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Primary Health Care Research & Development

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https://www.readbyqxmd.com/read/28416026/evaluation-of-a-pilot-service-to-facilitate-discharge-of-patients-with-stable-long-term-mental-health-needs-from-secondary-to-primary-care-the-role-of-primary-care-mental-health-specialists
#1
Kate Hamilton-West, Sarah Hotham, Wei Yang, Julie Hedayioglu, Charlotte Brigden
Aim We aimed to evaluate a pilot service to facilitate discharge of patients with stable long-term mental health needs from secondary to primary care. BACKGROUND: Patients with stable long-term mental health conditions are often not discharged from secondary mental health services when no longer needed due to insufficient systems and processes to enable safe, effective, recovery-focussed treatment and support. The Primary Care Mental Health Specialist (PCMHS) Service was developed to address this gap; new PCMHS posts were introduced to act as a conduit for patients being discharged from secondary care and a single point of referral back into secondary care, should it be required...
April 18, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28414013/the-efficacy-of-primary-care-chaplaincy-compared-with-antidepressants-a-retrospective-study-comparing-chaplaincy-with-antidepressants
#2
Gordon Macdonald
Aim To determine the effectiveness of primary care chaplaincy (PCC) when used as the sole intervention, with outcomes being compared directly with those of antidepressants. This was to be carried out in a homogenous study population reflective of certain demographics in the United Kingdom. BACKGROUND: Increasing numbers of patients are living with long-term conditions and 'modern maladies' and are experiencing loss of well-being and depression. There is an increasing move to utilise non-pharmacological interventions such as 'talking therapies' within this context...
April 17, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28414006/unit-cost-of-common-illness-management-a-comparison-between-a-primary-care-unit-and-a-community-pharmacy-in-thailand
#3
Kritsanee Saramunee, Chanuttha Ploylearmsang, Surasak Chaiyasong, Wiraphol Phimarn, Phayom Sookaneknun
Aim This study was to perform unit cost analysis of managing common illnesses comparing between a primary care unit (PCU) and a community pharmacy. BACKGROUND: PCU is a key point of access for primary care in Thailand. Although a community pharmacy is an ideal setting, it has not been successfully incorporated in Thailand's health service. Common illnesses are encountered everyday by community pharmacists, an appropriate compensation for this service has not been established. METHODS: A primary care service of one educational institution was a study site...
April 17, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28393741/impact-and-acceptability-of-lay-health-trainer-led-lifestyle-interventions-delivered-in-primary-care-a-mixed-method-study
#4
Shelina Visram
Aim To evaluate the impact and acceptability of offering one-to-one lifestyle interventions delivered by lay health trainers in the primary care setting. BACKGROUND: Chronic conditions represent major causes of ill-health, avoidable disability, pain and anxiety, and tend to be more prevalent in less affluent groups. This is due, in part, to the link between unhealthy lifestyles and lower socio-economic status, although factors such as poverty, worklessness and social exclusion play a larger role...
April 10, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28345497/scoping-the-role-and-education-needs-of-practice-nurses-in-london
#5
Susan Procter, Lauren Griffiths, Agnes Fanning, Lizzie Wallman, Heather P Loveday
Aims To identify education priorities for practice nursing across eight London Clinical Commissioning Groups (CCGs); to identify the education, training, development and support needs of practice nurses in undertaking current and future roles. BACKGROUND: The education needs of practice nurses have long been recognised but their employment status means that accessing education requires the support of their GP employer. This study scopes the educational requirements of the practice nurse workforce and working with educational providers and commissioners describes a coherent educational pathway for practice nurses...
March 27, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28294096/cochrane-review-summary-family-based-programmes-for-preventing-smoking-by-children-and-adolescents
#6
Daksha Trivedi
No abstract text is available yet for this article.
March 15, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28290256/preparing-the-sexual-health-workforce-to-deliver-integrated-services-is-education-the-answer-a-qualitative-study-exploring-the-impact-of-sexual-health-education-on-developing-integrated-policy-and-practice
#7
Judy Brook, Debra Salmon, Rachael-Anne Knight
Aim This study aimed to explore the ability of sexual health nurses working in the South West of England, to implement new learning within existing sexual health service delivery models. Drawing on Lipsky's account of street-level bureaucracy to conceptualise policy implementation, the impact of workforce learning on the development of integrated services across this region of the United Kingdom was assessed. BACKGROUND: In order to achieve the United Nations' goal of universal access to sexual health, it is essential for reproductive and sexual health, including HIV provision, to integrate into a single service...
