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Effectiveness of sugar sweetened beverages tax on health and healthcare costs: A systematic review 含糖饮料税对健康和医疗成本的影响:一项系统综述
Pub Date : 2023-09-03 DOI: 10.17576/ijphr.1302.2023.02.08
Diana Safraa Selimin, Nazarudin Safian, Mohd Rohaizat Hassan, Mohd Rizal Abdul Manaf, Qistina Mohd Ghazali
Background: Taxing sugar-sweetened beverages (SSB) is one of many other best strategies to reduce consumption of SSB among populations. It is known that SSB consumption is the main contributor which cause obesity and further lead to non-communicable diseases. This study aimed to gather the evidence on the effectiveness of sugar-sweetened beverages tax implementation, in terms of health outcome and healthcare cost benefit. Methodology: A systematic review was done related to literature that reported about effectiveness of sugar-sweetened beverages tax implementation, in terms of health outcome and healthcare cost benefit. Four databases were used to identify the literature, namely PubMed, Cochrane, Scopus and Ovid and Medline. PRISMA flow checklist was used as a guide to search for the eligible articles. Results: In total, there were sixteen eligible articles included in this systematic review. All studies are simulation studies. Results shows that both excise and ad valorem tax are effective to reduce healthcare costs and could avert diseases related to high sugar intake. Other than that, it is proven that implementing tax will gain favorable health outcome rather than do nothing. Better results seen when the tax is increased. Conclusion: As a conclusion, SSB tax is proven as an effective public health intervention in terms of giving benefit to the health outcome and healthcare cost. Keywords: sugar-sweetened beverages tax, effectiveness, health, healthcare costs
背景:对含糖饮料(SSB)征税是减少人群中SSB消费的许多其他最佳策略之一。众所周知,SSB消费是导致肥胖并进一步导致非传染性疾病的主要因素。本研究旨在从健康结果和医疗成本效益方面收集有关含糖饮料税实施有效性的证据。方法:从健康结果和医疗成本效益的角度,对报告含糖饮料税实施有效性的文献进行了系统回顾。使用PubMed、Cochrane、Scopus、Ovid和Medline四个数据库对文献进行鉴定。使用PRISMA流程清单作为搜索符合条件的物品的指南。结果:本系统综述共纳入16篇符合条件的文章。所有的研究都是模拟研究。结果表明,消费税和从价税都能有效降低医疗成本,避免与高糖摄入相关的疾病。除此之外,事实证明,实施税收将获得有利的健康结果,而不是无所作为。当税收增加时,效果会更好。结论:综上所述,SSB税是一种有效的公共卫生干预措施,对健康结果和医疗成本都有好处。关键词:含糖饮料税;有效性;健康
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引用次数: 0
Is Occupational Arsenic Exposure a Possible Causative Agent of Breast Cancer for a Young Female Laboratory Technician? A Case-Study 职业性砷暴露是年轻女性实验室技术员患乳腺癌的可能诱因吗?一个案例研究
Pub Date : 2023-09-03 DOI: 10.17576/ijphr.1302.2023.02.04
Pei Pei Heng, Hanizah Mohd Yusoff
A 28-year-old female laboratory technologist who was exposed to highly concentrated inorganic arsenic for 7 years, 25 hours a week, presented with left breast cancer. When most epidemiologic evidence reported by the IARC supported the relationship between arsenic exposure and cancers of lung, skin and bladder; literature had documented increased risk of breast cancer in specific populational subgroups due to the estrogen-like activity of arsenic. The causal assessment of occupational cancer is challenging due to the lack of relevant data on the worker’s biological monitoring and environmental exposure monitoring data, together with the insufficient genetic composition information like BRCA1 gene. Moreover, the poor work practice and hygiene had made the exposure through dermal contact and digestion possible. The interpretation of work causal relationship while distinct occupational cancer from those of non-occupational must consider individual susceptibility as low-level short-period exposure might increase the risk for certain worker. Therefore, a systematically collected medical surveillance data along with industry hygiene data is highly recommended in order to assist in the refinement of human dose-response relationship of specific work carcinogen
