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Primary Health Care Research & Development

Alexandre Baumgarten, Rochelle Santos Da Veiga, Patricia Tavora Bulgarelli, Vitor Motta Diesel, Alexandre Favero Bulgarelli
BACKGROUND: The Unified Health System (SUS) is the Brazilian set of public health services that offers global access to health care and disease treatments for all citizens. These services have been evaluated by means of a national survey assessing the users' perceptions. Aim To explore and characterize the SUS users' perceptions regarding primary dental team practices in the five Brazilian geographical regions. METHODS: Descriptive study. The sample consisted of 37 262 subjects...
October 9, 2017: Primary Health Care Research & Development
Catriona Matheson, Christiane Pflanz-Sinclair, Amna Almarzouqi, Christine M Bond, Amanda J Lee, Anwar Batieha, H Al Ghaferi, A El Kashef
Aim This project evaluated the effectiveness of screening brief intervention and referral for treatment (SBIRT) in primary care in Abu Dhabi to manage patients with problematic substance use. This study aimed to determine whether: (i) training primary care physicians on the SBIRT model increased the identification of patients using substances at a harmful, hazardous or dependent level; (ii) training improved physicians' knowledge, attitudes and beliefs in self-efficacy in managing substance use. BACKGROUND: Substance use is increasing in the United Arab Emirates yet there has been no formal primary care intervention...
October 9, 2017: Primary Health Care Research & Development
Anna H Glenngård, Anders Anell
Aim To study (a) the covariation between patient reported experience measures (PREMs) and registered process measures of access and continuity when ranking providers in a primary care setting, and (b) whether registered process measures or PREMs provided more or less information about potential linkages between levels of access and continuity and explaining variables. BACKGROUND: Access and continuity are important objectives in primary care. They can be measured through registered process measures or PREMs...
September 15, 2017: Primary Health Care Research & Development
Parminder K Hans, Carolyn Steele Gray, Ashlinder Gill, James Tiessen
Aim This qualitative study investigates how the Electronic Patient-Reported Outcome (ePRO) mobile application and portal system, designed to capture patient-reported measures to support self-management, affected primary care provider workflows. BACKGROUND: The Canadian health system is facing an ageing population that is living with chronic disease. Disruptive innovations like mobile health technologies can help to support health system transformation needed to better meet the multifaceted needs of the complex care patient...
September 13, 2017: Primary Health Care Research & Development
Diego Schrans, Pauline Boeckxstaens, An De Sutter, Sara Willems, Dirk Avonts, Thierry Christiaens, Jan Matthys, Thomas Kühlein
BACKGROUND: Family practice aims to recognize the health problems and needs expressed by the person rather than only focusing on the disease. Documenting person-related information will facilitate both the understanding and delivery of person-focused care. Aim To explore if the patients' ideas, concerns and expectations (ICE) behind the reason for encounter (RFE) can be coded with the International Classification of Primary Care, version 2 (ICPC-2) and what kinds of codes are missing to be able to do so...
September 13, 2017: Primary Health Care Research & Development
Kate S Williams, Stoyan Kurtev, Kay Phelps, Emma Regen, Simon Conroy, Andrew Wilson
Aim To examine how the introduction of intensive community support (ICS) affected admissions to community hospital (CH) and to explore the views of patients, carers and health professionals on this transition. BACKGROUND: ICS was introduced to provide an alternative to CH provision for patients (mostly very elderly) requiring general rehabilitation. METHOD: Routine data from both services were analysed to identify the number of admissions and length of stay between September 2012 and September 2014...
September 13, 2017: Primary Health Care Research & Development
Fiona Moffatt, Rob Goodwin, Paul Hendrick
BACKGROUND: Primary care faces unprecedented challenges. A move towards a more comprehensive, multi-disciplinary service delivery model has been proposed as a means with which to secure more sustainable services for the future. One seemingly promising response has been the implementation of physiotherapy self-referral schemes, however there is a significant gap in the literature regarding implementation. Aim This evaluation aimed to explore how the professionals and practice staff involved in the delivery of an in-practice physiotherapy self-referral scheme understood the service, with a focus on perceptions of value, barriers and impact...
