Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Health Promotion: Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.Blood-Brain Barrier: Specialized non-fenestrated tightly-joined ENDOTHELIAL CELLS with TIGHT JUNCTIONS that form a transport barrier for certain substances between the cerebral capillaries and the BRAIN tissue.Health Surveys: A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Mental Health: The state wherein the person is well adjusted.Attitude to Health: Public attitudes toward health, disease, and the medical care system.Health Planning: Planning for needed health and/or welfare services and facilities.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Health: The state of the organism when it functions optimally without evidence of disease.Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Community Health Centers: Facilities which administer the delivery of health care services to people living in a community or neighborhood.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Health Behavior: Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.World Health: The concept pertaining to the health status of inhabitants of the world.Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.National Health Programs: Components of a national health care system which administer specific services, e.g., national health insurance.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Health Education: Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.Rural Health: The status of health in rural populations.Health Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Public Health Administration: Management of public health organizations or agencies.Health Priorities: Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Health Care Rationing: Planning for the equitable allocation, apportionment, or distribution of available health resources.Child Health Services: Organized services to provide health care for children.Oral Health: The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.Health Facilities: Institutions which provide medical or health-related services.Health Status Disparities: Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.Mental Health Services: Organized services to provide mental health care.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Public Health Practice: The activities and endeavors of the public health services in a community on any level.Community Health Planning: Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)World Health Organization: A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Health Care Sector: Economic sector concerned with the provision, distribution, and consumption of health care services and related products.Environmental Health: The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Women's Health: The concept covering the physical and mental conditions of women.Occupational Health: The promotion and maintenance of physical and mental health in the work environment.Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Urban Health: The status of health in urban populations.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Health Manpower: The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Health Services, Indigenous: Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.Regional Health Planning: Planning for health resources at a regional or multi-state level.Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Rural Population: The inhabitants of rural areas or of small towns classified as rural.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Health Literacy: Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.SwedenPreventive Health Services: Services designed for HEALTH PROMOTION and prevention of disease.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Primary Nursing: The primary responsibility of one nurse for the planning, evaluation, and care of a patient throughout the course of illness, convalescence, and recovery.Health Services Administration: The organization and administration of health services dedicated to the delivery of health care.South Africa: A republic in southern Africa, the southernmost part of Africa. It has three capitals: Pretoria (administrative), Cape Town (legislative), and Bloemfontein (judicial). Officially the Republic of South Africa since 1960, it was called the Union of South Africa 1910-1960.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Health Plan Implementation: Those actions designed to carry out recommendations pertaining to health plans or programs.Allied Health Personnel: Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.Maternal Health Services: Organized services to provide health care to expectant and nursing mothers.Politics: Activities concerned with governmental policies, functions, etc.Urban Health Services: Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.Catchment Area (Health): A geographic area defined and served by a health program or institution.Public Health Nursing: A nursing specialty concerned with promoting and protecting the health of populations, using knowledge from nursing, social, and public health sciences to develop local, regional, state, and national health policy and research. It is population-focused and community-oriented, aimed at health promotion and disease prevention through educational, diagnostic, and preventive programs.Nurses: Professionals qualified by graduation from an accredited school of nursing and by passage of a national licensing examination to practice nursing. They provide services to patients requiring assistance in recovering or maintaining their physical or mental health.Electronic Health Records: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.Women's Health Services: Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Primary Care Nursing: Techniques or methods of patient care used by nurses as primary careproviders.Australia: The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.Financing, Government: Federal, state, or local government organized methods of financial assistance.Consumer Participation: Community or individual involvement in the decision-making process.IndiaHealth Facility Planning: Areawide planning for health care institutions on the basis of projected consumer need.Referral and Consultation: The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.Patient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Great BritainPhysicians, Family: Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.Spain: Parliamentary democracy located between France on the northeast and Portugual on the west and bordered by the Atlantic Ocean and the Mediterranean Sea.Healthcare Disparities: Differences in access to or availability of medical facilities and services.General Practitioners: Physicians whose practice is not restricted to a specific field of MEDICINE.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Communication Barriers: Those factors, such as language or sociocultural relationships, which interfere in the meaningful interpretation and transmission of ideas between individuals or groups.Mental Disorders: Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.Physician's Practice Patterns: Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.Infant, Newborn: An infant during the first month after birth.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)BrazilHealth Facility Administration: Management of the organization of HEALTH FACILITIES.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Medically Underserved Area: A geographic location which has insufficient health resources (manpower and/or facilities) to meet the medical needs of the resident population.Blood-Retinal Barrier: A specialized transport barrier, in the EYE, formed by the retinal pigment EPITHELIUM, and the ENDOTHELIUM of the BLOOD VESSELS of the RETINA. TIGHT JUNCTIONS joining adjacent cells keep the barrier between cells continuous.Clinical Governance: A framework through which the United Kingdom's National Health Service organizations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish. (Scally and Donaldson, BMJ (4 July 1998): 61-65)Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Reproductive Health: The physical condition of human reproductive systems.Private Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.LithuaniaNeeds Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.EnglandHealth Occupations: Professions or other business activities directed to the cure and prevention of disease. For occupations of medical personnel who are not physicians but who are working in the fields of medical technology, physical therapy, etc., ALLIED HEALTH OCCUPATIONS is available.Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Nurse Practitioners: Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Family Health: The health status of the family as a unit including the impact of the health of one member of the family on the family as a unit and on individual family members; also, the impact of family organization or disorganization on the health status of its members.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Maternal-Child Health Centers: Facilities which administer the delivery of health care services to mothers and children.Health Benefit Plans, Employee: Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.Blood-Air Barrier: The barrier between capillary blood and alveolar air comprising the alveolar EPITHELIUM and capillary ENDOTHELIUM with their adherent BASEMENT MEMBRANE and EPITHELIAL CELL cytoplasm. PULMONARY GAS EXCHANGE occurs across this membrane.Financing, Organized: All organized methods of funding.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Policy Making: The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Adolescent Health Services: Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.Efficiency, Organizational: The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.Social Justice: An interactive process whereby members of a community are concerned for the equality and rights of all.Universal Coverage: Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Organizational Objectives: The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.Public Sector: The area of a nation's economy that is tax-supported and under government control.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.Interinstitutional Relations: The interactions between representatives of institutions, agencies, or organizations.Occupational Health Services: Health services for employees, usually provided by the employer at the place of work.IraqPhysician-Patient Relations: The interactions between physician and patient.Community Health Workers: Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.Local Government: Smallest political subdivisions within a country at which general governmental functions are carried-out.Organizational Case Studies: Descriptions and evaluations of specific health care organizations.Health Planning Councils: Organized groups serving in advisory capacities related to health planning activities.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Community Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.Focus Groups: A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.General Practice: Patient-based medical care provided across age and gender or specialty boundaries.Community-Institutional Relations: The interactions between members of a community and representatives of the institutions within that community.GreeceProcess Assessment (Health Care): An evaluation procedure that focuses on how care is delivered, based on the premise that there are standards of performance for activities undertaken in delivering patient care, in which the specific actions taken, events occurring, and human interactions are compared with accepted standards.Educational Status: Educational attainment or level of education of individuals.National Institutes of Health (U.S.): An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.Organizational Innovation: Introduction of changes which are new to the organization and are created by management.State Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.Life Style: Typical way of life or manner of living characteristic of an individual or group. (From APA, Thesaurus of Psychological Index Terms, 8th ed)Public Health Informatics: The systematic application of information and computer sciences to public health practice, research, and learning.Developing Countries: Countries in the process of change with economic growth, that is, an increase in production, per capita consumption, and income. The process of economic growth involves better utilization of natural and human resources, which results in a change in the social, political, and economic structures.FinlandContinuity of Patient Care: Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.QatarBlood-Testis Barrier: A specialized barrier, in the TESTIS, between the interstitial BLOOD compartment and the adluminal compartment of the SEMINIFEROUS TUBULES. The barrier is formed by layers of cells from the VASCULAR ENDOTHELIUM of the capillary BLOOD VESSELS, to the SEMINIFEROUS EPITHELIUM of the seminiferous tubules. TIGHT JUNCTIONS form between adjacent SERTOLI CELLS, as well as between the ENDOTHELIAL CELLS.Oceanic Ancestry Group: Individuals whose ancestral origins are in the islands of the central and South Pacific, including Micronesia, Melanesia, Polynesia, and traditionally Australasia.Social Class: A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.Reproductive Health Services: Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.Counseling: The giving of advice and assistance to individuals with educational or personal problems.International Cooperation: The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.Ambulatory Care Facilities: Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.Rwanda: A republic in eastern Africa, south of UGANDA, east of DEMOCRATIC REPUBLIC OF THE CONGO, west of TANZANIA. Its capital is Kigali. It was formerly part of the Belgian trust territory of Ruanda-Urund.Permeability: Property of membranes and other structures to permit passage of light, heat, gases, liquids, metabolites, and mineral ions.Community Health Nursing: General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population or community. This is not an official program of a Public Health Department.Health Records, Personal: Longitudinal patient-maintained records of individual health history and tools that allow individual control of access.Leadership: The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers.Inservice Training: On the job training programs for personnel carried out within an institution or agency. It includes orientation programs.Health Planning Guidelines: Recommendations for directing health planning functions and policies. These may be mandated by PL93-641 and issued by the Department of Health and Human Services for use by state and local planning agencies.Ambulatory Care: Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.Health Care Coalitions: Voluntary groups of people representing diverse interests in the community such as hospitals, businesses, physicians, and insurers, with the principal objective to improve health care cost effectiveness.Personnel Delegation: To entrust to the care or management of another, to transfer or to assign tasks within an organizational or administrative unit or structureGuideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Tight Junctions: Cell-cell junctions that seal adjacent epithelial cells together, preventing the passage of most dissolved molecules from one side of the epithelial sheet to the other. (Alberts et al., Molecular Biology of the Cell, 2nd ed, p22)Vulnerable Populations: Groups of persons whose range of options is severely limited, who are frequently subjected to COERCION in their DECISION MAKING, or who may be compromised in their ability to give INFORMED CONSENT.Consumer Satisfaction: Customer satisfaction or dissatisfaction with a benefit or service received.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.United Arab Emirates: A federation of seven states on the southeast portion of the Arabian peninsula: Abu Dhabi, Ajman, Dubai, Fujairah, Ras al-Khaimah, Sharjah and Umm al-Qaiwain. In 1820 a treaty of peace was concluded between Great Britain and native rulers. During the 19th century the rulers agreed to suppression of the slave trade and restriction of foreign relations to Great Britain. The Trucial Council was established in 1952 and defense treaties with Great Britain terminated. In 1971 an independent six-member federation was formed, with Ras al-Khaimah joining the federation in 1972. (From Webster's New Geographical Dictionary, 1988, p1250)Professional-Patient Relations: Interactions between health personnel and patients.Interdisciplinary Communication: Communication, in the sense of cross-fertilization of ideas, involving two or more academic disciplines (such as the disciplines that comprise the cross-disciplinary field of bioethics, including the health and biological sciences, the humanities, and the social sciences and law). Also includes problems in communication stemming from differences in patterns of language usage in different academic or medical disciplines.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Mobile Health Units: Movable or portable facilities in which diagnostic and therapeutic services are provided to the community.Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Men's Health: The concept covering the physical and mental conditions of men.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Diffusion of Innovation: The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.
