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An epidemiologically-based needs assessment for stroke services.

https://arctichealth.org/en/permalink/ahliterature175167
Source
Chronic Dis Can. 2004 Summer-Fall;25(3-4):138-46
Publication Type
Article
Author
Duncan J W Hunter
Heather J Grant
Mark P H Purdue
Robert A Spasoff
John L Dorland
Nam Bains
Author Affiliation
Department of Community Health and Epidemiology, Abramsky Hall, Queen's University, Kingston, Ontario, Canada K7L 3A6. hunter@post.queensu.ca
Source
Chronic Dis Can. 2004 Summer-Fall;25(3-4):138-46
Language
English
Publication Type
Article
Keywords
Adult
Delivery of Health Care - statistics & numerical data
Diagnostic Services - statistics & numerical data
Epidemiologic Studies
Evidence-Based Medicine
Feasibility Studies
Health Planning - statistics & numerical data
Humans
Needs Assessment - statistics & numerical data
Ontario - epidemiology
Population Surveillance
Preventive Health Services - statistics & numerical data
Registries
Risk Assessment - statistics & numerical data
Risk factors
Stroke - epidemiology - rehabilitation - therapy
Abstract
Stroke is amenable to the entire spectrum of health services, ranging from prevention of its risk factors, to the treatment of acute stroke and rehabilitation and palliation of stroke. The aim of this study was to determine the number of persons with the capacity to benefit from evidence-based effective stroke services. Population-based survey and registry data along with published, evidence-based recommendations for services were used to determine the number of persons in Eastern Ontario with stroke (including risk factors, acute stroke and chronic stroke) and their related need for services (including prevention programs, diagnostic services, treatment of acute stroke and rehabilitation). These estimates were then compared to the actual provision of these services. Estimates of the need for effective services exceeded the provision of all services with the exception of pharmacologic treatment for diabetes mellitus and carotid endarterectomy for acute stroke. The approach was able to identify both the under-provision and over-provision of evidence-based effective services for stroke. This study has shown that an epidemiologically-based needs assessment could be a useful basis for the planning of health services.
PubMed ID
15841854 View in PubMed
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[ASSESSING THE RELIABILITY OF A PULMONARY TUBERCULOSIS MORBIDITY RATE].

https://arctichealth.org/en/permalink/ahliterature276883
Source
Tuberk Biolezni Legkih. 2010;(4):3-9
Publication Type
Article
Date
2010
Source
Tuberk Biolezni Legkih. 2010;(4):3-9
Date
2010
Language
Russian
Publication Type
Article
Keywords
Health Services Research - statistics & numerical data - methods - statistics & numerical data - epidemiology - diagnosis - mortality - prevention & control
Humans - statistics & numerical data - methods - statistics & numerical data - epidemiology - diagnosis - mortality - prevention & control
Mortality - statistics & numerical data - methods - statistics & numerical data - epidemiology - diagnosis - mortality - prevention & control
Preventive Health Services - statistics & numerical data - methods - statistics & numerical data - epidemiology - diagnosis - mortality - prevention & control
Reproducibility of Results - statistics & numerical data - methods - statistics & numerical data - epidemiology - diagnosis - mortality - prevention & control
Risk Assessment - statistics & numerical data - methods - statistics & numerical data - epidemiology - diagnosis - mortality - prevention & control
Russia - statistics & numerical data - methods - statistics & numerical data - epidemiology - diagnosis - mortality - prevention & control
Tuberculosis, Pulmonary - statistics & numerical data - methods - statistics & numerical data - epidemiology - diagnosis - mortality - prevention & control
Abstract
The reliability of a statistical mortality rate due to pulmonary tuberculosis was analyzed in 10 Russian Federation's subjects having the least rates. It was shown that its reliability might be objectively assessed by a method for complex analysis of the rates reflecting the population coverage of prophylactic examinations, the proportion of tuberculosis patients identified at their visits to health care facilities, and the pattern of patients with new-onset pulmonary tuberculosis. The reliability of this rate is mainly influ-enced by the prophylactic examination coverage of the population at increased risk for tuberculosis. Underidentification of patients with pulmonary tuberculosis leads to a discrepancy in the actual and statistical deaths from pulmonary tuberculosis with its underestimated values.
PubMed ID
27534018 View in PubMed
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[Awareness of preventive medicine issues among physicians of central district hospitals].

