575 Utility of BNP testing within the primary healthcare setting

2005 ◽  
Vol 4 (1) ◽  
pp. 128-129
Keyword(s):  
Primary Healthcare ◽  
Healthcare Setting

scholarly journals Management of Diabetes Mellitus in Refugee and Migrant Patients in a Primary Healthcare Setting in Greece: A Pilot Intervention

Epidemiologia ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 14-26
Author(s):  
Anastasia I Kolomvotsou ◽  
Elena Riza
Keyword(s):  
Primary Healthcare ◽  
Communicable Disease ◽  
Diabetes Education ◽  
Healthcare Setting ◽  
The Past ◽  
Large Numbers ◽  
Nutritional Needs ◽  
Pilot Intervention ◽  
Global Health Problem ◽  
Non Communicable Disease

Over the past years there is a substantial wave of migrants and refugees all over the world. Europe accepts approximately one-third of the international migrant population with Greece, in particular, having received large numbers of refugees and migrants by land and sea since the beginning of the civil war in Syria. Diabetes, a non-communicable disease, is a global health problem, affecting people in developing countries, refugees and migrants, and its basic treatment tool includes self-management and education. In this pilot study, we organized educational, interactive group sessions for diabetic refugees, based on culture, health, and nutritional needs according to a questionnaire developed for the study. The sessions were weekly, for two months, in the context of primary healthcare, organized by a dietitian. Nine individuals completed the sessions, five of nine were diagnosed in Greece and seven of nine needed diabetes education. Their waist circumference was above normal and they were all cooking at home. Their nutritional habits improved by attending the sessions and the interaction helped their social integration. They all found the sessions useful, and felt more self-confident regarding diabetes control and healthier.

scholarly journals Patient perceptions and preferences of physicians’ attire in Saudi primary healthcare setting

2018 ◽  
Vol 8 (6) ◽  
pp. 326-330 ◽  
Author(s):  
Khaled Mohammed Al Amry ◽  
Maha Al Farrah ◽  
Saeed Ur Rahman ◽  
Imad Abdulmajeed
Keyword(s):  
Primary Healthcare ◽  
Healthcare Setting ◽  
Patient Perceptions

scholarly journals Perceptions of registered nurses regarding factors influencing service delivery in expanding programmes in a primary healthcare setting

2012 ◽  
Vol 17 (1) ◽  
Author(s):  
Nnoi. A. Xaba ◽  
Mmapheko D. Peu ◽  
Salaminah S. Phiri
Keyword(s):  
Service Delivery ◽  
Registered Nurses ◽  
Primary Healthcare ◽  
Healthcare Setting ◽  
Qualitative Approach ◽  
Focus Group Interviews ◽  
Enabling Factors ◽  
Related Factors ◽  
Factors Influencing ◽  
Group Interviews

The aim of this study was to explore and describe the perceptions of registered nurses regarding factors influencing service delivery regarding expansion programmes in a primary healthcare setting, using a qualitative approach. The registered nurses, who have been working in the clinics for more than two years and have been exposed to the expansion programmes there, were purposively sampled. Two focus group interviews were conducted in a neutral place and the data collected by the researcher Nnoi A. Xaba (N.A.X.). Data were analysed by the researcher and an independent co-coder using the Tesch method. Categories, subcategories and themes were identified; those that formed the basis of discussion were disabling factors, enabling factors, client-related factors, service-related factors and solutions to problems. It is recommended that integration of programmes and coordination be done at a provincial level and planned together with the training centres in order to alleviate problems in service delivery. Training on expansion programmes in the form of in-service education should be carried out continually in the region.Die doel van die studie was om die persepsie van geregistreerde verpleegkundiges met betrekking tot die  faktore wat dienslewering van die uitbreidingsprogramme in ‘n primêre gesondheid opset beinvloed; te eksploreer en te beskryf. ‘n Kwalitatiewe benadering is gevolg in die iutvoering van die studie. ‘n Doelgerigte steekproef is uitgevoer vanuit geregistreerde verpleegkundiges wat vir langer as twee jaar in die klinieke werksaam was en blootgestel is aan die uitbreiding programme. Twee fokus groep onderhoude is deur die navorser Nnoi A. Xaba (N.A.X.) in ‘n neutrale opset uitgevoer. Data is deur die navorser en ʼn onafhanklike kodeerder ontleed volgens Tesch se metode van analise. Kategorieë, sub-kategorieë en temas was geidentifiseer. Die kategorieë fundamenteel tot die bespreking behels: remmende faktore, bydraende faktore, kliënt-verwante faktore, diens-verwante faktore, en oplossing van probleme. Daar word aanbeveel dat die integrasie en koordinasie van programme op provisiale vlak beplan word in samewerking met opleidings instansies om die dienslewerings probleem te verlig. In die streek behoort opleiding met betrekking tot die uitbreidingsprogramme deurlopend deur middel van indiensopleiding gedoen word.