Hispanic-Latino naming dispute
Rural Health Workforce and The Patient Protection and Affordable Care Act
Overcoming Barriers in the Management of Hypertension: The Experience of the Cardiovascular Health Program in Chilean Primary...
Overcoming Barriers in the Management of Hypertension: The Experience of the Cardiovascular Health Program in Chilean Primary...
Identifying challenges and barriers in the delivery of primary healthcare at the district level: a study in one Thai province -...
Barriers and facilitators to implementing Decision Boxes in primary healthcare teams to facilitate shared decisionmaking: a...
Primary Care Continuity Improves Diabetic Health Outcomes: From Free Clinics to Federally Qualified Health Centers | American...
Voices from the frontline: barriers and strategies to improve tuberculosis infection control in primary health care facilities...
Barriers to access and organization of primary health care services for rural riverside populations in the Amazon |...
Diabetes and hypertension guidelines and the primary health care practitioner in Barbados: knowledge, attitudes, practices and...
Summary of Workgroup Meeting on Use of Family History Information in Pediatric Primary Care and Public Health | SUPPLEMENT...
Integrating mental health into primary healthcare in the Central African Republic - Humanitarian Practice Network
WHO EMRO | Integration of mental health into primary healthcare: perceptions of stakeholders in Pakistan | Volume 24, issue 2 |...
Self-Efficacy Primary Driver to Hearing Healthcare Growth| Holly Hosford-Dunn |hearinghealthmatters.org/hearingeconomics
A governance model for integrated primary/secondary care for the health-reforming first world - results of a systematic review ...
IMSEAR at SEARO: Barriers to Effective HIV Testing Services and Strategies for Its Promotion at the Primary Health Care...
Barriers and facilitators to the integration of mental health services into primary healthcare: a qualitative study among...
Barriers and facilitators to the integration of mental health services into primary health care: a systematic review protocol |...
Adherence of heart failure patients to exercise: barriers and possible solutions - Nuffield Department of Primary Care Health...
Primary care staff's views and experiences related to routinely advising patients about physical activity. A questionnaire...
Complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in primary health...
Implementing a Patient Education Program for Hypertension in Primary Care - Potentially Perceptions of Barriers
Primary Health Care Research & Development | Most cited | Cambridge Core
Barriers and bridges to evidence based clinical practice | The BMJ
Occupational Stigma as a Primary Barrier To Health Care For Street-Based Sex Workers in Canada | Sex Work Research
Developing and Using Interactive Health CD-ROMs as a Complement to Primary Care: Lessons From Two Research Studies | Diabetes...
Strengthening Linkages Between Public Health and Health Care in Nebraska
primary care - Page 2 - The National Academy for State Health Policy
FacilitatorsPracticeMajor barriersClinicalConclusionsMethodsPracticesAccessClinicians2017General practitionersSpecific barriersWorld Health OrganPhysicians2018ClinicsProvisionHypertensionSystematicPerceptionsPreventionPublic HealthReduce financial barriersImplementationImproveOvercome2019ServicesLong-acting reversible contra2020FindingsNursesAttitudesOrganizationChronicSystemDisparitiesEvaluateObjectiveMedicationIdentifyingDiagnosisAdultPatient'sStigmaAntenatal careSciencesStudyPediatric primary carePopulationsQuestionnaireInterventionPopulation healthAimsSocioeconomicAddressingHelping to informRoutineIntegrationInterventions in Primary CareProblematicMedical
Facilitators5
- Our objective is to explore the barriers and facilitators to using Decision Boxes in clinical practice, more precisely factors stemming from (1) the Decision Boxes themselves, (2) the primary healthcare team (PHT), and (3) the primary care practice environment. (biomedcentral.com)
- Identifying the barriers and facilitators to optimal hearing aid self-efficacy. (hearinghealthmatters.org)
- Therefore, exploring the context specific barriers and facilitators affecting the primary care providers (PCPs) in Mbarara district, Uganda may provide a practical way of addressing the identified barriers thus influence the PCPs action towards integration of mental healthcare services into PHC. (beds.ac.uk)
- Aim 3: Evaluate facilitators and barriers to the adoption and implementation of this integrated risk assessment module. (clinicaltrials.gov)
- Summary As part of their programme to develop public health guidance, this review was funded by Britain's National Institute for Health and Clinical Excellence (NICE) in order to synthesise evidence on barriers and facilitators to the implementation of screening to identify risky drinkers and to offer brief interventions to curtail the risk. (findings.org.uk)
Practice40
- Despite the early promise of reductions in Emergency Department and hospital attendance with new models of integrated care via independent practice associations (IPAs) in NZ, a shift in policy has only now seen a government focus on 'better, sooner, more convenient health care in the community' [ 8 ]. (biomedcentral.com)
- Uptake of clinical guideline recommendations into routine practice requires changes in attitudes and behaviors of the health care providers. (beds.ac.uk)
- The World Health Organization (WHO) has heavily invested in public health and health promotion globally by developing policy recommendations to guide clinical practice [ 5 ], and one such investment is promotion of mental health services into primary healthcare (PHC). (beds.ac.uk)
- A cross-sectional questionnaire survey of general practitioners (or family physicians), practice nurses and health visitors based in four health regions was conducted during 2004. (biomedcentral.com)
- Health visitors and practice nurses were more likely than general practitioners to offer routine advice. (biomedcentral.com)
- However, health visitors and practice nurses were also more likely than general practitioners to believe that patients would follow their physical activity advice giving. (biomedcentral.com)
- What are the implications for public health practice? (cdc.gov)
- This report offers strategies for preparing the primary care practice itself for provision of enhanced mental health care services. (aappublications.org)
- Most primary care clinicians will find that significant gaps exist between their current practice and the proposed ideal. (aappublications.org)
- Primary care clinicians and managers can consider which strategies seem most feasible and are most consistent with other aspects of their practice and gradually plan the enhancements they choose. (aappublications.org)
- The Mental Health Practice Readiness Inventory ( Appendix S3 ) can assist primary care clinicians and managers in assessing the strengths and needs of the practice and in setting its priorities. (aappublications.org)
- Individual clinicians and practices may have limited influence over some of these elements, but there are steps that any practice can take to improve mental health service delivery. (aappublications.org)
- We value collaborative communication with all parties concerned with healthcare delivery, and advocate for a positive practice environment to nourish the specialty of Family Medicine. (issuu.com)
- One hundred and fifteen panellists representing 11 different stakeholder groups within primary care mental health services (clinical psychologist, health and social care commissioner, community psychiatric nurse, counsellor, general practitioner, practice nurse/district nurse/health visitor, psychiatrist, social worker, carer, patient and voluntary organisations). (bmj.com)
- We geocoded the practice addresses of primary care and behavioral health providers found in the Centers for Medicare & Medicaid Services' National Plan and Provider Enumeration System Downloadable File to report where colocation is occurring throughout the country. (jabfm.org)
- Our findings offer new insights into the overlap of the behavioral health and primary care workforce, where opportunities for integration may be limited because of practice size and the proximity of providers, and where new possibilities for integration exist. (jabfm.org)
- 10 Using practice addresses from a listing of most health care providers in the United States, we examined the extent to which primary care physicians (PCPs) and behavioral health providers share the same space, although not necessarily the same practice. (jabfm.org)
- Primary care and gynecology clinicians differ in their knowledge and confidence in managing vulvovaginal atrophy but report similar practice barriers. (medscape.com)
- Addressing identified knowledge deficits and practice barriers may lead to improved management of vulvovaginal atrophy. (medscape.com)
- 1 In Australia, financial incentives in primary care were first introduced in 1996, through the Better Practice Program, which was superseded by the Practice Incentives Program (PIP) in 1998. (mja.com.au)
- A survey of 315 GPs in five Divisions of General Practice (DGPs) in metropolitan Sydney found that the perceived administrative burden was a barrier to uptake. (mja.com.au)
- 14 In Canada, clinical practice guidelines have been developed by independent groups with interest in individual risk factors or diseases, usually working with or part of charitable nongovernment health organizations largely dependent on academic and community volunteers. (cmaj.ca)
- Aim 2: Measure the reach and effectiveness of this integrated risk assessment module by conducting a cluster randomized controlled trial (RCT) of adult primary care patients in the Brigham and Women's Primary Care Practice-Based Research Network. (clinicaltrials.gov)
- This project will further our understanding of how technology can be used to fill a gap in current clinical practice by facilitating the systematic collection of family health history and lifestyle risk factor data and integrating these data with an individual's EHR to personalize care in a variety of settings and for diverse patient populations. (clinicaltrials.gov)
- In response, an approach to surveillance has been evolving that leverages existing computerized veterinary practice management systems to capture animal health data recorded by veterinarians. (frontiersin.org)
- New Zealand companion animal and equine veterinary practitioners were engaged to test the feasibility of this national practice-based health information and data system. (frontiersin.org)
- An approach to surveillance has been evolving that utilizes computerized veterinary practice management systems to capture data from individual primary-care veterinary practices and generate population-level information on animal health and welfare ( 1 ). (frontiersin.org)
- Key solutions include prioritising access to stable housing, continuity of health care, specialised homeless general practice, hospital inreach, discharge planning and coordinated care, general practice outreach, and medical recovery centres. (mja.com.au)
- The aim of this study was to assess the perceptions and experiences of primary caregivers and other care providers such as healthcare workers, teachers, and community leaders regarding their involvement, practice and challenges of HIV disclosure to children aged between 6 and 12 years living with HIV in Malawi. (scribd.com)
- Electronic health records (EHRs) are a key tool for primary care practice. (bioportfolio.com)
- Increasing recognition of general practice is reflected in the growing number of university institutes devoted to the subject and Health Services Research (HSR) is flourishing as a result. (springermedizin.at)
- In May 2015 the Institute of General Practice and Evidence-based Health Services Research, Medical University of Graz, initiated a survey of Styrian GPs. (springermedizin.at)
- The review on scopes of practice tends to gain importance in Human Resource in Health agenda in Brazil. (scielo.br)
- The aim of this study was to investigate the scope of practice of physicians and nurses who work in the Atenção Primária em Saúde (APS) (Primary Healthcare) and their main barriers. (scielo.br)
- In the health area, the form how professional practice are defined, limited or extended, directly impacts the quality and cost of services. (scielo.br)
- 5 On the other hand, the factors that determine these practices are different from what has been shown in several studies on the theme, in which the scope of health professionals has been associated, among others, to factors such as nationality, sex, age, education, experience and location of practice, such as remote and unassisted areas or with low availability of health professionals. (scielo.br)
- the expansion of primary care health professionals scope of practice, as physicinas performing tasks usually attributed to specialists. (scielo.br)
- In Brazil, the APS is the preferential entrance to the Sistema Único de Saúde (SUS) (Public Health System) and the scope of practice for health professionals who work in this context influence directly the referrals rates and lines at secondary and tertiary care and, consequently, costs and access to health. (scielo.br)
- Settings for Health Promotion: Linking Theory and Practice. (wikipedia.org)
- Practice variations and health care reform: connecting the dots. (ahrq.gov)
Major barriers4
- Utilising the Information Motivation and Behaviour (IMB) Model, major barriers to TB infection control information included poor training and conflicting policy guidelines. (biomedcentral.com)
- Conclusion: This study revealed that the primary health centres have pre-test and post-test HIV counseling services but insufficient consumables and staff were the major barriers to HIV testing services in this study. (who.int)
