Patient and provider concordance on symptoms during the oncology outpatient clinic visit

2014 ◽  
Vol 12 (10) ◽  
pp. 370-377 ◽  
Author(s):  
Swathi Chidambaram ◽  
Teresa Deshields ◽  
Patricia Potter ◽  
Sarah Olsen ◽  
Ling Chen
Keyword(s):  
Outpatient Clinic ◽  
Clinic Visit ◽  
Outpatient Clinic Visit

scholarly journals How would COVID-19 protocols have impacted on continuity of care of hypertension patients

2021 ◽  
Author(s):  
Seo Yoon Lee ◽  
Sung Youn Chun ◽  
Hyeki Park
Keyword(s):  
Regression Analysis ◽  
Continuity Of Care ◽  
Outpatient Clinic ◽  
Clinic Visit ◽  
Hypertensive Patients ◽  
Outpatient Clinic Visit ◽  
Confounding Variables ◽  
Before And After ◽  
The Republic ◽  
The Impact

Abstract ObjectiveTo investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the continuity of care (COC) in hypertension patients. Additionally, the factor of whether participants were treated by telemedicine or not was also considered.MethodsNational Health Insurance and Medical Aid claims This study used data from the Republic of Korea between 2019 and 2020. The multiple regression analysis was performed to identify the differences in visits and the Most Frequent Provider Continuity (MFPC) of hypertensive patients before and after the COVID-19. To confirm the effect of telemedicine, additional analysis was performed with data that deleted cases that received telemedicine.FindingsA total of 5,791,812 hypertensive patients are included in this study. When the confounding variables were adjusted, the MFPC decreased by 0.0031 points after the COVID-19. It also showed the same results for MFPC when telemedicine cases were excluded. The number of outpatient clinic visit days decreased by 0.2930 days after the COVID-19. Without telemedicine cases, the number of outpatient clinic visit days decreased by 0.3330 days after the COVID-19.ConclusionThe COVID-19 protocols did not affect hypertension patients' COC but impacted their outpatient frequency. Additionally, when telemedicine cases are considered, COC was the same, but the patient’s outpatient frequency had decreased, but not as much as when telemedicine cases were considered.

scholarly journals Unexpected Height Loss in an Adolescent With Cystic Fibrosis

2018 ◽  
Vol 5 ◽  
pp. 2333794X1877366 ◽  
Author(s):  
Anne Schendel ◽  
Jillian Mai ◽  
Rachel Espinosa ◽  
Carlye T. Tomcyzk ◽  
Theresa A. Laguna
Keyword(s):  
Cystic Fibrosis ◽  
Clinic Visit ◽  
Vertebral Compression Fractures ◽  
Height Loss ◽  
Growth Charts ◽  
Pulmonary Exacerbation ◽  
Aggressive Treatment ◽  
Vitamin Deficiencies ◽  
Compression Fractures ◽  
Outpatient Clinic Visit

This case report describes an adolescent with pancreatic insufficient cystic fibrosis, malnutrition, and cystic fibrosis–related diabetes found to have a loss in height at a routine outpatient clinic visit. He was subsequently admitted to the hospital for treatment of a pulmonary exacerbation and was found to have multiple, nontraumatic vertebral compression fractures. This report emphasizes the importance of routine review of growth charts and aggressive treatment of vitamin deficiencies and malnutrition in people with cystic fibrosis.

Outpatient Clinic Visits Using Telemedicine - For Patients With Type 1 Diabetes Mellitus Treated With Insulin Pumps (Preprint)

2020 ◽  
Author(s):  
Anders Nikolai Ørsted Schultz ◽  
Georg Bollig ◽  
Frans Brandt Kristensen
Keyword(s):  
Diabetes Mellitus ◽  
Outpatient Clinic ◽  
Insulin Pump ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Clinic Visit ◽  
World Health ◽  
Technical Problems ◽  
Digital Revolution ◽  
The World

