scholarly journals Erratum to: A qualitative study of perceived needs and factors associated with the quality of care for common mental disorders in patients with chronic diseases: the perspective of primary care clinicians and patients

2016 ◽  
Vol 17 (1) ◽  
Author(s):  
Pasquale Roberge ◽  
Catherine Hudon ◽  
Alan Pavilanis ◽  
Marie-Claude Beaulieu ◽  
Annie Benoit ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Mental Disorders ◽  
Qualitative Study ◽  
Chronic Diseases ◽  
Common Mental Disorders ◽  
Perceived Needs ◽  
Factors Associated ◽  
Primary Care Clinicians

scholarly journals Homebound Patient and Caregiver Perceptions of Quality of Care in Home-Based Primary Care: A Qualitative Study

2016 ◽  
Vol 64 (8) ◽  
pp. 1622-1627 ◽  
Author(s):  
Adi Shafir ◽  
Sarah K. Garrigues ◽  
Yael Schenker ◽  
Bruce Leff ◽  
Jessica Neil ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Qualitative Study ◽  
Home Based Primary Care ◽  
Home Based

scholarly journals Primary care management for isolated limb injury: Referral to orthopedic surgery in a trauma center

2010 ◽  
Vol 33 (2) ◽  
pp. 99
Author(s):  
Dominique M Rouleau ◽  
Stefan Parent ◽  
Debbie Ehrmann Feldman
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Care Center ◽  
Related Factors ◽  
Lower Limb Injury ◽  
Health Care Center ◽  
Factors Associated ◽  
Limb Injury ◽  
Quality Of Primary Care

Introduction: Musculoskeletal injuries affect up to 13% of adults annually. Despite this high incidence, quality of primary care, including analgesia, may be sub-optimal. The goal of this study is to describe the quality of primary care for ambulatory patients with isolated limb injury and to identify related factors. Methods: A cross sectional study was undertaken prospectively on 166 consecutive ambulatory adult patients with isolated limb injury who presented to orthopedics service in a Level one Trauma Centre. Quality of care was assessed by evaluating analgesia, walking aids, immobilization, and quality of referral diagnosis according to actual expert recommendations. Results: This study revealed low quality of primary care for 82 (53.2%) of injured patients. Seventy-three patients (50.3%) had pain level over 5/10 and 45 cases (28.5%) had insufficient/absent analgesia prescriptions. Fifty-one (32.3%) had unacceptable immobilization and 21/59 (35.6%) patients with a lower limb injury did not receive a walking aid prescription. A total of 61 patients (36.7%) had an absent or inadequate referral diagnosis. Factors associated with lower quality depended on the specific quality indicator and included: living further away from the hospital, younger age, initially consulting at another health care center, having a fracture, and being a smoker. Conclusion: The high frequency of low quality of care underlines the necessity for orthopedic surgeons to be involved in primary care education. Identifying factors associated with lower quality of care will orient efforts to improve medical care of patients with isolated traumatic injury.

scholarly journals Improving referrals from primary care to secondary mental health services through an educational intervention: experience from Qatar

2021 ◽  
pp. 1-4
Author(s):  
Ovais Wadoo ◽  
Sami Ouanes ◽  
Mohamed Ali Siddig Ahmed ◽  
Iman Saeed Ahmed Saeid ◽  
Samya Ahmad AlAbdulla ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Educational Intervention ◽  
Common Mental Disorders ◽  
Clinical Information ◽  
Health Clinic

Primary care is geared to manage patients with mild to moderate presentations of common mental disorders and to refer patients with more severe mental disorders to specialist mental health services. With growing demand for specialty care, the quality of the referral is increasingly important to ensure efficient patient flow across the primary/secondary care interface and appropriate use of secondary services. We report on an initiative in a Qatari mental health clinic to improve the quality of referrals from primary care to specialist mental health services through an educational intervention for family physicians. We highlight the problem, the intervention and the outcome of our initiative, which was the first of its kind in the region. The number of inappropriate referrals fell by 93%, and the number of referrals with inadequate clinical information declined from 15 (January 2019) to 1 (September 2019). Feedback was very positive; respondents reported feeling supported, with better understanding of care pathways, the scope of primary care and mental health services.

