Connecting Primary Care to Community-Based Education: Michigan Physicians’ Familiarity With Extension Programs

2019 ◽  
Vol 21 (2) ◽  
pp. 175-180
Author(s):  
Tamkeen Khan ◽  
Cheryl Eschbach ◽  
Courtney A. Cuthbertson ◽  
Cathy Newkirk ◽  
Dawn Contreras ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Delivery ◽  
Primary Care Patient ◽  
State Level ◽  
Care Patient ◽  
Health Programs ◽  
Michigan State University ◽  
State University ◽  
Community Based ◽  
Community Based Education

Clinical–community linkages enhance health care delivery and enable physician–patient partnerships to achieve better health. The Michigan State University (MSU) Model of Health Extension includes a strategy for forming these linkages by focusing on increasing primary care patient referrals and enrollment in health programs. This article shares the results of a survey of Michigan internal medicine and family medicine physicians ( n = 323) to better understand attitudes toward and familiarity with community-based education (CBE) programs and to assess the logistical requirements to make CBE referrals efficient and sustainable. Survey results showed that at most, 55% of respondents were aware of at least one CBE program implemented by Cooperative Extension. Of those who were aware, over 85% agreed that the programs have positive benefits for patients. Thirty-five percent reported at least one referral barrier, and familiarity with the CBE programs was a significant predictor for reporting all referral barriers. The results suggest that increasing physicians’ familiarity of CBE health programs is a key first step in identifying ideal strategies to overcome referral barriers. Data from this study may help determine scalable state level models for increasing awareness of chronic disease prevention and other CBE programs in efforts to improve the health of the nation.

Community-Based Education in Global Low-Resource Settings: A Unique Interprofessional Collaborative Experience in Primary Care Delivery

2019 ◽  
Vol 6 (1) ◽  
pp. 56-62
Author(s):  
Mabel Ezeonwu
Keyword(s):  
Primary Care ◽  
Health Education ◽  
Global Health ◽  
Care Delivery ◽  
Collaborative Practice ◽  
Community Based ◽  
Community Based Education ◽  
Low Resource Settings ◽  
Low Resource ◽  
Global Health Education

The complex nature of global health issues requires multidisciplinary efforts, namely, interprofessional education (IPE) and collaborative practice. For American students to develop skills and competencies that contribute to global primary care workforces, they must receive community-based education in various environments around the world. This article presents a global health education program that offers community-based, health-related IPE that is centered on primary care, collaborative practice, and a unique three-way partnership. Using a “classroom in the field” hybrid model, this program placed graduate and undergraduate students from different majors into experienced multidisciplinary health care teams and gave them hands-on, firsthand public health experiences in eight low-resource settings in Guatemala. The curricular design was informed by the Consortium of Universities for Global Health’s global health education competencies. At the completion of the program, all partners, participants, and local communities involved saw significant positive outcomes. Notably, students were able to articulate the essentials of primary care in a global context and demonstrate knowledge and skills in global health competencies. Such community-based approaches promote student understanding of disease prevention and health promotion as key elements of primary care that could improve health outcomes for underserved global populations.

EXPECTATION OF CLIENTS TOWARDS PRIMARY CARE SERVICE AT COMMUNE HEALTH CENTERS

2017 ◽  
pp. 70-77
Author(s):  
Thi Hoa Nguyen ◽  
Thi Thao Nguyen ◽  
Minh Tam Nguyen
Keyword(s):  
Primary Care ◽  
Care Delivery ◽  
Primary Care Patient ◽  
Care Service ◽  
Care Patient ◽  
Care Quality ◽  
Health Centers ◽  
Primary Care Service ◽  
Cross Sectional ◽  
Care Services

