Many rural primary care providers seek information to support patient care, but most still prefer print over online sources

2005 ◽  
Keyword(s):  
Primary Care ◽  
Patient Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Rural Primary Care ◽  
Online Sources

scholarly journals Palliative Care in a Death-Denying Culture: Exploring Barriers to Timely Palliative Efforts for Heart Failure Patients in the Primary Care Setting

2020 ◽  
Vol 38 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Rebecca M. Crimmins ◽  
Lydia Elliott ◽  
Darren T. Absher
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Palliative Care ◽  
Patient Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Cochrane Library ◽  
Care Providers ◽  
Communication Time

Context: Heart failure (HF) is a complex, life-limiting disease that is prevalent and burdensome. All major cardiology societies and international clinical practice guidelines recommend the integration of palliative care (PC) interventions alongside usual HF management. Objectives: The purpose of this review of the literature was to evaluate the various barriers to the early initiation of PC for HF patients in the primary care setting. Methods: An integrative literature review was conducted in order to assess and incorporate the diverse sources of literature available. An EBSCO search identified relevant articles in the following databases: Medline complete, Academic Search Premier, CINAHL, PsycINFO, Cochrane Library, and SocINDEX. The search was limited to full text, peer reviewed, English only, and published between 2010 and 2019. Results: Barriers to the integration of PC for HF patients include poor communication between provider/patient and interdisciplinary providers, the misperception and miseducation of what PC is and how it can be incorporated into patient care, the unpredictable disease trajectory of HF, and the limited time allowed for patient care in the primary care setting. Conclusion: The results of this review highlight a lack of communication, time, and knowledge as barriers to delivering PC. Primary care providers caring for patients with HF need to establish an Annual Heart Failure Review to meticulously evaluate symptoms and allow the time for communication involving prognosis, utilize a PC referral screening tool such as the Needs Assessment Tool: Progressive Disease-Heart Failure, and thoroughly understand the benefits and appropriate integration of PC.

scholarly journals Exploring primary care providers’ understandings of body image in patient care

Body Image ◽  
2020 ◽  
Vol 35 ◽  
pp. 161-170
Author(s):  
Larkin Lamarche ◽  
K. Alysse Bailey ◽  
Amen Awan ◽  
Cathy Risdon ◽  
Glenda Pauw ◽  
...  
Keyword(s):  
Primary Care ◽  
Body Image ◽  
Patient Care ◽  
Primary Care Providers ◽  
Care Providers

Rural primary care providers’ attitudes about depression.

2007 ◽  
Vol 31 (3) ◽  
pp. 6-18
Author(s):  
Carolyn M. Pepper ◽  
Jason A. Nieuwsma ◽  
Vanessa M. Thompson
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Rural Primary Care

327 STRATEGIES TO INCREASE CAPACITY TO CARE FOR PATIENTS WITH CHRONIC HEPATITIS C AMONG RURAL PRIMARY CARE PROVIDERS

2020 ◽  
Vol 158 (6) ◽  
pp. S-1268
Author(s):  
Norah Terrault ◽  
Rachel Kanner ◽  
Souvik Sarkar ◽  
Jennifer Slepin ◽  
Lisa Catalli ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Chronic Hepatitis C ◽  
Primary Care Providers ◽  
Care Providers ◽  
Rural Primary Care

Dermatology ECHO: A case presentation demonstrating benefits of specialty telementoring in primary care

2018 ◽  
Vol 25 (8) ◽  
pp. 506-509 ◽  
Author(s):  
Ryan Ladd ◽  
Mirna Becevic ◽  
Hope Misterovich ◽  
Karen Edison
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Healthcare Outcomes ◽  
Care Providers ◽  
Community Healthcare ◽  
Rural Primary Care ◽  
Timely Access ◽  
New Treatment ◽  
Allergic Contact ◽  
Improve Patient

Allergic contact dermatitis (ACD) is a common dermatologic disorder that is estimated to affect 15–20% of the general population. Because of its prevalence, it may be expected that ACD should be easily recognized. However, it can present with many clinical variations that may complicate diagnosis. Although ACD is a treatable condition, patients from rural and underserved areas suffer if timely access to specialty care is limited. Dermatology Extension for Community Healthcare Outcomes (Dermatology ECHO) telemedicine sessions were created to mentor rural primary care providers (PCPs). To illustrate their benefit, we present the case of a 19-year-old female patient who suffered from worsening undiagnosed ACD for over nine months following a laparoscopic appendectomy. During that time, the surgeon and multiple PCPs treated her with antibiotics, antivirals, and Scabicide without improvement in her condition. The de-identified patient case was presented by her PCP during the Dermatology ECHO session. The Dermatology ECHO specialty team mentored and educated the PCP in the diagnosis and treatment of ACD. After making the diagnosis, the patient received new treatment and her condition improved significantly. Dermatology ECHO provides a knowledge-sharing network for participating PCPs that may improve patient outcomes and reduce patient suffering.

scholarly journals An Epigenetics-Based, Lifestyle Medicine–Driven Approach to Stress Management for Primary Patient Care: Implications for Medical Education

2019 ◽  
Vol 14 (3) ◽  
pp. 294-303 ◽  
Author(s):  
Jenny Lee ◽  
Frank Papa ◽  
Paresh Atu Jaini ◽  
Sarah Alpini ◽  
Tim Kenny
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Care ◽  
Stress Management ◽  
Health Care Providers ◽  
Primary Care Providers ◽  
Therapeutic Interventions ◽  
Care Providers ◽  
Lifestyle Medicine ◽  
Lifestyle Choices

Over 75% of patients in the primary care setting present with stress-related complaints. Curiously, patients and health care providers all too often see stress as a relatively benign sequela of many common illnesses such as heart disease, cancer, lung disease, dementia, diabetes, and mental illness. Unfortunately, various day-to-day lifestyle choices and environmental factors, unrelated to the presence of any disease, can cause stress sufficient to contribute to the development of various diseases/disorders and suboptimal health. There is evidence suggesting that counseling in stress management–oriented therapeutic interventions (as offered by lifestyle medicine–oriented practitioners) may prevent or reduce the onset, severity, duration, and/or overall burden of stress-related illnesses. Such counseling often involves considerations such as the patient’s nutrition, physical activity, interest in/capacity to meditate, drug abuse/cessation, and so on. Unfortunately, lifestyle medicine–oriented approaches to stress management are rarely offered in primary care—the patient care arena wherein such counseling would likely be best received by patients. Would health care outcomes improve if primary care providers offered counseling in both stress management and positive lifestyle choices? The purpose of this article is to provide both primary care practitioners and educators in health care training programs with an introductory overview of epigenetics. An emerging field of science offering insights into how factors such as stress and lifestyle choices interact with our genes in ways that can both positively and negatively impact the various micro (eg, cellular) through macro (eg, physiologic, pathophysiologic) processes that determine our tendencies toward illness or wellness. A deeper understanding of epigenetics, as provided herein, should enable primary care providers and medical educators to more confidently advocate for the primary benefits associated with counseling in both stress reduction and the pursuit of healthy lifestyle choices.

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