March 14, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28290254/primary-health-care-in-china-is-china-s-health-reform-reform-for-the-whole-nation
#8
Jing-Min Cheng, Yong-Xu Yuan, Wei Lu, Le Yang
BACKGROUND: Good primary health care can enhance national health status at relatively low cost. The barefoot doctor model in China was once considered to have been a successful health care policy. It was a model which was followed by other low-developed or developing countries. In recent decades, the Chinese government promulgated a number of new policies and health reforms to improve its health care system. AIM: This paper aimed to highlight the great significance of primary health care and appeal to the policymakers to change the priority to primary health care in order to be able to guarantee universal health care for the whole nation at least at primary care level...
March 14, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28271817/exploring-the-social-and-neighbourhood-predictors-of-diabetes-a-comparison-between-toronto-and-chicago
#9
Patrycja Kolpak, Lu Wang
OBJECTIVES: This report examined the impact and extent that spatial access to primary care physicians (PCPs) and social neighbourhood-/community-level factors have on diabetes prevalence for Toronto and Chicago. METHODS: The two-step floating catchment area method was used to compute spatial access scores. Bivariate correlation and multivariate linear regression identified the factors that were associated with, and/or predicted, diabetes prevalence. RESULTS: Potential spatial access to PCPs had no strong associations with diabetes prevalence...
March 8, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28262085/the-jordanian-primary-healthcare-practitioner-in-cancer-control
#10
Nour A Obeidat, Feras I Hawari, Malek A Habashneh, Rawan A Shihab
Aim To measure the knowledge, perceptions, and practices of Jordanian primary healthcare practitioners (PHCPs) (physicians, nurses, midwives, and nurse aids) employed in Jordanian Ministry of Health (MoH) primary health clinics with respect to counseling on cancer (cancer screening, the signs and symptoms of cancer, and referral for specialized care). BACKGROUND: Integration of oncology services within primary care is a means of enhancing cancer early detection, and requires involvement of skilled...
March 6, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28262084/variations-in-dementia-diagnosis-in-england-and-association-with-general-practice-characteristics
#11
Ian F Walker, Paul A Lord, Tracey M Farragher
OBJECTIVES: Improving dementia diagnosis rates in England has been a key strategic aim of the UK Government but the variation and low diagnosis rates are poorly understood. The aim of this study was to explore the variation in actual versus expected diagnosis of dementia across England, and how these variations were associated with general practice characteristics. METHOD: A cross-sectional, ecological study design using secondary data sources and median regression modelling was used...
March 6, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28222827/health-risk-appraisal-in-older-people-7-long-acting-benzodiazepine-use-in-community-dwelling-older-adults-in-london-is-it-related-to-physical-or-psychological-factors
#12
Devoshree Chatterjee, Steve Iliffe, Kalpa Kharicha, Danielle Harari, Cameron Swift, Gerhard Gillman, Andreas E Stuck
Aim To investigate whether the use of long-acting benzodiazepines, in individuals aged 65 and over is mediated by physical or psychological factors. BACKGROUND: Long-acting benzodiazepine consumption among older people has implications for mortality, morbidity and cost-effective prescribing. Two models explain benzodiazepine use in this age group, one linked to physical illness and disability and one to psychological factors. METHODS: Secondary analysis of baseline data from a study of 1059 community-dwelling non-disabled people aged 65 years and over recruited from three general practices in London...
February 22, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28219460/collaborative-care-model-in-mental-health-scope-and-experiences-after-three-years-of-activity-in-mexico-city
#13
Valerio Villamil-Salcedo, Blanca E Vargas-Terrez, Adriana Díaz-Anzaldúa
Aim The aim of this study was to evaluate the experience of the Collaborative Care model with general practitioners (GPs) for diagnosis and treatment of depression and anxiety disorders in primary care centers (PCC). BACKGROUND: For many years, different ways to address mental health problems in primary care settings have been evaluated. However, there is still debate over how to treat psychiatric conditions in such a context. METHOD: A cross-sectional design was used...