Background: Patients’ expectations are considered to influence their satisfaction with the service provided. This can be used to provide a deeper understanding and better approach to improve health care delivery. Objectives: This study was to identify patients' expectations forhealth care services at commune health centers in Huong Thuy Town, Thua Thien Hue province. Methods: A cross-sectional study with data collected from 423 people in Huong Thuy, using the 38-item standardized questionnaire to measure patients' expectations of primary care. A five score Likert scale from strongly disagree to strongly agree was used to report people’s expectation towards primary care services at commune health centers. Results: Among five important features of primary care, patient expectations for aspects of the medical care were the highest ranking. Aspects that achieved the lowest expectations were the availability and accessibility. The items such as “Facilities should be well equipped and modern”, “Doctor should guide patient in taking medicines correctly” and “Doctor should make patient feel free and comformtable to talk about health issues” received the highest scores. Conclusions: The study provides evidence on what patients expect for primary care service, thus helps to improve primary care quality, especially on the aspects that patients rate highest priorities. Key words: primary care, patient’s expectation, commune health center

scholarly journals Nature and type of patient-reported safety incidents in primary care: cross-sectional survey of patients from Australia and England

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042551
Author(s):  
Andrea L Hernan ◽  
Sally J Giles ◽  
Andrew Carson-Stevens ◽  
Mark Morgan ◽  
Penny Lewis ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Patient ◽  
Care Patient ◽  
System Level ◽  
Service Improvement ◽  
Cross Sectional ◽  
Positive Effects ◽  
Contributory Factors ◽  
Safety Incident ◽  
Patient Reported

BackgroundPatient engagement in safety has shown positive effects in preventing or reducing adverse events and potential safety risks. Capturing and utilising patient-reported safety incident data can be used for service learning and improvement.ObjectiveThe aim of this study was to characterise the nature of patient-reported safety incidents in primary care.DesignSecondary analysis of two cross sectional studies.ParticipantsAdult patients from Australian and English primary care settings.MeasuresPatients’ self-reported experiences of safety incidents were captured using the validated Primary Care Patient Measure of Safety questionnaire. Qualitative responses to survey items were analysed and categorised using the Primary Care Patient Safety Classification System. The frequency and type of safety incidents, contributory factors, and patient and system level outcomes are presented.ResultsA total of 1329 patients (n=490, England; n=839, Australia) completed the questionnaire. Overall, 5.3% (n=69) of patients reported a safety incident over the preceding 12 months. The most common incident types were administration incidents (n=27, 31%) (mainly delays in accessing a physician) and incidents involving diagnosis and assessment (n=16, 18.4%). Organisation of care accounted for 27.6% (n=29) of the contributory factors identified in the safety incidents. Staff factors (n=13, 12.4%) was the second most commonly reported contributory factor. Where an outcome could be determined, patient inconvenience (n=24, 28.6%) and clinical harm (n=21, 25%) (psychological distress and unpleasant experience) were the most frequent.ConclusionsThe nature and outcomes of patient-reported incidents differ markedly from those identified in studies of staff-reported incidents. The findings from this study emphasise the importance of capturing patient-reported safety incidents in the primary care setting. The patient perspective can complement existing sources of safety intelligence with the potential for service improvement.

scholarly journals Lean Workflow changes may contribute to Improved primary care patient satisfaction

2015 ◽  
Vol 18 (3) ◽  
pp. A261
Author(s):  
P. Chen
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Primary Care Patient ◽  
Care Patient

scholarly journals Evaluation of the First Contact Physiotherapy (FCP) model of primary care: Patient characteristics and outcomes

Physiotherapy ◽  
2021 ◽  
Author(s):  
S. Stynes ◽  
K.P. Jordan ◽  
J.C. Hill ◽  
G. Wynne-Jones ◽  
E. Cottrell ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Patient ◽  
Patient Characteristics ◽  
Care Patient ◽  
First Contact

Use of a Deprescribing Tool in an Interdisciplinary Primary-Care Patient-Aligned Care Team

2022 ◽  
Vol 37 (1) ◽  
pp. 34-43
Author(s):  
Makayla W. Nelson ◽  
Tara N. Downs ◽  
Gina M. Puglisi ◽  
Brent A. Simpkins ◽  
Amy Schmelzer Collier
Keyword(s):  
Primary Care ◽  
Adverse Drug Events ◽  
Primary Care Patient ◽  
Care Patient ◽  
Care Team ◽  
Record System ◽  
Cost Avoidance ◽  
Increased Risk ◽  
Medication Reviews ◽  
Va Health Care System

