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)
The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.
The concept concerned with all aspects of providing and distributing health services to a patient population.
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.
Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.
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.
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.
Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.
A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.
The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.
Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.
The state wherein the person is well adjusted.
Planning for needed health and/or welfare services and facilities.
Public attitudes toward health, disease, and the medical care system.
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.
The state of the organism when it functions optimally without evidence of disease.
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)
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 services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.
Facilities which administer the delivery of health care services to people living in a community or neighborhood.
Services for the diagnosis and treatment of disease and the maintenance of health.
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.
The concept pertaining to the health status of inhabitants of the world.
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).
Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.
Components of a national health care system which administer specific services, e.g., national health insurance.
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)
Diagnostic, therapeutic and preventive health services provided for individuals in the community.
Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.
The status of health in rural populations.
The seeking and acceptance by patients of health service.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
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.
Management of public health organizations or agencies.
Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.
Planning for the equitable allocation, apportionment, or distribution of available health resources.
Organized services to provide health care for children.
The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.
Institutions which provide medical or health-related services.
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.
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.
Organized services to provide mental health care.
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)
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.
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.
The activities and endeavors of the public health services in a community on any level.
Economic sector concerned with the provision, distribution, and consumption of health care services and related products.
The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.
Social and economic factors that characterize the individual or group within the social structure.
The promotion and maintenance of physical and mental health in the work environment.
Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.
The concept covering the physical and mental conditions of women.
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.
The status of health in urban populations.
A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.
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).
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.
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.
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.
Planning for health resources at a regional or multi-state level.
Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.
Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.
Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
Services designed for HEALTH PROMOTION and prevention of disease.
The inhabitants of rural areas or of small towns classified as rural.
The primary responsibility of one nurse for the planning, evaluation, and care of a patient throughout the course of illness, convalescence, and recovery.
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.
The organization and administration of health services dedicated to the delivery of health care.
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.
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 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.
Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.
A geographic area defined and served by a health program or institution.
Activities concerned with governmental policies, functions, etc.
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.
Those actions designed to carry out recommendations pertaining to health plans or programs.
Organized services to provide health care to expectant and nursing mothers.
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)
Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.
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.
Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.
Techniques or methods of patient care used by nurses as primary careproviders.
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.
Federal, state, or local government organized methods of financial assistance.
Areawide planning for health care institutions on the basis of projected consumer need.
Community or individual involvement in the decision-making process.
The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.
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.
Parliamentary democracy located between France on the northeast and Portugual on the west and bordered by the Atlantic Ocean and the Mediterranean Sea.
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.
The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.
Physicians whose practice is not restricted to a specific field of MEDICINE.
Management of the organization of HEALTH FACILITIES.
Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.
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.
An infant during the first month after birth.
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)
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)
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)
Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.
Differences in access to or availability of medical facilities and services.
A geographic location which has insufficient health resources (manpower and/or facilities) to meet the medical needs of the resident population.
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.
That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.
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.
The physical condition of human reproductive systems.
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.
Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.
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.
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.
Nurses who are specially trained to assume an expanded role in providing medical care under the supervision of a physician.
Facilities which administer the delivery of health care services to mothers and children.
All organized methods of funding.
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.
Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.
The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).
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)
The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.
An interactive process whereby members of a community are concerned for the equality and rights of all.
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.
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.
Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.
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.
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.
The capacity of an organization, institution, or business to produce desired results with a minimum expenditure of energy, time, money, personnel, materiel, etc.
Health services for employees, usually provided by the employer at the place of work.
The area of a nation's economy that is tax-supported and under government control.
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.
Organized groups serving in advisory capacities related to health planning activities.
The interactions between representatives of institutions, agencies, or organizations.
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.
Smallest political subdivisions within a country at which general governmental functions are carried-out.
Persons trained to assist professional health personnel in communicating with residents in the community concerning needs and availability of health services.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.
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.
Descriptions and evaluations of specific health care organizations.
The inhabitants of a city or town, including metropolitan areas and suburban areas.
The systematic application of information and computer sciences to public health practice, research, and learning.
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.
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.
The teaching or training of patients concerning their own health needs.
The interactions between members of a community and representatives of the institutions within that community.
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.
Patient-based medical care provided across age and gender or specialty boundaries.
Typical way of life or manner of living characteristic of an individual or group. (From APA, Thesaurus of Psychological Index Terms, 8th ed)
Educational attainment or level of education of individuals.
The interactions between physician and patient.
Introduction of changes which are new to the organization and are created by management.
A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.
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.
The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.
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 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.
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.
Individuals whose ancestral origins are in the islands of the central and South Pacific, including Micronesia, Melanesia, Polynesia, and traditionally Australasia.
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)
Organized periodic procedures performed on large groups of people for the purpose of detecting disease.
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.
Those facilities which administer health services to individuals who do not require hospitalization or institutionalization.
Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.
To entrust to the care or management of another, to transfer or to assign tasks within an organizational or administrative unit or structure
Longitudinal patient-maintained records of individual health history and tools that allow individual control of access.
The concept covering the physical and mental conditions of men.
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.
Movable or portable facilities in which diagnostic and therapeutic services are provided to the community.
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.
On the job training programs for personnel carried out within an institution or agency. It includes orientation programs.
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.
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.
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.
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)
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.
The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers.
The giving of advice and assistance to individuals with educational or personal problems.
Customer satisfaction or dissatisfaction with a benefit or service received.
Professional medical personnel who provide care to patients in an organized facility, institution or agency.
Studies in which variables relating to an individual or group of individuals are assessed over a period of time.
Financial resources provided for activities related to health planning and development.
The obligations and accountability assumed in carrying out actions or ideas on behalf of others.
The condition in which individuals are financially unable to access adequate medical care without depriving themselves and their dependents of food, clothing, shelter, and other essentials of living.
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.
Process of shifting publicly controlled services and/or facilities to the private sector.
The process by which decisions are made in an institution or other organization.
Educational institutions for individuals specializing in the field of public health.
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.
Elements of limited time intervals, contributing to particular results or situations.
Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.
Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.
Time period from 1901 through 2000 of the common era.

Nurses and nursing in primary medical care in England. (1/8459)

In 1974 we sent questionnaires on attachment and employment of nurses to 9214 general practices in England. There were 7863 replies (85%), of which 551 were excluded from the study. A total of 2654 nurses were directly employed by 24% (1774) of the practices, and 68% (4972) had attached nurses. Practices in health centres were larger and had greater nursing resources than those in other premises. We suggest that practices may employ nurses to compensate for ineffective nursing attachments, and we conclude that general-practice-employed nurses are becoming "professionalised".  (+info)

Clinical experience and choice of drug therapy for human immunodeficiency virus disease. (2/8459)

To determine if providers experienced in the management of human immunodeficiency virus (HIV) disease preferred different treatment regimens than providers with less experience, we analyzed data from a national survey of primary care providers' preferred regimens for the management of 30 HIV-related medical conditions. We mailed questionnaires to 999 correct addresses of providers in > 20 cities in the United States in May 1996. We received 524 responses (response rate, 52%). We found a statistically significant association between the number of HIV-infected patients cared for by the provider and the likelihood that the provider would report prescribing highly active antiretroviral therapy and multidrug combinations for treatment of opportunistic infections. Providers with few HIV-infected patients were substantially less likely to report using new therapeutic regimens or new diagnostic tools. We concluded that the preferred regimens of experienced providers are more likely to be consistent with the latest information on treatment for HIV disease than are those of less experienced providers.  (+info)

The effect of race and sex on physicians' recommendations for cardiac catheterization. (3/8459)

BACKGROUND: Epidemiologic studies have reported differences in the use of cardiovascular procedures according to the race and sex of the patient. Whether the differences stem from differences in the recommendations of physicians remains uncertain. METHODS: We developed a computerized survey instrument to assess physicians' recommendations for managing chest pain. Actors portrayed patients with particular characteristics in scripted interviews about their symptoms. A total of 720 physicians at two national meetings of organizations of primary care physicians participated in the survey. Each physician viewed a recorded interview and was given other data about a hypothetical patient. He or she then made recommendations about that patient's care. We used multivariate logistic-regression analysis to assess the effects of the race and sex of the patients on treatment recommendations, while controlling for the physicians' assessment of the probability of coronary artery disease as well as for the age of the patient, the level of coronary risk, the type of chest pain, and the results of an exercise stress test. RESULTS: The physicians' mean (+/-SD) estimates of the probability of coronary artery disease were lower for women (probability, 64.1+/-19.3 percent, vs. 69.2+/-18.2 percent for men; P<0.001), younger patients (63.8+/-19.5 percent for patients who were 55 years old, vs. 69.5+/-17.9 percent for patients who were 70 years old; P<0.001), and patients with nonanginal pain (58.3+/-19.0 percent, vs. 64.4+/-18.3 percent for patients with possible angina and 77.1+/-14.0 percent for those with definite angina; P=0.001). Logistic-regression analysis indicated that women (odds ratio, 0.60; 95 percent confidence interval, 0.4 to 0.9; P=0.02) and blacks (odds ratio, 0.60; 95 percent confidence interval, 0.4 to 0.9; P=0.02) were less likely to be referred for cardiac catheterization than men and whites, respectively. Analysis of race-sex interactions showed that black women were significantly less likely to be referred for catheterization than white men (odds ratio, 0.4; 95 percent confidence interval, 0.2 to 0.7; P=0.004). CONCLUSIONS: Our findings suggest that the race and sex of a patient independently influence how physicians manage chest pain.  (+info)

Record linkage as a research tool for office-based medical care. (4/8459)

OBJECTIVE: To explore the feasibility of linking records to study health services and health outcomes for primary care patients. DESIGN: A cohort of patients from the Family Medicine Centre at Mount Sinai Hospital was assembled from the clinic's billing records. Their health numbers were linked to the Ontario Hospital Discharge Database. The pattern of hospital admission rates was investigated using International Classification of Diseases (ICD) codes for primary discharge diagnosis. A pilot case-control study of risk factor management for stroke was nested in the cohort. SETTING: Family medicine clinic based in a teaching hospital. PARTICIPANTS: A cohort of 19,654 Family Medicine Centre patients seen at least once since 1991. MAIN OUTCOME MEASURES: Admission rates by age, sex, and diagnosis. Numbers of admissions for individual patients, time to readmission, and length of stay. Odds ratios for admission for cerebrovascular disease. RESULTS: The 19,654 patients in the cohort had 14,299 discharges from Ontario hospitals in the 4 years from 1992 to 1995, including 3832 discharges following childbirth. Some patients had many discharges: 4816 people accounted for the 10,467 admissions excluding childbirth. Excluding transfers between institutions, there were 4975 readmissions to hospital during the 4 years, 1392 (28%) of them within 28 days of previous discharge. Admissions for mental disorders accounted for the greatest number of days in hospital. The pilot study of risk factor management suggested that acetylsalicylic acid therapy might not be effective for elderly primary care patients with atrial fibrillation and that calcium channel blocker therapy might be less effective than other therapies for preventing cerebrovascular disease in hypertensive primary care patients. CONCLUSIONS: Record linkage combined with data collection by chart review or interview is a useful method for studying the effectiveness of medical care in Canada and might suggest interesting hypotheses for further investigation.  (+info)

Explicit guidelines for qualitative research: a step in the right direction, a defence of the 'soft' option, or a form of sociological imperialism? (5/8459)

Within the context of health service research, qualitative research has sometimes been seen as a 'soft' approach, lacking scientific rigour. In order to promote the legitimacy of using qualitative methodology in this field, numerous social scientists have produced checklists, guidelines or manuals for researchers to follow when conducting and writing up qualitative work. However, those working in the health service should be aware that social scientists are not all in agreement about the way in which qualitative work should be conducted, and they should not be discouraged from conducting qualitative research simply because they do not possess certain technical skills or extensive training in sociology, anthropology or psychology. The proliferation of guidelines and checklists may be off-putting to people who want to undertake this sort of research, and they may also make it even more difficult for researchers to publish work in medical journals. Consequently, the very people who may be in a position to change medical practice may never read the results of important qualitative research.  (+info)

Restructuring the primary health care services and changing profile of family physicians in Turkey. (6/8459)

A new health-reform process has been initiated by Ministry of Health in Turkey. The aim of that reform is to improve the health status of the Turkish population and to provide health care to all citizens in an efficient and equitable manner. The restructuring of the current health system will allow more funds to be allocated to primary and preventive care and will create a managed market for secondary and tertiary care. In this article, we review the current and proposed primary care services models and the role of family physicians therein.  (+info)

Physician management in primary care. (7/8459)

Minimal explicit consensus criteria in the management of patients with four indicator conditions were established by an ad hoc committee of primary care physicians practicing in different locations. These criteria were then applied to the practices of primary care physicians located in a single community by abstracting medical records and obtaining questionnaire data about patients with the indicator conditions. A standardized management score for each physician was used as the dependent variable in stepwise regression analysis with physician/practice and patient/disease characteristics as the candidate independent variables. For all physicians combined, the mean management scores were high, ranging from .78 to .93 for the four conditions. For two of the conditions, care of the normal infant and pregnant woman, the management scores were better for pediatricians and obstetricians respectively than for family physicians. For the other two conditions, adult onset diabetes and congestive heart failure, there were no differences between the management scores of family physicians and internists. Patient/disease characteristics did not contribute significantly to explaining the variation in the standardized management scores.  (+info)

