eHealth as a facilitator of equitable access to primary healthcare: the case of caring for non-communicable diseases in rural and refugee settings in Lebanon

eHealth as a facilitator of equitable access to primary healthcare: the case of caring for... Objectives Assess the effect of selected low-cost eHealth tools on diabetes/hypertension detection and referrals rates in rural settings and refugee camps in Lebanon and explore the barriers to showing-up to scheduled appointments at Primary Healthcare Centers (PHC). Methods Community-based screening for diabetes and hypertension was conducted in five rural and three refugee camp PHCs using an eHealth netbook application. Remote referrals were generated based on pre-set criteria. A phone survey was subsequently conducted to assess the rate and causes of no-shows to scheduled appointments. Associations between the independent variables and the outcome of referrals were then tested. Results Among 3481 screened individuals, diabetes, hypertension, and comorbidity were detected in 184,356 and 113 per 1000 individuals, respectively. 37.1% of referred individuals reported not showing-up to scheduled appointments, owing to feeling better/symptoms resolved (36.9%) and having another obligation (26.1%). The knowledge of referral reasons and the employment status were significantly associated with appointment show-ups. Conclusions Low-cost eHealth netbook application was deemed effective in identifying new cases of NCDs and estab- lishing appropriate referrals in underserved communities. Keywords Primary healthcare  eHealth  Diabetes  Hypertension  Referrals  Appointment no-show & Mohamad Alameddine Global Health Institute, American University of Beirut, Riad http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Journal of Public Health Springer Journals

eHealth as a facilitator of equitable access to primary healthcare: the case of caring for non-communicable diseases in rural and refugee settings in Lebanon

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Swiss School of Public Health (SSPH+)
Subject
Medicine & Public Health; Public Health; Occupational Medicine/Industrial Medicine; Environmental Health
ISSN
1661-8556
eISSN
1661-8564
D.O.I.
10.1007/s00038-018-1092-8
Publisher site
See Article on Publisher Site

Abstract

Objectives Assess the effect of selected low-cost eHealth tools on diabetes/hypertension detection and referrals rates in rural settings and refugee camps in Lebanon and explore the barriers to showing-up to scheduled appointments at Primary Healthcare Centers (PHC). Methods Community-based screening for diabetes and hypertension was conducted in five rural and three refugee camp PHCs using an eHealth netbook application. Remote referrals were generated based on pre-set criteria. A phone survey was subsequently conducted to assess the rate and causes of no-shows to scheduled appointments. Associations between the independent variables and the outcome of referrals were then tested. Results Among 3481 screened individuals, diabetes, hypertension, and comorbidity were detected in 184,356 and 113 per 1000 individuals, respectively. 37.1% of referred individuals reported not showing-up to scheduled appointments, owing to feeling better/symptoms resolved (36.9%) and having another obligation (26.1%). The knowledge of referral reasons and the employment status were significantly associated with appointment show-ups. Conclusions Low-cost eHealth netbook application was deemed effective in identifying new cases of NCDs and estab- lishing appropriate referrals in underserved communities. Keywords Primary healthcare  eHealth  Diabetes  Hypertension  Referrals  Appointment no-show & Mohamad Alameddine Global Health Institute, American University of Beirut, Riad

Journal

International Journal of Public HealthSpringer Journals

Published: Mar 15, 2018

References

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