scholarly journals Strategies for improving primary care for adolescents and young adults transitioning from pediatric services: perspectives of Canadian primary health care professionals

2020 ◽  
Author(s):  
Kyleigh Schraeder ◽  
Gina Dimitropoulos ◽  
Brooke Allemang ◽  
Kerry McBrien ◽  
Susan Samuel
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Young Adults ◽  
Primary Health Care ◽  
Chronic Conditions ◽  
Critical Role ◽  
Transition Care ◽  
Primary Health ◽  
Pediatric Services

Abstract Background Family physicians and other members of the primary health care (PHC) team may be ideally positioned to provide transition care to adolescents and young adults (AYAs; aged 12–25 years) exiting pediatric specialty services. Potential solutions to well-known challenges associated with integrating PHC and specialty care need to be explored. Objective To identify strategies to transition care by PHC professionals for AYAs with chronic conditions transitioning from pediatric to adult-oriented care. Methods Participants were recruited from six Primary Care Networks in Calgary, Alberta. A total of 18 semi-structured individual interviews were completed, and transcribed verbatim. Data were analyzed using a qualitative description approach, involving thematic analysis. Results Participants offered a range of strategies for supporting AYAs with chronic conditions. Our analysis resulted in three overarching themes: (i) educating AYAs, families, and providers about the critical role of primary care; (ii) adapting existing primary care supports for AYAs and (iii) designing new tools or primary care practices for transition care. Conclusions Ongoing and continuous primary care is important for AYAs involved with specialty pediatric services. Participants highlighted a need to educate AYAs, families and providers about the critical role of PHC. Solutions to improve collaboration between PHC and pediatric specialist providers would benefit from additional perspectives from providers, AYAs and families. These findings will inform the development of a primary care-based intervention to improve transitional care.

scholarly journals ASSESSMENT OF AWARENESS OF FAMILY PHYSICIANSABOUT THE OSTEOPOROSIS AS A PROBLEM OF ELDERLY

2017 ◽  
Vol 9 (1) ◽  
pp. 79-82
Author(s):  
O Yu Kuznetsova ◽  
I E Moiseeva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Age Group ◽  
Treatment Of Osteoporosis ◽  
Family Doctors ◽  
Primary Health ◽  
Prevalence Of Osteoporosis

The prevalence of osteoporosis in Russia is about 10%, and in the age group over 50 years - up to 25-35%. The role of primary care physicians in the prevention, diagnosis and treatment of this disease is high, because 80% of patients seeking medical help in primary health care. The article presents the results of the assessment of the awareness of the general practitioners (family doctors) on the preven- tion, diagnostics and treatment of osteoporosis

scholarly journals Challenges and lessons from a primary care intervention in a Brazilian municipality

2019 ◽  
Vol 53 ◽  
pp. 45
Author(s):  
Mônica V Andrade ◽  
Kenya Noronha ◽  
Clareci S Cardoso ◽  
Claudia D L Oliveira ◽  
Júlia A Calazans ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Chronic Conditions ◽  
Household Survey ◽  
Cross Sectional ◽  
Care Network ◽  
The Public ◽  
Primary Health ◽  
Health Care Network

OBJECTIVE: To address the implementation of the Lab for Innovation in Chronic Conditions in Santo Antonio do Monte, indicating the main challenges and lessons of a new chronic condition model. METHODS: This is an observational study based on two sources of data: 1) two cross-sectional household surveys, 2013 (2012 as reference year) and 2015 (2014 as reference year), representative for the entire population and four target groups (pregnant women; children under two years old; individuals with hypertension and diabetes); medical records of individuals who self-reported having hypertension or diabetes in the household survey of 2013. A descriptive statistics analysis was performed. RESULTS: The main findings showed that the public health system is the main provider of health services, mainly primary care, in Santo Antonio do Monte. Besides, the implementation of Lab for Innovation in Chronic Conditions showed the importance of building a Primary Health Care network in small municipalities. CONCLUSIONS: Community health agents and health managers played a fundamental role in the Primary Health Care network. The case study of Santo Antonio do Monte poses some challenges and lessons that clarify future interventions on building a Primary Health Care network that is essential to provide an adequate and longitudinal care to chronic conditions.

scholarly journals Editorial

1995 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Heather Gardner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Health Sector ◽  
Community Health Services ◽  
Continuing Care ◽  
Australian Health ◽  
Primary Health