Provision of primary care by office-based rheumatologists: results from the National Ambulatory Medical Care Surveys, 1991-1995. (8/8459)

OBJECTIVE: To determine the extent to which office-based rheumatologists provide primary care to patients without rheumatic diseases or provide principal care to patients with rheumatoid arthritis (RA). METHODS: The National Ambulatory Medical Care Survey was used to determine national probability estimates of the nature and types of conditions treated by office-based rheumatologists in 1991-1995. At each of 1,074 patient visits, the rheumatologists recorded up to 3 diagnoses and 3 patient-reported reasons for the visit, as well as information on the treatments provided at the visit. RESULTS: In only 9.8% of new consultations and 11.9% of return visits was neither a rheumatic disease diagnosis nor a musculoskeletal complaint recorded, indicating that the rheumatologist was likely acting as a primary care provider at a minority of patient visits. Among continuing patients with RA, the patient's primary reason for the visit was something other than a musculoskeletal complaint in only 9.9% of visits, and any nonrheumatic complaint was recorded in 30.4% of visits, indicating that at only some visits was the rheumatologist acting as the principal caregiver. In addition, only 31.1% of visits included the provision of medication for a nonrheumatic condition. CONCLUSION: In 1991-1995, most visits to rheumatologists involved the provision of specialized or consultative care to patients with rheumatic diseases or musculoskeletal complaints, and few visits were made by patients without either indication. Provision of principal care by rheumatologists to patients with RA is not currently widespread.  (+info)

