ArticlePrimary health care research & development2019
Role of laboratory services in primary health center (PHC) outpatient department performance: an Indian case study.
Article in Primary health care research & development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 24 citations in OpenAlex.
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- The influence of hospital services on patient satisfaction in OPDs: evidence from the transition to a digital system in South Punjab, Pakistan.Health research policy and systems · 2024Article
- Developing a competency assessment framework for medical laboratory technologists in primary healthcare settings in India.PloS one · 2024Review
- Assessment of the quality of malaria surveillance and laboratory services for diagnosis in three districts of Gujarat state, India.Frontiers in public health · 2024Article
- Morphological changes in white blood cells in systemic inflammatory response syndrome (SIRS) with and without sepsis: An observational study.Journal of family medicine and primary care · 2023Article
- Status of countrywide laboratory services quality and capacity in primary healthcare facilities in Tanzania: Findings from Star Rating Assessment.PLOS global public health · 2023Article
- Post-graduate training in Laboratory Medicine: Potential to fill a crucial gap in Indian healthcare system.Medical journal, Armed Forces India · 2022Article
- Components of Out-of-Pocket Expenditure and Their Relative Contribution to Economic Burden of Diseases in India.JAMA network open · 2022Article
- Managing snakebite.BMJ (Clinical research ed.) · 2022Review
- Can the Emergency Medical Service (EMS) System Help in Improving the Healthcare Access - Evidence from Maharashtra EMS.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn resource-constrained settings, primary health centers (PHCs) are critical for universal health coverage. Laboratory service is one of its important components. While PHC and its performance are focused, its laboratory service has been neglected in developing countries like India.
aimTo determine the role of different level of PHC laboratory services on the overall PHC performance.
methodsCross-sectional study based on 42 PHCs of Osmanabad District, Maharashtra, India was performed. The study used levels of laboratory services in PHC as independent parameter and PHC outpatient department (OPD) visits per day (≤ 80 versus > 80) as dependent parameter. The control parameters used in the study were number of medical doctors, availability of laboratory technicians (LTs) and population coverage by PHC. Field visit was done to collect data on levels of laboratory services, but secondary source was used for other parameters. The logistic regression analysis was performed in study.
findingsThe study found variation in PHC population coverage (10 788-74 702) and OPD visits per day (40-182) across PHC. Strong positive association was observed between levels of laboratory services and number of OPD visits per day in PHC. PHC offering both malaria and tuberculosis in-house testing had higher odds (4.81) of getting more OPDs (≥ 80 OPD visits per day) as compared to PHC not offering in-house testing facility for malaria and tuberculosis. This association was stronger in PHCs with lower population coverage (0-75 quartile) as compared to PHCs with higher population coverage (75-100 quartile).
conclusionFocus on laboratory services is needed to enhance the existing PHCs performance. Skill-up gradation of existing LT could help in improving the contribution of the existing laboratories in PHC functioning.
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