ABSTRACT
Introduction: Communicative skills in medical education are inadequately met. Research has shown that poor communication can contribute to improper diagnosis and lack of understanding of patient's problems, investigations, and treatment options. Poor communication can lead to poor compliance to treatment and dissatisfaction among patients Objective: Assessment of the improvement in the communication skills after the training programme workshop Method: The interns posted in the department of community medicine were pre-tested using Kalamazoo Essential Elements Communication Checklist (Adapted) [KEECCA] who then underwent focused training by the trained faculty members. Two weeks following completion of training, all participants were subjected to a post-test and comparison between the pre-test and post-test scores was done using Wilcoxon Signed-Rank Test. The test was two sided and a p value less than 0.05 was considered as statistically significant. In order to know the effect of sensitization programme, feedback of the students and the faculty members as the assessors was taken after the completion of the posting Results: On the application of wilcoxon signed rank test, it was found that the difference between the pre and post test scores of assessment on kalamazoo scale after the training of interns on communication skills was found to be statistically significant as the t-value was 4.072 with the pvalue less than 0.001 that is also highly statistically significant Conclusions: The incorporation of communication skills in the medical curriculum will not only improve the doctor patient relationship but also help in arriving at the proper diagnosis through improved skills
ABSTRACT
Background: Poverty is a multi-faced wretched state of deprivation of basic need and facilities. There are different levels to its adverse influence on the individual, family and the community. Thus a Rashtriya Swasthaya Bima Yojana (RSBY) was launched to help these poverty stricken individuals. This study explores into the utilization of Rashtriya Swasthaya Bima Yojana card and their satisfaction. Aims & Objective: Our study explore the awareness level of RSBY beneficiaries with the aims and objective, (1) To analyze the socio-demographic profile and services utilized by beneficiaries; (2) To identify the problems experienced by the beneficiaries and measure the satisfaction level; and (3) Out of pocket expenditure of beneficiaries. Material and Methods: 198 patients were registered between the periods of 01/11/2012 to 28/02/2013 due to some reason 180 beneficiaries were telephonically interviewed about their experience by a pre-tested and pre-designed Performa. The data was collected and analyzed in epi info 7. Results: Male: Female ratio of beneficiaries is 1.4:1. Mean age of beneficiary was around 36 years. 80% beneficiaries were fully satisfied with the services. All the beneficiaries reported that they got the card easily without any hassle. They were not aware about all the benefits of RSBY so they had to spend out of pocket money for some services. Conclusion: RSBY beneficiaries were mostly satisfied with the services provided but there was a major lag in their knowledge regarding the benefits provided under RSBY. They were unaware regarding all benefits under RSBY which they can avail from the scheme. Thus IEC activities should be enhanced to increase the awareness among the RSBY card holders so that they can use better service for themselves and their families.
ABSTRACT
Background: Now a day’s mental and behavioural disorders are common in the community. Globally, some 450 million persons suffer from a mental or behavioural disorder contributing to 13% of global burden of disease.1TheServices are provided by psychiatric hospitals where assessments are carried out by psychiatrists, clinical psychologists and sometimes psychiatric social workers, using various methods but often relying on observation and questioning. Even this is done in the community. Thus on the basis of these observations we have drawn the conclusion of epidemiological variants among the patients. Aims & Objective: To assess the frequency of various epidemiological trends in patients in mental hospital and to study associated risk factors in them. Material and Methods: 118 patients out of 237 in mental hospital were selected on random basis. On predesigned Performa, various details were noted and the data was analyzed in epi info 7. Results: There were 48.3% females and 51.7% males. There were 87 cases of schizophrenia and 19 case of bipolar disorder in manic phase. The 57.98% of patients present with behaviour abnormality and 43.45% of patients have the abnormal BMI and 24.25% of patients of patients have primary education level. The 81.21% of people were not working. Conclusion: Resources and service for the mental disorder are comparatively low as compared to the burden of the disease. Thus by studying the various epidemiological correlations we can plan certain preventive measures so that mental disease burden could be decrease. Looking to the etiopathology, found in our study it is recommended that counselling should also be a part of management and importance should be given to environmental or social factors like education living standards etc. for prevention of mental disorders.