Pub Date : 2022-01-01DOI: 10.33545/comed.2022.v5.i1a.225
Dr. Rasha Mohammed Almutairi, Mostafa Kofi, Dr. Mashael Albarqawi
{"title":"Physician satisfaction and utilization about urgent care management pathways in primary health care","authors":"Dr. Rasha Mohammed Almutairi, Mostafa Kofi, Dr. Mashael Albarqawi","doi":"10.33545/comed.2022.v5.i1a.225","DOIUrl":"https://doi.org/10.33545/comed.2022.v5.i1a.225","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134020343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.33545/comed.2022.v5.i1a.226
D. Hf, D. Es
{"title":"Changing teaching strategies and lecture preparation to improve medical students’ knowledge acquisition and retention","authors":"D. Hf, D. Es","doi":"10.33545/comed.2022.v5.i1a.226","DOIUrl":"https://doi.org/10.33545/comed.2022.v5.i1a.226","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130577923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.33545/comed.2022.v5.i1a.227
D. Hf, Kong Sww, Chee Cc, Tan Jhk, Frances Ps, Panneerchelvam Ll, Semali Idn, Manokar Pl, D. Es
{"title":"Patients’ impact on the hidden curriculum of medical students a qualitative study on undergraduate medical students","authors":"D. Hf, Kong Sww, Chee Cc, Tan Jhk, Frances Ps, Panneerchelvam Ll, Semali Idn, Manokar Pl, D. Es","doi":"10.33545/comed.2022.v5.i1a.227","DOIUrl":"https://doi.org/10.33545/comed.2022.v5.i1a.227","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134066143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.33545/comed.2022.v5.i1a.219
M. Aldakhil, Mamdouh W. Alharbi, Abdulrahman Alomair
Background: Patients’ and physicians’ satisfaction toward the healthcare system could be considered as a good indicator for measuring the quality of the health services itself. The level of satisfaction of general population toward any aspect related to medical practice could be obtained throughout using surveys. One of the factors that increase the need for telemedicine is the occurrence of COVID-19 pandemic however, telemedicine did not be tested before during disaster settings. Therefore, the aim of this study is to assess the satisfaction level of patients and physicians toward using of telemedicine in Al Riyadh region, Saudi Arabia. Methodology: This is cross-sectional study that was conducted among general population and physicians in Al-Riyadh region, Saudi Arabia. The study depended on online self-reported questionnaire which include parts of previous studies. The questionnaire includes three parts: demographic factors of participants, assessment of patients’ satisfaction toward telemedicine and assessment of physician’s satisfaction toward telemedicine. Data analysis will be performed using SPSS version 26. Results: In this study, we were able to collect 408 responses for our questionnaire, where 218 of them were patients (53.5%) and 190 were physicians (46.5%). Among physicians, 75.3% of them were aged between 26-35 years old while 70.5% of patients were in the same age interval. Among physicians, 43.9% of the physicians were satisfied with experience with telemedicine while 22.4% were dissatisfied and 4.9% were very dissatisfied with experience. Moreover, 50.8% of patients were satisfied with their experience with telemedicine and 28.1% were very satisfied. Furthermore, 72.9% of the patients were very satisfied with the fact that telemedicine made healthcare easier in the time of COVID-19 pandemic. Conclusion: We found the patients and physicians in Saudi Arabia had good satisfaction toward using of telemedicine however, some issues were found and those could be used for further development of the telemedicine in Saudi Arabia.
