scholarly journals 3164 Do cancer survivors understand their risk factors for recurrence and the value of coordinated care between an oncologist and a primary care physician? A survey of endometrial and cervical cancer patients

2019 ◽  
Vol 3 (s1) ◽  
pp. 121-121
Author(s):  
Subhjit Sekhon ◽  
Lindsay Kuroki ◽  
Graham Colditz
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Cervical Cancer ◽  
Cancer Risk ◽  
Cancer Survivors ◽  
Primary Care Physician ◽  
Care Physician ◽  
Cancer Site ◽  
Care Plans ◽  
The Impact

OBJECTIVES/SPECIFIC AIMS: To evaluate gaps in knowledge for women who are cancer survivors regarding the impact of comorbidities and lifestyle behaviors on endometrial and cervical cancer risk, and to assess prevalence of established care with a primary care physician (PCP) among patients and evaluate acceptability of referral to a PCP METHODS/STUDY POPULATION: Single institution cross-sectional study examining all women aged 18 or older with a diagnosis of cervical or endometrial cancer who present for care by a gynecologic oncologist at Barnes-Jewish Hospital/Washington University in St. Louis School of Medicine. Patients will be invited to complete a survey specific to cancer diagnosis that includes questions on participant background and sociodemographic information, knowledge of risk factors for their specific cancer site, and whether or not the patient has a primary care provider and the acceptability of referring RESULTS/ANTICIPATED RESULTS: Majority of women will be unaware of how comorbidities affect cancer risk and treatment outcomes. For women without a PCP, we anticipate that they will be accepting towards the notion of being referred to one for establishing care. DISCUSSION/SIGNIFICANCE OF IMPACT: Pilot information from this study will 1. Allow providers to improve cancer survivorship care plans by increasing collaboration between PCPs and oncologists to provide ongoing care, and 2. Afford information for providers on where gaps in knowledge exist so as to better education patients.

Primary care physician services and the frequency of comorbidities in patients with acute myocardial infarction

2021 ◽  
Vol 28 (Supplement_1) ◽  
Author(s):  
R King ◽  
D Giedrimiene
Keyword(s):  
Myocardial Infarction ◽  
Primary Care ◽  
Acute Myocardial Infarction ◽  
Primary Care Physician ◽  
Care Physician ◽  
Adverse Outcomes ◽  
Coronary Syndrome ◽  
Number Of Patients ◽  
Significant Difference ◽  
The Impact

Abstract Funding Acknowledgements Type of funding sources: None. Background The management of patients with multiple comorbidities represents a significant burden on healthcare each year. Despite requiring regular medical care to treat chronic conditions, a large number of these patients may not receive proper care. Significant disparities have been identified in patients with multiple comorbidities and those who experience acute coronary syndrome or acute myocardial infarction (AMI). Only limited data exists to identify the impact of comorbidities and utilization of primary care physician (PCP) services on the development of adverse outcomes, such as AMI. Purpose The primary objective was to analyze how PCP services utilization can be associated with comorbidities in patients who experienced an AMI. Methods This study was based on retrospective data analysis which included 250 patients admitted to the Hartford Hospital Emergency Department (ED) for an AMI. Out of these, 27 patients were excluded due to missing documentation. Collected data included age, gender, medications and recorded comorbidities, such as hypertension, hyperlipidemia, diabetes mellitus (DM), chronic kidney disease (CKD) and previous arrhythmia. Each patient was assessed regarding utilization of PCP services. Statistical analysis was performed in order to identify differences between patients with documented PCP services and those without by using the Chi-square test. Results The records allowed for identification of documented PCP services for 172 out of 223 (77.1%) patients. The most common comorbidities were hypertension and hyperlipidemia: in 165 (74.0%) and 157 (70.4%) cases respectively. The most frequent comorbidity was hypertension: 137 out of 172 (79.7%) in pts with PCP vs 28 out of 51 (54.9%) without PCP, and significantly more often in patients with PCP, p< 0.001. Hyperlipidemia was the second most frequent comorbidity: in 130 out of 172 (75.6%) vs 27 out of 51 (52.9%) accordingly, and also significantly more often (p< 0.002) in patients with PCP services. The number of comorbidities ranged from 0-5, including 32 (14.3%) patients without comorbidities: 16 (9.3%) with a PCP and 16 (31.4%) without PCP services. The majority of patients - 108 (48.5% of 223), had 2-3 documented comorbidities: 89 (51.8%) had two and 19 (34.6%) had three. The remaining 40 (17.9%) patients had 4-5 comorbidities: 37 (21.5%) of them with a PCP and 3 (10.3%) without, with a significant difference (p < 0.001) found for patients with a higher number of comorbidities who utilized PCP services. Conclusions Our study shows that the majority of patients who presented with an AMI had one or more comorbidities. Furthermore, patients who did not utilize PCP services had fewer identified comorbidities. This suggests that there may be a significant number of patients who experienced AMI with undiagnosed comorbidities due to not having access to PCP services.

