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  • ISSN: 2379-0547
    Volume 8, Issue 1
    Research Article
    Lisa Björk, Kristina Glise, Anders Pousette, Kristina Holmgren, and Monica Bertilsson
    Purpose: Employer involvement in primary health care rehabilitation has been suggested as a promising avenue to curb increasing sick-leave rates due to common mental disorders. The aim of this study is to examine organizational prerequisites for employer involvement in the primary mental health care setting.
    Methods: In 2017, an intervention was launched at eleven primary health care units to assist rehabilitation coordinators and general practitioners with involving employers early on in the return-to-work process for patients with stress-related disorders. Eleven pre-intervention and ten post-intervention interviews with general practitioners, managers and rehabilitation coordinators were thematically analysed using the Consolidated Framework for Implementation Research (CFIR). The centres that succeeded with implementation were compared to the centres that failed implementation.
    Results: Employer contact was more easily established at centres where general practitioners were genuinely dedicated to issues related to insurance medicine, and where the coordinator had a clear and distinctive role in relation to other staff members. At the successful centres, the cooperation between general practitioners and rehabilitation coordinators was structured and the intervention’s core component – that is, employer involvement – could be added to pre-existing workflows.
    Conclusion: Primary care stakeholders aiming to involve employers should establish solid routines and structures for insurance medicine with clear roles for the involved professional groups and should stabilize the staff situation before this step is launched.
    Ofili Roy A, Nwajei Anthony I, Aigbokhaode Adesuwa Q, Owolabi Akinwumi O*, Owolabi Mojisola O, Uzundu Emeka C
    Background: Over time patient satisfaction has gained widespread recognition as a measure of quality health services. There is a need to ascertain the level of satisfaction of patients with chronic medical conditions such as hypertension. This is pertinent in the sense that when patients are satisfied they will follow the treatment protocols and keep on utilizing the health services, thereby improving the outcome of care and health-seeking behavior.
    Methods: This study was a cross-sectional study involving patients attending the Hypertension Clinic of the Federal Medical Centre, Asaba. Data was collected via systemic sampling method using pre-tested interviewer-administered questionnaires and analyzed using SPSS software version 22.0
    Results: Two hundred respondents were recruited for the study and 88.5% of the respondents were satisfied with care. Among the respondents 131 (65.5%) were females, 80 (40.0%) had secondary school education and 128 (64.0%) were married. Level of patient satisfaction was significantly associated with educational level and occupation of the respondents. Also, statistically significant associations were found between the socio-demographic characteristics of gender, marital status, and educational level and the patient satisfaction components of access to care, patient waiting time, patient-provider relationship and hospital bureaucracy.
    Conclusion: Patient satisfaction was found to be significantly associated with certain socio-demographic characteristics of the study population.
    Perceptive
    Sunil J. Wimalawansa*
    Globally, the prevalence of vitamin D deficiency is high, and the incidence is rising. This common micronutrient disorder is easily reversible; so, as the associated morbidity and mortality among affected people. The incidences of vitamin D deficiency continue to increase and have become a pandemic, mostly because of insufficient exposure to sunlight. Most of the vitamin D needed by humans is generated in the skin after exposure to ultraviolet B (UVB) rays.
    Short Communication
    Joe Feinglass* and Ana Reyes
    Background: Admission rates for ambulatory care-sensitive conditions (ACSCs) are often used by health systems as a measure of access to effective primary and preventive care. However, there is debate about whether ACSC admissions primarily reflect other social determinants of population health and are largely insensitive to ambulatory care quality.
    Methods: This study analyzes adult ACSC admissions of Cook County, Illinois residents to 173 Illinois hospitals from 2016-2018. Agency for Healthcare Research and Quality Prevention Quality Indicators (PQIs) were calculated to compute ACSC hospitalization rates per 1000 residents across four census data-defined zip code poverty level areas (>20%, 10-19.99%, 5-9.99% and <5% poor households). ACSC hospitalization rates were compared to rates for all other (non-ACSC) medical and surgical conditions.
    Results: There were 1,384,880 medical and surgical admissions of Cook County residents age 20 and older from 2016 -2018, including 13.3% classified as ACSC admissions. Residents of the highest poverty level zip code area had ACSC rates 70% higher than the most affluent zip code area. In the poorest versus most affluent areas, non-ACSC medical admissions had a 102% higher rate and admission rate among severely ill patients (Charlson Score>3) was doubled. By comparison, non-ACSC surgical admission rates had only a 6% difference across poverty level zip code areas.
    Conclusions: These findings indicate that ACSC admission rates mirror non-ACSC medical, but not surgical, causes of admissions. The ACSC admission rate to measure access to primary care may obscure how general prevalence of chronic illness drives hospital use among low-income populations.
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