February 21, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28215200/health-team-for-the-elderly-a-feasibility-study-for-preventive-home-visits
#14
Berit Seiger Cronfalk, Astrid Fjell, Nina Carstens, Lars Malvin Kvinge Rosseland, Arvid Rongve, Dag-Helge Rönnevik, Åke Seiger, Knut Skaug, Karen Johanne Ugland Vae, Marianne Hauge Wennersberg, Anne-Marie Boström
The aim was to describe the development, utilization and feasibility of a model of preventive home visits, in an urban and a rural municipality in Norway. BACKGROUND: Older people >65 years will rise significantly in coming years. Increased age is associated with risk of disability, illness and need for public health services. Preventive home visits is assumed to help older people to maintain their functional level longer, delaying disease and thus delaying the need for health care...
February 20, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28151381/primary-care-and-the-public-s-health-evidence-from-service-development-initiatives
#15
Rosamund Bryar
No abstract text is available yet for this article.
March 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27745557/-the-biggest-car-crash-in-nhs-history-the-media-portrayal-of-gp-pay-before-and-after-the-introduction-of-the-health-and-social-care-bill-2011
#16
Adam Balkham, Sarah Alderson
BACKGROUND: The introduction of the Health and Social Care Bill (2011) changed the role of GPs to include commissioning of health services. Aim This study aimed to identify any differences in the media portrayal of GPs before and after the introduction of the Bill. METHODS: We retrospectively searched four British newspapers over the period 2009-2013 using the media database Nexis. In order to directly compare the findings of the study with the work of Tanner et al...
January 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27692026/providers-perceptions-of-barriers-and-facilitators-to-disclosure-of-alcohol-use-by-women-veterans
#17
Traci H Abraham, Eleanor T Lewis, Karen L Drummond, Christine Timko, Michael A Cucciare
Aim To better understand barriers and facilitators that hinder or help women veterans discuss their alcohol use with providers in primary care in order to better identify problematic drinking and enhance provider-patient communication about harmful drinking. BACKGROUND: Women presenting to primary care may be less likely than men to disclose potentially harmful alcohol use. No studies have qualitatively examined the perspectives of primary care providers about factors that affect accurate disclosure of alcohol use by women veterans during routine clinic visits...
January 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27640522/healthcare-personnel-s-experiences-using-video-consultation-in-primary-healthcare-in-rural-areas
#18
Annette M Johansson, Inger Lindberg, Siv Söderberg
BACKGROUND: Patients living in rural areas often need to travel long distances for access to specialist care. To increase access to specialist care, video consultation between patients in primary healthcare and specialist care has been used. In order for this new method to be developed and used to the fullest, it is important to understand healthcare personnel's experiences with this intervention. OBJECTIVE: The aim of this study was to describe healthcare personnel's experiences using video consultation in their work in primary healthcare...
January 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27640303/effectiveness-of-a-community-based-diabetes-self-management-education-dsme-program-in-a-rural-agricultural-setting
#19
Elizabeth Paz-Pacheco, Mark Anthony Sandoval, Gregory J R Ardena, Elizabeth Paterno, Noel Juban, Frances L Lantion-Ang, Cecilia Jimeno, Perpetua Patal, Joseph Bongon
Introduction The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town. METHODS: In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months...
January 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27609318/formative-evaluation-of-practice-changes-for-managing-depression-within-a-shared-care-model-in-primary-care
#20
Julie Beaulac, Jeanette Edwards, Angus Steele
Aim To investigate the implementation and initial impact of the Physician Integrated Network (PIN) mental health indicators, which are specific to screening and managing follow-up for depression, in three primary care practices with Shared Mental Health Care in Manitoba. BACKGROUND: Manitoba Health undertook a primary care renewal initiative in 2006 called the PIN, which included the development of mental health indicators specific to screening and managing follow-up for depression. These indicators were implemented in three PIN group practice sites in Manitoba, which are also part of Shared Mental Health Care...
January 2017: Primary Health Care Research & Development
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