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Malaria Journal Jun 2015The most effective strategies in the fight against malaria are to correctly diagnose and timely treat the illness. A diagnosis based on clinical symptoms alone is...
BACKGROUND
The most effective strategies in the fight against malaria are to correctly diagnose and timely treat the illness. A diagnosis based on clinical symptoms alone is subjected to misuse of anti-malarial drugs, increased costs to the health services, patient dissatisfaction and also contributes to an increase in non-malaria morbidity and mortality. Among others, inappropriate perception and inadequate satisfaction of patients are significant challenges reported to affect the quality of laboratory malaria diagnostic services.
METHODS
A facility-based, cross-sectional study was conducted from November to December 2013 among 300 patients. Their level of satisfaction was measured using both pre-tested structured and open ended questionnaires. A 5-point Likert scales and their weighted average were used to categorize satisfaction level of the patients. Data were entered in Epi-Info version 3.5.3 and analysed using SPSS version 20. Chi-square test was used to see the association between the outcome variable and independent and the strength of the association was identified using odds ratio in the binary logistic regression. In addition the open ended questionnaire findings were coded and analysed thematically.
RESULTS
Over half (52.6%) of the patients were satisfied with the malaria diagnostic service with a 98.7% response rate. The majority (89.3%) of patients perceived they were well diagnosed in facing fever upon giving blood for laboratory malaria diagnosis within 30 min waiting time in most (62.5%) of the patients. Ethnicity, residence, knowing malaria diagnosis after consulting clinician, and time period to receive malaria result were the independent predictors for patient satisfaction (p<0.05). The open ended questionnaire responses also revealed providing precise laboratory result timely, availability of the right treatment, presence of health professionals performing the laboratory test upon request in the health facility were among the major enabling factors for patients' satisfaction.
CONCLUSION
The observed level of satisfaction in the current study though encouraging when compared with some previous studies conducted in eastern Ethiopia on general laboratory services, still it requires scale-up in the enhancement of malaria laboratory diagnostic service in the fight against malaria.
Topics: Adolescent; Adult; Aged; Cross-Sectional Studies; Diagnostic Services; Ethiopia; Female; Humans; Malaria; Male; Middle Aged; Patient Satisfaction; Perception; Young Adult
PubMed: 26063399
DOI: 10.1186/s12936-015-0756-6 -
BMC Health Services Research Nov 2014Typically people who go to see their GP with a memory problem will be initially assessed and those patients who seem to be at risk will be referred onto a memory clinic.... (Comparative Study)
Comparative Study
BACKGROUND
Typically people who go to see their GP with a memory problem will be initially assessed and those patients who seem to be at risk will be referred onto a memory clinic. The demographic forces mean that memory services will need to expand to meet demand. An alternative may be to expand the role of primary care in dementia diagnosis and care. The aim of this study was to contrast patient, family member and professional experience of primary and secondary (usual) care led memory services.
METHODS
A qualitative, participatory study. A topic guide was developed by the peer and professional panels. Data were collected through peer led interviews of people with dementia, their family members and health professionals.
RESULTS
Eleven (21%) of the 53 GP practices in Bristol offered primary care led dementia services. Three professional panels were held and were attended by 9 professionals; nine carers but no patients were involved in the three peer panels. These panels identified four main themes: GPs rarely make independent dementia diagnosis; GPs and memory nurses work together; patients and carers generally experience a high quality diagnostic service; an absence of post diagnostic support. Evidence relating to these themes was collected through a total of 46 participants took part; 23 (50%) in primary care and 23 (50%) in the memory service.
CONCLUSIONS
Patients and carers were generally satisfied with either primary or secondary care led approaches to dementia diagnosis. Their major concern, shared with many health care professionals, was a lack of post diagnostic support.
Topics: Aged; Aged, 80 and over; Attitude of Health Personnel; Caregivers; Dementia; Diagnostic Services; Family; Female; Humans; Male; Patient Satisfaction; Patients; Physicians; Primary Health Care; Qualitative Research; Secondary Care; United Kingdom
PubMed: 25432385
DOI: 10.1186/s12913-014-0592-3 -
International Journal of Public Health Feb 2017This study aims to give information on the prenatal diagnostic (PND) services provided in three major regional PND centers in Vietnam.
OBJECTIVES
This study aims to give information on the prenatal diagnostic (PND) services provided in three major regional PND centers in Vietnam.
METHODS
This cross-sectional study was conducted in early 2014. An inventory of services, human resources, facilities, and equipment and in-depth interviews were carried out.
RESULTS
Three regional PND centers were set up between 2007 and 2014, and technical guidelines on PND tests were released by the Ministry of Health in 2010. There were a variety of services among centers, and the number of services provided by the three PND centers was far below the target set by the Ministry of Health. There is still limited capacity of human resources, facilities, and equipment in PND centers. Different measures were implemented by hospitals to improve capacity, including counseling.
CONCLUSIONS
Despite a late start, with government support, PND services in Vietnam have developed quickly. However, to reach the objectives of 15 % of women receiving PND services by 2015 and 50 % by 2020, several actions should be taken to expand the service coverage and capacity of centers.