Objective: To pilot the VIONE approach in a single Primary Care Patient Aligned Care Team (PACT). The authors aim for the Clinical Pharmacy Specialist (CPS) to perform 20 comprehensive medication reviews (CMRs) and the pilot PACT physician (PCP) to complete 200 VIONE discontinuations. Cost avoidance and CPS recommendations will also be analyzed. Polypharmacy is associated with increased risk of adverse drug events, falls, hospitalizations, and death. VIONE is a deprescribing tool that assists providers in identifying inappropriate medications. Design: Quality Improvement Setting: Single VA Health Care System (VAHCS) Participants: High-risk veterans in pilot PACT Interventions: The CPS educated the PCP regarding VIONE methodology and assisted with CMRs. When deprescribing was warranted, VIONE discontinuation reasons were selected in the Computerized Patient Record System (CPRS). Data were electronically stored in a national dashboard. Results: The authors identified 231 veterans at risk for polypharmacy-related adverse events. The PCP and CPS were able to reach 99 veterans and make 136 medication discontinuations between September 1, 2019, and March 1, 2020. The CPS performed 20 CMRs, resulting in 90 deprescribing recommendations. Thirty-eight CPS recommendations were accepted and contributed $18,835.95 to the sum annualized cost avoidance of $21,904.80. Conclusion: The VIONE methodology was successfully implemented in the pilot PACT. The utilization of the CPS was associated with an increased average number of medication discontinuations per veteran and contributed to cost avoidance.

VALIDITY OF PRIMARY CARE PATIENT SELF-REPORT OF ABNORMAL (BUT NOT CANCER) PROSTATE BIOPSY RESULTS

2004 ◽  
Vol 172 (6 Part 1) ◽  
pp. 2366-2368 ◽  
Author(s):  
MARY McNAUGHTON-COLLINS ◽  
MICHAEL J. BARRY ◽  
JEAN-FRANCOIS CAUBET ◽  
DAVID W. BATES ◽  
JEONG MIN LEE ◽  
...  
Keyword(s):  
Primary Care ◽  
Prostate Biopsy ◽  
Primary Care Patient ◽  
Care Patient ◽  
Self Report ◽  
Cancer Prostate

scholarly journals The Differences in the Prevalence of Cardiovascular Disease, Its Risk Factors, and Achievement of Therapeutic Goals among Urban and Rural Primary Care Patients in Poland: Results from the LIPIDOGRAM 2015 Study

2021 ◽  
Vol 10 (23) ◽  
pp. 5656
Author(s):  
Krzysztof Studziński ◽  
Tomasz Tomasik ◽  
Adam Windak ◽  
Maciej Banach ◽  
Ewa Wójtowicz ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Primary Care Physicians ◽  
Primary Care Patient ◽  
Care Patient ◽  
Cross Sectional ◽  
Therapeutic Goals ◽  
Rural Primary Care

A nationwide cross-sectional study, LIPIDOGRAM2015, was carried out in Poland in the years 2015 and 2016. A total of 438 primary care physicians enrolled 13,724 adult patients that sought medical care in primary health care practices. The prevalence of hypertension, diabetes mellitus, dyslipidaemia, and CVD were similar in urban and rural areas (49.5 vs. 49.4%; 13.7 vs. 13.1%; 84.2 vs. 85.2%; 14.4 vs. 14.2%, respectively). The prevalence of obesity (32.3 vs. 37.5%, p < 0.01) and excessive waist circumference (77.5 vs. 80.7%, p < 0.01), as well as abdominal obesity (p = 43.2 vs. 46.4%, p < 0.01), were higher in rural areas in both genders. Mean levels of LDL-C (128 vs. 130 mg/dL, p = 0.04) and non-HDL-C (147 vs. 148 mg/dL, p = 0.03) were slightly higher in rural populations. Altogether, 14.3% of patients with CVD from urban areas and 11.3% from rural areas reached LDL <70 mg/dL (p = 0.04). There were no important differences in the prevalence of hypertension, diabetes, dyslipidaemia, and CVD, or in mean levels of blood pressure, cholesterol fractions, glucose, and HbA1c between Polish urban and rural primary care patient populations. A high proportion of patients in cities and an even-higher proportion in rural areas did not reach the recommended targets for blood pressure, LDL-C, and HbA1c, indicating the need for novel CVD-prevention programs.

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