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Primary Health Care Research & Development

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https://www.readbyqxmd.com/read/29681256/carer-and-clinician-perceptions-of-the-use-of-emergency-medical-services-by-people-with-dementia-a-qualitative-study
#1
Sarah Voss, Janet Brandling, Sarah Black, Rik Cheston, Sarah Cullum, Steve Iliffe, Sarah Purdy, Jonathan Benger
A growing number of older people are accessing emergency medical services (EMS), and many calls to EMS are made by, or on behalf of, people with dementia. Their needs are frequently complex; however, EMS staff are often given minimal guidance on ensuring patient safety, accurate diagnosis, and timely transfer to the most appropriate care. This study aimed to qualitatively explore the EMS experiences of carers for people with dementia and assess the views of EMS staff on the management of dementia, using focus groups and interviews...
April 23, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29669617/does-a-modified-mindfulness-based-cognitive-therapy-mbct-course-have-the-potential-to-reduce-stress-and-burnout-in-nhs-gps-feasibility-study
#2
Kate Hamilton-West, Tracy Pellatt-Higgins, Neil Pillai
AimTo explore, for the first time, whether a modified mindfulness-based cognitive therapy (MBCT) course has the potential to reduce stress and burnout among National Health Service (NHS) General Practitioners. BACKGROUND: There is a crisis of low morale among NHS GPs, with most describing their workload as 'unmanageable'. MBCT has been demonstrated to improve stress and burnout in other populations, but has not yet been evaluated in a cohort of NHS GPs. METHODS: NHS GPs in South East England (n=22) attended a modified version of the MBCT course approved by National Institute for Health and Care Excellence for prevention of depressive relapse...
April 19, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29655397/team-composition-and-chronic-disease-management-within-primary-healthcare-practices-in-eastern-ontario-an-application-of-the-measuring-organizational-attributes-of-primary-health-care-survey
#3
Julia Lukewich, Dana S Edge, Elizabeth VanDenKerkhof, Tyler Williamson, Joan Tranmer
BACKGROUND: Various organizational-level attributes are being implemented in primary healthcare to improve healthcare delivery. There is a need to describe the distribution and nature of these attributes and explore differences across practices.AimThe aim of this study was to better understand organizational attributes of primary care teams, focusing specifically on team composition, nursing roles, and strategies that support chronic disease management. METHODS: We employed a cross-sectional survey design...
April 15, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29655393/seasonal-influenza-among-children-diagnosed-by-their-guardians-a-small-pilot-study-in-japan
#4
Hiroki Maita, Tadashi Kobayashi, Hiroshi Osawa, Hiroyuki Kato
AimWe aimed to elucidate the accuracy and optimal cut-off point of the self-diagnosis of influenza and the associated clinical symptoms of children by their guardians, compared with those of the rapid influenza diagnostic test (RIDT). BACKGROUND: Seasonal influenza is a common outpatient problem during the winter season. A paediatric influenza epidemic has socio-economic impacts like temporary school closure, school event cancellations, and unscheduled work absences among parents. Hence, early identification and assessment of influenza to prevent its spread is important from a societal perspective...
April 15, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29642973/enhancing-health-literacy-through-co-design-development-of-culturally-appropriate-materials-on-genetic-risk-and-customary-consanguineous-marriage
#5
Parveen Azam Ali, Sarah Salway, Elizabeth Such, Andrew Dearden, Matt Willox
AimTo develop a simple health literacy intervention aimed at supporting informed reproductive choice among members of UK communities practising customary consanguineous marriage. BACKGROUND: The contribution of 'health literacy' to reducing health inequalities and improving primary health-care efficiency is increasingly recognised. Enhancing genetic literacy has received particular attention recently. Consanguineous marriage is customarily practised among some UK minority ethnic communities and carries some increased risk of recessive genetic disorders among offspring compared with unions among unrelated partners...
April 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29642970/work-aggravated-asthma-in-great-britain-a-cross-sectional-postal-survey
#6
Lisa Bradshaw, Jade Sumner, Julian Delic, Paul Henneberger, David Fishwick
OBJECTIVE: Work aggravated asthma (WAA), asthma made worse by but not caused by workplace exposures, can have a negative impact on personal, social, financial and societal costs. There is limited data on prevalence levels of WAA in Great Britain (GB). The objective of this study was to estimate the prevalence of WAA in GB, and to assess its potential causes.Materials and methodsA cross-sectional postal questionnaire study was carried out. A total of 1620 questionnaires were sent to three populations of adults with asthma...