一名28岁的女性实验室技术人员暴露于高浓度无机砷长达7年,每周25小时,患有左乳腺癌。当国际癌症研究机构报告的大多数流行病学证据支持砷暴露与肺癌、皮肤癌和膀胱癌之间的关系时;文献记载,由于砷的雌激素样活性,在特定人群亚群中乳腺癌的风险增加。由于缺乏相关的工作人员生物监测和环境暴露监测数据,以及BRCA1基因等基因组成信息不足,对职业性癌症的因果评估具有挑战性。此外,恶劣的工作习惯和卫生条件使得通过皮肤接触和消化接触成为可能。在解释职业性癌症与非职业癌症不同的工作因果关系时,必须考虑个体易感性,因为低水平的短期暴露可能会增加某些工人的风险。因此,强烈建议系统地收集医学监测数据和工业卫生数据,以帮助完善特定工作致癌物的人体剂量-反应关系
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引用次数: 0
Methodology of National Health and Morbidity Study (NHMS): Adolescent Health, Malaysia 2022 国家健康和发病率研究(NHMS)方法:青少年健康,马来西亚,2022
Pub Date : 2023-09-03 DOI: 10.17576/ijphr.1302.2023.02.02
Lim Kuang Kuay Lim, Maznieda Mahjom, S Maria Awaluddin, Noor Syaqilah Shawaluddin, Tuan Mohd Amin Tuan Lah, Hamizatul Akmal Abd Hamid, Muhammad Fadhli Mohd Yusoff, Tan Lee Ann Tan, Noor Ani Ahmad
Introduction: In Malaysia, the adolescent health studies conducted in 2012 and 2017 revealed an increasing trend of adolescent health risk behaviours and protective factors. This current study aims to determine health risk behaviours and protective factors among adolescents in the country. Methods: The current nationwide cross-sectional study of Malaysian secondary school students used multistage stratified sampling to select 240 nationally representative schools. This study was conducted from June to July 2022 among the students in forms 1, 2, 3, 4, and 5 in all Malaysian states by 34 data collection teams. A validated self-administered questionnaire was used, similar to those used in the NHMS 2012 and NHMS 2017. The quality control was done twice, once at the field level and once at the central level. Sample weighting and analysis were conducted using SPSS statistical software version 28.0. Results: A total of 239 schools out of 240 schools took part in the study (response rate, 99.6%) and total of 33,523 students were involved in this study (response rate, 89.4%). In terms of ethnicity, the highest number of students who participated in the study were Malay (63.0%), followed by Chinese (18.1%) and Indian (6.0 %). While the distribution of sex and form among the students were almost the same. Conclusion: To obtain an accurate representation of the nation's adolescent population for this study, samples from public and private schools that are governed by the Ministries of Education and Rural and Regional Development were deemed to be the most reliable. Keywords: Adolescent - NHMS - Methodology - Malaysia
导言:在马来西亚,2012年和2017年进行的青少年健康研究显示,青少年健康风险行为和保护因素呈上升趋势。目前这项研究的目的是确定该国青少年的健康风险行为和保护因素。方法:采用多阶段分层抽样的方法,选取240所具有全国代表性的学校,对马来西亚中学生进行横断面研究。本研究于2022年6月至7月在马来西亚所有州的1、2、3、4和5年级的学生中进行,由34个数据收集小组进行。使用了一份有效的自我管理问卷,类似于NHMS 2012和NHMS 2017中使用的问卷。质量控制进行了两次,一次是在现场一级,一次是在中心一级。采用SPSS 28.0版统计软件进行样本加权和分析。结果:240所学校中有239所学校参与了研究(回复率为99.6%),共有33,523名学生参与了研究(回复率为89.4%)。在种族方面,参与研究的学生人数最多的是马来人(63.0%),其次是华人(18.1%)和印度人(6.0%)。而学生的性别和体形分布几乎相同。结论:为了在本研究中获得全国青少年人口的准确代表,来自教育部和农村与地区发展部管理的公立和私立学校的样本被认为是最可靠的。关键词:青少年;人口健康管理系统;方法论
