Community Health Centers Research Articles

HUBUNGAN INISIASI MENYUSUI DINI (IMD) DENGAN KEJADIAN PERDARAHAN POST PARTUM DI PUSKESMAS ONAN HASANG TAHUN 2023

The Ministry of Health (2008) states that IMD involves pressing the newborn up against the mother's chest or stomach, let him to wiggle about in search of the nipple, and then nursing him until he is full. At least the first hour following the baby's birth is dedicated to this procedure. This kind of study uses a cross-sectional design and is descriptive correlative in nature. It measures both the independent and dependent research variables concurrently throughout the course of one time period. The purpose of this study is to examine the correlation between the occurrence of postpartum hemorrhage at the Onan Hasang Community Health Center in 2023 and the Early Breastfeeding Initiation (IMD). There were 26 persons (81.3%) postpartum. Respondents who did not initiate early breastfeeding (IMD) represented the minority with postpartum hemorrhage, i.e. 3 (9.4%). Based on the study results obtained, there is a relationship between early initiation of breastfeeding (IMD) and the incidence of postpartum bleeding at Onan Hasang Community Health Center in 2023, which from the main trial Fisher's exact test, the obtained p value is 0.008, which is less than 0.05. This means that the earlier you start breastfeeding (IMD), the less postpartum bleeding you will have. We note that the majority of respondents who completed Early Initiation of Breastfeeding (IMD) did not experience postpartum bleeding, i.e. 26 (81.3%). The majority of respondents who did not initiate early breastfeeding (IMD) had postpartum hemorrhage, i.e. 3 (9.4%). Fisher's exact test results showed a p-value of 0.008 < 0.05. This means that the alternative hypothesis (Ha) of this study is accepted, i.e. there is an association between early initiation of breastfeeding (IMD) and the incidence of postpartum hemorrhage at community health centers. Onan Hasang coin in 2023.

ANALISIS FAKTOR DOMINAN YANG BERHUBUNGAN DENGAN KEPATUHAN PEMERIKSAAN Antenatal Care DI WILAYAH KERJA PUSKESMAS DELI TUA TAHUN 2024

Antenatal Care (ANC) is the visit of pregnant women to health care facilities to receive ANC services according to established standards. The Antenatal Care coverage in the working area of Deli Tua Community Health Center in 2023 was K1 = 73.2% and K6 = 68.8%, while the target was 85%. There were 5 dominant factors causing non-compliance with ANC examination, namely age, education, attitude, knowledge, and husband's support. Theaims of the study is to examine the relationshipbetween five dominant of the factors and the Examination Compliance The Antenatal Care which the factor ofthe most related to The Antenatal Care Examination Compliance. The type of the research used analytic survey with a cross-sectional design. The data of the analysis used chi-square test and binary logistic regression with a sample size of 94 pregnant women who met the inclusion criteria. The results of the study has been known that the dominant factors related toThe Antenatal Care Examination Compliance are knowledge and husband's support, while the dominant factors not related toThe Antenatal Care Examination Compliance were age, education, and attitude, and the most related dominant factor to The Antenatal Care Examination Compliance in the working area of Deli Tua Community Health Center was knowledge with (p = 0.000) and (aRP = 5.211-132.401). From the results of the study, it is recommended to health workers at Deli Tua Community Health Center to increase the intensity of providing information and education to pregnant women and their companions through counseling activities.

Desain Karakter untuk Video “Menjaga Kesehatan Mata” dengan Teknik Motion Graphic

Currently, the rapid development of technology causes children to use tablets and cellphones more often. This condition can also become worse because children have a higher risk of developing myopic eyes. It is very necessary to provide education regarding eye health, one of which is for children. Cultivating the habit of maintaining eye health from an early age can have a good impact on children's future. Therefore, there is a need for educational media delivered by health institutions such as community health centers to elementary schools when carrying out health screening. So, children can understand how to maintain eye health. The method used is a qualitative method with primary and secondary data collection techniques. Primary data collection is through interviews, observations, Focus Group Discussions and Observations, while secondary data collection is through literature. The result of this design is characters that are used for eye health educational videos using motion graphics techniques.