April 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29642964/strengthening-primary-health-care-through-primary-care-and-public-health-collaboration-the-influence-of-intrapersonal-and-interpersonal-factors
#7
Ruta K Valaitis, Linda O'Mara, Sabrina T Wong, Marjorie MacDonald, Nancy Murray, Ruth Martin-Misener, Donna Meagher-Stewart
AimThe aim of this paper is to examine Canadian key informants' perceptions of intrapersonal (within an individual) and interpersonal (among individuals) factors that influence successful primary care and public health collaboration. BACKGROUND: Primary health care systems can be strengthened by building stronger collaborations between primary care and public health. Although there is literature that explores interpersonal factors that can influence successful inter-organizational collaborations, a few of them have specifically explored primary care and public health collaboration...
April 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29623871/health-promoting-lifestyle-and-quality-of-life-among-chinese-nursing-students
#8
Yim Wah Mak, Angela H F Kao, Lucia W Y Tam, Virginia W C Tse, Don T H Tse, Doris Y P Leung
AimThis study aimed to examine the relationships between socio-economic status, health-promoting lifestyles, and quality of life among Chinese nursing students. BACKGROUND: Nursing students will be future health promoters, but they may not always adopt the recommended healthy lifestyle. Currently, there are insufficient studies examining the health-promoting lifestyles of Chinese nursing students, and the impact of socio-economic status and health-promoting lifestyle on their health. METHODS: This was a cross-sectional survey...
April 6, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29618391/provider-payment-to-primary-care-physicians-in-china-background-challenges-and-a-reform-framework
#9
Xiaoying Pu, Yaming Gu, Xiaohe Wang
AIM: To provide a framework for provider payment reform for primary care physicians in China. BACKGROUND: Primary health care is central to health system reform and payment incentives have significant consequences for the equity and efficiency of it. METHODS: This paper describes the special payments system for public primary health institutions and the subsequent internal salary remuneration to primary care physicians in China. Based on an analysis of the major challenges, we suggest a reform framework including the pattern of governance, and payments to primary health institutions and employed physicians...
April 5, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29580302/determinants-of-poor-sleep-quality-in-elderly-patients-with-diabetes-mellitus-hyperlipidemia-and-hypertension-in-singapore
#10
Grace S H Chiang, Brenda L H Sim, Jeannette J M Lee, Joanne H M Quah
AimThe objective of this study was to assess determinants of poor sleep quality which is an under-diagnosed and under-treated problem in elderly patients with diabetes mellitus, hyperlipidemia and hypertension. BACKGROUND: Poor sleep quality is linked to decreased quality of life, increased morbidity and mortality. Poor sleep quality is common in the elderly population with associated cardiometabolic risk factors such as diabetes, hyperlipidemia and hypertension. METHODS: This is a cross-sectional study undertaken in the primary healthcare setting (Singhealth Polyclinics-Outram) in Singapore...
March 27, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29576030/meanings-of-encounters-for-close-relatives-of-people-with-a-long-term-illness-within-a-primary-healthcare-setting
#11
Anna Nygren Zotterman, Lisa Skär, Siv Söderberg
BACKGROUND: Encounters play an important role in the relationship between healthcare personnel and the close relatives of people with a long-term illness. Aim The aim of this study was to elucidate the meanings of encounters for close relatives of people with a long-term illness within a primary healthcare setting. METHODS: Interviews using a narrative approach were conducted with seven women and three men, and the phenomenological hermeneutic method was used to interpret the interview texts...
March 26, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29573752/cochrane-review-summary-support-for-healthy-breastfeeding-mothers-with-healthy-term-babies
#12
Daksha Trivedi
No abstract text is available yet for this article.
March 25, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29564997/effect-of-the-physical-activity-program-on-the-treatment-of-resistant-hypertension-in-primary-care
#13
Piotr J Kruk, Michał Nowicki
BACKGROUND: Regular physical activity is widely recommended for patients with arterial hypertension as an essential component of lifestyle modification. Much less is known about the impact of physical exercise on the management of treatment of resistant hypertension (RH). The aim was to assess the effect of physical activity program intensified by mobile phone text reminders on blood pressure control in subjects with RH managed in the primary care. METHODS: In total, 53 patients with primary hypertension were qualified, including 27 who met the criteria for RH and 26 with well-controlled hypertension (WCH)...
