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Background: The relationship between physical activity andbetter quality of life, and association between inactivity andvarious non-communicable diseases are well documented.The objective of present study was to describe pattern ofphysical activity in women attending primary health carecenters in Jeddah, and to evaluate the impact of utilizing socialmedia to encourage Physical Education in inactive women.Materials and Methods: Through a cross section studydesign, 310 attendants of the primary health care centers inJeddah were selected randomly to assess the pattern ofPhysical Education by using Global Physical ActivityQuestionnaire (GPAQ) version 2.0. Out of the detected inactivewomen, 35 were subjected to an intervention using socialmedia to encourage physical activity; the impact of interventionwas done using pre-post analysis.Results: Only 13(10.3%) of the respondents reported that theyexert vigorous activity at work, and a greater percentage167(55.5%) exerting moderate activity. Only one quarter of therespondents 73(24.3%) pointed 8 that they perform vigorousactivity in recreation and leisure time with average METs of(median, IQR: 1440: 960-2640). The overall energyexpenditure of active respondents accounted for and averageMETs of (median, IQR: 2640: 1440-5760). The number ofrespondents who had been categorized as being inactivewas 90 corresponding to 29.9% of the respondents. Afterintervention, 17(48.6%) of the originally inactive womenbecame active with a statistically significant increase inaverage METs which reached up to (median, IQR: 3100: 1380-5300) p< 0.05.Conclusion: The prevalence of inactivity of women isconsiderably high and accord similar studies in other settings,our trial in its current form using social media is effective inencouraging physical activity in physically inactive women.
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Introducción: La base del Sistema Nacional de Salud en Cuba radica en los médicos de la familia que registran, evalúan los riesgos, tratan y dan seguimiento a los pacientes con enfermedades crónicas. La Diabetes Mellitus (DM) es la causa principal de enfermedad renal crónica avanzada (ERC) y estos pacientes también son dispensarizados en el país. Objetivos: Caracterizar a la ERC y la ERC-DM, según su registro en la Atención Primaria de Salud. Material y Métodos: Pacientes registrados con ERC (tasa de filtración glomerular <60 mL/min/1,73 m2) en total y de causa diabética en Cuba en 2015, la prevalencia x 1 000 habitantes, según sexo, edad, provincia y nación. Los datos primarios se obtuvieron de los registros de la Dirección Nacional de Estadísticas. Resultados: La prevalencia nacional con ERC fue 2.16 x 1 000 habitantes (incremento de 17,7 vs 2014) y la prevalencia de ERC-DM fue de 0,48 x 1 000 habitantes (incremento de 25,9 vs 2014). Existió un aumento a mayor edad y alcanzó su valor máximo en el grupo de edades de 60-64 años tanto para la ERC (11,4 x 1 000) y en la ERC-DM (2,92 x 1 000). Del total de pacientes con ERC, los diabéticos representaron en 2014, 12,7 por ciento y en 2015, 13,6 por ciento, con mayor frecuencia en el sexo femenino en ambos años 2014=12,7 por ciento y 2015=14,4 por ciento. La prevalencia de pacientes con ERC y la proporción de pacientes con ERC-DM fue menor que lo reportado por la III Encuesta Nacional de Factores de Riesgo. Conclusiones: La ERCestá sub diagnosticada en el país y la ERC-DM lo es aún en mayor grado. Se requiere la implementación de intervenciones efectivas para el diagnóstico temprano de los pacientes en la Atención Primaria de Salud(AU)