On the 8th of May, The AMECA Primary Healthcare Clinic at Chilaweni; was opened by The Honourable Minister of Health, Dr. Peter Kumpalume.. Constructed with expert precision and care by S R Nicholas and completed in under a year, on time and in budget, AMECA delivered on its promise to bring healthcare services to a community of 22,000 people, previously deprived of any accessible healthcare.. Our deepest gratitude to our donors and supporters, who made this possible.. The clinic is dedicated to the memory of Dr. Alex Coutselos, on the occasion of what would have been Alexs 34th birthday.. Read the newsletter at ...
Written prescriptions of physical activity have increased in popularity. Such schemes have mostly been evaluated in terms of efficacy in clinical trials. This study reports on a physical activity prescription referral scheme implemented in routine primary health care (PHC) in Sweden. The aim of this study was to evaluate patients self-reported adherence to physical activity prescriptions at 3 and 12 months and to analyse different characteristics associated with adherence to these prescriptions. Prospective prescription data were obtained for the general population in 37 of 42 PHC centres in Östergötland County, during 2004. The study population consisted of 3300. The average adherence rate to the prescribed activity was 56% at 3 months and 50% at 12 months. In the multiple logistic regression models, higher adherence was associated with higher activity level at baseline and with prescriptions including home-based activities. Prescription from ordinary PHC staff yielded adherence in half of the
Health for All Through Primary Health Care from Johns Hopkins University. This course explores why primary health care is central for achieving Health for All. It provides examples of how primary health care has been instrumental in approaching ...
The largest primary healthcare centre in Britain - and probably Europe - took another step towards completion when it was topped out with a final trowel-full of concrete by Professor Jonathan Montgomery, chair of Hampshire Primary Care Trust.. When it opens next year, the £30m Aldershot Centre for Health will provide primary healthcare for a local population of 45,000, as well as specialist services to 250,000 people in the wider area. Uniquely, the facilities will be shared by the 5,000-strong Army garrison.At 138,500 sq ft/12,866 m², the building is many times bigger than a conventional health centre. It will have more than 750 rooms for 47 separate user groups. The concept is to provide economies of scale and meets objectives set out in the NHS Plan of 2000.. The developers for the Centre created a special funding package for Hampshire PCT, itself the largest PCT in Britain, and the Ministry of Defence. The PCT and MoD will own the Centre outright when the 30-year lease expires.. It will ...
Mental disorders are always remained a neglected public health problems in low and middle-income countries (LMICs), most people with mental disorders never receive effective care and there is a large treatment gap. In order to solve the problem integration of mental health into primary health care is recommended and in Ethiopia implementation of the scale of mental health services at primary health care level was started in 2014. For the success of the integration of mental health into primary health care, primary care health professionals are the key personnel who are responsible for the management of mental, neurologic and substance use disorders. However, proper training and education of primary care health professionals is mandatory for an optimal performance and success of integration. This interventional study was conducted to assess the effectiveness of mental health training course for scale up of mental health services at primary health care level in Ethiopia. This quasi-experimental pre- and
Fingerprint Dive into the research topics of Revisiting the ability of Australian primary healthcare services to respond to health inequity. Together they form a unique fingerprint. ...
TY - CONF. T1 - Addressing evidence treatment gaps for cardiovascular disease through primary care collaboration. AU - McNamara, Kevin. AU - Janus, Edward. AU - Philpot, Benjamin. AU - Laatikainen, Tiina. AU - Dunbar, James. PY - 2009. Y1 - 2009. UR - M3 - Paper. T2 - 2009 GP & PHC Research Conference. Y2 - 15 July 2009. ER - ...
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Additional file 1: of The MONARCH intervention to enhance the quality of antenatal and postnatal primary health services in rural South Africa: protocol for a stepped-wedge cluster-randomised controlled trial
Countries Compared by Education > Education enrolment ratio > Net > Primary level > Women. International Statistics at, Source: UNESCO UIS Data , UNESCO Institute for Statistics. Aggregates compiled by NationMaster. Retrieved from Countries Compared by Education > Education enrolment ratio > Net > Primary level > Women. International Statistics at, Source: UNESCO UIS Data , UNESCO Institute for Statistics. Aggregates compiled by NationMaster. 1990-2006. ,,.. Countries Compared by Education > Education enrolment ratio > Net > Primary level > Women. International Statistics at, Source: UNESCO UIS Data , UNESCO Institute for Statistics. Aggregates compiled by NationMaster., ...
MPHC is Irelands first and largest primary health care centre with both GPs and HSE community services working out of the same location. As such, it is a leading example of private and public services coming together and co-operating under one roof to serve the local community at grassroots level.. Placed as it is in Mallow at the crossroads of Munster, the MPHC is ideally located to serve over 120,000 people between the GP practices, HSE services and the enhanced medical services on offer at the 4th Practice. The practices here deal with over 30,000 patients, with around 1,000 people coming through our doors every single day.. MPHC is working with tomorrows medical professionals, with final year students and GP registrars taking their first practical steps into the profession here. MPHC also works closely with the pharmaceutical industry on research projects and some of the initiatives developed and trialled at MPHC have been rolled out nationally. We are proud to be a paperless building, ...
This project aimed to develop and evaluate a service delivery model for the delivery of quality care to patients of cardiovascular diseases (CVDs) and diabetes at the Upazila Health Complexes and other primary health care (PHC) facilities.. Specific objectives included: establishing a systematic screening and care process to enhance early diagnosis of CVD and diabetes in selected PHC facilities; improving treatment and follow-up of CVD and diabetes through enabled primary care arrangements; developing and adapting case management guidelines, tools and training modules; building capacity of doctors, nurses and paramedics at the selected PHC facilities for early diagnosis and effective treatment of CVD and diabetes; and testing and evaluating guidelines and tools for further scale up.. ...
This policy synthesis identifies four major models for organizing primary healthcare that are relevant to the Canadian context. Two models fall into what can be broadly called a communityoriented approach, while the other two fall into what can be called a professional approach. The vision of community primary healthcare is to improve the health of specific geographically defined populations and to contribute to community development by providing a set of required medical, health, social, and community services. Within this vision, there are two types of models: the integrated community model and the nonintegrated community model. These models differ by their degree of integration into other parts of the healthcare system. Several characteristics of their resources, organizational structure, and practices reflect their varying degree of integration. The vision of professional primary healthcare is to deliver medical services to patients who seek these services, or to people who choose to ...
DEERFIELD, Ill. - Walgreen Co. is turning over the operation of 56 Chicagoland in-store Healthcare Clinics to Advocate Health Care, the largest health system in Illinois. Advocate will lease the space in the Walgreens stores to run the walk-in medical clinics. The clinics are set to be rebranded as Advocate Clinic at Walgreens and will. ...
Amen Clinics is a nationally recognized outpatient healthcare clinic utilizing effective techniques to better your mental health. Learn how we can help you!
Trusted Internist serving Upper Marlboro, MD & Waldorf, MD. Visit our website to book an appointment online: Total Wellness Healthcare Clinic
In 2014 the National Curriculum replaced the teaching of ICT with Computing. The essential part of Computing is that it allows children to discover new skills and develop their understanding of the world.. At Moorside Community Primary School we have chosen to follow the Rising Stars Computing programme of study.. The Award-winning Switched on Computing supports teachers of all levels of experience to deliver the requirements of the new programme of study in an exciting and engaging way. Please see grid below for an outline of the Switched on Computing units that are taught in each year.. Computers and other technological aids are used throughout the school. Computing skills are taught as a discrete subject and as a means of supporting other areas of the curriculum. The children are encouraged to communicate ideas and information in a variety of forms, where appropriate, using equipment and computer software to enhance their learning. Children have the opportunity to learn how to word ...
Get address, phone number, hours, reviews, photos, geolocation and more for Summerbridge Community Primary School | Main Street, Summerbridge, Harrogate HG3 4JN on
Get address, phone number, hours, reviews, photos, geolocation and more for Wellesbourne Community Primary School | Abbotsford Road, Liverpool L11 5BA on
This application responds to RFA-AA12-009, Interventions to Improve HIV/AIDS and Alcohol-Related Outcomes (U01). The proposed study takes place in a HIV primary care clinic and uses the health plans electronic medical record (EMR) for screening; it has the potential to provide a significant benefit to HIV-infected individuals by reducing hazardous drinking and the associated complications. Prior studies have identified high rates of co-occurrence of HIV and hazardous drinking (defined as drinking over threshold limits, i.e., 5+ daily or 14+ weekly drinks for men and 4+ daily or 7+ weekly drinks for women). Drinking at these levels can compromise antiretroviral (ART) treatment, and increase rates of depression, unsafe sex, and mortality. The proposed randomized trial examines the comparative effectiveness of two highly implementable behavioral interventions for reducing hazardous drinking, each with an adaptive, stepped-care component: 1) Motivational Interviewing (MI), consisting of one ...
This application responds to RFA-AA12-009, Interventions to Improve HIV/AIDS and Alcohol-Related Outcomes (U01). The proposed study takes place in a HIV primary care clinic and uses the health plans electronic medical record (EMR) for screening; it has the potential to provide a significant benefit to HIV-infected individuals by reducing hazardous drinking and the associated complications. Prior studies have identified high rates of co-occurrence of HIV and hazardous drinking (defined as drinking over threshold limits, i.e., 5+ daily or 14+ weekly drinks for men and 4+ daily or 7+ weekly drinks for women). Drinking at these levels can compromise antiretroviral (ART) treatment, and increase rates of depression, unsafe sex, and mortality. The proposed randomized trial examines the comparative effectiveness of two highly implementable behavioral interventions for reducing hazardous drinking, each with an adaptive, stepped-care component: 1) Motivational Interviewing (MI), consisting of one ...
Glaucoma remains one of the leading causes of blindness worldwide. However screening and diagnosis is not part of routine primary health care. Read more of this article by following the link above ...
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The scientific assessment of the 1133 science proposals submitted for ALMA Early Science Cycle 1 has been completed. Seventy-eight science assessors from all over the world have evaluated the expected scientific value of these proposals. As a result, the most promising proposals of each ALMA region have been selected as those most likely to be completed using the ALMA Cycle 1 capabilities, after their technical feasibility was confirmed by fifteen technical assessors from the Joint ALMA Observatory and the three ALMA Regional Centers.. Principal Investigators (PIs) have been notified of the outcome of the Proposal Review Process by email.. The 196 highest-priority projects (see Table 1) cover a wide range of science and are distributed across the five broad ALMA science categories as shown in Figure 1.. ...
Learn more about Procedure Animations at Primary Health Group - Village Green Cardiac Procedures Angiogram, coronary ...
Citation: Health & Disability Sector NGO Working Group. (2005). Non Government Organisations (NGOs) and the Primary Health Care Strategy: Developing relationships with Primary Health Organizations from an NGO perspective. Health & Disability Sector NGO Working Group: Ministry of ...
TY - BOOK. T1 - An Evaluation of Health Interventions by Primary Health Care Teams and Continence Advisory Services on Patient Outcomes Related to Incontinence: Summary Report. AU - Roe, Brenda. AU - Wilson, K. AU - Doll, H. AU - Brooks, P. PY - 1996. Y1 - 1996. M3 - Book. SN - 9781874551157. BT - An Evaluation of Health Interventions by Primary Health Care Teams and Continence Advisory Services on Patient Outcomes Related to Incontinence: Summary Report. PB - University of Oxford. CY - Oxford. ER - ...
eHEALTH, as an online and print platform, elegantly guides the healthcare stakeholders through the trajectory of healthcare that witnesses fascinating changes on a daily basis due to increased technological intervention and other structural changes to create a community of practice of healthcare stakeholders.. email: [email protected] ...
The Postgraduate Certificate in Primary Health Care (PGCertPHC) is a interdisciplinary qualification available for those engaged in the delivery of primary health care and comprises a core paper and further approved papers from a wide range of topics relevant to primary health care.
PubMed journal article: The primary level of gonadotropins and the LH-RH test in hypothalamic syndromes in women. Download Prime PubMed App to iPhone, iPad, or Android
Professor Salman Rawaf was appointed by WHO Europe as a member of the newly formed Advisory Group on Primary Health Care. The first meeting of all Members was attended by the Regional Director Dr Zsuzanna Jakab and Kazakhstans Minister of Health, Dr Alexey Tsoy. Professor Rawaf gave a presentation on integration of public health and […]
This book, printed by WHO, is meant to serve as a guide for the development of Primary Health Worker systems in communities all over the world. The book should be adapted to the particular needs and conditions of the ...
General healthcare services, quality health care clinics and resources at the Columbia Health Center. Trusted health care for nearly 100 years by Planned Parenthood.
Church Health Services, Inc. (CHS) is changing the clinic format used to provide primary health care to their patients. Beginning Tuesday, November 21st, CHS primary health care clinics ONLY are changing to an urgent care walk-in format that still requires the patient to financially qualify.
With Clinic Ways you get affordable, high-quality and safe healthcare from well - known specialists without intermediaries.Do not move your health, contact us now for free help. Next station, health
On June 8th 2018 a group of nurses from across the primary health care sector met to discuss a range of issues and concerns in relation to primary health care nursing in New Zealand
Pay talks stalled yesterday and Mediation is the next step for primary health care nurses, says the New Zealand Nurses Organisation (NZNO). NZNO has been negotiating the Primary Health Care Multi-Employer Collective Agreement (PHC MECA) since November ...
Visit Healthcare Clinic at select Walgreens for STI testing and treatment. Walgreens Healthcare Clinic locations have convenient hours, and all tests are confidential.
Visit Walgreens and Healthcare Clinic for your flu shot. And keep your immunization schedule up-to-date with Walgreens, Healthcare Clinic and the many other CDC-recommended vaccines we carry.
Dear parents. Please find the updated Remote Teaching and Learning Plan in the COVID-19 section of our website.. Please dont heitate to get in touch if you require further information.. Edgewick-Community-Primary-School-Remote-Teaching-and-Learning-January-2021.pdf ...
I have been more than comfortable with all of Laura Varlaros medical skills. She has diagnosed some very complex conditions.... Read More Testimonials ,,. ...
Although general practitioners (GPs) describe favourable attitudes towards clinical practice guidelines, their familiarity with, and application of, OA management guidelines reveals an important implementation gap.5 The CareTrack study reported a median of 43% (95% confidence interval: 35.8, 50.5) of primary care-based healthcare encounters provided appropriate OA care.6 The Bettering the Evaluation and Care of Health (BEACH) study reported that only 17% of patients who consulted their GP for hip/knee OA were referred for lifestyle interventions.7. Previous research into barriers to the use of lifestyle interventions found that primary care practitioners (GPs, nurses, pharmacists, physiotherapists) feel underprepared to deliver these.8 Previous studies have identified a lack of confidence and knowledge of primary care practitioners to effectively deliver lifestyle interventions.9-12 Some practitioners continue to prescribe pharmacological agents7,13 with small therapeutic effects (eg ...
The Primary Health Care delivery remains the weakest link in the health care system - only approximately 1 out of every 5 primary health care center is functional - without significant and drastic intervention at this level, Nigeria is not likely to achieve the health-related sustainable development goals.. The Government of Nigeria as part of its commitment to achieving universal health coverage is set to revitalise the primary health care system by ensuring the functionality of 10, 000 primary health care centers - at least 1 functional primary health care center per political ward in Nigeria - to provide quality primary health care to 100million Nigerians. The scale-up of the 10,000 primary health service across the country was based on the key principle of long-term sustainability. Thus, the States will play a critical role in implementing the project and ensuring the expected outputs and outcomes are achieved.. ...
TEHRAN - The Iranian health minister put a spotlight on the countrys achievements in the health sector at the Global Conference on Primary Health Care held in Astana, Kazakhstan, on October 25-26.
