scholarly journals The Effect of Service Compact (SERVICOM) on Service Delivery in Nnamdi Azikiwe University Teaching Hospital Nnewi, Nigeria

2014 ◽  
Vol 2 (4) ◽  
pp. 101
Author(s):  
Jude Kennedy Emejulu ◽  
M. C. Muo ◽  
E. E.O. Chukwuemeka
Keyword(s):  
Service Delivery ◽  
Federal Government ◽  
Teaching Hospital ◽  
Care Delivery ◽  
University Teaching ◽  
Care Providers ◽  
Face To Face ◽  
Service Unit ◽  
Service Areas ◽  
And Control

This study examined the effect of service compact (Servicom Service delivery) in Nnamdi Azikiwe University Teaching Hospital Nnewi. Questionnaire and face-to-face interviews were used in the collection of data. The hypotheses were tested using descriptive statistics. The study discovered among other things that with the inauguration of the SERVICOM Charter by the Federal Government of Nigeria, the Management of Nnamdi Azikiwe University Teaching Hospital Nnewi identified key areas that required re-evaluation and attention based on the submissions of every service unit and department, after an analysis of the Strengths, Weaknesses, Opportunities and Threats (SWOT) of each of the service areas. A pre-SERVICOM Charter workshop which was supervised by the Federal Government was held in the various institutions nationwide to enable care providers enumerate their current service capacity and identify their impediments. In the light of the foregoing, some of the recommendations proffered are that the SERVICOM Charter project should be sustained and supervision and control of the SERVICOM Charter project should be intensified in order to ensure that the Nigerian factor of service-fatigue would not supervene in care delivery in the near future.

Evaluation of microalbumin, cystatin c, creatinine and uric acid levels in HIV patients in Nnamdi Azikiwe University Teaching Hospital, Nnewi

2021 ◽  
Vol 8 (3) ◽  
pp. 132-142
Author(s):  
Ezeugwunne Ifeoma Priscilla ◽  
Amaifeobu Clement ◽  
Meludu Samuel Chukwuemeka ◽  
Analike Rosemary Adamma ◽  
Nnamdi Johnjude Chinonso ◽  
...  
Keyword(s):  
Uric Acid ◽  
Cystatin C ◽  
Teaching Hospital ◽  
University Teaching ◽  
Hiv Positive ◽  
Hiv Patients ◽  
Voluntary Counseling And Testing ◽  
Group B ◽  
And Control ◽  
Hiv Negative

This study evaluated the microalbumin, cystatin C, creatinine and uric acid levels in HIV patients in Nnamdi Azikiwe University Teaching Hospital, Nnewi (NAUTH). A total of one hundred (100) male and female HIV positive and control participants who were aged between 18 and 60 years attending the voluntary counseling and testing unit (VCT) and antiretroviral therapy unit (ART) of NAUTH were randomly recruited for the study and grouped thus: Group A (HIV positive symptomatic participants on long term ART (HPSPLTART) (n= 25); Group B (HIV positive symptomatic participants on short term ART (HPSPSTART) (n= 25); Group C: Asymptomatic HIV positive participants NOT on ART (AHPPNART) (n=25) and Group D: control (n=25).6mls of blood sample and 10mls of freshly voided urine samples were collected from each of the participants for the evaluation of biochemical parameters using standard laboratory methods. Results showed significantly higher BMI and SBP in HPSPSTART than in control (p=0.04; 0.02). SBP was significantly higher in HPSPLTART than in AHPPNART and Control (p=0.00). DBP was significantly higher in HPSPLTART than in HPSPSTART and control respectively (p=0.00). There were significantly higher plasma creatinine and Cys-C levels in both male HIV positives and male HIV positive participants on ART than in both females respectively (p0.00; 0.02). Also, BMI, creatinine, uric acid and Cystatin C levels were significantly higher in male HIV negative participants than in female HIV negative participants (p=0.00; 0.04; 0.02; 0.01). This study has revealed greater risk for renal disease among the HIV participants studied.

Delivering End-of-Life Cancer Care: Perspectives of Providers

2017 ◽  
Vol 35 (3) ◽  
pp. 497-504 ◽  
Author(s):  
Manali I. Patel ◽  
Vyjeyanthi S. Periyakoil ◽  
David Moore ◽  
Andrea Nevedal ◽  
Tumaini R. Coker
Keyword(s):  
End Of Life ◽  
Health Care Providers ◽  
Cancer Care ◽  
Care Delivery ◽  
Comparative Method ◽  
The United States ◽  
Home Delivery ◽  
Care Providers ◽  
Face To Face ◽  
Care Services