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引用次数: 0
The Use of Whatsapp Social Media Group for Nutrition Counselling among Parents with Children of Congenital Heart Defects Whatsapp社交媒体小组在先天性心脏病患儿家长中的营养咨询
Pub Date : 2023-02-27 DOI: 10.17576/ijphr.1301.2023.04
S. Prabhu, A. Prabhu, Kavita Kiran Sahu
Background: Ignorance about appropriate Infant and Young Child Feeding (IYCF) Practices among parents of children with Congenital Heart Defects (CHD) can exacerbate malnutrition in these children leading to significant morbidity and mortality. Use of novel methods for Intensive Nutrition Counselling such as Whatsapp social media group can lead to considerable improvement in nutritional status of the child. Objectives: To assess the efficacy of Whatsapp group for Intensive Nutritional Counselling to parents of children with CHD. Methods: This is a two-year prospective interventional study, one-group before-after study design. Here, intervention is in the form of specialised focussed nutrition counselling for parents of children with CHD through Whatsapp social media group. Results: Majority of the patients 16 (30.0%) were in the age group of 7-12 months, predominant diagnosis (25 patients i.e. 48.9%) was Ventricular Septal Defect (VSD). Sixty-eight percent patient-families belonged to lower socio-economic class. Before intervention, 71.1% of children (37 of 52) were found to be underweight, 35.5% children were stunted and 65.6% children were wasted. Post intervention there was significant improvement in all the 3 anthropometric indicators. This intervention particularly helped improve IYCF habits for the age group of 7-12 months. Post intervention all parents included the 8 food groups in their children’s diet thus providing them wholesome nutrition whereas earlier only 2-3 food groups were given to children on a daily basis. Conclusion: This is the first study to explore use of Whatsapp group to educate parents of children with CHD about specific nutrition counselling, resulting in improvement in child anthropometric indices.
背景:先天性心脏缺陷(CHD)儿童的父母对适当的婴幼儿喂养(IYCF)做法的忽视会加剧这些儿童的营养不良,导致严重的发病率和死亡率。使用Whatsapp社交媒体小组等新的强化营养咨询方法可以显著改善儿童的营养状况。目的:评估Whatsapp小组对CHD患儿家长强化营养咨询的疗效。方法:这是一项为期两年的前瞻性介入性研究,一组在研究前后进行设计。在这里,干预的形式是通过Whatsapp社交媒体小组为CHD儿童的父母提供专门的营养咨询。结果:16例(30.0%)患者年龄在7-12个月,主要诊断为室间隔缺损(VSD)(25例,48.9%)。68%的患者家庭属于较低的社会经济阶层。在干预之前,71.1%的儿童(52名儿童中的37名)体重不足,35.5%的儿童发育迟缓,65.6%的儿童消瘦。干预后,所有3项人体测量指标均有显著改善。这种干预措施特别有助于改善7-12个月年龄组的IYCF习惯。干预后,所有父母都将8组食物纳入了孩子的饮食中™因此,他们的饮食为他们提供了有益健康的营养,而早些时候,每天只给孩子2-3组食物。结论:这是第一项探索使用Whatsapp小组对CHD儿童的父母进行特定营养咨询的研究,从而改善了儿童的人体测量指标。
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引用次数: 0
Job Stress among General and Special School Teachers in Jahrom City, Iran 伊朗贾罗姆市普通和特殊学校教师的工作压力
Pub Date : 2023-02-27 DOI: 10.17576/ijphr.1301.2023.01
Ghorban Hemati Alamdarloo, S. Moradi, Sajedeh Moradi
Introduction: Teaching is among the careers which are associated with a lot of stress. Occupational or job stress is an unfavorable mental state which is caused by the workplace environment and can seriously impede employees’ performance. Objectives: The purpose of this research was to compare occupational stress among general and special school teachers. Methods: 84 teachers (42 were general school teachers and 42 were special school teachers) from Jahrom, Iran were selected as study samples. Special