Objective: This study aims to examine the circumstances associated with patients tendencies to recommend a primary care centre, based on four hypotheses, the initial contacts quality, care relationship continuity, treatment encounter responsiveness and whether the significance of encounter responsiveness differs depending on whether the patient has been seeing a nurse or physician. Design: The study is based on the patient self-reported responses, retrieved from the Swedish National Patient Survey. The design is cross-sectional, and data were analysed using a binary logistic regression. Setting: Data were collected from three primary healthcare centres in the region of Västra Götaland, Sweden. Participants: A total of 362 patients (62% females) having visited any of three publicly run healthcare centres in September 2010 constitute the analytical sample. Participants were fairly evenly distributed across all age groups. Main Outcome Measures: Recommendation was captured by patients binary ...
FIGURE 4 The effect of primary care-based parenting interventions and cognitively stimulating activities (reading) by using dichotomous outcomes. The squares represent individual studies, with the size of the square representing the weight given to each study in the meta-analysis. Error bars represent 95% CIs. The diamond represents the combined result. CCLO, Child Centered Literacy Orientation. ...
Kazakhstan today signed an agreement with WHO to host a new geographically dispersed office of WHO on primary health care in Almaty.
OBJECTIVE: To describe the prevalence and 9-month incidence of depressive symptoms among a cohort of elderly primary care patients and to determine whether different patterns of depression are associated with different patterns of health services use. DESIGN: Prospective study of depressive symptoms as measured by the Center for Epidemiologic Studies Depression (CES-D) scale and identification of patients outpatient health services use through an electronic medical record system. SETTING: An academic primary care group practice at an urban ambulatory care clinic. PATIENTS/PARTICIPANTS: 1711 patients aged 60 and older who completed the CES-D at baseline and 9 months later; 935 of these patients also completed the CES-D at 6 months. MEASUREMENT AND MAIN RESULTS: The prevalence of significant symptoms of depression (CES-D , or = 16) was 17.1% at baseline and 18.8% at 9 months; 26.8% of patients exceeded the threshold on the CES-D either at baseline or 9 months, and the 9-month incidence was 11.7%. ...
article{08fabc99-4d7f-4ecb-97c3-4c56e49797e5, abstract = {,p,Rationale: Adults may exhibit characteristics of both asthma and chronic obstructive pulmonary disease (COPD), a situation recently described as asthma-COPD overlap (ACO). There is a paucity of information about ACO in primary care. Objectives: To estimate the prevalence and describe characteristics of individuals withACOin primary care practices among patients currently diagnosed with asthma, COPD, or both; and to compare the prevalence and characteristics of ACO among the three source populations. Methods: The Respiratory Effectiveness Group conducted a crosssectional study of individuals ≥40 years old and with ≥2 outpatient primary care visits over a 2-year period in theUKOptimum Patient Care Research Database. Patients were classified into one of three source populations based on diagnostic codes: 1) COPD only, 2) both asthma and COPD, or 3) asthma only.ACOwas defined as the presence of all of the following 1) age ≥40 years, ...
Ministry of Public Health, Bangkok, Thailand PRIMARY HEALTH CARE IN THAILAND The problem of under-utilization of health centres and hospitals in rural Thailand led to the initiation of a pilot project on primary health care (PHC) in Sarapee District, Chiang Mai Province, in 1969. The project was designed mainly to extend various health services to cover a greater portion of the population in the area. The initial estimation for coverage of existing health services was below 20 per cent of the total population at that time. Recognizing that the health-service delivery structure was not covering all the health and medical demands of the community, the project organizers strategy was to train people selected by the community to function as intermediaries between the peripheral tambon (community of villages) health officers and the community, adding to the existing health-service delivery on a voluntary basis. Evaluation of the pilot project revealed that there was increased coverage of the ...
Tuesday, December 20, 2016. To make Nigerias inefficient primary healthcare system effective, the government plans an overhaul that could lead to some sort of financial autonomy for individual health centres.. The Minister of Health, Isaac Adewole, who stated this on Monday, said the move could lead to primary healthcare centres, PHCs, having full control of how they utilize the money they are allocated.. Represented by the Director of Public Health at the ministry, Evelyn Ngige, Mr. Adewole spoke at the 2nd Annual Primary Health Care Service Lecture, held in Abuja. He said the current administration would want to be remembered for putting in place a functional primary healthcare system.. The administration of President Muhammadu Buhari would love to be remembered in making basic healthcare services qualitative, accessible and affordable to all Nigerians, he said.. Financial autonomy at the PHC facility level, making sure money gets to the primary healthcare facilities directly with ...
Our analysis provides strong evidence that CBPHC can improve neonatal health in low-income settings. Of the studies with strong experimental research designs, over 70% showed a positive neonatal health impact. Although many of these studies were smaller scale pilots or efficacy studies, it demonstrates that CBPHC can be an essential tool where access to facilities is limited and many births take place at home. In these settings, access to antenatal care is often limited; for example, only 49% of pregnant women in sub-Saharan Africa obtain four antenatal care visits [1]. Furthermore, among the 75 countries with the greatest burden of neonatal mortality, the median national coverage of interventions that are important for improving neonatal mortality is quite low: 65% for skilled attendant at delivery, 28% for postnatal visits for newborns, and 50% for early initiation of breastfeeding [14]. Community-based approaches will be essential for the near term in order to achieve universal coverage of ...
All of the more than 250 Walgreens pharmacies and 35 Healthcare Clinic at select Walgreens throughout Ohio are now offering MMR (measles, mumps, rubel
Background: The translation of new knowledge, such as research findings, new tools or methods into health care practice has gained increased interest in recent years. Important factors that determine implementation outcome have been identified, and models and checklists to be followed in planning as well as in carrying out an implementation process have been produced. However, there are still knowledge gaps regarding what approach should be used in which setting and for which problems. Primary health care (PHC) in Sweden is an area where there is a paucity of research regarding implementation of new methods into practice. The aim of the thesis was to apply theory in the study of the implementation of an innovation in Swedish PHC, and identify factors that influenced outcome.. Methods: The study was performed using a quasi-experimental design, and included six PHC units, two from each one of three county councils in the southeast part of Sweden. A computer-based lifestyle intervention tool (CLT) ...
Background: In Namibia, studies showed that HIV/AIDS affects youth, especially the under 24 years age group. At the same time the pregnancy rate is also high by age 19. Interestingly, in Andara district several reports from staff working in the reproductive services have indicated that adolescent girls, who would seem to be taking responsibility in one sphere of their sexual lives by protecting themselves against unwanted pregnancy, were however not using condoms to protect themselves from HIV infection. Study Aim and Objectives: To describe the knowledge, attitude and behaviour related to HIV/AIDS amongst female adolescents who are accessing the primary health care (PHC) services for contraception. Specific objectives were to describe the knowledge of female adolescents who are accessing the PHC services for contraception about the modes of transmission and prevention of HIV/AIDS, to assess their attitude with regards to condom use, abstinence and being faithful to one uninfected partner, also ...
Therefore, it is crucial to identify as precisely as possible patients most likely to benefit from these programs. Finding high-risk patients in computerized medical record systems, using predictive modelling, has been evaluated in care management trials in the USA and is seen to have better results than case finding by doctors or patient surveys [12, 13]. These software models rely on clinically- and cost-similar disease categories called diagnostic cost groups (DCG) [14] or adjusted clinical groups (ACG) [15] that are generated from insurance claims data.. In Germany, chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD), and type 2 diabetes mellitus (DM) were among the 20 most frequent causes for hospital admission in 2008 [16]. All three conditions are stated as being ambulatory care sensitive conditions (ACSC), meaning that primary care has a dominating role in preventing hospital admissions for these conditions [17]. Hospitalisations may be avoidable by coordinated ...
The study examines how experience changed between the first and second years of Comprehensive Primary Care (CPC), how ratings of CPC practices have changed relative to ratings of comparison practices, and areas in which practices still have opportunities to improve patient experience.
People-centered care means shifting care to the community, and even bringing it directly to individuals when possible. And the Sayana® Press (DMPA-SC) puts health directly in womens hands. Its an all-in-one contraceptive device that combines a plastic bulb of medication with a single-use needle. A single injection-which can be administered by women themselves-prevents pregnancy for three months.. Previous research by PATH and partners has found that women can self-administer DMPA-SC safely and effectively, that they like doing so, and that self-injection enables them to continue using the method longer than injections from providers.. But how do women best learn to self-inject outside of research studies, in routine primary health care settings? Uganda paved the way, becoming the first country in the world to offer contraceptive self-injection outside of a research setting. Taking a human-centered design approach to identify best practices and user needs, as well as health system realities, ...
News release, Nov. 16, 2017. JACKSON, MI -- All six Center for Family Health medical sites in Jackson County are now recognized for advancing quality care, as certified by a national leader in health-care accreditation.. The National Committee for Quality Assurance (NCQA) has certified the Center for Family Health at LifeWays as a Patient-Centered Medical Home at Level 3, the highest level possible.. That certification means CFH at LifeWays meets rigorous standards of patient-centered care also achieved last month by CFHs four school health centers and earlier this year by the Centers Downtown Facility at 505 N. Jackson Street.. We are among an elite group of practices that demonstrate ongoing commitment to advancing quality in health care, said Kim Hinkle, Quality Improvement Director for CFH. We are proud to put our patients at the center of care.. The Patient-Centered Medical Home is a primary-care model with high standards of access, teamwork, and technology. Research shows it can ...
Trusted Family Medicine Practice serving Mineral Wells, TX & Weatherford, TX. Visit our website to book an appointment online: Patrick W. Hisel, MD, PA
Rural Primary Healthcare Center- This small public primary healthcare clinic, about 40 minutes outside of Puyo by bus, is located at the mouth of the Amazon jungle. It serves a largely indigenous population that travel 4-6 hours from deep within the jungle to seek care. Join local practitioners who provide primary care, obstetrics, immunizations, and treat emergencies such as snakebites and machete wounds. Take part in community visits providing preventative care, vaccinations, and well child check-ups.. Indigenous Community Visits- Hike into the Amazon jungle to visit an indigenous community and learn about the Shuar tribe. Unlike tribes that regularly receive tourists, this community works exclusively with CFHI participants and thus provides an authentic perspective of Shuar culture and daily family life. Learn about the unique worldview of the Shuar, their uses for traditional medicinal plants and important spiritual practices. Spend time with village children, sharing personal skills or ...
This is the updated edition of a health sciences handbook that deals with basic paediatric and childhood conditions. The book deals with these issues in an accessible, clear, and concise manner. The South African Governments focus on the provision of primary health care makes this text particularly valuable as it deals with the paediatric issues related to primary health. Due to a shortage of doctors, nursing staff are expected to provide necessary services.
Learn more about Procedure Surgery Fact Sheets at Primary Health Group - Village Green ABCDEFGHIJKLMNOPQRSTUVWXYZ A ...
This is the updated edition of a medical handbook that deals with basic paediatric and childhood conditions. The book deals with these issues in an accessible, clear, and concise manner. The South African Governments focus on the provision of primary health care makes this text particularly valuable as it deals with paediatric issues related to primary health. Due to a shortage of doctors, nursing staff are expected to provide necessary services.
Proportion of regular clients who are Indigenous, aged 15-49 years, are recorded as having Type II diabetes or COPD and are immunised against influenza. Regular client refers to a client of an OATSIH-funded primary health care service (that is required to report against the Indigenous primary health care key performance indicators) who has an active medical record; that is, a client who has attended the OATSIH-funded primary health care service at least 3 times in 2 years.. A client is considered to be immunised against influenza if they have received an influenza vaccination in the previous year.. Presented as a number. ...
at Radboud University Nijmegen in The Netherlands; Professor of Primary Health Care Research at the Australian National University in Canberra, Australia; and Past President of WONCA. On a global scale, research in family medicine and primary health care appears to develop slowly and hesitantly, certainly in light of its contribution to education. This difficult state of affairs is mirrored in substantial international differences in research facilities: few countries can boast the visionary funding policies of Canada or Australia, or the inclusive research programming of universities in the Netherlands and the UK. The research grass often looks greener on the other side of a border, and this tends to trigger contemplation of what might have been - along with lamentations of deprived opportunities.. Yet, there IS a parallel primary health care research reality to enjoy. Italian family physicians have been able to publish their research in the highest impact journals, Brazilian universities are ...
Reforming primary health care: is New Zealands primary health care strategy achieving its early goals. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
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Objective- To evaluate the practicability and efficacy of a structured treatment and teaching program for non-insulin-treated type II diabetic patients in routine primary health care.. Research Design and Methods- All physicians (n = 139) and their office staffs in Hamburg, Germany, who had participated in a special training course from 1 April 1991 to 31 December 1991 were contacted for a standardized interview. A random sample of 17 of these offices was selected for office visits during which the documented data of all patients who had received the standardized treatment and teaching in the same period were collected and evaluated.. Results- The program was well received by the physicians, and the data collected on 179 patients (5.1 mo median after the intervention) demonstrated the efficacy of the program at the treatment level: reduction of body weight (mean 2.8 kg, P , 0.0001) and HbA1c levels (from 8.11 ± 1.68 to 7.47 ± 1.64%, P , 0.0001) was substantial. The individual prescribed volume ...
Primary Health Care Services is the parent organization of the Peterborough Networked Family Health Teams. Our five teams include 81 physicians and we are funded for 20.6 nurse practitioners, 6.2 dietitians, 13 mental health clinicians, 2.9 pharmacists, 23.3 nurses and 15.5 clerical staff, working collaboratively to provide comprehensive primary care across Peterborough County in Ontario, Canada.. ...
Auckland PHO, a Primary Health Organisation in Auckland City. We fund & co-ordinate services, provide resources & expertise for GPs & deliver some specialised primary healthcare services
How our primary healthcare clinics serve the poor and marginalised in India with medical diagnosis and treatment for illness and disease.
Myocardial infarction is difficult to detect early. Due to delayed and uncertain diagnosis, physicians are unable to take treatment decisions during the golden hour, i.e. before commencement of necrosis. These delays cause incapacitation and death of the patient. We propose to build a smart instrument that will rapidly diagnose myocardial Infarction. We will employ a microcantilever-based bio-sensing system, to detect early cardiac markers (eg. myoglobin) that are released in the blood after an MI event. The instrument will be highly sensitive, highly selective and would provide a rapid diagnosis. The instrument can be used even by a qualified nurse at a rural primary healthcare centre in India.. ...
General healthcare services, quality health care clinics and resources at the Charleston Health Center. Trusted health care for nearly 100 years by Planned Parenthood.
Understanding the complex interplay between the development and persistence of depression over the longer term, psychological, social and physical factors and the health service use and treatment patterns is crucial if we are to plan better models of care to cope with the increasing burden that depression and related disorders is placing on people experiencing the condition, their social networks and the health care system.. Despite the growing interest in depression being managed as a chronic illness in primary care; this review identified only 17 observational studies of depression in primary care, most of which have been conducted in Europe or the US. The striking finding of this review is the small sample size of many studies, the small numbers in the cohort with depression and the short length of follow-up. The studies provide information on the nature and course of depression for around 7,500 people receiving routine primary care. Of the 17 studies, nine studies followed almost 3,000 ...
