Initial treatment seeking from professional health care providers for eating disorders: A review and synthesis of potential barriers to and facilitators of “first contact”

2017 ◽  
Vol 50 (3) ◽  
pp. 190-209 ◽  
Author(s):  
Pamela Regan ◽  
Fary M. Cachelin ◽  
Alyssa M. Minnick
Keyword(s):  
Health Care ◽  
Eating Disorders ◽  
Health Care Providers ◽  
Initial Treatment ◽  
Treatment Seeking ◽  
Care Providers ◽  
Potential Barriers ◽  
Professional Health ◽  
First Contact

scholarly journals Susceptibility to Eating Disorders Among Collegiate Female Student–Athletes

2014 ◽  
Vol 49 (3) ◽  
pp. 406-410 ◽  
Author(s):  
Cherilyn N. McLester ◽  
Robin Hardin ◽  
Stephanie Hoppe
Keyword(s):  
Health Care ◽  
Eating Disorders ◽  
Body Image ◽  
Health Care Providers ◽  
Student Athletes ◽  
Female Student ◽  
Self Esteem ◽  
The Body ◽  
Self Concept ◽  
Care Providers

Context: Research has suggested that the prevalence of young women with eating disorders (EDs) is increasing, but determining the exact prevalence of EDs within the female student–athlete (FS-A) population is difficult. Looking at certain traits may help us to identify their level of susceptibility to developing an ED. Objective: To determine the susceptibility of FS-As to EDs in relation to self-concept, including self-esteem and body image. Design: Cross-sectional study. Setting: Athletic training and health centers at National Collegiate Athletic Association Division I, II, and III institutions via e-mail questionnaire correspondence. Patients or Other Participants: A total of 439 FS-As from 17 participating institutions completed the questionnaires. The sample was primarily white (83.1%) and underclass (61.8%). Main Outcome Measure(s): The questionnaire consisted of 4 parts: 3 subscales of the Eating Disorder Inventory-2, the Rosenberg Self-Esteem Scale, the Body Cathexis Scale, and demographic items. Results: A total of 6.8% of FS-As were susceptible to anorexia and 1.8% were susceptible to bulimia. The majority of FS-As (61%) reported normal self-esteem levels, whereas 29.4% had high self-esteem. Overall, 64.5% were satisfied and 23% were very satisfied with their body image. Conclusions: These results are generally positive in that they suggest FS-As have high levels of self-concept and are at low risk to develop EDs. However, these findings do not mean that all concerns should be dismissed. Although more than 90% of the respondents were not susceptible to an ED, there are still FS-As who may be. Athletic departments should evaluate their FS-As' levels of self-concept so that their susceptibility to EDs can be addressed. The emotional aspect of health care should be included in providing holistic care for student–athletes. Athletic trainers often are the primary health care providers for FS-As, so they should be made aware of this concern.

scholarly journals Assessment of knowledge of intern doctors of a medical college hospital in Karnataka on revised national TB control programme

2017 ◽  
Vol 4 (4) ◽  
pp. 1123
Author(s):  
Raghavendra L. ◽  
Subhas Babu P. ◽  
Shivakumar K. M.
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Treatment Guidelines ◽  
Control Programme ◽  
Teaching Hospitals ◽  
Care Providers ◽  
Tb Control ◽  
Medical College ◽  
Medical Interns ◽  
First Contact

Background: The medical interns usually are the first contact health care providers for patients in teaching hospitals and need to be sensitized towards newer diagnostic and treatment guidelines of various national health programmes. Revised National TB Control Programme is one such health programme which aims to reduce TB burden in our country. The present study was undertaken with an objective to assess knowledge level of medical interns, about recent guidelines of RNTCP pertaining to diagnosis and management of TB, including MDR and XDR-TB.Methods: A cross sectional study was conducted at one of the Government Medical College in southern Karnataka in the year 2017 with the objectives to assess the knowledge of intern doctors on diagnosis of Tuberculosis as per RNTCP guidelines and to assess the knowledge of intern doctors on treatment of Tuberculosis as per RNTCP guidelines. A pre-tested structured questionnaire was distributed to 83 medical interns to assess their awareness on TB disease, RNTCP and DOTS guidelines. The data was entered in Microsoft office excel sheet and analysed. Analysis was done using descriptive statistics like percentages and frequencies.Results: A total of 83 out of 96 interns answered the questionnaire of which 50 were females and 33 were males. With regard to TB diagnosis, 79.51% of the respondents correctly identified the case definition of smear positive TB. Only 9.63% of the respondents could correctly mention all the objectives of the RNTCP programme.Conclusions: Awareness regarding updates on RNTCP is inadequate and needs to be constantly updated with a focus on interns who are first contact health care providers in medical college settings.

