scholarly journals The role of medical conditions and primary care services in 5-year substance use outcomes among chemical dependency treatment patients

2008 ◽  
Vol 98 (1-2) ◽  
pp. 45-53 ◽  
Author(s):  
Jennifer R. Mertens ◽  
Alan J. Flisher ◽  
Derek D. Satre ◽  
Constance M. Weisner
Author(s):  
Jill Long

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.


2017 ◽  
Vol 9 (2) ◽  
pp. 237-240 ◽  
Author(s):  
Lisa M. Wehr ◽  
Erik R. Vanderlip ◽  
Patrick H. Gibbons ◽  
Jess G. Fiedorowicz

ABSTRACT Background Patients with psychiatric disorders have higher rates of chronic medical conditions and decreased life expectancy. Integrating medical and psychiatric care is likely to improve health outcomes for these patients. Objective This study examined what proportion of psychiatry residents viewed psychiatry as a primary care specialty, how important they felt it was to provide primary care to patients, and how this perception altered self-reported comfort and practice patterns in providing screening and treatment for select general medical conditions. Methods An online survey was sent to current psychiatry residents of US residency programs. Results A total of 268 residents from 40 programs completed the survey (25% response rate), with 55% (147 of 265) of respondents considering psychiatry to be a primary care specialty. Residents who held this opinion gave higher ratings for the importance of providing preventive counseling and reported counseling a higher percentage of patients on a variety of topics. They also reported screening more patients for several medical conditions. Residents who considered psychiatry to be primary care did not report greater comfort with treating these conditions, with the exception of dyslipidemia. The most commonly cited barrier to integrating primary care services was lack of time. Conclusions Residents' perceptions of psychiatry as a primary care field appears to be associated with a higher reported likelihood of counseling about, and screening for, medical conditions in their patients.


2015 ◽  
Vol 15 (2) ◽  
pp. 837-864
Author(s):  
Yuriy Pylypchuk ◽  
Eric M Sarpong

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.


PEDIATRICS ◽  
1992 ◽  
Vol 89 (3) ◽  
pp. 519-519
Author(s):  
DANIEL R. BRONFIN ◽  
SYDNEY S. GELLIS

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."


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