scholarly journals A model of culturally‐informed integrated diabetes education and eye screening in indigenous primary care services and specialist diabetes clinics: Study protocol

2021 ◽  
Vol 77 (3) ◽  
pp. 1578-1590
Author(s):  
Sharon Atkinson‐Briggs ◽  
Alicia Jenkins ◽  
Anthony Keech ◽  
Christopher Ryan ◽  
Laima Brazionis ◽  
...  
Keyword(s):  
Primary Care ◽  
Study Protocol ◽  
Diabetes Education ◽  
Care Services ◽  
Culturally Informed ◽  
Primary Care Services ◽  
Eye Screening

Tassie's Tele-rrific Telehealth Network: Linking Primary Health Care Services for Better Rural Health Outcomes

2000 ◽  
Vol 6 (4) ◽  
pp. 108 ◽  
Author(s):  
Judi Walker ◽  
Ros Hill ◽  
Lorraine Green
Keyword(s):  
Primary Care ◽  
Information Technology ◽  
Policy Development ◽  
Health Care Services ◽  
Service Providers ◽  
Diabetes Education ◽  
Wound Management ◽  
Design Development ◽  
Care Services ◽  
Primary Care Services

The Telehealth Tasmania Network is a statewide network covering a range of primary care services including Wound Management, Diabetes Education and Support, Specialist Clinics, Mental Health, Palliative Care, and health professional support and education. The Tasmanian Department of Health and Human Services instigated the Telehealth Network in conjunction with the Commonwealth Department of Communications, Information Technology and the Arts. The Network is built on a community development and primary care model. It is unique in that consultation with service providers and clients has determined the sites and services. Integration with other agencies is a key feature, with shared infrastructure ensuring viability and sustainability. Evaluation is an integral part of the design, development and implementation of the Network. It is a forward-looking process to guide program and policy development. Although the take-up rate has been relatively slow and uneven, the evaluation findings demonstrate how Information Technology and Advanced Telecommunications are being used effectively to link primary care services with each other and with acute care and institutional services. Key external factors for success and failure have been identified, showing that what works well in one place may well fail in another.

scholarly journals Screening Neurocognitive Disorders in Primary Care Services: The Quick Mild Cognitive Impairment Approach

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 158-158
Author(s):  
Constanca Paul ◽  
Susana Sousa ◽  
Pedro Santos ◽  
Rónán O’Caoimh ◽  
William Molloy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Community Sample ◽  
Neurocognitive Disorders ◽  
Cognitive Status ◽  
Health Concerns ◽  
Care Services ◽  
Primary Care Services ◽  
Mental Health Concerns

Abstract Neurocognitive Disorders (NCD) is an increasingly common condition in the community. The General Practitioner (GP) in Primary Care Services (PCS), have a crucial role in early detection of NCD and is usually the first professional to detect the signs of MCI. The objective of this study was to test the feasibility and utility of the cognitive screening instrument QMCI in Primary Care. A community sample of 436 people 65+ living in the community was randomly selected from a larger group of old people with mental health concerns (N=2734), referred by their GPs. The mean age of the sample was 75.2 years (sd 7.2), with 41.3% men and 58.7% women; 60.4% married followed by 28.7% widows. The education level was low with 21% illiterate and 69,8% people with 4 years education. The QMCI mean was 37.1/100 (sd 16.2). The amount of people screening positive for cognitive impairment QMCI (<62/100) was 94.2%. In the distribution of people with cognitive impairment by Global Deterioration Scale (GDS) three recoded categories, of the 286 people 76,1% where classified as having very mild or mild impairment, 19,4% moderate or moderately serious and 4,5% severe or very severe impairment. These results confirm the perception of GPs about their clients having mental health concerns and the ability of QMCI accurately discriminate MCI. The QMCI is very brief (3-5mins) fitting the short time of GPs to assess cognitive status and timely refer clients to nonpharmacological interventions that could postpone NCD symptoms.

Supplier-induced demand for urgent after-hours primary care services

2018 ◽  
Vol 27 (10) ◽  
pp. 1594-1608 ◽  
Author(s):  
Thomas Longden ◽  
Jane Hall ◽  
Kees van Gool
Keyword(s):  
Primary Care ◽  
Induced Demand ◽  
Care Services ◽  
Primary Care Services ◽  
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