Use of seven types of medical jargon by male and female primary care providers at a university health center

2021 ◽  
Author(s):  
Ann Neville Miller ◽  
Ajay Bharathan ◽  
Venkata Naga Sreelalitapriya Duvuuri ◽  
Vanessa Navas ◽  
Lisvet Luceno ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Center ◽  
Primary Care Providers ◽  
Care Providers ◽  
Male And Female ◽  
Medical Jargon

Evaluation of an Interdisciplinary Controlled Substance Review Committee on Opioid Prescribing in a Community Health Center

Pain Medicine ◽  
2020 ◽  
Vol 21 (9) ◽  
pp. 1840-1846 ◽  
Author(s):  
Holly C Bourgeois ◽  
Rachel C Proteau ◽  
Cassandra V Vielma ◽  
Daniel M Hartung ◽  
Adriane N Irwin
Keyword(s):  
Primary Care ◽  
Health Center ◽  
Community Health Center ◽  
Primary Care Providers ◽  
Patient Specific ◽  
Future Research ◽  
Care Providers ◽  
Opioid Dose ◽  
Opioid Prescribing ◽  
Controlled Substance

Abstract Objective To describe recommendations made by an interdisciplinary controlled substance committee and acceptance by primary care providers. Design Retrospective cohort study. Setting Multisite federally qualified health center using an interdisciplinary committee to provide patient-specific recommendations to prescribers with patients using prescription opioids and other controlled substances. Subjects Patients prescribed long-term opioids. Methods We identified and characterized committee recommendations to prescribers between January 1, 2013, and December 31, 2016. We manually reviewed electronic medical records to determine if recommendations were accepted at eight months. The primary outcome was the overall acceptance rate of recommendations. Secondary outcomes were the acceptance of recommendations to reduce opioid doses and change in opioid dose from baseline. Results The committee made 337 recommendations for 94 patients. Of those, 169 recommendations (50.1%) were accepted within eight months. The most common recommendation was to change opioid prescribing (N = 53, 56.4%), but recommendations varied. For patients with a recommendation to change opioid prescribing, this was accepted in 31 of 53 patients (58.5%). Overall, opioid doses decreased from 60 morphine equivalents per day (interquartile range [IQR] = 27.5–135, range = 5–1,260) at baseline to 40 morphine equivalents per day (IQR = 15–105, range = 0–1,260) at eight months (P < 0.001). Conclusions An interdisciplinary committee was well positioned to offer primary care providers with nonopioid options to manage chronic nonmalignant pain and provide support in reducing opioid doses. About half of recommendations were accepted by primary care providers. Future research should focus on strategies to improve the utility of this approach and its impact on clinical outcomes.

scholarly journals Evaluating Primary Care Providers’ Readiness for Delivering Genetic and Genomic Services to Underserved Populations

2021 ◽  
pp. 1-10
Author(s):  
Yashoda Sharma ◽  
Livia Cox ◽  
Lucie Kruger ◽  
Veena Channamsetty ◽  
Susanne B. Haga
Keyword(s):  
Primary Care ◽  
Precision Medicine ◽  
Health Center ◽  
Underserved Populations ◽  
Care Delivery ◽  
Primary Care Providers ◽  
Clinical Genetics ◽  
Care Providers ◽  
Genetic Tests ◽  
Genetics And Genomics

<b><i>Introduction:</i></b> Increased genomics knowledge and access are advancing precision medicine and care delivery. With the translation of precision medicine across health care, genetics and genomics will play a greater role in primary care services. Health disparities and inadequate representation of racial and ethnically diverse groups threaten equitable access for those historically underserved. Health provider awareness, knowledge, and perceived importance are important determinants of the utilization of genomic applications. <b><i>Methods:</i></b> We evaluated the readiness of primary care providers at a Federally Qualified Health Center, the Community Health Center, Inc. (CHCI) for delivering genetic and genomic testing to underserved populations. Online survey questions focused on providers’ education and training in basic and clinical genetics, familiarity with current genetic tests, and needs for incorporating genetics and genomics into their current practice. <b><i>Results:</i></b> Fifty of 77 (65%) primary care providers responded to the survey. Less than half received any training in basic or clinical genetics (40%), were familiar with specific genetic tests (36%), or felt confident with collecting family health history (44%), and 70% believed patients would benefit from genetic testing. <b><i>Conclusion:</i></b> Despite knowledge gaps, respondents recognized the value and need to bring these services to their patients, though would like more education on applying genetics and genomics into their practice, and more training about discussing risk factors associated with race or ethnicity. We provide further evidence of the need for educational resources and standardized guidelines for providers caring for underserved populations to optimize appropriate use and referral of genetic and genomic services and to reduce disparities in care.

scholarly journals Barriers to weight loss among community health center patients: qualitative insights from primary care providers

BMC Obesity ◽  
2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Rebecca C. Woodruff ◽  
Gillian L. Schauer ◽  
Ann R. Addison ◽  
Ajay Gehlot ◽  
Michelle C. Kegler
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Primary Care Providers ◽  
Care Providers

scholarly journals Federally Qualified Health Centers Minimize the Impact of Loss of Frequency and Independence of Movement in Older Adult Patients through Access to Transportation Services

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Krystal Elaine Knight
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Health Center ◽  
Older Adult ◽  
Case Reports ◽  
Community Health Center ◽  
Primary Care Providers ◽  
Adult Patients ◽  
Care Providers ◽  
The Impact

Loss of mobility in older adults (65 and older) is associated with falling, loss of independence, and mortality. This paper, which to the author's knowledge is the first of its kind, summarizes findings of Federally Qualified Health Center (FQHC) case reports and how FQHCs minimize the impacts of mobility loss in older adult patients (who would not receive primary services without these transportation programs) by providing access to primary care services through transportation programs. This paper features the transportation programs of four FQHCs located in both urban and rural United States areas: LifeLong Medical Care (Oakland, CA); Hudson Headwaters Health Network (Queensbury, NY); North End Community Health Center (Boston, MA); Aaron E. Henry Community Health Services Center, Inc. (Clarksdale, MS). This paper is beneficial to primary care providers and public health officials in outlining how transportation may be used to minimize the effects of mobility loss in older adult patients.

The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Socioeconomic Status ◽  
Thematic Analysis ◽  
Older Men ◽  
Primary Care Providers ◽  
Depression Treatment ◽  
Care Providers ◽  
Low Socioeconomic ◽  
Self Image ◽  
The Impact

Abstract. Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. Method: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. Results: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" Conclusion: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide.

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