school teachers and general school teachers were chosen using convenience sampling and multistage random sampling methods, respectively. Parker and DeCotiis’s job stress scale was used to assess job stress. The collected data were analyzed by two-way analysis of variance (ANOVA) and multivariate analysis of variance (MANOVA). Results: Results showed that job stress and its subscales were significantly higher among general school teachers than special school teachers (p <0.05); however, there was no significant difference between male and female teachers in terms of job stress and its subscales (p<0.05). Conclusion: According to the findings of this study, the Ministry of Education is recommended to prevent job stress by improving the level of services where general school teachers work and holding workshops with the aim of offering teachers some coping strategies to deal with stress in schools. Keywords: Job stress, occupational stress, teachers, general schools, special schools
引言:教学是一种与很多压力有关的职业。职业或工作压力是由工作环境引起的一种不利的心理状态,会严重阻碍员工的表现。目的:本研究旨在比较普通学校与特殊学校教师的职业压力。方法:选取伊朗Jahrom的84名教师(42名为普通学校教师,42名为特殊学校教师)作为研究样本。特殊学校教师和普通学校教师分别采用方便抽样和多阶段随机抽样方法进行选择。Parker和DeCotis的工作压力量表用于评估工作压力。通过双向方差分析(ANOVA)和多变量方差分析(MANOVA)对收集的数据进行分析。结果:普通学校教师的工作压力及其分量表显著高于特殊学校教师(p<0.05);男女教师在工作压力及其分量表方面差异无统计学意义(p<0.05),建议教育部通过提高普通学校教师工作的服务水平和举办讲习班来预防工作压力,目的是为教师提供一些应对学校压力的策略。关键词:工作压力,职业压力,教师,普通学校,特殊学校
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引用次数: 0
Literature Review On Factors Influencing Milk Consumption Behaviour Among Adults 影响成人牛奶消费行为因素的文献综述
Pub Date : 2023-02-27 DOI: 10.17576/ijphr.1301.2023.05
N. Ahmad, A. B. Rahman, Siti Nur Fasihah Harun, K. Salleh, Noorlaile Jasman
Abstract Introduction:Milk and dairy products are good sources of high-quality protein. Protein is important during weight loss and subsequent weight maintenance due to the high satiating effect which helps to prevent over-consumption of energy and thereby reduces body fat stores. Furthermore, dairy protein is a good source of essential amino acids for muscle protein synthesis and thus helps to maintain metabolically active muscle mass during weight loss. Regarding milk consumption, it is important to find the association between personal, environmental, and behaviour factors with consuming milk. Objective: The aim of the study is to identify factors influencing milk consumption behaviour among adults. Methods: This study is based on the literature review and on different case studies from different parts of the world to try to fulfill the main scope of factors influencing milk consumption. Results: Based on this review, environmental factors were found to be the main influences on milk consumption behaviour, followed by personal factors and behaviour factors. Conclusion : This review is also expected to enrich the documentation on the influencing of milk consumption behaviour among adults
摘要简介:牛奶和奶制品是优质蛋白质的良好来源。由于高饱腹效应,蛋白质在减肥和随后的体重维持过程中很重要,它有助于防止过度消耗能量,从而减少身体脂肪储存。此外,乳制品蛋白质是肌肉蛋白质合成所需氨基酸的良好来源,因此有助于在减肥期间保持代谢活跃的肌肉质量。关于牛奶消费,重要的是要找到个人、环境和行为因素与牛奶消费之间的联系。目的:研究的目的是确定影响成年人牛奶消费行为的因素。方法:本研究在文献综述的基础上,结合世界不同地区的不同案例,试图完成影响牛奶消费因素的主要范围。结果:环境因素是影响牛奶消费行为的主要因素,其次是个人因素和行为因素。结论:本综述也有望丰富有关成人牛奶消费行为影响的文献资料
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引用次数: 0
Effectiveness of Combined Malaysia Healthy Plate Method (Half-half Quarter) and Physical Activity at Workplace Setting Among Healthcare Workers 马来西亚健康平板法(四分之半)和工作场所体育活动在医护人员中的有效性