{"title":"Patients and providers satisfaction with telemedicine in Riyadh","authors":"M. Aldakhil, Mamdouh W. Alharbi, Abdulrahman Alomair","doi":"10.33545/comed.2022.v5.i1a.219","DOIUrl":"https://doi.org/10.33545/comed.2022.v5.i1a.219","url":null,"abstract":"Background: Patients’ and physicians’ satisfaction toward the healthcare system could be considered as a good indicator for measuring the quality of the health services itself. The level of satisfaction of general population toward any aspect related to medical practice could be obtained throughout using surveys. One of the factors that increase the need for telemedicine is the occurrence of COVID-19 pandemic however, telemedicine did not be tested before during disaster settings. Therefore, the aim of this study is to assess the satisfaction level of patients and physicians toward using of telemedicine in Al Riyadh region, Saudi Arabia. Methodology: This is cross-sectional study that was conducted among general population and physicians in Al-Riyadh region, Saudi Arabia. The study depended on online self-reported questionnaire which include parts of previous studies. The questionnaire includes three parts: demographic factors of participants, assessment of patients’ satisfaction toward telemedicine and assessment of physician’s satisfaction toward telemedicine. Data analysis will be performed using SPSS version 26. Results: In this study, we were able to collect 408 responses for our questionnaire, where 218 of them were patients (53.5%) and 190 were physicians (46.5%). Among physicians, 75.3% of them were aged between 26-35 years old while 70.5% of patients were in the same age interval. Among physicians, 43.9% of the physicians were satisfied with experience with telemedicine while 22.4% were dissatisfied and 4.9% were very dissatisfied with experience. Moreover, 50.8% of patients were satisfied with their experience with telemedicine and 28.1% were very satisfied. Furthermore, 72.9% of the patients were very satisfied with the fact that telemedicine made healthcare easier in the time of COVID-19 pandemic. Conclusion: We found the patients and physicians in Saudi Arabia had good satisfaction toward using of telemedicine however, some issues were found and those could be used for further development of the telemedicine in Saudi Arabia.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131373798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.33545/comed.2022.v5.i1a.223
Dr. Reem Al Anazi, Dr. Bashayer Mureh, Dr. Hadeel Al Sulimani, Dr. Ghada Al Arfaj, Dr. Kholoud Habeeb, Mustafa Kofi
{"title":"Impact of health education on maternal knowledge regarding choking prevention and first aid in children, Riyadh, Saudi Arabia","authors":"Dr. Reem Al Anazi, Dr. Bashayer Mureh, Dr. Hadeel Al Sulimani, Dr. Ghada Al Arfaj, Dr. Kholoud Habeeb, Mustafa Kofi","doi":"10.33545/comed.2022.v5.i1a.223","DOIUrl":"https://doi.org/10.33545/comed.2022.v5.i1a.223","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116901846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.33545/comed.2022.v5.i1a.221
Abdulaziz Salman A Al Muaythir, Shafi Hussain M Al Qahtani, Mohammed A. Mujalli, J. Qahtani
{"title":"Knowledge and attitude toward travel medicine among primary care physicians in cluster 2 primary care centers in Riyadh, Saudi Arabia","authors":"Abdulaziz Salman A Al Muaythir, Shafi Hussain M Al Qahtani, Mohammed A. Mujalli, J. Qahtani","doi":"10.33545/comed.2022.v5.i1a.221","DOIUrl":"https://doi.org/10.33545/comed.2022.v5.i1a.221","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132944705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.33545/comed.2022.v5.i1a.222
A. Bener, Abdulrahman Naser, C. Barışık, M. Atmaca, Z. Nurkalem
{"title":"The impact of COVID-19 on coronary heart failure patients and co-morbid diseases","authors":"A. Bener, Abdulrahman Naser, C. Barışık, M. Atmaca, Z. Nurkalem","doi":"10.33545/comed.2022.v5.i1a.222","DOIUrl":"https://doi.org/10.33545/comed.2022.v5.i1a.222","url":null,"abstract":"","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129880013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.215
D. Hf, Lam Jeh, Chee Jcc, Tan Jhk, Ching Yq, Chew Zy, D. Es
Aim: Supporting Domestic violence and sexual abuse (DVSA) victims at education paradigm. Objective: To find practical methods of disclosing, identifying, and supporting DVSA victims in the education paradigm. Methodology: A phenomenological descriptive literature review study explores what is known from different authors about identification, influence, disclosure tools and support of DVSA victims to clarify the phenomenon, approaches of disclosure tools and victims’ support at education paradigm. Conclusion: Improving factual knowledge and awareness among students and teachers. National policies are mandating the teaching of violence prevention in the national curricula, allocation of budgets, and resources. The need for more comprehensive studies on this subject, educating educators about this paradigm, structuring effective practical disclosure aids, and raising funds and professionals for highly flexible individualised methods of victim’s support. Recommendations Tools chosen should consider the target population, screeners’ skills and experience, and the evaluation’s objective and context. Educators and healthcare providers must ensure that adequate referral and follow-up are provided to those identified through screening to ensure the efficacy of DVSA interventions. Teacher’s lack of confidence, conviction, and expertise could jeopardise the intended message; educator’s training is recommended. To establish DVSA forum at educational institutes, starting with the “digital generation” at tertiary education or secondary and lower educational levels. Students can write, discuss, share, and disclose at this forum anonymously. The details are accessed by a specialised individual who can implement policies and communicate with students who disclosed the information or are suspected of DVSA.