Elderly African-Americans and the Influenza Vaccine: The Impact of the Primary Care Physician

2001 ◽  
Vol 2 (2) ◽  
pp. 56-59 ◽  
Author(s):  
A NICOLEAU ◽  
C NICOLEAU ◽  
J BALZORA ◽  
A OBOH ◽  
N SIDDIQUI ◽  
...  
Keyword(s):  
Primary Care ◽  
African Americans ◽  
Influenza Vaccine ◽  
Primary Care Physician ◽  
Care Physician ◽  
The Impact

scholarly journals Small-area Variation in Hypertension Prevalence among Black and White Medicaid Enrollees

2016 ◽  
Vol 26 (3) ◽  
pp. 331 ◽  
Author(s):  
Kellee White ◽  
John E. Stewart ◽  
Ana Lòpez-DeFede ◽  
Rebecca C. Wilkerson
Keyword(s):  
Primary Care ◽  
South Carolina ◽  
Primary Care Physician ◽  
Small Area ◽  
Care Physician ◽  
Fiscal Year ◽  
Hypertension Prevalence ◽  
Black And White ◽  
Care Plans ◽  
Blacks And Whites

<p><strong>Objectives: </strong>To examine within-state geographic heterogeneity in hypertension prevalence and evaluate associations between hypertension prevalence and small area contextual characteristics for Black and White South Carolina Medicaid enrollees in urban vs rural areas. <strong></strong></p><p><strong>Design: </strong>Ecological <strong></strong></p><p><strong>Setting: </strong>South Carolina, United States. <strong></strong></p><p><strong>Main Outcome Measure: </strong>Hypertension prevalence </p><p><strong>Methods: </strong>Data representing adult South Carolina Medicaid recipients enrolled in fiscal year 2013 (N=409,907) and ZIP Code Tabulation Area (ZCTA)-level contextual measures (racial segregation, rurality, poverty, educational attainment, unemployment and primary care physician adequacy) were linked in a spatially referenced database. Optimized Getis-Ord hotspot mapping was used to visualize geographic clustering of hypertension prevalence. Spatial regression was performed to examine the association between hypertension prevalence and small-area contextual indicators. <strong></strong></p><p><strong>Results: </strong>Significant (alpha=.05) hotspot spatial clustering patterns were similar for Blacks and Whites. Black isolation was significantly associated with hypertension among Blacks and Whites in both urban (Black, b=1.34, P&lt;.01; White, b=.66, P&lt;.01) and rural settings (Black, b=.71, P=.02; White, b=.70, P&lt;.01). Primary care physician adequacy was associated with hypertension among urban Blacks (b=-2.14, P&lt;.01) and Whites (b=-1.74, P&lt;.01). <strong></strong></p><p><strong>Conclusions: </strong>The significant geographic overlap of hypertension prevalence hotspots for Black and White Medicaid enrollees provides an opportunity for targeted health intervention. Provider adequacy findings suggest the value of ACA network adequacy standards for Medicaid managed care plans in ensuring health care accessibility for persons with hypertension and related chronic conditions. <em>Ethn Dis. </em>2016;26(3):331-338; doi:10.18865/ed.26.3.331 </p>

scholarly journals Exploring the Impact of Primary Care Physician Burnout and Well-Being on Patient Care: A Focus Group Study

2017 ◽  
Vol 16 (4) ◽  
pp. e278-e283 ◽  
Author(s):  
Louise H. Hall ◽  
Judith Johnson ◽  
Jane Heyhoe ◽  
Ian Watt ◽  
Kevin Anderson ◽  
...  
Keyword(s):  
Primary Care ◽  
Focus Group ◽  
Patient Care ◽  
Primary Care Physician ◽  
Well Being ◽  
Care Physician ◽  
Physician Burnout ◽  
Focus Group Study ◽  
The Impact
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