Proximity care pathways and digitalization: opportunities and concerns for medication safety management—Insights from the ProSafe study on community perspectives
Frontiers in Public Health,
Год журнала:
2025,
Номер
13
Опубликована: Фев. 20, 2025
Establishing
proximity
care
pathways,
including
the
digitalization
of
healthcare,
is
valuable
for
sustainable
management
Non-Communicable
Diseases
(NCDs)
and
Patient-Centered
Care
(PCC)
promotion.
However,
new
safety
concerns,
particularly
in
therapy
management,
may
arise.
The
Community-Based
Participatory
Research
(CBPR)
"ProSafe"
aims
at
(i)
explore
stakeholders'
perspectives
on
medication
(ii)
analyze
which
determinants
affect
community's
perspective.
A
survey
was
co-developed
with
a
Patient
Safety
Council
(PSC)
support
pharmaceutical
company.
purposeful
sampling
strategy
implemented
to
recruit
individuals
aged
18
older.
Data
were
collected
using
dedicated
online
platform;
differences
between
patients'
healthy
people's
explored.
Preliminary
multiple
regression
analyses
performed
examine
how
sociodemographic
factors,
clinical
data
level
outcomes
linear
probit
models,
accounting
nature
each
outcome
variable.
models
combined
into
equations
Conditional
Mixed
Process
(CMP)
approach.
417
completed
(81.0%
affected
by
disease).
positive
attitude
towards
shifting
administration
from
hospital
home
setting
observed
even
if
significantly
higher
proportion
patients
compared
raised
concerns
regarding
potential
negative
impact
doctor-patient
relationship
(47.0%
vs.
32.9%,
p
<
0.01).
Additionally,
63.7%
reported
they
would
feel
less
supported
process.
usefulness
telehealth,
tele-pharmacy
drug
rated
(mean
value
1.3
1.5
0.01);
43.9%
excessive
responsibility
placed
them
digital
traditional
healthcare.
Health
status
education
variables
most
frequently
associated
significant
impacts
across
outcomes.
perspective
development
pathways
provided
insights
fears,
limitations
that
could
effectiveness
this
important
shift
healthcare
delivery.
Effectively
addressing
these
issues
essential
truly
bring
disease
closer
their
living
environments
while
ensuring
community
becomes
co-creators
implementation
care,
fostering
health
equity
patient
autonomy.
Язык: Английский
Ready or Not? The Emergency Preparedness State-of-art Among Italian Public Health Medical Residents
Disaster Medicine and Public Health Preparedness,
Год журнала:
2024,
Номер
18
Опубликована: Янв. 1, 2024
Italy
often
experiences
major
events,
such
as
earthquakes,
floods,
and
migrant
shipwrecks.
Current
future
global
challenges
for
health
workers
are
made
up
by
climate
change,
pandemics,
wars.
In
this
work,
we
will
assess
the
state-of-art
of
training
interest
towards
these
among
Italian
post-degree
public
schools.
Язык: Английский
SDMPH 10-year Anniversary Conference Modified Delphi Study
Disaster Medicine and Public Health Preparedness,
Год журнала:
2024,
Номер
18
Опубликована: Янв. 1, 2024
Abstract
Objectives
The
SDMPH
10-year
anniversary
conference
created
an
opportunity
for
a
researcher
to
present
at
professional
association
advance
their
research
by
seeking
consensus
of
statements
using
Delphi
methodology.
Methods
Conference
attendees
and
members
who
did
not
attend
the
were
identified
as
experts.
Experts
rated
agreement
each
statement
on
7-
point
linear
numeric
scale.
Consensus
amongst
experts
was
defined
standard
deviation
<
=
1.
Presenters
submitted
relevant
advancing
authors
edit
fit
formatting.
Statements
attaining
included
in
final
report
after
first
round.
Those
moved
second
round
which
shown
mean
response
expert
panel
own
reconsider
rating
that
If
reconsideration
attained
consensus,
these
report.
