Primary Care in Obstetrics and Gynecology: Health Maintenance and Screening

2008 ◽  
pp. 3-31
Author(s):  
Douglas W. Laube
Keyword(s):  
Primary Care ◽  
Obstetrics And Gynecology ◽  
Health Maintenance

Ethics Case Consultation in Primary Care: Contextual Challenges for Clinical Ethicists

2009 ◽  
Vol 18 (4) ◽  
pp. 397-405 ◽  
Author(s):  
ANNE SLOWTHER
Keyword(s):  
Primary Care ◽  
Clinical Ethics ◽  
Western Europe ◽  
Ethics Consultation ◽  
Ethics Committees ◽  
The United States ◽  
Health Maintenance Organizations ◽  
Ethics Committee ◽  
Health Maintenance ◽  
Case Consultation

The development of ethics case consultation over the past 30 years, initially in North America and recently in Western Europe, has primarily taken place in the secondary or tertiary healthcare settings. The predominant model for ethics consultation, in some countries overwhelmingly so, is a hospital-based clinical ethics committee. In the United States, accreditation boards suggest the ethics committee model as a way of meeting the ethics component of the accreditation requirement for payment by Health Maintenance Organizations (HMOs), and in some European countries, there are legislatory requirements or government recommendations for hospitals to have clinical ethics committees. There is no corresponding pressure for primary care services to have ethics committees or ethics consultants to advise clinicians, patients, and families on the difficult ethical decisions that arise in clinical practice.

Service Utilization and Psychiatric Diagnosis in Pediatric Primary Care: The Role of the Gatekeeper

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 435-441
Author(s):  
Elizabeth J. Costello ◽  
Barbara J. Burns ◽  
Anthony J. Costello ◽  
Craig Edelbrock ◽  
Mina Dulcan ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Service Use ◽  
Psychiatric Treatment ◽  
High Specificity ◽  
Physical Illness ◽  
User Group ◽  
Psychiatric Disturbance ◽  
Health Maintenance ◽  
Offset Effect

Levels of morbidity in 789 children 7 to 11 years of age attending two primary care pediatric clinics in a health maintenance organization were examined in relation to psychiatric disturbance. Physical morbidity was measured as mean number of illness episodes per year enrolled, based on the child's medical record. Two measures of psychiatric disturbance were compared: the pediatricians' judgment and a detailed assessment using standard psychiatric interviews with parent and child. Children identified by pediatricians as disturbed had more than twice as many physical illness episodes as nonidentified children. Children identified by the standard psychiatric assessment had the same number of physical illness episodes as nondisturbed children. Pediatricians showed high specificity but low sensitivity to mental illness. Their sensitivity in the high user group was double that in the low user group. These results suggest that (1) the association between mental illness and high use may be, in part, the result of the confounding factor of physicians' judgment; (2) in settings where primary care practitioners serve as "gatekeepers" to mental health services, the offset effect of lower medical service use following psychiatric treatment may be partially explained by this; (3) the source of referral must be taken into account when assessing the offset effect in other settings.

Primary Care in Obstetrics and Gynecology

1994 ◽  
Vol 37 (4) ◽  
pp. 783
Author(s):  
DOUG LAUBE ◽  
ANTHONY M. VINTZILEOS ◽  
WILLIAM F. OʼBRIEN ◽  
MALCOLM G. MUNRO ◽  
KENNETH G. PERRY ◽  
...  
Keyword(s):  
Primary Care ◽  
Obstetrics And Gynecology

scholarly journals Psychosomatic Primary Care in Gynecology–Assessment and Acceptance by Residents for Obstetrics and Gynecology in Germany

2014 ◽  
Vol 74 (06) ◽  
pp. 569-573 ◽  
Author(s):  
S. Schott ◽  
J. Lermann ◽  
M. Rauchfuß ◽  
O. Ortmann ◽  
S. Ditz
Keyword(s):  
Primary Care ◽  
Obstetrics And Gynecology

scholarly journals A Primary Care Provider’s Guide to Preventive Health After Spinal Cord Injury

2020 ◽  
Vol 26 (3) ◽  
pp. 209-219
Author(s):  
James Milligan ◽  
Stephen Burns ◽  
Suzanne Groah ◽  
Jeremy Howcroft
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Preventive Care ◽  
Primary Care Providers ◽  
Preventive Health ◽  
Care Providers ◽  
Health Maintenance ◽  
Cord Injury

Objective: Provide guidance for preventive health and health maintenance after spinal cord injury (SCI) for primary care providers (PCPs). Main message: Individuals with SCI may not receive the same preventive health care as the general population. Additionally, SCI-related secondary conditions may put their health at risk. SCI is considered a complex condition associated with many barriers to receiving quality primary care. Attention to routine preventive care and the unique health considerations of persons with SCI can improve health and quality of life and may prevent unnecessary health care utilization. Conclusion: PCPs are experts in preventive care and continuity of care, however individuals with SCI may not receive the same preventive care due to numerous barriers. This article serves as a quick reference for PCPs.

scholarly journals Using appreciative inquiry to understand the integration of interprofessional teams within primary care

2021 ◽  
Author(s):  
◽  
Kristen Grovum
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Appreciative Inquiry ◽  
Primary Care Providers ◽  
Case Managers ◽  
Care Providers ◽  
Health Maintenance ◽  
Interprofessional Teams ◽  
Directional Change ◽  
A Current

Over the past fifteen years, primary care networks have been established across Canada; spaces whereby people can access a first point of contact with healthcare professionals focused on chronic disease management, health maintenance, and prevention. British Columbia has recently launched a model of primary care networks and interprofessional teams in response to a current health system challenged with demands related to an aging population and increased prevalence of chronic disease and disability. Using appreciative inquiry for understanding organizational social system change, information was gathered to explore the strengths and directional change needed as shared by primary care providers and case managers working in a Vancouver Island health authority primary care network. The purpose of the project was to understand how these providers could work more effectively within integrated interprofessional teams. Actions focused on the process of facilitating connection, communication, relationship, collaboration and autonomy within these networks are explicated.

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