March 22, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29551098/evaluation-of-community-pharmacists-roles-in-screening-and-communication-of-risks-about-non-steroidal-anti-inflammatory-drugs-in-thailand
#14
Pacharaporn Phueanpinit, Juraporn Pongwecharak, Janet Krska, Narumol Jarernsiripornkul
Aim This study aimed to explore community pharmacists' roles on screening for risk factors, providing safety information-related non-steroidal anti-inflammatory drugs (NSAIDs) to patients. BACKGROUND: NSAIDs are widely dispensed without a prescription from pharmacies in Thailand, while they are frequently reported as causing adverse events. METHODS: Self-administered questionnaires were distributed to all accredited pharmacies in Thailand, inviting the main pharmacist in each pharmacy to participate in this study...
March 19, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29463343/characteristics-associated-with-mortality-in-patients-with-chronic-obstructive-pulmonary-disease-copd-heart-failure-coexistence
#15
Franciele Plachi, Fernanda M Balzan, Renata A Sanseverino, Dora V Palombini, Renata D Marques, Nadine O Clausell, Marli M Knorst, J Alberto Neder, Danilo C Berton
Aim To investigate if cardiac/pulmonary functional tests and variables obtained from clinical practice (body mass index, dyspnea, functional class, clinical judgment of disability to perform an exercise test and previous hospitalization rate) are related to mortality in patients with overlap chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF). BACKGROUND: Although the coexistence of COPD and CHF has been growingly reported, description of survival predictors considering the presence of both conditions is still scarce...
February 21, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29444736/recognition-of-the-complexity-facing-residential-care-homes-a-practitioner-inquiry
#16
Jenny Dudman, Julienne Meyer, Cheryl Holman, Wendy Moyle
Aim To explore the experiences and challenges for residential care home staff when managing the healthcare needs of their residents, in particular those living with dementia. BACKGROUND: Increasing number of older people, with complex health and social care needs are living in residential care homes. Yet there is limited appreciation of why staff sometimes struggle to manage residents' healthcare needs, or understanding of their working relationship with district nurses (DNs), whose responsibility it is to provide nursing support...
February 15, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29444735/short-assessment-of-health-literacy-sahl-in-portugal-development-and-validation-of-a-self-administered-tool
#17
Carla Pires, Pedro Rosa, Marina Vigário, Afonso Cavaco
The goal of this study was to adapt, improve and validate a short, self-administered health literacy assessment tool for European Portuguese-speaking adults. Health literacy tools are of great importance to health authorities and professionals, as low or inadequate health literacy, that is, a limited capacity to handle health-related information, is associated with higher morbidity and mortality. The 18-item Short Assessment of Health Literacy for Brazilian Portuguese-speaking adults (SAHLPA-18) was adapted into European Portuguese...
February 15, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29429427/moving-beyond-depression-screening-integrating-perinatal-depression-treatment-into-ob-gyn-practices
#18
Christina Terrazas, Lisa S Segre, Cheryl Wolfe
In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period. Nevertheless, many identified women will not receive care from a behavioral health specialist. Listening Visits (LV), developed for delivery by nurses and validated in the United Kingdom, have recently been evaluated in a US-based randomized controlled trial (RCT) which recruited research participants from three home-visiting programs and an urban OB/GYN practice...
February 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29417914/primary-care-practitioner-perceptions-and-attitudes-of-complementary-medicine-a-content-analysis-of-free-text-responses-from-a-survey-of-non-metropolitan-australian-general-practitioners
#19
Jon L Wardle, David W Sibbritt, Jon Adams
Aim This study examines GP perceptions, attitudes and knowledge of complementary medicine (CM), and to understand contextual factors that influence these perceptions, attitudes and knowledge. BACKGROUND: CM use is increasing, and its influence on primary care becoming increasingly significant. Although general practitioners (GPs) often have central primary care gate-keeper roles within health systems, few studies have looked specifically at GPs' perceptions, attitudes and knowledge of CM...
February 8, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29415785/a-risk-based-intervention-approach-to-eliminate-diabetes-health-disparities
#20
Neil S Calman, Diane Hauser, Lilli Schussler, Casey Crump
Type 2 diabetes plays a major role in racial/ethnic health disparities. We conducted the first study to examine whether multifaceted interventions targeting patients with poorly controlled diabetes (HgbA1c >9%) can reduce racial/ethnic disparities in diabetes control. Among 4595 patients with diabetes at a Federally Qualified Health Center in New York, a higher percentage of blacks (32%) and Hispanics/Latinos (32%) had poorly controlled diabetes than whites (25%) at baseline (prevalence ratio, 1.28; 95% CI, 1...
February 8, 2018: Primary Health Care Research & Development
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