Abstract:
BACKGROUND:General practice clinics are the main primary care institutions providing ambulatory care in the rural areas of Beijing, rational use of medicines is crucial for the rural primary care system. This study investigated the prescribing patterns of general practice clinics in rural Beijing to provide a baseline for monitoring and promoting the rational use of medicines. METHODS:We performed a cross-sectional study at 14 rural community health service centers in 6 non-central districts of Beijing sampled through a multistage approach, 85 general practitioners were selected from the 14 centers. Total 8500 prescriptions were derived by recording 100 consecutive patients of each the general practitioner. The World Health Organization drug use indicators and an additional indicator were adopted to assess the prescribing patterns. RESULTS:The median number of medicines per encounter was 2.0 (1.0, 2.0); the percentage of generics and essential medicines prescribed were 97.0 and 58.2%, respectively; the percentage of encounters with antibiotics prescribed was 15.1%; the percentage of encounters with injections prescribed was 3.7%; the percentage of encounters with traditional Chinese patent medicines prescribed was 52.5%; the median duration of consultation time was 6.0 (4.0, 10.0) minutes. The most frequently prescribed medicine was aspirin (low dose, 4.6%). The prescribing indicators were influenced by different patient characteristics, patients with new cooperative rural medical scheme were less likely to be prescribed with ≥3 medicines (OR 0.865), essential medicines (OR 0.812) and traditional Chinese patent medicines (OR 0.631), but were more likely to be prescribed with injections (OR 1.551) in the encounter. Patients with ≥3 problems were more likely to be prescribed with ≥3 medicines (OR 6.753), antibiotics (OR 2.875) and traditional Chinese patent medicines (OR 2.926) in the encounter. CONCLUSIONS:Most indicators in this study showed similar or fair performance in comparison with World Health Organization and domestic reports, except the percentage of medicines prescribed from the essential medicine list. Regular monitoring on the prescription quality of general practice clinics in rural Beijing should be maintained.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Jin G,Chen C,Liu Y,Zhao Y,Chen L,Du J,Lu X,Chen Jdoi
10.1186/s12913-019-4656-2subject
Has Abstractpub_date
2019-11-06 00:00:00pages
807issue
1issn
1472-6963pii
10.1186/s12913-019-4656-2journal_volume
19pub_type
杂志文章,多中心研究abstract:BACKGROUND:Patients with acute coronary syndromes (ACS) are at increased risk of further acute cardiac events. Secondary prevention aims to decrease morbidity and mortality post-ACS. Depression is related to increased risk in this population, and to poorer secondary prevention activities. However, lengthy depression as...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/1472-6963-6-9
更新日期:2006-02-13 00:00:00
abstract:BACKGROUND:Pediatric admissions to intensive care outside children's hospitals are generally excluded from registry-based studies. This study compares pediatric admission to specialist pediatric intensive care units (PICU) with pediatric admissions to intensive care units (ICU) in general hospitals in an Australian pop...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3041-x
更新日期:2018-04-10 00:00:00
abstract:BACKGROUND:There is no clear evidence as to whether the co-location of primary care professionals in the same facility positively influences their way of working and the quality of healthcare as perceived by patients. The aim of this study was to identify the relationships between general practitioner (GP) co-location ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-2913-4
更新日期:2018-02-21 00:00:00
abstract:BACKGROUND:The role of a pharmacist in primary health care settings of Pakistan is still obscure. Thus, we aimed to demonstrate the pharmacist-led improvements in glycemic, blood pressure and lipid controls in type 2 diabetes mellitus (T2DM) patients of Lahore, Pakistan. METHODS:The first open label, randomized contro...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12913-019-4274-z
更新日期:2019-06-24 00:00:00
abstract:BACKGROUND:The time from a referral for suspected lung cancer is received at a hospital until treatment start has been defined as a quality indicator. Current Norwegian recommendation is that ≥70% should start surgery or radiotherapy within 42 calendar days and systemic therapy within 35 days. However, delays can occur...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1952-y
更新日期:2017-01-17 00:00:00
abstract:BACKGROUND:Health professionals need updated health information from credible sources to improve their knowledge and provide evidence based health care services. Various types of medical errors have occurred in resource-limited countries because of poor knowledge and experience sharing practices among health profession...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-14-431
