scholarly journals Pediatric nurses in pediatricians’ offices: a survey for primary care pediatricians

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Immacolata Dall’Oglio ◽  
Giovanni Vitali Rosati ◽  
Valentina Biagioli ◽  
Emanuela Tiozzo ◽  
Orsola Gawronski ◽  
...  
Keyword(s):  
Primary Care ◽  
Disease Prevention ◽  
Online Survey ◽  
Care Setting ◽  
Clinical Care ◽  
Professional Activity ◽  
Healthcare Education ◽  
Pediatric Nurses ◽  
Pediatric Nurse ◽  
Primary Care Pediatricians

Abstract Background The role played by nurses in caring for children in pediatricians’ officies in the community is crucial to ensure integrated care. In Italy, pediatricians are responsible for the health of children aged 0–14 years living in the community. This study aimed to describe Italian primary care pediatricians’ opinions about the usefulness of several nursing activities that pediatric nurses could perform in pediatricians’ offices. Methods An online survey with pediatricians working in primary care in Italy was conducted between April–December 2018. A 40-item questionnaire was used to assess four types of nursing activities: clinical care, healthcare education, disease prevention, and organizational activities. The answers ranged from 1 (not useful at all) to 6 (very useful). Moreover, three open-ended questions completed the questionnaire. Results Overall, 707 pediatricians completed the online survey. Participants were mainly female (63%), with a mean age of 57.74 (SD = 6.42). The presence of a pediatric nurse within the pediatrician’s office was considered very useful, especially for healthcare education (Mean 4.90; SD 1.12) and disease prevention (Mean 4.82; SD 1.11). Multivariate analysis confirmed that pediatricians ‘with less working experience’, ‘having their office in a small town’, and ‘collaborating with a secretary and other workers in the office’ rated the nurse’s activities significantly more useful. Conclusions A pediatric nurse in the pediatrician’s office can significantly contribute to many activities for children and their families in the community. These activities include clinical care, healthcare education, disease prevention, and the organizational processes of the office. Synergic professional activity between pediatricians and pediatric nurses could ensure higher health care standards in the primary care setting.

scholarly journals Prerequisites for providing effective support to family caregivers within the primary care setting – results of a study series in Germany

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Julian Wangler ◽  
Michael Jansky
Keyword(s):  
Primary Care ◽  
Family Caregivers ◽  
Support Services ◽  
Online Survey ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychological Needs ◽  
Care Recipient ◽  
Current Status ◽  
Good Time

Abstract Background General Practitioners are considered to be well placed to monitor home-care settings and to respond specifically to family caregivers. To do this, they must be sensitive to the needs and expectations of caregivers. In order to determine the current status of GP care in terms of the support given to family caregivers, a series of studies were conducted to gather the perspectives of both caregivers and GPs. The results are used to derive starting points as to which measures would be sensible and useful to strengthen support offered to family caregivers in the primary care setting. Methods Between 2020 and 2021, three sub-studies were conducted: a) an online survey of 612 family caregivers; b) qualitative interviews with 37 family caregivers; c) an online survey of 3556 GPs. Results Family caregivers see GPs as a highly skilled and trustworthy central point of contact; there are many different reasons for consulting them on the subject of care. In the perception of caregivers, particular weaknesses in GP support are the absence of signposting to advisory and assistance services and, in many cases, the failure to involve family caregivers in good time. At the same time, GPs do not always have sufficient attention to the physical and psychological needs of family caregivers. The doctors interviewed consider the GP practice to be well suited to being a primary point of contact for caregivers, but recognise that various challenges exist. These relate, among other things, to the timely organisation of appropriate respite services, targeted referral to support services or the early identification of informal caregivers. Conclusions GP practices can play a central role in supporting family caregivers. Caregivers should be approached by the practice team at an early stage and consistently signposted to help and support services. In order to support care settings successfully, it is important to consider the triadic constellation of needs, wishes and stresses of both the caregiver and the care recipient. More training and greater involvement of practice staff in the support and identification of caregivers seems advisable.

