Evidence map›Paper›PMID 40668119›Full record

ArticleJournal of primary care & community health

Quality of Care of Adult Patients With Allergic Diseases in Urban, Rural, and Remote Primary Care Sites in the Philippines.

Carol Stephanie C Tan-Lim, Robbi Miguel G Falcon, Jeremiah F Feliciano, Michael B Fong, Mark Anthony U Javelosa, Leonila F Dans, Iris Thiele C Isip-Tan, Josephine T Sanchez, Mia P Rey, Antonio Miguel L Dans

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Carol Stephanie C Tan-LimDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Philippines.ORCID 0000-0001-8815-4191
Robbi Miguel G FalconCollege of Medicine, University of the Philippines Manila, Philippines.
Jeremiah F FelicianoCollege of Medicine, University of the Philippines Manila, Philippines.
Michael B FongProgram on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines.ORCID 0009-0006-5744-1554
Mark Anthony U JavelosaDepartment of Clinical Epidemiology, College of Medicine, University of the Philippines Manila, Philippines.
Leonila F DansProgram on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines.
Iris Thiele C Isip-TanProgram on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines.
Josephine T SanchezProgram on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines.
Mia P ReyProgram on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines.
Antonio Miguel L DansProgram on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study determined the clinic prevalence and compared the quality of care of allergic diseases in urban, rural, and remote primary care sites.

methodsThis was a retrospective review of electronic health records of all adult patients who consulted in the 3 sites from May 2019 to April 2022. Data of adult patients with allergic diseases was extracted from the 3 EHR systems operating across the participating sites using standardized Structured Query Language queries across the 3 systems. We computed the prevalence of allergic diseases among adults who consulted in primary care health facilities by dividing the number of patients diagnosed to have an allergic disease over the total number of adult patients who consulted within the 3-year study period. We compared the quality of care of patients across the 3 sites based on clinical practice guidelines using Chi-square test, Fisher's exact test, or 1-way analysis of variance, as appropriate.

resultsThe prevalence of allergic disease among adults who consulted in primary care health facilities was 1.3% for the urban site, 2.2% for the rural site, and 2.1% for the remote site. The most common allergic disease was asthma (59.0%). First-line medications based on recommendations in clinical practice guidelines were prescribed more often in the urban site, including inhaled corticosteroids with long-acting beta-agonists for asthma patients (

conclusionHealth inequity was observed in this study, with results demonstrating that the rural and remote sites had greater allergic disease prevalence, greater underutilization of first-line medications, and more frequent overutilization of non-essential medications.

Indexed as

HypersensitivityPrimary Health CareQuality of Health CareRural Health ServicesAdultAgedAsthmaElectronic Health RecordsFemaleHumansMaleMiddle AgedPhilippinesPrevalenceRetrospective StudiesRural Populationallergyasthmahealth equityprevalenceprimary care

Identifiers

PMID40668119
PMCPMC12268130

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.