Assessing emergency medical care in low income countries: A pilot study from Pakistan

Razzak, Junaid Abdul; Hyder, Adnan A.; Akhtar, Tasleem; Khan, Mubashir Ahmed; Khan, Uzma Rahim

doi:10.1186/1471-227x-8-8

Cited by 87 publications

(94 citation statements)

References 11 publications

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“…Nonetheless, the fact that more than half of them were gainfully employed could explain their action although this study did not find out income power of the respondents. Other findings in this study influencing choice of health facility such as personnel, privacy and staff attitude are consistent with earlier studies [1][2][3][4][5][6]15,17].…”

Section: Discussionsupporting

confidence: 92%

“…In spite of the respondents' preference, it must be stressed that a study in Nigeria showed that quality of antimalarial treatment is generally poorer in private than in public hospitals [14]. Furthermore, the private hospitals are generally more expensive than the public ones as evidenced by previous studies [1,6,15] but this did not hinder the respondents in this study from utilizing these facilities. This also goes to show that users' satisfaction with service is not always in line with most appropriate situation and their views are not always correct judgment of effectiveness of service.…”

Section: Discussionmentioning

confidence: 62%

“…The choice of health facilities for healthcare by an individual is largely determined by his/her taste, satisfaction with service and the perceived quality of care provided [1][2][3][4]. The choice is however limited by factors such as availability, accessibility, affordability of services of the health facilities, cultural beliefs, the situation per time (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…These include proximity, clients'/patients' affordability, staff attitude, availability of equipments and qualified personnel [1,4,6]. Ordinarily, a person would not use a product that does not meet his need unless he has no choice.…”

Section: Introductionmentioning

confidence: 99%

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Preferred Choice of Health Facilities for Healthcare among Adult Residents in Ilorin Metropolis, Kwara State, Nigeria

Abodunrin¹,

Bamidele²,

Olugbenga-Bello³

et al. 2011

Int J Health Res

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an online international journal allowing free unlimited access to abstract and full-text of published articles. The journal is devoted to the promotion of health sciences and related disciplines (including medicine, pharmacy, nursing, biotechnology, cell and molecular biology, and related engineering fields). It seeks particularly (but not exclusively) to encourage multidisciplinary research and collaboration among scientists, the industry and the healthcare professionals. It will also provide an international forum for the communication and evaluation of data, methods and findings in health sciences and related disciplines. The journal welcomes original research papers, reviews and case reports on current topics of special interest and relevance. All manuscripts will be subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication) will be published without delay. The maximum length of manuscripts should normally be 10,000 words (20 single-spaced typewritten pages) for review, 6,000 words for research articles, 3,000 for technical notes, case reports, commentaries and short communications. Submission of Manuscript:The International Journal of Health Research uses a journal management software to allow authors track the changes to their submission. All manuscripts must be in MS Word and in English and should be submitted online at http://www.ijhr.org. Authors who do not want to submit online or cannot submit online should send their manuscript by e-mail attachment (in single file) to the editorial office below. Submission of a manuscript is an indication that the content has not been published or under consideration for publication elsewhere. Authors may submit the names of expert reviewers or those they do not want to review their papers. The choice of health facilities for healthcare by an individual is largely determined by several factors. This study aims to determine predictors of preferred choice of health facility for care. Methods: In a descriptive cross-sectional study, pre-tested semi-structure questionnaire was administered to 366 adults selected through a multi-stage sampling technique in Ilorin metropolis. Data collected were analysed using Epi Info software version 3.4.1 and level of significance set at p < 0.05. Results: The preferred health facility for medical care was private hospitals (35.2%) followed by pharmaceutical store (27.9%) and 17.0% for general/teaching hospitals and only 12.3% for primary health care (PHC). Quick service and availability of drugs were the major reasons for their preference which were said to be better in private hospitals. Sex, marital status, educational status, occupation and city area where the respondents dwell are all associated with the preferred choice of health facility for care. Conclusion: This study has shown that the private sector is preferred to the public ones with regards to receiving healthcare and that within the public sector, the higher levels of health facilities are preferred to the pr...

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preferred Choice of Health Facilities for Healthcare among Adult Residents in Ilorin Metropolis, Kwara State, Nigeria

Abodunrin¹,

Bamidele²,

Olugbenga-Bello³

et al. 2011

Int J Health Res

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“…Razzak et al [9] discuss the services related to the emergency in LDCs. For the study, data of twenty two rural and urban areas of Pakistan has been used.…”

Section: Historic Trend Of Health Indicatorsmentioning

confidence: 99%

Role of BMS and Infrastructure in Crude Death Rate and Infant Mortality Rate

Basit¹,

Ahmed²

2015

J Biom Biostat

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A 1‐year training program in emergency medicine for physicians in Karachi, Pakistan: Evaluation of learner and program outcomes

Kemmler

Saleem

Ali

et al. 2021

AEM Education and Training

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Background: Pakistan has an underdeveloped and overburdened emergency care system, with most emergency departments (EDs) staffed by physicians not formally trained in emergency medicine (EM). As of January 2020, only nine Pakistani institutions were providing formal EM specialty training; therefore, a training program of shorter duration is needed in the interim. Methods: The Certification Program in Emergency Medicine (CPEM) is a 1-year training program in EM consisting of two arms: CPEM-Clinical (CPEM-C), which includes physicians from The Indus Hospital (TIH) ED, and CPEM-Didactic (CPEM-D), including physicians from EDs across Karachi. Both groups participate in weekly conferences, including didactics, small-group discussions, workshops, and journal clubs. CPEM-C learners also receive clinical mentorship from visiting international and TIH EM faculty. Both groups were assessed with preprogram, midterm, and final examinations as well as on clinical skills. Additionally, both groups provided regular feedback on program content and administration. Results: Twenty-five of the 32 initially enrolled learners completed the program in June 2019. Scores on a matched set of 50 questions administered in the pretest and final examination improved by an average of 15.1% (p < 0.005) for CPEM-C learners and 8.5% (p < 0.0005) for CPEM-D learners, with 93% of learners showing improvement. Clinical evaluations of CPEM-C and CPEM-D learners during the first and fourth quarters showed an average improvement of 1.1 out of 5 (p < 0.05) and 1.2 out of 9 (p < 0.0005) points, respectively. Learner evaluations of the program were overall positive. Conclusions: CPEM demonstrated significant improvement in test scores and clinical evaluations in both program arms. Evaluations also suggested that the program was

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Assessing emergency medical care in low income countries: A pilot study from Pakistan

Cited by 87 publications

References 11 publications

Preferred Choice of Health Facilities for Healthcare among Adult Residents in Ilorin Metropolis, Kwara State, Nigeria

Preferred Choice of Health Facilities for Healthcare among Adult Residents in Ilorin Metropolis, Kwara State, Nigeria

Role of BMS and Infrastructure in Crude Death Rate and Infant Mortality Rate

A 1‐year training program in emergency medicine for physicians in Karachi, Pakistan: Evaluation of learner and program outcomes

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