Identifying challenges in promoting adolescent preventive health care in the primary care setting of urban Japan

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Kazumi Sakashita ◽  
Robert W. Blum
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Services ◽  
Online Survey ◽  
Assessment Tool ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Adolescent Medicine ◽  
Adolescent Patients ◽  
Primary Care Pediatricians

AbstractBackgroundDespite the assurance of free medical access through the universal health insurance system, over the past three decades Japanese youth have experienced an increase in developmental and behavioral problems, psychosomatic disorders, and psychiatric illnesses.ObjectivesTo identify the challenges in promoting comprehensive preventive health services to adolescents in Japan, specifically in Tokyo.MethodsA cross-sectional online survey was conducted of physicians who are members of the Tokyo Pediatric Association. The questionnaire assessed primary care pediatricians’ practice settings and their attitudes toward outpatient services to adolescent patients.ResultsOut of 617 member pediatricians, 69 valid responses were obtained. Majority were private pediatricians. 52% indicated that they had specialties in addition to general pediatrics; however, no one reported specializing in adolescent medicine. Approximately 70% answered the optimal patient encounter time would be under 10 min. More than 90% of respondents reported challenges providing health services to adolescent patients. Nearly half indicated that they did not routinely evaluate height, heart rate or blood pressure. Few providers asked about reproductive health, violence, or smoking/alcohol use.ConclusionThis survey is the first exploration of adolescent health care in an urban area of Japan. While the sample is small, the magnitude of challenges was great with limited training in adolescent medicine, severe time constraints and limited appreciation for the value of health screening at each encounter. Developing a standardized practical assessment tool for adolescent patients may help guide primary care pediatricians to better meet the needs of their adolescent patients.

scholarly journals Primary care physicians’ attitudes and beliefs about cancer clinical trials

2017 ◽  
Vol 14 (5) ◽  
pp. 518-525 ◽  
Author(s):  
Carma L Bylund ◽  
Elisa S Weiss ◽  
Margo Michaels ◽  
Shilpa Patel ◽  
Thomas A D’Agostino ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Trials ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Minority Groups ◽  
Clinical Care ◽  
Trial Participation ◽  
Cancer Clinical Trials ◽  
Attitudes And Beliefs ◽  
Positive Attitudes

Background/Aims: Cancer clinical trials give patients access to state-of-the-art treatments and facilitate the translation of findings into mainstream clinical care. However, patients from racial and ethnic minority groups remain underrepresented in clinical trials. Primary care physicians are a trusted source of information for patients, yet their role in decision-making about cancer treatment and referrals to trial participation has received little attention. The aim of this study was to determine physicians’ knowledge, attitudes, and beliefs about cancer clinical trials, their experience with trials, and their interest in appropriate training about trials. Methods: A total of 613 physicians in the New York City area primarily serving patients from ethnic and racial minority groups were invited via email to participate in a 20-min online survey. Physicians were asked about their patient population, trial knowledge and attitudes, interest in training, and personal demographics. Using calculated scale variables, we used descriptive statistical analyses to better understand physicians’ knowledge, attitudes, and beliefs about trials. Results: A total of 127 physicians completed the survey. Overall, they had low knowledge about and little experience with trials. However, they generally had positive attitudes toward trials, with 41.4% indicating a strong interest in learning more about their role in trials, and 35.7% indicating that they might be interested. Results suggest that Black and Latino physicians and those with more positive attitudes and beliefs were more likely to be interested in future training opportunities. Conclusion: Primary care physicians may be an important group to target in trying to improve cancer clinical trial participation among minority patients. Future work should explore methods of educational intervention for such interested providers.

Digital disparities: designing telemedicine systems with a health equity aim

2021 ◽  
pp. emermed-2020-210896
Author(s):  
Margaret Samuels-Kalow ◽  
Todd Jaffe ◽  
Kori Zachrison
Keyword(s):  
Primary Care ◽  
Health Disparities ◽  
Health Equity ◽  
Digital Literacy ◽  
Older Patients ◽  
Care Setting ◽  
Clinical Care ◽  
Acute Care Setting ◽  
Clinical Environments ◽  
Improve Health

The use of telemedicine has grown immensely during the COVID-19 pandemic. Telemedicine provides a means to deliver clinical care while limiting patient and provider exposure to the COVID-19. As such, telemedicine is finding applications in a variety of clinical environments including primary care and the acute care setting and the array of patient populations who use telemedicine continues to grow. Yet as telehealth becomes ubiquitous, it is critical to consider its potential to exacerbate disparities in care. Challenges accessing technology and digital literacy, for example, disproportionately impact older patients and those living in poverty. When implemented with the consideration of health disparities, telemedicine provides an opportunity to address these inequities. This manuscript explores potential mechanisms by which telemedicine may play a role in exacerbating or ameliorating disparities in care. We further describe a framework and suggested strategies with which to implement telemedicine systems to improve health equity.

