Health promotion in pharmacy practice and primary care

Abstract Background People suffering from mental disorders are in poorer somatic health that the general population. This is due in part to poor quality of care in primary care settings, which can in turn have a major impact on hospitals and healthcare systems, in particular in terms of costs. Our objective was to assess the economic burden of acute care admissions for somatic diseases in patients with a mental illness compared to other patients and analyse the factors associated with it. Methods An exhaustive study using French hospital discharge databases was carried out between 2009 and 2013. Total acute hospital costs were calculated from the all payer perspective (statutory health insurance, private health insurances and patient out-of pocket payments). A multivariate regression modelled the association between mental illness and hospital costs while adjusting for other explanatory variables, with and without interaction terms. Results 37,458,810 admissions were included in the analysis. 1,163,972 patients (6.54%) were identified as being mentally ill. Mean total hospital costs at five years per patient were €8,114. Costs per mentally ill patient were on average 34% higher than for a non-mentally patient (€10,637 vs. €7,949). A longitudinal analysis of costs showed a widening of the gap between the two groups as time went by, from 1.60% in 2009 to 10.51% in 2013. In the multivariate model, mental disorders were significantly associated with increased costs, and interaction terms found an increased impact of mental illness on costs in deprived patients. Conclusions Improving quality of primary care and health promotion in people with a mental illness both for their own sake and to decrease the economic burden on the healthcare system, is of vital importance. Key messages There is a significant increase in hospital costs for somatic care in patients with a mental illness compared to other patients, in particular in patients who are also deprived. It is necessary to improve primary care and health promotion in mentally ill patients, for their sake and for the sake of healthcare systems.

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The gap in human resources to deliver the guaranteed package of prevention and health promotion services at urban and rural primary care facilities in Mexico

Human Resources for Health ◽

10.1186/s12960-017-0220-5 ◽

2017 ◽

Vol 15 (1) ◽

Cited By ~ 4

Author(s):

Jacqueline Elizabeth Alcalde-Rabanal ◽

Gustavo Nigenda ◽

Till Bärnighausen ◽

Héctor Eduardo Velasco-Mondragón ◽

Blair Grant Darney

Keyword(s):

Primary Care ◽

Health Promotion ◽

Human Resources ◽

Rural Primary Care ◽

Care Facilities ◽

Prevention And Health Promotion

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Development and implementation of an interprofessional pharmacotherapy learning experience during an advanced pharmacy practice rotation in primary care

Currents in Pharmacy Teaching and Learning ◽

10.1016/j.cptl.2018.04.014 ◽

2018 ◽

Vol 10 (7) ◽

pp. 990-995 ◽

Cited By ~ 3

Author(s):

Khusbu Patel ◽

Urmi Desai ◽

Heather Paladine

Keyword(s):

Primary Care ◽

Learning Experience ◽

Pharmacy Practice

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Tackling inequalities through health promotion centres in primary care in Slovenia

European Journal of Public Health ◽

10.1093/eurpub/cky213.393 ◽

2018 ◽

Vol 28 (suppl_4) ◽

Author(s):

R Pribakovic Brinovec ◽

T Albreht ◽

S Vrbovšek ◽

V-K Petric

Keyword(s):

Primary Care ◽

Health Promotion

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A novel income security intervention to address poverty in a primary care setting: a retrospective chart review

BMJ Open ◽

10.1136/bmjopen-2016-014270 ◽

2017 ◽

Vol 7 (8) ◽

pp. e014270 ◽

Cited By ~ 7

Author(s):

Marcella K Jones ◽

Gary Bloch ◽

Andrew D Pinto

Keyword(s):

Primary Care ◽

Health Promotion ◽

Financial Literacy ◽

Chart Review ◽

Community Services ◽

Expert Advice ◽

Advisory Group ◽

Healthcare Team ◽

Income Security ◽

The Impact

ObjectiveTo examine the development and implementation of a novel income security intervention in primary care.DesignA retrospective, descriptive chart review of all patients referred to the Income Security Heath Promotion service during the first year of the service (December 2013–December 2014).SettingA multisite interdisciplinary primary care organisation in inner city Toronto, Canada, serving over 40 000 patients.ParticipantsThe study population included 181 patients (53% female, mean age 48 years) who were referred to the Income Security Health Promotion service and engaged in care.InterventionThe Income Security Health Promotion service consists of a trained health promoter who provides a mixture of expert advice and case management to patients to improve income security. An advisory group, made up of physicians, social workers, a community engagement specialist and a clinical manager, supports the service.Outcome measuresSociodemographic information, health status, referral information and encounter details were collected from patient charts.ResultsEncounters focused on helping patients with increasing their income (77.4%), reducing their expenses (58.6%) and improving their financial literacy (26.5%). The health promoter provided an array of services to patients, including assistance with taxes, connecting to community services, budgeting and accessing free services. The service could be improved with more specific goal setting, better links to other members of the healthcare team and implementing routine follow-up with each patient after discharge.ConclusionsIncome Security Health Promotion is a novel service within primary care to assist vulnerable patients with a key social determinant of health. This study is a preliminary look at understanding the functioning of the service. Future research will examine the impact of the Income Security Health Promotion service on income security, financial literacy, engagement with health services and health outcomes.

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