The advent of the Australian Journal of Primary Health - Interchange reflects the changes which are taking place in the Australian health sector and the increased and increasing importance of primary health care and community health services. The significant role of primary care in maintaining health and enhancing wellbeing is at last being recognised, and the relationships between primary care, continuing care, and acute care are being redefined and the connections made, so that improvement in continuity of care can be achieved.

scholarly journals Crise, Atenção Primária de Saúde e Enfermagem: conhecimento e ação para novos modos de produzir saúde [Crisis, Primary Health Care and Nursing: reflection and action for new ways of producing health] [Crisis, Atención Primaria de Salud y Enfermería: reflexión y acción para nuevas formas de producir salud]

2020 ◽  
Vol 28 ◽  
pp. e55687
Author(s):  
Helena Maria Scherlowski Leal David
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Crisis ◽  
Primary Health

Editorial sobre a importancia da atenção Primária no contexto da pandemia por covid-19, as ameaças que sofre e o papel da enfermagem.ABSTRACTEditorial aproaching the importance of primary care in the context of the 19-covid pandemic, the threats it suffers and the role of nursing.RESUMENEditorial sobre la importancia de la atención primaria en el contexto de la pandemia del 19-covid, las amenazas que sufre y el papel de la enfermería.

scholarly journals The role of primary care pharmacists in the response to the Zika epidemic

2021 ◽  
Vol 19 (2) ◽  
pp. 2290
Author(s):  
Cláudia B. Santos-Pinto ◽  
Claudia S. Osorio-de-Castro ◽  
Larissa M. Ferreira ◽  
Elaine S. Miranda
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Knowledge ◽  
Preventive Measures ◽  
Knowledge Gaps ◽  
Mato Grosso ◽  
Primary Health

Background: Zika virus (ZIKV) infection emerged in Brazil in 2015, leading to the declaration of a national public health emergency, mainly due to its consequences for pregnant women and newborn babies. The Zika epidemic demanded major efforts from the public health system to address the full range of disease consequences. Objective: The objective of this study was to investigate the role of Primary Health Care pharmacists working in the city of Campo Grande in the State of Mato Grosso do Sul. Methods: A qualitative cross-sectional interview-based study with pharmacists working in municipal Primary Health Care services was carried out to investigate knowledge about the disease and involvement in the response to the health emergency. Informed consent was obtained. After coding, the corpus underwent thematic analysis. Results: The data show that few professionals had received specific training in public health. Knowledge largely encompassed disease transmission by the mosquito and collective and individual preventive measures. Findings highlight knowledge gaps relating to signs and symptoms, diagnosis, consequences of infection, and the role of epidemiological surveillance. Most professionals mentioned at least one of the recommendations on the use of medicines in symptom management protocols. The practical implications surrounding knowledge gaps and misconceptions were reflected in pharmacists´ role in response, restricted to counselling on preventive measures. Few respondents participated in institutional groups and committees or in multiprofessional teams involving case management. Conclusions: The study identified important knowledge gaps and showed that the involvement of pharmacy professionals in the response to the Zika epidemic was timid or inadequate. The results also suggest that pharmacists failed to recognize their role in interventions related to the ZIKV epidemic. Findings highlight the need to increase the involvement of primary care pharmacists in community-based actions, for communication and reduction of health risks, and emergency preparedness and response.

scholarly journals Educar para humanizar: o papel transformador da educação permanente na humanização da atenção básica [Educating to humanize: the transformer role of permanent education in the primary care humanization] [Educar para humanizar: el papel transformador de la educación permanente en la humanización de la atención primaria]

2017 ◽  
Vol 25 ◽  
pp. e26278
Author(s):  
Maria Tereza Soares Rezende Lopes ◽  
Célia Maria Gomes Labegalini ◽  
Vanessa Denardi Antoniassi Baldissera
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Continuing Education ◽  
Health Care Workers ◽  
Educational Interventions ◽  
Review Of Literature ◽  
Primary Health ◽  
Care Workers