- The Commonwealth Fund report outlines a few of the major barriers to improving women's health care, starting with basic access. (nationalgeographic.com)
- The three major barriers for Pacific are cost, transport and language. (health.govt.nz)
Clinical17
- European Directive EN 13795-3:2006: The European harmonized standard specifying requirements for single-use and reusable gowns, drapes and clean air suits used as medical devices for patients, clinical staff and equipment and intended to prevent the transmission of infective agents between patients and clinical staff during invasive surgical procedures. (molnlycke.sg)
- Sign up for Insight Alerts highlighting editor-chosen studies with the greatest impact on clinical care. (aappublications.org)
- Interactive health technologies (IHTs), whether used as an adjunct to clinical care or as a stand-alone program, provide a means to efficiently deliver both standardized information and tailored health interventions to a large number of patients. (diabetesjournals.org)
- 1 - 3 Whether used to enhance clinical care or as a stand-alone tool, they simultaneously offer an efficient means of implementation and individualized tailoring for care delivery. (diabetesjournals.org)
- Of 201 eligible providers, 107 (53%) completed a self-administered questionnaire ascertaining attitudes, perceived barriers, and clinical practices related to assessing and managing breast cancer risk. (nih.gov)
- Moves towards establishing a standardised and generic system of quality measurement in mental health care in England began in the 1990s when the Clinical Standards Advisory Group focused on both the management of schizophrenia 2 and depression 3 and, with the latter, moved towards examining the quality of provision in primary as well as secondary care. (bmj.com)
- Employers and plans should recognize and reward investments in infrastructure that will enhance quality, including clinical information systems and measurable integration of clinical services within health care organizations. (commonwealthfund.org)
- Harmonization and integration of guidelines is becoming increasingly important for multidisciplinary, interdisciplinary and interprofessional clinical care teams. (cmaj.ca)
- The importance of integrating family health history with an individual's medical record will increase as our understanding of the genome evolves because it will be more essential to put detailed personal genetic information into a clinical context. (clinicaltrials.gov)
- Veterinary practitioners have extensive knowledge of animal health from their day-to-day observations of clinical patients. (frontiersin.org)
- While the concept of using veterinary clinical data and electronic medical records for animal health surveillance is not new ( 2 ), considerable advances have recently been made to improve compliance, for example, through the development of web-based data collection systems ( 3 ). (frontiersin.org)
- We discuss implications for community health worker training and clinical support in primary care. (annfammed.org)
- Primary care, the largest health care delivery platform in the United States, is widely regarded as a natural point of integration and coordination between clinical care and public health, behavioral health, and community services. (annfammed.org)
- This review provides an overview of promising optical imaging technologies, the infrastructure needed to integrate them into widespread clinical use, and the challenges that must be addressed to harness the potential of these technologies to improve health care systems around the world. (sciencemag.org)
- The knowledge of diabetes care and the clinical experience of general practitioners may not meet the needs of their T1D patients and it is difficult to get enough clinical experience if the number of T1D patients under their follow-up care is very limited. (springermedizin.de)
- We collected data concerning CVR factors and sexual health inquiry through interviews and clinical records and we used the International Index of Erectile Function to evaluate ED. Logistic regression models were used to study the association between ED and CVR factors. (elsevier.es)
- UK-focused review for Britain's National Institute for Health and Clinical Excellence of what impedes or promotes the implementation of brief alcohol interventions at the level of the organisation, the staff doing the work, and the patients targeted by the programme. (findings.org.uk)
Conclusions3
- Conclusions Engagement with primary care physician services soon after prison release increases health service utilisation during the critical community transition period for ex-prisoners. (bmj.com)
- CONCLUSIONS Poverty is associated not only with higher diabetes incidence but also with inequality of diabetes care in a northeast Asian population, despite universal health coverage. (diabetesjournals.org)
- Conclusions: This review results revealed a low utilization of postnatal care service. (medworm.com)
Methods6
- AAMI is the US reference standard establishing a system of classification for protective apparel and drapes based on their liquid barrier performance and specifies related labelling requirements and standardised test methods. (molnlycke.sg)
- This studywastherefore designed to investigate barriers to effective HIV testing services and strategies for its promotion at the primary health care facilities in Ibadan.Methods: This descriptive cross-sectional study was carried out among health care providers in primary health care facilities in five local government areas in Ibadan metropolis, Nigeria. (who.int)
- Although much of the literature on the chronic care model focuses on medical rather than mental health conditions and on adults rather than children with mental illness, 5 , 6 the task force recognizes the applicability of chronic care methods to children with mental health problems and the potential importance of these methods in creating a "medical home" for children who experience mental health problems ( Fig 1 ). (aappublications.org)
- Methods Data from SoFIE-Health (wave 3), which is an add-on to the Statistics New Zealand-led longitudinal Survey of Family, Income and Employment (SoFIE) (N=18 320), were analysed using logistic regression, adjusting for demographic, socioeconomic, health behaviour and health variables. (bmj.com)
- AMA recruited 26 primary care practices and health systems in 17 US communities to implement point-of-care and retrospective methods (or a combination of both) for screening, testing, and referral of Medicare patients with prediabetes. (cdc.gov)
- All approaches showed increased enrollment with point-of-care methods being most successful. (cdc.gov)
Practices15
- Topics addressed at the meeting included current practices, needs, and barriers for use of family history information in pediatric primary care and public health. (aappublications.org)
- The linkage programs and activities and their effect and the barriers, benefits, and opportunities for building linkages identified in this study can be used to shape stronger and broader local and national practices for future collaborations and system integration. (cdc.gov)
- We surveyed primary care providers to evaluate breast cancer risk assessment and management practices. (nih.gov)
- Most practices will not be able to implement quickly all or even most of the elements of the chronic care model. (aappublications.org)
- These indicators were categorised into 21 aspects of care, 11 relating to general practices and 10 relating to health authorities or primary care groups/trusts. (bmj.com)
- 9 The challenge for this assessment is the vast differences in practices' classification schemas for integration and the lack of a national database that clearly encapsulates the practices that are integrating primary care and behavioral health on site. (jabfm.org)
- What is not so obvious is the extent to which PCPs in smaller practices share space with behavioral health providers. (jabfm.org)
- The authors conducted a pilot study of four North Carolina primary care practices (two pediatric and two family medicine) participating in a larger year-long quality improvement collaborative. (rwjf.org)
- These results are consistent with previous case reports that suggest that OA is both feasible and effective for improving access to and quality of care in primary care practices. (rwjf.org)
- This pilot project is an important step toward developing a national surveillance system for companion animals and equines that moves beyond emerging infectious disease detection to provide important animal health information that can be used by a wide range of stakeholder groups, including participating veterinary practices. (frontiersin.org)
- The only study that was based in a primary care setting was in paediatrician-led US practices which may not be relevant to systems where general practitioners provide 'cradle to grave' primary care. (bmj.com)
- the results suggests the need to ease the health professionals' attributions, facilitate the integration between the professionals' practices and optimizing their work, especially in remote and unassisted regions, in order to be in favor of expanding the access and problem solving in APS. (scielo.br)
- Therefore, we interviewed community vaccinators about their 2009 experience with workplace vaccination against seasonal influenza virus and pandemic (H1N1) 2009 virus, their business practices, barriers encountered, and delivery of other adult vaccines. (cdc.gov)
- The outcome of IHE initiatives is providing better information for developing health policy and best medical practices. (ihe.ca)
- Practices (n = 12) that used retrospective (ie, electronic medical record [EMR]) systems to identify eligible Medicare patients via a registry referred more people (n = 4,601) to the YMCA DPP than practices (n = 10) that used a point-of-care method alone (n = 437 patients) or practices (n = 4) that used a combination of these approaches (n = 602 patients). (cdc.gov)
Access62
- To assess the blood pressure control and cardiovascular risk factors (CVRFs) in a population of hypertensive patients with access to care under a government-financed program, the Cardiovascular Health Program (CHP). (hindawi.com)
- Findings showed that the sustainability of PHC service provision under the administration of community hospitals is problematic as barriers exist at the policy and operational levels and access to PHC for all citizens may not be achieved until these barriers are addressed. (wiley.com)
- In addition, social inequities, large geographic distances and inadequate health care network noticeably limit access to health services in rural areas. (biomedcentral.com)
- Over the last decades, Brazilian health authorities have implemented fluvial mobile units (FMU) as an alternative to increase access and healthcare coverage. (biomedcentral.com)
- The aim of the study was to identify the strategies of access and utilization of primary health care (PHC) services by assessing the strengths and limitations of the healthcare model offered by the FMU to reduce barriers to services and ensure the right to healthcare. (biomedcentral.com)
- Data collection consisted of interviews with users and health professionals and the observation of service organization and healthcare delivered by the FMU, in addition to the therapeutic itineraries that determine demand, access and interaction of users with healthcare services. (biomedcentral.com)
- Health and social inequalities are recurrent in Brazil, but they are more severe in rural populations as medical assistance only covers about 40% of the attempts to access health assistance in 1 year. (biomedcentral.com)
- Health care provision is limited in this region and a great number of people have never had access to dental care (16.6% of the population) [ 4 , 5 ]. (biomedcentral.com)
- In CAR, where the latest wave of violence began in May 2017, lack of access to and availability of appropriate care can be the difference between life and death for some people affected by mental disorders. (odihpn.org)
- Help-seeking behaviour in Pakistan is determined by a variety of factors including perception of illness, cost, quality of care and access to health facilities. (who.int)
- This involves the expansion and transformation of existing primary health care centres into interprofessional family health teams (FHT) promising to provide patients better access, more comprehensive care, and improved utilization of individual health professionals. (cambridge.org)
- As such, disentangling the factors shaping poor health access remains a critical public health priority. (wordpress.com)
- In multivariable analysis, adjusting for socio-demographic, interpersonal and work environment risks, occupational sex work stigma remained independently associated with an elevated likelihood of experiencing barriers to health access. (wordpress.com)
- Study findings indicate the critical need for policy and societal shifts in views of sex work as a legitimate occupation, combined with improved access to innovative, accessible and non-judgmental health care delivery models for street-based sex workers that include the direct involvement of sex workers in development and implementation. (wordpress.com)
- other researchers have described the utility of interactive health technologies for increasing provider adherence to medical guidelines, 5 increasing access to social support, 6 - 14 and increasing knowledge about and actions toward healthy behaviors with the goal of preventing disease or managing chronic conditions. (diabetesjournals.org)
- If and when access to computers and computer technology is ensured, the potential for using IHTs for health promotion is immense. (diabetesjournals.org)
- Improve access to comprehensive, quality health care services. (prezi.com)