Objectives: Persistent gaps in end-of-life cancer care delivery and growing associated expenditures remain imminent US public health issues. The objective of this study was to understand clinical providers’ experiences delivering cancer care for patients at the end of life and their perspectives on potential solutions to improve quality of care. Methods: Semistructured interviews were conducted with 75 cancer care providers across the United States. The interviews were recorded, transcribed, and analyzed using constant comparative method of qualitative analysis. Results: Providers identified 3 major cancer care delivery challenges including lack of time to educate patients and caregivers due to clinical volume and administrative burdens, ambiguity in determining both prognosis and timing of palliative care at the end-of-life, and lack of adequate systems to support non-face-to-face communication with patients. To address these challenges, providers endorsed several options for clinical practice redesign in their settings. These include use of a lay health worker to assist in addressing early advance care planning, proactive non-face-to-face communication with patients specifically regarding symptom management, and community and in-home delivery of cancer care services. Discussion: Specific strategies for cancer care redesign endorsed by health-care providers may be used to create interventions that can more efficiently and effectively address gaps in end-of-life cancer care.

scholarly journals Patients’ Opinion on Availability and Price of Drugs in the General Outpatient Department of a Teaching Hospital, Southeast Nigeria

2020 ◽  
pp. 200-208
Author(s):  
Edmund O. Ndibuagu ◽  
Onyinye H. Chime ◽  
Ejiofor T. Ugwu
Keyword(s):  
Health Care ◽  
Teaching Hospital ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
University Teaching ◽  
Outpatient Department ◽  
Health Coverage ◽  
Cross Sectional ◽  
Enugu State ◽  
Cross Sectional Design

Aim: Patients perception of health care delivery system can be expressed as an opinion. The aim of the study is to assess patients’ opinion on availability and cost of drugs in the General Outpatient Department of a state teaching hospital in Nigeria. Study Design: The study was of descriptive, cross-sectional design. Place and Duration of Study: This study was conducted at the General Outpatient department, Enugu State University Teaching Hospital, Enugu state, Nigeria. It was conducted between August 1st and October 31st, 2017. Methodology: Information was collected from 313 patients exiting the Pharmacy unit, using structured interviewer-administered questionnaire. Statistical Package for Social Sciences (SPSS) was used for analysis, and the results expressed as frequencies and percentages. Education, sex, and age patterns of the responses were looked at. Results: A total of 313 patients responded, 131 (41.9%) males and 182 (58.1%) females. Out of these, 91 (29.0%) were of the opinion that drugs were reasonably or completely available, while 184(58.8%) reported that it was either few or completely unavailable; with 38(12.1%) having no opinion on availability. With respect to price; 198(63.3%) believed that price is affordable or very affordable, while 78(24.9%) thought it was exorbitant or very exorbitant; with 37(11.8%) being uncertain about the price of drugs. Conclusions: In LMIC, inadequate stock of drugs in health facilities is a common occurrence. More than half of patients that presented in the study health facility were of the opinion that only few prescribed drugs, or completely none were available. However, most of them believed that the price of drugs was affordable or very affordable. It is crucial that governments and health care managers redouble their efforts towards provision of drugs, if meaningful progress will be made in the area of global Universal Health Coverage.

scholarly journals Interprofessional collaboration and barriers among health and social workers caring for older adults: a Philippine case study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
TJ Robinson T. Moncatar ◽  
Keiko Nakamura ◽  
Kathryn Lizbeth L. Siongco ◽  
Kaoruko Seino ◽  
Rebecca Carlson ◽  
...  
Keyword(s):  
Older Adults ◽  
Service Delivery ◽  
Social Workers ◽  
Interprofessional Collaboration ◽  
Care Delivery ◽  
The Philippines ◽  
Geriatric Care ◽  
Care Providers ◽  
Care Workers

Abstract Background There is limited information on how the barriers to interprofessional collaboration (IPC) across various professionals, organizations, and care facilities influence the health and welfare of older adults. This study aimed to describe the status of IPC practices among health and social workers providing care for older adults in the Philippines; investigate the perceived barriers to its implementation and perceived effects on geriatric care; and identify possible solutions to address the barriers limiting collaborative practice. Methods A case study approach was utilized employing 12 semi-structured in-depth interviews and 29 focus group discussions with care workers from selected primary health care units, public and private hospitals, and nursing homes that are directly involved in geriatric care delivery in two cities in the Philippines. Overall, 174 health and social workers consented to participate in this study. All interviews were audio-recorded and transcribed verbatim. An inductive thematic analysis using NVivo 12® was used to identify and categorize relevant thematic codes. Results Interprofessional geriatric care provided by health and social workers was observed to be currently limited to ad hoc communications typically addressing only administrative concerns. This limitation is imposed by a confluence of barriers such as personal values and beliefs, organizational resource constraints, and a silo system care culture which practitioners say negatively influences care delivery. This in turn results in inability of care providers to access adequate care information, as well as delays and renders inaccessible available care provided to vulnerable older adults. Uncoordinated care of older adults also led to reported inefficient duplication and overlap of interventions. Conclusion Geriatric care workers fear such barriers may aggravate the increasing unmet needs of older adults. In order to address these potential negative outcomes, establishing a clear and committed system of governance that includes IPC is perceived as necessary to install a cohesive service delivery mechanism and provide holistic care for older adults. Future studies are needed to measure the effects of identified barriers on the potential of IPC to facilitate an integrated health and social service delivery system for the improvement of quality of life of older adults in the Philippines.

