scholarly journals Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems

2018 ◽  
Vol 24 (5) ◽  
pp. 372
Author(s):  
Elizabeth Sturgiss ◽  
Claire Deborah Madigan ◽  
Doug Klein ◽  
Nicholas Elmitt ◽  
Kirsty Douglas
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Chronic Disease ◽  
Healthcare System ◽  
Developed Countries ◽  
Individual Risk ◽  
Primary Care Clinicians ◽  
The Uk ◽  
Lifestyle Related Diseases

Lifestyle behaviours are contributing to the increasing incidence of chronic disease across all developed countries. Australia, Canada and the UK have had different approaches to the role of primary care in the prevention and management of lifestyle-related diseases. Both obesity and metabolic syndrome have been targeted by programs to reduce individual risk for chronic disease such as type 2 diabetes. Three interventions are described – for either obesity or metabolic syndrome – that have varying levels of involvement of GPs and other primary care professionals. The structure of a healthcare system for example, financing and physical locations of primary care clinicians, shapes the development of primary care interventions. The type of clinicians involved in interventions, whether they work alone or in teams, is influenced by the primary care setting and resource availability. Australian clinicians and policymakers should take into account the healthcare system where interventions are developed when translating interventions to the Australian context.

scholarly journals ASSESSMENT OF MOTIVATIONAL AND COGNITIVE STATUS OF PRIMARY CARE CLINICIANS WHO TREAT METABOLIC SYNDROME PATIENTS

2013 ◽  
Vol 12 (5) ◽  
pp. 45-48
Author(s):  
L. L. Kirichenko ◽  
K. V. Ovsyannikov ◽  
A. N. Fedoseev ◽  
A. P. Korolev ◽  
O. V. Budrik
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Medical Education ◽  
Chronic Disease ◽  
Continuous Medical Education ◽  
Term Treatment ◽  
Cognitive Status ◽  
Long Term Treatment ◽  
Moscow City ◽  
Primary Care Clinicians

Recently, the clinicians’ attention has been driven to metabolic syndrome (MS), due to increasing prevalence and adverse prognosis of MS. The goal of the treatment of any chronic disease is the achievement of adequate therapeutic compliance which, in turn, is determined by motivational status of both clinicians and patients. The associations between clinicians’ motivation for long-term treatment, their knowledge levels, and the readiness to apply this knowledge in practice, on one hand, and the achievement of chronic disease compensation in patients, on the other hand, deserve further investigation.Aim. To analyse the readiness of primary care clinicians for the treatment of MS patients. The specific objective was to assess the district therapeutists’ knowledge, skills, and readiness to implement them in clinical practice while treating MS patients.Material and methods. The study included district therapeutists working at Moscow City polyclinics. In 2011-2013, the participants took continuous medical education courses at the Therapy Department No. 2, Post-diploma Medical Education Faculty, Moscow State Medico-Stomatological University. The doctors’ knowledge and skills were assessed in a questionnaire survey.Conclusion. The results obtained demonstrate inadequate readiness of district therapeutists for the treatment of MS patients.

The role of primary care in preventing male suicide

2019 ◽  
Vol 30 (11) ◽  
pp. 538-542
Author(s):  
Sheila Hardy
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Mental Illness ◽  
Health Professionals ◽  
Practice Nurses ◽  
Male Suicide ◽  
Primary Care Patients ◽  
Primary Care Clinicians ◽  
The Uk

Men in the UK are three times more likely to take their own lives than women. Sheila Hardy describes how practice nurses can help to prevent these unnecessary deaths Men are more likely to die by suicide than women in the UK. Studies have found that most people whose death was due to suicide had been in contact with primary care in the year prior to death. Primary care clinicians, including practice nurses, are often the first health professionals seen by people who are experiencing distress or suicidal thoughts, and mental illness is mainly managed in primary care. However, mental illness is unrecognised in two-thirds of primary care patients. This article describes the responsibilities of health professionals in primary care consulting with men who may be at risk of suicide.

The context of healthcare

2020 ◽  
pp. 1-34
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Northern Ireland ◽  
Healthcare Services ◽  
Health Profile ◽  
Long Term Conditions ◽  
Key Concepts ◽  
The Uk

This chapter begins by covering the UK health profile, then defines the key concepts in primary care and public health, and outlines the generic long-term conditions model. It provides a brief overview of the National Health Service, including differences in England, Northern Ireland, Scotland, and Wales. It covers current NHS entitlements for people from overseas, commissioning of services, and public health in a broader context. It also describes health needs assessment, and provides an overview of the services in primary care, the role of general practice, and other primary healthcare services. Further services, including those to prevent unplanned hospital admission, aid hospital discharge, those that support children and families, housing, social support, and care homes are all covered.