Psychiatrists Working in Primary Care: A Survey of General Practitioners' Attitudes

1996 ◽  
Vol 30 (2) ◽  
pp. 278-286 ◽  
Author(s):  
R. Barber ◽  
A. Sved Williams
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioners ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Care Setting ◽  
Primary Care Setting ◽  
Clinical Care ◽  
South Australia ◽  
Advantages And Disadvantages

Objectives: To collect information on current working arrangements between general practitioners (GPs) and mental health professionals and to assess GPs' attitudes towards developing closer working practices with psychiatrists in the primary care setting. Method: Six hundred and three GPs from South Australia were surveyed with questionnaires. Main outcome measures included information about existing primary care links between GPs and mental health professionals, GPs' preferred working arrangements with psychiatrists in the primary care setting and their attitude towards developing these practices, including perceived obstacles, advantages and disadvantages. Results: One hundred and eighty-one completed questionnaires were returned. One in 11 GPs returning the questionnaire (RGPs) had established primary care links with a psychiatrist, 1 in 6 with clinical psychologists and 1 in 17 with psychiatric nurses and social workers. RGPs held positive attitudes towards developing closer links at their work settings with psychiatrists when it leads to improved collaboration and access to psychiatrists. Reservations were expressed about the public weakening of the GPs' primary care role. Conclusions: The joint needs of clinical care and GPs' further training in psychiatry could be addressed by further development of schemes to attract psychiatrists to work in primary care settings. This is mostly viewed very positively by GPs, although the percentage of GPs responding make these conclusions tentative. It is more likely to occur with changes to current funding of both private psychiatric care and GP remuneration, with a recognition of time spent in liaison.

scholarly journals Need of guidance in disabling and chronic migraine identification in the primary care setting, results from the european MyLife anamnesis survey

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Angel L. Guerrero ◽  
Andrea Negro ◽  
Philippe Ryvlin ◽  
Kirill Skorobogatykh ◽  
Rainel Sanchez-De La Rosa ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Migraine ◽  
Western Europe ◽  
Online Survey ◽  
Care Setting ◽  
Preventive Treatment ◽  
Societal Burden ◽  
Patient Diary ◽  
Preventive Medication ◽  
The Uk

Abstract Background Migraine affects 80.8 million people in Western Europe and is the first cause of disability among people between ages 15 and 49 worldwide. Despite being a highly prevalent and disabling condition, migraine remains under-diagnosed and poorly managed. Methods An international, online survey was conducted among 201 general practitioners (GPs) from 5 European countries (France, Germany, Italy, Spain and the UK) who are experienced in the management of headache disorders. Results The majority of GPs (82%) did not refer patients with chronic migraine (CM) to migraine specialists. Among those patients, the participants estimated that around 55% received preventive medication. Some differences between countries were observed regarding referral rate and prescription of preventive treatment. Most GPs (87%) reported a lack of training or the need to be updated on CM management. Accordingly, 95% of GPs considered that a migraine anamnesis guide could be of use. Overall, more than 95% of GPs favoured the use of a patient diary, a validated diagnostic tool and a validated scale to assess impact of migraine on patients’ daily life. Similarly, 96% of the GPs considered that the inclusion of warning features (red flags) in an anamnesis guide would be useful and 90% favoured inclusion of referral recommendations. Conclusions The results from this survey indicate that more education on diagnosis and management of CM is needed in primary care. Better knowledge on the recognition and management of migraine in primary care would improve both prognosis and diagnosis and reduce impact of migraine on patients’ lives, healthcare utilization and societal burden.

1499: The Prevalence of LUTS and Prostate Enlargement in the Primary Care Setting

2007 ◽  
Vol 177 (4S) ◽  
pp. 494-495 ◽  
Author(s):  
Michael Naslund ◽  
Alicia Gilsenan ◽  
Kirk Midkiff ◽  
Eric Wolford ◽  
Aileen Bown ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Prostate Enlargement
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