scholarly journals Efficacy of a strategy for implementing a guideline for the control of cardiovascular risk in a primary healthcare setting: the SIRVA2 study a controlled, blinded community intervention trial randomised by clusters

2011 ◽  
Vol 12 (1) ◽  
Author(s):  
Francisco Rodríguez-Salvanés ◽  
Blanca Novella ◽  
María Jesús Fernández Luque ◽  
Luis María Sánchez-Gómez ◽  
Lourdes Ruiz-Díaz ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Primary Healthcare ◽  
Community Intervention ◽  
Healthcare Setting ◽  
Intervention Trial

Impact of pharmacist-involved collaborative care on diabetes management in a primary healthcare setting using real-world data

2021 ◽  
Author(s):  
Sara Abdulrhim ◽  
Ahmed Awaisu ◽  
Mohamed Izham Mohamed Ibrahim ◽  
Mohammad Issam Diab ◽  
Mohamed Abdelazim Mohamed Hussain ◽  
...  
Keyword(s):  
Real World ◽  
Primary Healthcare ◽  
Collaborative Care ◽  
Diabetes Management ◽  
Healthcare Setting ◽  
Real World Data ◽  
World Data

Participant perspectives on the Australian WHO ASSIST Phase III brief intervention for illicit drug use in a primary healthcare setting

2018 ◽  
Vol 24 (6) ◽  
pp. 518
Author(s):  
David Newcombe ◽  
Rachel Humeniuk ◽  
Victoria Dennington ◽  
Robert Ali
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Brief Intervention ◽  
Primary Healthcare ◽  
Illicit Drugs ◽  
Controlled Trial ◽  
Healthcare Setting ◽  
Phase Iii ◽  
Health Clinic ◽  
Participant Perspectives

This study explored the experience and self-reported changes in health behaviours of people in a primary healthcare setting who received a brief intervention (BI) for illicit drugs linked to the Alcohol Smoking Substance Involvement Screening Test (ASSIST). Eighty-two participants from a sexual health clinic in Adelaide, South Australia, who were involved in a randomised controlled trial investigating the effectiveness of an ASSIST-linked BI delivered at baseline, were re-interviewed 3 months later and were administered a semi-structured questionnaire designed to elicit participant perspectives on the BI. Overall, participants’ comments were positive, with 78% reporting that the BI had some influence on their drug-taking behaviour; 72% reporting they had attempted to reduce drug use. Their comments highlighted several ways in which the BI helped them become ‘aware’ of the potential risks of using, the risks of continued substance use, the benefits of stopping or cutting down substance use and the strategies they used to change their behaviour. A smaller proportion of participants reported that the BI had no influence. These results indicate the ASSIST-linked BI is a brief, simple-to-administer intervention that provides participants with an opportunity to voluntarily and successfully enter into an intentional process of change.

scholarly journals AIDS-related stigmatisation in the healthcare setting: a study of primary healthcare centres that provide services for prevention of mother-to-child transmission of HIV in Lagos, Nigeria

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026322 ◽  
Author(s):  
John E Ehiri ◽  
Halimatou S Alaofè ◽  
Victoria Yesufu ◽  
Mobolanle Balogun ◽  
Juliet Iwelunmor ◽  
...  
Keyword(s):  
Infection Control ◽  
Primary Healthcare ◽  
Service Providers ◽  
Healthcare Setting ◽  
Pmtct Service ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Living With Hiv ◽  
Mother To Child ◽  
Hiv Aids