Relationship Between Body Image, Marital Offense-Specific Forgiveness, and Marital Happiness in Urban and Rural Married Women Aged 20 - 35

Background: Identifying the main factors that affect body image (BI) is of utmost importance within the realm of marital relationships. In light of this, the present study investigated the relationship between BI, marital offense-specific forgiveness (MOF), and marital happiness (MH) among married women aged 20 - 35, living in urban and rural areas in the city of Jahrom, Fars Province, Iran. Methods: This descriptive, cross-sectional study was conducted on 608 married women aged 20 - 35, residing in urban and rural areas and referring to the comprehensive community health centers in the city of Jahrom, Fars province, Iran, selected by stratified-cluster sampling. For this purpose, the statistical population was divided into two groups, viz., the urban and rural women, and sampling was done in keeping with their population. The Multidimensional Body-Self Relations Questionnaire (MBSRQ), the Marital Happiness Scale (MHS), and the Marital Offense-Specific Forgiveness Scale (MOFS) were further applied to collect the data, which were then analyzed using the IBM SPSS Statistics 25 software package. Results: Comparing the MHS mean scores showed a statistically significant difference between urban and rural women (P < 0.001). Additionally, a statistically significant difference was observed in the BI mean scores of the study groups, particularly in the appearance evaluation (AE) subscale (P < 0.001). The regression analysis results also demonstrated that MH could affect BI (P < 0.001) Conclusions: The study results revealed that MH and MOF could lead to a positive BI in married women.

HUBUNGAN JENIS PENGOBATAN ANTI TUBERKULOSIS TERHADAP KEPATUHAN MINUM OBAT ANTI TUBERKULOSIS

Pulmonary TB germs can infect various parts of the body and prefer parts of the body with high oxygen levels. The lungs are the main predilection site for pulmonary tuberculosis (TB) germs. Tuberculosis is an infectious disease caused by the bacteria Mycobacterium tuberculosis. Pulmonary Tuberculosis (Pulmonary TB) is an infectious disease caused by Mycobacterium Tuberculosis. The number of TB cases every year always increases with new cases and the success rate of treatment is still insufficient. Based on data from the World Health Organization (2018), there are 6.4 million people in the world infected with TB germs. In Indonesia, the number of TB cases is estimated to be 842,000 new TB cases per year (319 per 100,000 population) with 107,000 deaths per year (40 per 100,000 population). One factor that can be related to non-compliance with TB drug consumption is the type of TB treatment. The aim of the study was to identify the relationship between the type of anti-tuberculosis treatment and adherence to taking anti-tuberculosis medication. This research is a quantitative research study with a cross sectional approach. This research was carried out at the Deli Tua Community Health Center. The population of this study were pulmonary TB patients who were registered and receiving treatment at the Deli Tua Community Health Center, with a total of 68 respondents. The research results showed that there was no relationship between the type of treatment and compliance with taking anti-tuberculosis medication with a p value of 0.921. TB sufferers need to increase awareness of compliance with taking anti-tuberculosis medication.

MOTHER’S CHARTCTERISTICS THAT AFFECT COMPLETENESS OF BASIC IMMUNIZATION OF TODDLERS AT MARYKE HEALTH CENTER LANGKAT DISTRICT

One effort to reduce morbidity and mortality rates in children is by providing immunizations. Immunization is an effective and efficient strategy in improving national health by preventing six deadly diseases, namely: tuberculosis, diptheria, pertussis, measles, tetanus and polio. Based on a preliminary survey observing several posyandu in the Bayu Muslimin country, data was obtained that 68% of babies received complete basic immunization compared to the national target of 95%. The aim of this research is to determine the relationship between maternal knowledge and attitudes and compliance with providing complete basic immunization to babies at the Maryke Community Health Center. The research design is descriptive correlative with a cross sectional study approach. The population in this study were all mothers who had babies aged 0-12 months. Sampling in this study used total sampling. The sample in this research was 40 people. The Chi-Square test results obtained a value of p = 0.001. This shows that there is a significant relationship between maternal knowledge and compliance with providing complete basic immunization to babies. As well as the Chi-Square test, the value of p = 0.000 was obtained, which shows that there is a significant relationship between attitude and maternal compliance in providing complete basic immunization for babies

Views held by South African primary health care nurses on caring for people living with mental illness

