230 STUDY OF COMPLIANCE, PRACTICE PATTERNS, AND BARRIERS REGARDING ESTABLISHED NATIONAL SCREENING PROGRAMS FOR BARRETT'S ESOPHAGUS AMONG PRIMARY CARE PROVIDERS (PCPS): SCREEN-BE

2021 ◽  
Vol 160 (6) ◽  
pp. S-49
Author(s):  
Mindy L. Chen ◽  
Jennifer Kolb ◽  
Anna Tavakkoli ◽  
Ravy K. Vajravelu ◽  
Erica Miles ◽  
...  
2010 ◽  
Vol 175 (11) ◽  
pp. 883-889 ◽  
Author(s):  
Sean P. Stroup ◽  
Angelina N. Garvin ◽  
John Irby ◽  
Kelly K. Stroup ◽  
James O. L’Esperance ◽  
...  

1997 ◽  
Vol 80 (8) ◽  
pp. 39H-44H ◽  
Author(s):  
Dean A. Bramlet ◽  
Helen King ◽  
Lanette Young ◽  
Jeffrey R. Witt ◽  
Cheryl A. Stoukides ◽  
...  

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 174-174
Author(s):  
Nicki Cunningham ◽  
Shama Umar ◽  
Dafna Carr ◽  
Richard Smith ◽  
Patrick Flynn

174 Background: The Screening Activity Report (SAR), a supplementary tool for primary care providers (PCPs), was released in April, 2014. Providers are able to access this comprehensive report securely via an online solution and view the screening activity of their patients across Cancer Care Ontario (CCO)’s three organized cancer screening programs; breast, cervical and colorectal. The objectives of the SAR are to improve the quality of cancer screening by increasing provincial screening rates, improving the rate of appropriate follow-up of abnormal results and promote the alignment of cancer screening practices with CCO’s evidence-based clinical guidelines. Methods: CCO partnered with eHealth Ontario in 2012 to leverage their identity and access management system to provide safe and secure online access to the report. Since this time, CCO has implemented a multi-faceted campaign to support registrations to the system, encourage report access, and gather feedback on how to improve the report for future iterations. Using a detailed methodology developed by a wide range of subject matter experts at CCO, the SAR employs numerous provincial data sources to provide an overview of the patient rosters. Actionable categories are assigned at the patient level using a unique algorithm based on the latest clinical guidelines. Results: Previous to April 2014, the SAR was referred to as the ColonCancerCheck SAR (CCC SAR) as it included colorectal cancer screening data only. The last release of the CCC SAR was in October, 2013. At this time 4,824 providers were registered to the identity and access management system and adoption of this report had reached 31% after being available for five months to providers. To date, 4,992 providers are now registered and adoption of the April SAR has already reached 27% after being available for almost two months. Conclusions: The SAR is the first tool of its kind to make widespread use of eHealth’s identity and access management system service and target a broad user base of PCPs. The successful launch of the SAR has provided key insights into how technology can be leveraged to share provincial data in a meaningful way with providers and support them in improving the quality of cancer screening.


2015 ◽  
Vol 13 (4) ◽  
pp. 791-798.e1 ◽  
Author(s):  
Eimile Dalton-Fitzgerald ◽  
Jasmin Tiro ◽  
Pragathi Kandunoori ◽  
Ethan A. Halm ◽  
Adam Yopp ◽  
...  

2018 ◽  
Vol 10 (3) ◽  
pp. 237 ◽  
Author(s):  
Ling Ling Soh ◽  
Lian Leng Low

ABSTRACT INTRODUCTION Historically, doctors routinely delivered medical care to sick patients in their homes, with house calls accounting for 40% of all doctor–patient encounters in the 1940s. This proportion has dwindled to less than 1% today. Advantages of house calls include decreased mortality rates, admissions to long-term care in the general elderly population and increased patient appreciation. Therefore, we asked ‘Why do some primary care practitioners do house calls and what are the reasons that others do not?’. AIM This review aims to understand the attitudes, perceptions of Primary Care Practitioners (PCPs) towards house calls and their practice patterns. METHODS A search of PubMed and Embase was conducted for articles published before 31 December 2017. A total of 531 articles with 44 duplicates was generated. Of these, 13 were shortlisted along with three hand-searched articles for a total of 16 articles included in this review. RESULTS Primary care providers were aware of the role of house calls and their advantages in enabling comprehensive care for a patient. They saw making house calls as a responsibility with rewards that enhanced the doctor–patient relationship. However, opportunity cost, time, medical liability and miscellaneous reasons such as the lack of training precluded some PCPs from making more house calls. DISCUSSION Primary care practitioners recognise the importance of house calls, especially in the care of elderly patients, but there are many unaddressed issues such as opportunity cost and clinical inadequacy in the home setting that have caused a decline in house calls over the years.


2016 ◽  
Vol 28 (3) ◽  
pp. 447-453 ◽  
Author(s):  
Donna Mazloomdoost ◽  
Lauren B. Westermann ◽  
Catrina C. Crisp ◽  
Susan H. Oakley ◽  
Steven D. Kleeman ◽  
...  

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  

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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