Primary care doctor fostering and clinical research training in Sweden: Implications for Japan

Women’s health in primary care is a large part of the generalist’s practice. Information technology (IT) is now an integral part of the generalist’s office, often more so than in secondary care and therefore this chapter is a key starting point in the book. Initially there is an introduction of the role of IT in primary health and the many areas it may encompass. We then move onto organizing clinical information and the ways that this maybe represented electronically in the “cradle to grave” electronic health record. In addition to recording information, can IT help the primary care doctor? The area of IT in screening, prevention and alerts is discussed. The role of the computer in the clinician’s office and the impact it has on the consultation is explored. Can computer help clinicians perform better? Areas of discussion include the role of computers in audit and systems using artificial intelligence to improve patient care. IT is increasingly important in scheduling both within the practice and at the local hospital. This can be done by the primary care doctor and in some instances by the patient his or herself. The ideal situation is the primary care doctor having a system which can “talk” to external systems (e.g. local hospital notes, with a secure portal). In some countries such as the United Kingdom, this is becoming a reality, though there are problems which are discussed.

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Beginning

Counseling Persons with Parkinson's Disease ◽

10.1093/oso/9780190672928.003.0001 ◽

2021 ◽

pp. 1-12

Author(s):

Allan Hugh Cole

Keyword(s):

Primary Care ◽

Parkinson’S Disease ◽

Parkinson's Disease ◽

Movement Disorder ◽

Clinical Diagnosis ◽

Personal Narrative ◽

Primary Care Doctor ◽

Doctor Who ◽

Brain Scan ◽

Movement Disorder Specialist

Through personal narrative, this chapter details the author’s experience of first becoming aware that something was not right with his body. This experience leads to visiting his primary care doctor who tells him that she is concerned about the possibility of his having Parkinson’s disease and then refers the author to a neurologist who is a movement disorder specialist. He is examined by this neurologist, who says, “What worries me is that I think you are in the early stages of Parkinson’s disease,” but who wants the author to have a brain scan that will confirm the clinical diagnosis given his young age and subtle symptoms. The author leaves his office, drives home, and informs his wife that this doctor thinks he have Parkinson’s disease. Here begins his new life as a person with Parkinson’s (PwP).

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Impact of the Programa Mais médicos (more doctors Programme) on primary care doctor supply and amenable mortality: quasi-experimental study of 5565 Brazilian municipalities

BMC Health Services Research ◽

10.1186/s12913-020-05716-2 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Thomas Hone ◽

Timothy Powell-Jackson ◽

Leonor Maria Pacheco Santos ◽

Ricardo de Sousa Soares ◽

Felipe Proenço de Oliveira ◽

...

Keyword(s):

Primary Care ◽

Human Resources For Health ◽

Primary Care Doctor ◽

Substitution Effects ◽

Programme Implementation ◽

Potential Health ◽

The Sustainable Development ◽

Amenable Mortality ◽

Quasi Experimental ◽

Primary Care Doctors

Abstract Background Investing in human resources for health (HRH) is vital for achieving universal health care and the Sustainable Development Goals. The Programa Mais Médicos (PMM) (More Doctors Programme) provided 17,000 doctors, predominantly from Cuba, to work in Brazilian primary care. This study assesses whether PMM doctor allocation to municipalities was consistent with programme criteria and associated impacts on amenable mortality. Methods Difference-in-differences regression analysis, exploiting variation in PMM introduction across 5565 municipalities over the period 2008–2017, was employed to examine programme impacts on doctor density and mortality amenable to healthcare. Heterogeneity in effects was explored with respect to doctor allocation criteria and municipal doctor density prior to PMM introduction. Results After starting in 2013, PMM was associated with an increase in PMM-contracted primary care doctors of 15.1 per 100,000 population. However, largescale substitution of existing primary care doctors resulting in a net increase of only 5.7 per 100,000. Increases in both PMM and total primary care doctors were lower in priority municipalities due to lower allocation of PMM doctors and greater substitution effects. The PMM led to amenable mortality reductions of − 1.06 per 100,000 (95%CI: − 1.78 to − 0.34) annually – with greater benefits in municipalities prioritised for doctor allocation and where doctor density was low before programme implementation. Conclusions PMM potential health benefits were undermined due to widespread allocation of doctors to non-priority areas and local substitution effects. Policies seeking to strengthen HRH should develop and implement needs-based criteria for resource allocation.

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Teaching Statistics to Physicians using Stata

The Stata Journal Promoting communications on statistics and Stata ◽

10.1177/1536867x0500500209 ◽

2005 ◽

Vol 5 (2) ◽

pp. 248-258

Author(s):

Susan M. Hailpern

Keyword(s):

Clinical Research ◽

Research Training ◽

Albert Einstein College ◽

Albert Einstein ◽

Research Data ◽

First Semester ◽

Master Of Science ◽

Science Degree ◽

Research Training Program ◽

Yeshiva University

The Clinical Research Training Program (CRTP) at the Albert Einstein College of Medicine at Yeshiva University is a two-year program for physicians leading to a Master of Science degree in Clinical Research Methods. Beginning in July 2004, the program began teaching data analysis using Stata 8 in order to better meet the advanced statistical needs of the students. This paper details the structure and content of the course, how Stata was introduced, and the problems we encountered. Student comments and suggestions on future enhancements to Stata are included. Although challenging, our first semester teaching Stata was a success: the students all learned Stata and, more importantly, continued to use it for the analysis of their own research data after the course was complete.

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Latest clinical research

Independent Nurse ◽

10.12968/indn.2019.11.10 ◽

2019 ◽

Vol 2019 (11) ◽

pp. 10-11

Author(s):

Mark Greener

Keyword(s):

Primary Care ◽

Clinical Research ◽

Primary Care Nurses

Mark Greener rounds up the latest research of interest to primary care nurses

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