{"title":"Identification, disclosure and education support of domestic violence and sexual abuse (DVSA) victims","authors":"D. Hf, Lam Jeh, Chee Jcc, Tan Jhk, Ching Yq, Chew Zy, D. Es","doi":"10.33545/comed.2021.v4.i4a.215","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.215","url":null,"abstract":"Aim: Supporting Domestic violence and sexual abuse (DVSA) victims at education paradigm. Objective: To find practical methods of disclosing, identifying, and supporting DVSA victims in the education paradigm. Methodology: A phenomenological descriptive literature review study explores what is known from different authors about identification, influence, disclosure tools and support of DVSA victims to clarify the phenomenon, approaches of disclosure tools and victims’ support at education paradigm. Conclusion: Improving factual knowledge and awareness among students and teachers. National policies are mandating the teaching of violence prevention in the national curricula, allocation of budgets, and resources. The need for more comprehensive studies on this subject, educating educators about this paradigm, structuring effective practical disclosure aids, and raising funds and professionals for highly flexible individualised methods of victim’s support. Recommendations Tools chosen should consider the target population, screeners’ skills and experience, and the evaluation’s objective and context. Educators and healthcare providers must ensure that adequate referral and follow-up are provided to those identified through screening to ensure the efficacy of DVSA interventions. Teacher’s lack of confidence, conviction, and expertise could jeopardise the intended message; educator’s training is recommended. To establish DVSA forum at educational institutes, starting with the “digital generation” at tertiary education or secondary and lower educational levels. Students can write, discuss, share, and disclose at this forum anonymously. The details are accessed by a specialised individual who can implement policies and communicate with students who disclosed the information or are suspected of DVSA.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128731983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.213
Dr. Alex Momanyi Oyagi, Dr. Olivia Chesikaw Kaptuya, Dr. Gloria Kouko Kayo, Dr. Philip Blasto Ooko
Aim: To assess the pattern and quality of patient referral at a regional faith-based hospital in Western Kenya. Methods: A prospective non-randomized study of patients referred into and out of Litein hospital from 1st June through 31 st December 2016. Results: A total of 4,683 patients were admitted during the study period, with 147 `received referral' cases and 106 `sent referral' cases noted, with a referral rate of 3.1%. The majority of the received referrals were formal in nature (76%), initiated by doctors or clinical officers (74%), and had patient/relative input regarding the hospital to refer to (70%). The referral notes were mostly structured (90%) and legible (83%). Advice from the health care professional in the referring facility (36%, n=53), perceived good quality of care (21%, n=31), and presence of a valid insurance cover (8%, n=12) were the main reasons indicated by the patients for choosing our facility. The “sent referrals” were mainly due to need for specialized care (89%) or for proximity to family members/home (6%, n=6). Only 9% of the patients/relatives indicated that there was a significant delay in the initiation and execution of their referral from AIC Litein hospital. The referrals were initiated, predominantly, from the surgical departments (62%, n=66). Conclusion: The referrals to Litein Hospital, while comprising a minority of the patients admitted, were predominantly formal in nature, mostly initiated by medical personnel with the family members involved in decision making regarding the facility to be referred to.