- The task force acknowledged early in its deliberations that enhancing the mental health care that pediatricians and other primary care clinicians † provide to children and adolescents will require systemic interventions at the national, state, and community levels to improve the financing of mental health care and access to mental health specialty resources. (aappublications.org)
- Strategies for System Change in Children's Mental Health: A Chapter Action Kit " (chapter action kit), 1 "Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration," 2 and "Enhancing Pediatric Mental Health Care: Strategies for Preparing a Community. (aappublications.org)
- Many women rely on specialists rather than primary care providers, and now the pandemic is cutting access to those specialists. (nationalgeographic.com)
- Now, access to such specialists may be delayed or limited due to pandemic-related restrictions-a particular concern for women, who rely more on specialists for their broader health-care needs. (nationalgeographic.com)
- A new report by the Commonwealth Fund , which focuses on improving health-care access particularly for society's most vulnerable people, details how the splintered model of care in the U.S. affects women's health. (nationalgeographic.com)
- According to the American Academy of Family Physicians, an estimated 130,000 deaths in the U.S. could be prevented each year by improving primary health-care access. (nationalgeographic.com)
- The opportunity has never been greater to, at long last, develop a flourishing health information economy based on apps which have full access to health system data-for both patients and populations-and liquid data that travels to where it is needed for care, management and population and public health. (thehealthcareblog.com)
- The 2016 law requires that certified health information technology products have an application programming interface (API) that allows health information to be accessed, exchanged, and used " without special effort " and that provides "access to all data elements of a patient's electronic health record to the extent permissible under applicable privacy laws. (thehealthcareblog.com)
- APIs could also offer turnkey access to population health data in a standard format, and interoperable approaches to exchange and aggregate data across sites of care. (thehealthcareblog.com)
- Not that doctors and clinics wouldn't love to work that way, but we are severely penalized for providing quick access and focused care for our well-established patients. (thehealthcareblog.com)
- We believe there is an inherent value in a primary care medical home - providing quality, access and affordability. (issuu.com)
- We believe in the elimination of health disparities and barriers to access to healthcare for North Carolina. (issuu.com)
- Despite the increasing prevalence of behavioral health disorders and suicide, access to behavioral health care remains problematic. (ajmc.com)
- 1,9 Reasons for low treatment rates include lack of behavioral health providers, long waiting times for access, providers who do not take insurance, and the burden and stigma of accessing mental health care. (ajmc.com)
- Following the presentation of a report with recommendations to achieve universal health, which highlights the central role of Primary Health Care (PHC) and the need to eliminate barriers to access, the Director of PAHO launched a new regional compact with goals to achieve it. (paho.org)
- This Compact establishes goals to eliminate barriers to health access, and to increase funding by 30% to the first level of care by 2030. (paho.org)
- Reducing by at least 30% the barriers that hinder access to health by 2030. (paho.org)
- Currently, it is estimated that 30% of the population of the Americas lacks access to the health care they need. (paho.org)
- The barriers that prevent such access include financial, geographical, institutional, social and cultural barriers, which constitute the main impediments to equity, health and development in the 21st Century. (paho.org)
- Objectives This paper aims to examine ethnic differences in financial barriers to access to prescription medication in New Zealand. (bmj.com)
- Financial barriers to access to prescription items were measured by the following question: 'In the past 12 months, have there been any times when a doctor gave you a prescription, but you didn't collect one or more of these items because you could not afford the cost? (bmj.com)
- Conclusion Ethnicity plays a critical role in facilitating or impeding access to primary health care. (bmj.com)
- This suggests that policy measures to further reduce financial barriers to buying medication may improve access to care for everyone including Māori and Pacific people and may have positive health implications. (bmj.com)
- Other barriers include family commitments, difficulty in meeting appointment times, difficulty in understanding the nature and necessity of an appointment, lack of access to after hour services, communication barriers, inflexible employment, and feeling cultural discomfort when discussing health issues with non-Pacific practioners. (health.govt.nz)
- Improving Pacific engagement in primary care is reliant on both primary care to create an environment and deliver services that is culturally safe and employs strategies that increase Pacific access to and utilisation of primary health care, while at the same time Pacific people taking control of their health and doing the best they can under varying circumstances. (health.govt.nz)
- We need to tackle this problem as part of the larger challenge of increasing access to primary health care services. (who.int)
- All people, no matter who they are or where they live, should have access to TB diagnosis and treatment as part of a package of general health services that bring multiple health benefits," said Dr Margaret Chan, WHO Director-General. (who.int)
- In the last year, we have seen unprecedented collaboration between the TB and HIV communities, but much more is needed if we are to achieve our goal of universal access to quality TB and HIV prevention, diagnostic, treatment and care services", said Dr Peter Piot, Executive Director of UNAIDS. (who.int)
- One important barrier to primary health care access for children is difficulty obtaining timely appointments. (rwjf.org)
- This study looked at the impact of OA on access to and the quality of primary health care. (rwjf.org)
- Barriers to care were assessed with the Barriers to Access to Care Evaluation (BACE). (plos.org)
- For one year, no one came here and our people had to go all the way to Yatta to get access to health care services," said Mohamad Ayoub Hamad, a community leader in Khirbet al Fakheit, where MSF teams perform mobile medical activities. (doctorswithoutborders.org)
- Education, access to information, equipment and professionals has a direct influence on a community's level of health. (bartleby.com)
- Community health workers have potential to enhance primary care access and quality, but remain underutilized. (annfammed.org)
- Increased health care costs and demand have accelerated the need for resource-saving approaches that improve access to and delivery of primary care services. (annfammed.org)
- Barriers preventing people who are homeless from accessing primary care can be both personal and practical and include competing needs and priorities, illness and poor health, physical access to health services, difficulty in contacting services, medication security, and the affordability of health care. (mja.com.au)
- Payer experiments, such as the Comprehensive Primary Care Initiative, Accountable Care Organization pilots, and Medicare Access and CHIP Reauthorization Act legislation have created new incentives to pursue population health and value-based care. (annfammed.org)
- Pichlhöfer O, Maier M. Unregulated access to health-care services is associated with overutilization - lessons from Austria. (springermedizin.at)
- People with learning disabilities still face inequalities in access to health services. (nursingtimes.net)
- The main barriers for not performing those procedures include, lack of access to exams, materials and inadequate infrastructure, protocols and city guides restrictions, legal restrictions and lack of training. (scielo.br)
- For health care issues, the relevant Subcommittees are Health and Hospitals (budgets of the Departments of Public Health, Mental Health and Addiction Services, and Mental Retardation, Office of Health Care Access and Office of the Chief Medical Examiner) and Human Services (mainly the Department of Social Services - Medicaid, HUSKY, and other services). (cthealthpolicy.org)
- Our services are client-centred and community based, with a focus on those who face barriers to access. (canadahelps.org)
- Apart from personal vulnerability and other predisposing factors ( 8 ), lack of access to health care has been considered an important risk factor for the consequences of diabetes among the socioeconomically deprived ( 9 ). (diabetesjournals.org)
- Booth and Hux ( 11 ) found that limited access in rural areas and high out-of-pocket cost for medications and monitoring supplies might contribute to otherwise avoidable hospitalizations for low-SES patients with diabetes in the Canadian health system. (diabetesjournals.org)
- Its eight key domains of management intervention include: Human Resources Pharmacy Logistics Infrastructure Data Management Financial Management Planning and Coordination Health Insurance Information Technology By developing infrastructure, HB seeks to ensure that every community has access to a safe and permanent local health facility that offers a full range of services, including HIV prevention and treatment programs, tuberculosis treatment, family planning, and maternal and child health care. (wikipedia.org)
Clinicians11
- Decision Boxes are summaries of the most important benefits and harms of health interventions provided to clinicians before they meet the patient, to prepare them to help patients make informed and value-based decisions. (biomedcentral.com)
- The Decision Boxes will be delivered as weekly emails over a span of eight weeks to clinicians of PHTs (family physicians, residents and nurses) in five primary care clinics located across two Canadian provinces. (biomedcentral.com)
- This project will allow tailoring of Decision Boxes and their delivery to overcome the specific barriers identified by clinicians of PHTs to improve the implementation of shared decision making in this setting. (biomedcentral.com)
- Most pediatric primary care clinicians collect family history information without a disease in mind. (aappublications.org)
- Clinicians and healthcare planners who want to improve the quality and efficiency of healthcare services will find help in research evidence. (bmj.com)
- We discuss both the prospects for harnessing evidence to improve health care and the problems that readers-clinicians, planners, and patients-will need to overcome to enjoy the benefits of research(box). (bmj.com)
- IHTs, such as websites, read-only memory compact disks (CD-ROMs), and personal digital assistants (PDAs) can also free clinicians to focus on other care priorities, such as medications or treatment of acute conditions. (diabetesjournals.org)
- The task force proposes incrementally applying chronic care principles to the care of children with mental health and substance abuse problems as primary care clinicians apply them to the care of children with chronic medical conditions such as asthma. (aappublications.org)
- To guide development of an intervention to boost its detection and treatment, we surveyed primary care and gynecology clinicians practicing in an integrated healthcare system. (medscape.com)
- Designing health information technology tools for behavioral health clinicians integrated within a primary care team. (bioportfolio.com)
- Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (bioportfolio.com)
20173
- This study was the first to investigate Nebraska's recent experiences in building linkages between public health and primary care in 2017 and 2018 from the viewpoint of local health departments. (cdc.gov)
- We conducted a mixed-method study by using semistructured in-person and telephone interviews and surveys in 2017 and 2018 with directors of 19 Nebraska local health departments. (cdc.gov)
- Luitel NP, Jordans MJD, Kohrt BA, Rathod SD, Komproe IH (2017) Treatment gap and barriers for mental health care: A cross-sectional community survey in Nepal. (plos.org)
General practitioners5
- Other health care providers that patients commonly consult include: medically qualified general practitioners, religious healers (maulvi, pir, fakir), practitioners of hikmat (unanai medicine), homeopaths and faith healers (aamil sanyasi). (who.int)
- Lack of time and resources were more likely to be reported as barriers to routine advising by general practitioners than other professional groups. (biomedcentral.com)
- this is an additional payment that is paid directly to general practitioners for completing cycles of care for patients with diabetes and asthma, as well as for cervical screening of under-screened women. (mja.com.au)
- Rosemann T, Szecsenyi J. General practitioners' attitudes towards research in primary care: qualitative results of a cross sectional study. (springermedizin.at)
- Patients with common diseases like arterial hypertension, bronchial asthma or type 2 diabetes (T2D) are usually followed up by general practitioners (GP) in primary health care (PHC). (springermedizin.de)
Specific barriers1
- The primary objective was to assess barriers to UI care seeking among groups, as measured by the BICS-Q. Secondary objectives were to assess factors associated with barriers to incontinence care and to compare specific barriers using BICS-Q subscale scores. (urotoday.com)
World Health Organ9
