Implementing primary care pharmacist services: Go upstream in the world of value-based payment models

The implementation and expansion of primary care (PC) pharmacist medication optimization and management services has been hindered mainly by the lack of a payment mechanism for PC providers to engage pharmacist services. If pharmacists expect to be included in new PC team-based payment models, we need to actively engage in ongoing PC practice transformation discussions with PC organizational leaders. In this commentary, examples of integrated PC pharmacist services and payment models are provided to (1) reinforce the feasibility of pharmacist integration into expanded PC teams and (2) share with PC leaders, payers, and policy makers.

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PCImpact: A modeling tool for forecasting impact of primary care pharmacist services

Research in Social and Administrative Pharmacy ◽

10.1016/j.sapharm.2021.02.001 ◽

2021 ◽

Author(s):

Mary Mulrooney ◽

Marie Smith

Keyword(s):

Primary Care ◽

Modeling Tool ◽

Pharmacist Services

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Brazilian National Household Health Survey and PCAT: the case of Mato Grosso do Sul, Brazil

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.511 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

L F Pinto ◽

D Soranz ◽

L J Santos ◽

M S Paranhos ◽

L S Malta ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Data Collection ◽

Health Survey ◽

Household Surveys ◽

Mato Grosso ◽

Primary Health ◽

The World ◽

Mato Grosso Do Sul

Abstract Brazil is divided into five administrative regions, 27 federation units and 5,570 municipalities. Mato Grosso do Sul is one of the states located in the Midwest region and has 1.6 million km2 and a resident population of 2.8 million inhabitants, that is, it has an even lower demographic density than its region - only 7.8 inhabitants/km2. Mato Grosso do Sul has part of the Pantanal, a biome considered the largest continuous floodplain in the world, rich in biodiversity. For this reason, displacements for data collection in household surveys combine roads and rivers. In 2019, the Brazilian National Institute of Geography and Statistics (Istituto Nazionale di Statistica del Brasile) in partnership with the Ministry of Health launched the world's largest household sample survey, the National Health Survey (PNS-2019), in which part of its questions included the use of Primary Care Assessment Tool (PCAT, adult version), created by professors Barbara Starfield and Leiyu Shi in the 2000s. IBGE interviewers visited more than 100,000 households across the country. In Mato Grosso do Sul, more than 3,000 households were surveyed. In this work, we present the data collection instrument used by IBGE and its multiple analysis possibilities in the scope of primary health care, crossing the variables from other questionnaire modules in order to compare the results from Brazil with the state of Mato Grosso do Sul and its capital, Campo Grande. Developing a baseline and measuring the attributes of primary health care in each of the Brazilian states is another step towards giving health policy accountability, towards strong primary care. IBGE's experience in household surveys and innovation in data collection in primary care is an example for the world that yes, it is possible to develop statistically representative national sample surveys and make them perennial in their regular household surveys, by the time World Health Organization (WHO) discusses universal health coverage. Key messages Evaluation of primary care using an internationally validated instrument is possible on national bases with random household sample surveys. A questionnaire elaborated academically can be used as an instrument of public policy to evaluate nationwide health services.

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The Use of Ozone in Dentistry and Medicine

Primary Dental Care ◽

10.1308/135576106775193897 ◽

2006 ◽

Vol os13 (1) ◽

pp. 37-41 ◽

Cited By ~ 29

Author(s):

Aylin Baysan ◽

Edward Lynch

Keyword(s):

Primary Care ◽

Management Strategy ◽

Invasive Technique ◽

Root Caries ◽

Pharmaceutical Management ◽

Primary Care Clinics ◽

Best Management ◽

Non Invasive ◽

Carious Lesions ◽

The World

A previous paper, recently published in Primary Dental Care, gave an overview of the medical uses of ozone and outlined some of its uses in dentistry. The current paper focuses on a description of use of ozone in the management of root caries and considers recent studies in this area. There has been relatively limited research into the non-invasive (pharmaceutical) management of root caries. The best management strategy still remains to be developed. Initial studies have indicated that an application of ozone for a period of either 10 or 20 seconds is capable of clinically reversing leathery root carious lesions. It is suggested that, subject to confirmation from extensive trials, this simple and non-invasive technique may benefit many patients with root caries throughout the world since this approach to treat root caries can easily be employed in primary care clinics and in the domiciliary treatment of home-bound elderly people and immobile patients in hospices and hospitals.

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Common mental disorders in cities

Urban Mental Health (Oxford Cultural Psychiatry series) ◽

10.1093/med/9780198804949.003.0015 ◽

2019 ◽

pp. 226-238

Author(s):

Santosh K. Chaturvedi ◽

Narayana Manjunatha

Keyword(s):

Economic Growth ◽

Primary Care ◽

General Population ◽

Urban Population ◽

Somatoform Disorders ◽

Common Mental Disorders ◽

Common Mental Disorder ◽

Healthcare Facilities ◽

The World ◽

Global Data

Common mental disorder (CMDs) are the most common psychiatric disorders in the general population, as well as at primary care. They include a triad of three illnesses—depression, anxiety disorders, and somatoform disorders. Global data suggest that the urban population exceeded the rural population in 2007. Cities provide an opportunity for economic growth and comparatively better healthcare facilities. However, what is worrisome is the increased vulnerability for many illnesses, especially CMDs. This chapter reviews the noteworthy literature about CMDs in cities across the world and discusses some of best practices in treating CMDs in various cities.

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European region of the WCPT statement on physiotherapy in primary care

Primary Health Care Research & Development ◽

10.1017/s1463423619000811 ◽

2019 ◽

Vol 20 ◽

Cited By ~ 1

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.

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