Topics: Counseling; Cross-Sectional Studies; Diagnostic Services; Female; Genetic Testing; Humans; Pregnancy; Prenatal Diagnosis; Vietnam; Workforce
PubMed: 27628489
DOI: 10.1007/s00038-016-0897-6 -
Schweizerische Medizinische... Jan 1980
Topics: Diagnostic Services; Drug Therapy; Education, Medical, Continuing; Health Services Accessibility; Medical Oncology; Switzerland
PubMed: 7361077
DOI: No ID Found -
BMJ Health & Care Informatics Jan 2021To assess the agreement in diagnosis and management plans reached between clinicians reviewing eyelid lesions remotely and in face-to-face clinics.
OBJECTIVES
To assess the agreement in diagnosis and management plans reached between clinicians reviewing eyelid lesions remotely and in face-to-face clinics.
METHODS
In this single-centre observational case series, data were prospectively collected on 50 consecutive adults referred with eyelid lesions suitable to be seen by a nurse. A proforma was completed to gather salient information. A nurse specialist saw patients in face-to-face clinics and collected information using the proforma, devising a diagnosis and management plan. Photographs of the eyelid lesions were taken by a medical photographer. A subsequent remote review was completed by an oculoplastic consultant using the proforma information and photographs in the absence of the patient. The diagnosis and management plan constructed by the nurse specialist were compared with those reached by the consultant.
RESULTS
Complete data were available for 44 consecutive cases. There was an overall 91% agreement (40 cases out of 44) between the diagnoses reached by the nurse specialist, and the remote reviewer; kappa coefficient 0.88 (95% CI 0.76 to 0.99). There was an overall 82% agreement (36 out of 44 cases) in the management plans devised by the nurse-led clinic and remote reviewer; kappa coefficient 0.74 (95% CI 0.58 to 0.90). The average time taken for a remote reviewer to reach a diagnosis and management plan was 1 min and 20 s.
CONCLUSIONS
This study evaluated the feasibility of assessing eyelid lesions using asynchronous telemedicine. There was overall a high rate of concordance in the diagnosis reached, and management devised between the clinic and remote review.
Topics: Adult; Diagnostic Services; Eyelids; Humans; Referral and Consultation; Telemedicine
PubMed: 33483345
DOI: 10.1136/bmjhci-2020-100287 -
Likars'ka Sprava 1994
Review
Topics: Ambulatory Care; Diagnostic Services; Humans; Preventive Health Services; Primary Prevention; Public Health
PubMed: 7604580
DOI: No ID Found -
Canadian Journal of Public Health =... Sep 1947
Topics: Diagnostic Services; Health Services; Humans; Laboratories; Public Health; United States; United States Public Health Service
PubMed: 20265963
DOI: No ID Found -
Journal of Public Health Management and...By providing timely services at all steps along the continuum of the early hearing detection and intervention (EHDI) process, providers may be able to lessen potential...
CONTEXT
By providing timely services at all steps along the continuum of the early hearing detection and intervention (EHDI) process, providers may be able to lessen potential adverse effects of late identification of hearing loss on children's language development.
OBJECTIVE
To examine the timeliness of key events in the EHDI process from birth through diagnosis of hearing loss among different populations.
DESIGN
Retrospective, cross-sectional.
SETTING
Data pooled from 9 states' EHDI information systems were used to determine the extent to which timely screening and diagnosis were achieved by 754 613 infants born in calendar year 2017. Enrollment into early intervention for children diagnosed is not examined here due to incomplete data.
PARTICIPANTS
Nine state EHDI programs were selected to participate in this study for their successful experience in using EHDI-IS to collect detailed child-level data.
MAIN OUTCOME MEASURES
Age of service, rate of service receipt.
RESULTS
Median age of newborn hearing screening was 1 day, and median age of hearing loss diagnosis was 68 days. Early completion of newborn hearing screening was associated with maternal education, maternal race/ethnicity, and admission into a neonatal intensive care unit (NICU). Receiving and completing follow-up diagnostic services were associated with maternal education, maternal race/ethnicity, age of screening, and enrollment into the Women, Infants, and Children program.
CONCLUSIONS
Timely completion of the newborn hearing screening is achieved by most of the population among the participating states. Increased efforts may be considered by state EHDI programs to provide additional follow-up and education to underrepresented racial/ethnic groups, mothers with less education, and NICU infants and their families as these groups appear to be at an increased risk for delayed diagnostic testing for hearing loss.
Topics: Cross-Sectional Studies; Diagnostic Services; Female; Hearing; Humans; Infant; Infant, Newborn; Neonatal Screening; Retrospective Studies
PubMed: 32956290
DOI: 10.1097/PHH.0000000000001232 -
The New England Journal of Medicine Oct 1978
Topics: Clinical Laboratory Techniques; Diagnostic Services; Social Control, Formal; United States
PubMed: 692601
DOI: 10.1056/NEJM197810262991710 -
Radiology Management 2014
Topics: Boston; Diagnostic Imaging; Diagnostic Services; Disasters; Government Regulation; Terrorism; United States
PubMed: 24757900
DOI: No ID Found