Objective: To determine the level of knowledge and factors affecting knowledge and satisfaction with diabetes care among persons with diabetes at urban health centre (UHC) and community health worker (CHW)-led outreach clinics (ORC) in South India.
Methodology: A cross-sectional study was carried out using a structured questionnaire. One hundred patients at the UHC and 200 patients at the ORC were included.
J Family Med Prim Care
September 2023
A family physician's open-ended commitment to the patient, not limited by the type of health problem or by a defined endpoint opens the door to the patients' world. Family physicians are uniquely privileged to provide all the key aspects of primary care-first contact care, comprehensive care, coordination and personalisation of care. The family physician as the trained primary care clinician is the interface between the illness experience of patients in primary care and the healthcare system in which patients undergo treatment.
View Article and Find Full Text PDFBackground: Type 2 diabetes mellitus is a rapidly emerging non-communicable disease in India. It is associated with many life-long complications and higher rates of hospitalisations. The characteristics and reasons for hospitalisation among individuals with diabetes have not been documented in India.
View Article and Find Full Text PDFContext: Family physicians, trained in handling primary care problems through the principles of family medicine (FM), were needed in India. The training required a comprehensive and detailed curriculum that could be implemented across the country.
Aim: The aim was to create a document that includes rationale, goals, subject-based objectives, educational methods and assessment methods that align to the objectives.
Objective: The objective of the study is to determine the effect of background, affect, trouble, handling and empathy (BATHE) versus usual interview technique on patient satisfaction during regular consultation with family physicians in ambulatory care.
Design: The research design was a prospective, randomised control trial.
Setting: The trial took place in a family practice unit in South India, which was one of the clinical service units of the academic Department of Family Medicine of a tertiary hospital.
Background: Although the incidence of cervical cancer has declined in developed countries, cervical cancer remains a major problem in those that are developing. Past studies suggest that Indian women, who account for at least one-fourth of the global disease burden, are not routinely screened.
Objectives: Among the women living in our low-income urban community in South India, we sought to determine the prevalence of screening and to assess women's knowledge of cervical cancer.
Objective: To explore the experiences and perceptions of physicians involved in establishing a department of Family Medicine in South India.
Methods: In this study, descriptive qualitative methodology was used. Nine family physicians and one community medicine physician were interviewed.
Background: India contributes to 19% of the global maternal deaths. Good quality antenatal care can prevent maternal deaths by early detection of complications and maintaining maternal health. There are few studies documenting quality of antenatal care in India.
View Article and Find Full Text PDFBackground: The satisfaction of antenatal women to antenatal services has rarely been studied in India. In a nation with a maternal mortality ratio of 178/100,000 live births, it is crucial to explore all avenues to reduce it.
Aims: Our study aims to assess the pregnant women's satisfaction with regard to antenatal care services provided by nurse-midwives in an urban health center in South India.
Neuroleptic malignant syndrome (NMS) is a life-threatening emergency that is often seen as a complication of antipsychotic agents. It is characterized by a tetrad of motor, behavioral, autonomic, and laboratory abnormalities. We report a case of a 34-year-old man with a history of newly diagnosed Type 2 diabetes mellitus, mental retardation, and behavioral abnormalities who developed NMS after starting on antipsychotic agents.
View Article and Find Full Text PDFJ Family Med Prim Care
February 2015
Background: India is in the process of transition to universal health coverage for Indian citizens. The focus is to strengthen the primary and secondary level services. Coupled with this national scenario, the development of Family medicine as a distinct discipline is in a crucial stage.
View Article and Find Full Text PDFIndia's commitment to universal health coverage has grown stronger with the submission of High Level Expert Group report by the Planning Commission in 2012. With this report comes the commitment to increase the primary health-care workforce to meet the population needs. However, the focus should not be just to increase the number of health workers, but to produce better health workers.
View Article and Find Full Text PDFIndian J Endocrinol Metab
November 2013
Background: There is a scarcity of records of morbidity pattern in secondary care centers. Reliable morbidity data will help in proper allocation of human resources.
Materials And Methods: A retrospective study of inpatient admission records of an urban secondary health center run by family physicians was done between April 2010 and March 2011.
Calciphylaxis is a lethal disorder seen in patients with end-stage renal disease and is characterized by painful necrotic skin lesions. The pathophysiology is still unknown. Elevated calcium, phosphorous and parathormone appear to play a role in causing small and medium sized vasculopathy.
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