A5087691049- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Medication Adherence and Compliance
- Global Health Care Issues
- Pharmaceutical industry and healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Atrial Fibrillation Management and Outcomes
- Nutritional Studies and Diet
- Global Public Health Policies and Epidemiology
- Vitamin D Research Studies
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Sodium Intake and Health
- Body Composition Measurement Techniques
- Pharmaceutical Economics and Policy
- Telemedicine and Telehealth Implementation
- Vitamin C and Antioxidants Research
- Antiplatelet Therapy and Cardiovascular Diseases
- Patient Satisfaction in Healthcare
- Healthcare Quality and Satisfaction
- Health disparities and outcomes
- Breastfeeding Practices and Influences
- Healthcare cost, quality, practices
- Frailty in Older Adults
- Obesity, Physical Activity, Diet
Department of Science and Technology
2024
University of the Philippines Manila
2011-2024
National University
2024
Primary Health Care
2022
Philippine General Hospital
2020-2021
To evaluate the relation between intake of ultra-processed food and risk inflammatory bowel disease (IBD).Prospective cohort study.21 low, middle, high income countries across seven geographical regions (Europe North America, South Africa, Middle East, south Asia, East China).116 087 adults aged 35-70 years with at least one cycle follow-up complete baseline frequency questionnaire (FFQ) data (country specific validated FFQs were used to document dietary intake). Participants followed...
Abstract Background The measurement of handgrip strength (HGS) has prognostic value with respect to all‐cause mortality, cardiovascular mortality and disease, is an important part the evaluation frailty. Published reference ranges for HGS are mostly derived from Caucasian populations in high‐income countries. There a paucity information on normative values non‐Caucasian low‐ or middle‐income objective this study was develop healthy adults broad range ethnicities socioeconomically diverse...
Rheumatic heart disease (RHD) remains a public health issue in low- and middle-income countries (LMICs). However, there are few large studies enrolling individuals from multiple endemic countries.
ObjectivesThe aim of this paper is to describe a conceptual framework for how consider health equity in the Grading Recommendations Assessment and Development Evidence (GRADE) guideline development process.Study Design SettingConsensus-based guidance developed by GRADE working group members other methodologists.ResultsWe consensus-based help address when rating certainty synthesized evidence (i.e., quality evidence). When inequity determined be concern stakeholders, we propose five methods...
Importance Vascular risk factors are associated with cognitive decline but studies addressing individual have not demonstrated an effect of factor management on the preservation cognition. Few trials examined vascular function. Objective To determine if a polypill could reduce and functional in people without manifest cardiovascular disease. Design, Setting, Participants The International Polycap Study 3 (TIPS-3) was 2 × factorial randomized clinical trial. Hospital community-based centers 8...
Inequities in health access and outcomes persist low- middle-income countries. While strengthening primary care is integral improving patient outcomes, networks remain undervalued, underfunded, underdeveloped many LMICs such as the Philippines. This paper underscores value of system interventions by examining their impact on job satisfaction intention to stay among healthcare workers Philippines.This study was conducted urban, rural, remote settings A total 36 54 117 participated study....
Objectives. Workforce shortages, policy fragmentation, and administrative fragmentation have broadened health inequities in the absence of an effective primary care system Philippines. While a central component within system, role governance strengthening systems remains underexplored. Therefore, this study aims to: 1) examine challenges encountered upon systems; 2) provide experience-based recommendations for improving services Methods. Data on issues were obtained from participant...
Background and Objective. Primary care providers are key players in providing quality to patients advancing Universal Health Care (UHC). However, effective healthcare delivery may be affected by inadequate knowledge failure adhere evidence-based guidelines among providers. The Philippine Studies (PPCS) is a five-year program that pilot tested interventions aimed at strengthening the primary system country. Evidence-based training modules for were administered Sorsogon Bataan from years 2018...
The drivers of cardiovascular disease (CVD) and all-cause mortality may differ around the world. Regional-level prospective data can help guide policies to reduce CVD mortality.
