keyword
Keywords Urgent care, emergency medicin...

Urgent care, emergency medicine, family practice

https://read.qxmd.com/read/38285806/is-primary-care-ready-for-a-potential-new-public-health-emergency-in-the-wake-of-the-covid-19-pandemic-now-subsided
#1
JOURNAL ARTICLE
Rebecca S Etz, Craig A Solid, Martha M Gonzalez, Sarah R Reves, Erin Britton, Larry A Green, Asaf Bitton, Christine Bechtel, Kurt C Stange
INTRODUCTION: The lingering burden of the COVID-19 pandemic on primary care clinicians and practices poses a public health emergency for the United States. This study uses clinician-reported data to examine changes in primary care demand and capacity. METHODS: From March 2020 to March 2022, 36 electronic surveys were fielded among primary care clinicians responding to survey invitations as posted on listservs and identified through social media and crowd sourcing...
January 29, 2024: Family Practice
https://read.qxmd.com/read/38253494/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth
#2
JOURNAL ARTICLE
Emily F Gregory, Geminesse T Johnson, Alejandra Barreto, Arthurine K Zakama, Adya I Maddox, Lisa D Levine, Scott A Lorch, Alexander G Fiks, Peter F Cronholm
PURPOSE: Physically or psychologically distressing birth experiences can influence postpartum health, parenting efficacy, and future pregnancy plans. Communication deficits contribute to negative birth experiences. This qualitative analysis explored themes related to communication and negative birth experiences among Black birthing people who experienced preterm birth. METHODS: We conducted qualitative interviews with non-Hispanic Black, English language-proficient birthing people with Medicaid-insured preterm infants...
2024: Annals of Family Medicine
https://read.qxmd.com/read/38186796/prospective-review-of-188-cases-of-epistaxis-presenting-to-the-emergency-department-etiology-and-outcome
#3
JOURNAL ARTICLE
Prethesh Raaj, Darpanarayan Hazra, Gina M Chandy, Christna R Jacob, Priya Ganesan
BACKGROUND: Due to a myriad of risk factors, epistaxis is a very frequent presentation to the emergency room (ER). This study aims to ascertain the prevalence of epistaxis in our population, risk factors, effectiveness of ER treatment, complications, and ER outcome. MATERIALS AND METHODS: This was a prospective observational study performed in the ER of a referral tertiary care center in south India. Data were categorized, coded, and analyzed to determine the objective of the study...
November 2023: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/37831652/supporting-and-contextualizing-pediatric-ecmo-decision-making-using-a-person-centered-framework
#4
JOURNAL ARTICLE
Julie M Aultman, Patricia L Raimer, Daniel H Grossoehme, Ryan A Nofziger, Adiaratou Ba, Sarah Friebert
AbstractThere is a critical need to establish a space to engage in careful deliberation amid exciting, important, necessary, and groundbreaking technological and clinical advances in pediatric medicine. Extracorporeal membrane oxygenation (ECMO) is one such technology that began in pediatric settings nearly 50 years ago. And while not void of medical and ethical examination, both the symbolic progression of medicine that ECMO embodies and its multidimensional challenges to patient care require more than an intellectual exercise...
2023: Journal of Clinical Ethics
https://read.qxmd.com/read/37827745/identifying-and-prioritising-future-interventions-with-stakeholders-to-improve-paediatric-urgent-care-pathways-in-scotland-uk-a-mixed-methods-study
#5
JOURNAL ARTICLE
Emma King, Emma France, Cari Malcolm, Simita Kumar, Smita Dick, Richard G Kyle, Philip Wilson, Lorna Aucott, Stephen Turner, Pat Hoddinott
OBJECTIVES: To identify and prioritise interventions, from the perspectives of parents and health professionals, which may be alternatives to current unscheduled paediatric urgent care pathways. DESIGN: FLAMINGO (FLow of AdMissions in chIldren and youNG peOple) is a sequential mixed-methods study, with public and patient involvement (PPI) throughout. Data linkage for urgent admissions and three referral sources: emergency department, out of hours service and general practice, was followed by qualitative interviews with parents and professionals...