ObjectiveTo assess AIDS stigmatising attitudes and behaviours by prevention of mother-to-child transmission (PMTCT) service providers in primary healthcare centres in Lagos, Nigeria.DesignCross-sectional survey.SettingThirty-eight primary healthcare centres in Lagos, Nigeria.ParticipantsOne hundred and sixty-one PMTCT service providers.Outcome measuresPMTCT service providers’ discriminatory behaviours, opinions and stigmatising attitudes towards persons living with HIV/AIDS (PLWHAs), and nature of the work environment (HIV/AIDS-related policies and infection-control guidelines/supplies).ResultsReported AIDS-related stigmatisation was low: few respondents (4%) reported hearing coworkers talk badly about PLWHAs or observed provision of poor-quality care to PLWHAs (15%). Health workers were not worried about secondary AIDS stigmatisation due to their occupation (86%). Opinions about PLWHAs were generally supportive; providers strongly agreed that women living with HIV should be allowed to have babies if they wished (94%). PMTCT service providers knew that consent was needed prior to HIV testing (86%) and noted that they would get in trouble at work if they discriminated against PLWHAs (83%). A minority reported discriminatory attitudes and behaviours; 39% reported wearing double gloves and 41% used other special infection-control measures when providing services to PLWHAs. Discriminatory behaviours were correlated with negative opinions about PLWHAs (r=0.21, p<0.01), fear of HIV infection (r=0.16, p<0.05) and professional resistance (r=0.32, p<0.001). Those who underwent HIV training had less fear of contagion.ConclusionsThis study documented generally low levels of reported AIDS-related stigmatisation by PMTCT service providers in primary healthcare centres in Lagos. Policies that reduce stigmatisation against PLWHA in the healthcare setting should be supported by the provision of basic resources for infection control. This may reassure healthcare workers of their safety, thus reducing their fear of contagion and professional resistance to care for individuals who are perceived to be at high risk of HIV.

scholarly journals Issues and Challenges in Implementing Care Coordinator in Primary Healthcare in Malaysia: A Qualitative Study

2020 ◽  
Vol 11 ◽  
pp. 215013272095647
Author(s):  
Zalilah Abdullah ◽  
Siti Hajar Abdul Aziz ◽  
Nur Aliyah Sodri ◽  
Ainul Nadziha Mohd Hanafiah ◽  
Nor Idawaty Ibrahim ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Resource Constraints ◽  
Clinical Skill ◽  
Healthcare Providers ◽  
Healthcare Setting ◽  
Care Coordinator ◽  
Good Communication ◽  
Increasing Demand ◽  
The Individual ◽  
Inner Setting

Background: Primary healthcare is the earliest gateway for patient care, and improvisations are often needed to accommodate the ever-increasing demand in public health. The Enhanced Primary Healthcare (EnPHC) initiative is aimed at improving such needs, and one core intervention is the introduction of a care coordinator (CC). The purpose of this study was to identify barriers and facilitators in implementing a new intervention in primary healthcare clinics. Methods: This qualitative exploration study. All healthcare providers who were involved in EnPHC at the intervention clinics were selected as participants. In-depth interviews and focus group discussions were carried out among healthcare providers working in the intervention clinic. Thematic analysis was used to categorize data, based on the consolidated framework for implementation research (CFIR) theoretical framework domains. Results: A total of 61 healthcare providers participated. All 5 domains with 19 CFIR constructs emerged from the analysis. Inner setting played a significant role in facilitating CC intervention, in which culture, networking, and collaboration and leadership engagement played an essential role in supporting CC activities. Although CC tasks are complex, concerns of losing clinical skill and resource constraints were identified as potential barriers in CC implementations. Criteria for appointing new CCs emerged from the characteristics of individual constructs, in which the individual must be familiar and interested in community health, have good communication skills, and at least 3 years’ experience in the primary healthcare setting. Conclusion: The implementation of the CC intervention faces varying challenges in different settings. This is partially resolved through teamwork, guidance from mentors, and support from superiors. The complexity of the responsibility of the CC intervention is perceived as both a validation and a burden. Above all, it is seen as paramount in EnPHC intervention.

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