- World Health Organization & United Nations High Commissioner for Refugees, Assessing Mental Health and Psychosocial Needs and Resources: Toolkit for Humanitarian Settings (Geneva: WHO, 2012). (odihpn.org)
- To provide effective mental health services, the World Health Organization emphasizes the integration of mental health into primary health care (PHC). (who.int)
- PHC was formally adapted by the World Health Organization (WHO), and they have since invested enormous amounts of resources across the globe to ensure that integration of mental health services into PHC works. (biomedcentral.com)
- email: [email protected]). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. (who.int)
- The mention of specific companies or of certain manufacturers' products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. (who.int)
- All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. (who.int)
- In no event shall the World Health Organization be liable for damages arising from its use. (who.int)
- A study of 21 countries with the World Health Organization (WHO) Mental Health Surveys found that 52.6% of persons with depressive disorder in low-income countries received any treatment in the past 12 months, and only 20.5% of persons with depressive disorder received minimally adequate treatment [ 5 ]. (plos.org)
- 3 The World Health Organization defines SDH as "the conditions in which people are born, grow, work, live and age and the wider set of forces and systems shaping the conditions of daily life. (annfammed.org)
Physicians12
- Vision Statement: Family physicians will be universally valued for their role in providing high quality care to the people of North Carolina. (issuu.com)
- Established through the Patient Protection and Affordable Care Act (PPACA or ACA), ACOs are provider-run (physicians, hospitals, and/or other healthcare organizations) groups that accept responsibility for the cost and quality of care of a defined population. (rrh.org.au)
- The extent to which primary care physicians are colocated with behavioral health providers is strongly associated with rurality. (jabfm.org)
- Specifically, 40.2% of primary care physicians in urban areas are colocated with behavioral health providers compared with 22.8% in isolated rural areas and 26.5% in frontier areas. (jabfm.org)
- however, there exists a more general need for all physicians and health care providers the world over to visualize tissue, cells, and molecules to aid in diagnosis at the point of care (PoC) or to guide surgical and medical procedures at the point of procedure (PoP). (sciencemag.org)
- First, raising awareness among providers regarding the prevalence of high out-ofpocket burdens and financial barriers to care may encourage physicians to discuss healthcare coverage and associated costs with their patients. (ajmc.com)
- To the extent that patients' perceptions about their ability to pay are incorrect, physicians can help patients overcome barriers to treatment. (ajmc.com)
- this is an exploratory qualitative study conducted in 2015 and 2016, through interviews with 26 physicians and 26 nurses who work in the APS in 12 cities distributed in five Brazilian health regions. (scielo.br)
- physicians and nurses in the health region of the North and Northeast performed a great number of procedures, and those physicians who work in units located in rural areas. (scielo.br)
- Although it is often unrecognized, family physicians provide a significant amount of mental health care in the United States. (aafp.org)
- 1 , 2 In the United States, 50 percent of patients treated for major depressive disorder are treated solely by primary care physicians, 3 and about 20 percent of psychotherapy sessions are provided in primary care. (aafp.org)
- 4 However, family physicians often report time pressures and lack of knowledge as barriers to providing systematic counseling. (aafp.org)
20182
- East Mediterr Health J. 2018;24(2):146-153. (who.int)
- Revenue was estimated by analyzing Current Procedural Terminology (CPT) codes for BHNP visits from the Epic electronic health record and corresponding relative value units (RVUs), based on 135% of 2018 nationally unadjusted Medicare rates. (ajmc.com)
Clinics11
- The LINKED Study set out to improve primary care usage through 1-on-1 counseling and referrals for patients with diabetes being treated at local free clinics. (jabfm.org)
- We investigated the linkages between local health departments and primary care clinics in Nebraska. (cdc.gov)
- Rural Health Clinics (RHCs) have served the primary healthcare needs of the medically underserved in US rural areas for more than 30 years. (rrh.org.au)
- To determine the personnel costs and revenue generated by embedding a behavioral health nurse practitioner (BHNP) in primary care clinics to evaluate and manage adolescent behavioral health needs. (ajmc.com)
- The overall study objective is to rigorously evaluate two primary care-based medication therapy management strategies that leverage an electronic health record (EHR) to promote patient understanding, medication reconciliation, medication adherence and disease control among hypertensive patients at safety net clinics. (clinicaltrials.gov)
- More than one-third of people in the area depend on mobile clinics for essential health services. (doctorswithoutborders.org)
- Some primary care clinics in the early 1900s employed peer health aides and provided recreation and welfare activities for their communities, as well as more formal health care services. (annfammed.org)
- Depression is common in patients attending primary care clinics especially for those in socioeconomically disadvantaged urban neighborhoods. (bioportfolio.com)
- but not between PHC clinics with different models of care organisation. (springermedizin.de)
- The indicators used to evaluate quality of diabetes care included the proportion of diabetic patients identified through hospitalization, visits to diabetes clinics, and completion of recommended diabetes tests. (diabetesjournals.org)
- Studies found that patients and staff felt these appropriate in contexts such as well-being clinics or registration sessions when lifestyle issues are commonly addressed and nurses involved in patient care. (findings.org.uk)
Provision7
- Itis therefore necessary for government to make provision for consumables and more personnel to boost the activities of the health facilities. (who.int)
- The adolescent with a chronic condition : epidemiology, developmental issues and health care provision / P-A. Michaud, J.C. Suris and R. Viner. (who.int)
- Examines integration of mental health and primary care as both a solution to chronic shortfalls in the provision of children's mental health services and an example of the processes involved in making change in complex systems. (jhsph.edu)
- A provision in the 21st Century Cures Act could transform how patients and providers use health information technology. (thehealthcareblog.com)
- In addition, differences in primary care provision for children across various healthcare jurisdiction makes generalisability of study findings challenging. (bmj.com)
- 8 , 9 Countries such as Australia, Canada, the United States and England are reviewing of the scope of health professions, seeking each time more in optimizing their workforce, reducing costs, providing greater equity and quality in service provision, mainly in regions that present shortage of these professionals. (scielo.br)
- Can We Reduce the Provision & Consumption of Unnecessary Care? (ihe.ca)
Hypertension5
- The most common health-related comorbidities were overweight/obesity, high cholesterol, and hypertension. (cdc.gov)
- Improve adherence to prescribed medications among patients with hypertension through use of e-prescribing tools in rural care settings. (ahrq.gov)
- Among nonelderly adults receiving hypertension treatment, 13.1% had high burdens, meaning that healthcare expenditures accounted for more than 20% of their income. (ajmc.com)
- To examine the prevalence of high out-of-pocket burdens and self-perceived financial barriers to care among patients receiving hypertension treatment. (ajmc.com)
- Among hypertension patients with high total burdens, 15.7% said they were unable to get care and 13.6% said they delayed care due to financial reasons. (ajmc.com)
Systematic8
- The objective of this systematic review is to synthesise the existing published literature on elements of current integrated primary/secondary health care. (biomedcentral.com)
- A systematic review of peer-reviewed literature from PubMed, MEDLINE, CINAHL, the Cochrane Library, Informit Health Collection, the Primary Health Care Research and Information Service, the Canadian Health Services Research Foundation, European Foundation for Primary Care, European Forum for Primary Care, and Europa Sinapse was undertaken for the years 2006-2012. (biomedcentral.com)
- 5 Doctors also argued that they provide "cycles of care" in a range of ways, and that a systematic approach to care was more important to them than government incentives. (mja.com.au)
- Following PRISMA guidelines, 13 we characterized patient care roles and functions of CHW-PCs in US primary care through a systematic mixed studies review. (annfammed.org)
- This systematic review used a rigorous methodology and was an exhaustive search of all studies of transition interventions involving primary care with no restrictions placed on language, jurisdiction, or disease type. (bmj.com)
- The main limitation of this systematic review is the small number of studies (three) that have assessed primary care-based transition interventions even with inclusion criteria that did not mandate randomised trial design. (bmj.com)
- Primary care has a tradition of partnering with patients, communities, and public health professionals to attempt to address SDH, 25 - 27 yet the ability to act on SDH in medical care settings in a meaningful, systematic way has been constrained by a fee-for-service payment structure, a medical culture focused on treating disease rather than promoting health, and limited technologies, among other barriers. (annfammed.org)
- The Effect of Antenatal Care Service Utilization on Postnatal Care Service Utilization: A Systematic Review and Meta-analysis Study. (medworm.com)
Perceptions1
- Differences in social status and perceptions of being judged can lead to relationship barriers to accessing primary care. (mja.com.au)
Prevention7
- The use of family history information to determine risk of disease and promote prevention on the basis of this risk is a key public health initiative. (aappublications.org)
- Background:HIV testing services (HTS) act as a critical entry point to HIV care, treatment and prevention services, and offer the opportunity for specially-trained health care providers to encourage avoidance of high risk sexual behaviour among both HIV negative andHIV-positive individuals. (who.int)
- The aim of evidence based health care is to provide the means by which current best evidence from research can be judiciously and conscientiously applied in the prevention, detection, and care of health disorders. (bmj.com)
- Faculty are addressing chronic diseases from a variety of vantage points, including health economics, obesity prevention programs and new technologies tailored for higher-risk populations to manage weight-loss. (duke.edu)
- A fundamental flaw, the report says, is how the U.S. health-care system prioritizes intervention over prevention . (nationalgeographic.com)
- While Canadian's may not fully understand all the details of what primary health care means, recurrent themes in the consultations and opinion polls conducted by the Commission fully underline the importance they place on health promotion and prevention (Romanow, 2002). (bartleby.com)
- To do this, CHCs deliver primary care services in combination with health promotion and illness prevention services. (canadahelps.org)
Public Health24
- Furthermore, the per capita income of residents of Brazilian rural areas is two times lower than the average income in cities and the majority dependent on public health services [ 1 ]. (biomedcentral.com)
- The effects of poor health coverage are more critical due to social inequalities and the lack of public policies geared to meet local needs, negatively influencing the quality and effectiveness of services available to this population who heavily depend on the public health system [ 2 , 3 ]. (biomedcentral.com)
- The workgroup brought together primary care practitioners and public health workers along with experts in economics, ethics, bioinformatics, and selected disorders. (aappublications.org)
- How can ascertainment and use of relevant family history information in pediatric primary care and public health settings be improved? (aappublications.org)
- What public health and pediatric research topics should be addressed in the development of pediatric family history tools? (aappublications.org)
- A qualitative, exploratory study was conducted between June and September 2013 among 15 decision-making (from the Department of Health) and implementation-level stakeholders (mental health and public health professionals and primary care staff) from both the public and private sectors. (who.int)
- Mental health is an important and central component of health and the increasing prevalence of mental disorders is a burden on public health globally. (who.int)
- Healthcare, in general, has turned to smartphone-based applications to enhance self-efficacy in the intervention of healthy lifestyles, fitness, disease management, and public health. (hearinghealthmatters.org)
- United Kingdom public health policy has recently re-emphasised the role of primary health care professionals in tackling increasing levels of physical inactivity within the general population. (biomedcentral.com)
- Sun X, Palm D, Grimm B, Chen L. Strengthening Linkages Between Public Health and Health Care in Nebraska. (cdc.gov)