This is a hard letter to write, because most of us, including myself, would like to see government as on our side, especially where it comes to health matters.. Over the past few months it has become clear that the IHA has carried out a deliberate and long term plan to deprive Kaslo of not only its doctors and emergency services, but most likely the final goal for the IHA will be the elimination of our hospital altogether.. Two weeks before the meeting on November 12, called by the IHA, our family received a letter from the Ministry of Health saying that by mutual agreement Kaslo and the IHA have decided that it would be in the best interests of Kaslo to have a robust primary healthcare centre from 9 to 5, Monday to Friday.. This was a lie. There was no agreement from Kaslo on that, but that letter (which was sent by the Ministry to many people in the area) exposed the IHAs intentions such that they felt it necessary to call a meeting in November canceling our ER services.. Its not the IHA ...
While the majority of cases may not be preventable, significant morbidity can be averted by early recognition and treatment, highlighting the need to strengthen the delivery of health care at primary health centers in such resource challenged environments. Practitioners caring for musculoskeletal problems in such environments will necessarily be confronted with neglected hip sepsis, and the hope is that the information in this monograph will help to formulate a treatment plan for these challenging cases ...
INTRODUCTION. Diabetes is a worldwide epidemic, causing a high disease and economic burden. Type 2 diabetes, the most common form of diabetes, is associated with overweight and obesity and an unfavourable lifestyle, including unhealthy diet and physical inactivity. Over the last two decades, many large-scale experimental trials have shown that type 2 diabetes can be delayed or prevented by lifestyle modification in high-risk subjects. This evidence has been translated and implemented in interventions in real-world settings, however, no (cost)effective diabetes prevention programme in Dutch primary health care was available at the start of the current project in 2008. Therefore the SLIMMER study (SLIM iMplementation Experience Region Noord- en Oost-Gelderland) was started in which the SLIM intervention, revealing a 47% diabetes risk reduction, was translated to Dutch primary health care. The aim of this thesis was to implement the SLIMMER intervention in Dutch primary health care and to evaluate ...
Primary health care is one of the most cost-effective ways to equitably reduce morbidity and mortality and improve population health, but the realization of these potential benefits is dependent on having adequate numbers of competent, motivated human resources to deliver primary health care services. Read on for more information on the central role of health workers in
This is the last in a series of six articles describing approaches to and topics for health needs assessment, and how the results can be used effectively. In most developing countries, the evolution of health services has been dominated by Western models of health care. These have rarely taken into account how local people explain illness, seek advice, or use traditional healing methods. The emphasis has been on hospitals and curative care rather than on trying to address local health needs equitably and effectively. Since the Alma Ata declaration on primary health care, more attention has been given to increasing coverage of basic services and preventing common diseases. However, the bias in resource allocation towards secondary care and urban areas remains. ...
Background: In primary care, patients with multiple chronic conditions are the rule rather than the exception. The Chronic Care Model (CCM) is an evidence-based framework for improving chronic illness care, but little is known about the extent to which it has been implemented in routine primary care. The aim of this study was to describe how multimorbid older patients assess the routine chronic care they receive in primary care practices in Germany, and to explore the extent to which factors at both the practice and patient level determine their views. Methods: This cross-sectional study used baseline data from an observational cohort study involving 158 general practitioners (GP) and 3189 multimorbid patients. Standardized questionnaires were employed to collect data, and the Patient Assessment of Chronic Illness Care (PACIC) questionnaire used to assess the quality of care received. Multilevel hierarchical modeling was used to identify any existing association between the dependent variable, ...
While some changes in the healthcare delivery model have progressed in recent years, the pandemic has accelerated implementation.
Obesity is a chronic and multi-factorial disease and one of the most important causes of morbidity and premature mortality worldwide.. Currently, over a billion people are overweight and half a billion are obese. In more than half of the EU countries one in two individuals are overweight or obese. The epidemic is still increasing in many European countries, whereas in some it seems to have slowed down. In the United States, obesity has been declared the number one health threat.. Non-surgical and non-pharmacotherapeutical treatment options include diet, exercise, behaviour modification and psychological support. The effect size has been reported with a single digit weight loss in kilograms which can be maintained. In contrast to experimental settings, implementing life-style interventions in routine primary care that reduce morbidity at population level have proven to be difficult.. There are only very limited pharmacotherapeutic treatment options. Overall, pharmacotherapy has played a minor ...
All maintained school governing bodies and academy trusts have a legal duty to provide all of the governance information requested on this page in so far as it is available to them. This will increase the transparency of governance arrangements. It will enable schools and the department to identify more quickly and accurately individuals who are involved in governance, and who govern in more than one context. The information requested says nothing in itself about a persons suitability to govern. However, it is essential information for the department to be able to uniquely identify an individual and in a small number of cases conduct checks to confirm their suitability for this important and influential role. You should provide all of the information requested insofar as it is available to you. A minimum set of information needs to be provided before a record can be saved. A suggested privacy notice for schools is available for download: ...
  • This course presents basic principles of cancer survivorship to primary-care physicians. (
  • You will learn about the complex physical and psychosocial needs and concerns of the growing number of cancer survivors, along with the key role that primary care physicians have in guiding these patients back to health, after cancer. (
  • Making better use of all members of a health care team can ease time pressures on physicians and provide patients with the expertise and coaching they need. (
  • Our primary care providers are physicians, physician assistants, and nurse practitioners who are part of MedStar Medical Group, the provider organization for MedStar Health. (
  • Our family medicine physicians care for patients of all ages and deliver a range of services to all members of the family and always with the family in mind. (
  • Our internal medicine physicians, also known as primary care physicians (PCPs), provide long-term, comprehensive care to patients age 18 and older. (
  • MedStar Health internal medicine physicians provide routine preventative care. (
  • Based in Santa Barbara, Sansum Clinic is the oldest and largest non-profit, multi-specialty group between San Francisco and Los Angeles with over 200 physicians and surgeons and a staff of healthcare professionals in over 30 specialized areas of medicine. (
  • A first step was to shift primary care physicians into taking a more holistic view of mental health, essentially empowering them with tools to identify patients who need mental health treatment, and enabling the PCP to provide that treatment for certain more common conditions, including mild to moderate depression. (
  • Especially in rural areas where mental health specialists were particularly rare, the primary care physicians "felt like they were being forced to become psychiatrists. (
  • Linda Leckman, MD, CEO of Intermountain Medical Group, says an early part of any mental health integration plan is reeducating the primary care physicians, because most of them have little more than their residency training to fall back upon. (
  • Often the physicians already know which of their patients may have a mental health issue, but for others there are screening tools now in place that the PCP or other team members can use for diagnosis and assessment, starting with a patient health questionnaire, such as the PHQ-9, a series of questions about the patient's recent mood and behaviors. (
  • A key distinction is that the mental health resources are "supports to the existing patient population of our primary care physicians," says Jeremy Hernandez, regional assistant operations officer for the North Salt Lake Region of Intermountain Medical Group. (
  • Making changes to health care economics and increasing access to providers leads to improved experiences for both patients and physicians. (
  • For physicians who work in the membership-based primary care model, getting away from conveyor-belt medicine where patients are rushed in and out of the exam room is a welcome relief. (
  • A specific focus is on the payment mechanisms for primary care physicians, i.e. fee-for-service (FFS), enhanced-FFS, and blended capitation, and whether providers practiced as part of a multidisciplinary team. (
  • Results - Patients not enrolled with a primary care physicians were younger, more likely to be males and of lower socio-economic status. (
  • Patients that were in multidisciplinary teams (FHT), where physicians are also paid on a blended capitation basis, had higher total health care costs than non-FHT patients but still lower than the FFS reference group. (
  • We are looking for a NP or PA desiring to join a family of ambulatory physicians dedicated to our mission - "Living God's love by inspiring health, wholeness, and hope! (
  • Though the nation still faces a shortage of primary-care physicians, regulatory and payment roadblocks to delivering that basic service in less expensive ways are finally starting to come down. (
  • The Association of American Medical Colleges issued a report last year about the looming shortage of primary-care and other physicians. (
  • By 2025, the U.S. needs to produce 44,900 more primary-care physicians than current slots in medical schools and post-graduate residencies will provide. (
  • The PRIMO program is a competitive state program that awards funding to Missouri residents attending a Missouri institution pursuing training leading to Missouri licensure as primary care physicians, dentists, dental hygienists, psychiatrists, and other mental health practitioners. (
  • A number of researchers surveyed a nationally representative random sample of US primary care physicians (general internal medicine and family practice). (
  • Well, three-quarters of primary care physicians say that concerns about being sued make them practice more aggressively than they'd like. (
  • 2002]. Environmental medicine education is largely omitted in the continuum of U.S. medical education, leaving future physicians and current practitioners without expertise in environmental medicine to provide or facilitate environmental preventive or curative patient care [Gehle et al. (
  • Practicing primary care physicians report the need for environmental medicine education to better recognize, diagnose, and treat patients in their clinical practice with environmental related illness [Gehle et al. (
  • Instead, primary care physicians are dissatisfied because they feel underpaid, overworked, underappreciated and overhassled. (
  • Primary care physicians earn much less than subspecialists. (
  • The federal government's Council on Graduate Medical Education reports that primary care physicians' incomes would have to be increased to 70% of the median incomes of all other physicians to attract enough candidates to meet the needs of the general population. (
  • Another study found that primary care physicians spend 3.5 hours weekly on health plan interactions, compared to 2.6 hours for other medical specialists and 2.1 hours for surgeons. (
  • Beginning in January 2011, Medicare will pay 10% more for designated visits by primary care physicians. (
  • Starting in 2013 and continuing through 2014, Medicaid will pay no less than Medicare for office and hospital visits and immunizations by primary care physicians. (
  • Also next year, primary care physicians will be paid for providing an annual Medicare preventive exam. (
  • Health care reform also requires that health insurers reduce the number and complexity of paper and electronic forms and data entry required by patients, physicians and other providers. (
  • We reach more people and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues including more than 40,000 physicians, pharmacists, nurses, and nurse practitioners. (
  • The same is true for primary care physicians, and we need to be able to better coordinate care for these vulnerable patients," said Alex Young, MD, lead author of the new study and director of the Semel Institute for Neuroscience and Human Behavior at the David Geffen School of Medicine at UCLA. (
  • Another survey found dissatisfied physicians reporting more difficulty than other doctors in caring for patients. (
  • The shortage of primary healthcare practitioners, such as physicians and nurses, in northern Ontario has persisted for decades despite multiple strategies to address it. (
  • Overall, 88.9% of primary care physicians reported that they accepted new patients. (
  • The percentages of primary care physicians accepting new Medicaid or Medicare patients were significantly lower than the percentage of primary care physicians accepting new privately insured patients. (
  • Mental Health? (
  • We provide administrative time, personal days for health appointments and self-care, and we even make appointments for mental health check-ins, PCP appointments, and dental appointments for our interns. (
  • Our pediatricians in Plano provide oversight for chronic diseases, as well as mental health and behavioral issues including ADHD . (
  • As a member of the executive team at CHS, he has an in-depth understanding of health care operations and management, and is knowledgeable in Federal and State grants management and Medicaid and Medicare compliance as a Federally Qualified Health Center (FQHC), a Rural Health Clinic (RHC) and a Community Mental Health Center (CMHC). (
  • All too often a patient would come to one of Intermountain's 185 primary care clinics with multiple comorbidities that were exacerbated by mental health issues such as depression or dementia. (
  • So the primary care physician would refer the patient to a mental health specialist, but the next available appointment could be weeks away. (
  • There was no linkage," says Brenda Reiss-Brennan, PhD, APRN, director of mental health integration for Intermountain Healthcare. (
  • So what we did, basically, is said mental health is not just provided by a mental health provider. (
  • There's a whole spectrum of mental health issues and concerns that could be addressed by the whole team. (
  • Shifting the underlying view of mental health away from being a specialty referral to a routine medical condition that could be treated by the " primary care team necessitated new roles for some, and additional expertise added to the primary care clinic. (
  • Intermountain recognized that improving mental health integration in primary care required more than just asking the PCP to "try harder. (
  • Inevitably, addressing the access problem required adding mental health professionals at locations where they could do the most good: the practices themselves. (
  • Simply adding mental health staff on site, so-called "colocation," was not the complete solution. (
  • Intermountain looked at what the team makeup for mental health should be and added a variety of mental health professionals of various titles and responsibilities. (
  • Practitioners often rotate through several primary care clinics, so a clinic with a high number of complex mental health patients with critical needs may have a rotating psychiatrist in for a day a week, whereas other patients with a need for talk therapy can be seen by a clinical psychologist, she says. (
  • Upon completion of training, the PRIMO recipient completes a service obligation by working in a designated underserved area, in Missouri, experiencing shortages of medical, mental health, and dental professionals. (
  • The publication of the Five Year Forward View for Mental Health in 2016 was, consequently, a welcome move to improve access to, as well as quality of, mental health services. (
  • Yet waiting times for mental health services are not showing any signs of improvement. (
  • an estimated one in three GP appointments now involve mental health in some way. (
  • Nearly 71 million prescriptions for antidepressant s were dispensed in 2018, nearly doubling in the last decade-a sign of the vital role primary care has in dealing with increasingly common mental health issues, such as anxiety and depression, amid increasing demands. (
  • As a GP, it is often a herculean task to get someone seen in a timely manner by secondary mental healthcare or community mental health services. (
  • Yet the waiting times in mental health rarely appear to draw the same level of scrutiny and emphasis as the four hour A&E target or even the 18 week target for planned treatment. (
  • Struggling mental health services place substantial additional demands on primary care, especially when the capacity within primary care is already under strain too. (
  • Yet there is no central initiative to involve mental health services in the extended primary care team. (
  • Although there has been guidance around co-locating mental health therapists and integrating them within primary care, there has been no resource to back it up. (
  • These local services typically embed mental health support within primary care-in the form of community psychiatric nurses, psychologists, social prescribing link workers, or psychiatrists-and have shown early positive outcomes. (
  • There is a strong argument for providing support for people who, frankly, are being discriminated against for having a mental health illness in contrast to a physical illness. (
  • Support for people's mental health conditions needs to be prioritised in the area where it will have the most impact-in the community and focused around patients and the practices they visit. (
  • We need mental health therapists in our teams and this needs to be funded by new investments, and not by recycling money from other already overstretched services. (
  • Our words on achieving parity of esteem between physical and mental health must be matched by action. (
  • He is chair o f South Durham Health CIC, a GP federation that provides practice based mental health link workers in collaboration with the Tees Esk and Wear Valleys Mental Health Trust. (
  • In Australia, the poorest neighbourhoods report twice the level of psychological distress and mental health concerns compared to the wealthiest areas,' he said. (
