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Primary Health Care Research & Development

Paula Brauer, Dawna Royall, John Dwyer, A Michelle Edwards, Tracy Hussey, Nick Kates, Heidi Smith, Ross Kirkconnell
No abstract text is available yet for this article.
November 7, 2016: Primary Health Care Research & Development
Matthew Ward
: Aim To understand the frequency, urgency, and rationale of emergency department and urgent care (ED/UC) use by diabetic patients of a Family Medicine Health Team (FHT). METHODS: A retrospective, observational study with comparison control groups was conducted from 1 January 2013 to 31 December 2014. A total of 693 diabetic patients were compared with two, age-standardized non-diabetic groups: one with a higher disease burden based on International Classification of Diseases 9 diagnoses and the other from a randomized patient pool...
October 25, 2016: Primary Health Care Research & Development
Adam Balkham, Sarah Alderson
BACKGROUND: The introduction of the Health and Social Care Bill (2011) changed the role of GPs to include commissioning of health services. Aim This study aimed to identify any differences in the media portrayal of GPs before and after the introduction of the Bill. METHODS: We retrospectively searched four British newspapers over the period 2009-2013 using the media database Nexis. In order to directly compare the findings of the study with the work of Tanner et al...
October 17, 2016: Primary Health Care Research & Development
Traci H Abraham, Eleanor T Lewis, Karen L Drummond, Christine Timko, Michael A Cucciare
: Aim To better understand barriers and facilitators that hinder or help women veterans discuss their alcohol use with providers in primary care in order to better identify problematic drinking and enhance provider-patient communication about harmful drinking. BACKGROUND: Women presenting to primary care may be less likely than men to disclose potentially harmful alcohol use. No studies have qualitatively examined the perspectives of primary care providers about factors that affect accurate disclosure of alcohol use by women veterans during routine clinic visits...
October 3, 2016: Primary Health Care Research & Development
Daprim S Ogaji, Sally Giles, Gavin Daker-White, Peter Bower
BACKGROUND: Questionnaires developed for patient evaluation of the quality of primary care are often focussed on primary care systems in developed countries. Aim To report the development and validation of the patient evaluation scale (PES) designed for use in the Nigerian primary health care context. METHODS: An iterative process was used to develop and validate the questionnaire using patients attending 28 primary health centres across eight states in Nigeria...
October 3, 2016: Primary Health Care Research & Development
Paula Brauer, Dawna Royall, John Dwyer, A Michelle Edwards, Tracy Hussey, Nick Kates, Heidi Smith, Ross Kirkconnell
: Aim We report on a formative project to develop an organization-level planning framework for obesity prevention and management services. BACKGROUND: It is common when developing new services to first develop a logic model outlining expected outcomes and key processes. This can be onerous for single primary care organizations, especially for complex conditions like obesity. METHODS: The initial draft was developed by the research team, based on results from provider and patient focus groups in one large Family Health Team (FHT) in Ontario...
October 3, 2016: Primary Health Care Research & Development
Annette M Johansson, Inger Lindberg, Siv Söderberg
BACKGROUND: Patients living in rural areas often need to travel long distances for access to specialist care. To increase access to specialist care, video consultation between patients in primary healthcare and specialist care has been used. In order for this new method to be developed and used to the fullest, it is important to understand healthcare personnel's experiences with this intervention. OBJECTIVE: The aim of this study was to describe healthcare personnel's experiences using video consultation in their work in primary healthcare...
September 19, 2016: Primary Health Care Research & Development
Elizabeth Paz-Pacheco, Mark Anthony Sandoval, Gregory J R Ardena, Elizabeth Paterno, Noel Juban, Frances L Lantion-Ang, Cecilia Jimeno, Perpetua Patal, Joseph Bongon
: Introduction The purpose of this study is to assess the effectiveness of diabetes self-management education (DSME) in a rural agricultural town. METHODS: In this prospective, education-intervention trial, 85 adults with type 2 diabetes mellitus from villages randomly assigned to DSME and 70 from villages assigned to standard care participated. The DSME group underwent a curriculum delivered by peer educators; those in the standard group received usual advice. Outcome measures were anthropometric, biochemical, health behaviors, and medication use data taken at baseline then after three and six months...
September 19, 2016: Primary Health Care Research & Development
Julie Beaulac, Jeanette Edwards, Angus Steele
: Aim To investigate the implementation and initial impact of the Physician Integrated Network (PIN) mental health indicators, which are specific to screening and managing follow-up for depression, in three primary care practices with Shared Mental Health Care in Manitoba. BACKGROUND: Manitoba Health undertook a primary care renewal initiative in 2006 called the PIN, which included the development of mental health indicators specific to screening and managing follow-up for depression...
September 9, 2016: Primary Health Care Research & Development
Brian DeSantis, Miranda J Jackson, Barry L Duncan, Robert J Reese
: Introduction The integration of behavioral health services into primary care has led to enhanced use of brief screening measures to identify mental health problems. Although useful, such instruments are largely symptom based and diagnosis specific. This narrow focus can potentially limit the identification of broader social or relational distress in patients that affect medical outcomes, as well as present feasibility challenges using a multi-measure approach in identifying mental health comorbidities...
