scholarly journals How can healthcare professionals provide guidance and support to parents of adolescents? Results from a primary care-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lindsey D. Jones ◽  
Randall W. Grout ◽  
Amy L. Gilbert ◽  
Tracey A. Wilkinson ◽  
Tamila Garbuz ◽  
...  
Keyword(s):  
Primary Care ◽  
Healthcare Providers ◽  
Developmental Time ◽  
Parenting Program ◽  
Parenting Support ◽  
Primary Care Settings ◽  
Pediatric Clinic ◽  
Time Period ◽  
Final Sample ◽  
To Receive

Abstract Background This study explored the rewards and difficulties of raising an adolescent and investigated parents’ level of interest in receiving guidance from healthcare providers on parenting and adolescent health topics. Additionally, this study investigated whether parents were interested in parenting programs in primary care and explored methods in which parents want to receive guidance. Methods Parents of adolescents (ages 12–18) who attended an outpatient pediatric clinic with their adolescent were contacted by telephone and completed a short telephone survey. Parents were asked open-ended questions regarding the rewards and difficulties of parenting and rated how important it was to receive guidance from a healthcare provider on certain parenting and health topics. Additionally, parents reported their level of interest in a parenting program in primary care and rated how they would like to receive guidance. Results Our final sample included 104 parents, 87% of whom were interested in a parenting program within primary care. A variety of parenting rewards and difficulties were associated with raising an adolescent. From the list of parenting topics, communication was rated very important to receive guidance on (65%), followed by conflict management (50%). Of health topics, parents were primarily interested in receiving guidance on sex (77%), mental health (75%), and alcohol and drugs (74%). Parents in the study wanted to receive guidance from a pediatrician or through written literature. Conclusions The current study finds that parents identify several rewarding and difficult aspects associated with raising an adolescent and are open to receiving guidance on a range of parenting topics in a variety of formats through primary care settings. Incorporating such education into healthcare visits could improve parents’ knowledge. Healthcare providers are encouraged to consider how best to provide parenting support during this important developmental time period.

scholarly journals Effective and Evidence-Based: How the 4Ms Age-Friendly Framework Can Result in Improved Care in a Rural Primary Care Clinic

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 136-136
Author(s):  
Leah Tobey ◽  
Robin McAtee
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Healthcare Providers ◽  
Baseline Data ◽  
Care Clinic ◽  
Rural Primary Care ◽  
Primary Care Settings ◽  
Healthcare Improvement ◽  
Health Related ◽  
One Year

Abstract As healthcare providers struggle to reframe aging, framing Age-Friendly care is also occurring. The Arkansas Geriatric Education Collaborative (AGEC) is a HRSA Geriatric Workforce Enhancement Program with an objective to improve clinical health outcomes of older adults (OA) in primary care settings. As a member of the 2020 Institute for Healthcare Improvement (IHI) Age-Friendly cohort, the AGEC has partnered with ARcare, an AR federally qualified healthcare clinic network, to implement the 4Ms in 4 rural clinics over 3 years. AGEC’s first goal of working with rural primary care clinics is to improve their knowledge of best practices of caring for OA. This was started by providing Geriatric Interdisciplinary Team Training to clinic staff, obtaining baseline data of common health related indicators for OA and starting regular geriatric focused training. Training on the 4Ms (Matters, Medication, Mentation Mobility) framework was next and completed followed by planning and implementation. The process was well received and results are promising. Year 1 data in one clinic show incremental improvements over baseline data in several areas including assessing Mobility with fall screens which has improved over 50% in one year and annual wellness visits (where all 4Ms are reviewed) have increased 30%. However, several areas of opportunities for improvement have also been noted and turned into quality improvement projects (QI). This includes an opportunity to improve depression screens for the clinic’s Mentation measure, which dropped almost 30% in one year. QI projects are ongoing to improve each of the elements of becoming age-friendly.

scholarly journals Analysis of epidemiology of osteoporotic fracturesusing data from primary care physicians

2011 ◽  
Vol 14 (1) ◽  
pp. 14-18 ◽  
Author(s):  
E. N. Gladkova ◽  
V. N. Khodyrev ◽  
O. M. Lesnyak ◽  
E. N. Gladkova ◽  
V. N. Chodyrev ◽  
...  
Keyword(s):  
Primary Care ◽  
Hip Fracture ◽  
Hip Fractures ◽  
Primary Care Physicians ◽  
Osteoporotic Fractures ◽  
Official Statistics ◽  
Objective Information ◽  
Precise Data ◽  
Primary Care Settings ◽  
To Receive

