Identity, Contract and Enterprise in a Primary Care Setting: An English General Practice Case Study

Organization ◽  
2008 ◽  
Vol 15 (3) ◽  
pp. 355-370 ◽  
Author(s):  
Ruth McDonald ◽  
Stephen Harrison ◽  
Kath Checkland
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Setting ◽  
Primary Care Setting

General practice

2021 ◽  
pp. 223-244
Author(s):  
Philippa Edwards
Keyword(s):  
Primary Care ◽  
Risk Management ◽  
General Practice ◽  
Patient Compliance ◽  
Care Setting ◽  
Primary Care Setting ◽  
Diagnostic Skills ◽  
The Common

This chapter contains 34 questions that encompass all of the important areas of primary care, with detailed explanations. They will assess your knowledge in the common areas that present, testing diagnostic skills and reasoning. They also test negotiating skills to ensure patient compliance, teamworking within the primary care setting, and risk management. Unique to this series, questions are rated by difficulty and are cross-referenced to the eleventh edition of Oxford Handbook of Clinical Specialties to track revision progress and revise effectively.

Understanding the Fontan Procedure in Congenital Heart Disease Patients and the Importance of Early Hepatology Referrals: A Case Study

2018 ◽  
Vol 11 (2) ◽  
pp. 95-99
Author(s):  
Alice Chan
Keyword(s):  
Primary Care ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Nurse Practitioners ◽  
Congenital Heart ◽  
Care Setting ◽  
Primary Care Setting ◽  
Fontan Procedure ◽  
Early Screening

Background: Patients with congenital heart disease are surviving into adulthood because of new surgeries developed over the recent decades. One surgery is the Fontan procedure, which is used in patients with only one functioning ventricle. Although it has been saving lives, in the recent years multiple complications have been noted. Objective: To discuss the Fontan procedure and inform nurse practitioners in the primary care setting the importance of early screening and referral because of increasing number of liver complications in these patients. This case study highlights the dilemmas a patient with the Fontan procedure faces as a young adult. Methods: Evidence-based articles from the PubMed and Embase databases were used to support the case study. Results: Patients with the low-pressure Fontan circulation are under chronic passive congestion and have known liver complications such as liver fibrosis, cirrhosis, and protein-losing enteropathy. This can lead to a high-risk dual organ heart–liver transplant. Conclusions: Early screening and referral to a hepatologist are critical in these patients. Implications for Nursing: Since patients with congenital heart disease often present to the primary care setting, nurse practitioners in this area should understand the Fontan procedure and its associated complications so they can effectively manage these patients.

Evolution of a health navigator model of care within a primary care setting: a case study

2013 ◽  
Vol 37 (4) ◽  
pp. 523 ◽  
Author(s):  
Fiona Doolan-Noble ◽  
Danielle Smith ◽  
Robin Gauld ◽  
Debra L. Waters ◽  
Anthony Cooke ◽  
...  
Keyword(s):  
Primary Care ◽  
New Zealand ◽  
Service Provision ◽  
Cancer Care ◽  
Care Setting ◽  
Patient Navigation ◽  
Primary Care Setting ◽  
Rural Setting ◽  
Care Services

Objective. Patient navigation originated as an approach for reducing disparities in cancer care and consequent health outcomes. Over time navigator models have evolved and been used to address various health issues in differing contexts. This case study outlines the evolution, purpose and effects of a lay-led health navigator model in a deprived, sparsely populated, New Zealand rural setting, where primary care services are frequently understaffed and routinely overstretched. Methods. Routinely collected service utilisation data, survey results and health navigator interview data were utilised to illustrate the client group the service works with, why primary care refer to the service, as well as lessons learned from implementation to ongoing service provision. Results. Those referred to the navigator service generally represented the most vulnerable in the community. Survey respondents, overall, were highly satisfied with the service. Navigators identified barriers and facilitators to implementation, as well as ongoing obstacles and enablers to service provision. Conclusions. This lay-led navigator service provided support to a group of unwell individuals, with few resources and multiple barriers to negotiate, and has effectively engaged with health and social care services, while overcoming various barriers and obstacles to its establishment and ongoing operation. What is known about the topic? Patient navigation models of care were first employed in the 1990s, as a strategy to increase the uptake of cancer screening among disadvantaged women. They have since expanded across the cancer care continuum, but despite favourable findings, information regarding their potential in other settings is limited. What does this paper add? This paper provides a perspective on lay-led navigation services within a rural New Zealand primary care setting. The views of primary care professionals regarding the role and value of the service are provide, as is a summary of the key lessons learnt over the implementation, establishment and ongoing service delivery phases of the programme. What are the implications for practitioners? This case study proposes that lay-led navigation services can provide practical support to primary care; assisting it to meet the needs of patients living with multiple chronic conditions and social challenges.