September 12, 2017: Primary Health Care Research & Development
Krishna Regmi
BACKGROUND: Although considerable attention has been paid to the use of quantitative methods in health research, there has been limited focus on decentralisation research using a qualitative-driven mixed method design. Decentralisation presents both a problematic concept and methodological challenges, and is more context-specific and is often multi-dimensional. Researchers often consider using more than one method design when researching phenomena is complex in nature. Aim To explore the effects of decentralisation on the provision of primary healthcare services...
September 11, 2017: Primary Health Care Research & Development
Valerio Villamil-Salcedo, Blanca E Vargas-Terrez, Jorge Caraveo-Anduaga, Jorge González-Olvera, Adriana Díaz-Anzaldúa, José Cortés-Sotres, Magdalena Pérez-Ávila
Aim The aim of this study was to determine if the problem-solving therapy (PST) helps control metabolic variables in patients with type 2 diabetes mellitus (T2DM) who show depressive and anxiety symptoms. BACKGROUND: T2DM is a chronic-degenerative multifactorial disease. It is considered one of the main public health problems in the world, and it represents an important social and economic burden. It is frequently associated with major depression and anxiety disorders, which are related with high glycated hemoglobin (HbA1c) concentrations and poor metabolic control...
September 5, 2017: Primary Health Care Research & Development
Vieri Lastrucci, Chiara Lorini, Giada Rinaldi, Guglielmo Bonaccorsi
Aim To evaluate the possibility of determining predictors of falls in the active community-dwelling elderly from the routine medical records of the general practitioners (GPs). BACKGROUND: Time constraints and competing demands in the clinical encounters frequently undermine fall-risk evaluation. In the context of proactive primary healthcare, quick, and efficient tools for a preliminary fall-risk assessment are needed in order to overcome these barriers. METHODS: The study included 1220 subjects of 65 years of age or older...
September 5, 2017: Primary Health Care Research & Development
Antje Gumz, Angelika Weigel, Karl Wegscheider, Georg Romer, Bernd Löwe
Aim This non-randomized pre-post-intervention study investigated the effect of a systemic public health intervention on the length of time between anorexia nervosa symptom onset and contact with the health care system as well as the initiation of treatment. BACKGROUND: Although systemic public health interventions have successfully been implemented in physical and mental health fields, their effect on the early treatment of patients with anorexia nervosa remains unclear. METHODS: In total, 59 anorexia nervosa patients (mean age=21...
August 22, 2017: Primary Health Care Research & Development
Claire Hamlet, Heidi Williamson, Diana Harcourt
BACKGROUND: Qualitative research methods embedded within feasibility trials are of significant value as they can provide important information for a definitive trial, often unable to be fulfilled by quantitative methods alone. In addition, such information can aid researchers running other trials or evaluating interventions on a similar topic. Aim This study aimed to explore GP and nurses' experiences of recruiting to a trial exploring the feasibility of evaluating YP Face IT, a novel online psychosocial intervention to support young people with appearance-altering conditions...
August 14, 2017: Primary Health Care Research & Development
Helen P French, Rose Galvin
Aim Integrated multidisciplinary primary healthcare is still in a relatively early stage of development in Ireland, with significant restructuring occurring in the past decade. Musculoskeletal physiotherapy services traditionally provided in acute hospital settings have been relocated into the primary care setting where the physiotherapist works as part of the multidisciplinary team. This study aimed to explore physiotherapy managers' experiences of managing musculoskeletal physiotherapy services in primary care to gain an insight into the opportunities and challenges in service delivery, changing roles and ongoing professional development needs of staff...