Background: Primary healthcare is the first point of entry into the healthcare system. Scaling up primary mental healthcare is recommended in South African mental health policy. However, there is a paucity of data exploring the views of primary healthcare nurses (PHCNs) with regards to caring for people living with mental illness (PLWMI) in South Africa.Aim: To explore the views of PHCNs around caring for PLWMI and task shifting.Setting: A community health centre in Gauteng province, South Africa.Methods: A qualitative study design using the framework approach was employed. Semi-structured individual interviews were conducted among a convenient sample of PHCNs in a community health centre in Gauteng. Interviews were transcribed and data analysed thematically.Results: Eight PHCNs were interviewed in June 2022. Five themes emerged: (1) participants highlighted their current practice which excludes mental healthcare; (2) participants described feeling fearful of caring for PLWMI; (3) participants ascribed their lack of confidence in caring for PLWMI largely due to insufficient under- and post-graduate mental healthcare training. (4) task shifting was not welcome due to inadequate mental healthcare training and preexisting challenges in the healthcare system; and (5) recommendations to prioritise mental healthcare training prior to implementing task shifting were made.Conclusion: Primary healthcare nurses, although empathic towards PLWMI, expressed discomfort with caring for them. This is influenced by multiple factors, some of which may be addressed by improved training and support.Contribution: This study provides insight into how PHCNs feel about caring for PLWMI and task shifting.

The Impact of Telerehabilitation on Physical Therapy Services in Rural Communities

Telerehabilitation is a transformative approach to physical therapy, revolutionizing the accessibility of healthcare in rural communities through the strategic use of Telecommunications technology. This novel approach has the potential to significantly enhance the efficacy of healthcare delivery, particularly considering the critical challenges posed by geographical isolation and resource scarcity. This paper explores the multifaceted benefits of Telerehabilitation, including increased access to care and reduced costs, alongside the challenges of technological barriers and privacy considerations. It provides a comprehensive overview of Telerehabilitation’s impact on rural healthcare, emphasizing its capacity to optimize patient outcomes and proposing strategies for effective implementation. The findings of this study suggest that the use of technology to deliver telecare is a key means of delivering equitable healthcare to underserved populations, a promising way to improve access to rural physiotherapy services address the challenge of telehealth resources, and promote the long-term sustainability of rural Telerehabilitation practices.

Community support for families affected by dementia.

This paper provides and overview of the community support services that may be available for people with dementia and their family carers. The authors introduce dementia, including the impact of the diagnosis on both the person with dementia and the wider family. Using a case study approach, the authors describe the support available, spanning health and social care and third sector organisations. They discuss how this support can enable people with dementia and their carers to maintain wellbeing and cope with the impact of dementia. This article will be of interest to community nurses, and health and social care professionals more generally, who may encounter families affected by dementia in community settings. Having a good knowledge of the support available and how to access it will allow community nurses to capitalise on the health promotion opportunities presented to them, when they come into contact with families affected by dementia in the course of their day-to-day practice.

Abstract PO2-08-01: Universal Multi-Gene Panel Testing of Newly Diagnosed Breast Cancer Patients in a Community Healthcare System