scholarly journals Work-Related Psychosocial Demands and Resources in General Practice Teams in Germany. A Team-Based Ethnography

2020 ◽  
Vol 17 (19) ◽  
pp. 7114
Author(s):  
Elena Tsarouha ◽  
Christine Preiser ◽  
Birgitta Weltermann ◽  
Florian Junne ◽  
Tanja Seifried-Dübon ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Setting ◽  
Primary Care Setting ◽  
Group Discussion ◽  
Working Environment ◽  
Theory Approach ◽  
Work Intensity ◽  
Work Related ◽  
General Practices

General practices are established microenterprises in Germany providing a variety of preventive and therapeutic health care services and procedures in a challenging working environment. For example, general practice teams are confronted increasingly with work-related demands, which have been associated with poor psychological and physical outcomes. It is therefore important to gain a better understanding of issues related to occupational health and safety for personnel working in the primary care setting. This study aims to gain an in-depth understanding of psychosocial demands and resources in the primary care setting. We applied an ethnographic design, comprising a combination of participating observations, individual interviews with general practitioners (GPs) (N = 6), and focus group discussion with practice assistants and administrative staff (N = 19) in five general practices in Germany. A grounded theory approach was applied to analyze all data. Our results identified psychosocial demands and resources exemplified mainly along two typical tasks in GP practices: the issuing of medical prescriptions and blood sampling. Main psychosocial demands included factors related to work content and tasks, organization of work, and the working environment. For example, daily routines across all practices were characterized by a very high work intensity including disturbances, interruptions, delegation, and the division of labor between GPs and practice staff. Work-related resources comprised the staff’s influence on aspects related to work organization and social support. The triangulation of methods and data formats allowed the disclosure of interconnectedness between these factors. Although work processes in general practices are complex and required to comply with legal regulations, there are opportunities for practice owners and practice teams to establish working procedures in ways that reduce psychosocial risks and strengthen work-related resources.

scholarly journals General practice and brief psychotherapy: a novel psychiatric training post

1996 ◽  
Vol 20 (9) ◽  
pp. 553-555
Author(s):  
Jonathan Scott
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Training ◽  
Practice Setting ◽  
Brief Psychotherapy ◽  
General Psychiatry ◽  
Alternative Approach ◽  
Training Post

Many psychiatrists now work successfully in the primary care setting. Although a primary care post might be considered to be a useful experience by most trainees, few undertake such an attachment, owing to lacked opportunities and concern that such a placement would delay career progress or be at the expense of psychiatric subspeciality experience (Burns, 1994). For general practice posts to be integrated into psychiatric training, these concerns need to be addressed. One solution has been a post shared with general psychiatry (Balmer, 1993). This paper describes an alternative approach, a post combining subspeciality experience in psychotherapy within the practice setting, with working as a general practitioner (GP) trainee.

General practice student nurses: let's stop the poaching model

2019 ◽  
Vol 30 (6) ◽  
pp. 300-301 ◽  
Author(s):  
Shaun Heath
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Care Setting ◽  
Primary Care Setting ◽  
Student Nurses ◽  
Added Value

As nursing continues to experience shortages across the profession, Shaun Heath explores how the primary care setting can use student nurses on placement to remedy this issue and the added value they can bring to your practice

scholarly journals Audit of a psychiatric liaison service – the value of general practice casenotes

1990 ◽  
Vol 14 (12) ◽  
pp. 727-729 ◽  
Author(s):  
Sheila M. Curran ◽  
Ian M. Pullen
Keyword(s):  
Primary Care ◽  
General Practice ◽  
General Practitioners ◽  
Care Setting ◽  
Primary Care Setting ◽  
Number Of Patients

The practice of out-patient psychiatry has undergone a number of significant developments in recent years: the number of patients referred by general practitioners has steadily increased: a large number of psychiatrists are now seeing patients in the primary care setting and more patients are being seen on one occasion only.

Close Encounters in General Practice: Experiences of a Psychotherapy Liaison Team

1985 ◽  
Vol 146 (3) ◽  
pp. 277-281 ◽  
Author(s):  
Stephen Wilson ◽  
Katherine Wilson
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Patient Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Working Relationships ◽  
Professional Relationship ◽  
Close Encounters ◽  
Quality Of Patient Care

SummaryExperiences arising from the work of a multi-disciplinary psychotherapy liaison team in the primary care setting are described. Special emphasis is given to the difficulties encountered in working relationships. Attention is drawn to the complexity of the inter-professional relationship, its unconscious roots, and its influence on the quality of patient care.

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