UNSTRUCTURED Aim: We aim to investigate three different aspects of conducting an outpatient clinic visit remotely using telemedicine. The areas investigated will be: Diabetes regulation, patient and healthcare professionals perspective on video consultation , and economic evaluation. Background: Diabetes Mellitus (DM) has doubled over the last three decades. A meta-analysis of 12 randomized controlled trials including a total of 600 people treated in period of 2,5 – 24 months the authors concluded that insulin pump treatment lead to significantly better glycemia control, measured by Hba1c. Studies suggest that centres with a large volume of insulin pump patients have a lower complication rate and achieve better metabolic control (lower HbA1c levels) than smaller centres. Accordingly, patients will have larger distance to their centre, more traveling time, and more inconvenience. Hence some patients may not even want to start insulin pump treatment due to distance or may not even get the offer by the HCP even if the indications are present. The Longer travel times might lead some patients to opt out of an insulin pump treatment, or make patients wait longer before contacting staff in case of technical problems or medical issues. A solution to overcome distances to centre and make the healthcare service provide even better could be by use of telemedicine. Telemedicine was defined in 1997 by the World Health Organization. Since then the world has experienced a new digital revolution Study design: A randomised controlled trial will be conducted, including DM1 patients treated with insulin pump. Inclusion criteria: Adult patients, diagnosed with DM1 and use of insulin pump for at least 6 months. Exclusion criteria: No internet access or unable to adhere to protocol. Unable to speak or read Danish. Impact: The study will not only provide solid evidence for implementation of telemedicine in the outpatient clinic regarding DM patients living with an Insulin pump, but hopefully also set a standard for future projects aiming to implement telemedicine in daily clinical practice. ClinicalTrials.gov Identifier: NCT04612933

Home Monitoring of Blood Pressure: Usefulness as a Predictor of Persistent Hypertension

1987 ◽  
Vol 32 (1) ◽  
pp. 16-19 ◽  
Author(s):  
M. Rademaker ◽  
A. Lindsay ◽  
J.A. McLaren ◽  
P.L. Padfield
Keyword(s):  
Blood Pressure ◽  
General Practice ◽  
Outpatient Clinic ◽  
Home Monitoring ◽  
Clinic Visit ◽  
Home Blood Pressure ◽  
The Third ◽  
Hospital Outpatient Clinic ◽  
Hypertension Clinic ◽  
At Home

We set out to test the hypothesis that home blood pressure reflects “baseline” pressures measured at a general practitioner's surgery or in a hospital outpatient clinic. Twenty patients detected hypertensive during screening in general practice and 30 patients referred to a hospital hypertension clinic for revision of therapy were studied. All were instructed in the use of an electronic semiautomatic sphygmomanometer and measured blood pressure at home for a three day period. Home monitored blood pressure correctly predicted those patients whose diastolic blood pressure fell to below 95 mmHg by the third clinic visit in approximately 90% of all patients. In addition, in those whose blood pressure was high at home it remained so at the clinic or surgery after three visits. These data suggest that home monitoring of blood pressure may be a helpful alternative to repeated clinic visits before embarking on medical therapy.

scholarly journals Scabies in Children: A Retrospective Study

2020 ◽  
Vol 32 (1) ◽  
pp. 55
Author(s):  
Retha Retha ◽  
Sawitri Sawitri
Keyword(s):  
Family Members ◽  
Sarcoptes Scabiei ◽  
Clinic Visit ◽  
Physical Contact ◽  
Common Symptom ◽  
Academic Hospital ◽  
Outpatient Clinic Visit ◽  
History Of ◽  
The Common ◽  
Almost All

Background: Scabies is a skin disease in humans and is caused by Sarcoptes scabiei mite. It burrows into the skin and is transmitted through close physical contact. The common symptom is itchiness, mainly occur at night, along with a history of itch from family members or friends with whom the patients might have close physical contact before. Scabies is still a concerning health problem for the majority of poor and developing countries. Purpose: To evaluate the profile of newly-admitted children scabies patients. Methods: This study retrospectively evaluated the medical records of subjects with scabies in the Children Dermatology Division, Dermatology and Venereology Department of Dr. Soetomo General Academic Hospital, Surabaya, between January 2012 and December 2014. Results: There were 545 patients with scabies (33.6% from Children Dermatology Division visit and 3.2% from overall outpatient clinic visit), mainly consisted of children aged 5-14 years old (69%), and mostly males (62.6%). The most common symptom was itchiness (70.28%), most patient sought treatment after the complaint have been persisted for more than 30 days (51.7%), and 66.4% patients have family members with similar complaint. Most of the lesions were found on the hands (60.37%), mostly as papules (73.2%). Almost all of them did not undergo a skin scraping examination (99.1%). The most common therapy combination was permethrin 5% and oral antihistamine (49.7%). Conclusions: This profile on scabies patients was expected to aid in improving scabies treatment in the future.

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