Abstract Introduction Multi-gene panel, germline genetic testing has emerged over the last decade as a useful tool in the assessment of hereditary cancer syndromes. As barriers to genetic testing are reduced, offering universal genetic testing to all cancer patients is a practice gaining traction. We present outcomes data specific to the offering of universal, multi-gene panel testing to newly diagnosed breast cancer patients in a community hospital setting. Methods A retrospective chart review was performed for all newly diagnosed breast cancer patients (n=1005) at a community hospital between 8/5/2019 and 8/5/2022. Uptake and outcomes of genetic counseling and genetic testing were assessed. All patients were offered genetic counseling, and those who consented to genetic testing were offered a multi-gene panel (37-93 genes). The National Comprehensive Cancer Network (NCCN) Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic (2020) guidelines were utilized to distinguish which patients met traditional genetic testing criteria. Results Of all newly diagnosed breast cancer patients, 915 (91.1%) patients underwent genetic counseling and 871 (86.7%) patients elected for genetic testing. Of those who declined genetic testing (n=134), 39 (29.1%) reported previous genetic testing. Of patients tested, 489 (56.1%) met NCCN criteria. Overall, 114 (13.1%) of tested patients received results with likely pathogenic/pathogenic (LP/P) variants. Of those, 86 (75.4%) had a clinically significant variant, a high-risk, moderate-risk or another dominantly inherited gene variant, while 28 (24.6%) were identified as genetic carriers; Table 1 summarizes genes with LP/P variants in this cohort, with 10 patients receiving results for 2 variants. Of the patients with clinically significant genetic results, 58 (67.4%) met NCCN criteria. Furthermore, 65 patients (75.6%) reported a family history of cancer relevant to the identified LP/P variant. The average age of the total population, and of those with a positive result, was 62 years. While nearly 19% of all patients tested were under age 50, patients under 50 comprised only 14.0% (n=12) of patients with a clinically significant result. Breast cancer management changes, including addition of a PARP inhibitor to chemotherapy regimen and/or elected bilateral mastectomies in the setting of unilateral disease, were noted in 71.4% (n=20) of patients with high-risk genetic findings and 20.6% (n=7) of patients with moderate-risk genetic findings. Conclusion The 86.7% uptake of genetic testing suggests implementation of universal testing in a community setting is feasible and favored by patients. Clinically significant genetic results would have gone undetected in 32.6% of patients if NCCN criteria was strictly utilized to offer testing. In addition to the 62 patients with high and moderate risk genetic results, utilization of expanded panel testing provided benefit for an additional 24 patients found to have an actionable variant in a gene that would not have been detected on traditional breast cancer panels. Our data supports the offering of genetic testing to all newly diagnosed breast cancer patients, regardless of age, family history, or other criterion, to inform precise breast cancer management and overall, lifetime cancer risks. Genetic Findings of Universal Multi-Gene Panels in a Community Setting Citation Format: Natalie Johns, Jody Wallace, Darbey Raible, Jordan Brady, Grace Miller, Brooke Phillips. Universal Multi-Gene Panel Testing of Newly Diagnosed Breast Cancer Patients in a Community Healthcare System [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO2-08-01.

Abstract PO3-02-01: Educational Opportunities to Improve Community Healthcare Professionals’ Management of High-Risk HR-Positive/HER2-Negative Early Breast Cancer

Abstract Background: The treatment landscape for patients with hormone receptor–positive/HER2-negative early breast cancer (HR+/HER2- EBC) has evolved with the emergence of adjuvant CDK4/6 inhibitor therapy as a new option for patients with a high risk of disease recurrence. Adjuvant abemaciclib plus aromatase inhibitors (AIs) is guideline recommended for high clinical risk HR+ disease and reduces risk of recurrence regardless of Ki-67 expression level. Here, we examine healthcare professionals’ (HCPs’) awareness and practice regarding the use of adjuvant abemaciclib. Methods: Between November 2022 and June 2023, we conducted a series of regional educational activities for HCPs focused on management of high-risk HR+/HER2- EBC. Each activity included an interactive lecture led by a clinical investigator with expertise in managing patients with high-risk HR+/HER2- EBC and polling questions designed to assess key aspects of HCP knowledge and practice in the optimal management of high-risk HR+/HER2- EBC. A wider HCP audience was able to view an interactive on-demand webcast with the same content and embedded polling questions. Results: In total, 701 HCPs participated in one of 20 live (n = 373) activities or the one associated on-demand (n = 328) webcast. The distribution of HCP participation differed between the live and online activities with more physicians participating in the online activity vs the live activity (59% vs 34%, respectively); the converse was true for nurse participation (9% online vs 34% live). Polling result trends were similar between the live and online activities. At baseline, 38% (n/N = 182/405) of HCPs chose adjuvant therapy with an AI plus abemaciclib for a patient with high-risk, node-positive HR+/HER2- EBC consistent with expert and guideline recommendations. Following the education, 92% (n/N = 405/439) of HCPs selected AI plus abemaciclib for appropriate patients. Before education, 32% of HCPs (n/N = 147/454) were aware that adjuvant abemaciclib plus endocrine therapy improved invasive disease-free survival compared with endocrine therapy alone in patients with high-risk, node-positive HR+/HER2- EBC regardless of Ki-67 expression level, which increased to 87% (n/N = 370/425) following the education. Regarding the management of grade 2 neutropenia associated with adjuvant abemaciclib therapy, HCP knowledge was low at baseline (32%, n/N = 141/446) and improved to 80% (n/N = 332/415) after education. Conclusions: HCPs’ knowledge of and practice concerning adjuvant abemaciclib as a newer approved therapy for patients with high-risk HR+/HER2- EBC remain suboptimal. These results suggest an ongoing need for expert guidance and educational activities on the use of adjuvant abemaciclib therapy for appropriate patients with high-risk HR+/HER2- EBC. As the treatment landscape for HR+/HER2- EBC continues to evolve with the potential approval of additional new therapies, this need will only increase with a clear impact on optimizing and individualizing adjuvant therapy strategies for patients with HR+/HER2- EBC. Citation Format: Marie Becker, Timothy Quill, Erika Hamilton, Joyce O'Shaughnessy. Educational Opportunities to Improve Community Healthcare Professionals’ Management of High-Risk HR-Positive/HER2-Negative Early Breast Cancer [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO3-02-01.

