Results of PAL feasibility test in primary health care facilities in four regions of Bolivia
SETTING: Primary health care (PHC) centres in four Bolivian regions.OBJECTIVES: To test the feasibility and impact of training general practitioners (GPs) in standard case management of respiratory conditions in patients aged ≥5 years.DESIGN: Comparison of the results of two surveys: the baseline su...
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| Veröffentlicht in: | The international journal of tuberculosis and lung disease 2007-11, Vol.11 (11), p.1246-1252 |
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| container_title | The international journal of tuberculosis and lung disease |
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| creator | CAMACHO, M NOGALES, M MANJON, R DEL GRANADO, M PIO, A OTTMANI, S |
| description | SETTING: Primary health care (PHC) centres in four Bolivian regions.OBJECTIVES: To test the feasibility and impact of training general practitioners (GPs) in standard case management of respiratory conditions in patients aged ≥5 years.DESIGN: Comparison of the results of
two surveys: the baseline survey before training and the impact survey after training on standard guidelines on case management of respiratory conditions.RESULTS: A total of 78 GPs working in 65 health centres participated in both surveys. The baseline survey registered 1033 respiratory
patients and the impact survey 1154. The patients were comparable in sex distribution, previous visits, duration of symptoms and clinical diagnoses. The differences were significant in age distribution, concomitant diseases and risk factors. As a result of training, referrals to a higher level
decreased by 34.6% and the proportion of tuberculosis (TB) suspects identified increased by 30%. The number of drugs prescribed per patient decreased by 16.2%. The average cost of prescription of any drug per patient dropped by 32.3%.CONCLUSION: Training in the standard practical approach
to lung health guidelines improved the quality and reduced the cost of treatment of respiratory diseases at PHC units. Training should be an integral part of a comprehensive managerial approach for the implementation of case management guidelines. |
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two surveys: the baseline survey before training and the impact survey after training on standard guidelines on case management of respiratory conditions.RESULTS: A total of 78 GPs working in 65 health centres participated in both surveys. The baseline survey registered 1033 respiratory
patients and the impact survey 1154. The patients were comparable in sex distribution, previous visits, duration of symptoms and clinical diagnoses. The differences were significant in age distribution, concomitant diseases and risk factors. As a result of training, referrals to a higher level
decreased by 34.6% and the proportion of tuberculosis (TB) suspects identified increased by 30%. The number of drugs prescribed per patient decreased by 16.2%. The average cost of prescription of any drug per patient dropped by 32.3%.CONCLUSION: Training in the standard practical approach
to lung health guidelines improved the quality and reduced the cost of treatment of respiratory diseases at PHC units. Training should be an integral part of a comprehensive managerial approach for the implementation of case management guidelines.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>PMID: 17958989</identifier><language>eng</language><publisher>Paris, France: IUATLD</publisher><subject>Adolescent ; Adult ; Age Distribution ; Anti-Bacterial Agents - economics ; Anti-Bacterial Agents - therapeutic use ; Biological and medical sciences ; Bolivia - epidemiology ; Case Management ; Child ; Child, Preschool ; Clinical Guidelines ; Feasibility Studies ; Female ; Guideline Adherence ; Humans ; Lung Diseases ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Physicians ; Pneumology ; Prevention and actions ; Primary Health Care ; Primary Health Care - economics ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Respiratory Tract Diseases - diagnosis ; Respiratory Tract Diseases - economics ; Respiratory Tract Diseases - therapy ; Risk Factors ; Sex Distribution ; Training</subject><ispartof>The international journal of tuberculosis and lung disease, 2007-11, Vol.11 (11), p.1246-1252</ispartof><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19222423$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17958989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>CAMACHO, M</creatorcontrib><creatorcontrib>NOGALES, M</creatorcontrib><creatorcontrib>MANJON, R</creatorcontrib><creatorcontrib>DEL GRANADO, M</creatorcontrib><creatorcontrib>PIO, A</creatorcontrib><creatorcontrib>OTTMANI, S</creatorcontrib><title>Results of PAL feasibility test in primary health care facilities in four regions of Bolivia</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>SETTING: Primary health care (PHC) centres in four Bolivian regions.OBJECTIVES: To test the feasibility and impact of training general practitioners (GPs) in standard case management of respiratory conditions in patients aged ≥5 years.DESIGN: Comparison of the results of
two surveys: the baseline survey before training and the impact survey after training on standard guidelines on case management of respiratory conditions.RESULTS: A total of 78 GPs working in 65 health centres participated in both surveys. The baseline survey registered 1033 respiratory
patients and the impact survey 1154. The patients were comparable in sex distribution, previous visits, duration of symptoms and clinical diagnoses. The differences were significant in age distribution, concomitant diseases and risk factors. As a result of training, referrals to a higher level
decreased by 34.6% and the proportion of tuberculosis (TB) suspects identified increased by 30%. The number of drugs prescribed per patient decreased by 16.2%. The average cost of prescription of any drug per patient dropped by 32.3%.CONCLUSION: Training in the standard practical approach