  • GPs are still doing the same consultations that average 15 minutes, but they're trying to cram more and more people with more diseases, mental health concerns. (
  • A medical home that provides conventional primary care with a focus on mental health appears to be an effective model for managing patients with serious psychiatric illnesses, new research has found. (
  • Clinicians at the University of California, Los Angeles (UCLA), and their colleagues sought to reverse these poor outcomes by addressing mental health problems at the primary care level. (
  • They created a patient-centered medical home , a care model designed to ensure that patients receive primary and mental health care on a continuous basis to better manage chronic conditions and maintain wellness, rather than during separate, periodic visits to a doctor's office. (
  • However, they received their psychiatric care at a specialty mental health clinic rather than their primary care facility. (
  • For 65 (40%) patients in the medical home group, mental health care was completely switched so as to be provided by primary care clinicians. (
  • Carroll's two clinics in Chandler and Flagstaff, Arizona, operate under similar models that integrate primary care and mental health care with care from licensed behavioral counselors. (
  • Maryland Primary Care & Wellness is an outpatient substance abuse and mental health treatment program that serves children, age 5 and up, adolescents and adults residing in Prince George's County, Maryland and surrounding areas. (
  • Our experienced clinicians have extensive experience treating individuals that suffer with substance use disorders and mental health including Depression, Bipolar disorder, Anxiety Disorder, Panic Disorder, OCD and Schizophrenia. (
  • If you are looking for treatment and help with mental health, Contact Dr. Takem in Upper Marlboro & Silver Spring, MD, at (301) 627-3500 for more information and to schedule your appointment today. (
  • The report explores how self-management support can improve patient outcomes and calls for health systems across Canada to provide self-management supports in a more systematic way. (
  • Offering group visits and integrating self-management support programs directly into primary care settings can also yield positive outcomes. (
  • Behavioral health patients often have complex co-morbidities that make coordination between providers especially important to improve care and outcomes. (
  • Trusted clinical technology and evidence-based solutions that drive effective decision-making and outcomes across healthcare. (
  • Maldistribution of Health-care workers is a serious concern in the Asia Pacific Region, which results in poor availability of health services and negative health outcomes particularly for vulnerable populations in rural and remote areas. (
  • That would mean investing more resources into communities where there are poorer health outcomes. (
  • This, coupled with access to in-person visits with providers in our network, including MinuteClinic and HealthHUB locations, provides the flexibility needed for better health outcomes. (
  • We found this care model to be effective in improving treatment appropriateness and patient outcomes. (
  • Find programs supported by the SC Office of Rural Health to improve health outcomes and social challenges. (
  • Poor health outcomes for people living in northern Ontario must be viewed through an equity lens that takes into account the multiple proximal, intermediate, and distal social determinants of health, including, but not limited to, the impact of colonization and continued colonialism on the health of Indigenous Peoples, challenges in housing, education and employment, as well as lack of food security. (
  • Rapport d'activités 2022 de l'OMS Niger : principaux résultats de l'OMS atteints en étroite collaboration avec le Gouvernement, les partenaires et d'autres acteurs. (
  • On Saturday, October 22, 2022, the Rothwell and Henderson families and Pennington Quality Market hosted a one-day shopping event to benefit Capital Health's Center for Comprehensive Breast Care. (
  • Health care professionals like nurses, social workers and pharmacists can play a role (especially when many family doctors only have 15 minutes, on average, to devote to patient visits). (
  • Most primary health care services are provided by health practitioners such as general practitioners (GPs), Nurse Practitioners (NPs) and registered nurses (RNs) working within a general practice team. (
  • Currently, nurses at all three levels of registration (ie nurse practitioner (NP), registered nurse (RN) and enrolled nurse (EN)) practise in general practice at a level in keeping with their education and training. (
  • The care team may include our doctors and nurses, care coordinators, psychologists, social workers and/or lactation consultants. (
  • If necessary, consultation with other health professionals such as industrial hygienists or occupational health nurses may facilitate the gathering of useful information concerning exposures. (
  • Primary care nurses and health visitors often experience difficulties in engaging men in public health and health promotion initiatives. (
  • This article looks at how men's preventive health needs can be effectively addressed in primary care, and aims to assist nurses and health visitors to creatively, and sensitively target and engage groups of men in health improvement. (
  • Mr Braedon would rather see Australia adopt models that are seen overseas where GPs are supported by clinicians, like nurses and physiotherapists, and together they provide a more holistic approach to healthcare. (
  • In Rwanda , primary healthcare facilities ( health centres, HCs) are predominantly led by nurses . (
  • At a minimum, this includes documentation of efforts to establish coordination with one or more health centers in the service area (for example, email or other correspondence of requests and responses for coordination). (
  • Uniform Data System (UDS) Mapper documentation showing other health centers with sites in the service area. (
  • The health center documents its efforts to coordinate and integrate activities with other federally-funded, as well as state and local, health services delivery projects and programs serving similar patient populations in the service area (at a minimum, this would include establishing and maintaining relationships with other health centers in the service area). (
  • Review Uniform Data System (UDS) Mapper to identify other health centers with sites in the service area. (
  • Interview health center Project Director/CEO regarding coordination with other federally-funded, as well as state and local, health services delivery projects and programs serving similar patient populations in the service area (at a minimum, other health centers in the service area). (
  • Data for this study comes from a survey of 136 primary health centers (PHCs) and 3517 individuals living in the PHC's immediate vicinity in rural Chhattisgarh, India. (
  • seek to improve the delivery of health care by partnering with statewide organizations, communities, and academic institutions to support the building and equipping of clinics, treatment centers and other economically sustainable health care delivery sites. (
  • The National Committee for Quality Assurance (NCQA) awarded Memorial Primary Care Centers the Patient Centered Medical Home (PCMH) Recognition Level 3-the highest-level award of its kind. (
  • In December 1990, the Centers for Disease Control (CDC) and the Minority Health Professions Foundation responded to the growing concern of African- American and other minority communities about violence among youth by convening a conference entitled Forum on Youth Holence in Minority Communities: Setting the Agenda for Prevention. (
  • The Osler Medical Residency , world-renowned since its founding in 1889, is famous for its academic rigor, its esprit de corps, its focus on general medical wards and clinics, and its unwavering commitment to comprehensive care for the residents of East Baltimore. (
  • Retaining health care providers, particularly those who have received financial incentives to practice in under-served areas, can be a challenge for many clinics and communities. (
  • The PCO, with the help of all of the partners in the Workforce Recruitment and Retention Partnership, has developed the "Healthcare Workforce Retention Toolkit" to assist clinics with tips and valuable resources to increase their effectiveness in retaining their providers over time. (
  • We're already seeing many startups and urgent-care clinics offering telehealth services. (
  • In primary health care (PHC) clinics in low and middle-income settings, susceptible people, including healthcare workers, are exposed to individuals with infectious pulmonary tuberculosis. (
  • With convenient locations across Central Florida, we provide easy access to quality care, including same-day, next-day and virtual appointments. (
  • From annual well visits and physicals to appointments scheduled for illnesses and injuries, we create a plan for that is customized for your child, accounting for their physical development, mental and emotional needs, and social and environmental factors that can impact their health. (
  • Duke MyChart gives you secure access to view your test results, schedule appointments, request prescription refills and communicate with your care team. (
  • Telehealth appointments are now a part of our daily operations so our patients can continue enjoying healthcare in the convenience and safety of their home. (
  • Using your secure username and password, you'll be able to access your health records, request appointments and more - from any computer or iPhone with an Internet connection. (
  • Health Service provides confidential, high quality health care services for students and other members of the University community. (
  • The University Health Service works to improve the health and safety of the University community through a variety of occupational health services provided to employees and departments that are non-hospital based. (
  • University Health Service offers a wide range of primary care services, including treatment for illnesses and injuries, ongoing medical problems, and care and advice for health concerns. (
  • Documentation of established collaboration with other providers and organizations in the health center's service area, including local hospitals, specialty providers, and social service organizations, to provide access to services not available through the health center. (
  • Documentation of coordination efforts with other federally-funded, as well as state and local, health services delivery projects and programs serving similar patient populations in the service area. (
  • Access to other health or community services that impact the patient population. (
  • The Primary Care Center specializes in healthcare services for Denver Health employees, their families and patients with commercial insurance. (
  • In many low and middle-income countries patients often bypass the nearest government health center offering free or subsidized services and seek more expensive care elsewhere. (
  • Efforts to strengthen facility-based primary care services need to go beyond simply focusing on improving infrastructure or quality of clinical care. (
  • Please note: PPNNE offers limited primary care services. (
  • Please refer to the list above for the primary care services are able to provide. (
  • Please contact this health center for primary care services pricing information. (
  • Some health care services may be covered by your insurance. (
  • Through our essential healthcare programme, we ensure that millions of households across the country have access to a mix of effective and affordable healthcare services through frontline community health volunteers known as shasthya shebikas . (
  • Adopting the 'barefoot doctor' approach used in China, we were the first to recruit and train local women to promote family planning services and provide health and hygiene education in our Sulla programme in Sylhet during the 1970s. (
  • As part of Orlando Health, we offer you access to an advanced network of care, including emergency care, nearly 80 specialties, recognized institutes, rehabilitation services and more. (
  • New research shows that patients who successfully self-manage tend to have reduced disease-related effects and may make better use of health services because they monitor symptoms effectively and can prevent or respond to problems before they become a crisis. (
  • Primary health care providers should be an ongoing source of self-management support to follow up with patients and link them to community services and specialists. (
  • Our patients choose MedStar Health because we offer comprehensive primary care services for individuals and families, with an understanding that having a trusted doctor you can turn to is important to your overall health and wellness. (
  • Duke Primary Care of Galloway Ridge is a comprehensive primary care clinic in Pittsboro, NC, offering internal medicine care with a specialized focus on seniors, and lab services in one convenient location. (
  • Fees charged for general practice services, according to local arrangements between district health boards (DHB) and PHOs, are required to be published on DHB websites. (
  • If you need to make a casual visit to another practice (for example, if you are away from your home area), and you do not hold a Community Services Card (CSC) or a High Use Health Card, you may be charged the full fee as a casual patient. (
  • The development of some services delivered through PHOs such as Care Plus, have enabled more effective use of nursing skills. (
  • Island Primary Care - Orcas is your trusted neighborhood clinic for adult and pediatric services. (
  • During the last decades, Chilean health authorities have instituted a specific program for the treatment of depression in public services [ 23 ]. (
  • From annual checkups to disease management and getting treatment for an infection, primary care services are included in your monthly membership fee. (
  • Primary care and total health care costs were calculated at the individual level and included costs from physician services, hospital visits and admissions, long term care, drugs, home care, lab tests, and visits to non-medical health care providers. (
  • ABSTRACT Use of primary health care (PHC) services and satisfaction among elderly people (60 + years) in Asir was studied in 26 PHC centres. (
  • In recent decades, there has been a sharp care services in the region are provided increase worldwide in the number of peo- through a network of 15 hospitals across ple surviving to older ages. (
  • However, the study the pattern of utilization of primary rapid pace of socioeconomic growth and health care services and satisfaction among improved provision of health and other so- elderly people in Asir region. (
  • Family health records of the cho- sess the adequacy of patients' utilization of sen centres were reviewed to identify eld- health services in general and of primary erly adults (aged 60 years and above) and health care services in particular. (
  • At IU Health Primary Care - Internal Medicine, you'll have access to a broad range of primary care services. (
  • Luanda - Angola held the first National Forum on Immunization and Primary Health Care on 16 June this year, reaffirming the strategic importance of immunization as a platform to accelerate the provision of integrated, equitable and sustainable services, and guarantee universal coverage of health. (
  • This situation concerns local authorities and their partners and encourages them to accelerate the implementation of strategic initiatives to promote access to efficient and quality health services. (
  • As Modern Healthcare reports this week, health insurers are finally starting to pay for telehealth services. (
  • Moreover, younger healthcare consumers and their families will soon be demanding such services. (
  • We're also seeing rapid growth in the number of non-physician practitioners capable of delivering many primary-care services . (
  • PRIMO is a multi-faceted approach to improving access to health care delivery services for all Missourians. (
  • The Department of Health and Senior Services partners with organizations to assist with the recruitment and placement of health care professionals in Missouri HPSAs. (
  • Qualified employment is considered as full-time, direct patient care in a HPSA providing primary health care services. (
  • Memorial Primary Care (formerly known as South Broward Community Health Services) is dedicated to providing high-quality, compassionate, patient-centered care, where patients always come first. (
  • All patients seeking healthcare services at Memorial Primary Care are assured that they will be served regardless of ability to pay. (
  • In addition to pediatric primary care, we also offer pediatric therapy services at this location. (
  • Capital Health, St. Francis Medical Center, and Trinity Health have obtained key approvals for Capital Health to take over services from St. Francis. (
  • This is a direct result of the strain on all healthcare services, higher thresholds for accepting referrals, and lower thresholds for discharging them early. (
  • Yes, Health screenings such as mammograms and those for cervical cancer, colon cancer, lung cancer, and others are offered through our primary care services. (
  • The city Health Plan presents a detailed description of the municipality general situation, the oral health agenda recommends, in its implementation phase, the three main areas as a core in Family Health Strategy as follows: health unit, family and community.The survey found that the main form of access of the population to services was the spontaneous demand and there were only two Family Health teams without focus on oral health. (
  • IMSEAR is the collaborative product of Health Literature, Library and Information Services (HELLIS) Network Member Libraries in the WHO South-East Asia Region. (
  • Aetna Virtual Primary Care is available for self-funded employers and provides eligible members access to health services remotely and in person, strengthens a member's relationship with a physician and helps overcome health access barriers. (
  • WOONSOCKET, R.I. August 10, 2021 - Aetna, a CVS Health company (NYSE: CVS), announced an innovative health care solution, Aetna Virtual Primary Care, that reimagines the primary care experience and makes it easier for people to get the health services they need, anytime, anywhere. (
  • This new care experience is powered by Teladoc Health's longitudinal, physician-led care team model, and complemented by the strength of Aetna's provider network, and CVS Health services. (
  • Wherever and whenever people need us, we help them with their health whether that's managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. (
  • But people with these conditions - who often also experience cognitive deficits, have impaired social skills, are socially disadvantaged, and have high rates of substance addiction - are less likely to receive primary care services and instead rely heavily on hospitals and emergency departments for their medical care. (
  • Few psychiatrists are trained in primary care or can provide these services. (
