Quality of Care for Patients with Chronic Respiratory Diseases: Data for Accreditation Plan in Primary Healthcare

2015 ◽  
pp. 71-85
Author(s):  
Donata Kurpas ◽  
Katarzyna Szwamel ◽  
Bożena Mroczek
Keyword(s):  
Quality Of Care ◽  
Primary Healthcare ◽  
Respiratory Diseases ◽  
Chronic Respiratory Diseases

Improving the quality of care for patients with chronic respiratory diseases provided by the community health nurse

1994 ◽  
Vol 23 ◽  
pp. S66-S67
Author(s):  
C.A.J. Ketelaars ◽  
H.Abu Saad ◽  
R.J.G. Halfens ◽  
R. Mostert ◽  
M.A.G. Schlosser ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Community Health ◽  
Respiratory Diseases ◽  
Chronic Respiratory Diseases ◽  
Health Nurse ◽  
Community Health Nurse

Unmet Needs of Patients with Chronic Respiratory Diseases Within Primary Healthcare

2015 ◽  
pp. 43-55 ◽  
Author(s):  
D. Kurpas ◽  
I. Wroblewska ◽  
K. Kassolik ◽  
W. Andrzejewski ◽  
A. Athanasiadou ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Respiratory Diseases ◽  
Unmet Needs ◽  
Chronic Respiratory Diseases

scholarly journals Perspectives of Public and Private Primary Healthcare Users in Two Regions of Albania on Non-Clinical Quality of Care

2020 ◽  
Vol 11 ◽  
pp. 215013272097035
Author(s):  
Jonila Gabrani ◽  
Christian Schindler ◽  
Kaspar Wyss
Keyword(s):  
Quality Of Care ◽  
Primary Healthcare ◽  
Outpatient Clinics ◽  
Ageing Population ◽  
Coordination Of Care ◽  
Public And Private ◽  
Clinical Quality ◽  
Private Providers ◽  
Better Than

Background: Aiming to tackle the rise of non-communicable diseases and an ageing population, Albania is engaged in boosting primary healthcare services and quality of care. The patients’ perspectives on their experience with public and private providers are, however, missing, although their viewpoints are critical while shaping the developing services. Consequently, we analyze perceptions of users of primary healthcare as it relates to non-clinical quality of care and the association to sociodemographic characteristics of patients and the type of provider. Methods: A facility-based survey was conducted in 2018 using the World Health Organization responsiveness questionnaire which is based on a 4-point scale along with 8 non-clinical domains of quality of care. The data of 954 patients were analyzed through descriptive statistics and linear mixed regression models. Results: Similar mean values were reported on total scale of the quality of care for private and public providers, also after sociodemographic adjustments. The highest mean score was reported for the domain “communication” (3.75) followed by “dignity” (3.65), while the lowest mean scores were given for “choice” (2.89) and “prompt attention” (3.00). Urban governmental PHC services were rated significantly better than private outpatient clinics in “coordination of care” (2.90 vs 2.12, P < .001). In contrast, private outpatient clinics were judged significantly better than urban PHC clinics in “confidentiality” (3.77 vs 3.38, P = .04) and “quality of basic amenities” (3.70 vs 3.02, P < .001). “Autonomy” was reported as least important attribute of quality. Conclusion: While the perception of non-clinical care quality was found to be high and similar for public and private providers, promptness and coordination of care require attention to meet patient’s expectations on good quality of care. There is a need to raise the awareness on autonomy and the involvement of patients’ aspects concerning their health.

Quality of life and acceptance of illness among patients with chronic respiratory diseases

2013 ◽  
Vol 187 (1) ◽  
pp. 114-117 ◽  
Author(s):  
Donata Kurpas ◽  
Bozena Mroczek ◽  
Helena Knap-Czechowska ◽  
Dorota Bielska ◽  
Aneta Nitsch-Osuch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Respiratory Diseases ◽  
Chronic Respiratory Diseases ◽  
Acceptance Of Illness

scholarly journals Oral Health-Related Quality of Life in Patients With Chronic Respiratory Diseases—Results of a Systematic Review

2022 ◽  
Vol 8 ◽  
Author(s):  
Simin Li ◽  
Wanchen Ning ◽  
Wei Wang ◽  
Dirk Ziebolz ◽  
Aneesha Acharya ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Oral Health ◽  
Respiratory Disease ◽  
Respiratory Diseases ◽  
Health Related Quality ◽  
Chronic Respiratory Diseases ◽  
Related Quality ◽  
Health Related

Background: This systematic review evaluates the oral health-related quality of life (OHRQoL) of patients with chronic respiratory diseases.Methods: A systematic literature search was performed based on the PubMed, Medline, Web of Science, and Scopus, using the search terms: “oral health-related quality of life” and “respiratory disease” or “lung” and “oral health-related quality of life.” Full-text articles published until June 30, 2021 and reporting any OHRQoL measurement in children or adults with a chronic respiratory disease or condition were included and analyzed qualitatively.Results: A total of seven out of 44 studies were included, of which four studies examined adults and three studies investigated children. The respective diseases were chronic obstructive pulmonary disease (COPD) (n = 2), sleep apnea (n = 2), severe asthma (n = 1), cystic fibrosis (n = 1), and lung transplantation (n = 1). Four studies confirmed a worse OHRQoL in the respiratory diseased group compared to healthy controls. The overall OHRQoL was reduced in the included studies. Oral health, health-related quality of life, and disease-related parameters were rarely examined with regard to OHRQoL.Conclusion: Patients with chronic respiratory diseases show a reduced OHRQoL. Oral health should be fostered in these individuals to support their OHRQoL.