{"title":"Referral patterns at a regional faith-based hospital in Western Kenya","authors":"Dr. Alex Momanyi Oyagi, Dr. Olivia Chesikaw Kaptuya, Dr. Gloria Kouko Kayo, Dr. Philip Blasto Ooko","doi":"10.33545/comed.2021.v4.i4a.213","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.213","url":null,"abstract":"Aim: To assess the pattern and quality of patient referral at a regional faith-based hospital in Western Kenya. Methods: A prospective non-randomized study of patients referred into and out of Litein hospital from 1st June through 31 st December 2016. Results: A total of 4,683 patients were admitted during the study period, with 147 `received referral' cases and 106 `sent referral' cases noted, with a referral rate of 3.1%. The majority of the received referrals were formal in nature (76%), initiated by doctors or clinical officers (74%), and had patient/relative input regarding the hospital to refer to (70%). The referral notes were mostly structured (90%) and legible (83%). Advice from the health care professional in the referring facility (36%, n=53), perceived good quality of care (21%, n=31), and presence of a valid insurance cover (8%, n=12) were the main reasons indicated by the patients for choosing our facility. The “sent referrals” were mainly due to need for specialized care (89%) or for proximity to family members/home (6%, n=6). Only 9% of the patients/relatives indicated that there was a significant delay in the initiation and execution of their referral from AIC Litein hospital. The referrals were initiated, predominantly, from the surgical departments (62%, n=66). Conclusion: The referrals to Litein Hospital, while comprising a minority of the patients admitted, were predominantly formal in nature, mostly initiated by medical personnel with the family members involved in decision making regarding the facility to be referred to.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132517856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-01DOI: 10.33545/comed.2021.v4.i4a.212
O. G, West Boma, Aitafo Enekole J
Background: Immunization which has been proven to be the most cost-effective intervention in promoting child health and as such one of the success stories in public health. They are safe and effective globally, but are usually not without adverse events occasionally. Methods: A cross-sectional descriptive study was carried out over one-year, among children aged 6weeks to 18months attending the Paediatric outpatient clinic in Rivers State University Teaching Hospital (RSUTH). A sample size of 370 children who met the inclusion criteria were recruited. Results: Of 370 mother-baby pair, 231(62.4%) mothers were aged 30-39years and attained tertiary education 250(67.6%). Most babies were aged 0-5months (58.1%) with M:F ratio of 1.06:1. Most of the mothers 158(78.6%) were told of possible Adverse events following immunization (AEFI) by the health workers prior to vaccination. AEFI was reported in 201(54.3%) children, majority were generalized reactions 170(84.6%) and none had rare adverse events. Most occurred at the 2 nd immunization visit 158(78.6%), 1-11hours following vaccination (74.6%). The commonest AEFI were fever 169(84.1%) and swelling at the injection site 92(45.8%). Only 6(3.0%) mothers reported the AEFI incidence and 4(2.0%) were admitted in the hospital for fever following vaccination. No child with AEFI had their immunization schedule disrupted. Conclusion: There was a high incidence of AEFI in children attending the Paediatric outpatient clinic, with poor level of reporting of such incidence. Education of the public about AEFI, in addition to strengthening the country’s vaccination surveillance system, will improve its detection, reporting and monitoring, which are critical in managing vaccine reactions.
{"title":"Prevalence and pattern of adverse events following immunization in children attending a tertiary paediatric clinic in rivers state, Nigeria","authors":"O. G, West Boma, Aitafo Enekole J","doi":"10.33545/comed.2021.v4.i4a.212","DOIUrl":"https://doi.org/10.33545/comed.2021.v4.i4a.212","url":null,"abstract":"Background: Immunization which has been proven to be the most cost-effective intervention in promoting child health and as such one of the success stories in public health. They are safe and effective globally, but are usually not without adverse events occasionally. Methods: A cross-sectional descriptive study was carried out over one-year, among children aged 6weeks to 18months attending the Paediatric outpatient clinic in Rivers State University Teaching Hospital (RSUTH). A sample size of 370 children who met the inclusion criteria were recruited. Results: Of 370 mother-baby pair, 231(62.4%) mothers were aged 30-39years and attained tertiary education 250(67.6%). Most babies were aged 0-5months (58.1%) with M:F ratio of 1.06:1. Most of the mothers 158(78.6%) were told of possible Adverse events following immunization (AEFI) by the health workers prior to vaccination. AEFI was reported in 201(54.3%) children, majority were generalized reactions 170(84.6%) and none had rare adverse events. Most occurred at the 2 nd immunization visit 158(78.6%), 1-11hours following vaccination (74.6%). The commonest AEFI were fever 169(84.1%) and swelling at the injection site 92(45.8%). Only 6(3.0%) mothers reported the AEFI incidence and 4(2.0%) were admitted in the hospital for fever following vaccination. No child with AEFI had their immunization schedule disrupted. Conclusion: There was a high incidence of AEFI in children attending the Paediatric outpatient clinic, with poor level of reporting of such incidence. Education of the public about AEFI, in addition to strengthening the country’s vaccination surveillance system, will improve its detection, reporting and monitoring, which are critical in managing vaccine reactions.","PeriodicalId":401938,"journal":{"name":"International Journal of Advanced Community Medicine","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127352669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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