Pub Date : 2023-02-27 DOI: 10.17576/ijphr.1301.2023.03
Sreevali Muthuvadivelu, Narwani Hussin, P. Muninathan, Low Phei Keow, Nancy Anne Josop, Noor Hayati Ahmed Tajudin, Kogilavani S.Krishnan, Ahmad Mu’alzaffardan Putra Kamaruddin
INTRODUCTION Overweight and obesity are becoming a major health issue which contributes to increase in health morbidity and mortality. This study aimed to evaluate the effect of the mainly diet intervention and exercise for weight reduction among obese but healthy adults. METHODOLOGY This was a quasi-experimental study using designed Structured Diet Program adapted from Malaysia Healthy Plate method (half-half quarter) for weight reduction that lasts for 10 weeks. The anthropometry and biochemistry parameters were monitored and collected pre and 10 weeks post program. The WHO BMI criteria for Asian population cut off points was used to define obesity in this study. RESULT Thirty healthcare workers (HCWs) were recruited. However, only 27 HCWs completed the program. The pre and post program mean BMI was 32.90kg/m2 and 31.39kg/m2 and weight was 81.25 kg to 77.37kg. The total cholesterol reduced significantly with mean 5.65mmol/l to 5.34mmol/l. Other blood parameters showed some reduction but not statically significant with mean FBS 4.82mmol/l to 4.69mmol/l, mean HDL: 1.43mmol/l to 1.32mmol/l mean LDL: 3.54mmol/l to 3.42mmol/l and mean TG 1.52mmol/l to 1.31mmol/l. CONCLUSION Overall, the programme led to a considerable reduction in body weight, BMI, and Total Cholesterol. Even though other blood parameters do not show statistically significant reduction but they still showed some reduction post programme. This method is recommended to be implemented among Malaysians for longer duration to achieve significant reduction in blood parameters. However, the commitment and motivation of the HCWs are highly needed to ensure the effectiveness and adherence to the diet method. (246 words) Keywords: Diet intervention (Malaysia Healthy Plate)- Physical Activity- Healthcare workers
引言超重和肥胖正在成为一个主要的健康问题,导致健康发病率和死亡率的增加。本研究旨在评估主要饮食干预和运动对肥胖但健康的成年人减肥的效果。方法这是一项准实验性研究,采用了根据马来西亚健康平板法(四分之一半)设计的结构化饮食计划,用于持续10周的减肥。在项目前和项目后10周监测和收集人体测量和生物化学参数。在这项研究中,世界卫生组织亚洲人群的BMI标准被用来定义肥胖。结果招募了30名医护人员。然而,只有27名HCW完成了该项目。项目前后的平均BMI分别为32.90kg/m2和31.39kg/m2,体重为81.25kg至77.37kg。总胆固醇显著降低,平均值为5.65mmol/l至5.34mmol/l。其他血液参数也有所降低,但不显著,平均FBS为4.82mmol/l至4.69mmol/l,平均HDL:1.43mmol/l-1.32mmol/l平均LDL:3.54mmol/l-3.42mmol/l和平均TG 1.52mmol/l-1.31mmol/l。结论总体而言,该方案显著降低了体重、BMI和总胆固醇。尽管其他血液参数没有显示出统计学上的显著减少,但在项目后仍显示出一些减少。该方法建议在马来西亚人中实施更长时间,以显著降低血液参数。然而,非常需要HCW的承诺和动机,以确保饮食方法的有效性和坚持性。(246字)关键词:饮食干预(马来西亚健康板块)-体育活动-医护人员
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引用次数: 0
The Use of Casemix System to Estimate Providers` Inpatients’ Cost of Influenza Related Sari Diseases in Malaysia 使用Casemix系统估算马来西亚流感相关莎莉疾病的住院费用
Pub Date : 2023-02-27 DOI: 10.17576/ijphr.1301.2023.02
Sharifa Ezat Wan Puteh, Noor ‘Adilah Kamarudin, S. N. F. Mohd Nasir, Wan Noraini Wan Mohamed Noor, Professor Dr Zamberi Sekawi, R. Thayan
