Factors associated with the use of primary care services: the role of practice nurses

2010 ◽  
Vol 12 (4) ◽  
pp. 373-381 ◽  
Author(s):  
Laura Vallejo-Torres ◽  
Stephen Morris
Keyword(s):  
Primary Care ◽  
Practice Nurses ◽  
Factors Associated ◽  
Care Services ◽  
Primary Care Services

scholarly journals European region of the WCPT statement on physiotherapy in primary care

2019 ◽  
Vol 20 ◽  
Author(s):  
Jill Long
Keyword(s):  
Primary Care ◽  
Service Delivery ◽  
Economic Benefits ◽  
European Region ◽  
Cost Benefits ◽  
Care Services ◽  
Primary Care Services ◽  
The World ◽  
World Confederation

Abstract This statement has been produced by the European Region of the World Confederation for Physiotherapy (ER-WCPT) to promote the role of the physiotherapy profession within primary care, to describe the health and economic benefits to health systems and populations of having a skilled, appropriately resourced and utilised physiotherapy workforce in primary care services, and to illustrate how different models of physiotherapy service delivery are contributing to these health and cost benefits.

Advancing general practice nursing in Australia: roles and responsibilities of primary healthcare organisations

2017 ◽  
Vol 41 (2) ◽  
pp. 127 ◽  
Author(s):  
Riki Lane ◽  
Elizabeth Halcomb ◽  
Lisa McKenna ◽  
Nicholas Zwar ◽  
Lucio Naccarella ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Leadership Development ◽  
Postgraduate Education ◽  
System Level ◽  
Delphi Consensus ◽  
Practice Nurses ◽  
Care Services ◽  
Primary Care Services ◽  
Australian General Practice

Objectives Given increased numbers and enhanced responsibilities of Australian general practice nurses, we aimed to delineate appropriate roles for primary health care organisations (PHCOs) to support this workforce. Methods A two-round online Delphi consensus process was undertaken between January and June 2012, informed by literature review and key informant interviews. Participants were purposively selected and included decision makers from government and professional organisations, educators, researchers and clinicians from five Australian states and territories Results Of 56 invited respondents, 35 (62%) and 31 (55%) responded to the first and second invitation respectively. Participants reached consensus on five key roles for PHCOs in optimising nursing in general practice: (1) matching workforce size and skills to population needs; (2) facilitating leadership opportunities; (3) providing education and educational access; (4) facilitating integration of general practice with other primary care services to support interdisciplinary care; and (5) promoting advanced nursing roles. National concerns, such as limited opportunities for postgraduate education and career progression, were deemed best addressed by national nursing organisations, universities and peak bodies. Conclusions Advancement of nursing in general practice requires system-level support from a range of organisations. PHCOs play a significant role in education and leadership development for nurses and linking national nursing organisations with general practices. What is known about the topic? The role of nurses in Australian general practice has grown in the last decade, yet they face limited career pathways and opportunities for career advancement. Some nations have forged interprofessional primary care teams that use nurses’ skills to the full extent of their scope of practice. PHCOs have played important roles in the development of general practice nursing in Australia and internationally. What does this paper add? This study delineates organisational support roles for PHCOs in strengthening nurses’ roles and career development in Australian general practice. What are the implications for practitioners? Effective implementation of appropriate responsibilities by PHCOs can assist development of the primary care nursing workforce.

scholarly journals Nurse Practitioners and Their Effects on Visits to Primary Care Physicians

2015 ◽  
Vol 15 (2) ◽  
pp. 837-864
Author(s):  
Yuriy Pylypchuk ◽  
Eric M Sarpong
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Primary Care Physicians ◽  
The United States ◽  
Dynamic Panel ◽  
Allied Health Professions ◽  
Care Services ◽  
Primary Care Services ◽  
To Receive

Abstract The demand for primary care services is expected to increase at a time of persistent shortages of primary care physicians (PCPs) in the United States. A proposed solution is to expand the role of other allied health professions. This study examines the causal effects of visits to nurse practitioners (NPs) on the demand for services from PCPs. We employ a system of simultaneous equations and dynamic panel estimators to control for endogeneity of visits to NPs. Results indicate that patients who visited an NP are significantly less likely to visit PCPs and to receive prescribed medication, medical check-up, and diagnosis from PCPs. Findings were robust to other specification and passed a falsification test. The results suggest that the use of NPs could serve as a potential option to address shortages in supply of primary care services.

Role of the Pediatrician in the Multidisciplinary Team

PEDIATRICS ◽  
1992 ◽  
Vol 89 (3) ◽  
pp. 519-519
Author(s):  
DANIEL R. BRONFIN ◽  
SYDNEY S. GELLIS
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Multidisciplinary Team ◽  
Task Force ◽  
Level Of Care ◽  
Care Services ◽  
Primary Care Services ◽  
First Contact ◽  
Intensity Of Treatment

To the Editor.— We would like to commend Dr Lowe and the remainder of the Task Force on the recent Report on the Future Role of the Pediatrician in the Delivery of Health Care.1 The distinction between "primary care" and "level of care" is of major importance. It is correctly stated that "the essential nature of primary care services includes first contact, continuity, comprehensiveness, and coordination of needed services"; however, "level of care describes intensity of treatment, the need for technologic support, and specially trained support personnel."

Polypharmacy perspectives in general practice environments

2019 ◽  
Vol 30 (7) ◽  
pp. 342-347
Author(s):  
Gerri Kaufman
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Continuing Professional Development ◽  
Adverse Outcomes ◽  
Practice Nurses ◽  
Care Services ◽  
Primary Care Services ◽  
Medication Reviews ◽  
Funding Cuts

Practice nurses need to keep up-to-date with the latest prescribing guidelines, especially for patients taking multiple medications. Gerri Kaufman discusses some of the challenges facing polypharmacy and considers the roles of deprescription and medicines reviews Polypharmacy refers to the use of multiple medicines. A combination of medicines can be appropriate and beneficial for the patient; however, polypharmacy can also be problematic where the risk of harm outweighs the benefits of treatment. Polypharmacy is associated with increasing age, the presence of multi-morbidities, a culture of single condition guideline-based prescribing, obesity and lower wealth. Managing polypharmacy is a challenge for prescribers working in general practice and primary care. Polypharmacy is associated with adverse outcomes, including adverse drug reactions, falls, increased length of stay in hospital, and mortality. Vigilance around the safer aspects of prescribing, undertaking structured medication reviews and deprescribing are considered important in addressing issues with polypharmacy, and enhancing the management of patients on multiple medicines. Comprehensive guidance is available on the medication review process and deprescribing; however, the process is time-consuming, complex and requires investment. The NHS Long Term Plan put forward proposals to increase investment in primary care services, which include addressing medication safety. Workforce shortages and funding cuts for continuing professional development are both perceived as barriers to its implementation. Both individual prescribers and the systems in which they work are accountable for improving safe medicine use in polypharmacy.

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