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Primary Health Care Research & Development

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https://www.readbyqxmd.com/read/28724469/comorbidity-indices-a-call-for-the-integration-of-physical-and-mental-health
#1
Molly A Nowels, Lynn M VanderWielen
Comorbidity indices are commonly used in health services research as a measure of, or as a control for, the severity of a person's medical state. Currently, there is not a comorbidity index for mental health diagnoses, despite the fact that almost half of Americans have a diagnosable mental health condition at least once in their lifetime. This commentary calls for the integration of mental and behavioral health in comorbidity indices to appropriately account for the role of mental health in overall morbidity and mortality...
July 20, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28724463/china-s-national-health-guiding-principles-a-perspective-worthy-of-healthcare-reform
#2
Ping Zhang, Yuan Liang
For countries faced with much talk but little action on healthcare reform, China's National Health Guiding Principles (CNHGP), with its 60-year history, may provide a new perspective. There are four values of CNHGP for healthcare reform. First, these principles provide an innovative strategic framework for healthcare reform with three levels, from 'One priority population' to 'Four approaches' and then to 'Two aims.' The second is the importance of mass/grassroots participation, which runs through all three levels of CNHGP...
July 20, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28724460/health-and-well-being-promotion-strategies-for-hard-to-reach-older-people-in-england-a-mapping-exercise
#3
Steve Iliffe, Kate Walters, Jill Manthorpe, Claire Goodman, Kalpa Kharicha
BACKGROUND: Older people from deprived areas, the oldest old and those from ethnic minorities engage less in health promotion interventions and related research, potentially generating inequities. Aim To explore and map the extent to which such 'hard to reach' groups of older people, are the focus of local health and well-being strategies in England. METHODS: Document analysis of current health and well-being promotion strategies in a purposive sample of 10 localities in England with high proportions of some or all of the three hard to reach groups...
July 20, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28714435/a-multicenter-family-practitioners-research-on-chronic-obstructive-pulmonary-disease-screening-using-the-copd-assessment-test
#4
Hakan Demirci, Koncuy Eniste, Ebru Onuker Basaran, Gokhan Ocakoglu, Zeynep Yilmaz, Sumeyye Tuna
OBJECTIVES: Spirometry is known to be a gold standard for the diagnosis of chronic obstructive pulmonary disease (COPD). COPD Assessment Test (CAT) is an eight-item questionnaire currently in use to evaluate patients with COPD. In the present study, we aimed to evaluate if CAT is an adequate tool for screening COPD. METHODS: In total, 600 persons aging ⩾40 years old were randomly selected from three different family practice units located in the city center. CAT was asked to the participants and a spirometry was used to assess pulmonary obstruction...
July 17, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28714432/paths-to-improving-care-of-australian-aboriginal-and-torres-strait-islander-women-following-gestational-diabetes
#5
Sandra Campbell, Nicolette Roux, Cilla Preece, Eileen Rafter, Bronwyn Davis, Jackie Mein, Jacqueline Boyle, Bronwyn Fredericks, Catherine Chamberlain
Aim To understand enablers and barriers influencing postpartum screening for type 2 diabetes following gestational diabetes in Australian Indigenous women and how screening might be improved. BACKGROUND: Australian Indigenous women with gestational diabetes mellitus (GDM) are less likely than other Australian women to receive postpartum diabetes screening. This is despite a fourfold higher risk of developing type 2 diabetes within eight years postpartum. METHODS: We conducted interviews with seven Indigenous women with previous GDM, focus groups with 20 Indigenous health workers and workshops with 24 other health professionals...
July 17, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28653595/cohort-differences-in-exercise-adherence-among-primary-care-patients-referred-for-mental-health-versus-physical-health-conditions
#6
Patrick Tobi, Philip Kemp, Elena Schmidt
Aim To compare the characteristics of mental health and physical health participants attending an exercise referral scheme (ERS) and investigate associations with their adherence to exercise. BACKGROUND: While people referred to an ERS with a mental health diagnosis have similar initial rates of uptake as physical health participants, they are more likely to drop out. Comparisons of the groups to understand their differences and how these might impact on their adherence have been limited by the typically low numbers of mental health referrals in many schemes...
