Journal of family & community medicine最新文献

{"title":"Prevalence, characteristics, and risk factors for urinary incontinence among women attending Primary Healthcare Centers in Bahrain, 2023.","authors":"Jasim A Abdulhusain, Marwa J Darraj, Mohamed Y Alasbool, Eman K Alasoomi, Yusuf A J Altahoo, Bahnaz E Tadayyon, Mahmood A Alawainati","doi":"10.4103/jfcm.jfcm_94_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_94_24","url":null,"abstract":"<p><strong>Background: </strong>Urinary incontinence (UI) is a common health concern of women that often goes untreated owing to a lack of awareness and social stigma. It is associated with a lower quality of life and negative bio-psycho-social consequences. Therefore, it is crucial to diagnose UI and manage it in its early stages. This study aimed to assess the prevalence, characteristics, and risk factors in females attending Primary Healthcare Centers (PHCCs) in Bahrain.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted in 8 PHCCs in Bahrain in April 2023. Females aged 18 and above were included. A multistage sampling technique was adopted. A self-administered questionnaire consisting of sociodemographic characteristics, risk factors and the International Consultation on Incontinence Questionnaire Short Form was used. Univariate and logistic regression analyses were performed.</p><p><strong>Results: </strong>A total of 875 adult females were enrolled in the study with an average age of 37.5 (standard deviation = 12.3) years. Of the cohort, 24.8% patients had UI with stress incontinence as the most common type (71%), followed by urgency UI (21.2%). However, only 21.7% women had sought medical attention. Being a widow (Odds ratio [OR] = 2.49, P=0.007), retired (OR = 1.98, P=0.016), having had multiple pregnancies (95% CI: 0.82, 0.98; <i>P</i> = 0.016), having urogenital infection (OR = 2.50, P=0.001), having undergone surgery other than C-section (OR = 1.60, P=0.017), and constipation (OR = 1.62, P=0.038) were associated with increased risk for UI.</p><p><strong>Conclusion: </strong>This study revealed a relatively high prevalence of UI in females attending PHCCs. Since most patients with incontinence did not seek medical care, primary care physicians should address UI in patients using a well-structured screening tool and provide relevant health education.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"313-320"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge of self-management and asthma control among asthma patients attending a polyclinic in Western part of Singapore.","authors":"Joanne H Khor, Anna Szücs, Lay Hoon Goh","doi":"10.4103/jfcm.jfcm_115_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_115_24","url":null,"abstract":"<p><strong>Background: </strong>Self-management is important for asthma control, yet it is unclear whether asthmatic patients have sufficient knowledge to optimally manage their disease. We examined the associations between the knowledge of self-management in adult patients attending a polyclinic in Singapore, sociodemographic factors, and asthma control.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was conducted among adult asthmatic patients in a public primary care clinic (polyclinic) using convenience sampling. A a structured and validated self-administered questionnaire solicited the responses of study participants. Questionnaire comprised three sections: (1) Sociodemographic and asthma-related variables, (2) Modified Asthma Self-Management Questionnaire (ASMQ), and (3) The GINA assessment of asthma control. Participants completed the questionnaire in the clinic waiting area and returned them into a sealed box in the same area. Data were analyzed using SPSS version 29.0. Summary statistics were used to describe the study sample; t-test or analysis of variance (ANOVA), as appropriate, tested the differences in self-management knowledge by sociodemographic characteristics. Logistic regression was used to determine the association between asthma control and self-management knowledge controlling for sociodemographic characteristics.</p><p><strong>Results: </strong>The sample comprised 141 asthma patients; Out of a total of 100 points, the mean ASMQ score was 46.8 (standard deviation 21.7). The scores for the knowledge of self-management of Asthma differed by age, level of education, and having been taught about asthma on bivariate analyses (<i>P</i> < 0.05). Linear regression showed a significant association of asthma self-management knowledge with educational level only. No association was observed between ASMQ scores and asthma control.</p><p><strong>Conclusion: </strong>There were gaps in patients' knowledge about asthma self-management, although they were generally knowledgeable about the inhaler technique. Higher education levels were associated with higher levels of knowledge beyond the effect of age and having been instructed about asthma, suggest that it is crucial that educational programs on asthma are made accessible to patients with lower levels of education. Further research needs to determine whether asthma educational programs targeting the knowledge gaps found in this study can improve knowledge of self-management and asthma control.