Introduction: Influenza is an upper respiratory infection is caused by the influenza virus. It occurs throughout the whole year in Malaysia with occasional outbreaks. Influenza-like illnesses (ILI) are generally treated as outpatient care while the more severe ‘SARI’ is managed in patient care. The Casemix system, used in healthcare professionals' practices, may help in estimating the cost of influenza management. Methods: This cross-sectional study extracts the cost of influenza management from different public hospitals in years 2016, 2017 and 2018. Data used selected ICD-10 codes, and the cost was abstracted from Malaysian Diagnostic Related Groups (MyDRG) software. The secondary data are from 2 sources, an urban teaching hospital Hospital Cancellor Tuanku Muhriz (HCTM) and Ministry of Health (MoH) inpatient hospitals database. The sample size of the study was 586, while a structured datasheet collating patients’ sociodemographic data and cost of admission, per case, was obtained from the MyDRG software. Microsoft Excel and SPSS software were used in the analysis. Results: Most influenza cases (61.8%) are between the ages of 0 and 10, Malays, and have similar gender proportions. Overall, the influenza treatment cost for inpatient care, totalled to RM 294,017,112. In 2018, the GDP for health consumed 3.76% of Malaysia's GDP income of RM 1.4 trillion, with an estimated RM 60,339 million used for health. Thus, the three-year public cost consumed 0.5% of 2018 GDP. Conclusion: Influenza screening at the primary healthcare setting, health education and treatment compliance should be scale-up to minimize the cost of influenza management of the public providers.
简介:流感是由流感病毒引起的上呼吸道感染。它在马来西亚全年都有发生,偶尔也会爆发。流感样疾病(ILI)通常作为门诊治疗,而更严重的“严重急性呼吸系统综合征”™ 在患者护理中进行管理。医疗专业人员实践中使用的Casemix系统可能有助于估计流感管理的成本。方法:本横断面研究提取了2016年、2017年和2018年不同公立医院的流感管理成本。数据使用选定的ICD-10代码,费用从马来西亚诊断相关小组(MyDRG)软件中提取。二级数据来自两个来源,一个是城市教学医院医院Cancellor Tuanku Muhriz(HCTM)和卫生部住院医院数据库。该研究的样本量为586,而一份整理患者数据的结构化数据表™ 从MyDRG软件中获得每个病例的社会人口统计数据和入院费用。采用Microsoft Excel和SPSS软件进行分析。结果:大多数流感病例(61.8%)年龄在0至10岁之间,为马来人,性别比例相似。总体而言,住院治疗的流感治疗费用总计294017112令吉。2018年,用于卫生的国内生产总值占马来西亚1.4万亿令吉国内生产总值收入的3.76%,估计有60.39亿令吉用于卫生。因此,三年公共成本消耗了2018年国内生产总值的0.5%。结论:应扩大初级保健环境中的流感筛查、健康教育和治疗依从性,以最大限度地降低公共提供者的流感管理成本。
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引用次数: 0
Understanding Internet Addiction and its Associated Factors Among Children and Adolescents: A review of literature 了解儿童及青少年网瘾及其相关因素:文献回顾
Pub Date : 2022-09-01 DOI: 10.17576/ijphr.1202.2022.05
Ayuzeity Bistari Md Bukhori, Mohd Hasni Ja’afar
Internet Addiction (IA) is becoming increasingly recognized as a serious public health issue, particularly for children and adolescents. This review article discussed the complexity of IA diagnostic criteria and IA-related risk factors from a public health perspective with the intention of fostering a better understanding of IA. The entire discussion pointed out how the epidemiological triad of disease framework helps to explain the associated factors. This framework emphasises the agent (Internet characteristics and its content), host (e.g., self-personality, comorbidity, psychological status, inter- and intrapersonal relationship), and environment as extrinsic factors (i.e., physical pollution, socioeconomic status, availability, and accessibility of the Internet) that facilitate interaction between the agent and the host. Evaluation of all three components and their association with IA is essential as it allows for a more comprehensive understanding of how the issues arise, which can be useful in developing future effective public health measures for IA.
