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Primary Health Care Research & Development

Lívia P Bonifácio, João M A Marques, Elisabeth M Vieira
AimTo evaluate prenatal care knowledge of Brazilian community health workers (CHWs). BACKGROUND: Routine prenatal care is critical for reducing health risks in women and their children. One of the responsibilities of primary healthcare providers is the provision of prenatal care. The CHWs, with their frequent contact with populations, work to improve health outreach efforts and therefore may be key role players in prenatal care. METHODS: This was a cross-sectional study...
October 9, 2018: Primary Health Care Research & Development
Janneke van Leeuwen, Marienke van Middelkoop, Winifred D Paulis, Patrick J E Bindels, Bart W Koes
AIM: The aim of this study is to investigate the differences between reported and measured weight and height for underweight, normal-weight, and overweight children, particularly in a general practitioner setting. BACKGROUND: Screening, signaling, and treatment of childhood obesity by the general practitioner depends on accurate weight and height measurements. METHODS: Data on reported and measured weight and height from a cohort including 715 normal-weight and overweight children aged 2-17 were used...
October 8, 2018: Primary Health Care Research & Development
Csaba Móczár, Imre Rurik
BACKGROUND: In Hungary, since 1990, each government has tried to transform and rationalize the structure of health care. One of the reforms was the Care Managing Organization (CMO) programme introduced in 1999. OBJECTIVES: The aim of this paper is to describe the regional, environmental, structural and preliminary health related outcomes of the CMO in Bács-Kiskun County (Central-Eastern Hungary). METHODS: First, cardiovascular screening programmes were organized for pre-screened and randomly selected populations of a total of 4462 persons...
October 8, 2018: Primary Health Care Research & Development
Gordon W Macdonald
AimTo determine the responsiveness of primary care chaplaincy (PCC) to the current variety of presenting symptoms seen in primary care. This was done with a focus on complex and undifferentiated illness. BACKGROUND: Current presentations to primary care are often complex, undifferentiated and display risk factors for social isolation and loneliness. These are frequently associated with loss of well-being and spiritual issues. PCC provides holistic care for such patients but its efficacy is unknown in presentations representative of such issues...
October 8, 2018: Primary Health Care Research & Development
Madelon Kroneman, Kim van Erp, Peter Groenewegen
AimThe aim of the study is to explore to what extent members of the community are willing to participate in the way their primary care practice is organized and which characteristics of people and community are associated with this willingness. BACKGROUND: Community participation in primary care refers to involvement of community members in the organization, governance and policy making of primary care facilities. Due to demographic changes and changes in the role of patients and the community concerning health care, it becomes important to include the social environment of patients into healthcare...
September 27, 2018: Primary Health Care Research & Development
Alexandre Baumgarten, Juliana B Hilgert, Ione C Pinto, Fabiana C M Zacharias, Alexandre F Bulgarelli
BACKGROUND: Tuberculosis (TB) is still a major public health problem in many countries, including Brazil. Primary health care (PHC) services are a set of important services with infrastructure and resources to diagnose, treat, and cure several diseases, including the TB.AimThe aim of this study is to analyse aspects of the facility infrastructure of Brazilian PHC, regarding the control and treatment of TB from a countrywide perspective. METHODS: This is a cross-sectional study based on PHC services...
September 17, 2018: Primary Health Care Research & Development
Bruna R Gouveia, Andreas Ihle, Matthias Kliegel, Duarte L Freitas, Élvio R Gouveia
A population-based cross-sectional study aimed to examine sex differences in health-related quality of life (HRQoL) of older adults, and investigate whether the relation patterns between HRQoL and its correlates differed between sexes. A stratified proportional and representative sample included 802 volunteers, aged 60-79. HRQoL (36-item Short Form Health Survey), functional fitness (Senior Fitness Test), physical activity (PA) (Baecke questionnaire), demographic information and health features (questionnaires) were assessed...
September 13, 2018: Primary Health Care Research & Development
Andrea Manfrin, Janet Krska
AimThis study aimed to assess the consistency and replicability of these process measures during provision of the Italian Medicines Use Review (I-MUR). BACKGROUND: Medication review is a common intervention provided by community pharmacists in many countries, but with little evidence of consistency and replicability. The I-MUR utilised a standardised question template in two separate large-scale studies. The template facilitated pharmacists in recording medicines and problems reported by patients, the pharmaceutical care issues (PCIs) they found and actions they took to improve medicines use...
September 13, 2018: Primary Health Care Research & Development
Karlijn M J Ganzeboom, Annemarie A Uijen, Doreth T A M Teunissen, Willem J J Assendelft, Hans J G Peters, Jeannine L A Hautvast, Cornelia H M Van Jaarsveld
BACKGROUND: Urinary tract infections (UTIs) are common in general practice, and antibiotic resistance is often seen. Urine cultures are advised by the Dutch national UTI guideline for patients at high risk of UTI complications. Prudent use of antibiotics and taking into account national guidelines and urine culture results are important to combat antibiotic resistance in general practice.AimTo identify subgroups of UTI patients in which the use of urine cultures and antibiotic prescriptions deviates from the national guidelines...
August 31, 2018: Primary Health Care Research & Development
Julian Barratt, Nicola Thomas
No abstract text is available yet for this article.
August 30, 2018: Primary Health Care Research & Development
Haya Abu Ghazaleh, Micol Artom, Jackie Sturt
AimAppraise the evidence on the outcomes of Leg Clubs on ulcer healing, psychosocial outcomes, patient safety, cost and experiences of Leg Club members. BACKGROUND: The Leg Club is a community-based social model of care in 30 UK locations and nine overseas for treating patients with chronic leg wounds. However, its cumulative effectiveness has not been reviewed to-date. METHODS: Systematic review of primary research relating to the impact and quality of care of Leg Clubs treating patients with leg ulcers...