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"327-335"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and competence of primary healthcare physicians in the management of diabetes-related chronic kidney disease.","authors":"Abdullah M Alzahrani, Afnan G Alghamdi, Danah M Alghamdi, Murug O Shakir, Afnan Y Jaha","doi":"10.4103/jfcm.jfcm_124_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_124_24","url":null,"abstract":"<p><strong>Background: </strong>Diabetes mellitus (DM) is a primary cause of chronic kidney disease (CKD), a significant and growing global health issue. Primary healthcare physicians (PHPs) are crucial in detecting, managing, and preventing CKD, but many lack the necessary knowledge and skills to effectively diagnose and manage the disease. This study assessed the knowledge and competence of PHPs in managing diabetes-related CKD.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted among all Primary Healthcare Physicians (PHPs) working at Primary Healthcare Center (PHC) in King Abdulaziz Medical City of the National Guard, Jeddah, Saudi Arabia. An online questionnaire was sent to all PHPs and data were collected from January 2024 to February 2024. Data analysis performed utilizing RStudio (version 4.3.1). Categorical variables were expressed as frequencies and percentages, whereas mean and standard deviations were computed for continuous variables. Kruskal-Wallis rank sum test was used to determine differences in confidence scores across various demographic and occupational characteristics. A multivariable linear regression analysis was performed to identify factors related to confidence.</p><p><strong>Results: </strong>Of 141 PHPs, 122 filled online questionnaire yielding a response rate of 86.5%. responded. The majority (90.2%) were 18-45 years of age, 68.0% were qualified as family physicians, 38.0% belonged to the specialized poly clinic, and 54.9% had less than 5 years of experience. PHPs showed a varied levels of confidence and knowledge. While 76.2% were confident about the stages of kidney disease and 65.6% acknowledged the importance of the urine albumin-creatinine ratio (uACR) test, 58.1% were uncertain of interpreting uACR results and CKD diagnostic criteria. More than 60.0% were uncertain of the treatment steps postdiagnosis and prediction of CKD prognosis. Age, qualification, specialization in family medicine, and clinic affiliation were significantly related to confidence levels.</p><p><strong>Conclusion: </strong>The study underscores notable gaps in PHPs' knowledge and confidence concerning CKD screening, diagnosis, and management. Continuous education and targeted interventions are essential for the improvement of PHPs' competence and patient outcomes in the management of CKD.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"336-343"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authors' reply.","authors":"Ali M M Assiri, Yahia M Al Khaldi, Abdu A A Kaabi, Ibrahim A M Alshehri, Mohammad A S Al Shahrani, Abdullah A Almalki","doi":"10.4103/jfcm.jfcm_269_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_269_24","url":null,"abstract":"","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"360"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complicated small-bowel diverticulosis and the role of Acute Care for the Elderly Unit.","authors":"Khalid S AlHarkan","doi":"10.4103/jfcm.jfcm_69_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_69_24","url":null,"abstract":"<p><p>Small-bowel diverticulosis is a rare condition that occurs in older adults. Patients are usually asymptomatic, and some will develop complications such as gastrointestinal (GI) bleeding, intestinal obstruction, diverticulitis, and perforation. This is the case of a 95-year-old male patient with a previous history of heart failure with a preserved ejection fraction of 55%-60% and aortic stenosis since October 2019, atrial fibrillation managed with a permanent pacemaker, oral anticoagulation treatment (which was discontinued due to GI bleeding), hypertension, hypothyroidism, and chronic kidney disease. The patient presented with melena and was diagnosed with upper GI bleeding. The GI, general surgery, interventional radiology, geriatric, and palliative care teams were involved in his care. The patient received multiple blood transfusions, and upper and lower GI endoscopic and interventional radiological procedures were performed. However, owing to the patient's functional status and age, surgery was not an option. The patient was referred to a palliative care team.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"355-357"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction of the maximum oxygen consumption (VO_2max) for young Saudi females using exercise parameters.","authors":"Lubna I Al-Asoom, Marwah M Almakhaita","doi":"10.4103/jfcm.jfcm_58_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_58_24","url":null,"abstract":"<p><strong>Background: </strong>Maximum oxygen consumption (VO_2max), an essential indicator of integrated function of the cardiovascular, respiratory, and muscular systems, is an excellent predictor of all-cause morbidity and mortality. Direct measurement is a sophisticated procedure which for some individuals is difficult to perform. The use of international formulae leads to overestimation or underestimation of values. Therefore, the present study aimed to generate a best-fit VO2max prediction formula for young Saudi females.