Introduction: The basis of Cuban National Health System lies in the Family Doctors who register, evaluate the risks, treat, and follow-up patients with chronic diseases. Diabetes Mellitus(DM) is the main cause of advanced chronic kidney disease (CKD), and these patients are also identified and treated all over the country. Objectives: To characterize the CKD and the CKD + DM according to their registries in the Primary Health Care Centers. Material and methods: Patients with CKD caused by diabetes (glomerular filtration rate <60 mL/min/1,73 m2) who were registered in Cuba in the year 2015; with reported prevalence per 1 000 inhabitants; and also characterized according to sex, age, province, and nation. The primary data were taken from the Registries of the National Direction of Statistics. Results: The national prevalence of CKD was 2,16 per 1 000 inhabitants (increase of 17,7 vs 2014), and the prevalence of CKD + DM was 0,48 per 1 000 inhabitants (increase of 25,9 vs 2014). There was an increase at older age, and reached a maximum value in the group of ages from 60-64 years, both for the CKD (11,4 x 1 000) and the CKD + DM (2,92 x 1 000). Out of the total of patients with CKD, the diabetic ones represented the 12,7 percent in 2014, and the 13,6% in 2015, with a higher frequency in the female sex in both years (2014=12,7%, and 2015=14,4%). The prevalence in patients with CKD, and the proportion of patients with CKD + DM was lower than the one reported by the Third National Survey on Risk Factors. Conclusions: CKD is underdiagnosed in the country, and the same thing happens with CKD + DM, but even in a higher degree. The implementation of effective actions is required for the early diagnosis of the patients in the Primary Health Care(AU)
Subject(s)
Humans , Primary Health Care , Renal Insufficiency, Chronic/complications , Renal Insufficiency, Chronic/epidemiology , Diabetes Complications/epidemiology , National Health SystemsABSTRACT
INTRODUCCIÓN: la calidad de la atención como política sanitaria es considerada una estrategia para el logro de la equidad en salud. OBJETIVOS: Evaluar las características y la calidad de atención de los centros de atención primaria de la salud (CAPS). MÉTODOS: Se realizó un estudio transversal evaluativo, que involucró a 89 CAPS de las provincias de Buenos Aires y Entre Ríos, que se autoevaluaron bajo la supervisión de un equipo docente de la Facultad de Ciencias Médicas de la Universidad Nacional de La Plata. Se evaluaron 200 estándares,agrupados en las siguientes dimensiones: Conducción y gestión (CG), Recursos humanos (RH), Registros e información (RI), Actividades de organización (AO), Normas de atención (N), Actividades del equipo de salud sobre la comunidad (AC), Participación social (PS), ReferenciaContrarreferencia (RF), Planta física (PF), Recursos materiales (RM) e Insumos (I). RESULTADOS: Sólo el 18% de los CAPS cuentan con unequipo de salud básico. El nivel de calidad global fue de 58±14%. Encuanto a las dimensiones, el ranking fue: I 87%, RM 70%, AO 66%, AC63%, PF 61%, CG 55%, RF 55%, N 47%, RH 43%, RI 41%, PS 32%.CONCLUSIONES: Estos resultados permiten establecer un diagnósticode situación en cada CAPS para sustentar planes de mejora específicosy un diagnóstico integral para respaldar la definición de ejes estratégicosen las políticas sanitarias.
INTRODUCTION: the quality of care as health policy is considered a strategy to attain health equity. OBJECTIVES: Toevaluate the characteristics and care quality in primary health care centers (PHCC). METHODS: An evaluative cross-sectional study was conducted. It involved 89 PHCC from the provinces ofBuenos Aires and Entre Ríos. A self-assessment of care quality was performed under supervision of an advisory team from the Faculty of Medical Sciences of the National University of La Plata. Two hundred (200) standards were evaluated according to the following dimensions: Leadership and Management (LM), Human Resources (HR), Records and Information (RI), OrganizationActivities (OA), Norms and Guides (NG), Community Activities (CA), Social Participation (SP), Referral system (RS), Physical plant (PP), Material resources (MR) and Supplies (S). RESULTS: Only 18% of PHCC have a basic health team. The overall qualitylevel was 58±14%. In regard to the dimensions, the ranking was: S 87%, MR 70%, OA 66%, CA 63%, PP 61%, LM 55%, RS 55%, NG 47%, HR 43%, RI 41%, SP 32%. CONCLUSIONS: These results allow to perform a situational diagnosis of each PHCC to support specific improvement plans and a comprehensive diagnosis to define strategic priorities for health policies.