更新日期:2014-09-24 00:00:00
abstract:BACKGROUND:Despite substantial research on pediatric pain assessment and management, health care professionals do not adequately incorporate this knowledge into clinical practice. Organizational context (work environment) is a significant factor in influencing outcomes; however, the nature of the mechanisms are relativ...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-017-2029-2
更新日期:2017-01-23 00:00:00
abstract:BACKGROUND:As in other resource limited settings, the Ministry of Health in Zambia is challenged to make affordable and acceptable PMTCT interventions accessible and available. With a 14.3% HIV prevalence, the MOH estimates over one million people are HIV positive in Zambia. Approximately 500,000 children are born annu...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-10-29
更新日期:2010-01-28 00:00:00
abstract:BACKGROUND:Abortion related deaths as a proportion of maternal mortality appears to have fallen dramatically in Bangladesh from 5 % in 2001 to 1 % in 2010. Yet complications from menstrual regulation (MR) and unsafe abortion continue to cause deleterious health, economic and social consequences for women in the country...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-1115-6
更新日期:2015-09-28 00:00:00
abstract::The use of mixed methods (combining quantitative and qualitative data) is developing in a variety of forms, especially in the health field. Our own research has adopted this perspective from the outset. We have sought all along to innovate in various ways and especially to develop an equal partnership, in the sense of...
journal_title:BMC health services research
pub_type: 历史文章,杂志文章,评审
doi:10.1186/1472-6963-15-S3-S7
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:QUALMAT project aimed at improving quality of maternal and newborn care in selected health care facilities in three African countries. An electronic clinical decision support system was implemented to support providers comply with established standards in antenatal and childbirth care. Given that health care...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2457-z
更新日期:2017-08-07 00:00:00
abstract:BACKGROUND:Several Western and Arab countries, as well as over 30 States in the US are using the "All-Patient Refined Diagnosis-Related Groups" (APR-DRGs) with four severity-of-illness (SOI) subcategories as a model for hospital funding. The aim of this study is to verify whether this is an adequate model for funding s...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3134-6
更新日期:2018-05-11 00:00:00
abstract:BACKGROUND:Poor adherence is the main barrier to the effectiveness of HIV medication. The objective of this study was to explore and conceptualize patterns and difficulties in physicians' work with patients' adherence to HIV medication. No previous studies on this subject have directly observed physicians' behavior. M...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-6-154
更新日期:2006-12-04 00:00:00
abstract:BACKGROUND:Australia's Aboriginal and Torres Strait Islander women have poorer survival and twice the disease burden from breast cancer compared to other Australian women. These disparities are influenced, but not fully explained, by more diagnoses at later stages. Incorporating breast screening, hospital and out of ho...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4147-5
更新日期:2019-06-14 00:00:00
abstract:BACKGROUND:Nursing care plays a prominent role in determining the overall satisfaction of patients' hospitalization experience. Studies have shown that satisfaction with nursing care is the best indicator of patients' satisfaction with healthcare facilities. The aim of the current study was intended to determine the le...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-3898-3
更新日期:2019-01-21 00:00:00
abstract:BACKGROUND:General practitioners (GPs) adopt clinical practice guidelines to varying degrees. Several factors have been found to influence application of guidelines in practice and the GP is apparently the key actor. Studies are needed to increase our understanding of how GPs' attitudes influence their use of guideline...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-8-218
更新日期:2008-10-22 00:00:00
abstract:BACKGROUND:Effective collaboration between speech and language therapists (SLTs) and teachers is essential in meeting the needs of children with developmental language disorders in school, but it is difficult to achieve. Currently, many children receive inadequate speech and language therapy services and/or support in ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4051-z
更新日期:2019-04-15 00:00:00
abstract:BACKGROUND:Initiatives such as "Choosing Wisely" in the USA and "Smarter Medicine" in Switzerland have published lists of widely overused health care services. The German initiative "Choosing Wisely Together (Gemeinsam Klug Entscheiden)" follows this example. The goal of our study was to prioritize important recommenda...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3569-9
