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Primary Health Care Research & Development

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https://www.readbyqxmd.com/read/28492110/characteristics-of-influential-peers-in-the-eyes-of-secondary-school-students-a-mixed-method-study
#1
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
#2
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
#3
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
#4
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
#5
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
https://www.readbyqxmd.com/read/28462741/medicines-reablement-in-intermediate-health-and-social-care-services
#6
Kate Gerrish, Sara Laker, Sarah Wright, Wendy Stainrod
Aim To evaluate a medicines reablement initiative involving health and social care, to include consideration of the training package, proportion of patients reabled successfully, and patient and staff perspectives of the service. BACKGROUND: Intermediate care services provide short-term intervention to support patients with chronic conditions transition from hospital to community-based services and involves maximising patients' independence through reablement. The term 'medicines reablement' describes the process of rehabilitating patients to be independent with their medication...
May 2, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28462739/improving-early-exclusion-of-acute-coronary-syndrome-in-primary-care-the-added-value-of-point-of-care-troponin-as-stated-by-general-practitioners
#7
Michelle M A Kip, Amber M Noltes, Hendrik Koffijberg, Maarten J IJzerman, Ron Kusters
Aim To investigate general practitioners' (GPs') desire and perceived added value of point-of-care (POC) troponin, its effect on referral decisions, and test requirements. BACKGROUND: Excluding acute coronary syndrome (ACS) in primary care remains a diagnostic challenges for GPs. Consequently, referral rates of chest pain patients are high, while the incidence of a cardiovascular problem is only 8-15%. Previous studies have shown that GPs are interested in a POC troponin test. This test could enhance rapid exclusion of ACS, thereby preventing unnecessary patient distress, without compromising safety and while reducing costs...
May 2, 2017: Primary Health Care Research & Development
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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/28463100/primary-health-care-from-the-global-perspective-lessons-learned-from-current-research
#19
Mehmet Akman
No abstract text is available yet for this article.
May 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28151381/primary-care-and-the-public-s-health-evidence-from-service-development-initiatives
#20
Rosamund Bryar
No abstract text is available yet for this article.
March 2017: Primary Health Care Research & Development
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