September 9, 2016: Primary Health Care Research & Development
Stecy Yghemonos
No abstract text is available yet for this article.
November 2016: Primary Health Care Research & Development
Ian St James-Roberts, Marion Roberts, Kimberly Hovish, Charlie Owen
: Aim To provide descriptive figures for infant distress and associated parenting at night in normal London home environments during the first three months of age. BACKGROUND: Most western infants develop long night-time sleep periods by four months of age. However, 30% of infants in many countries sleep for short periods and cry out on waking in the night: the most common type of infant sleep behaviour problem. Preventive interventions may help families and improve services...
November 2016: Primary Health Care Research & Development
Carolien J Aantjes, Joseph Simbaya, Tim K C Quinlan, Joske F G Bunders
: Aim We present the evolution of primary-level HIV and AIDS services, shifting from end of life to chronic care, and draw attention to the opportunities and threats for the future of Zambia's nascent chronic care system. BACKGROUND: Although African governments struggled to provide primary health care services in the context of a global economic crisis, civil society organisations (CSO) started mobilising settlement residents to respond to another crisis: the HIV and AIDS pandemic...
November 2016: Primary Health Care Research & Development
Anette L Hindhede, Ane Bonde, Jasper Schipperijn, Stine H Scheuer, Susanne M Sørensen, Jens Aagaard-Hansen
: Aim The aim was to explore the extent to which a Danish prevention centre catered to marginalised groups within the catchment area. We determined whether the district's socio-economic vulnerability status and distance from the citizens' residential sector to the centre influenced referrals of citizens to the centre, their attendance at initial appointment, and completion of planned activities at the centre. BACKGROUND: Disparities in access to health care services is one among many aspects of inequality in health...
November 2016: Primary Health Care Research & Development
John Macdonald, Tony Scholes, Kay Powell
OBJECTIVE: This paper reports on a project conducted between 2008 and 2011 that was established to allow eight Australian Indigenous men who had been in prison to tell their stories of incarceration. BACKGROUND: The Shed in Western Sydney, NSW, Australia, was set up in response to the high male suicide rate in that area, its objective being to support men at risk. Aboriginal men were the most at risk, and they are presently imprisoned at a rate of 13 times more than non-Indigenous men...
November 2016: Primary Health Care Research & Development
Alison Hughes, Louise Condon
: Aim To explore the experiences of student and novice health visitors in implementing health visiting policy reform pre- and post-qualification. BACKGROUND: In England, public health nursing has been subject to major policy reform. The Health Visitor Implementation Plan (2011) set out a plan to recruit increasing numbers of nurses and midwives to the profession to deliver an expanded and refocussed health visiting service. Exploring this policy change from the viewpoint of those new to health visiting offers a unique perspective into how a specific policy vision is translated into nursing practice...
November 2016: Primary Health Care Research & Development
Matthew D Di Guglielmo, Jay S Greenspan, Diane J Abatemarco
BACKGROUND: Pediatric patients seek timely access to subspecialty care within a complex delivery system while facing barriers: distance, economics, and clinician shortages. Aim We examined stakeholder perceptions about solutions to the access challenge. We engaged over 300 referring primary care pediatricians in the evaluation of Access Clinics at an academic children's hospital. METHODS: Using an anonymous online survey, we asked pediatricians about their and their patients' experiences and analyzed factors that may influence referrals...
November 2016: Primary Health Care Research & Development
Rob W Goodwin, Paul A Hendrick
UNLABELLED: Aim To evaluate the clinical effectiveness, patient satisfaction and economic efficacy of a physiotherapy service providing musculoskeletal care, as an alternative to GP care. BACKGROUND: There is a growing demand on general practice resources. A novel '1st Line Physiotherapy Service' was evaluated in two GP practices (inner city practice, university practice). Physiotherapy, as a first point of contact, was provided as an alternative to GP care for patients with musculoskeletal complaints...
September 2016: Primary Health Care Research & Development
Anamitra Barik, Rajesh Kumar Rai, Abhijit Chowdhury
UNLABELLED: Aim To measure the prevalence of self-reported morbidity and its associated factors among adults (aged ⩾15 years) in a select rural Indian population. BACKGROUND: Self-reporting of smoking has been validated as population-based surveys using self-reported data provide reasonably consistent estimates of smoking prevalence, and are generally considered to be sufficiently accurate for tracking the general pattern of morbidity associated with tobacco use in populations...
September 2016: Primary Health Care Research & Development
Lal B Rawal, Kawkab Mahmud, Sheikh Md S Islam, Rashidul A Mahumud, Md Nuruzaman, Syed M Ahmed
UNLABELLED: Introduction In recent years, the government of Bangladesh has encouraged private sector involvement in producing mid-level health cadres including Medical Assistants (MAs). The number of MAs produced has increased significantly. We assessed students' characteristics, educational services, competencies and perceived attitudes towards health service delivery in rural areas. METHODS: We used a mixed method approach using quantitative (questionnaire survey) and qualitative (key informant interviews and roundtable discussion) methods...
September 2016: Primary Health Care Research & Development
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