Development and Evaluation of a Web-Based Training Program for Oral Health Care Providers on Secondary Prevention of Eating Disorders

2009 ◽  
Vol 73 (6) ◽  
pp. 718-729 ◽  
Author(s):  
Rita D. DeBate ◽  
Herbert Severson ◽  
Marissa L. Zwald ◽  
Tracy Shaw ◽  
Steve Christiansen ◽  
...  
Keyword(s):  
Health Care ◽  
Eating Disorders ◽  
Oral Health ◽  
Secondary Prevention ◽  
Training Program ◽  
Health Care Providers ◽  
Oral Health Care ◽  
Care Providers ◽  
Web Based

scholarly journals Delay in diagnosis and treatment among registered TB patients in Directly Observed Treatment Short Course cum Designated Microscopy Centres in South Delhi

2021 ◽  
Vol 33 (2) ◽  
pp. 344-350
Author(s):  
Arunraj Kamaraj ◽  
Manish Kumar Goel ◽  
Jyoti Khandekar ◽  
Khalid Umer Khayyam ◽  
Sanjeev Kumar Rasania
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Providers ◽  
Diagnostic Delay ◽  
Treatment Delay ◽  
Treatment Seeking ◽  
Care Providers ◽  
System Delay ◽  
Total Delay ◽  
Care System

Background: Knowing delays in treatment seeking and subsequent treatment initiation among the TB patients is important and its detailed understanding is crucial in modifying the treatment seeking behaviour which can help in reducing the TB burden and the transmission in the community. Aim & Objective: To study the treatment seeking behaviour including the delays in initiation of treatment along with its determinants; among tuberculosis patients aged > 15 years in Mehrauli area of Delhi. Settings and Design: A longitudinal follow up study conducted in two randomly selected DMC cum DOTS centres in Mehrauli area of Delhi from January 2018 to April 2018. Methods and Material: Patients of both sexes of age > 15 years, registered under RNTCP from January to April 2018 in the randomly selected DOTS centres i.e. Mehrauli DMC cum DOTS and Chattarpur DMC cum DOTS centre were included in the study. Self-designed, pretested interview schedule and records of DMC were used to collect the relevant information. Statistical analysis used: Information collected in the Performa was coded and entered in Statistical Package for Social Sciences (SPSS) version 12. Results: The mean patients delay, diagnostic delay, treatment delay, health care system delay and total delay was 48.91 ± 130.38 days, 91.09 ± 155.97 days, 6.25 ± 6.29 days, 62.72 ± 119.48 days and 97.33 ± 155.06 days respectively. The median patients delay, diagnostic delay, treatment delay, health care system delay and total delay was 15 days, 45 days, 5 days, 35 days and 54 days respectively. Conclusions: The major reasons for patient’s delay were lack of awareness regarding the symptoms of TB and self-medication and for health care system delay it was treatment from private health care providers.

scholarly journals Barriers to the Implementation of Primary PCI in the Management of STEMI in Egypt

2021 ◽  
Author(s):  
Ayman Helal
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Providers ◽  
Time Window ◽  
Proper Time ◽  
Care Providers ◽  
St Segment Elevation ◽  
Catheterization Laboratory ◽  
Potential Barriers ◽  
Care System

Introduction: Evidence-based guidelines recommend primary percutaneous coronary intervention (PPCI) be the mainstay reperfusion strategy for the treatment of ST-segment elevation myocardial infarction (STEMI) if it is performedin the proper time window. However, the Egyptian health care system is still struggling to provide such an important service. The aim of the present study, through a quantitative questionnaire, is to explore the current practice of STEMI management in Egypt, and to identify the barriers, opportunities, and potential areas for improvement.Methods and Results: The questionnaire was conducted in Egypt via face-to-face qualitative in-depth interviews with cardiologists from 14 PPCI-capable hospitals and 26 non-PPCI-capable hospitals. Participants were selected in view of their experience and knowledge. The study identified potential barriers to the implementation of PPCI among STEMI patients in Egypt. These barriers included the prehospital patient delay and emergency medical service delay, delay in the emergency department and delay in patient transfer to the CCU, unavailable equipment, catheterization laboratory activation delay, lack of trained interventional cardiologists, lack of regional STEMI networks and hospital policies, and insufficient ICU beds.Conclusion: Limited resources and health care system inadequacies have led to potential barriers that prevent suboptimal implementation of PPCI in Egypt. Efforts from all health care providers should be directed to overcome theseidentified barriers.

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