https://arctichealth.org/en/permalink/ahliterature168461
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2005 Nov-Dec;(6):8-10
Publication Type
Article
Author
F M Kamalova
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2005 Nov-Dec;(6):8-10
Language
Russian
Publication Type
Article
Keywords
Adult
Awareness
Female
Hospitals, District
Humans
Male
Physicians - statistics & numerical data
Preventive Health Services - statistics & numerical data
Questionnaires
Russia
Abstract
In market conditions, population health becomes a pawn of peoples social and vital status. Attitude towards health is vital need of every individual and public strategic target. Both physicians opinions on health values and level of their knowledge in the field of preventive medicine were studied using specially elaborated questionnaire. In physicians views on forms of preventive activities and their effectiveness differences were established depending on various resource support of workplace. Development of health values in society becomes actual target and training of highly professional personnel in the area of preventive medicine can be one of its possible directions.
PubMed ID
16821304 View in PubMed
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Beyond Culture and Language: Access to Diabetes Preventive Health Services among Somali Women in Norway.

https://arctichealth.org/en/permalink/ahliterature270771
Source
J Diabetes Res. 2015;2015:549795
Publication Type
Article
Date
2015
Author
Abdi A Gele
Liv Elin Torheim
Kjell Sverre Pettersen
Bernadette Kumar
Source
J Diabetes Res. 2015;2015:549795
Date
2015
Language
English
Publication Type
Article
Keywords
Adult
Communication Barriers
Culture
Diabetes Mellitus, Type 2 - prevention & control
Diet
Emigrants and Immigrants - statistics & numerical data
Female
Health Knowledge, Attitudes, Practice
Health Services Accessibility - statistics & numerical data
Health services needs and demand
Humans
Language
Norway
Preventive Health Services - statistics & numerical data
Qualitative Research
Sedentary lifestyle
Somalia - ethnology
Women
Abstract
Despite the high prevalence of type 2 diabetes in some immigrant and refugee communities in Norway, there is very little information available on their utilization of diabetes prevention interventions, particularly for women from Somali immigrant communities. A qualitative study of 30 Somali immigrant women aged 25 years and over was carried out in the Oslo area. Unstructured interviews were used to explore women's knowledge of diabetes, their access to preventive health facilities, and factors impeding their reception of preventive health programs targeted for the prevention of type 2 diabetes. The study participants were found to have a good knowledge of diabetes. They knew that a sedentary lifestyle and unhealthy diet are among the risk factors for diabetes. Regardless of their knowledge, participants reported a sedentary lifestyle accompanied with the consumption of an unhealthy diet. This was attributed to a lack of access to tailored physical activity services and poor access to health information. Considering gender-exclusive training facilities for Somali immigrant women and others with similar needs, in addition to access to tailored health information on diet, may encourage Somali women to adopt a healthy lifestyle, and it will definitely contribute to a national strategy for the prevention of diabetes.
Notes
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PubMed ID
26266267 View in PubMed
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Comparison of health care utilization: United States versus Canada.

https://arctichealth.org/en/permalink/ahliterature120433
Source
Health Serv Res. 2013 Apr;48(2 Pt 1):560-81
Publication Type
Article
Date
Apr-2013
Author
Yuriy Pylypchuk
Eric M Sarpong
Author Affiliation
Social and Scientific Systems, Georgetown Public Policy Institute, Rockville, MD 20850, USA. yuriy.ypylypch@ahrq.gov
Source
Health Serv Res. 2013 Apr;48(2 Pt 1):560-81
Date
Apr-2013
Language
English
Publication Type
Article
Keywords
Adult
Canada
Cross-Cultural Comparison
Female
Health Services - utilization
Health status
Humans
Male
Middle Aged
Preventive Health Services - statistics & numerical data
Socioeconomic Factors
Specialization
United States
Abstract
To compare health care utilization between Canadian and U.S. residents.
Nationally representative 2007 surveys from the Medical Expenditure Panel Survey for the United States and the Canadian Community Health Survey for Canada.
We use descriptive and multivariate methods to examine differences in health care utilization rates for visits to medical providers, nurses, chiropractors, specialists, dentists, and overnight hospital stays, usual source of care, Pap smear tests, and mammograms.
The poor and less educated were more likely to utilize health care in Canada than in the United States. The differences were especially pronounced for having a usual source of care and for visits to providers, specialists, and dentists. Health care use for residents with high incomes and higher levels of education were not markedly different between the two countries and often higher for U.S residents. Foreign-born residents were more likely to use health care in Canada than in the United States. The descriptive results were confirmed in multivariate regressions.
Given the magnitude of our results, the health insurance structure in Canada might have played an important role in improving access to care for subpopulations examined in this study.
PubMed ID
23003340 View in PubMed
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[Current problems of the prophylactic medical examination of miners who work in coal mines and the evaluation of its efficacy].

https://arctichealth.org/en/permalink/ahliterature232845
Source
Sante Publique (Bucur). 1988 Jul-Sep;31(3):193-8
Publication Type
Article

Decreasing the delay to carotid endarterectomy in symptomatic patients with carotid stenosis--outcome of an intervention.