- Various linkage initiatives between public health and health care systems have been implemented throughout the United States. (cdc.gov)
- Effective collaboration between public health and the health care system is essential for connecting medical and community health-related resources and improving population health. (cdc.gov)
- Public Health, Primary Care, Social Care and Local Authorities. (rnib.org.uk)
- Allocate at least 30% of the entire public health budget to the first level of care by 2030. (paho.org)
- The global tuberculosis (TB) epidemic has levelled off for the first time since WHO declared TB a public health emergency in 1993. (who.int)
- J Public Health. (springermedizin.at)
- Frank was a Fellow with the Canadian Institute for Advanced Research Population Health Program until it closed in 2003, and Professor at the University of Toronto in the Department of Public Health Sciences (now the Dalla Lana School of Public Health) from 1983 until 2008. (wikipedia.org)
- From 1997 to 2001, he was Adjunct Professor at the School of Public Health at the University of California, Berkeley, where he received the Distinguished Teacher and Mentor of the Year Award. (wikipedia.org)
- In December 2000, he was appointed Scientific Director of the Canadian Institutes of Health Research's Institute of Population and Public Health. (wikipedia.org)
- In July 2008, he was appointed Chair, Public Health Research and Policy, at the University of Edinburgh, having been competitively hired as Director of a new Centre, the Scottish Collaboration for Public Health Research and Policy (www.scphrp.ac.uk). (wikipedia.org)
- Journal of Public Health: 2011, 33(3), p. 412-421. (findings.org.uk)
- Staff were positive and on one ward nearly half the patients were screened and one in ten counselled, but the overall results are unlikely to dent the public health burden imposed by risky drinking. (findings.org.uk)
- Since its inception, HB has partnered with the Government of Rwanda and other local partners to improve Rwanda's public health system through hands-on technical assistance, supportive supervision, and management training to public health facilities in need. (wikipedia.org)
- HB saw how many public health facilities needed basic facilities like stable walls and roofs, sources of clean water or reliable electricity. (wikipedia.org)
Reduce financial barriers1
- Expanding health insurance coverage aims to reduce financial barriers to primary care and improve care efficiency by minimizing emergency department (ED) use. (rwjf.org)
Implementation11
- In order to understand the structural and institutional factors affecting the implementation of PHC in rural Thailand, a qualitative study, utilising individual interviews with national and provincial policy decision makers, community health directors, heads of hospital primary care units, chiefs of district health offices, heads of health centres and community representatives, from one rural province was undertaken. (wiley.com)
- The success of the implementation of any guidelines depends on consideration of existing barriers and adequately addressing them. (beds.ac.uk)
- thus the need to adapt the UCG into local context, have cues to enforce implementation, and optimize the available expertize (mental healthcare providers) in the process. (beds.ac.uk)
- The findings will be useful to a wide array of stakeholders involved in the implementation of the mental health integration into PHC. (biomedcentral.com)
- The primary objectives are to evaluate the effectiveness, the cost-effectiveness and an implementation strategy of a complex multiple risk intervention to promote healthy behaviours in people between 45 to 75 years attended in PHC. (springer.com)
- EIRA study will determine the effectiveness and cost-effectiveness of a complex multiple risk intervention and will provide a better understanding of implementation processes of health promotion interventions in PHC setting. (springer.com)
- It may contribute to increase knowledge about the individual and structural barriers that affect implementation of these interventions and to quantify the contextual factors that moderate the effectiveness of implementation. (springer.com)
- The benefits of collaborative care for behavioral health have been tested in research trials, but costs and revenue potential in real-world implementation are unknown. (ajmc.com)
- This challenge created by multiple guidelines inhibits implementation, understanding and adherence, and hinders the delivery of clinically effective guideline-based care. (cmaj.ca)
- Even subtle differences in recommendations between guidelines have been identified as barriers to implementation. (cmaj.ca)
- Even if CHWs are as varied as the health systems in which they work, more work must be done in terms of the design and implementation of the CHW programs for them to realize their potential. (ajtmh.org)
Improve13
- Each of these professionals - ophthalmologists, registrars, optometrists, medical secretaries, CVI administrators, Eye Clinic Liaison Officers (ECLOs), Rehabilitation Officers, social services managers and administrators - have the potential to create barriers and delays or to improve the Certification and Registration processes. (rnib.org.uk)
- Addressing perceived barriers to assessing risk may improve care. (nih.gov)
- In 2004, the American Academy of Pediatrics (AAP) Board of Directors formed the Task Force on Mental Health and charged it with developing strategies to improve the quality of child and adolescent mental health * services in primary care. (aappublications.org)
- We believe that Family Medicine is essential to the well-being of the health of North Carolina, and that Family Medicine is well-suited to improve the health of the residents of our state. (issuu.com)
- Counseling interventions in the primary care setting can improve unhealthy alcohol consumption behaviors in adults engaging in risky or hazardous drinking. (aafp.org)
- to improve the health and health care of all Americans. (rwjf.org)
- Objective To determine effective interventions to improve primary care provider involvement in transitioning youth with chronic conditions from paediatric to adult care. (bmj.com)
- Serious efforts to reduce health disparities and improve population health will require innovative solutions for systematically addressing SDH in all primary care settings. (annfammed.org)
- Leveraging advances in consumer electronics and wireless telecommunications, low-cost, portable optical imaging devices have the potential to improve screening and detection of disease at the point of care in primary health care settings in both low- and high-resource countries. (sciencemag.org)
- Earlier this year, SVSU won $1.4 million in federal funding to improve health care delivery for residents in the counties of Arenac, Gladwin, Iosco, Ogemaw and Oscoda. (svsu.edu)
- Treating depression in an urban primary care setting: Introducing an adapted therapeutic approach to improve behavioral health engagement in primary care. (bioportfolio.com)
- HB believes that the best way to improve health care is to address the structural challenges that prevent it from operating efficiently. (wikipedia.org)
- HB also seeks to improve maternal and child health through its management interventions, targeted approaches to the referral system, and the use of case-based training for healthcare providers. (wikipedia.org)
Overcome4
- What barriers need to be overcome in pediatric settings to facilitate the use of family history information? (aappublications.org)
- Design thinking, a tool that encourages intervention designers to consider the emotional experience of the end user (3), can adapt effective interventions such as problem-solving therapy (4) to overcome such common barriers. (cdc.gov)
- Overcome barriers to successful adoption of e-prescribing. (ahrq.gov)
- In partnership with health center staff and local communities, HB develops and implements management models that fit the facility's needs and overcome specific operational challenges. (wikipedia.org)
20192
- Anderson represents a growing trend of adults under the age of 60 without a primary care provider, according to a 2019 study in JAMA Internal Medicine . (nationalgeographic.com)
- Mexico City, 11 April 2019 (PAHO)- In order to help the countries of the Americas achieve universal health, the Pan American Health Organization (PAHO) has launched the Regional Compact on Primary Health Care for Universal Health: PHC 30-30-30. (paho.org)
Services41
- Furthermore, although PHC needs to be acknowledged and implemented by all stakeholders within the health industry and government, the roles and responsibilities of the stakeholders in health services management at the district level need to be clarified. (wiley.com)
- At Mölnlycke Health Care we have a long-standing commitment to make our activities have as little effect as possible on the environment, without compromising the efficiency and reliability of our products and services. (molnlycke.sg)
- However, the organization of their activity uncritically replicates the routines adopted in the daily routine of health services located in urban spaces, proving to be inadequate for providing healthcare strategies capable of mitigating social and health inequalities faced by the users. (biomedcentral.com)
- Over the last decade, International Medical Corps, a non-governmental humanitarian organisation, has run programmes in six of the CAR's 16 prefectures, working with healthcare providers and providing emergency relief and protection services. (odihpn.org)
- In Pakistan, there is high prevalence of mental health disorders, but mental health services to address these are not well developed. (who.int)
- Although there was general support among all the stakeholders for integration of mental health services within PHC, there were also a number of reservations. (who.int)
- In addition, resistance at the PHC level is likely as staff are already burdened with other preventive care services. (who.int)
- On the other hand, hearing healthcare has failed to ameliorate the overwhelming psychological (e.g., reduced self-esteem, anger, depression, increased anxiety) and psychosocial (e.g., social withdrawal, socially inappropriate behavior or responses, lack of concentration) consequences of decreased hearing sensitivity into higher adoption rates of audiologic services and technology. (hearinghealthmatters.org)
- So how does hearing healthcare reverse its misfortune into increased adoption rates of audiologic services and technology? (hearinghealthmatters.org)
- HIV testing services health care providers. (who.int)
- Some respondents added there were laboratory services and linkages to other care and support services for those tested positive to HIV. (who.int)
- However, most of the respondents reported insufficient consumables, insufficient staff, no privacy, lack of infrastructures as barriers to effective HIV testing services. (who.int)
- IMSEAR is the collaborative product of Health Literature, Library and Information Services (HELLIS) Network Member Libraries in the WHO South-East Asia Region. (who.int)
- Integrating mental health services into primary health care (PHC) is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. (biomedcentral.com)
- Synthesizing evidence from countries across the globe will provide useful insights into the experiences of integrating mental health services into PHC and how the barriers and challenges have been handled. (biomedcentral.com)
- Within a quasi-criminalised prostitution environment, this study aimed to evaluate the prevalence of occupational stigma associated with sex work and its relationship to barriers to accessing health services. (wordpress.com)
- Of a total of 252 women, 141 (58.5%) reported occupational sex work stigma (defined as hiding occupational sex work status from family, friends and/or home community), while 125 (49.6%) reported barriers to accessing health services in the previous six months. (wordpress.com)
- Gaps in insurance also can have negative effects on individuals' health, including increased use of expensive hospital services . (nashp.org)
- 4. Adolescent health services. (who.int)
- Moreover, most studies have shown decreases in the cost of care or reductions in the use of health services. (aappublications.org)
- Uses this three-level framework to analyze a range of integration models (the medical home, collaborative and stepped care, task shifting, screening and brief intervention, and co-location of services). (jhsph.edu)
- No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services. (ahrq.gov)
- as designated by the Department of Health and Human Services). (rrh.org.au)
- To identify a generic set of face valid quality indicators for primary care mental health services which reflect a multi-stakeholder perspective and can be used for facilitating quality improvement. (bmj.com)
- The quality indicators represent consensus among key stakeholder groups in defining quality of care within primary care mental health services. (bmj.com)
- 1 However, ensuring the quality of primary mental health care remains a challenge in both developed and developing nations and, even in countries such as the UK with well established primary care and mental health services, there is considerable geographical variation in the quality of care delivered. (bmj.com)
- The implied development of protocols within primary care as part of Standard 2 of the National Service Framework indicates the very low baseline from which issues of quality within primary care mental health services start. (bmj.com)
- 4 Many have written extensively about the need for increased and improved integration of primary care and behavioral health, which includes mental health and substance use services. (jabfm.org)
