Print ISSN: 0027-1446

Online ISSN: 2309-6217

Main Subjects : Family Medicine


Patients satisfaction to quality of health services of family doctors in family medicine centers in left side of Mosul city

Mohammad Yousif Mohammad; firas husam ali; ammar hazim yahia

Annals of the College of Medicine, Mosul, 2020, Volume 42, Issue 1, Pages 76-81
DOI: 10.33899/mmed.2020.126482.1015

Abstract
Background:Patient satisfaction is related to clinical outcomes, patient retention, and medical malpractice claims. It affects the timely, efficient, and patient-centered delivery of quality health care. The aim of study was to assess the level of patients' satisfaction.to doctors in family medicine centers in Mosul city.
Patients and Methods: A cross sectional study was conducted in order to achieve the aim of the present study in which the data was taken from the attendants to family medicine centers in left side of Mosul city by direct interview using specially designed questionnaire (The Bulgarian EUROPEP questionnaire) after receiving health services during a period of 8 months started from 1st of May 2018 up to 30th of January 2019.
Results:The study includes 580 participants. More than half of them their ages were between 20 – 40 years from both sexes (male = 175, female = 135) and 38.8% of them were having university graduation. The overall satisfaction to medical services delivered by family doctors was 79.7%, Continuity and confidentiality constituted the higher satisfaction rate in 97%, 96.6%, while Informativeness satisfaction constitute 89.7%. Accessibility and Acceptability had the lowest satisfaction rate compared to other domains
Conclusions:this study revealed high patients’satisfaction rate to doctors delivering health care at the family health centers in left side of Mosul city while there was lower satisfaction rate regarding Accessibility and Acceptability. Further wide scale studies are needed in the future and provision of appropriate infrastructure.
Key words: patient satisfaction, family medicine, health care.

Implementation of Integrated Management of Childhood Illness Strategy's in Al Hadbaa Primary Health Care Center in Mosul City

Ashraf Abdulrahman; Ali M. Saleem

Annals of the College of Medicine, Mosul, 2019, Volume 41, Issue 1, Pages 75-80
DOI: 10.33899/mmed.2019.161297

Background: The World Health Organization (WHO) build up guidelines for the integrated management of childhood illnesses (IMCI) in the health facilities  to improve the recognition and the individual management of the common reasons of death among children under the age of five. The approach used in outpatient clinical settings with restricted diagnostic and therapeutic tools.
Aim of study: To assess the impact of implementation of IMCI strategy, in reducing an inappropriate prescription of antibiotics and raising vaccination coverage.     
Patients and methods: A cross-sectional study design was arranged, where 395 child with age from two months up to below 5 years old attending Al Hadbaa PHCC from 1st of January to 31st of March 2014 suffering from one or more of the following respiratory infection, diarrheal diseases, throat infections, ear infections and fever. The children assessed separately by two clinics, "A" non-adopting IMCI and "B" adopting IMCI guidelines, the Mc-Nemar test was applied and differences  were evaluated.
Results: The attendant children are 239 males and 156 females complaining from fever (39.1%), throat problems (21.4%), ear problems (12.6%), cough (11.6%), diarrhea (11.1%) and pneumonia (4.2%). The overall use of antibiotics is 66.1% in clinic "A" and 21.0% in clinic "B" with p-value 0.000. Regarding the immunization, the outcomes appear to have very high significant difference  54.1% in "A" and 75.7% in "B".
Conclusion: The classification-approach to the sick child using IMCI guidelines has clear effect on decreasing an inappropriate use of antibiotics and raising number of vaccinated children, which justifying the adaptation of this strategy.