https://arctichealth.org/en/permalink/ahliterature122167
Source
Eur J Vasc Endovasc Surg. 2012 Sep;44(3):261-6
Publication Type
Article
Date
Sep-2012
Author
K. Noronen
P. Vikatmaa
T. Sairanen
M. Lepäntalo
M. Venermo
Author Affiliation
Department of Vascular Surgery, Helsinki University Central Hospital, P.O. Box 340, 00029 HUS, Helsinki, Finland. katariina.noronen@hus.fi
Source
Eur J Vasc Endovasc Surg. 2012 Sep;44(3):261-6
Date
Sep-2012
Language
English
Publication Type
Article
Keywords
Aged
Carotid Stenosis - complications - surgery
Chi-Square Distribution
Delivery of Health Care - statistics & numerical data
Endarterectomy, Carotid - adverse effects - statistics & numerical data
Female
Finland
Guideline Adherence - statistics & numerical data
Hospitals, University - statistics & numerical data
Humans
Male
Outcome and Process Assessment (Health Care) - statistics & numerical data
Physician's Practice Patterns - statistics & numerical data
Practice Guidelines as Topic
Preventive Health Services - statistics & numerical data
Program Evaluation
Retrospective Studies
Risk assessment
Risk factors
Stroke - etiology - prevention & control
Time Factors
Treatment Outcome
Waiting Lists
Abstract
Surgical treatment of carotid stenosis after the onset of ischaemic symptoms should be performed within 2 weeks. This aim was accomplished only in 11% during the years 2007-2008 in the Helsinki University Central Hospital (HUCH) region. Since then, special efforts have been made in order to shorten the delay. The aim of this study was to find out how these changes affected the symptom-to-knife time (SKT).
All symptomatic patients (n = 144) who had carotid endarterectomy (CEA, n = 145) in HUCH in 2010 were retrospectively analysed and the SKT was determined.
Of the operations, 37% (n = 53) were performed within the recommended 2 weeks. The median SKT was 19 days (1-183). Of the patients who came to HUCH on an emergency basis (n = 80), 55% (n = 45) were operated within 2 weeks and their median SKT was 13 days (1-148).
The changes that were made in 2008-2009 have significantly shortened the delay in the treatment of carotid stenosis, but the desired time frame of 2 weeks was reached far too seldom. The greatest benefit from preventive CEA is achieved when patients are referred emergently to a clinic where neurologist, imaging resources and vascular surgeon are available.
PubMed ID
22841357 View in PubMed
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Determinants of health counseling practices in hospitals: the patient's perspective.

https://arctichealth.org/en/permalink/ahliterature230222
Source
Am J Prev Med. 1989 Sep-Oct;5(5):257-65
Publication Type
Article
Author
R. Pineault
F. Champagne
B. Maheux
C. Legault
M. Paré
Author Affiliation
Département de médecine sociale et préventive, Université de Montréal, Québec, Canada.
Source
Am J Prev Med. 1989 Sep-Oct;5(5):257-65
Language
English
Publication Type
Article
Keywords
Adult
Aged
Chi-Square Distribution
Confidence Intervals
Counseling - statistics & numerical data
Female
Health Promotion - statistics & numerical data
Health status
Hospital Departments - organization & administration
Hospitals
Humans
Logistic Models
Male
Middle Aged
Multivariate Analysis
Odds Ratio
Patient Acceptance of Health Care
Preventive Health Services - statistics & numerical data
Quebec
Questionnaires
Regression Analysis
Abstract
We conducted a survey of 518 patients who had been admitted to three hospitals for selected medical, surgical, and obstetrical conditions. All patients came from the same city. One of the hospitals had put forward health promotion and disease prevention as a formal goal. Almost 40% of the respondents reported that they received health counseling during their hospital stay. Logistic regression analyses revealed that medical care processes and organizational factors were more important than patient characteristics in determining health counseling. The only patient characteristic that was positively related to health counseling was "perceived poor health status." Favorable conditions for the development of health counseling included having an attending physician different from the one who treated the patient before entering the hospital, an adequate number of physician visits, and a longer length of stay. Being admitted to a medical ward rather than a surgical or an obstetrical ward also was associated with more frequent health counseling. No significant differences were found among hospitals. Finally, having a general practitioner rather than a specialist as attending physician did not make a difference. These findings support the view that although hospitals have an important and legitimate role to play in health promotion, organizational and institutional obstacles to implementing such practices must not be ignored.
PubMed ID
2789847 View in PubMed
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Determining use of preventive health care in Ontario: comparison of rates of 3 maneuvers in administrative and survey data.