Abstract PO2-10-08: Contemporary HER2-Positive MBC Treatment Recommendations Among Community Healthcare Professionals: Analysis of an Online Interactive Decision Support Tool

Abstract Background: The management of HER2-positive (HER2+) metastatic breast cancer (MBC) has continued to evolve, with multiple FDA approvals of novel HER2-targeted agents since late 2019. Considering the growing HER2+ MBC treatment armamentarium, we sought to identify current practice patterns among community healthcare professionals (HCPs) for HER2+ MBC by comparing HCP and key opinion leader (KOL) treatment recommendations using an online decision support tool. Methods: An online decision support tool was developed with input from 5 KOLs to provide therapy recommendations for 630 HER2+ MBC patient case scenarios based on conventional considerations including distribution of metastatic disease, treatment history, duration of response, and specific comorbidities. HCP tool users entered specific patient criteria to define a case along with their intended management for each case. The tool then showed 5 KOL recommendations for the user-entered patient case, and the users were asked to indicate if the expert recommendations confirmed or changed their intended approach. An analysis of expert recommendations and user-selected therapy was performed. Results: Between November 2022 and July 2023, 313 patient cases were entered by 242 participating HCPs. HCP and KOL treatment recommendations were frequently discordant (Table). For patients with de novo HER2+ MBC (n = 55), there was strong concordance (63%; P = .0001) between HCP and KOL recommendations. However, weak treatment selection concordance (53%; P < .0001) was observed for patients with disease progression after standard neoadjuvant/adjuvant therapy with chemotherapy plus HER2-targeted agents (n = 57). In the second-line setting, 43% concordance was observed for patients with non‒central nervous system (CNS) disease progression without CNS progression after first-line therapy with THP (n = 67; P < .0001), whereas 61% concordance was observed for patients with non-CNS and CNS disease progression after first-line therapy with THP (n = 61; P < .0001). In the third-line setting, 31% concordance was observed for patients with non-CNS disease progression without CNS progression (n = 32; P < .0001), and 47% concordance was observed for patients with non-CNS and CNS disease progression (n = 19; P = .0009). For HCPs whose treatment plan did not match KOL recommendations in these scenarios, 62% indicated that KOL recommendations confirmed or changed their intended therapy, but 19% indicated that there were barriers to implementing those recommendations. Conclusions: These data suggest ongoing challenges to optimally incorporate novel HER2-targeted therapies in the care of patients with HER2+ MBC, particularly in the second line and beyond, but an online tool providing KOL advice on specific patient scenarios confirmed or changed the clinical approach for a majority of HCPs. Thus, continued development of resources for HCPs, including online decision support tools, may be increasingly important given the rapidly evolving treatment landscape. Table. Summary of Treatment Choices by KOLs or HCPs for Select Patient Scenarios Citation Format: Kristen Rosenthal, Sara Hurvitz, Komal Jhaveri, Heather McArthur, Sara Tolaney, Timothy Quill. Contemporary HER2-Positive MBC Treatment Recommendations Among Community Healthcare Professionals: Analysis of an Online Interactive Decision Support Tool [abstract]. In: Proceedings of the 2023 San Antonio Breast Cancer Symposium; 2023 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2024;84(9 Suppl):Abstract nr PO2-10-08.