scholarly journals The burden of segregated respiratory diseases in India and the quality of care in these patients: Results from the Asia-Pacific Burden of Respiratory Diseases study

Lung India ◽  
2016 ◽  
Vol 33 (6) ◽  
pp. 611 ◽  
Author(s):  
AlokeGopal Ghoshal ◽  
GD Ravindran ◽  
Paras Gangwal ◽  
Girish Rajadhyaksha ◽  
Sang-Heon Cho ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Respiratory Diseases ◽  
Asia Pacific

scholarly journals Perceived quality of primary healthcare post-National Health Insurance pilot implementation

2021 ◽  
Vol 26 ◽  
Author(s):  
Hillary Mukudu ◽  
Kennedy Otwombe ◽  
Caiphus Moloto ◽  
Adam Fusheini ◽  
Jude Igumbor
Keyword(s):  
Quality Of Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Primary Healthcare ◽  
Perceived Quality ◽  
Referral Rate ◽  
Medical Practitioners ◽  
Perceived Quality Of Care

Background: Contracting private medical practitioners for the National Health Insurance pilot project in 2012 by the National Department of Health in South Africa was envisaged to reduce workload at referral district hospitals by reducing self-referral by clients as the perceived quality of care at the primary healthcare level improves.Aim: To describe the effect of contracting private medical practitioners at primary healthcare facilities on the self-referral rate of clients at district hospitals as a proxy for perceived quality of care in a National Health Insurance pilot district.Setting: The study was set in Tshwane National Health Insurance pilot district compared to Ekurhuleni district.Methods: We compared findings before and after implementing the National Health Insurance private medical practitioners contracting between a pilot and a non-pilot district. A quasi-experimental ecological study design was used to compare district hospital outpatient department indicators of clients follow-up, self-referral, self-referral rate and referred in the two districts from June 2012 to May 2014 using single and controlled interrupted time-series analyses.Results: Controlled interrupted time series analysis found decreases in self-referral rate (−1.8 [−2.2, −1.1] [p 0.0001]) and the initial trend of headcounts of self-referral (−516 [−969, −66] [p = 0.0260]), but an increase in headcounts of referred clients (1293 [77, 2508] [p = 0.0376]) in the pilot compared with the non-pilot district.Conclusion: We concluded that the implementation of contracting private medical practitioners in primary healthcare facilities might have resulted in an improved perceived quality of care at primary health care facilities. However, the higher number of outpatient department headcounts for follow-up and the increase in referred cases in the pilot district would need to be investigated.

scholarly journals Clinical effectiveness and components of Home-pulmonary rehabilitation for people with chronic respiratory diseases: a systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e050362
Author(s):  
Md Nazim Uzzaman ◽  
Soo Chin Chan ◽  
Ranita Hisham Shunmugam ◽  
Julia Patrick Engkasan ◽  
Dhiraj Agarwal ◽  
...  
Keyword(s):  
Usual Care ◽  
Exercise Capacity ◽  
Pulmonary Rehabilitation ◽  
Respiratory Diseases ◽  
Clinical Effectiveness ◽  
Published Data ◽  
Chronic Respiratory Diseases ◽  
Functional Exercise ◽  
Functional Exercise Capacity

IntroductionChronic respiratory diseases (CRDs) are common and disabling conditions that can result in social isolation and economic hardship for patients and their families. Pulmonary rehabilitation (PR) improves functional exercise capacity and health-related quality of life (HRQoL) but practical barriers to attending centre-based sessions or the need for infection control limits accessibility. Home-PR offers a potential solution that may improve access. We aim to systematically review the clinical effectiveness, completion rates and components of Home-PR for people with CRDs compared with Centre-PR or Usual care.Methods and analysisWe will search PubMed, CINAHL, Cochrane, EMBASE, PeDRO and PsycInfo from January 1990 to date using a PICOS search strategy (Population: adults with CRDs; Intervention: Home-PR; Comparator: Centre-PR/Usual care; Outcomes: functional exercise capacity and HRQoL; Setting: any setting). The strategy is to search for ‘Chronic Respiratory Disease’ AND ‘Pulmonary Rehabilitation’ AND ‘Home-PR’, and identify relevant randomised controlled trials and controlled clinical trials. Six reviewers working in pairs will independently screen articles for eligibility and extract data from those fulfilling the inclusion criteria. We will use the Cochrane risk-of-bias tool and Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to rate the quality of evidence. We will perform meta-analysis or narrative synthesis as appropriate to answer our three research questions: (1) what is the effectiveness of Home-PR compared with Centre-PR or Usual care? (2) what components are used in effective Home-PR studies? and (3) what is the completion rate of Home-PR compared with Centre-PR?Ethics and disseminationResearch ethics approval is not required since the study will review only published data. The findings will be disseminated through publication in a peer-reviewed journal and presentation in conferences.PROSPERO registration numberCRD42020220137.

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