The burden of chronic diseases and patients' preference for healthcare services among adult patients suffering from chronic diseases in Bangladesh

Mahumud, Rashidul Alam; Sultana, Marufa; Kundu, Satyajit; Rahman, Md. Ashfikur; Mistry, Sabuj Kanti; Kamara, Joseph K.; Kamal, Mostafa; Ali, Mohammad Afshar; Hossain, Md. Golzar; Brooks, Cristy; Khan, Asaduzzaman; Alam, Khorshed; Renzaho, Andre Μ Ν

doi:10.1111/hex.13634

Cited by 8 publications

(5 citation statements)

References 40 publications

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“…Chronic therapies are often ineffective for these patients due to primary or secondary loss of response. 49 Costs increase when chronic diseases fail to respond to treatment, requiring more expensive interventions and admissions.…”

Section: Resultsmentioning

confidence: 99%

Department of Medicine 2040: Implementing a Constrained Disorder Principle-Based Second-Generation Artificial Intelligence System for Improved Patient Outcomes in the Department of Internal Medicine

Ilan

2023

INQUIRY

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Internal medicine departments must adapt their structures and methods of operation to accommodate changing healthcare systems. The present paper discusses some challenges departments of medicine face as healthcare providers and consumers continue to change. A co-pilot model is described in this article for augmenting physicians rather than replacing them. The paper presents the co-pilot models to improve diagnoses, treatments, and monitoring. Personalized variability patterns based on the constrained-disorder principle (CDP) are described to assess chronic therapies’ effectiveness in improving patient outcomes. Based on CDP-based enhanced digital twins, this paper presents personalized treatments and follow-ups that improve diagnosis accuracy and therapy outcomes. While maintaining their professional values, departments of internal medicine must respond proactively to the needs of patients and healthcare systems. To meet the needs of patients and healthcare systems, they must strive for medical professionalism and adapt to the dynamic environment.

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Section: Resultsmentioning

confidence: 99%

Department of Medicine 2040: Implementing a Constrained Disorder Principle-Based Second-Generation Artificial Intelligence System for Improved Patient Outcomes in the Department of Internal Medicine

Ilan

2023

INQUIRY

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“…There is a lack of a national policy or strategy focusing on old age health and social care issues in Bangladesh, which is critical to addressing frailty and disability. Due to the absence of healthcare insurance support and resulting high out-of-pocket costs, preventive services are underutilized [ 3 ]. Therefore, introducing health insurance could be crucial to access preventive services and ensure early diagnosis, treatment and delayed progression of frailty.…”

Section: Discussionmentioning

confidence: 99%

“…In Bangladesh, reflecting this global demographic shift, the total number of older adults aged 60 years and above is expected to increase from 8 million to 44 million by 2050 [ 2 ]. This demographic change has resulted in an increased burden of conditions common in older age, including various non-communicable diseases (NCDs) and frailty [ 3 ]; the latter is now recognized as an emerging concern among older adults in South Asian countries, including Bangladesh [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The burden of non-disabled frailty and its associated factors among older adults in Bangladesh

Mistry,

Ali,

Yadav

et al. 2023

PLoS ONE

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Objective The present study aims to measure the prevalence of non-disabled frailty and its associated factors among Bangladeshi older adults. Methods This cross-sectional study was conducted during September and October 2021 among 1,045 Bangladeshi older adults (≥60 years). Telephone interviews, using a semi-structured questionnaire, were undertaken to collect data on participants’ characteristics and level of frailty. The non-disabled frailty was measured using the ‘Frail Non-Disabled (FiND)’ questionnaire. A multinomial logistic regression model assessed the factors associated with frailty among the participants. Results Around a quarter of the participants (24.8%) were frail. The multinomial regression analysis showed that older participants aged ≥80 years (RRR = 3.23, 95% CI: 1.41–7.37) were more likely to be frail compared to participants aged 60–69 years. Likewise, the participants living in a large family with ≥4 members (RRR = 1.39, 95% CI: 1.01–1.92) were more likely to be frail compared to those living in smaller families. Also, participants having memory or concentration problems (RRR = 1.56, 95% CI: 1.12–2.17) were more likely to be frail compared to those who were not suffering from these problems. Moreover, participants whose family members were non-responsive to their day-to-day assistance (RRR = 1.47, 95% CI: 1.06–2.03) were more likely to be frail compared to those whose family members were responsive. Furthermore, participants who were feeling lonely (RRR = 1.45, 95% CI: 1.07–1.98) were more likely to be frail than their counterparts who were not feeling lonely. Conclusions The findings of the present study suggest developing tailored interventions to address the burden of frailty among the older populations in Bangladesh. In particular, providing long-term care and health promotion activities can be of value in preventing frailty and reducing adverse health outcomes among this vulnerable population group.