</p><p><strong>Materials and methods: </strong>One hundred and two randomly selected young healthy Saudi females (19-25 years) with normal body mass index (18.5-24.99 kg m^-2) and sedentary lifestyle underwent maximum cardiopulmonary exercise testing on cycle ergometer when using breath-by-breath analyzing system. Hemodynamic and ventilatory parameters were assessed before and during the maximum exercise. Significantly correlated exercise and nonexercise parameters enterd in multiple linear regression analysis to find the best-fit model, and used to generate a VO_2max prediction formula.</p><p><strong>Results: </strong>The mean measured VO_2max was 1449.1 ± 233.92 ml min^-1. The VO_2max prediction formula was 1304.193 ± 17.902 × body weight + 43.857 × time until exhaustion - 6.83 × maximum heart rate. The mean calculated VO_2max was 1449.14 ± 143.97 ml min^-1. No statistically significant difference was observed between the measured and calculated VO_2max. The Bland-Altman test for the limit of agreement was performed and showed good agreement between the two values with a minute proportional bias. The standard error of the estimate was 156.34, which is approximately 10.6% of the mean measured VO_2max. Reliability analysis yielded a Cronbach's alpha of 0.709.</p><p><strong>Conclusion: </strong>This study presents a reliable and valid VO_2max prediction formula for young Saudi females. This nationally generated formula is far more representative of the VO_2max value than international formulae. We recommend the implementation of this formula and an investigation of its validity in other Saudi population groups.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"289-294"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers for adherence to diabetic retinopathy screening among Saudi adult population, 2023.","authors":"Abdulrahman M A Alamri, Manar M H Alamri, Rayan A Alolayani, Shaima Y A Assiri, Rayan F Z Alshehri, Saud Q A Alshabab, Shatha S M Alshahrani, Razan S Aloufi, Amjad M Al Thamr","doi":"10.4103/jfcm.jfcm_104_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_104_24","url":null,"abstract":"<p><strong>Background: </strong>One common and blinding consequence of diabetes is diabetic retinopathy. However, adherence to regular screening remains a challenge for Saudi adults. The goal of this study is to investigate and identify the barriers that hinder Saudi diabetic adults from adhering to screening for diabetic retinopathy.</p><p><strong>Materials and methods: </strong>This cross-sectional study was conducted in a sample of adult diabetic patients throughout Saudi Arabia. Data was collected using a self-administered validated questionnaire comprising following five primary sections: sociodemographic information, profile of diabetes, knowledge of diabetic retinopathy, behaviors, and hurdles to diabetic retinopathy screening. Sample selected using snowball sampling technique. Questionnaire was converted into Google Forms and was shared with study participants via E-mail and several social media sites, including Facebook and WhatsApp during November and December 2023. Data analyzed using SPSS; mean and standard deviation were calculated for continuous variables, whereas categorical data was presented as frequency and percentage. Logistic regression analysis determined barriers for adherence to screening for diabetic retinopathy.</p><p><strong>Results: </strong>The mean age of the study group was 61.6 ± 15 years, and 58.3% were female. Out of 393 respondents, 71% had undergone retinopathy screening in the past few months; 29.0% had a history of diabetic retinopathy. Participants who knew about retinopathy were eight times more likely to have eye screening compared to those who did not know about retinopathy (odds ratio = 8.05, P < 0.001). Less screening chance was observed among those who had acquired their knowledge from the Internet (odds ratio = 0.23, P = 0.002) or relatives (odds ratio = 0.21, P = 0.002) compared to those who had been advised by their physicians.</p><p><strong>Conclusion: </strong>These findings underscored the multifaceted nature of barriers to regular screenings within the Saudi Arabian healthcare system. By understanding and addressing these barriers, healthcare systems can enhance the effectiveness of screening programs and improve health outcomes.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"305-312"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The wizard of artificial intelligence: Are physicians prepared?","authors":"Osman O Radhwi, Mawyah A Khafaji","doi":"10.4103/jfcm.jfcm_144_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_144_24","url":null,"abstract":"<p><strong>Background: </strong>Despite the increasing use of artificial intelligence (AI) in medicine, research into the knowledge and attitudes of medical experts toward AI is limited. This study aimed to assess physicians' attitudes and perceptions of AI applications in healthcare.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted at the College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia between November 1 and December 20, 2023. Data was collected using a web-based validated self-administered questionnaire; information sought included demographics, familiarity with AI technology, attitudes towards AI applications in medicine, and perceived risks associated with its implementation. Data analysis performed using SPSS. Categorical variables were presented as frequencies and percentages, whereas mean and standard deviations were calculated for continuous variables. Four domains were used as study variables: familiarity, attitude, AI application, and possible risks. The domains were compared to the scored individual question using Pearson's correlation coefficient.