更新日期:2018-10-11 00:00:00
abstract:BACKGROUND:To ensure the highest efficiency, health services should be provided with the least possible complexity. The aim of this study is to quantify the degree of appropriateness in preoperatory hospital stays and to analyse those factors associated with a greater inappropriate use. METHODS:Historical cohort study...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-187
更新日期:2007-11-19 00:00:00
abstract:BACKGROUND:Geographical variation in health care services challenges the basic principle of fair allocation of health care resources. This study aimed to investigate geographical variation in the use of X-ray, CT, MRI and Ultrasound examinations in Norway, the contribution from public and private institutions, and the ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-7-21
更新日期:2007-02-15 00:00:00
abstract:BACKGROUND:Strengthening routine information systems for mental health can augment scale up of community mental health services in India and other low- and middle-income countries. Currently little routine data is available in Indian settings. This study aimed to develop a core set of indicators for monitoring mental h...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3695-4
更新日期:2018-11-19 00:00:00
abstract:BACKGROUND:The goal of universal health coverage is challenging for chronically under-resourced health systems. Although household out-of-pocket payments are the most important source of health financing in low-income countries, relatively little is known about the drivers of primary health care expenditure and the pre...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-018-3211-x
更新日期:2018-06-15 00:00:00
abstract:BACKGROUND:Prisoners are associated with high health care needs compared with the general population. This study aims to investigate prisoners' use of health service. METHODS:A cross-sectional study of 29 prisons in central and southern parts of Norway. A questionnaire was distributed to 1, 454 prisoners (90% response...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-11-301
更新日期:2011-11-04 00:00:00
abstract:BACKGROUND:In the management of chronic disease, evidence suggests that satisfied patients exhibit more loyalty to treatment providers and greater adherence to treatment regimens. This is particularly so in the rehabilitation setting. We aimed to develop a reliable and valid Arabic-language survey to objectively measur...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-017-2596-2
更新日期:2017-09-18 00:00:00
abstract:BACKGROUND:Patient-centered diabetes care requires shared decision making (SDM). Decision aids promote SDM, but their efficacy in nonacademic and rural primary care clinics is unclear. METHODS:We cluster-randomized 10 practices in a concealed fashion to implement either a decision aid (DA) about starting statins or on...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1472-6963-13-301
更新日期:2013-08-08 00:00:00
abstract:BACKGROUND:Over the last 20 years governments around the world have promoted user involvement in an effort to improve the quality of health services. Despite the growing emphasis placed on user involvement in England, there is a paucity of recent studies looking at how service users and professionals perceive the outco...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-014-0491-7
更新日期:2014-10-25 00:00:00
abstract:BACKGROUND:Family-friendly spaces for children and families to visit inpatient mental health units are recommended in international mental health guidelines as one way to provide service delivery that is responsive to the needs of parent-consumers and families. There is a lack of evidence on the implementation of famil...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0914-0
更新日期:2015-06-19 00:00:00
abstract:BACKGROUND:Hospital treatment for hip fracture is complex, often involving sequential episodes for acute orthopaedics, rehabilitation and care of contingent conditions. Most reports of hospital length of stay (LOS) address only the acute phase of care. This study identifies the frequency and mean duration of the compon...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-015-0697-3
更新日期:2015-01-22 00:00:00
abstract:BACKGROUND:Aligned with the international call for universal coverage of affordable and quality health care, the government of Tajikistan is undertaking reforms of its health system aiming amongst others at reducing the out-of-pocket expenditures (OPE) of patients seeking care. Household surveys were conducted in 2005,...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-13-103
更新日期:2013-03-18 00:00:00
abstract:BACKGROUND:A major part of midwifery care involves the empowerment of women and their families for the control of factors affecting their health. To this end, midwives should experience their own empowerment first. The present study was conducted to translate and determine the psychometric properties of the Perception ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-020-05326-y
更新日期:2020-05-26 00:00:00