scholarly journals Postpartum change in common mental disorders among rural Vietnamese women: Incidence, recovery and risk and protective factors

2015 ◽  
Vol 206 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Trang Thu Nguyen ◽  
Thach Duc Tran ◽  
Tuan Tran ◽  
Buoi La ◽  
Hau Nguyen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Protective Factors ◽  
Common Mental Disorders ◽  
Risk And Protective Factors ◽  
Perinatal Period ◽  
Intimate Partner ◽  
Factors Associated ◽  
Vietnamese Women

BackgroundIn low- and middle-income countries little is known about changes in women's mental health status from the perinatal period to 15 months postpartum or the factors associated with different trajectories.AimsTo determine the incidence and rates of recovery from common mental disorders (CMD) among rural Vietnamese women and the risk and protective factors associated with these outcomes from the perinatal period to 15 months after giving birth.MethodIn a population-based prospective study, a systematically recruited cohort of women completed baseline assessments in either the last trimester of pregnancy or 4–6 weeks after giving birth and were followed up 15 months later. The common mental disorders of major depression, generalised anxiety and panic disorder were assessed by psychiatrist-administered Structured Clinical Interview for DSM-IV Disorders at both baseline and follow-up.ResultsA total of 211 women provided complete data in this study. The incidence rate of CMD in the first postpartum year was 13% (95% CI 8–19), and 70% (95% CI 59–80) of women who had perinatal CMD recovered within the first postpartum year. Incidence was associated with having experienced childhood maltreatment, experiencing the intimate partner as providing little care, sensitivity, kindness or affection, and the chronic stress of household poverty. Recovery was associated with higher quality of a woman's relationships with her intimate partner and her own mother, longer period of mandated rest following birth, and sharing of domestic tasks and infant care.ConclusionsModifiable social factors, in particular the quality of a woman's closest relationships with her partner and her own mother, and participation by family members in domestic work and infant care, are closely related to women's mental health in the first year after giving birth in resource-constrained settings.

Quality of life among patients with common mental disorders attending monk healers and primary care clinics in Thailand

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Supa Pengpid ◽  
Karl Peltzer
Keyword(s):  
Primary Care ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Common Mental Disorders ◽  
Common Mental Disorder ◽  
Health Centre ◽  
Somatization Disorder ◽  
Content Type ◽  
Primary Care Patients

Purpose Common mental disorders are not only highly prevalent in primary health-care settings but also negatively affect patients’ quality of life (QoL). This study aims to assess the levels of QoL among patients with common mental disorders seeking care from a monk healer or primary care setting and to determine the comparative QoL of users in two different types of care settings in Thailand. Design/methodology/approach Consecutively attending clients or patients (N = 1251) of three faith healing or three health centres were assessed with measures of depression, anxiety and somatization disorder and QoL. Findings The overall QoL was 67.8 and among the four QoL domains, social QoL was the highest (72.3), followed by physical QoL (69.4), environmental QoL (64.8) and psychological QoL (64.6). In adjusted linear regression analyses, sociodemographic factors, such as higher educational level, being employed, having high debt and consulting a health centre, were associated with higher overall QoL. Compared to being a client with a monk healer, patients at a health centre had a higher overall QoL, environmental and psychological QoL. Having a general anxiety or major depressive disorder was negatively associated with overall QoL and all four QoL sub-domains, whereas somatization disorder was not associated with any QoL sub-domains. Originality/value To the best of the authors’ knowledge, this is the first study to investigate QoL in common mental disorder attenders with a monk healer in comparison with primary care patients. Primary care patients with a common mental disorder had significantly higher overall QoL (p<0.01), higher psychological QoL (p<0.001) and higher environmental QoL (p<0.001) than clients with a common mental disorder attending monk healers. This study extends previous research showing a negative association between anxiety and depressive disorders and QoL calling for integration of QoL in the management of common mental disorders in both complementary and public primary care in Thailand.

scholarly journals Nurse Practitioner Practice Environments in Primary Care and Quality of Care for Chronic Diseases

Medical Care ◽  
2018 ◽  
pp. 1
Author(s):  
Lusine Poghosyan ◽  
Allison A. Norful ◽  
Jianfang Liu ◽  
Mark W. Friedberg
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Chronic Diseases ◽  
Nurse Practitioner
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