Background Atrial fibrillation (AF) is one of the most common predisposing factors for ischemic stroke worldwide. Because this, patients with AF are prescribed anticoagulant medications to decrease risk. The availability different options oral anticoagulation makes it difficult some decide a preferred choice medication. Clinical guidelines often recommend enhancing decision-making process by increasing their involvement in health decisions. In particular, use patient decision aids (PDAs) was...
The International Polycap Study 3 (TIPS-3) trial demonstrated that a polypill containing cholesterol- and multiple blood-pressure-lowering drugs reduces cardiovascular events by 20% compared with placebo in people without disease. plus aspirin led to 31% relative risk reduction disease double placebo. We report regional variations costs affordability of based on the TIPS-3 trial.Countries were categorized using World Bank economic groups: lower-middle-income, upper-middle-income, high-income...
Summary Primary care is generally perceived by the public as an inefficient, low‐quality source of health in Philippines. Taking a toll on local policies, repercussions these views warrant more holistic approach understanding patient experience. This paper evaluates impact strengthening primary services satisfaction at University Philippines Health Service (UPHS). A prevalidated 16‐item, 5‐scale questionnaire was distributed to 200 eligible patients start study 2016 and then again 2017....
Background. Health inequities in the Philippines are driven by health workforce maldistribution and system fragmentation. These can be addressed strengthening primary care through central social insurance (PhilHealth) coverage. However, high reported PhilHealth population coverage provider accreditation have not necessarily increased benefit utilization or financial risk protection.
 Objective. This study aims to examine impact of an enhanced, comprehensive benefits package at a...
Final adult height is a useful proxy measure of childhood nutrition and disease burden. Tall stature has been previously associated with decreased risk all-cause mortality, major cardiovascular events an increased cancer. However, these associations have primarily derived from people European East Asian backgrounds, there are sparse data other regions the world.The Prospective Urban-Rural Epidemiology study large, longitudinal population done in 21 countries varying incomes sociocultural...
The National Academy of Science and Technology (NAST), in cooperation with the Philippine Primary Care Studies (PPCS), organized Stakeholders’ Meeting on Training Objectives for Philippines February 1, 2018, at Hotel Jen, Pasay City. stakeholder’s meeting arrived a consensus objectives primary care workshops, training existing cadre doctors, nurses, midwives, BHWs country. Competencies built upon these will strengthen capacity health workers to render patient-centered services. expected...
Background: Associations of dairy foods, including whole-fat versus low-fat and specific types dairy, with metabolic syndrome (MetS), hypertension (HTN) diabetes mellitus (DM) are not well established, especially in diverse global populations. Methods: The Prospective Urban Rural Epidemiology (PURE) study is a prospective cohort individuals aged 35 70 years from 21 countries 9·1 follow up. Dietary intake 147,812 was recorded using country validated food frequency questionnaires. At baseline,...
Objectives This study explored attitudes, subjective norms, and perceived behavioural control of participants across urban, rural remote settings examined intention-to-use telemedicine (defined in this as patient–clinician consultations) during the COVID-19 pandemic. Methods is a cross-sectional study. 12 focus group discussions were conducted with 60 diverse user non-user 3 settings. Analysis responses was done to understand norms participants. relationship between aforementioned factors...
The RE-LY trial compared two doses of dabigatran (110 mg BID and 150 BID) with open label warfarin (target INR 2 to 3) in 18,113 patients nonvalvular atrial fibrillation. This post hoc subanalyses from RE-LY, compares the efficacy safety dependent upon use concomitant antiplatelet therapy.
<sec> <title>BACKGROUND</title> Atrial fibrillation (AF) is one of the most common predisposing factors for ischemic stroke worldwide. Because this, patients with AF are prescribed anticoagulant medications to decrease risk. The availability different options oral anticoagulation makes it difficult some decide a preferred choice medication. Clinical guidelines often recommend enhancing decision-making process by increasing their involvement in health decisions. In particular, use patient...