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Primary Care

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John N Mafi, Christina C Wee, Roger B Davis, Bruce E Landon
BACKGROUND: Many physicians believe that advanced practice clinicians (APCs [nurse practitioners and physician assistants]) provide care of relatively lower value. OBJECTIVE: To compare use of low-value services among U.S. APCs and physicians. DESIGN: Service use after primary care visits was evaluated for 3 conditions after adjustment for patient and provider characteristics and year. Patients with guideline-based red flags were excluded and analyses stratified by office- versus hospital-based visits, acute versus nonacute presentations, and whether clinicians self-identified as the patient's primary care provider (PCP)...
August 16, 2016: Annals of Internal Medicine
Greg Rubin, Annette Berendsen, S Michael Crawford, Rachel Dommett, Craig Earle, Jon Emery, Tom Fahey, Luigi Grassi, Eva Grunfeld, Sumit Gupta, Willie Hamilton, Sara Hiom, David Hunter, Georgios Lyratzopoulos, Una Macleod, Robert Mason, Geoffrey Mitchell, Richard D Neal, Michael Peake, Martin Roland, Bohumil Seifert, Jeff Sisler, Jonathan Sussman, Stephen Taplin, Peter Vedsted, Teja Voruganti, Fiona Walter, Jane Wardle, Eila Watson, David Weller, Richard Wender, Jeremy Whelan, James Whitlock, Clare Wilkinson, Niek de Wit, Camilla Zimmermann
The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal...
September 2015: Lancet Oncology
Richard de Abreu Lourenco, Jane Hall
No abstract text is available yet for this article.
September 2015: Lancet Oncology
Yuankai Shi
No abstract text is available yet for this article.
September 2015: Lancet Oncology
Carin A Uyl-de Groot, Werner B F Brouwer, Jan M de Maeseneer, Jaap Verweij
No abstract text is available yet for this article.
September 2015: Lancet Oncology
Cassandra Coburn, David Collingridge
No abstract text is available yet for this article.
September 2015: Lancet Oncology
Johan Hansen, Peter P Groenewegen, Wienke G W Boerma, Dionne S Kringos
In light of the growing pressure that multiple chronic diseases place on health care systems, we investigated whether strong primary care was associated with improved health outcomes for the chronically ill. We did this by combining country- and individual-level data for the twenty-seven countries of the European Union, focusing on people's self-rated health status and whether or not they had severe limitations or untreated conditions. We found that people with chronic conditions were more likely to be in good or very good health in countries that had a stronger primary care structure and better coordination of care...
September 2015: Health Affairs
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