scholarly journals The effect on the patient flow in a local health care after implementing reverse triage in a primary care emergency department: a longitudinal follow-up study

2017 ◽  
Vol 35 (2) ◽  
pp. 214-220 ◽  
Author(s):  
Timo Kauppila ◽  
Katri Seppänen ◽  
Juho Mattila ◽  
Johanna Kaartinen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Emergency Department ◽  
Patient Flow ◽  
Local Health ◽  
Follow Up Study ◽  
Local Health Care

The Clinical Community Pharmacist — A Proposal

1979 ◽  
Vol 13 (6) ◽  
pp. 351-353 ◽  
Author(s):  
John W. Beasley ◽  
Fredric E. Moskol
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care System ◽  
Community Pharmacist ◽  
Community Pharmacists ◽  
Local Health ◽  
Clinical Community ◽  
Local Health Care ◽  
Local Health Care System ◽  
Care System

The community pharmacist working in the drug store setting already has a significant role as a primary care provider. This role should be enhanced and integrated into the health care system to facilitate patient education and other patient services. We propose that clinical community pharmacists who have greater clinical and educational skills will be able to augment their role in the local health care system while remaining on-site in the community pharmacy.

The WestView Primary Care Network in the First Six Months: Defragmenting the System

2007 ◽  
Vol 20 (2) ◽  
pp. 34-37
Author(s):  
Allan L. Bailey ◽  
Grace Moe ◽  
Joy Myskiw
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Local Health ◽  
Care Network ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Care Teams ◽  
Health Care Context ◽  
Local Primary Care ◽  
Local Health Care

The objective of this article is to describe the integration of local primary care services through the development of a primary care network in Alberta. WestView Primary Care Network (WPCN) has the vision of integrating primary care teams into the health system. As a result, WPCN has incorporated integrative primary care teams into its clinical programs. Through its strategy of “defragmentation,” WPCN is accomplishing the beginnings of service integration in the local health care context.

Partnerships in primary care: What we can learn from the experience of Scottish local health care co-operatives

2004 ◽  
Vol 10 (1) ◽  
pp. 38
Author(s):  
Steven Simeons
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Quality Care ◽  
Organisational Change ◽  
Nationwide Survey ◽  
Local Health ◽  
Care Providers ◽  
Local Health Care

A number of countries are introducing partnerships in primary care that promote collaboration within the primary health care sector in order to provide seamless and high-quality care to patients, whilst containing costs. This paper reports on a nationwide survey of Scottish local health care co-operatives to illustrate how partnerships in primary care manage the process of organisational change and start tackling their core functions. During their first year of operation, local health care co-operatives have put an organisational structure in place to start developing primary care services in collaboration with other health care providers. Strong management has been fundamental to the success of local health care co-operatives in stimulating collaboration between health care providers and in developing services. However, a lack of time of general practitioners to participate in the activities of the co-operative, inadequate representation of stakeholders in management bodies, constraints on management budgets, and reluctance by general practitioners to embrace clinical governance may inhibit the further development of local health care co-operatives. Although local health care co-operatives have made considerable progress, they still need to demonstrate whether they are able to deliver tangible benefits to patients.

scholarly journals Follow-up study on health care use of patients with somatoform, anxiety and depressive disorders in primary care

2008 ◽  
Vol 9 (1) ◽  
Author(s):  
Margot WM de Waal ◽  
Ingrid A Arnold ◽  
Just AH Eekhof ◽  
Willem JJ Assendelft ◽  
Albert M van Hemert
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Depressive Disorders ◽  
Health Care Use ◽  
Follow Up Study

scholarly journals Integrating Genomic Screening into Primary Care: Provider Experiences Caring for Latino Patients at a Community-Based Health Center

2021 ◽  
Vol 12 ◽  
pp. 215013272110002
Author(s):  
Tarika Srinivasan ◽  
Erica J. Sutton ◽  
Annika T. Beck ◽  
Idali Cuellar ◽  
Valentina Hernandez ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Care ◽  
Health Center ◽  
Care Provider ◽  
Primary Care Provider ◽  
Genomic Sequencing ◽  
Community Based ◽  
Genomic Screening

Introduction: Minority communities have had limited access to advances in genomic medicine. Mayo Clinic and Mountain Park Health Center, a Federally Qualified Health Center in Phoenix, Arizona, partnered to assess the feasibility of offering genomic screening to Latino patients receiving care at a community-based health center. We examined primary care provider (PCP) experiences reporting genomic screening results and integrating those results into patient care. Methods: We conducted open-ended, semi-structured interviews with PCPs and other members of the health care team charged with supporting patients who received positive genomic screening results. Interviews were recorded, transcribed, and analyzed thematically. Results: Of the 500 patients who pursued genomic screening, 10 received results indicating a genetic variant that warranted clinical management. PCPs felt genomic screening was valuable to patients and their families, and that genomic research should strive to include underrepresented minorities. Providers identified multiple challenges integrating genomic sequencing into patient care, including difficulties maintaining patient contact over time; arranging follow-up medical care; and managing results in an environment with limited genetics expertise. Providers also reflected on the ethics of offering genomic sequencing to patients who may not be able to pursue diagnostic testing or follow-up care due to financial constraints. Conclusions: Our results highlight the potential benefits and challenges of bringing advances in precision medicine to community-based health centers serving under-resourced populations. By proactively considering patient support needs, and identifying financial assistance programs and patient-referral mechanisms to support patients who may need specialized medical care, PCPs and other health care providers can help to ensure that precision medicine lives up to its full potential as a tool for improving patient care.

scholarly journals 688 Rapid Implementation of Virtual Fracture Clinic During COVID 19 Reduces Both Face-To-Face Appointments and Facilitates Rapid Feedback and Education to Be Delivered to The Emergency Department

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
T Havenhand ◽  
L Hoggett ◽  
A Bhutta
Keyword(s):  
Emergency Department ◽  
Patient Flow ◽  
Prospective Data ◽  
Fracture Clinic ◽  
Face To Face ◽  
Return Rates ◽  
Acute Hospitals ◽  
Virtual Fracture Clinic ◽  
Improve Patient

Abstract Introduction COVID-19 has dictated a shift towards virtual clinics. Pennine Acute Hospitals NHS Trust serves over a million patients with a significant number of face-to-face fracture clinics. Introduction of a Virtual Fracture Clinic (VFC) reduces hospital return rates and improves patient experience. The referral data can be used to give immediate monthly feedback to the referring department to further improving patient flow. Method Prospective data was collected for all referrals to VFC during March 2020. Data included referral diagnosis, actual diagnosis, referrers grade, and final outcome. Results 630 referrals were made to VFC. 347 (55%) of those referrals were directly discharged without the need for physical consultation. Of these 114 (32%) were injuries which can be discharged by the Emergency Department with an advice leaflet using existing pathways. Of the remaining discharges 102 (29%) were query fractures or sprains; and 135 (39%) were minor fractures; which needed only advice via a letter and no face to face follow up. Conclusions Implementation of VFC leads to a decrease in physical appointments by 55% saving 347 face to face appointments. The new system has also facilitated effective audit of referrals in order to further improve patient flow from the Emergency Department via feedback mechanisms and education.

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