- The development of care models based on PHC, with intersectoral actions, and with the necessary human, financial and technological resources, is fundamental to eliminate inequities and achieve universal health in the Region," said Dr. James Fitzgerald, Director of the Health Systems and Services Department at PAHO. (paho.org)
- Poor road conditions also prevent ambulances from reaching communities in need, making it especially difficult to seek health services that require regular appointments (such as antenatal care). (doctorswithoutborders.org)
- Men regularly go to Yatta, the nearest town, to buy and sell goods and can seek health services there. (doctorswithoutborders.org)
- We hope that some national organizations or the Palestinian Ministry of Health will soon have the capacity and the funding to provide services again to the communities living in areas like Masafer Yatta," said Katharina Lange, MSF's Hebron project coordinator. (doctorswithoutborders.org)
- Polls also reveal Canadians hope for strong and accessible primary health care services, and their desire to have a long-lasting and extremely trusting relationship with any type of health care professional needed (Roamnow, 2002) Knowing this, the question the Romanow report (2002) suggests is not whether primary health care is the right approach to take, but rather removing the obstacles which lie in its way and actually making it happen. (bartleby.com)
- We define community health workers in primary care (CHW-PCs) as trained individuals with limited to no formal medical education who provide patient-facing support and services in primary care. (annfammed.org)
- People experiencing homelessness have multiple complex health conditions yet are typically disengaged from primary health care services and place a significant burden on the acute health system. (mja.com.au)
- The Atenção Primária em Saúde (APS) (Primary Health Care) in several countries has gone through significant changes with respect to the number and types of health professionals and their roles in the health services. (scielo.br)
- We combined the 10 US Department of Health and Human Services regions to create 5 study regions. (cdc.gov)
- The primary care sector provides at least one half of all U.S. mental health services. (aafp.org)
- PDF of a PowerPoint presentation by Dr. Richard Lewanczuk, Alberta Health Services. (ihe.ca)
- PDF of a PowerPoint presentation by Ms. Cathy Pryce, Alberta Health Services. (ihe.ca)
- Settings which might also implement such programmes include medical services other than primary care, probation centres, and colleges, but how this might be done is under-researched. (findings.org.uk)
Long-acting reversible contra1
- Discuss myths and other potential barriers to the use of long-acting reversible contraception. (continuingeducation.net)
20201
- 1 It is estimated that by 2020, more than half of the American adult population will have either diabetes or prediabetes, with associated health care costs approaching $500 billion. (jabfm.org)
Findings3
- The barriers to the dissemination and timely application of research findings in the making of decisions about health care are complex and have been little studied. (bmj.com)
- Uptake of Community-Based Peer Administered HIV Point-of-Care Testing: Findings from the PROUD Study. (nih.gov)
- org/austria/Health-at-a-Glance-2015-Key-Findings-AUSTRIA-In-German. (springermedizin.at)
Nurses3
- With its T-cut design the BARRIER Surgical Gown Primary gives surgeons and nurses desired mobility and flexibility. (molnlycke.sg)
- Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. (cdc.gov)
- Our sample comprised 5 national vaccinators, 7 local vaccinators serving urban and rural workplaces, a mobile-clinic vaccinator, a visiting nurses association, and an occupational health specialist. (cdc.gov)
Attitudes2
- Low levels of motivation were observed among participants, linked to feelings of powerlessness, negative attitudes of HCWs, poor district health support, and general health system challenges. (biomedcentral.com)
- Two online surveys of US women aged 55 to 65, the Women's Voices in the Menopause (2009) and Vaginal Health: Insights Views, & Attitudes (VIVA, 2010), found that approximately half of postmenopausal women (43% and 48%, respectively) had experienced symptoms related to VVA. (medscape.com)
Organization4
- However, conditions that require continued attention are not adequately met through the organization of care established in the FMU. (biomedcentral.com)
- As a new model of healthcare delivery, the Accountable Care Organization (ACO) offers potential opportunities for addressing the healthcare needs of rural populations, yet little is known about how the ACO model will meet the needs of RHCs. (rrh.org.au)
- Health Builders (HB) is a non-profit organization that uses systems-level interventions and infrastructure development to enable comprehensive primary health care for communities that need it. (wikipedia.org)
- The organization was created on the premise that by applying efficiency-focused business principles to health problems, resources could be maximized, people would be healthier, and poor economies would begin to thrive. (wikipedia.org)
Chronic6
- Diabetes is a chronic condition best managed with continuous, quality care. (jabfm.org)
- Chronic diseases represent a huge personal, social and economic burden and one of the greatest challenges for health systems. (springer.com)
- In support of improving patient care, this activity has been planned and implemented by Medscape, LLC and Preventing Chronic Disease . (cdc.gov)
- Among children, and especially among adolescents, increased life expectancy due to improvements in nutrition, hygiene and control of infec- tious diseases are producing an epidemiological transition in which noncommunicable diseases includ- ing chronic diseases and disability are emerging as major health problems. (who.int)
- Growing evidence and understanding of an inherited component to several common, chronic diseases has led to an increase in the importance of information about family health history, and the integration of this information with other risk factors for common diseases, like lifestyle risk factors. (clinicaltrials.gov)
- The review highlights the need for more rigorous intervention studies to guide improved integration of primary and specialised care during transition and better define the role of primary care providers in facilitating an effective transition for youth with chronic conditions. (bmj.com)
System24
- When combined with a dearth of qualified medical providers to meet these needs, the effects on a country's health system can be acute. (odihpn.org)
- The country does not have a strong publicly funded primary health care (PHC) system and most people (as high as 90%) seek health care in the highly unregulated private sector, paying out-of-pocket (3). (who.int)
- Health care reform aimed at improving quality and efficiency by empowering and supporting the primary care sector to better engage with the rest of the health care system has become the Millennium catch cry of governments across Europe, North America, Australia and New Zealand (NZ) [ 2 ]. (biomedcentral.com)
- Despite the fact that this study found that system barriers to routine advising were less of a problem than other previous research has indicated, this issue still remains a challenge. (biomedcentral.com)
- Editor's Note: The U.S. primary healthcare system does not effectively meet women's needs during the teen and young adult years and/or as they age and transition through later stages of life. (jdsupra.com)
- Since enhanced federal matching funds are available for states to upgrade Medicaid eligibility systems until 2015, and states have to make eligibility system changes to comply with health reform changes, now is a great time for states to design systems that use denial and disenrollment data more effectively. (nashp.org)
- Many women only enter the health-care system after having a baby, leaving many more falling through the cracks of a fragmented system-one where maternal health care, women's health, and primary health care tend to be disconnected. (nationalgeographic.com)
- It's supposed to be the front door into the health-care system. (nationalgeographic.com)
- Everything you always wanted to know about the Health Care system. (thehealthcareblog.com)
- I couldn't believe it a physician health care provider professional explaining to me the philosophy of that health system. (thehealthcareblog.com)
- We believe in a healthcare system that is primary care driven. (issuu.com)
- We believe in a healthcare system that is fair, equitable, and accessible. (issuu.com)
- We want them to use the health care system. (balloon-juice.com)
- Econ 101 with Health Econ 202 massive failures which drive up system costs. (balloon-juice.com)
- The current system fails to pay for quality, while paying for defective care. (commonwealthfund.org)
- And the spread of COVID-19 has put even more pressure on the already strained health care system. (doctorswithoutborders.org)
- Primary health care is a term used to describe a system where a patient's health care needs are attended to by the most appropriately trained individual. (bartleby.com)
- healthcare system transitions to value-based payment models, new financing strategies are emerging which will further support the viability of PCBH integration. (bioportfolio.com)
- and provides a vision for the viability of the PCBH model within the value-based financing of our healthcare system in the future. (bioportfolio.com)
- The first author has a long working history in the centralised diabetes care system of Nurmijärvi. (springermedizin.de)
- GRCHC provides innovative primary health care, health promotion and community development as part of an integrated system of quality care, while helping our clients and community members to enhance their own health and wellbeing. (canadahelps.org)
- To err is human: building a safer health care system. (ahrq.gov)
- Crossing the quality chasm: a new health care system for the 21st century. (ahrq.gov)
- 28 November 2013 Edmonton, Alberta Choosing Wisely® in Health Care: A Canadian Perspective is the tenth IHE Innovation Forum, a semi-annual event bringing together senior public- and private-sector decision-makers to address policy issues of importance in the healthcare system in Alberta, Canada, and internationally. (ihe.ca)
Disparities1
- The United States falls behind other industrialized nations on most health indicators 1 and remains plagued by stark health disparities. (annfammed.org)
Evaluate3
- Embedding a behavioral health nurse practitioner to evaluate and manage adolescent behavioral health in primary care may be effective, but costs and revenue are unknown. (ajmc.com)
- Embedding a behavioral health nurse practitioner in primary care to evaluate and manage adolescent behavioral health covers its own costs, generates revenue, and decreases the burden on PCPs. (ajmc.com)
- This three-arm, clinic-randomized, controlled trial conducted within a network of FQHCs will evaluate the EHMI and EHMI + Nurse Educator interventions compared to usual care. (clinicaltrials.gov)
Objective2
- Objective To describe the association between ex-prisoner primary care physician contact within 1 month of prison release and health service utilisation in the 6 months following release. (bmj.com)
- OBJECTIVE The discrepancy of diabetes incidence and care between socioeconomic statuses has seldom been studied concurrently in nations with universal health coverage. (diabetesjournals.org)
Medication1
- Research has shown children living with HIV to know about their HIV status that making schools HIV friendly is one of the best ways by the time they reach adolescence as it enhances their to provide children living with HIV a safe, protective, adherence to antiretroviral (ARV) medication, participa- caring, and supportive environment . (scribd.com)
Identifying1
- Identifying injection drug use and estimating population size of people who inject drugs using healthcare administrative datasets. (nih.gov)
Diagnosis9
- Nearly a quarter of adolescents have a behavioral health diagnosis, yet few receive treatment. (ajmc.com)
- We examined prevalence of diagnosed autism spectrum disorder (ASD) and age at diagnosis according to child's race/ethnicity and primary household language. (springer.com)
- From the 2009-2010 National Survey of Children with Special Health Care Needs, we identified 2729 3-17-year-old US children whose parent reported a current ASD diagnosis. (springer.com)
- and (3) a 12-item check list of potential barriers to diagnosis and treatment. (medscape.com)
- Lack of time (71%) and educational materials (44%) were the most common barriers to diagnosis and treatment. (medscape.com)
- The ability to routinely provide image-based data in all resource settings to aid in screening, diagnosis, and treatment monitoring could transform global health care and the systems that provide this care. (sciencemag.org)
- Childhood urinary tract infection in primary care: a prospective observational study of prevalence, diagnosis, treatment, and recovery. (cardiff.ac.uk)
- Improving the Diagnosis and Treatment of Urinary Tract Infection in Young Children in Primary Care: Results from the DUTY Prospective Diagnostic Cohort Study. (cardiff.ac.uk)
- Women completed the Barriers to Incontinence Care Seeking Questionnaire (BICS-Q), the Incontinence Quality of Life Instrument (I-QOL), the Questionnaire for Urinary Incontinence Diagnosis, and the Incontinence Severity Index (ISI). (urotoday.com)
Adult5
- Ministry of Health (Ministerio de Salud), Chile, Adult Health Program. (hindawi.com)
- Currently, much of the focus has been on the use of family history information in prenatal and adult health care. (aappublications.org)
- Eighty percent of adult Internet users have searched for health-related information. (diabetesjournals.org)