  • While people with serious mental illness are some of the most challenging and expensive patients to treat, it is possible to help seriously mentally ill individuals be healthy and productive, while minimizing their need to use hospital and emergency departments," Young, who also is associate director of the Health Services Unit at the VA VISN 22 Mental Illness, Research, Education and Clinical Center, in Los Angeles, told Medscape Medical News . (
  • The physician is academically and clinically prepared to perform a broad spectrum of patient care services at the expert level. (
  • Recently, the government instituted a system of tying hospital (and provider) reimbursement for services to patient satisfaction scores delivered via Hospital Consumer Assessment of Healthcare Providers and Systems. (
  • More than 30 million seniors and people with disabilities choose Medicare Advantage (MA) because it delivers better services, better access to care, and better value. (
  • P&S Healthcare Department is the abbreviation for Primary & Secondary Healthcare Department Punjab is the Government sector which is working under the Govt of Punjab and is held responsible for providing the health services on primary and secondary levels by enunciating number of the programs against diseases. (
  • Dr Balvinder Khaira works as a GP in community health services around Melbourne. (
  • Therefore, prepared professionals and organized care, using protocols , would bring benefits both to patients as to the evolution and outcome of the disease and savings to health services . (
  • MMWR and Morbidity and Mortality Weekly Report are service marks of the U.S. Department of Health and Human Services. (
  • Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services. (
  • References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U.S. Department of Health and Human Services. (
  • Telenursing services are available in numerous countries for health counseling and evaluation of clinical service needs in the general population ( 10 - 12 ). (
  • Changes in health services use among commercially insured US populations during the COVID-19 pandemic. (
  • Impact of the COVID-19 pandemic on the utilization of hospice care services: a cohort study in Taiwan. (
  • This manual, which gives a framework for community action, is but one part of an increased effort by the U.S. Department of Health and Human Services to reduce the number of injuries and deaths produced by violence. (
  • of the Assistant Secretary for Preparedness and Response at the US Department of Health and Human Services. (
  • The Government places an emphasis on the broader multidisciplinary primary health care team -general practitioner, nurse practitioner, registered nurse, pharmacists, and other health professionals (such as physiotherapists, dieticians, psychologists, counsellors and occupational therapists) working together to enable people to have direct access to a range of primary health care providers. (
  • Looking for a clinic with a primary care doctor in San Diego County? (
  • Find clinic locations for UC San Diego Health primary care providers. (
  • We continue to provide the most advanced care that our patients have come to expect from Sansum Clinic. (
  • If your urgent health event occurs after the clinic is closed and it is not life-threatening, please call 360.376.2561. (
  • Island Primary Care - Orcas is committed to providing COVID-19 testing and vaccines for patients locally, either through our clinic or in collaboration with our community partners, San Juan County Public Health and Ray's Pharmacy. (
  • A descriptive, cross-sectional study was conducted among patients attending the diabetes clinic of a primary care level hospital in Moratuwa, Sri Lanka. (
  • These providers typically provide care to patients in an internal medicine, family medicine, geriatric or pediatric clinic. (
  • Preventive screenings, such as annual wellness visits and routine physical exams, play an important role in overall health. (
  • Findings from another study showed that work-related issues might not be adequately addressed or documented in the provider's clinical notes and that opportunities for preventive care relating to work-related injuries and illnesses may not be realized in the primary care setting [Thompson et al. (
  • World Health Organization. (
  • New Delhi: World Health Organization, Regional Office for South-East Asia, 2018. (
  • World Health Organization website. (
  • The other group received care from a team of VA clinicians that included either a physician or nurse practitioner and a nurse, medical assistant, and clerks. (
  • JOB SUMMARYThe Nurse Practitioner of Primary Care is a licensed, certified, non-physician healthcare provider who actively renders direct patient care and possesses delegated prescriptive authority, is credentialed and privileged, and whose service is billed as an independent billing provider. (
  • The Nurse Practitioner is recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the appropriate board. (
  • The Nurse Practitioner provides medical care based upon the scope of practice as delineated by the supervising physician. (
  • All visits to University Health Service are confidential . (
  • Children's Health℠ Primary Care Parker Road (formerly Pediatric Associates of Plano) offers newborn care, vaccines, sick visits, annual wellness exams and sports physicals. (
  • Our pediatric specialists are equipped to care for and treat minor injuries, including cuts, abrasions, burns and a variety of other acute health issues through same-day sick visits in Plano, TX. (
  • We also offer Express Care Video Visits . (
  • During their household visits, the role of community health volunteers is to provide health promotion sessions and educate families on a range of health issues. (
  • Self-management support can start at routine primary care visits where providers can empower patients to confidently ask questions and get involved in making decisions about their health. (
  • The Government provides subsidies to lower the cost of general practice visits for people enrolled in a primary health organisation (PHO), usually through a general practice. (
  • Experts in membership-based primary care saw how fee-for-service health care visits were becoming shorter and shorter, and responded. (
  • Our new Virtual Primary Care practice offers video visits seven days a week, from 8 a.m. to 10 p.m., for anyone (ages 16 and older) who needs to see one of our qualified and experienced providers from Capital Health Medical Group while at home or on the go. (
  • Lack of adequate access to care (as illustrated in a Merritt Hawkins survey on physician appointment wait times ), impact of in-person visits on caregivers, logistical problems for rural patients, and lack of available inexpensive care after hours are all factors which make this technology attractive. (
  • Book an appointment today and see for yourself what makes UCLA Health one of the most dependable names in health care. (
  • To best serve you and your family, our primary care providers offer both in-person and telehealth appointment options when appropriate. (
  • 2019)‎. Primary health care. (
  • The coronavirus disease 2019 (COVID-19) pandemic has posed a great challenge to the healthcare system. (
  • MedStar Health's telehealth care options are designed to provide care that is convenient, personalized, and safe. (
  • The key is expanded access to telehealth technologies and shifting more primary care to alternative practice models. (
  • Residents and fellows who would like to come to UHS for their personal health care are asked to call (585) 275-2638 or e-mail [email protected] to register to become a UHS patient. (
  • Self-management refers to the things a patient does to live well with chronic conditions, like monitoring symptoms, taking medication as prescribed, and recognizing what health-related behaviours will help manage their conditions. (
  • Duke MyChart is our easy to use online patient portal that helps you manage your health care online. (
  • Key initiatives include support for interprofessional primary health care teams, group practices and networks, patient enrollment with a primary care provider, financial incentives and blended-payment schemes, development of primary health care governance mechanisms, expansion of the primary health care provider pool, implementation of electronic medical records, and quality improvement training and support. (
  • If you are a casual patient (not enrolled at the practice you are attending) and a nurse sees you, they can make a claim towards the cost of the consultation from Te Whatu Ora - Health New Zealand and you may still incur a co-payment. (
  • Supporting information must be documented on an approved Patient Care Treatment Form . (
  • Q: When should I submit the Patient Care Treatment Forms? (
  • A: It is recommended that you submit the Patient Care Treatment Forms on or around the same date that you submit your medical claim(s) for that patient. (
  • Q: Do I need to submit Patient Care Treatment Forms if I am part of the Physician Integrated Network (PIN)? (
  • Provided this is the case, you do not need to submit Patient Care Treatment Forms. (
  • We can coordinate your patient care and provide you with the support you need to feel your best. (
  • The provider-patient relationship that develops allows us to detect changes in your health and work towards the quality of life you deserve. (
  • Results are usually returned after 24 hours and can be accessed in your Island Health patient portal account. (
  • however, the results will appear in your Island Health patient portal. (
  • For example, a COVID tests takes a few hours to process and upload once received by the Island Health lab, but a urine culture will need several days to show bacteria growth, appearing in the patient portal several days after the COVID results. (
  • to RN care managers, social workers, and peer mentors from the National Alliance on Mental Illness to provide patient support, education, and a link to the entire MHI team. (
  • Over the past couple of decades, health care has moved away from a comfortable doctor-patient relationship an unfriendly corporate, insurance-based, fee-for-service model that seems to increase costs and decrease the length of visit times. (
  • It is necessary to turn the tide toward membership-based primary care that focuses on the doctor-patient relationship, reduces costs and eliminates the obstacles that keep people from seeing their doctors, thus improving the health outcome and experience for everyone. (
  • Membership-based primary care is taking a new approach to improve the patient experience. (
  • Score is an average of all responses to care provider related questions on our nationally-recognized NRC Health Patient Experience Survey. (
  • Our goal is to take care of the "whole" patient, healing the body, mind and spirit. (
  • This nationally acclaimed award recognizes medical practices for adopting a care-delivery model that places the patient at the center of care. (
  • A new focus by health care reform advocates on the patient-centered medical home will forge a path toward financing and delivering primary care. (
  • Your patient care coordinators will try to work within the limits of your insurance coverage to get these screenings approved, but there may be some additional costs to you if you agree to the screenings. (
  • Patient stories, tips, and updates on everything in direct primary care. (
  • Our team's study shows that a patient-centered medical home can be effective and should be considered for improving the healthcare of patients with serious mental illnesses. (
  • The first randomized controlled trial of the approach, published in the Journal of General Internal Medicine, covered an average of 401 days at a specialized patient-centered home within the Veterans Health Administration's (VA's) Patient Aligned Care Teams. (
  • But anecdotal reports and studies suggest a significant increase in the level of discontent-especially among primary care doctors who serve at the frontlines of medicine and play a critical role in coordinating patient care. (
  • While there is significant debate over the correlation of patient satisfaction to quality of care, this system is here to stay at least for a while. (
  • There is no doubt that remote patient monitoring will play a large role in the health care continuum. (
  • Discuss a particular case where collaboration among healthcare professionals and family members affected patient/family satisfaction. (
  • The increase in chronic health conditions in northern Ontario and the need for interprofessional healthcare teams that offer patient-centred care are key issues. (
  • These questions are from the Patient Health Questionnaire (PHQ), a version of the Prime-MD diagnostic instrument. (
  • Patient Health Questionnaire. (
  • If you're a patient, please refer your questions to your healthcare provider. (
  • Our internal medicine doctors focus on caring for adults, including those with complex health needs. (
  • We offer world-class internal medicine and nephrology care for our patients, with outstanding customer service. (
  • Orlando Health Physician Associates is one of the largest primary care healthcare groups in Central Florida, offering more than 180 doctors practicing family medicine, internal medicine, pediatrics, obstetrics and gynecology, and podiatry. (
  • When you visit IU Health Primary Care - Internal Medicine in Muncie, you'll receive care designed for your specific needs. (
  • Most will tell you that there is nothing wrong with primary care internal medicine itself, that is, the importance of patients having an ongoing relationship with a well-trained internist who accepts responsibility for their whole person. (
  • We're open and have safe practices in place to care for your child. (
  • Please use this website as a reference to our office policies and practices, as well as for directions to our office, hours of operation, and information about our doctors and other health care professionals. (
  • Grants will be made available for community programs to help primary care practices qualify. (
  • The HBPC Physician practices in the outpatient setting in the Lexington VA Health Care System and in the residence of the client. (
  • Tired of working longer and harder because of discounted insurance payments and frustrated by stagnating pay and increasing oversight, many are going to work for large groups or hospitals, curtailing their practices and in some cases, abandoning primary care or retiring early. (
  • A 2012 Urban Institute study of 500 primary-care doctors found that 30 percent of those aged 35 to 49 planned to leave their practices within five years. (
  • µ We're doing a study of the health practices of__________________________ residents. (
  • We're doing a study of__________________ residents regarding their health practices and day-to-day living habits. (
  • The purpose of this study was to determine the ATV anticipatory guidance practices of primary care providers, as well as their attitudes, knowledge, and the barriers faced in educating families about the risk of ATV use. (
  • When to take your child to an urgent care vs. the emergency room. (
  • The pediatric nurse phone triage is available during the day and night for questions about acute and urgent care health issues. (
  • Urgent Care is for conditions that require medical care within 24 hours, but are not life- or limb-threatening. (
  • Denver Health MyChart users can now have a virtual urgent care visit with one of our expert providers. (
  • It's easy and convenient to get the urgent care you need from the comfort of your home, using your smartphone, tablet or computer. (
  • To learn more about your new benefits, your welcome packet, and what to do if you have an urgent health care issue please visit the New to Oregon Health Plan​ web page​. (
  • Our skilled and experienced providers deliver access to the most advanced healthcare options, offer innovative new treatments and technologies, and are part of a comprehensive network that gives you and your family access to 10 hospitals, hundreds of sites of service, including more than 30 urgent care locations, and thousands of specialists. (
  • If you have a medical problem that cannot wait until the next business day, Washington Regional has Urgent Care locations throughout Northwest Arkansas. (
  • These problems lead to patients using urgent care facilities and emergency rooms for routine primary care, which results in higher costs , lack of care coordination and less focus on wellness. (
  • Health reform changes make strong collaboration among clinicians and organizations in these fields even more pressing. (
  • Developing payment structures that enable behavioral health and primary care integration are critical to consider in any payment and delivery system reform initiative. (
  • Believing that 'better is possible,' a family doctor and other researchers are asking Canadians to share their experiences with the country's primary health-care system - and what they want from it - as a way to help guide future reform. (
  • This policy analysis examines primary health care reform efforts in Canada during the last decade, drawing on descriptive information from published and gray literature and from a series of semistructured interviews with informed observers of primary health care in Canada. (
  • You can keep updated with the latest Health Reform updates at Future of Health . (
  • Health care reform provides expanded scholarships and loan forgiveness to medical students who go into primary care. (
  • Given that many countries has been experiencing rapid economic growth despite large variations in socioeconomic and health system characteristics, examining how the changes in health systems especially health financing reform and private health sector development affect strengthening HRH can contribute to our knowledge and provide useful lessens for the region and other countries. (
  • 3. Interventions to be integrated into an overall health system reform. (
  • Depending on the type of health insurance you have, you may be able to change to one of our primary care providers (PCPs) at any time. (
  • Affiliated providers are affiliates of the UC San Diego Health Physician Network, but are not employed by UC San Diego Health. (
  • The report discusses how primary health care providers can better assume this support role for patients with chronic conditions. (
  • Given their access to Canadians with chronic-disease, primary health care providers need to be enabled to deliver self-management support. (
  • We must invest in ongoing education for providers in self-management support, and encourage the expansion of primary health care teams which can use a variety of health care providers to deliver self-management support. (
  • Supporting and creating better links between primary care providers and community-based self management programs will help increase participation and engagement by patients in their own care. (
  • Self-management has great potential for patients, providers and Canadians," said John G. Abbott, CEO, Health Council of Canada . (
  • Primary care providers will have the tools to help their patients succeed. (
  • Collaboration among governments, health care providers and chronic disease organizations can help fill gaps in service and create an integrated, system-wide approach to self-management support. (
  • Our family medicine providers are available to care for you and any member of your family. (
