Integrated Primary Healthcare Delivery of Hypertension and Diabetes Services: A Task Analysis of Nurses and Doctors in Rural Philippines.

Q4 Medicine Acta Medica Philippina Pub Date : 2024-12-18 eCollection Date: 2024-01-01 DOI:10.47895/amp.vi0.9070
Reiner Lorenzo J Tamayo, Angela James L Chua, Catherin Cimatu-Toyeng, Tj Robinson T Moncatar
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Abstract

Objectives: This study aimed to describe the roles and responsibilities of doctors and nurses in managing conditions like hypertension and diabetes in rural areas.

Methods: This study employed a cross-sectional study design using the task analysis methodology. A self-administered questionnaire derived from a national health practice guideline was used. A combination of frequency, criticality, and performance was assessed to identify tasks that needed attention by educators and policymakers.

Results: Of the 142 health workers who participated in the study, 81% were nurses and 19% were doctors. The tasks most frequently performed by these professionals were taking vital signs (88.7%), recording patient history (87.3%), and advising patients on regular follow-ups (86.6%). In terms of criticality, the top three tasks were performing diagnostic tests for acute chest pain (50.8%), diagnosing neurological disorders (49.2%), and referring patients for specialized tests at other facilities (43.6%). However, the tasks perceived as most challenging or outside their capability were the Fagerstorm test for assessing nicotine dependence (57.5%), the AUDIT tool for identifying binge drinkers (55.5%), and fundoscopy for diagnosing diabetic retinopathy (54%).

Conclusion: The primary care practice of the participants typically involved tasks that are centered on health promotion or disease prevention. Many of the tasks are shared by doctors and nurses, with some highly critical tasks performed less frequently due to a lack of training. Pre-service courses may need to be revised to ensure that health professionals have the required skills to carry out shared tasks.

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综合初级保健提供高血压和糖尿病服务:菲律宾农村护士和医生的任务分析。
目的:本研究旨在描述医生和护士在管理农村地区高血压和糖尿病等疾病中的角色和责任。方法:本研究采用任务分析方法的横断面研究设计。采用了一份来自国家卫生实践指南的自我管理问卷。评估了频率、临界性和性能的组合,以确定需要教育工作者和政策制定者关注的任务。结果:参与研究的142名卫生工作者中,81%为护士,19%为医生。这些专业人员最常执行的任务是测量生命体征(88.7%)、记录病史(87.3%)和建议患者定期随访(86.6%)。就严重程度而言,排名前三的任务是对急性胸痛进行诊断测试(50.8%),诊断神经系统疾病(49.2%),以及将患者转介到其他机构进行专门测试(43.6%)。然而,被认为最具挑战性或超出他们能力范围的任务是评估尼古丁依赖的Fagerstorm测试(57.5%),识别酗酒者的AUDIT工具(55.5%)和诊断糖尿病视网膜病变的眼底镜检查(54%)。结论:参与者的初级保健实践通常涉及以健康促进或疾病预防为中心的任务。许多任务由医生和护士共同完成,由于缺乏培训,一些非常关键的任务执行频率较低。可能需要修订职前课程,以确保卫生专业人员具备执行共同任务所需的技能。
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来源期刊
Acta Medica Philippina
Acta Medica Philippina Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
199
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