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Primary Health Care Research & Development

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https://www.readbyqxmd.com/read/29925441/diabetes-management-in-the-primary-care-setting-a-comparison-of-physicians-performance-by-gender
#1
Alessandra Buja, Riccardo Fusinato, Mirko Claus, Rosa Gini, Mario Braga, Mimma Cosentino, Giovanna Boccuzzo, Paolo Francesconi, Vincenzo Baldo, Mariadonata Bellentani, Gianfranco Damiani
BACKGROUND: A major shift in the gender of the medical-doctor workforce is now underway, and all over the world it is expected that an average 65% of the medical workforce will be women by 2030. In addition, an aging population means that chronic diseases, such as diabetes, are becoming more prevalent and the demand for care is rising. There is growing evidence of female physicians performing better than male physicians.AimOur study aimed to investigate whether any differences in diabetes process indicators are associated with gender, and/or the interaction between gender and different organizational models...
June 21, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29921342/decentralised-clinical-training-in-optometry-a-developmental-strategy-for-eye-health-in-kwazulu-natal
#2
Diane van Staden
BACKGROUND: Decentralised clinical training (DCT) in optometry is an emerging concept in South Africa. In 2016, the University of KwaZulu Natal (UKZN) implemented this adaptive model of clinical training for undergraduate health professions. The initiative, which emanated through an agreement between UKZN's College of Health Sciences and the KwaZulu Natal Department of Health, centres on the placement of undergraduate optometry students within public health facilities for clinical training purposes...
June 20, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29914587/integrated-primary-care-patient-perceptions-and-the-role-of-mental-health-stigma
#3
Lisa R Miller-Matero, Shehryar Khan, Rachel Thiem, Tiffany DeHondt, Hala Dubaybo, Daniel Moore
Some patients are more willing to see a behavioral health provider within primary care. The purpose of this study was to evaluate the patients' perspectives of having access to a psychologist within primary care and to investigate whether mental health stigma affected preferences. In total, 36 patients completed questionnaires after seeing a psychologist in primary care. Patients were satisfied with having a primary care psychologist involved in their care. Most patients were more likely to see the psychologist in primary care and those who preferred this indicated higher levels of mental health stigma...
June 19, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29911521/integrated-perinatal-mental-health-care-a-national-model-of-perinatal-primary-care-in-vulnerable-populations
#4
Kimberly C Lomonaco-Haycraft, Jennifer Hyer, Britney Tibbits, Jennifer Grote, Kelly Stainback-Tracy, Claire Ulrickson, Alison Lieberman, Lies van Bekkum, M Camille Hoffman
IntroductionPerinatal mood and anxiety disorders (PMADs) are the most common complication of pregnancy and have been found to have long-term implications for both mother and child. In vulnerable patient populations such as those served at Denver Health, a federally qualified health center the prevalence of PMADs is nearly double the nationally reported rate of 15-20%. Nearly 17% of women will be diagnosed with major depression at some point in their lives and those numbers are twice as high in women who live in poverty...
June 18, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29909798/an-exploration-of-the-attitudes-and-views-of-general-practitioners-on-the-use-of-video-consultations-in-a-primary-healthcare-setting-a-qualitative-pilot-study
#5
Ratan S Randhawa, Joht S Chandan, Tom Thomas, Surinder Singh
BACKGROUND: In 2014, in the United Kingdom, the government made a commitment to spend £3.6 million on the introduction of Skype video calling consultations in general practice, however the efficacy of such technology has not yet been explored fully.AimThe study aimed to explore the views and attitudes of General Practitioners (GPs) towards video consultation in primary care; specifically, in three broad areas ∙The benefits of video consultations to patients and healthcare professionals...
June 18, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29909797/a-review-of-integrated-heart-failure-care
#6
Julie MacInnes, Liz Williams
AimThe aim of this integrative review is to determine the effectiveness of integrated heart failure (HF) care in terms of patient-, service- and resource-related outcomes, and to determine what model or characteristics of integrated care work best, for whom and in what contexts. BACKGROUND: Integration of health and social care services is a significant driver in the development of better and more cost-effective health and social care systems in Europe and developed countries. As high users of health and social care services, considerable attention has been paid to the care of people with long-term conditions...
June 18, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29880076/tobacco-and-electronic-cigarette-products-awareness-cessation-attitudes-and-behaviours-among-general-practitioners
#7
Faraz Mughal, Ahmed Rashid, Mohammed Jawad
BACKGROUND: Little is known around how general practitioners (GP) approach tobacco products beyond traditional cigarettes.AimTo examine GP perceptions of tobacco and electronic cigarette (EC) products, and their attitudes and behaviours towards product cessation. METHOD: A 13-item self-completed anonymous questionnaire measured awareness of waterpipe tobacco smoking (WTS) and smokeless tobacco (ST). Cessation advice provision, referral to cessation services, and the harm perception of these products were asked using five-point Likert scales that were dichotomised on analysis...