网络成瘾(IA)越来越被认为是一个严重的公共卫生问题,尤其是对儿童和青少年来说。这篇综述文章从公共卫生的角度讨论了IA诊断标准的复杂性和IA相关的风险因素,旨在促进对IA的更好理解。整个讨论指出了疾病的流行病学三联体框架如何有助于解释相关因素。该框架强调代理(互联网特征及其内容)、宿主(例如,自我个性、共病、心理状态、人际关系和内部关系)和环境是促进代理和宿主之间互动的外在因素(即,物理污染、社会经济地位、互联网的可用性和可访问性)。评估所有三个组成部分及其与IA的关系至关重要,因为这可以更全面地了解问题是如何产生的,这有助于制定未来有效的IA公共卫生措施。
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引用次数: 0
Client Satisfaction with Community Clinic Services in Bangladesh 孟加拉国社区诊所服务的客户满意度
Pub Date : 2022-09-01 DOI: 10.17576/ijphr.1202.2022.01
Shamim Hayder Talukder, Shahinur Akter, D. Farhana, Kazi Fayzus Salahin, Shirin Khanam, Md. Mostafizur Rahman, Md. Saddam Hossain, T. Islam, U. F. Sultana, Tasbirul Islam Prodhan, Sheikh Mohammed Shariful Islam
Background: Community clinics provide one-stop healthcare services that is vital in primary healthcare. Measuring users' contentment is imperative to improving the quality of care at the doorsteps of the people. This article focuses on community clinics' importance and overall client satisfaction in Bangladesh. Methods: A cross-sectional survey was conducted from March to April 2019. Sixteen Upazilas from eight districts in Bangladesh were randomly selected for conducting interviews. The survey compiled local data regarding client satisfaction with the health care service of community clinics in Bangladesh. Results: A total of 760 female participants provided data. The majority (41%) were in the age group 18-24 years. This group showed more satisfaction than others (Odds Ratio 1.44). Childless married women were also more satisfied with the community clinic services than others (Odds Ratio 1.64). Furthermore, gender, education, and economic perspective were positive aspects of getting service from community clinics. Conclusion: Although there is a challenge balancing psychosocial and medical care, promoting client-oriented care with a focus on overall comfort concerning the culture of the area is vital. This can be done with community-focused training and explaining written prescriptions better, including signs, symptoms, treatment, and referral points. Government backing has also been shown to be a strengthening source regarding primary healthcare services.
背景:社区诊所提供一站式医疗保健服务,这对初级卫生保健至关重要。衡量用户满意度对于提高医疗服务质量至关重要。这篇文章的重点是社区诊所的重要性和整体客户满意度在孟加拉国。方法:于2019年3 - 4月进行横断面调查。从孟加拉国8个县随机抽取16名Upazilas进行访谈。该调查汇编了有关孟加拉国社区诊所的客户保健服务满意度的当地数据。结果:共有760名女性参与者提供了数据。大多数(41%)年龄在18-24岁之间。该组满意度高于其他组(比值比1.44)。已婚无子女妇女对社区诊所服务的满意度也高于其他妇女(优势比1.64)。此外,性别、教育和经济观点是获得社区诊所服务的积极因素。结论:尽管平衡社会心理和医疗护理存在挑战,但促进以客户为导向的护理,关注该地区文化的整体舒适度至关重要。这可以通过以社区为重点的培训和更好地解释书面处方,包括体征、症状、治疗和转诊点来实现。政府的支持也已被证明是初级保健服务的一个加强来源。
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引用次数: 0
期刊
International journal of public health research
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