https://arctichealth.org/en/permalink/ahliterature152605
Source
Can Fam Physician. 2009 Feb;55(2):178-179.e5
Publication Type
Article
Date
Feb-2009
Author
Li Wang
X Nie Jason
Ross E G Upshur
Author Affiliation
Primary Care Research Unit at Sunnybrook Health Sciences Centre in Toronto, Ont.
Source
Can Fam Physician. 2009 Feb;55(2):178-179.e5
Date
Feb-2009
Language
English
Publication Type
Article
Keywords
Attitude to Health
Demography
Female
Health Behavior
Health Care Surveys
Health Services Accessibility
Humans
Influenza Vaccines - administration & dosage
Male
Mammography - statistics & numerical data
Mass Screening - statistics & numerical data
National Health Programs
Needs Assessment
Ontario
Papanicolaou test
Patient Acceptance of Health Care - statistics & numerical data
Patient Participation - statistics & numerical data
Preventive Health Services - statistics & numerical data - utilization
Quality of Health Care
Risk factors
Socioeconomic Factors
Vaccination - statistics & numerical data
Vaginal Smears - statistics & numerical data
Abstract
To examine rates of influenza vaccination, mammography, and Papanicolaou smear by comparing data obtained from the Ontario Health Insurance Plan administrative database with rates as self-reported in the Canadian Community Health Survey.
Retrospective cohort study using data from Statistics Canada's 2000-2001 Canadian Community Health Survey and from the Ontario Health Insurance Plan administrative database for the same period.
Ontario.
Those aged 12 and older who had received influenza vaccination, women aged 35 or older who had had mammograms within the past 2 years, and women aged 18 or older who had had Pap smears within the past 3 years who were surveyed during the Canadian Community Health Survey in 2001.
Rates of influenza vaccination, mammography, and Pap smear in Ontario's 14 Local Health Integration Networks by network, age group, and socioeconomic status.
Rates varied by health network. Analysis by age showed that influenza vaccination rates increased with age and peaked among those 75 and older. Rates of mammography screening increased with age but dropped substantially among those 75 and older. Rates of Pap smear peaked among those 20 to 39 and decreased with increasing age. Rates of mammography and Pap smear increased with rising socioeconomic status, but influenza vaccination rates did not differ substantially by socioeconomic status. Rates for all 3 preventive maneuvers were lower in the Ontario Health Insurance Plan data than in the self-reported Canadian Community Health Survey data.
There are obstacles to finding out the true rates of preventive health care use in Ontario. We need to ascertain these rates in order to establish a criterion standard for delivery of these services. Development of programs to target specific geographic locations, socioeconomic classes, and high-risk groups are needed to increase the overall use of preventive health services in Ontario.
Notes
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PubMed ID
19221082 View in PubMed
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Documentation of preventive screening interventions by general practitioners: a retrospective chart audit.

https://arctichealth.org/en/permalink/ahliterature144982
Source
BMC Fam Pract. 2010;11:21
Publication Type
Article
Date
2010
Author
Emmanuel Ngwakongnwi
Brenda Hemmelgarn
Hude Quan
Author Affiliation
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Source
BMC Fam Pract. 2010;11:21
Date
2010
Language
English
Publication Type
Article
Keywords
Adult
Aged
Canada
Clinical Audit
Documentation
Family Practice - statistics & numerical data
Female
Humans
Male
Mass Screening
Middle Aged
Physician's Practice Patterns - standards - statistics & numerical data
Preventive Health Services - statistics & numerical data
Retrospective Studies
Abstract
Screening and early diagnosis has been shown to reduce the morbidity and mortality associated with certain conditions such as cervical cancer. The role of general practitioners in promoting primary prevention of diseases is particularly important given that they have frequent contact with a large proportion of the population. This study assessed the extent to which general practitioners documented recommended preventive screening interventions among eligible patients.
We used a retrospective chart audit to assess patient visits to primary care clinics in Calgary, Canada from 2002-2004. We included fee for service physicians who practiced > or = 2 days per week at their current location and excluded those whose primary practice was at walk-in clinics, community health centers, hospitals or emergency rooms. We included charts of patients who during the study period were age 35 years or older and had at least 2 visits to a clinic. We randomly selected and reviewed charts (N = 600) from 12 primary care clinics and abstracted information on 6 conditions recommended for preventive screening. Opportunities for preventive screening were determined based on recommendations of the Canadian Task Force on Preventive Health Care, the American College of Physicians, and the Canadian Cancer Society. Our main outcome measures included cancer screening (mammography and pap smears), immunization (influenza and pneumococcal), and risk factor assessment (cholesterol measurement and smoking cessation consultation).
Patient visits to GP clinics present opportunities for preventive screening. However, we found that documentation of interventions was low, ranging from 40.3% (cholesterol measurement) to 0.9% (pneumococcal vaccination) within 1 year, and from 67.4% to 1.8% within the prior 3 years.
Documentation of preventive screening interventions by general practitioners was relatively low compared to the number of patients eligible for preventive screening. Some physicians opt to screen for PSA and DRE which is not recommended by the Canadian Task Force on Preventive HealthCare.
Notes
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PubMed ID
20214813 View in PubMed
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31 records – page 1 of 4.