August 30, 2018: Primary Health Care Research & Development
Kate Hamilton-Westa, Amanda Batesb, Sarah Hothamc, Patricia Wilsond
AimWe aimed to develop, deliver and evaluate a brief training programme for primary care mental health staff in NW London focussing on long-term physical health conditions (LTCs). The objective was to improve participants' knowledge, understanding and confidence (self-efficacy) in providing effective support to people with LTCs. The second objective was to develop an online version to be made available more widely. BACKGROUND: The project was commissioned by NW London Collaboration of Clinical Commissioning Groups as part of a strategy to develop more joined up care and support for people with mental health needs...
August 28, 2018: Primary Health Care Research & Development
Ayşe Nur Usturali Mut, Zeliha Aslı Öcek, Meltem Çiçeklioğlu, Şafak Taner, Esen Demir
AimTo develop the Primary care fUnctions oF Family physicians in Childhood Asthma (PUFFinCA) scale for evaluating the cardinal process functions of primary care services (accessibility, comprehensiveness, continuity and coordination) provided by family physicians (FPs) in the management of childhood asthma. BACKGROUND: In the literature on the functions of primary care, there is no assessment tool focusing on children with asthma. Primary care assessment scales adapted to various languages are not suitable to adequately address the needs of special patient groups, such as children with asthma...
August 28, 2018: Primary Health Care Research & Development
Kate Gerrish, Carol Keen, Judith Palfreyman
AimTo identify learning from a clinical microsystems (CMS) quality improvement initiative to develop a more integrated service across a falls care pathway spanning community and hospital services. BACKGROUND: Falls present a major challenge to healthcare providers internationally as populations age. A review of the falls care pathway in Sheffield, United Kingdom, identified that pathway implementation was constrained by inconsistent co-ordination and integration at the hospital-community interface...
August 23, 2018: Primary Health Care Research & Development
Blake Lancaster, Andrew Cook, Teryn Bruni, Julie Sturza, Jessica Sevecke, Hannah Ham, Rachel Knight, Kathryn Hoffses, Cheryl A Wickham, Kelly A Orringer
OBJECTIVE: The purpose of this study was to investigate primary care pediatrician (PCP) perceptions of prevalence of, time spent in, and satisfaction with behavioral health services across clinics with and without on-site behavioral health providers (BHPs). METHODS: A cross-sectional survey design was used to examine satisfaction across sites. Data were collected on PCP perceptions of behavioral health services among 60 pediatricians within two academic medical systems...
August 22, 2018: Primary Health Care Research & Development
Jafar Sadegh Tabrizi, Mohammad Saadati, Mahdieh Heydari, Ramin Rezapour, Roghaie Zamanpour
AimTo improve the medical waste management (MWM) standards in Tabriz community health centers (CHCs) through clinical audit process. BACKGROUND: Management of medical waste is not only a legally necessity but also a social responsibility in health systems. Owing to the potential risks for human health and environmental impacts, MWM is a global concern. METHODS: This was an interventional research designed using clinical audit cycle that was implemented in Tabriz CHCs in 2016...
August 20, 2018: Primary Health Care Research & Development
Victoria A Riley, Christopher Gidlow, Naomi J Ellis
Within the NHS health check (NHSHC) programme, there is evidence of marked inconsistencies and challenges in practice-level self-reporting of uptake. Consequently, we explored the perceptions of those involved in commissioning of NHSHC to better understand the implications for local and national monitoring and evaluation of programme uptake. Semi-structured, one-to-one, telephone interviews (n=15) were conducted with NHSHC commissioners and leads, and were analysed using inductive thematic analysis. NHSHC data were often collected from practices using online extraction systems but many still relied on self-reported data...
August 20, 2018: Primary Health Care Research & Development
Ziyu Liu, Martin Buijsen
AimTo assess the regulation of the Chinese healthcare system in assisting a nationwide implementation of general practitioner (GP) services. BACKGROUND: Along with the perennial problems of unaffordable and inequitable healthcare, a rapidly ageing population and the increasing burden of non-communicable diseases pose challenges to the Chinese healthcare system. Recognising these challenges and to satisfy people's demands for more and better healthcare, China has initiated a plan, named 'Healthy China 2030', based on the findings from a two-year joint study by the World Health Organization (WHO) and the World Bank Group (WBG) in collaboration with Chinese agencies...
August 16, 2018: Primary Health Care Research & Development
M Graça Pereira, Susana Pedras, Gabriela Ferreira
AimThis study examined the differences and the predictive role of clinical variables, illness representations, anxiety, and depression symptoms, on self-reported foot care adherence, in patients recently diagnosed with type 2 diabetes mellitus (T2DM) and assessed no longer than a year after the diagnosis (T1) and four months later (T2). BACKGROUND: The high rate of diabetes worldwide is one of the major public health challenges. Foot care is the behavior least performed by patients although regular foot care could prevent complications such as diabetic foot and amputation...
August 10, 2018: Primary Health Care Research & Development
Maatla Tshimologo, Toby Helliwell, Samantha Hider, Christian Mallen, Sara Muller
AimThe aim of this study was to assess the provision of information to, and seeking of information by, patients newly diagnosed with polymyalgia rheumatica (PMR) in primary care. BACKGROUND: PMR is an inflammatory rheumatological condition of older people that can be treated with long-term oral glucocorticoids. Management usually requires the patient to understand the potential complications of treatment and the disease, as well as involvement in reducing treatment dose. This may be complex for patients to understand...
August 8, 2018: Primary Health Care Research & Development
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