August 14, 2017: Primary Health Care Research & Development
Stephen Peckham, Alison Hann, Sally Kendall, Steve Gillam
This paper reports the findings of a scoping review on the organisation and delivery of health improvement activities in general practice and the primary healthcare team. The project was designed to examine who delivers these interventions, where they are located, what approaches are developed in practices and how individual practices and the primary healthcare team organise such public health activities and how these contribute to health improvement. Our focus was on health promotion and prevention activities and aimed to identify the current extent of knowledge about the health improvement activities in general practice and the wider primary healthcare team...
August 11, 2017: Primary Health Care Research & Development
Daksha Trivedi
No abstract text is available yet for this article.
August 9, 2017: Primary Health Care Research & Development
Taghreed M Farahat, Nagwa N Hegazy, Maha Mowafy
BACKGROUND: The health sector has always relied on technologies. According to World Health Organization, they form the backbone of the services to prevent, diagnose, and treat illness and disease. It is increasingly viewed as the most promising tool for improving the overall quality, safety and efficiency of the health delivery system. Aim of the study This was to assess the current situation of information and communication technologies (ICTs) in primary healthcare in the terms of describing and classifying the existing work, identify gaps and exploring the personal experiences and the challenges of ICTs application in the primary healthcare...
August 8, 2017: Primary Health Care Research & Development
Dilyse Nuttall
Aim The aim of this metasynthesis was to develop an understanding of the existing theoretical perspectives around nurse prescribing and to identify any gaps in knowledge, which would support further research into the lived experience of the nurse prescriber in the primary care setting. BACKGROUND: Nurse prescribing has been the focus of many research studies since its introduction, with many benefits to the patient, the prescriber and service identified; however, there remains variation in the utilisation of the prescribing qualification, particularly in primary care settings...
August 8, 2017: Primary Health Care Research & Development
Nancy Tamimi
Aim To explore how e-cigarettes are perceived by a group of e-cigarette users and a group of Stop Smoking Advisors (SSAs), what are the risks and benefits they associate with e-cigarettes and how do these understandings shape participants' attitude towards e-cigarettes? METHOD: Face-to-face and phone interviews were conducted with 15 e-cigarette users and 13 SSAs in South East England between 2014 and 2015. Transcribed data were analysed inductively through thematic analysis. Findings E-cigarettes were used as a therapeutic aid to stop or cut down smoking and as a smoking substitute...
August 4, 2017: Primary Health Care Research & Development
Charlotte Wahlich, Carole Beighton, Christina Victor, Rebecca Normansell, Derek Cook, Sally Kerry, Steve Iliffe, Michael Ussher, Peter Whincup, Julia Fox-Rushby, Elizabeth Limb, Cheryl Furness, Tess Harris
BACKGROUND: Most mid-life and older adults are not achieving recommended physical activity (PA) targets and effective interventions are needed to increase and maintain PA long-term for health benefits. The Pedometer And Consultation Evaluation (PACE-UP) trial, a three-armed primary care pedometer-based walking intervention in those aged 45-75 years, demonstrated increased PA levels at 12 months. A three-year follow-up was conducted to evaluate long-term PA maintenance, including a qualitative component...
August 4, 2017: Primary Health Care Research & Development
Julie G Kosteniuk, Norma J Stewart, Chandima P Karunanayake, Erin C Wilson, Kelly L Penz, Judith C Kulig, Kelley Kilpatrick, Ruth Martin-Misener, Debra G Morgan, Martha L P MacLeod
Aim The study purpose was to provide evidence of validity for the Primary Health Care Engagement (PHCE) Scale, based on exploratory factor analysis and reliability findings from a large national survey of regulated nurses residing and working in rural and remote Canadian communities. BACKGROUND: There are currently no published provider-level instruments to adequately assess delivery of community-based primary health care, relevant to ongoing primary health care (PHC) reform strategies across Canada and elsewhere...
July 27, 2017: Primary Health Care Research & Development
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