June 27, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28629486/the-collaboration-of-general-practitioners-and-nurses-in-primary-care-a-comparative-analysis-of-concepts-and-practices-in-slovenia-and-spain
#7
Kerstin Hämel, Carina Vössing
Aim A comparative analysis of concepts and practices of GP-nurse collaborations in primary health centres in Slovenia and Spain. BACKGROUND: Cross-professional collaboration is considered a key element for providing high-quality comprehensive care by combining the expertise of various professions. In many countries, nurses are also being given new and more extensive responsibilities. Implemented concepts of collaborative care need to be analysed within the context of care concepts, organisational structures, and effective collaboration...
June 20, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28625197/do-not-confuse-multidisciplinary-task-management-in-nursing-homes-with-interprofessional-care
#8
Giannoula Tsakitzidis, Sibyl Anthierens, Olaf Timmermans, Steven Truijen, Herman Meulemans, Paul Van Royen
Problem statement Little is known about how interprofessional healthcare providers in nursing homes work together. We know that interprofessional teamwork evolves from trial and error learning and so interprofessional collaboration has to be actively taught. This study aims to gain insights in the perception of professionals towards interprofessional collaboration in nursing homes and the factors that have an impact on interprofessional collaboration. Approach A qualitative descriptive methodology using focus group interviews and additional semi-structured interviews was performed...
June 19, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28606212/knowledge-attitude-and-practice-of-lebanese-primary-care-physicians-in-nutrition-counseling-a-self-reported-survey
#9
Rasha A Hseiki, Mona H Osman, Rana T El-Jarrah, Ghassan N Hamadeh, Najla A Lakkis
Aim This study aims to assess the knowledge, attitude and practice of primary care physicians (PCPs) in Lebanon regarding nutrition counseling and to investigate possible related barriers. BACKGROUND: Nutrition counseling is an important aspect of patient care, especially with the increase in nutrition-related disorders. METHODS: This is a descriptive study among a convenience sample of PCPs in Lebanon at two annual conferences in 2014 using an anonymous questionnaire...
June 13, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28606190/performance-associated-effect-variations-of-public-reporting-in-promoting-antibiotic-prescribing-practice-a-cluster-randomized-controlled-trial-in-primary-healthcare-settings
#10
Yuqing Tang, Chenxi Liu, Xinping Zhang
Aim To evaluate the variations in effect of public reporting in antibiotic prescribing practice among physicians with different performance in primary healthcare settings. BACKGROUND: Overprovision of antibiotics is a major public health concern. Public reporting has been adopted to encourage good antibiotic prescribing practices. However, which group, for instance, high, average or low antibiotic prescribers, accounted for antibiotic prescription reduction has not been fully understood...
June 13, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28578739/improving-team-based-care-for-children-shared-well-child-care-involving-family-practice-nurses
#11
Grace Warmels, Sharon Johnston, Jolanda Turley
INTRODUCTION: Well child care (WCC) is the provision of routine preventative care and vaccinations to infants and children. In Canada, physicians provide the majority of this type of care, whereas in other developed countries, nurses provide most WCC. New models of shared care between nurses and family physicians should be explored. OBJECTIVE: This pilot project aimed to evaluate the feasibility and acceptability of shared nurse-physician WCC for a cohort of healthy children...
June 5, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28578724/association-between-gestational-diabetes-and-perinatal-depressive-symptoms-evidence-from-a-greek-cohort-study
#12
Pinelopi Varela, Areti C Spyropoulou, Zacharias Kalogerakis, Eleni Vousoura, Martha Moraitou, Iannis M Zervas
Aim The aim of the present study was to assess the association of gestational diabetes mellitus (GDM) with prenatal and postnatal depressive symptoms in a sample of pregnant women in Greece. BACKGROUND: Earlier research supports a relationship between depression and diabetes, but only a few studies have examined the relationship between GDM and perinatal depressive symptomatology. METHODS: A total of 117 women in their third trimester of pregnancy participated in the study...
June 5, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28578720/cochrane-review-summary-mini-mental-state-examination-mmse-for-the-detection-of-dementia-in-clinically-unevaluated-people-aged-65-and-over-in-community-and-primary-care-populations
#13
https://www.readbyqxmd.com/read/28539134/does-metformin-protect-against-osteoarthritis-an-electronic-health-record-cohort-study
#14
Lauren A Barnett, Kelvin P Jordan, John J Edwards, Danielle A van der Windt
BACKGROUND: Obesity is a major risk factor for osteoarthritis (OA) whilst there is some evidence that diabetes also increases risk. Metformin is a common oral treatment for those with diabetes. OBJECTIVE: The aim is to investigate whether metformin reduces the risk of OA. METHODS: This was a cohort study set within the Consultations in Primary Care Archive, with 3217 patients with type 2 diabetes. Patients at 13 general practices with recorded type 2 diabetes in the baseline period (2002-2003) and no prior record of OA were identified...
