Host: Centre for Primary Care, Institute of Population Health
1) Treatment burden for patients with multimorbidity in primary care
2) Understanding worker absence in the Ugandan health care setting: context, attributes and motives.
About the event:
1) Treatment burden for patients with multimorbidity in primary care, Dr Alex Walter (NSPCR Clinical Training Fellow, Centre for Primary Care, University of Manchester)
Multimorbidity, the co-existence of multiple long-term conditions, is a major health service priority and evidence for effective interventions is lacking. The
more conditions an individual has, the greater the amount and complexity of their treatment. Arguments that interventions addressing multimorbidity
should consider existing treatment burden have not been supported by research evidence. This study addresses three objectives: (1) measuring
treatment burden and associated factors using a quantitative survey of patients with multimorbidity in primary care (2), describing and exploring
treatment burden from patient and practitioner perspectives using qualitative methods, (3) developing an intervention using the MRC complex intervention
2)Understanding worker absence in the Ugandan health care setting: context, attributes and motives, Raymond Tweheyo (Centre for Primary Care, Institute of Population Health, University of Manchester)
Worker absenteeism is a common problem in health care settings globally. It is characterised by workers missing shifts or even days off their contractual schedules. In a health care system like that in Uganda in East Africa, which is designed to provide first contact for access to health care through primary health care facilities, health workers are scarce. Absence, estimated at between 35 - 47%, could typically result in total discontinuity of care, costly wastage in provision of services and other adverse outcomes for patients. Previously, surveys have been conducted to quantify the problem, but little is known about the underlying causation.
The proposed study aims to explore:
1) the literature on attributes of worker absenteeism in health care settings in sub-Saharan Africa.
2) healthcare workers' experiences of, and motivations for, absence in rural Uganda.
3) whether the economic theory on rational choice is relevant to worker absence.
The presentation will cover an understanding of the context of worker absence, the aims of planned studies in Uganda during year 2 and describe the proposed methods.
All welcome. No booking necessary