This
process
repeated
third
Results
37
agreed
participate
round;
35
completed
round,
34
consensus;
3
attain
consensus.
Conclusions
A
technique
used
establish
presenters
guide
future
education,
research,
training.
Язык: Английский
Mapping Rural Household Vulnerability to Flood-Induced Health Risks in Disaster-Stricken Khyber Pakhtunkhwa, Pakistan
Sustainability,
Год журнала:
2024,
Номер
16(23), С. 10578 - 10578
Опубликована: Дек. 3, 2024
This
study
maps
the
rural
household
vulnerability
to
flood-induced
health
risks
in
flood-affected
Khyber
Pakhtunkhwa
(KPK),
Pakistan,
focusing
on
devastating
2022
flood.
Using
data
from
600
households
severely
impacted
districts
of
province
(including
Charsadda
and
Nowshera),
this
research
examines
influence
demographic,
socioeconomic,
infrastructural
factors
vulnerability.
assesses
flooding
issues
using
logistic
regression.
The
current
findings
revealed
that
female-headed
households,
those
with
younger
heads,
families
lower
educational
levels
are
particularly
vulnerable.
Income
disparities
significantly
shape
coping
capacity,
wealthier
more
likely
adopt
effective
risk-mitigation
strategies.
Proximity
functioning
healthcare
facilities
emerged
as
a
crucial
factor
reducing
vulnerability,
these
faced
fewer
hazards.
Conversely,
areas
where
water
infrastructure
were
damaged
experienced
higher
disease
outbreaks,
including
cholera
malaria,
due
contamination
inadequate
sanitation.
highlights
urgent
need
for
resilient
infrastructure,
strengthened
public
systems,
improved
education,
enhanced
sanitation
services
mitigate
risks.
Policymakers
urged
sustainable
development
practices
by
adopting
gender-sensitive
disaster
management
strategies,
prioritizing
initiatives,
fostering
community
support
networks
enhance
resilience
future
flood
events
KPK.
Язык: Английский
Genetic Factors and Antibodies to Vibrio cholerae in Diarrhea Patients, Central Hospital Auchi, Nigeria
Journal of Integrated Health Sciences,
Год журнала:
2024,
Номер
12(2), С. 104 - 109
Опубликована: Июль 1, 2024
Introduction:
Cholera,
caused
by
the
bacterium
Vibrio
cholerae
,
poses
a
significant
public
health
challenge,
particularly
in
regions
with
inadequate
sanitation.
Cholera
outbreaks
are
common
low-resource
settings,
and
understanding
genetic
immunological
factors
influencing
susceptibility
severity
is
critical
for
developing
targeted
strategies.
Aims:
This
study
investigates
prevalence
of
among
diarrhea
patients
at
Central
Hospital
Southsouth,
Nigeria.
It
aims
to
examine
specific
antibody
responses
associated
cholera
severity.
Material
Methods:
cross-sectional
included
300
presenting
acute
between
January
December
2023.
Stool
blood
samples
were
collected
analyzed
*
V.
isolation,
polymorphisms,
levels.
The
analysis
focused
on
toll-like
receptor
4
(rs4986790)
interleukin-10
(rs1800896)
polymorphisms.
Specific
IgG,
IgM,
IgA
levels
against
measured.
Results:
was
identified
18%
patients,
serotypes
O1
O139
being
most
prevalent.
Genetic
revealed
associations
polymorphisms
increased
infection.
In
contrast,
higher
reduced
disease
Infected
exhibited
elevated
cholerae,
which
correlated
milder
outcomes.
Conclusions:
findings
highlight
influence
determining
suggests
that
screening
could
identify
high-risk
individuals,
facilitating
interventions.
Improving
water,
sanitation,
hygiene
infrastructure
remains
essential
prevention.
While
design
limits
ability
draw
causal
inferences,
offers
valuable
insights
into
determinants
cholera,
underscoring
need
integrated
strategies
effectively
manage
control
outbreaks.
Язык: Английский