pp. 1-12

Author(s):

Gabriel Iloh ◽

Agwu Amadi ◽

Chinasa Amadi

Keyword(s):

Primary Care ◽

Metabolic Syndrome ◽

Primary Care Clinic ◽

Tertiary Hospital ◽

Care Clinic ◽

South Eastern

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Quality of life among pregnant women with urinary incontinence: A cross-sectional study in a Malaysian primary care clinic

PLoS ONE ◽

10.1371/journal.pone.0250714 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250714

Author(s):

Aida Jaffar ◽

Sherina Mohd-Sidik ◽

Rosliza Abd Manaf ◽

Chai Nien Foo ◽

Quan Fu Gan ◽

...

Keyword(s):

Quality Of Life ◽

Primary Care ◽

Pregnant Women ◽

Primary Care Clinic ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Care Clinic ◽

International Consultation

Background Pregnant women have an increased risk of urinary incontinence (UI), affecting their quality of life (QoL). This study aims to determine UI and its relationship with QoL among incontinent pregnant women. Methods This was a cross-sectional study in a semi-urban primary care clinic in Selangor, Malaysia, among pregnant women aged 18 years old and above. The validated study instruments consisted of questions on socio-demography, the International Consultation on Incontinence Questionnaire-UI Short Form (ICIQ-UI SF) to determine UI and the International Consultation on Incontinence Questionnaire Lower Urinary Tract Symptoms Quality of Life Module (ICIQ-LUTSQoL) to assess their QoL. A generalised linear model was used to determine the association between the continent and incontinent pregnant women with QoL. Results Of the approached 610 respondents, 440 consented to participate in the study, resulting in a response rate of 72.1%. The mean age was 29.8 years old (SD 4.69) with 82.2% (n = 148) having stress UI. Significant independent factors related to the decreased QoL were mid to late trimester (OR 3.06, 95% CI 1.48–6.32), stress UI, (OR 6.94, 95%CI 4.00–12.04) and urge UI (OR3.87, 95%CI 0.48–31.28). Non-Malay improved QoL (OR 0.29, 95% CI 0.16–0.52). Conclusions All types of UI significantly affecting pregnant women’s QoL. This information is useful in enhancing antenatal management at the primary care level, whereby they should be screened for UI and provided with effective early intervention to improve their QoL.

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