</p><p><strong>Results: </strong>A total of 128 academic staff participated (response rate 21.3%). About 41% reported being aware of AI as an emerging field and expressed desire to learn about AI. Concerns about the effect of AI on physicians' employability were not prominent. Instead, most (65.6%) agreed that new positions would be created and that the job market for those who embraced AI would increase. Thirty-two percent reported actively seeking out new technologies in their practice areas, and 24.2% would be willing to adapt AI to practice if its usefulness was published in scientific journals. Most participants (87.5%) agreed that dedicated courses would help them implement AI in their specialty. The most commonly reported problem of AI was its inability to provide opinions in unexpected scenarios. A quarter of participants believed that both AI creators and doctors should be liable for AI-caused medical errors. Physician's age, gender, or years of experience were not related to their familiarity with or attitudes toward AI.</p><p><strong>Conclusion: </strong>Doctors are open to learning about AI use in medicine. Including AI learning objectives or short courses in medical curricula would help physicians develop the necessary skills for an AI-augmented healthcare system.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"344-350"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immunoglobulin G4-related pancreatitis presenting as an obstructive pancreatic mass in a Latino male.","authors":"Blake Busey, Paul Estrada, Javaria Anwer","doi":"10.4103/jfcm.jfcm_143_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_143_24","url":null,"abstract":"<p><p>Immunoglobulin G4-related disease (IgG4-RD) is a localized or diffuse autoimmune fibro-inflammatory condition that can affect any organ. The literature is sparse on IgG4-RD in the Latino population. This is a case report of a Latino male diagnosed with IgG4-related pancreatitis presenting as a mass. Our 40-year-old Latino male patient presented with diarrhea and epigastric discomfort progressing to jaundice and pruritus. He had associated elevations in liver enzymes, antinuclear antibody, and IgG4. Magnetic resonance cholangiopancreatography revealed a lobulated pancreatic head mass with common bile duct (CBD) narrowing. Endoscopic ultrasound-guided biopsy of the pancreas revealed no malignancy, and the patient underwent CBD stenting through endoscopic retrograde cholangiopancreatography. The patient demonstrated a favorable response to systemic glucocorticoid therapy with resolution of his symptoms and normalization of his liver function tests. Coronavirus disease-2019 infection during treatment had no impact on the outcomes.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"351-354"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficiency of night shifts in Primary Healthcare Centers, Aseer Region, Saudi Arabia: Data envelopment analysis.","authors":"Abdullah A Saeed, Yahia M Al Khaldi, Tariq A I Falqi, Mohammed A Qarnan, Zaid S Alharthi, Abdullah A Alshafea","doi":"10.4103/jfcm.jfcm_109_24","DOIUrl":"https://doi.org/10.4103/jfcm.jfcm_109_24","url":null,"abstract":"<p><strong>Background: </strong>Efficient allocation of healthcare resources is essential for meeting the increasing demand for healthcare services. This study aimed at exploring the performance of both one- and two-shift Primary Healthcare Centers (PHCCs) and examining the efficiency of healthcare centers to discover how efficiency is affected by the levels of resource allocation and staffing.</p><p><strong>Materials and methods: </strong>The study was conducted at 31 PHCCs assigned to cover extended hours, from 4:00 PM to 8:00 AM during May-October 2023. Study employed a quantitative approach and the data envelopment analysis technique to assess the efficiency of PHCCs, specifically focusing on night shift performance. Data were collected through interviews and surveys with primary healthcare staff including 99 doctors, 119 nurses, and 139 support staff using structured questionnaire. The DEA technique was utilized to measure the relative efficiency of the PHCCs by comparing the inputs and outputs.</p><p><strong>Results: </strong>Out of 31 PHCCs, 45.2% run two shifts. Over the reported period, a total of 126,619 patient visits were recorded; 81.7% came to the two-shift PHCCs and 18.3% to the one-shift PHCCs. On average, each two-shift PHCC received approximately 161 visits/ shift, and the one-shift received 123 visits. Upper respiratory tract infections accounted for 30% of morbidities and chronic diseases for more than 20%. The performance of the two-shifts PHCCs revealed varying levels of efficiency with a score of 1.00 for the most efficient PHCC and 0.31 for the least efficient PHCC.</p><p><strong>Conclusion: </strong>This study underscores the importance of data-driven decision-making for healthcare administrators. Ongoing assessments and benchmarking are essential for continuously improving the quality of healthcare service and optimizing utilization of resources. Future research in this field can further explore the factors that contribute to healthcare efficiency and provide deeper insights into healthcare resource management and optimization of service delivery.</p>","PeriodicalId":101441,"journal":{"name":"Journal of family & community medicine","volume":"31 4","pages":"321-326"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}