June 8, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29848391/the-long-and-winding-road-the-journey-taken-by-headache-sufferers-in-search-of-help
#8
Paul T G Davies, Russell J M Lane, Theresa Astbury, Manuela Fontebasso, Jill Murphy, Manjit Matharu
AimTo outline the pathways a cohort of first attendees to our headache clinics had taken over the years in search of explanations and treatment for their headaches. To establish a greater awareness of the shortcomings and failures in their medical journey in the hope that better headache management will emerge in primary care. BACKGROUND: At first attendance in primary care most headache sufferers will not receive a firm diagnosis. Treatments provided are often ineffective and so many patients embark on a somewhat random self-made journey searching for a remedy...
May 31, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29785895/complexity-in-pediatric-primary-care
#9
Arwa Nasir, Laeth Nasir, Ariel Tarrell, David Finken, Amy Lacroix, Swetha Pinninti, Sheryl Pitner, Molly McCarthy
BACKGROUND: The management of patients in primary care is often complicated by the presence of multiple chronic conditions and psychosocial issues that increase the complexity of the encounter and have important impacts on care. There is a paucity of literature on this subject in the pediatric population. OBJECTIVES: The aim of this study was to quantify the burden of chronic conditions in pediatric primary care. METHODS: The problem lists of 3995 randomly selected patients from a community pediatric clinic and an academic hospital-based pediatric clinic in the same metropolitan area were analyzed for the presence and number of any chronic condition...
May 22, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29739484/outpatient-pharmacologic-weaning-for-neonatal-abstinence-syndrome-a-systematic-review
#10
Jodie Murphy-Oikonen, Karen McQueen
AimThe purpose of this systematic review was to assess the literature regarding the effectiveness and safety of outpatient pharmacologic weaning for infants with neonatal abstinence syndrome (NAS). BACKGROUND: NAS is a multi-system disorder observed in infants experiencing withdrawal from opioid exposure in utero. Infants requiring pharmacologic treatment to manage withdrawal, traditionally receive treatment as a hospital inpatient resulting in lengthy hospitalization periods. However, there is evidence to suggest that some healthcare institutions are continuing outpatient pharmacologic weaning for select infants in a home environment...
May 9, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29737963/are-the-resources-adoptive-for-conducting-team-based-diabetes-management-clinics-an-explorative-study-at-primary-health-care-centers-in-muscat-oman
#11
Kamila Al-Alawi, Helene Johansson, Ahmed Al Mandhari, Margareta Norberg
AimThe aim of this study is to explore the perceptions among primary health center staff concerning competencies, values, skills and resources related to team-based diabetes management and to describe the availability of needed resources for team-based approaches. BACKGROUND: The diabetes epidemic challenges services available at primary health care centers in the Middle East. Therefore, there is a demand for evaluation of the available resources and team-based diabetes management in relation to the National Diabetes Management Guidelines...
May 8, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29729677/evaluation-of-%C3%A2-vivir-mi-vida-to-improve-health-and-wellness-of-rural-dwelling-late-middle-aged-latino-adults-results-of-a-feasibility-and-pilot-study-of-a-lifestyle-intervention
#12
Stacey L Schepens Niemiec, Jeanine Blanchard, Cheryl L P Vigen, Jenny Martínez, Laura Guzmán, Alyssa Concha, Michelle Fluke, Mike Carlson
AimThe aim of this study was to determine the feasibility and efficacy of a culturally tailored lifestyle intervention, ¡Vivir Mi Vida! (Live My Life!). This intervention was designed to improve the health and well-being of high risk late middle-aged Latino adults and to be implemented in a rural primary care system. BACKGROUND: Rural-dwelling Latino adults experience higher rates of chronic disease compared with their urban counterparts, a disparity exacerbated by limited access to healthcare services...
May 6, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29708090/couples-psychological-adjustment-to-twin-parenthood-mode-of-conception-spontaneous-versus-assisted-reproduction-and-gender-differences
#13
Iva Tendais, Bárbara Figueiredo, Catarina Canário, David A Kenny
AimTo examine whether mode of conception and gender are associated with parents' psychological adjustment across the transition to twin parenthood. BACKGROUND: There is limited knowledge on the psychological adjustment of couples to twin parenthood during pregnancy and early postpartum, especially for fathers. The available research suggests that first-time mothers of twins conceived by assisted reproduction techniques (ART) may experience lower psychosocial well-being than mothers of spontaneously conceived (SC) twins...
April 30, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29681256/carer-and-clinician-perceptions-of-the-use-of-emergency-medical-services-by-people-with-dementia-a-qualitative-study
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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