to lung health guidelines improved the quality and reduced the cost of treatment of respiratory diseases at PHC units. Training should be an integral part of a comprehensive managerial approach for the implementation of case management guidelines.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Anti-Bacterial Agents - economics</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Bolivia - epidemiology</subject><subject>Case Management</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Guidelines</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Guideline Adherence</subject><subject>Humans</subject><subject>Lung Diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Physicians</subject><subject>Pneumology</subject><subject>Prevention and actions</subject><subject>Primary Health Care</subject><subject>Primary Health Care - economics</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Respiratory Tract Diseases - diagnosis</subject><subject>Respiratory Tract Diseases - economics</subject><subject>Respiratory Tract Diseases - therapy</subject><subject>Risk Factors</subject><subject>Sex Distribution</subject><subject>Training</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9r3DAQxU1paNK0X6Ho0t4MmrFsWcc0_QsLLSG5BcRYljZatHYqyYHk01dONuQUHUbv8JvHzLw31Qn00NZSIX9bNEdZNxLUcfU-pR3nCADyXXUMUrW96tVJdX1h0xJyYrNjf882zFlKfvDB53uWbcrMT-w2-j3Fe3ZjKeQbZiha5siskLdpJdy8RBbt1s_To9PXOfg7Tx-qI0ch2Y-H_7S6-vH98vxXvfnz8_f52ab2jWxzjRJQtV1jOk7oulFKaUYDCgH7RoyWK2qlGAYS7ai4E0pZGFANAofOUa-a0-rLk-9tnP8tZWq998nYEGiy85J014umE9AV8NMBXIa9HfVhM_18jwJ8PgCUDAUXaTI-vXAKEQU2hfv2xPlpa6dMelcuMJUdtV8oh1H73VqRc6n54wN4ERTzKtZ5Ll6zMc9Oa4hrhvoOYCrNWFLkPbYahJB6tI5KfjpT1NsHnYrpf2HsmsI</recordid><startdate>20071101</startdate><enddate>20071101</enddate><creator>CAMACHO, M</creator><creator>NOGALES, M</creator><creator>MANJON, R</creator><creator>DEL GRANADO, M</creator><creator>PIO, A</creator><creator>OTTMANI, S</creator><general>IUATLD</general><general>Union internationale contre la tuberculose et les maladies respiratoires</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20071101</creationdate><title>Results of PAL feasibility test in primary health care facilities in four regions of Bolivia</title><author>CAMACHO, M ; NOGALES, M ; MANJON, R ; DEL GRANADO, M ; PIO, A ; OTTMANI, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i375t-27129563c60a2f6d777cdc19212834de09a574bba45d90f499e1b29b42b6fa893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Anti-Bacterial Agents - economics</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Bolivia - epidemiology</topic><topic>Case Management</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Guidelines</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Guideline Adherence</topic><topic>Humans</topic><topic>Lung Diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Physicians</topic><topic>Pneumology</topic><topic>Prevention and actions</topic><topic>Primary Health Care</topic><topic>Primary Health Care - economics</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Respiratory Tract Diseases - diagnosis</topic><topic>Respiratory Tract Diseases - economics</topic><topic>Respiratory Tract Diseases - therapy</topic><topic>Risk Factors</topic><topic>Sex Distribution</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CAMACHO, M</creatorcontrib><creatorcontrib>NOGALES, M</creatorcontrib><creatorcontrib>MANJON, R</creatorcontrib><creatorcontrib>DEL GRANADO, M</creatorcontrib><creatorcontrib>PIO, A</creatorcontrib><creatorcontrib>OTTMANI, S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of tuberculosis and lung disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>CAMACHO, M</au><au>NOGALES, M</au><au>MANJON, R</au><au>DEL GRANADO, M</au><au>PIO, A</au><au>OTTMANI, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of PAL feasibility test in primary health care facilities in four regions of Bolivia</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2007-11-01</date><risdate>2007</risdate><volume>11</volume><issue>11</issue><spage>1246</spage><epage>1252</epage><pages>1246-1252</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>SETTING: Primary health care (PHC) centres in four Bolivian regions.OBJECTIVES: To test the feasibility and impact of training general practitioners (GPs) in standard case management of respiratory conditions in patients aged ≥5 years.DESIGN: Comparison of the results of
two surveys: the baseline survey before training and the impact survey after training on standard guidelines on case management of respiratory conditions.RESULTS: A total of 78 GPs working in 65 health centres participated in both surveys. The baseline survey registered 1033 respiratory
patients and the impact survey 1154. The patients were comparable in sex distribution, previous visits, duration of symptoms and clinical diagnoses. The differences were significant in age distribution, concomitant diseases and risk factors. As a result of training, referrals to a higher level
decreased by 34.6% and the proportion of tuberculosis (TB) suspects identified increased by 30%. The number of drugs prescribed per patient decreased by 16.2%. The average cost of prescription of any drug per patient dropped by 32.3%.CONCLUSION: Training in the standard practical approach
to lung health guidelines improved the quality and reduced the cost of treatment of respiratory diseases at PHC units. Training should be an integral part of a comprehensive managerial approach for the implementation of case management guidelines.</abstract><cop>Paris, France</cop><pub>IUATLD</pub><pmid>17958989</pmid><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Age Distribution Anti-Bacterial Agents - economics Anti-Bacterial Agents - therapeutic use Biological and medical sciences Bolivia - epidemiology Case Management Child Child, Preschool Clinical Guidelines Feasibility Studies Female Guideline Adherence Humans Lung Diseases Male Medical sciences Middle Aged Miscellaneous Physicians Pneumology Prevention and actions Primary Health Care Primary Health Care - economics Public health. Hygiene Public health. Hygiene-occupational medicine Respiratory Tract Diseases - diagnosis Respiratory Tract Diseases - economics Respiratory Tract Diseases - therapy Risk Factors Sex Distribution Training |
| title | Results of PAL feasibility test in primary health care facilities in four regions of Bolivia |
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