Does Selection and Management of Patients with Chronic Kidney Disease In Government Run and Private Hospitals Differ?

Gowda, Anoop; Dutt, Aswini; Bangera, Shobith

doi:10.7860/jcdr/2017/29071.10477

Cited by 2 publications

(3 citation statements)

References 24 publications

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“…Additionally, our findings revealed that CKD patients in public hospital had more comorbidities than those in private hospital. This finding aligns with a study by Gowada et al, which showed that patients in public hospitals had more comorbidities than those in private hospitals [ 51 ]. We also found that the risk of pDDIs was 6.2 times higher in patients aged 41–60 years in private hospital.…”

Section: Discussionsupporting

confidence: 92%

Comparative analysis of potential drug-drug interactions in a public and private hospital among chronic kidney disease patients in Khyber Pakhtunkhwa: A retrospective cross-sectional study

Zafar,

Rehman,

Shah

et al. 2023

PLoS ONE

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Introduction Chronic kidney disease (CKD) is a significant public health challenge due to its rising incidence, mortality, and morbidity. Patients with kidney diseases often suffer from various comorbid conditions, making them susceptible to potential drug-drug interactions (pDDIs) due to polypharmacy and multiple prescribers. Inappropriate prescriptions for CKD patients and their consequences in the form of pDDIs are a major challenge in Pakistan. Aim This study aimed to compare the incidence and associated risk factors of pDDIs among a public and private sector hospital in Khyber Pakhtunkhwa, Pakistan. Method A retrospective cross-sectional study design was conducted to compare pDDIs among public and private sector hospitals from January 2023 to February 2023. Patients profile data for the full year starting from January 1 2022 to December 302022, was accessed All adult patients aged 18 years and above, of both genders, who currently have or have previously been diagnosed with end-stage renal disease (ESRD) were included. For assessing pDDIs, patient data was retrieved and checked using Lexicomp UpToDate® for severity and documentation of potential drug-drug interactions. Results A total of 358 patients’ data was retrieved (with n = 179 in each hospital); however, due to incomplete data, n = 4 patients were excluded from the final analysis. The prevalence of pDDIs was found to be significantly higher in private hospitals (84.7%) than in public hospitals (26.6%), with a p-value <0.001. Patients in the age category of 41–60 years (AOR = 6.2; p = 0.008) and those prescribed a higher number of drugs (AOR = 1.2; p = 0.027) were independently associated with pDDIs in private hospitals, while the higher number of prescribed drugs (AOR = 2.9; p = <0.001) was an independent risk factor for pDDIs in public hospitals. The majority of pDDIs (79.0%) were of moderate severity, and a significant number of patients (15.1%) also experienced major pDDIs, with a p-value <0.001. The majority of pDDIs had fair documentation for reliability rating in both public and private hospitals. Conclusion The prevalence of pDDIs was higher among CKD patients at private hospitals, and most of the pDDIs were of moderate severity. A considerable number of patients also experienced major pDDIs. The risk of experiencing pDDIs was found to be higher in older patients and among those prescribed a higher number of drugs.

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Section: Discussionsupporting

confidence: 92%

Comparative analysis of potential drug-drug interactions in a public and private hospital among chronic kidney disease patients in Khyber Pakhtunkhwa: A retrospective cross-sectional study

Zafar,

Rehman,

Shah

et al. 2023

PLoS ONE

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“…The number of private health care facilities has rapidly increased since the implementation of progressive open market policies in China (Jin et al, 2019; Tang et al, 2014), and a large number of haemodialysis centres and independent dialysis rooms have been established. Many countries and regions have adopted these two systems for HD treatment (Chen et al, 2016; de Filippis et al, 2007; Gowda et al, 2017; Gray et al, 2012; Rottembourg & Rostoker, 2018). All nurses in private hospitals are contract employees, whereas those in public hospitals can be either contract or permanent employees; thus, there are differences between private and public hospitals.…”

Section: Introductionmentioning

confidence: 99%

“…All nurses in private hospitals are contract employees, whereas those in public hospitals can be either contract or permanent employees; thus, there are differences between private and public hospitals. Although there is no significant difference in the treatment level according to the hospital type (Chen et al, 2016; Gowda et al, 2017), it is not known whether there is a difference in CF. In particular, an operational gap remains between private and public hospitals to some extent, particularly with respect to access, talent acquisition, research environment, and management modes but also regarding concerns related to psychosocial factors at work (Baliga et al, 2016; Yang et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Compassion fatigue among haemodialysis nurses in public and private hospitals in China

Wang

Xiong

Zhang

et al. 2021

Int J of Nursing Practice

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Aim This study was conducted to identify and compare the levels of compassion fatigue and job satisfaction among haemodialysis nurses in public and private hospitals in China and explore explanatory factors based on sociodemographic and occupational characteristics. Methods A descriptive study was conducted using a self‐designed demographic questionnaire, the Professional Quality of Life Scale and the Minnesota Satisfaction Questionnaire, with responses from 283 haemodialysis nurses working at six public and private hospitals in China between June and November 2018. Results The compassion fatigue score of public hospital nurses was significantly higher than that of private hospital nurses. Univariate analysis showed that there were significant differences in compassion fatigue among nurses based on the number of years worked, nature of employment, and education level. Correlational analysis showed a negative correlation between overall job satisfaction and compassion fatigue in both public and private hospitals. Multiple regression analysis showed that compassion fatigue among haemodialysis nurses in public hospitals was associated with years worked, type of employment, and intrinsic and extrinsic satisfaction, whereas in private hospitals, education level, years worked, and intrinsic and extrinsic satisfaction were significant. Conclusion Haemodialysis nurses in public hospitals are more likely to develop compassion fatigue than those in private hospitals.

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Does Selection and Management of Patients with Chronic Kidney Disease In Government Run and Private Hospitals Differ?

Abstract: No bias in management of CKD patient was seen among the two sets of hospitals though available facilities seemed to vary.

Cited by 2 publications

References 24 publications

Comparative analysis of potential drug-drug interactions in a public and private hospital among chronic kidney disease patients in Khyber Pakhtunkhwa: A retrospective cross-sectional study

Comparative analysis of potential drug-drug interactions in a public and private hospital among chronic kidney disease patients in Khyber Pakhtunkhwa: A retrospective cross-sectional study

Compassion fatigue among haemodialysis nurses in public and private hospitals in China

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