The Role of Primary Care in Population and Community Health: Pragmatic Approaches to Integration

2019 ◽  
pp. 101-108
Author(s):  
Julie Wood ◽  
Kevin Grumbach
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Population Health ◽  
Health Management ◽  
Parks And Recreation ◽  
Centered Care ◽  
Care Models ◽  
Primary Care Clinicians ◽  
Family Centered

This chapter looks at the role of primary health care in community health. Primary care, it argues, has built on its historical roots of holistic family-centered care to embrace the broader concept of population health. The chapter looks at the evolution of care models from patient/family-centered to panel management (the sum of patients being cared for by a primary care practice), to community health management. This broader concept of health necessitates collaboration with partners outside the clinical practice, including public health professionals, policymakers, schools, housing, parks and recreation, law enforcement, transportation, and food systems. The chapter describes the population and community framework and its historical role in the development of primary care, and then turns to the proposal of pragmatic approaches that busy primary care clinicians and care teams can use to integrate population health approaches into their practices.

scholarly journals Situating Continuing Professional Development in Life Long Learning in Qatar

2016 ◽  
Vol 11 (11) ◽  
pp. 81 ◽  
Author(s):  
Vishanth Weerakkody ◽  
Mohamad Osmani ◽  
Paul Waller ◽  
Nitham Hindi ◽  
Rajab Al-Esmail
Keyword(s):  
Professional Development ◽  
Continuing Professional Development ◽  
Developed Countries ◽  
The Past ◽  
Life Long Learning ◽  
The Us ◽  
Local Contexts ◽  
The Uk ◽  
High Level

<p>Continued professional development (CPD) has been at the centre of capacity building in most successful organisations in western countries over the past few decades. Specialised professions in fields such as Accounting, Finance and ICT, to name but a few, are continuously evolving, which is necessitating certain standards to be followed through registration and certification by a designated authority (e.g. ACCA). Whilst most developed countries such as the UK and the US have well established frameworks for CPD for these professions, several developing nations, including Qatar (the chosen context for this article) are only just beginning to adopt these frameworks into their local contexts. However, the unique socio-cultural settings in such countries require these frameworks to be appropriately modified before they are adopted within the respective national context. The purpose of this paper is to examine the role of CPD in Qatar through comparing the UK as a benchmark and drawing corresponding and contrasting observations to formulate a roadmap towards developing a high level framework.</p>

Student paramedics' views on placements in general practice as part of a degree

2019 ◽  
Vol 11 (12) ◽  
pp. 519-525
Author(s):  
Alyesha Proctor
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Pathway ◽  
Structured Interviews ◽  
Learning And Development ◽  
Alternative Care ◽  
Face To Face ◽  
The Uk ◽  
University Degree

Background: Frontline paramedics are increasingly attending to non-emergency problems and calls that could be managed by a primary care provider. Alongside this, there is a growing pressure to manage patients at home or use an alternative care pathway and reduce hospital conveyance. Student paramedic training, including both placement and taught elements at university, should therefore reflect this. However, placement opportunities for student paramedics in primary care settings is variable across the UK. Aim: To explore student paramedics' views on incorporating a placement within general practice as part of their degree and its effects on their learning and development as an autonomous paramedic. Method: A small pedagogic study as part of a postgraduate certificate in academic practice for higher education, involving a case study, qualitative approach using face-to-face, semi-structured interviews and thematic analysis, was carried out. Findings: Student paramedics feel that incorporating a placement in general practice as part of their degree will significantly help in their learning and development as autonomous paramedics. Specifically, they feel it: will help them understand the role of the GP and what the GP expects of them; will help them to focus their assessments and improve confidence in decisions not to convey patients; may lead to better knowledge of alternative care pathways; and, finally, may provide an insight into the role of the paramedic in general practice as a future career opportunity. There are a few reservations about whether students would be able to use the skills and knowledge gained in this setting, as they feel they do not have access to the tools or the authority in a frontline ambulance service. Students would prefer to have a placement in a GP surgery in the final year of their university degree. Conclusion: Placement within a GP surgery for student paramedics should be included as part of a paramedic science degree as a priority. This is necessary, particularly given the changing role of the contemporary paramedic who attends to non-emergency problems.

Psychosis in Primary Care

2009 ◽  
Vol 2 (6) ◽  
pp. 364-371
Author(s):  
Alan Cohen
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Bipolar Disorder ◽  
Acute Psychosis ◽  
Outcome Framework ◽  
Practice Of Medicine ◽  
Primary Care Clinicians ◽  
Epidemiological Characteristics ◽  
Chronic Psychosis

This paper describes the role of primary care clinicians in the management of people with psychosis. The paper uses the term ‘psychosis’ in the same way that severe mental illness is used in the Quality and Outcome Framework to mean those people who suffer from schizophrenia or bipolar disorder. The paper will cover some epidemiological characteristics of psychosis, features of people with acute psychosis, features of chronic psychosis and finally describe briefly changes to the Mental Health Act 2007 and the potential for these changes to affect the practice of medicine in primary care.

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