Current situation of pharmacy services in community health centers and the functioning of pharmacists in family doctor teams in Shanghai

Current situation of pharmacy services in community health centers and the functioning of pharmacists in family doctor teams in Shanghai

Upaya Mengembangkan Kader Dan Mengoptimalkan Penurunan Tingkat Hipertensi Pada Masyarakat

the average prevalence of hypertension in indonesia is 31.7%; by 2025, the proportion of hypertensive patients is projected to increase to 24% in developed countries and 80% in developing countries. prevention and monitoring of hypertension can be done through community health centers or the posyandu program. participants providing community service are characterized by staff who supervise people with hypertension, the most common disease. this service is carried out through active lectures and discussions with participants. the activities show that cadres already know about hypertension and know how to prevent complications and how cadres regularly measure blood pressure independently. therefore, there is a need for creative health promotion initiatives and targeting the right people/groups so that better changes can be made in the future.keywords: blood pressure; cadre; hypertension; skills; knowledge.

Prevalence of neural tube defect and its identification during antenatal period: a cross-sectional study in eastern Indian state

ObjectiveTo estimate the prevalence of neural tube defects among all birth outcomes in Odisha during 2016–2022. Additionally, to estimate the identification rate of neural tube defects during Pradhan Mantri Surakshit...

Implementation of Agile in healthcare: methodology for a multisite home hospital accelerator

BackgroundThe diffusion of innovation in healthcare is sluggish. Evidence-based care models and interventions take years to reach patients. We believe the healthcare community could deliver innovation to the bedside faster...

Revealing rural motivations in pharmacy students pursuing a graduate certificate program

IntroductionTo assist recruitment and retention efforts and influence the need for an increased supply of future rural pharmacists, this study examines perceptions and key motivators of pharmacy students who chose to participate in the Rural Pharmacy Health Certificate (RPHC) program and pursue pathways to rural practice. MethodsWe interviewed six RPHC students prior to or shortly after beginning their first semester in the RPHC program. Interview questions assessed applicants' reasons for pursuing the RPHC, perceptions of living in and providing healthcare in rural and small communities, awareness of barriers and health disparities in rural areas, and qualities needed to be a successful rural pharmacist. We analyzed data with the Sort and Sift, Think and Shift method, a common approach to qualitative data analysis. ResultsInterest in pursuing rural pharmacy grew out of growing up in a rural area, as well as a desire to serve and help others. Students expected that completing the RPHC would strengthen their skillsets to provide the best care by addressing barriers such as difficulty accessing care and health literacy. Being a learner of one's community was the primary quality identified as necessary to be a successful rural pharmacist. ConclusionThis study identified primary motivators and perceptions that led students to pursue a rural health program at one US pharmacy school. The results can be used to identify and train good candidates for rural pharmacy practice, strengthening the rural pharmacy workforce to better meet communities' needs.

Can Oscillometry Replace Spirometry as a Major Tool for Lung Function Testing? – An Overview

Abstract Developing countries face a huge challenge in managing obstructive lung disorders due to frequency, severity, management, and economic impact. Spirometry has been the popular choice to assess the severity and reversibility of airflow obstruction, but the success of evaluation depends on the practitioner’s skills and the patient’s cooperation. Impulse oscillometry (IOS), a variant of forced oscillation technique is preferred over spirometry since it can be performed without forced respiratory maneuvers. The objective of this review is to evaluate IOS techniques and weigh its benefits against spirometry. Publications from international electronic databases such as PubMed, Scopus, and Web of Science were searched using relevant keywords for 5 years (2018–2023). A total of 416 articles were filtered, and of these, 70 were selected which specifically discussed the principles, procedures, parameters, and interpretations of spirometry and oscillometry. From the full-text articles included, we have reflected on the history, defined, explained, compared, and contrasted spirometry and oscillometry methods to establish the versatility of oscillometry technique to identify small airway functions and its application in special clinical conditions. This review presents an easily comprehensible synthesis of oscillometry and spirometry bringing out the principles, advantages, and limitations that are suitable for a larger spectrum of healthcare and research community.

Birang Daruganora: what do Aboriginal and Torres Strait Islander communities need in a new hospital? A qualitative study

ObjectivesTo elicit the Aboriginal community’s cultural and healthcare needs and views about six prominent and emerging models of care, to inform the development of a new hospital.DesignCross-sectional qualitative study co-designed...

The analysis of disease spectrum of traditional Chinese medicine of outpatient visitor to the contracted family doctor in Shenzhen community health centers

The analysis of disease spectrum of traditional Chinese medicine of outpatient visitor to the contracted family doctor in Shenzhen community health centers