October 12, 2023: BMJ Open
https://read.qxmd.com/read/37468217/what-patients-call-their-inhalers-is-associated-with-asthma-attacks
#6
JOURNAL ARTICLE
Victoria E Forth, Juan Carlos Cardet, Ku-Lang Chang, Brianna Ericson, Laura P Hurley, Nancy E Maher, Elizabeth W Staton, Bonnie Telón Sosa, Elliot Israel
BACKGROUND: Clinician-patient miscommunication contributes to worse asthma outcomes. What patients call their asthma inhalers and its relationship with asthma morbidity are unknown. METHODS: Inhaler names were ascertained from Black and Latinx adults with moderate-severe asthma and categorized as "standard" if based on brand/generic name or inhaler type (i.e., controller vs. rescue) or "non-standard" for other terms (i.e., color, device type, e.g., "puffer," or unique names)...
July 19, 2023: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/37195689/communication-strategies-to-improve-antibiotic-prescribing-in-pediatric-urgent-care-centers
#7
JOURNAL ARTICLE
Amanda Nedved, Destani Bizune, Melody Fung, Cindy M Liu, Sharon Tsay, Rana F Hamdy, Amanda Montalbano
OBJECTIVE: Urgent care (UC) clinicians frequently prescribe inappropriate antibiotics for upper respiratory illnesses. In a national survey, pediatric UC clinicians reported family expectations as a primary driver for prescribing inappropriate antibiotics. Communication strategies effectively reduce unnecessary antibiotics while increasing family satisfaction. We aimed to reduce inappropriate prescribing practices in otitis media with effusion (OME), acute otitis media (AOM), and pharyngitis in pediatric UC clinics by a relative 20% within 6 months using evidence-based communication strategies...
May 18, 2023: Pediatric Emergency Care
https://read.qxmd.com/read/37028914/medical-legal-partnership-effects-on-mental-health-health-care-use-and-quality-of-life-in-primary-care-a-randomized-clinical-trial
#8
JOURNAL ARTICLE
Winston Liaw, Thomas F Northrup, Angela L Stotts, Christine Bakos-Block, Robert Suchting, Alvin Chen, Abigail Hernandez, Lisandra Finzetto, Charles Green, Thomas Murphy
PURPOSE: To determine whether an immediate referral to a medical-legal partnership (MLP), compared with a 6-month waitlist control, improved mental health, health care use, and quality of life. METHODS: This trial randomly assigned individuals to an immediate referral or a wait-list control. The MLP involved a collaboration between the primary care clinic and a legal services organization. The primary outcome was stress (6 months) as measured by the Perceived Stress Scale (PSS)...
April 7, 2023: Journal of the American Board of Family Medicine: JABFM
https://read.qxmd.com/read/37023252/effect-of-a-medical-legal-partnership-on-mental-health-and-utilization-a-randomized-controlled-trial-in-primary-care
#9
JOURNAL ARTICLE
Winston Liaw, Christine Bakos-Block, Thomas Northrup, Angela Stotts, Robert Suchting, Thonas Murphy, Lisandra Finzetto
Context: Family physicians lack resources to effectively intervene on health-harming legal needs (HHLNs), despite growing calls to address social determinants of health. One promising model is the medical-legal partnership (MLP), which embeds legal screening and referral in clinics, but more evidence is needed prior to broader implementation. Objective: To examine whether an MLP reduces stress, depression, and medical overutilization. Study design: Randomized controlled trial. Setting: Urban, primary care clinic in Houston...
January 1, 2023: Annals of Family Medicine
https://read.qxmd.com/read/37005991/staffing-rural-emergency-departments-in-ontario-the-who-what-and-where
#10
JOURNAL ARTICLE
Tyler Randle, Arunim Garg, Vijay Mago, Salimur Choudhury, Robert Ohle, Roger Strasser, Sean W Moore, Aimee Kernick, David W Savage
INTRODUCTION: The emergency department (ED) in rural communities is essential for providing care to patients with urgent medical issues and those unable to access primary care. Recent physician staffing shortages have put many EDs at risk of temporary closure. Our goal was to describe the demographics and practices of the rural physicians providing emergency medicine services across Ontario in order to inform health human resource planning. METHODS: The ICES Physician database (IPDB) and Ontario Health Insurance Plan (OHIP) billing database from 2017 were used in this retrospective cohort study...
