Non-dental primary care providers’ views on challenges in providing oral health services and strategies to improve oral health in Australian rural and remote communities: a qualitative study

Compared to all other racial and ethnic groups, Asian Americans have the lowest utilization of mental health services. Contributing factors include extremely low community awareness about mental health, a lack of culturally competent Asian American mental health professionals, and severe stigma associated with mental illness. This manuscript describes an innovative program that bridges the gap between primary care and mental health services. The Bridge Program, cited in the supplement to the Surgeon’s General’s Report on Mental Health: Culture, Race, and Ethnicity as a model for delivery of mental health services through primary care; (2) to improve capacity by enhancing the skills of primary care providers to identify and treat mental disorders commonly seen in primary care; and (3) to raise community awareness by providing health education on mental health and illness. Results are presented and the potential for replication is addressed.

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Teaching Family Nurse Practitioner Students to Provide Mental Health Care to Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.034 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 10-11

Author(s):

Victoria Grando ◽

Roy Grando

Keyword(s):

Mental Health ◽

Older Adults ◽

Primary Care ◽

Mental Health Services ◽

Health Services ◽

Treatment Plan ◽

Primary Care Providers ◽

Neurocognitive Disorders ◽

Mental Condition ◽

Care Providers

Abstract In recent years, FNPs have been challenged to deliver mental health services in the primary care setting. Over half of mental health services are provided in primary care, and one-quarter of all primary care patients have a mental disorder. Moreover, 20% of older adults have a mental or neurological disorder often not diagnosed. Nationally, it is estimated that 17% of older adults commit suicide, 15% have a mental condition, 11% have dementia, and 5% have a serious mental condition. There is a paucity of adequately prepared primary care providers trained in geropsychiatric treatment. A didactic course was developed to instruct FNP students in the skills needed to provide mental health treatment in primary care. We discuss mental illness in the context of culture to ensure that treatment is congruent with a patient’s unique cultural background and experiences. This shapes the patients’ beliefs and behaviors that influence the way they view their condition and what they perceive as acceptable solutions. We then go into detail about the common mental conditions that older adults exhibit. Through the case study method, students learn to identify the presenting problem, protocols for analyzing the case, which includes making differential diagnoses and a treatment plan including initial medications, non-medical treatments, and referral. Students are introduced to the DMS-5 to learn the criteria for mental health diagnosis with an emphasis on suicide, depressive disorders, anxiety disorders, bipolar disorders, substance use disorders, and neurocognitive disorders. We have found that students most often misdiagnose neurocognitive disorders.

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Rural Primary Care Providers’ Experience and Usage of Clinical Recommendations in the CDC Pediatric Mild Traumatic Brain Injury Guideline: A Qualitative Study

The Journal of Rural Health ◽

10.1111/jrh.12530 ◽

2020 ◽

Author(s):

Jill Daugherty ◽

Dana Waltzman ◽

Shena Popat ◽

Amy Horn Groenendaal ◽

Margaret Cherney ◽

...

Keyword(s):

Primary Care ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Qualitative Study ◽

Mild Traumatic Brain Injury ◽

Primary Care Providers ◽

Care Providers ◽

Clinical Recommendations ◽

Rural Primary Care

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Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition

JDR Clinical & Translational Research ◽

10.1177/23800844211011985 ◽

2021 ◽

pp. 238008442110119

Author(s):

M. McNally ◽

L. Rock ◽

M. Gillis ◽

S. Bryan ◽

C. Boyd ◽

...

Keyword(s):

Health Care ◽

Oral Health ◽

Health Services ◽

Return To Work ◽

Health Care Providers ◽

Online Survey ◽

Knowledge Exchange ◽

Oral Health Care ◽

Care Providers ◽

Oral Health Services

Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.

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ATRIAL FIBRILLATION IN RURAL AND NORTHERN CANADA: A QUALITATIVE STUDY OF PRIMARY CARE PROVIDERS MANAGING ATRIAL FIBRILLATION AND ENACTING CLINICAL GUIDELINES

Canadian Journal of Cardiology ◽

10.1016/j.cjca.2014.07.522 ◽

2014 ◽

Vol 30 (10) ◽

pp. S293

Author(s):

D.J. Banner ◽

K. King-Shier ◽

F. Janke ◽

A. Clark ◽

H. Hadi ◽

...

Keyword(s):

Atrial Fibrillation ◽

Primary Care ◽

Qualitative Study ◽

Clinical Guidelines ◽

Primary Care Providers ◽

Care Providers ◽

Northern Canada

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A Qualitative Study of Patients’ Perceptions of Dental Care in Primary Health Care

10.31219/osf.io/brenk ◽

2020 ◽

Author(s):

Heriberto F. Sanchez ◽

Andrea Maria D. Vargas ◽

Marcos Azeredo F. Werneck ◽

Efigênia F. Ferreira

Keyword(s):

Primary Care ◽

Oral Health ◽

Qualitative Study ◽

Health Services ◽

Citizen Participation ◽

Care Services ◽

Primary Health ◽

Primary Care Services ◽

Belo Horizonte ◽

The City

Knowledge of patients' views can contribute to the strengthening of health services. The aim of this study is to describe the patients' perception of a public oral health service, contributing to evaluations in health services. This is a qualitative study in which a focus group was conducted, with the participation of six patients of the oral health system in the city of Belo Horizonte, MG, Brazil, all with a minimum experience of three years of using the service. A theoretical model with dimensions aimed at assessing integrality and primary care services was used. In conducting the research, a semi-structured script was used. The data were analyzed by content analysis. The most representative categories for evaluating oral health actions in primary care are the health unit; the welcoming and its relation with the creation of the bond; service with a strong emphasis on the humanized relationship between professional and patient and on teamwork and; as a highlight, citizen participation, based on the recognition of a “system” that prevents the proper functioning of services and that must be fought with citizenship. Patients’ perceptions can be used to assess oral health in primary care from the perspective of those who actually use health services, seeking ultimately to constantly improve them. Knowledge of patients' perceptions may enable organizations to know their performance, through assessment methodologies based on the established perceptions.

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