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“…Furthermore, effective health service planning and delivery are vital components of community development programs, as they contribute to increased availability, accessibility, acceptability, and quality healthcare (Marme, 2021). The burden of chronic diseases underscores the importance of healthcare facilities being readily available and the significance of effective interactions with healthcare providers and respectful service provider attitudes (Mahumud et al, 2022). Additionally, the availability and readiness of healthcare facilities have a direct impact on under-five mortality rates, emphasizing the critical role of accessible and well-prepared healthcare facilities in improving health outcomes (Khan et al, 2022).…”

Section: Effectiveness Of Community Development Programs On Healthcar...mentioning

confidence: 99%

Community development programs in Rural Africa: An effectiveness review

Beatrice Adedayo Okunade,

Bukola A, Odulaja,

Foluke Eyitayo Adediran

et al. 2024

Int. J. Sci. Res. Arch.

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Community Development Programs (CDPs) play a pivotal role in fostering positive change and sustainable development in rural Africa. This paper provides a comprehensive review of the effectiveness of such programs, shedding light on their impact, challenges, and potential avenues for improvement. In recent decades, numerous CDPs have been implemented across rural Africa, aiming to address a myriad of socio-economic challenges faced by local communities. These programs typically encompass a range of initiatives, including infrastructure development, healthcare services, education, and livelihood improvement. The overarching goal is to empower communities, enhance their resilience, and foster long-term growth. The effectiveness of CDPs in rural Africa is a multifaceted subject, influenced by various factors. One key aspect is the context-specific nature of each community, necessitating tailored approaches that consider local cultures, traditions, and needs. Successful programs often demonstrate a deep understanding of these contextual nuances, fostering community engagement and ownership. While some CDPs have shown remarkable success in achieving their intended outcomes, challenges persist. Limited financial resources, inadequate infrastructure, and political instability can hinder the implementation of these programs. Additionally, the top-down approach adopted by some initiatives may result in a lack of community participation and, consequently, suboptimal outcomes. It is imperative to adopt a participatory and inclusive approach that involves local stakeholders in the decision-making process, ensuring sustainability and long-term impact. This review also highlights the importance of monitoring and evaluation mechanisms in assessing the effectiveness of CDPs. Rigorous data collection and analysis are essential for understanding the real impact of these programs on key indicators such as poverty reduction, healthcare access, and educational attainment. In conclusion, while Community Development Programs have made significant strides in rural Africa, there is room for improvement. Tailoring interventions to the specific needs of each community, fostering community participation, and implementing robust monitoring and evaluation processes are crucial steps toward enhancing the effectiveness of these programs. The findings of this review contribute to the ongoing discourse on community development in rural Africa, providing insights for policymakers, practitioners, and researchers alike.

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The burden of chronic diseases and patients' preference for healthcare services among adult patients suffering from chronic diseases in Bangladesh

Cited by 8 publications

References 40 publications

Department of Medicine 2040: Implementing a Constrained Disorder Principle-Based Second-Generation Artificial Intelligence System for Improved Patient Outcomes in the Department of Internal Medicine

Department of Medicine 2040: Implementing a Constrained Disorder Principle-Based Second-Generation Artificial Intelligence System for Improved Patient Outcomes in the Department of Internal Medicine

The burden of non-disabled frailty and its associated factors among older adults in Bangladesh

Community development programs in Rural Africa: An effectiveness review

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