May 25, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28535842/general-practitioners-clinical-expertise-in-managing-suicidal-young-people-implications-for-continued-education
#15
Maria Michail, Lynda Tait, Dick Churchill
Aim To examine general practitioners' (GPs) clinical expertise in assessing, communicating with, and managing suicidal young people aged 14-25 to inform the development of an educational intervention for GPs on youth suicide prevention. BACKGROUND: Suicide is the second leading cause of death for young people worldwide. GPs are ideally suited to facilitate early identification and assessment of suicide risk. However, GPs' levels of competence, knowledge, and attitudes towards suicidal young people have not yet been explored...
May 24, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28492110/characteristics-of-influential-peers-in-the-eyes-of-secondary-school-students-a-mixed-method-study
#16
Alice Y Loke, Yim-Wah Mak, Cynthia S T Wu
Aim It is the aim of this study to explore the characteristics of influential peers identified by schoolmates, and the mechanism by which they exert their influence on their peers. BACKGROUND: Adolescent crowds are a salient influence on the health-risk behaviors of peers, contributing to adolescent substance use such as drinking alcohol, smoking cigarettes, and taking drugs. METHODS: A mixed method study. Three schools granted us access to students and those who had been nominated as influential by their peers...
May 11, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28478777/where-does-good-quality-qualitative-health-care-research-get-published
#17
Jane C Richardson, Jennifer Liddle
This short report aims to give some insight into current publication patterns for high-quality qualitative health research, using the Research Excellence Framework (REF) 2014 database. We explored patterns of publication by range and type of journal, by date and by methodological focus. We also looked at variations between the publications submitted to different Units of Assessment, focussing particularly on the one most closely aligned with our own research area of primary care. Our brief analysis demonstrates that general medical/health journals with high impact factors are the dominant routes of publication, but there is variation according to the methodological approach adopted by articles...
May 8, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28473004/the-attitudes-of-family-physicians-toward-a-child-with-delayed-growth-and-development
#18
Servet Aker, Mustafa Kürşat Şahin, Ömer Kınalı, Elif Şimşek Karadağ, Tuğba Korkmaz
Aim The purpose of this study was to assess the attitude of family physicians toward a child with delayed growth and development. BACKGROUND: Primary healthcare professionals play a key role in monitoring growth and development, the best indicator of the child's health status. If delayed growth and development can be detected early, then it is usually possible to restore functioning. METHODS: This descriptive study was performed in Samsun, Turkey, in May and June 2015...
May 5, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28464979/how-do-family-medicine-residents-choose-an-anticoagulation-regimen-for-patients-with-nonvalvular-atrial-fibrillation
#19
Payam Yazdan-Ashoori, Zardasht Oqab, William F McIntyre, Kieran L Quinn, Erik van Oosten, Wilma M Hopman, Adrian Baranchuk
Aim To examine the choices Canadian family medicine residents make for oral anticoagulation (OAC) for patients with nonvalvular atrial fibrillation (AF). BACKGROUND: AF increases the risk of strokes. An important consideration in AF management is risk stratification for stroke and prescription of appropriate OAC. Family physicians provide the vast majority of OAC prescriptions. METHODS: We administered a survey to residents in multiple Canadian family medicine training programmes...
May 3, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28462767/public-private-partnerships-to-improve-primary-healthcare-surgeries-clarifying-assumptions-about-the-role-of-private-provider-activities
#20
Oliver Mudyarabikwa, Patrick Tobi, Krishna Regmi
Aim To examine assumptions about public-private partnership (PPP) activities and their role in improving public procurement of primary healthcare surgeries. BACKGROUND: PPPs were developed to improve the quality of care and patient satisfaction. However, evidence of their effectiveness in delivering health benefits is limited. METHODS: A qualitative study design was employed. A total of 25 interviews with public sector staff (n=23) and private sector managers (n=2) were conducted to understand their interpretations of assumptions in the activities of private investors and service contractors participating in Local Improvement Finance Trust (LIFT) partnerships...
May 2, 2017: Primary Health Care Research & Development
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