scholarly journals Integration and Impact of Telemedicine in Underserved Pediatric Primary Care

2021 ◽  
pp. 000992282110396
Author(s):  
Jessica Walters ◽  
Tasha Johnson ◽  
Dominick DeBlasio ◽  
Melissa Klein ◽  
Kimberley Sikora ◽  
...  
Keyword(s):  
Primary Care ◽  
Racial Disparities ◽  
Chronic Care ◽  
Care Center ◽  
Demographic Data ◽  
Urgent Care ◽  
Pediatric Care ◽  
Pediatric Primary Care ◽  
Primary Care Center ◽  
Black Patients

Telemedicine, more novel in provision of pediatric care, rapidly expanded due to the recent coronavirus disease 2019 pandemic. This study aimed to determine the feasibility of telemedicine for acute and chronic care provision in an underserved pediatric primary care center. Items assessed included patient demographic data, chief complaint, and alternative care locations if telemedicine was not available. In our setting, 62% of telemedicine visits were for acute concerns and 38% for chronic concerns. Of acute telemedicine visits, 16.5% of families would have sought care in the Emergency Department/Urgent Care, and 11.3% would have opted for no care had telemedicine not been offered. The most common chronic issues addressed were attention deficit hyperactivity disorder (80.3%) and asthma (16.9%). Racial disparities existed among our telemedicine visits with Black patients utilizing telemedicine services less frequently than non-Black patients. Telemedicine is feasible for pediatric acute and chronic care, but systems must be designed to mitigate widening racial disparities.

Welcome back? Frequent attenders to a pediatric primary care center

2011 ◽  
Vol 15 (3) ◽  
pp. 175-186 ◽  
Author(s):  
Melissa Klein ◽  
Lisa M Vaughn ◽  
Raymond C Baker ◽  
Trisha Taylor
Keyword(s):  
Primary Care ◽  
Care Center ◽  
Pediatric Primary Care ◽  
Primary Care Center ◽  
Frequent Attenders

Food Insecure Families: Description of Access and Barriers to Food from one Pediatric Primary Care Center

2013 ◽  
Vol 38 (6) ◽  
pp. 1182-1187 ◽  
Author(s):  
Tori L. DeMartini ◽  
Andrew F. Beck ◽  
Robert S. Kahn ◽  
Melissa D. Klein
Keyword(s):  
Primary Care ◽  
Care Center ◽  
Pediatric Primary Care ◽  
Primary Care Center

A Mixed-Methods Evaluation of a Novel Food Pantry in a Pediatric Primary Care Center

2020 ◽  
Vol 59 (3) ◽  
pp. 278-284
Author(s):  
Erin Hickey ◽  
Michelle Phan ◽  
Andrew F. Beck ◽  
Mary Carol Burkhardt ◽  
Melissa D. Klein
Keyword(s):  
Primary Care ◽  
Food Insecurity ◽  
Care Delivery ◽  
Care Center ◽  
Office Visit ◽  
Pediatric Primary Care ◽  
Primary Care Center ◽  
Food Pantry ◽  
Number Of Children ◽  
The Impact

Evidence suggests that management of food insecurity in primary care may enhance preventive care delivery. This study assessed the impact of a food pantry in a pediatric primary care center over 22 months. Quantitative outcome assessments (number of children affected, number of referrals, and completion of preventative services) compared the child receiving food from the pantry to age-matched controls. Commonalities from interviews with pantry-using families were identified using thematic analysis. A total of 504 index patients received food from the pantry during an office visit. There were 546 in-clinic and community referrals. There was no significant relationship between accessing the pantry and preventative service completion by 27 months of age. Themes that emerged during interviews included the need for an emergency food source, facilitation of referrals, and increased trust in the clinic. An in-clinic food pantry is a feasible and family-welcomed approach to address food insecurity in pediatric primary care.

A Retrospective Cohort Study of SARS-CoV-2 Infection in Hypertenses Patients in a Primary Care Center

2020 ◽  
Author(s):  
Esther Hernandez Castilla ◽  
Lucia Vallejo Serrano ◽  
Monica Saenz Ausejo ◽  
Beatriz Pax Sanchez ◽  
Katharina Ramrath ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Care Center ◽  
Primary Care Center

KNOWLEDGE, ATTITUDE, AND PRACTICE OF PHARMACISTS ABOUT PHARMACEUTICAL CARE FOR DIABETES MELLITUS PATIENTS IN A PRIMARY CARE CENTER IN SAUDI ARABIA

2020 ◽  
Vol 76 (3) ◽  
Author(s):  
Maha Aldraimly ◽  
Sayed Azhar Suliman ◽  
Ahmed Ibrahim Nouri ◽  
Manahel Mohammed Alshaer ◽  
Norah Mohammed Almaghrabi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Saudi Arabia ◽  
Pharmaceutical Care ◽  
Care Center ◽  
Primary Care Center ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

scholarly journals SARS-COV-2 INFECTION IN PRIMARY CARE: A SINGLE-CENTERED, RETROSPECTIVE, OBSERVATIONAL STUDY

2021 ◽  
Author(s):  
Pilar Galicia ◽  
Juan Jose Gutierrez Cuevas ◽  
Fang Fang Chen Chen ◽  
Laura Santos Larregola ◽  
Alberto Manzanares Briega ◽  
...  
Keyword(s):  
Primary Care ◽  
Arterial Hypertension ◽  
Clinical Characteristics ◽  
Care Center ◽  
Case Definition ◽  
Living Conditions ◽  
Primary Care Center ◽  
Predictive Role ◽  
Definition Of

Purpose: to describe the clinical characteristics of patients with confirmed SARS-CoV-2 infection in primary care and to analyze the predictive role of different risk factors on prognosis, especially living conditions. Methods: Retrospective longitudinal observational retrospective study by reviewing medical records from a primary care center since March 1 to April 30, 2020. Case definition of confirmed SARS-CoV-2 infection, sociodemographic data, clinical characteristics, comorbidity and living conditions were collected. The statistical analysis consisted in description of the sample, comparison of prognosis groups and analysis of prognostic factors. Results. A sample of 70 patients with confirmed SARS-CoV-2 infection was obtained, with comorbidity mainly related to arterial hypertension, overweight/obesity, hypercholesterolemia, diabetes and chronic pulmonary pathology. Pneumonia was present in 66%. Exitus occurred in 14% of the sample. Factors associated with mortality were advanced age (84 vs 55; p<0.0001), arterial hypertension (78% vs 41%; p=0.040), asthma-COPD (56% vs 13%; p=0.008) and atrial fibrillation (56% vs 5%; p=0.001). Conclusions. The study reflects the clinical practice of a primary care center. This kind of studies are essential to strengthen and reorganize the Health System and to try to anticipate the medium- to long-term consequences of COVID-19 on global health.

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