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Background: Companions often accompany the patient in family medicine clinics and may influence t... more Background: Companions often accompany the patient in family medicine clinics and may influence the consultation. This study aims to determine the patients\u27 perspective regarding the role and influence of the companion in the consultation process.Materials and Methods: A cross-sectional study was conducted at the family medicine clinics of a university hospital. Adult patients accompanied by companions during the consultation were interviewed through a structured questionnaire. Attributes with respect to role and influence of companion on the consultation were assessed. Data was entered and analyzed through IBM Statistical Product and Service Solutions (SPSS) software version 18 using the Chi-square test.Results: A total of 100 patients accompanied by companions participated in the study. Majority of companions were present to either provide company (90%) and/or emotional support (90%). Immediate relatives had a role in mobility (P = 0.016) and decision making (P = 0.006). Most c...
Journal of the Pakistan Medical Association, 2021
Carefully developed guidelines for clinical practice serve as an important tool for desirable cha... more Carefully developed guidelines for clinical practice serve as an important tool for desirable changes in health care of a country. They act as an important source of information for physicians as well as policy makers and educational institutions thereby improving quality of care of patients. The outbreak of Novel Coronavirus Disease (COVID-19) in 2019 has placed huge burden on health care system globally. The first line health care provider bears the brunt of this disease with limited and varying sources of information as most of the patients present to them. Varied presentation of disease along with limited hospital facilities for admission is a huge challenge for appropriate management and referral of these patients. These guidelines, prepared after reviewing the interim guidelines in literature, will serve as a source of guidance for GPs to manage mild cases at home and refer those with moderate and severe disease to tertiary... Continuous...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2004
To determine the distribution of lower urinary tract symptoms in adult women and the frequency wi... more To determine the distribution of lower urinary tract symptoms in adult women and the frequency with which the women consulted a health care provider for their symptoms. Cross-sectional analytical study. Community Health Center of Aga Khan University Hospital from November 1st to 30th, 2002. A trained interviewer administered a structured questionnaire to women patients or attendants aged 18 years and older coming to the center. Fifty-two percent of the study subjects reported having at least one or more urinary complaints in the past. Stress incontinence was the highest reported complaint (38.4%) followed by burning (34.4%), frequency (26%), painful micturition (20.4%), urge incontinence (18.8 %), incomplete emptying of bladder (14.4%), dribbling (12.4%) and poor stream (8.4%). Forty-three percent of the women with LUTS never consulted a health care provider for their problem. Although the distribution of LUTS among females was found to be high, the patients did not consider it impo...
Journal of Family Medicine and Primary Care, 2013
Background: Companions often accompany the patient in family medicine clinics and may influence t... more Background: Companions often accompany the patient in family medicine clinics and may influence the consultation. This study aims to determine the patients' perspective regarding the role and influence of the companion in the consultation process. Materials and Methods: A cross-sectional study was conducted at the family medicine clinics of a university hospital. Adult patients accompanied by companions during the consultation were interviewed through a structured questionnaire. Attributes with respect to role and influence of companion on the consultation were assessed. Data was entered and analyzed through IBM Statistical Product and Service Solutions (SPSS) software version 18 using the Chi-square test. Results: A total of 100 patients accompanied by companions participated in the study. Majority of companions were present to either provide company (90%) and/or emotional support (90%). Immediate relatives had a role in mobility (P = 0.016) and decision making (P = 0.006). Most companions remained passive and did not contribute to the doctor patient relationship (P = 0.058). Male companions were relatively helpful (54% vs. 25%, P = 0.008) in achieving the expectations from the visit. The companion played a supportive role in 62% of the consultations. Conclusion: This study signifies a supportive role of companion in a consultation which emphasizes the need of consultation models to include the "companion."
Background: Companions often accompany the patient in family medicine clinics and may influence t... more Background: Companions often accompany the patient in family medicine clinics and may influence the consultation. This study aims to determine the patients\u27 perspective regarding the role and influence of the companion in the consultation process.Materials and Methods: A cross-sectional study was conducted at the family medicine clinics of a university hospital. Adult patients accompanied by companions during the consultation were interviewed through a structured questionnaire. Attributes with respect to role and influence of companion on the consultation were assessed. Data was entered and analyzed through IBM Statistical Product and Service Solutions (SPSS) software version 18 using the Chi-square test.Results: A total of 100 patients accompanied by companions participated in the study. Majority of companions were present to either provide company (90%) and/or emotional support (90%). Immediate relatives had a role in mobility (P = 0.016) and decision making (P = 0.006). Most c...
Journal of the Pakistan Medical Association, 2021
Carefully developed guidelines for clinical practice serve as an important tool for desirable cha... more Carefully developed guidelines for clinical practice serve as an important tool for desirable changes in health care of a country. They act as an important source of information for physicians as well as policy makers and educational institutions thereby improving quality of care of patients. The outbreak of Novel Coronavirus Disease (COVID-19) in 2019 has placed huge burden on health care system globally. The first line health care provider bears the brunt of this disease with limited and varying sources of information as most of the patients present to them. Varied presentation of disease along with limited hospital facilities for admission is a huge challenge for appropriate management and referral of these patients. These guidelines, prepared after reviewing the interim guidelines in literature, will serve as a source of guidance for GPs to manage mild cases at home and refer those with moderate and severe disease to tertiary... Continuous...
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 2004
To determine the distribution of lower urinary tract symptoms in adult women and the frequency wi... more To determine the distribution of lower urinary tract symptoms in adult women and the frequency with which the women consulted a health care provider for their symptoms. Cross-sectional analytical study. Community Health Center of Aga Khan University Hospital from November 1st to 30th, 2002. A trained interviewer administered a structured questionnaire to women patients or attendants aged 18 years and older coming to the center. Fifty-two percent of the study subjects reported having at least one or more urinary complaints in the past. Stress incontinence was the highest reported complaint (38.4%) followed by burning (34.4%), frequency (26%), painful micturition (20.4%), urge incontinence (18.8 %), incomplete emptying of bladder (14.4%), dribbling (12.4%) and poor stream (8.4%). Forty-three percent of the women with LUTS never consulted a health care provider for their problem. Although the distribution of LUTS among females was found to be high, the patients did not consider it impo...
Journal of Family Medicine and Primary Care, 2013
Background: Companions often accompany the patient in family medicine clinics and may influence t... more Background: Companions often accompany the patient in family medicine clinics and may influence the consultation. This study aims to determine the patients' perspective regarding the role and influence of the companion in the consultation process. Materials and Methods: A cross-sectional study was conducted at the family medicine clinics of a university hospital. Adult patients accompanied by companions during the consultation were interviewed through a structured questionnaire. Attributes with respect to role and influence of companion on the consultation were assessed. Data was entered and analyzed through IBM Statistical Product and Service Solutions (SPSS) software version 18 using the Chi-square test. Results: A total of 100 patients accompanied by companions participated in the study. Majority of companions were present to either provide company (90%) and/or emotional support (90%). Immediate relatives had a role in mobility (P = 0.016) and decision making (P = 0.006). Most companions remained passive and did not contribute to the doctor patient relationship (P = 0.058). Male companions were relatively helpful (54% vs. 25%, P = 0.008) in achieving the expectations from the visit. The companion played a supportive role in 62% of the consultations. Conclusion: This study signifies a supportive role of companion in a consultation which emphasizes the need of consultation models to include the "companion."