- Setting Studies with paediatric-to-adult transition programmes and interventions involving primary care providers or in primary care settings. (bmj.com)
- Behavioral medicine interventions for adult primary care settings: A review. (bioportfolio.com)
Patient's2
- A patient's stage of change in relation to a health behavior problem and motivational approaches appropriate to that stage. (umassmed.edu)
- Speaking plainly: communicating the patient's role in health care safety. (ahrq.gov)
Stigma1
- Lazarus L, Deering KN, Nabess R, Gibson K, Tyndall MW, Shannon K. Occupational Stigma as a Primary Barrier To Health Care For Street-Based Sex Workers in Canada. (wordpress.com)
Antenatal care5
- The effectiveness of the actions of the FMU proved to be adequate for conditions such as antenatal care for low-risk pregnancy, which require periodic consultations. (biomedcentral.com)
- As a result, routine primary care such as antenatal care has recurrent levels of insufficiency and inadequacy. (biomedcentral.com)
- Assessment studies of antenatal care have been conducted in Brazil since 2004, showing that the states in the Northern region had the lowest adequacy of antenatal care compared to other Brazilian regions [ 7 ]. (biomedcentral.com)
- Antenatal care service utilization has a positive effect on postnatal care service utilization. (medworm.com)
- Policymakers and programmers better considered more antenatal care service use as one strategy of enhancing the utilization of postnatal care service. (medworm.com)
Sciences1
- Information technology becomes important part of the current state of the art within health sciences. (igi-global.com)
Study11
- This study aimed to assess the views of key stakeholders about integration of mental health into PHC in Karachi, Pakistan. (who.int)
- The study suggests that strong political commitment, adequate human and financial resources, and strong advocacy are needed for the integration of mental health into PHC in Pakistan. (who.int)
- This study is a cluster randomised controlled hybrid type 2 trial with two parallel groups comparing a complex multiple risk behaviour intervention with usual care. (springer.com)
- The purpose of this study was to characterize the proximity of primary care and behavioral health service delivery sites in the United States and factors influencing their colocation. (jabfm.org)
- A study just published in JAMA Pediatrics looked at how children with asthma obtained care under different levels of cost-sharing, and how much stress their families were under financially because of their child's illness. (balloon-juice.com)
- The aim of this study was to assess the treatment gap among adults with depressive disorder (DD) and alcohol use disorder (AUD) and to examine possible barriers to initiation and continuation of mental health treatment in Nepal. (plos.org)
- This study is an output of the PRogramme for Improving Mental health carE Powered by Editorial Manager® and ProduXion Manager® from Aries Systems Corporation (PRIME) funded by UKaid from the UK Government, however, the views expressed do not necessarily reflect the UK Government's official policies. (plos.org)
- 2 studies used case managers to facilitate referrals to primary care, and the remaining study was the only 1 situated in a primary care setting. (bmj.com)
- This study examines emergency and outpatient department use after the Children's Health Insurance Program (CHIP) coverage expansion. (rwjf.org)
- This was a retrospective cohort study using data from the National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS). (rwjf.org)
- Profiling the quality of care in twelve communities: results from the CQI study. (ahrq.gov)
Pediatric primary care1
- in the policy statement "The Future of Pediatrics: Mental Health Competencies for Pediatric Primary Care," 4 the task force collaborated with the AAP Committee on Psychosocial Aspects of Child and Family Health to outline these competencies and propose strategies for achieving them. (aappublications.org)
Populations3
- Results suggest that diverse patient populations are interested in using gameplay programs for mental health. (cdc.gov)
- Accountable Care Organizations (ACOs) pose potential opportunities for addressing the healthcare needs of rural populations (Fig1). (rrh.org.au)
- Telephonic interactive voice response systems (IVRS) and self-administered web-based tools are a low-cost, sustainable way of reaching out to primary care populations, independent of a visit. (clinicaltrials.gov)
Questionnaire2
- Mental health items were assessed by using the Patient Health Questionnaire-4 (PHQ-4) (6), and loneliness was assessed by using a modified version of the UCLA Three-Item Loneliness Scale (7). (cdc.gov)
- Presence of DD and AUD were identified with validated versions of the Patient Health Questionnaire (PHQ-9) and Alcohol Use Disorder Identification Test (AUDIT). (plos.org)
Intervention4
- International Medical Corps' intervention in Haute Kotto aims to build the capacity of general healthcare providers in the identification, management and treatment of common mental health concerns. (odihpn.org)
- This article describes the benefits and drawbacks to the use of read-only memory compact disks (CD-ROMs) to facilitate diabetes self-management, using the experience from two efficacy trials with CD-ROMs as the primary modality for intervention. (diabetesjournals.org)
- Lessons learned from these two studies are shared to answer the question: does the use of CD-ROMs as an intervention tool address the key barriers to using a self-management approach in primary care? (diabetesjournals.org)
- Despite evidence of effectiveness, many service providers in primary and emergency care settings do not conduct alcohol screening and brief intervention programmes. (findings.org.uk)
Population health2
- Frank was Provostial Advisor on Population Health at the University of Toronto from 1994 to 1997. (wikipedia.org)
- Heterogeneities in Health Status and the Determinants of Population Health. (wikipedia.org)
Aims2
- This chapter aims to describe the concept of the development of the heath care and professional training based on current achievements within technology, education, E-Health and patient-tailored therapy. (igi-global.com)
- In doing so, HB aims to not only ensure locally managed health care, but also give local communities an opportunity to prosper. (wikipedia.org)
Socioeconomic4
- The participants then completed surveys about diabetic health, socioeconomic status, and general demographics. (jabfm.org)
- 2 The prevalence of diabetes and the rate of complications resulting from poor diabetic health are highest among those who are uninsured, have a lower socioeconomic status (SES), and are of a minority race. (jabfm.org)
- Although social determinants of health play a key role, and there is an important social gradient in the prevalence of risk factors, it is an essential issue to develop effective strategies to cope with them especially in people of low socioeconomic status. (springer.com)
- 1 - 4 Historically, these frontline health workers have been particularly effective when they share ethnicity, language, socioeconomic status, and life experiences with communities they serve, 5 reflecting peer support. (annfammed.org)
Addressing3
- A step in this direction is addressing poor TB infection control in healthcare facilities. (biomedcentral.com)
- Addressing more immediate issues (25%) and lacking confidence in knowledge of risk and risk assessment (20%) were the most commonly reported barriers to assessing risk (n=83). (nih.gov)
- These indicators could provide a guide for primary care organisations embarking on quality improvement initiatives in mental health care when addressing national targets and standards relating to primary care set out in the National Service Framework for Mental Health for England. (bmj.com)
Helping to inform1
- In these times of rising health care costs and more stringent reimbursement policies, IHTs may be cost-effective supplements to "usual" care, helping to inform patient-clinician interactions when staff time is constrained or knowledge of a particular area is limited. (diabetesjournals.org)
Routine2
- Although professional organizations such as the American College of Obstetrics and Gynecology (ACOG), The North American Menopause Society (NAMS), and Endocrine Society recognize that the routine evaluation and treatment of GSM symptoms are an important aspect of menopausal health, [ 7-9 ] symptomatic postmenopausal women are not often evaluated by their HCP's for their symptoms. (medscape.com)
- Health care organizations are embracing integrated primary care (IPC), in which mental health and behavioral health are addressed as part of routine care within primary care settings. (bioportfolio.com)
Integration6
- Internationally, key health care reform elements rely on improved integration of care between the primary and secondary sectors. (biomedcentral.com)
- All examples of successful primary/secondary care integration reported in the literature have focused on a combination of some, if not all, of the ten elements described in this paper, and there appears to be agreement that multiple elements are required to ensure successful and sustained integration efforts. (biomedcentral.com)
- In turn, regional service integration was one of the five key building blocks in Australia's First National Primary Health Care Strategy [ 10 ]. (biomedcentral.com)
- Primary Health Care (PHC) is the ideal setting for health promotion but multifaceted barriers make its integration difficult in the usual care. (springer.com)
- This interactive webinar discussed the current state of integration, and what is needed to advance integrated care. (gih.org)
- To provide guidance on their integration, we characterized roles and functions of community health workers in primary care through a literature review and synthesis. (annfammed.org)
Interventions in Primary Care1
- Conducted in 2008, the search identified 47 papers of which 22 documented studies in the UK and 35 evaluated interventions in primary care settings such as GPs' surgeries. (findings.org.uk)
Problematic1
- Tuberculosis (TB) infection control at primary healthcare (PHC) level remains problematic, especially in South Africa. (biomedcentral.com)
Medical18
- Medical student volunteers counseled participants on the importance of primary care. (jabfm.org)
- In Haute Kotto prefecture in the east of the country, International Medical Corps has been implementing mental health and psychosocial support (MHPSS) activities since 2015, with a focus on providing direct consultations and building the capacity of local staff to meet mental health needs. (odihpn.org)
- The strategy was reoriented to focus on direct consultation by International Medical Corps MHPSS staff, including our programme psychiatrist and a Central African nurse with mental health experience, until formal training and subsequent supervision of prescribers could take place. (odihpn.org)
- This article reports on a project, undertaken in 2002 in the regional city of Toowoomba, Queensland, Australia, that investigated the viability of establishing an after-hours primary medical care (AHPMC) service. (rrh.org.au)
- This project, undertaken in 2002 in Toowoomba, Queensland, Australia investigated the viability of establishing an after hours primary medical care (AHPMC) service within the grounds of St Andrew's Toowoomba Hospital (SATH). (rrh.org.au)
- Overview of the pharmaceutical and medical devices market of the UK including the market size, market segmentation, key drivers and barriers. (bio-medicine.org)
- The key players covered for the medical devices market are Medtronic, Siemens Healthcare, Essilor Internaltional, Hoffmann-La Roche, and Coloplast. (bio-medicine.org)
- Analysis includes details of the healthcare reimbursement process, the regulatory agencies and the approval processes for new drugs and medical devices. (bio-medicine.org)
- Drive revenue by understanding the key trends, and reimbursement and regulatory policies, pharmaceutical and medical devices market segments and companies likely to impact the the UK healthcare market in the future. (bio-medicine.org)
- Our teams include a medical doctor, a nurse, a midwife, a mental health specialist and a health promoter. (doctorswithoutborders.org)
- replace unnecessary use of hospital, emergency, and costly medical treatments with comprehensive primary health care available to Canadians 24 hours a day, 7 days a week. (bartleby.com)
- According to tion in ongoing medical care, and psychosocial resili- the United Nations Educational, Scientific and Cultural ence, and lessens the risk of passing their infection to Organisation (UNESCO), schools should provide educa- others through sexual contact [2, (scribd.com)
- 13 Even so, attempts to address SDH in medical care settings have been limited and, for the most part, ineffective. (annfammed.org)
- 16 Recognition of and attention to non-medical factors that influence health are not new concepts in primary care. (annfammed.org)
- Collaborative Care Combines Medical, Behavioral Health Treatment. (bioportfolio.com)
- Montefiore Health System's collaborative care model integrates medical care with treatment for behavioral health issues that can be handled in a primary care setting. (bioportfolio.com)
- The proportion of persons living in families with high a out-ofpocket burden associated with medical spending relative to income, defining high healthcare burden as spending on healthcare greater than 20% of income and high total burden as spending on healthcare and insurance premiums greater than 20% of income. (ajmc.com)
- Dr. Flores is associate professor (with tenure) of pediatrics, epidemiology, and health policy at the Medical College of Wisconsin. (commonwealthfund.org)