Objetivo: elaborar os preceitos teóricos das práticas de Educação Permanente em Saúde para a implantação e utilização dos dispositivos da Política Nacional de Humanização na atenção básica brasileira. Método: revisão realista da literatura do período de 2003 a 2016, norteada pela questão de estudo: Quais as práticas de Educação Permanente em Saúde têm sido utilizadas para a implantação e organização dos dispositivos da Política Nacional de Humanização no âmbito da atenção básica? Resultados: metodologias ativas de aprendizagem e grupalidade foram intervenções educativas relevantes para implantação e utilização dos dispositivos de humanização. A partir dessa evidência, foram identificadas duas teorias que explicitam os processos de educação permanente na atenção básica para a implantação e utilização destes dispositivos. Conclusão: as práticas de Educação Permanente são importantes para a implantação e organização dos referidos dispositivos na atenção básica e os preceitos teóricos elaborados podem tornar os trabalhadores da atenção básica permeáveis à sua implantação e facilitar esse processo.ABSTRACTObjective: to develop the theoretical principles of continuing education in health practices for deployment and use of the provisions of Brazil’s National Humanization Policy in primary care. Method: realistic review of literature from 2003 to 2016, guided by the study question: what continuing health education practices have been used to deploy and organize National Humanization Policy provisions in the primary care context? Results: active learning methodologies and grouping were significant educational interventions used to deploy and use humanization provisions. On this evidence, two theories were identified to explain continuing education processes applied in primary care to deploy and use these provisions. Conclusion: continuing education practices are important to deploy and organize these provisions in primary care, and the theoretical principles developed can make primary health care workers receptive to their introduction, and facilitate this process.RESUMENObjetivo: desarrollar los preceptos teóricos de la Educación Permanente en Salud para la implementación y uso de los dispositivos de la Política Nacional de Humanización en la atención básica brasileña. Método: revisión realista de literatura de 2003 a 2016, guiada por la cuestión de estudio: ¿Qué prácticas de Educación Permanente en Salud se han utilizado para la implementación y organización de los dispositivos de la Política Nacional de Humanización en el contexto de la atención primaria? Resultados: metodologías de aprendizaje y grupalidad fueron intervenciones educativas pertinentes para la implementación y uso de los dispositivos de humanización. Desde esta evidencia, se identificaron dos teorías que explican los procesos de educación permanente en la atención básica para la implementación y uso de estos dispositivos. Conclusión: las prácticas de Educación Permanente son importantes para la organización y la implementación de estos dispositivos en la atención básica y los preceptos teóricos elaborados pueden volver a los trabajadores de atención básica permeables para su implementación y así facilitar este proceso. DOI: http://dx.doi.org/10.12957/reuerj.2017.26278

scholarly journals Analysis of General Practitioners’ Attitudes and Beliefs about Psychological Intervention and the Medicine–Psychology Relationship in Primary Care: Toward a New Comprehensive Approach to Primary Health Care

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 613
Author(s):  
Attà Negri ◽  
Claudia Zamin ◽  
Giulia Parisi ◽  
Anna Paladino ◽  
Giovanbattista Andreoli
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
General Practitioners ◽  
Psychological Intervention ◽  
World Health ◽  
Attitudes And Beliefs ◽  
Primary Health ◽  
Comprehensive Primary Health Care

The biopsychosocial paradigm is a model of care that has been proposed in order to improve the effectiveness of health care by promoting collaboration between different professions and disciplines. However, its application still faces several issues. A quantitative–qualitative survey was conducted on a sample of general practitioners (GPs) from Milan, Italy, to investigate their attitudes and beliefs regarding the role of the psychologist, the approach adopted to manage psychological diseases, and their experiences of collaboration with psychologists. The results show a partial view of the psychologist’s profession that limits the potential of integration between medicine and psychology in primary care. GPs recognized that many patients (66%) would often benefit from psychological intervention, but only in a few cases (9%) were these patients regularly referred to a psychologist. Furthermore, the referral represents an almost exclusive form of collaboration present in the opinions of GPs. Only 8% of GPs would consider the joint and integrated work of the psychologist and doctor useful within the primary health care setting. This vision of the role of psychologists among GPs represents a constraint in implementing a comprehensive primary health care approach, as advocated by the World Health Organization.

Perspectives in Primary Care: The Role of Community Groups in Furthering the Impact of Primary Health Care

1983 ◽  
Vol 29 (6) ◽  
pp. 332-336
Author(s):  
G. Kondowe ◽  
T. Tueumuna ◽  
G.J. Ebrahim ◽  
H. Lovel ◽  
M. Arole ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Community Groups ◽  
Primary Health ◽  
The Impact
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