2023: Canadian Journal of Rural Medicine
https://read.qxmd.com/read/36993119/knowledge-and-attitude-of-paediatric-first-aid-among-elementary-schoolteachers-in-jeddah-saudi-arabia
#11
JOURNAL ARTICLE
Maher Alsulami, Abdulaziz A Madkhali, Majed T Alharbi, Abdulaziz R Alzahrani, Ibrahim N Aljohani, Majid S Al-Thaqafy, Adnan A Alsulami, Mohamed Eldigre, Saleh Aloraibi
INTRODUCTION: Children at schools are at risk of getting injuries during their activities. In the absence of medical support and delays in ambulance arrival, teachers are the first responders to provide first aid when accidents occur. There is a lack of information about schoolteachers' awareness and knowledge about first aid administration. This study aimed to assess the current level of knowledge and attitude toward paediatric first aid among elementary schoolteachers in Jeddah of Saudi Arabia...
November 2022: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/36993104/assessment-of-diabetes-risk-profile-in-a-rural-population-of-northern-india-using-the-indian-diabetes-risk-score-a-community-based-study
#12
JOURNAL ARTICLE
Sarit Sharma, Aman Bansal, Surinder Pal Singh, Anurag Chaudhary, Mahesh Satija, Ankur Singla, Harsimran Kalsi
BACKGROUND: Diabetes is one of the leading killers among noncommunicable diseases of the present time and poses a considerable burden to the society in terms of public health. The Indian Diabetes Risk Score (IDRS) can be used as a risk assessment tool to estimate the population at risk and plan appropriate interventions. The present study was conducted to assess the diabetes risk profile of a rural population of Punjab by using IDRS. MATERIALS AND METHODS: This was a cross-sectional study conducted in two phases after obtaining approval from the Institutional Ethics Committee...
November 2022: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/36893416/management-of-neck-or-back-pain-in-ambulatory-care-did-visit-mode-or-the-covid-19-pandemic-affect-provider-practice-or-patient-adherence
#13
JOURNAL ARTICLE
Douglas W Roblin, Glenn K Goodrich, Teaniese L Davis, Jennifer C Gander, Courtney E McCracken, Nancy S Weinfield, Debra P Ritzwoller
BACKGROUND/OBJECTIVE: In recent years, 2 circumstances have changed provider-patient interactions in ambulatory care: (1) the replacement of virtual for in-person visits and (2) the COVID-19 pandemic. We studied the potential impact of each event on provider practice and patient adherence by comparing the frequency of the association of provider orders, and patient fulfillment of those orders, by visit mode and pandemic period, for incident neck or back pain (NBP) visits in ambulatory care...
April 1, 2023: Medical Care
https://read.qxmd.com/read/36723907/outcomes-in-novel-hospital-at-home-model-for-patients-with-covid-19-a-multicentre-retrospective-cohort-study
#14
JOURNAL ARTICLE
Yasushi Tsujimoto, Masanori Kobayashi, Tomohisa Oku, Takahisa Ogawa, Shinichi Yamadera, Masako Tsukamoto, Noriya Matsuda, Morikazu Nishihira, Yu Terauchi, Takahiro Tanaka, Yoshitaka Kawabata, Yuki Miyamoto, Yoshiki Morikami
BACKGROUND: Hospital-at-home (HaH) care has been proposed as an alternative to inpatient care for patients with coronavirus disease (COVID-19). Previous reports were hospital-led and involved patients triaged at the hospitals. To reduce the burden on hospitals, we constructed a novel HaH care model organized by a team of local primary care clinics. METHODS: We conducted a multicentre retrospective cohort study of the COVID-19 patients who received our HaH care from 1 January to 31 March 2022...
February 1, 2023: Family Practice
https://read.qxmd.com/read/36693194/a-qualitative-study-of-strategies-and-challenges-in-training-behavioral-health-workforce-for-integrated-primary-care
#15
JOURNAL ARTICLE
Kris Pui Kwan Ma, Anna Ratzliff, Karl Stephens, Erin LePoire, Maria Prado
CONTEXT: COVID-19 has underscored the need to accelerate behavioral health (BH) integration in primary care, where many patients seek mental health services. Expanding BH integration requires a strong and sustainable BH workforce trained to work in primary care. Psychology internship is a critical period of development when doctorate-level therapists receive supervised clinical experiences with integrated primary care. OBJECTIVE: To explore the strategies and challenges of teaching psychology trainees to practice BH in primary care...
