scholarly journals Health Information Systems for Older Persons in Select Government Tertiary Hospitals and Health Centers in the Philippines: Cross-sectional study (Preprint)

Author(s):  
Angely Pangilinan Garcia ◽  
Shelley Ann Francisco de la Vega ◽  
Susan Pineda Mercado
2019 ◽  
Vol 10 (3) ◽  
pp. 22
Author(s):  
S. Wijesinghe ◽  
N. P. Liyanarachchi ◽  
M. G. P. S. De Silva ◽  
L. S. A. N. T. Siriwardena ◽  
S. H. P. De Silva ◽  
...  

2021 ◽  
Author(s):  
Angely Pangilinan Garcia ◽  
Shelley Ann Francisco de la Vega ◽  
Susan Pineda Mercado

BACKGROUND The rapid aging of the world’s population requires systems that support health facilities provision of integrated care at multiple levels of the health care system. Health information system (HIS) that maintains “one person, one record” facilitates efficient provision of services for older persons (OP) and the use of HIS at the point of care have shown positive impacts on clinical processes and patient health in multiple settings of care. OBJECTIVE Objectives 1. To review the existing policies and guidelines related to health information system (HIS) for older persons (OPs) in the Philippines 2. To determine the proportion of select hospitals and health centers that conduct comprehensive geriatric assessment (CGA). 3. To describe the status and challenges related to health information system in select tertiary hospitals and health centers. METHODS The study utilized a cross-sectional study design. Data derived from the findings of the Focused Interventions for Frail Older Adults Research and Development Project (FITforFrail). A facility-based listing of services and workforce specific to geriatric patients was conducted in twenty-seven (27) tertiary hospitals identified as Geriatric Centers across all regions and sixteen (16) health centers within their catchment area. Policies and existing literature on HIS were also reviewed. RESULTS Based on the existing policies, there were multiple agencies involved in the provision of services for OP, with multiple records containing health information and status of OPs. There is no system to integrate or enable interoperability of data systems of OPs at primary, secondary or tertiary levels of care. Hence, a provider for an OP would be unable to access medical, social or insurance information in a single record. Geriatric syndromes including frailty, malnutrition, dementia, incontinence, polypharmacy, and others were not regularly reported as part of the National Health Data Dictionary. Furthermore, reporting based on age group classification is not uniform across facilities. Only 14 (52%) of the hospitals identified as Geriatric Centers while 4 (25%) of the health centers conduct CGA. All tertiary hospitals (27) and health centers (16) are able to maintain medical records of their patients. The tertiary hospitals have better registries on diseases such as CVD, stroke, heart attack, cancer, and mental disorders while health centers have better registries on risk factors such as hypertension, diabetes, but are also able to capture respiratory diseases and disabilities. The updating of databases is not regularly done. Reasons for this include inadequately trained personnel, limited offline facility based HIS, unstable internet connection, and technical issues. CONCLUSIONS Current HIS for OPs are characterized by fragmentation, multiple sources of health information and inaccessibility. Barriers to achieving appropriate HIS for OPs include inability to update HIS in hospitals and health centers and lack of age group and disease standardization. A one-person, one-record electronic medical record system for OP is recommended to address their complex needs and extract data to inform policies and programs. Furthermore, the data on OP shall be disaggregated and analyzed across geographic and social parameters in order to identify gaps in programs and provision of services. Lastly, we recommend the conduct of CGA in all older persons and integrate it in the existing HIS in the country. CLINICALTRIAL Not applicable


2020 ◽  
Vol 15 (2) ◽  
pp. 105-110
Author(s):  
Haile Kassahun ◽  
Dugessa Tesfaye

Background: Disposal of pharmaceutical waste among patients is a global challenge especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contaminations. Therefore, the present study aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia. Methods: A descriptive cross-sectional study was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June, 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject. Results: The majority of the respondents, 224 (85.17%) had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet 66 (25.09%). None of the respondents practiced returning unused medications to Pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing their medications and believed that it is acceptable to store medications at home for future use. Conclusion: In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not get advice from pharmacists and other health care professionals on how to dispose off unused medications. Hence, there is a need for proper education and guidance of patients regarding disposal practices of unused medications.


2018 ◽  
Vol 3 (3) ◽  
pp. 440
Author(s):  
Sri Handayani ◽  
Puteri Fannya ◽  
Putri Nazofah

<p><em>Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel</em><em>. </em><em>The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery</em><em>. </em><em>Sampling using total sampling</em><em> </em><em>by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test</em><em>. </em><em>The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age  36-45 years, 64.4% nurses have poor leadership, </em><em>and </em><em>50.0% of doctors have less good leadership</em><em>.</em><em> There is a relationship between age</em><em> and </em><em>leadership with the performance of health personnel.</em><em></em></p><p><strong><em> </em></strong></p><p>Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.</p>


2019 ◽  
Vol 11 (1) ◽  
pp. 1-5
Author(s):  
Hossein Lashkardoost ◽  
Fateme Hoseyni ◽  
Elham Rabbani ◽  
Farzane Q Moqadam ◽  
Leila Hosseini ◽  
...  

Introduction: North Khorasan province has one of the highest rates of hypertension. One of the main causes of hypertension is obesity. Obesity is one of the most important public health problems around the world as a risk factor for non-communicable diseases. Since a similar study was not conducted in Bojnurd, we examined the relationship between waist to hip ratio with hypertension. Methods: The present cross-sectional study was conducted on women referring to Bojnurd health centers. To analyze the data, we used t-test, chi-square, multiple logistic regression and Pearson correlation in Stata 12 software. Results: In this cross-sectional study, the prevalence of systolic blood pressure was 14.78% and diastolic blood pressure was 15.65%. So waist to the hips showed the highest correlation with the changes in hypertension. Conclusion: There are significant relationships between the age and the number of pregnancies with the risk of hypertension. Since a significant percentage of people are unaware of the existence of hypertension, changing diet and having regular physical activity along with social support is an important strategy.


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