ObjectivesTo assess primary care physicians’ satisfaction towards COVID-19 pandemic management in Qatar and to identify the associated factors with their satisfaction.DesignA cross-sectional web-based survey conducted from 1 June to 30 July 2020.SettingAll the 27 public primary healthcare centres in Qatar.Participants294 primary care physicians working in the publicly run primary healthcare corporation in Qatar.Primary outcome measuresOverall satisfaction towards COVID-19 management in Qatar and satisfaction towards each aspect of this management including COVID-19 clinical practice guidelines, psychological support, team dynamics, work safety as well as institutional and governmental regulations.Results294 primary care physicians participated in the survey with a response rate of 65%. Overall satisfaction of physicians towards COVID-19 19 management at Primary Health Care Corporation was 77%. The highest satisfaction was towards institutional and governmental support while it was the lowest towards the corporation case definition and management of COVID-19 guidelines. Female physicians were less satisfied with psychological support in comparison to males (64.1% and 51% respectively, p=0.049). Overall satisfaction towards case definition and management of COVID-19 guidelines were strongly correlated with their clarity, updating these guidelines in due time and applicability of the guidelines (r=0.759 P<0.001; r=0.701 P<0.001; r=0.698 P<0.001) respectively, while satisfaction towards work safety was strongly correlated with availability and quality of Personal Protective Equipment provided (r=0.83 P<0.001 and r=0.811 P<0.001 respectively).ConclusionMost primary care physicians in Qatar who responded to the survey were satisfied with the COVID-19 guidelines developed rapidly in response to this pandemic. Availability and quality of PPE were a particular concern. The clinicians who were less satisfied were younger and female.
Objectives To assess primary care physicians’ satisfaction towards initiation of phone consultation during COVID-19 pandemic management in Qatar and to identify the factors associated with dis/satisfaction. Design A cross-sectional web-based survey was conducted from 1 June to 30 July 2020. Setting All the available 27 public primary healthcare centers in Qatar at the time of the study. Participants Two hundred ninety-four primary care physicians working in the publicly run primary healthcare corporation in Qatar. Primary outcome measures Overall satisfaction of primary care physicians with the initiation of phone consultation during the COVID-19 pandemic in Qatar and their satisfaction towards each aspect of this management. Results Two hundred thirty-nine primary care physicians participated in the survey with a response rate of 53.1%. Overall, about 45% and 21% of respondents agreed that COVID-19 disease management has highly impacted and very highly impacted their daily practice, respectively. More than half of the physicians (59.9%) indicated being satisfied/highly satisfied with the initiation of telephone consultation service. On the other hand, few physicians were satisfied (14.3%) or highly satisfied (3.4%) with conducting telephone consultations with patients who lack previous electronic medical records. Also, only 20.3% and 3.8% of physicians were satisfied and highly satisfied with the lack of physical examination in telephone consultations, respectively. On bivariate analysis, primary care physicians’ age was significantly associated with the perceived level of impact of COVID-19 management on daily practice (P = 0.03). There was no significant association between participants’ characteristics and the level of satisfaction toward telephone consultations. On the other hand, there was a statistically significant association between physicians’ age (p = 0.048) and gender (p = 0.014) and their level of satisfaction toward communication and support.
Background: Iron deficiency anemia is a significant global public health concern that can lead to a decline in mental and physical performance and mortality among women of reproductive age. Objective: The goal of this literature review is to review and integrate information from the literature on the prevalence, etiology, consequences, and treatment options associated with iron deficiency anemia. Review: Prevalence of iron deficiency anemia is high among women of reproductive age especially in low-income countries such as African and Asian countries compared to high-income countries. This could be due to differences in topographical, dietary, and cultural factors. Additionally, iron deficiency can be caused by poor absorption of iron or decreased iron intake. Poor absorption can occur as a side effect of different medications, while decreased iron intake could be the result of a diet high in legumes but low in protein and fruits. Moreover, iron deficiency anemia can be caused by persistent diseases, infections, increased demand during pregnancy, and obesity. If left untreated, the consequences of iron deficiency anemia include low quality of life, poor mental and physical health, a decline in work performance, and increased comorbidities. The current mainstay of treatment for iron deficiency anemia includes oral iron administration, parenteral iron administration, and blood transfusion. Conclusion: Iron deficiency anemia is one of the most common health care issues among women of reproductive age. Different factors like blood loss, distant health care facilities, and poor diet can all influence the iron status in women of reproductive age. If left untreated, anemia can cause a variety of negative consequences, which can be avoided by implementing timely, cost-effective therapies.
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