scholarly journals La digitalización docente frente al reto de crisis sanitaria. La adaptación del claustro de Quirónsalud Madrid

2021 ◽  
Vol 2 (1) ◽  
pp. 1-12
Author(s):  
Javier Bermejo ◽  
Carmen Rivero ◽  
Sara Rojo ◽  
Eva Cerezo ◽  
Noemi Rodríguez ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Online Teaching ◽  
University Teaching ◽  
Teaching Staff ◽  
Care Providers ◽  
Health Crisis ◽  
Face To Face ◽  
Virtual Classes ◽  
Academic Plan ◽  
De Medicina

La digitalización del profesorado universitario es un aspecto que ha cobrado especial relevancia en los últimos meses, de forma más concreta en el ámbito sanitario. Las clases presenciales se han visto canceladas y sustituidas por docencia online de una manera abrupta a causa de la crisis sanitaria acontecida. A ello se suma la elevada carga asistencial que han asumido todos los profesionales sanitarios. Varios de los hospitales del grupo Quirónsalud en Madrid desarrollan gran parte del plan académico del Grado de Medicina de la Universidad Europea y, debido a las circunstancias derivadas de la pandemia, su docencia ha tenido que transformarse, usando herramientas digitales que permitieran llevar a cabo tanto la labor docente como el arduo trabajo hospitalario de forma simultánea. Este artículo presenta los datos de la docencia llevada a cabo, así como las iniciativas que se han puesto en marcha desde marzo de 2020, con la finalidad de analizar la adaptación del claustro médico docente del grupo Quirónsalud a la situación acaecida. La utilización de herramientas asíncronas ha favorecido el trabajo autónomo del estudiante y la compatibilización de la actividad asistencial y la docencia en los hospitales mediante iniciativas como clases síncronas online, seminarios grabados y presentaciones locutadas, entre otras. The digitalization of university teaching staff is an aspect that has taken on special relevance in recent months, especially in the field of healthcare. Face-to-face classes have been abruptly cancelled and replaced by online teaching due to the health crisis. In addition, all the health care providers have taken on the burden of providing care, making it compatible with the virtual classes. Several Quirónsalud groups hospitals carry out part of the academic plan for the degree in Medicine at the European University. However, the teaching has had to be transformed, using digital tools that allow the teaching work and the arduous hospital work to be blended. This article presents the data on the teaching carried out and the initiatives that have been implemented since March 2020 with the aim of analyzing the adaptation of the medical teaching staff of the Quirónsalud group to the situation that has occurred. The use of asynchronous tools has favored the autonomous work of the student and the compatibility of healthcare activity and teaching in hospitals through initiatives such as online synchronous classes, recorded seminars and spoken presentations, among others.

Assessment of Caregivers’ Knowledge about Medications and Medical Conditions by Time of Discharge in the Paediatric Department at University Teaching Hospital of Zambia

2020 ◽  
Vol 4 (3) ◽  
pp. 10-16
Author(s):  
Paul Bowa ◽  
Keyword(s):  
Health Care Providers ◽  
Teaching Hospital ◽  
University Teaching ◽  
Medical Conditions ◽  
Care Providers ◽  
Chi Square ◽  
Level Of Education ◽  
Paediatric Patients ◽  
Paediatric Department ◽  
Level Of Knowledge

Background: Discharge is a period of transition from hospital to home that transfer responsibilities from the inpatient health care providers to patients and primary Caregivers. The study assessed Caregivers’ Knowledge about medications and medical conditions by the time their paediatric patients are discharged. Methods: A Cross-Sectional Study was carried out at University Teaching Hospital, paediatric department in Lusaka city of Zambia. 369 Caregivers were assessed on level of knowledge about medical conditions and medications of their discharged paediatric patients using data collected by a Pre-Tested Interview administered questionnaire. A knowledge index was developed representing the number of correct answers. Chi-square test analysis was used to indicate the significance of the results. Results: Most Caregivers were married (78.8%),Parents (82.2%), Unemployed(57.7%) with Primary level of Education (45.5%).The study found that 35.5% were very knowledgeable,27.6% had average knowledge and 36.9 % were not knowledgeable about Medical conditions. 16.5% were very knowledgeable,35.5% were average knowledgeable and 48.5 were not knowledgeable about Medications. The overall knowledge about Medical condition and Medications was poor with only 11.9% very knowledgeable,35.5% average knowledgeable and 52.6% not knowledgeable. Study of Pearson Chi-square reviewed that there is a statistically significant association between Age(P=0.000), Gender(P=0.023), Duration of Hospital stay(0.000),of Education (0.000), Occupation (0.000) and Relationship of Caregiver (0.002) to Level of knowledge. Discussion: Generally, Caregivers were not knowledgeable about the medical conditions and medications of their paediatric patients. However, the study findings indicated that Caregivers were more knowledgeable about medical conditions than medications. Female parent Caregivers are more likely to be knowledgeable than male Caregivers. Similarly, those who stay longer in Hospital, with a high level of Education, and Health workers are likely to be knowledgeable.

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