April 1, 2022: Annals of Family Medicine
https://read.qxmd.com/read/36546318/japan-geriatrics-society-statement-for-the-use-of-telemedicine-in-geriatric-care-telemedicine-as-a-complement-to-in-person-medical-practice-geriatric-medical-practice-committee-consensus-statement
#16
JOURNAL ARTICLE
Kazushi Nomura, Satoru Ebihara, Yukihiko Ikebata, Hiroyuki Umegaki, Kazuya Ooi, Sumito Ogawa, Tomohiro Katsuya, Yoshio Kobayashi, Takashi Sakurai, Mariko Miyao, Kiyoshi Yamaguchi, Masahiro Akishita
Telemedicine has changed from a way to treat patients with limited access to hospitals to a necessary method of treatment for non-urgent conditions during the coronavirus disease 2019 pandemic. There are two styles of telemedicine, namely "hybrid medical care" and "gateway medical care," which take advantage of the characteristics of online medical care and might become important in the near future. During hybrid medical care, a patient and their primary care physician have face-to-face medical care while simultaneously being examined by a specialist physician through telemedicine, leading to an overall improvement in the level of local medical care and expansion in the number of treatable diseases...
November 2022: Geriatrics & Gerontology International
https://read.qxmd.com/read/36541280/tackling-climate-change-and-health-inequalities-in-primary-care
#17
JOURNAL ARTICLE
David N Blane, Nayanika Basu
The Climate Emergency is now widely accepted as the biggest public health crisis facing humanity. Previous research has highlighted how social and health inequalities shape the health impacts of climate change in the UK, but there has been little attention to the role of general practice in deprived areas. This Brief Report summarises a roundtable discussion of Scottish 'Deep End' GPs - family doctors working in the most socio-economically deprived areas - which took place weeks before the 26th UN Climate Change Conference (COP26), held in Glasgow in November 2021...
December 20, 2022: Family Practice
https://read.qxmd.com/read/36387696/clinical-diversities-of-patient-eye-care-in-para-covid-19-era-in-western-odisha
#18
JOURNAL ARTICLE
Tarun K Panda, Priyadarsini Nanda
Background: Coronavirus disease (COVID-19) pandemic had an unprecedented effect on eye care services. The present study was conducted to assess the varied eye diseases and care around COVID-19 pandemic. Methods: This retrospective study was conducted at BBMCH, Balangir, Ophthalmology Department, Western Odisha, from September 2019 to May 2021 in three phases (i.e., September 2019 to March 2020, April to October 2020, November 2020 to March 2021). The total OPD consultations and emergency eye surgeries conducted around the COVID-19 period were retrieved from direct attendance in the OPD register, references, or tele-consultation...
July 2022: Journal of Family Medicine and Primary Care
https://read.qxmd.com/read/36228078/community-health-workers-as-trust-builders-and-healers-a-cohort-study-in-primary-care
#19
JOURNAL ARTICLE
Robert L Ferrer, Carolina Gonzalez Schlenker, Inez Cruz, Polly Hitchcock Noël, Raymond F Palmer, Ramin Poursani, Carlos Roberto Jaén
PURPOSE: Improving patients' self-care for chronic disease is often elusive in the context of social deprivation. We evaluated whether a practice-integrated community health worker (CHW) intervention could encourage effective long-term self-management of type 2 diabetes mellitus (T2DM). METHODS: This cohort study, in a safety-net primary care practice, enrolled patients with uncontrolled T2DM and psychosocial risk factors. Patients were identified through a practice diabetes registry or by clinicians' referrals...
September 2022: Annals of Family Medicine
https://read.qxmd.com/read/36126007/acute-headache-in-adults-a-diagnostic-approach
#20
JOURNAL ARTICLE
Anthony J Viera, Brian Antono
A detailed history and physical examination can distinguish between key features of a benign primary headache and concerning symptoms that warrant further evaluation for a secondary headache. Most headaches that are diagnosed in the primary care setting are benign. Among primary headache disorders, tension-type headache is the most common, although a migraine headache is more debilitating and likely to present in the primary care setting. Signs such as predictable timing, sensitivity to smells or sounds, family history of migraine, recurrent sinus headache, or recurrent severe headaches with a normal neurologic examination could indicate migraine headache...
September 2022: American Family Physician
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