  • Whether you are a parent seeking care for your child, an older adult needing specific treatment for your advanced years, or a child or adult with intellectual and developmental disabilities, our providers can help. (
  • This webinar will highlight successful examples of how to integrate behavioral and physical health providers with a supporting payment model. (
  • The health reforms aim to extend and develop this concept and increase the role of Māori providers. (
  • There are several things to keep in mind when requesting lab work from providers outside of Island Health. (
  • They think too much care is being provided, but most of it is coming from mid-level providers or medical subspecialists. (
  • What Role Do Primary Health Care Providers Have in Detecting, Treating, and Preventing Disease Resulting from Toxic Exposures? (
  • Explain why primary health care providers should be knowledgeable about the exposure history process. (
  • This study explored how healthcare providers (HPs) at Rwandan HCs perceived their capability in the diagnostic practice. (
  • While most mobile health tools used today are reference apps for health care providers and patients, there are ways in which other types of mobile technologies can be immediately useful. (
  • We conducted a pilot study of decision support tools among high-risk women and their primary care providers (PCPs). (
  • All-terrain vehicle injury prevention: healthcare providers' knowledge, attitudes, and the anticipatory guidance they provide. (
  • An electronic survey was administered to primary care providers belonging to state medical societies. (
  • Working with parent educators to provide Milestone Moments booklets and other materials to, and conduct trainings with, pediatric primary care providers. (
  • In this policy brief, mixed methods of systematic review of the literature and case studies from three Asian countries (Cambodia, China and Viet Nam) were undertaken to explore the interventions on the attraction and retention of rural health workers in the Asia Pacific region. (
  • The situation was further worsened by heterogeneity in virus testing strategies, usually a result of local differences in laboratory capacities ( 3 ), leading to a need for local-scale COVID-19 forecasting methods based on resources available in the existing healthcare infrastructure ( 4 ). (
  • Your primary care physician is your healthcare partner through every age, ensuring you and your family receive the important screenings and immunizations for a lifetime of health. (
  • Do you offer routine health screenings? (
  • Based on your insurance provider, your health needs and any chronic conditions, advanced screenings may or may not be covered. (
  • Whether or not you choose to undergo these advanced screenings, we are committed to providing you with the best possible care. (
  • Also universities were significant stakeholders in capacity-building of the rural health workforce through medical education and training in some countries in collaboration with central or regional government. (
  • To strengthen the Primary Health Systems of Low-and-Middle Income countries and Ethiopia's PHC system through building capacity, enhancing partnerships and south-to-south collaboration. (
  • This webinar will share examples of current good practice and collaboration between primary care and care homes, including resources to support virtual ward rounds. (
  • Discuss how you have been able to promote communication and collaboration among healthcare professionals, patients, and family/caregivers. (
  • In your clinical practicum, what are some barriers you have observed to collaboration among health care professionals, patients, and families? (
  • And what we have found is that about two-thirds of the behavioral health issues that present in a primary care practice can be dealt with by that primary care doctor. (
  • Strong linkages across health care and public health are vital to addressing national health priorities at a systemic level. (
  • Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. (
  • 1 Johns Hopkins Bloomberg School of Public Health, USA. (
  • Major depression is an important public health problem [ 1 , 2 ]. (
  • In Chile, as in the world, major depression constitutes a complex public health problem [ 21 ]. (
  • In recent years, the country has been making significant investments in the health sector, with emphasis on increasing the workforce, improving health infrastructure and strengthening the capacity to respond to public health emergencies, including vaccination against Covid-19. (
  • Gareth is an Honorary Senior Visiting Fellow in the Department of Public Health and Primary Care. (
  • The high occurrence of DIGO among users of nifedipine and phenytoin emphasizes the importance of the dentist as part of the public health team to provide the prevention, early diagnostic, and control of this alteration. (
  • Not so long ago public health was the science of controlling infectious diseases by identifying the "cause" (an alien organism) and taking steps to remove or contain it. (
  • A user-directed, interactive tool, utilizing existing data related to provider distribution, health care facility locations, disease burden, and health care utilization patterns across the state. (
  • This study evaluated the impact of the pandemic on the utilization of primary healthcare (PHC). (
  • Changes in health care utilization during the MERS epidemic. (
  • Health service utilization in Hong Kong during the COVID-19 pandemic - a cross-sectional public survey. (
  • Chronic disease in Canada costs more than $90 billion a year in lost productivity and health care costs. (
  • It's a situation that worries Dr McPhee, who wants to see a major shift in focus and investment towards primary healthcare, in order to prevent chronic disease and keep people out of hospital. (
  • The changes Grattan wants to see include more support for team-based chronic disease care and funding matched with community need. (
  • This undated electron microscope image made available by the U.S. National Institutes of Health in February 2020 shows the Novel Coronavirus SARS-CoV-2, orange, emerging from the surface of cells, green, cultured in the lab. (
  • We used this experience during the initial stage of the pandemic in 2020 to nowcast local cases of patients hospitalized with COVID-19 by modeling associations with data from Swedish Healthcare Direct's 24-hour telenursing service (telephone number 1177) ( 9 ). (
  • Children's Health is proud to become the first pediatric health system in the country to offer Amazon Lockers, self-service kiosks that allow you to pick up your Amazon packages when and where you need them most - 24 hours a day, seven days a week. (
  • No matter who you see at Duke Health, your care will always be coordinated through our electronic medical records system, which is accessible to every doctor and every facility at Duke. (
  • During the 1980s and 1990s, innovations in the organization, funding, and delivery of primary health care in Canada were at the periphery of the system rather than at its core. (
  • Canada's experience suggests that primary health care transformation can be achieved voluntarily in a pluralistic system of private health care delivery, given strong government and professional leadership working in concert. (
  • I'm constantly telling you what I think of the US health care system, so it only seems fair to talk about what other doctors think of it. (
  • Also difference context such as political, economic and social issues, and health system-related factors would often affect the implementation and effectiveness of interventions. (
  • The research site chosen was in the city of Pereira Barreto, State of São Paulo Brazil, since it makes use of the Family Health Strategy as the structuring care model of the Health Care System in 100% of the population as well as oral health teams implemented and oral health secondary care. (
  • That aligns with the findings of a new report released by the Grattan Institute, which says Medicare no longer works for patients or for doctors, and suggests the universal healthcare system needs a drastic revamp. (
  • The precarious state of general practice is the most concerning pressure on the healthcare system right now, says federal Health Minister Mark Butler. (
  • We help people navigate the health care system and their personal health care by improving access, lowering costs and being a trusted partner for every meaningful moment of health. (
  • The lack of an adequate primary care infrastructure in the U.S. is a huge obstacle to creating a high-performing health care system," said David Blumenthal, president of The Commonwealth Fund, a health care research foundation. (
  • Share your thoughts on how the primary health care system can be improved in North Western Melbourne. (
  • Demographic, pharmacological, and periodontal data were obtained from 100 users of the Brazilian Primary Health Care System in Diamantina, Jequitinhonha Valley, Minas Gerais state, Brazil, who were taking nifedipine and/or phenytoin. (
  • Everything you always wanted to know about the Health Care system. (
  • Since PHC service is the foundation of the healthcare system in most developing countries, measures should be taken to make PHC help cope with the crisis and relieve the burden of hospital care. (
  • Objective This article conducts a scoping review of the literature to identify and classify measures of primary care EHR use with a focus on the Canadian context. (
  • The clinical competence of the health care provider had a greater effect on reducing bypassing compared to PHC structural quality such as the building condition and drug stock-outs. (
  • Nurse practitioners are highly skilled autonomous health practitioners who have advanced education, clinical training and demonstrated competency. (
  • To identify the clinical and psychosocial factors associated with psychiatric comorbidity in patients consulting for depression in Primary Health Care (PHC) in Chile. (
  • Winokur and other authors used the term "primary-secondary depression" to differentiate the clinical manifestations and the antidepressant response in patients with pure depression from patients with comorbid depression [ 11 ]. (
  • Problems with many (though not all) RPM tools today include the lack of interoperability with electronic health records, the lack of analytics utilized to make the data actionable and tied to good clinical decision support tools, and the lack of apps which make it a truly mobile technology. (
  • Thus, it is inferred that the knowledge and security of primary health care professionals depend on individual factors and institutional initiative for the adoption of clinical guidelines and training . (
  • 1 ] [ 2 ] The most notable of such national programs is the United States' provision of "Meaningful Use" incentives, supported by the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009. (
  • 19 researcher and member of the clinical guidelines panel at the National Institutes of Health. (
  • When necessary, your primary care physician can make referrals for specialty care -- connecting you directly with Duke's network of renowned specialists. (
  • We are pleased that you have chosen us as your primary care specialists. (
  • Many people with illness caused or exacerbated by exposure to hazardous substances obtain their medical care from clinicians who are not specialists in environmental or occupational medicine. (
  • My main practice has been in community health (cohealth/IPC Health), drug and alcohol and refugee health (Utopia Refugee and Asylum Seeker Health). (
  • We are located on the campus of Texas Health Presbyterian Hospital Plano in medical office building 1. (
  • Developed by a team of experts in caring for cancer survivors, and narrated by a primary-care physician, this course provides practical tips and tools that can be easily integrated into medical practice. (
  • Our internists get to know you, your family history, and your medical history-your overall health. (
  • Both professions have expanded their ranks significantly since the IOM report, testimony to the underlying desire of thousands of college graduates to enter the caring professions without taking on the level of debt required to graduate from medical school. (
  • At Nemours Children's Health, Becks Woods, we see patients for primary care medical needs like well-child checkups, sick-child care and immunizations, from birth until 18 years old. (
  • As part of our "medical home," your child's primary care provider leads a care team dedicated to addressing your child's comprehensive health care needs - arranging care with other qualified professionals as needed. (
  • Our goal is to offer you and your family the highest quality medical care. (
  • Capital Health Regional Medical Center (RMC) recently earned recognition from the Lown Institute as one of the most socially responsible hospitals in America. (
  • A recent report about U.S. medical schools disclosed that graduating students received inadequate instruction in environmental health [AAMC 2010]. (
  • Medicare will test new models of paying primary care, including medical homes, and states will be allowed to offer a new Medicaid medical home option. (
  • Look for an email from 'Your Primary Care Plus Medical Team' with simple instructions on how to create your My Health Plus account. (
  • One group comprised 164 patients who received integrated healthcare through a VA medical home staffed by a primary care doctor and nurse care manager. (
  • In addition to providing primary health care, the Physician serves as a consultant to nursing and midlevel medical staff for patients with complex treatment or care needs in the home. (
  • Whole person care that takes into consideration the integration of body, mind, and spirit is central to Indigenous concepts of health and wellness, as well as being central to the foundations of naturopathic medical philosophy. (
  • Foundation of medical terminology and hospital abbreviations useful for practice in health care. (
  • Of the 500 NPs registered with the Nursing Council in 2021, the majority work in primary care or community health. (
  • However, there are still several challenges to achieve universal health coverage and the Sustainable Development Goals, in particular with regard to routine vaccination coverage, the still high levels of malaria, diarrheal diseases, pneumonia, acute malnutrition, tuberculosis, and the increase in chronic non-communicable diseases. (
  • Our results support local nowcasting of hospitalizations on the basis of symptom data recorded in routine healthcare during the initial stage of a pandemic. (
  • There is a lot of evidence about the inequalities in health between men and women, but inequalities also exist between different socioeconomic groups of men (White 2004). (
  • Access to care is provided 24 hours a day, seven days a week throughout the calendar year. (
  • Download the MyChart mobile app for access to your healthcare information. (
  • Stay up to date: Receive monthly updates on RWJF-sponsored research that informs leading health policy debates on Capitol Hill - from health equity to improving access to quality health care, child nutrition, equitable housing, and more. (
  • According to the Minister of State for the Social Area, Dr. Carolina Cerqueira, the government is committed to increasing access to health care for everyone and everywhere, to achieve the national commitment to Universal Health Coverage and the Sustainable Development Goals (SDGs). (
  • Meanwhile, staff shortages are rife and patients continue to struggle to access care. (
  • He's worried about inequity and the problems poorer people and those in regional and rural areas face in trying to access healthcare, as well as the burnout experienced by GPs who deal with marginalised patients with more complex health needs. (
  • Overseas you see that GPs have a whole team around them to help them share this care and provide early access and the best possible care to patients. (
  • Use your secure username and password to access your My Health Plus account 24/7, from any computer or iPhone with an Internet connection. (
  • Simply provide us with your email address and we will assign you a user name and password to access your My Health Plus account. (
  • Are you a GP or health professional in our region who would like access to HealthPathways Melbourne? (
  • Where is parking located for Children's Health Primary Care Park Road? (
  • Welcome to UCLA Health Primary & Specialty Care in Burbank! (
  • Our family medicine doctors care for people of all ages and may also provide pregnancy care. (
  • Our senior medicine doctors (geriatricians) specialize in the health needs and care of adults ages 65 and older. (
  • This new look at health care offers doctors the opportunity to give quality care where patients have the time to ask questions and to even discuss wellness instead of sickness. (
  • Just as millions of Americans are obtaining insurance coverage through the federal health law, doctors like Finer, Gassner and Devitt are voting with their feet. (
  • Inclusion of naturopathic doctors in publicly funded multi-disciplinary primary healthcare settings is proposed as an achievable strategy to fill gaps in health human resources and advance the movement towards holistic care for Indigenous Peoples and others living in northern Ontario. (
  • Community health volunteers also work as a crucial point for the nationwide referral network for complicated cases, with government and BRAC health centres respectively. (
  • They visited PHC centres significantly less often than younger adults but they were referred significantly more often to secondary and tertiary care and for more laboratory tests. (
  • A random sample of 253 elderly people attending the centres was interviewed about accessibility, continuity, humaneness, informativeness and thoroughness of care. (
  • Assessment of the effect of serum albumin on frailty score among patients who are attending primary health care centres. (
  • The effect of serum albumin level on the frailty score in elderly patients attending primary health care centres in Babel. (
  • However, general practitioners (GPs) frequently do not recognize anxiety in patients with depressive symptoms [ 16 , 18 ], a fact that is associated with a worse prognosis of depression, more chronicity, higher risk of suicide, and higher health costs [ 17 - 20 ]. (
  • If you do not find what you are looking for here, please go to the Women's Health Care page. (
  • Sign up to receive the latest health news and trends, wellness & prevention tips, and much more from Orlando Health. (
  • now the orientation drives towards a health surveillance model that emphasizes health promotion and disease prevention 1 . (
  • One of the managers biggest challenges concerning their commitment to develop health promotion, disease prevention, care and rehabilitation of individuals with the rational use of resources is to focus on people's health as well in their social and physical environment in which they live and work and not just theIr illnesses, themselves 2 . (
  • These aren't the only choices for primary care, but Woody's observation will resonate with many primary care internists who are profoundly pessimistic about their futures. (
  • I have special interests in mental and adolescent health," he says. (

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