Compared to European countries, the incidence of hip fractures in Russia is significantly lower. The reasons for such a discrepancy have been studied insufficiently. It is known that in Russia, not all patients with hip fracture are hospitalized. The aim of the present study was to obtain the best possible precise data on epidemiology of osteoporotic fractures in older population. 208 cases of hip fractures were revealed during 2008-2009 (52 men and 156 women). 57 (27,4%) of them haven't been registered in official statistics and were consulted only by the primary care physicians. The incidence of hip fracture make up 191,9/100000 person-years (125,4 men and 233,2 women). The official statistics doesn't give the objective information on number of hip fractures, and search for patients treated only in a primary care settings is necessary in order to receive objective information.

scholarly journals The Role of Nurses in Primary Care Reform: “The Wheel and Hub of Health Care System”

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Nina Mamishi
Keyword(s):  
Primary Care ◽  
Registered Nurses ◽  
Healthcare System ◽  
Primary Healthcare ◽  
National Level ◽  
Healthcare Providers ◽  
Effect Change ◽  
Primary Care Settings ◽  
Primary Care Reform ◽  
The Right

The current focus in Canadian healthcare system is on improving efficiencies and quality of care. Therefore, primary healthcare is receiving further attention. It is the right moment to highlight the value that registered nurses can bring to collaborative practice in primary care settings. Since nurses are the largest group of healthcare providers in Canada being present throughout the system, thy are ideally positioned to effect change at the national level. The purpose of this paper is to highlight the value that nurses bring to primary healthcare system to discuss how integrating registered nurses into family practice will optimize primary healthcare.  

scholarly journals Perspectives of healthcare providers, service users, and family members about mental illness stigma in primary care settings: A multi-site qualitative study of seven countries in Africa, Asia, and Europe

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258729
Author(s):  
Mirja Koschorke ◽  
Nathalie Oexle ◽  
Uta Ouali ◽  
Anish V. Cherian ◽  
Vayankarappadam Deepika ◽  
...  
Keyword(s):  
Primary Care ◽  
Mental Illness ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Primary Care Providers ◽  
Mental Illness Stigma ◽  
Service Users ◽  
Care Providers ◽  
Primary Care Settings ◽  
People With Mental Illness

Background Stigma among healthcare providers is a barrier to the effective delivery of mental health services in primary care. Few studies have been conducted in primary care settings comparing the attitudes of healthcare providers and experiences of people with mental illness who are service users in those facilities. Such research is necessary across diverse global settings to characterize stigma and inform effective stigma reduction. Methods Qualitative research was conducted on mental illness stigma in primary care settings in one low-income country (Nepal), two lower-middle income countries (India, Tunisia), one upper-middle-income country (Lebanon), and three high-income countries (Czech Republic, Hungary, Italy). Qualitative interviews were conducted with 248 participants: 64 primary care providers, 11 primary care facility managers, 111 people with mental illness, and 60 family members of people with mental illness. Data were analyzed using framework analysis. Results Primary care providers endorsed some willingness to help persons with mental illness but reported not having appropriate training and supervision to deliver mental healthcare. They expressed that people with mental illness are aggressive and unpredictable. Some reported that mental illness is incurable, and mental healthcare is burdensome and leads to burnout. They preferred mental healthcare to be delivered by specialists. Service users did not report high levels of discrimination from primary care providers; however, they had limited expectations of support from primary care providers. Service users reported internalized stigma and discrimination from family and community members. Providers and service users reported unreliable psychiatric medication supply and lack of facilities for confidential consultations. Limitations of the study include conducting qualitative interviews in clinical settings and reliance on clinician-researchers in some sites to conduct interviews, which potentially biases respondents to present attitudes and experiences about primary care services in a positive manner. Conclusions Primary care providers’ willingness to interact with people with mental illness and receive more training presents an opportunity to address stigmatizing beliefs and stereotypes. This study also raises important methodological questions about the most appropriate strategies to accurately understand attitudes and experiences of people with mental illness. Recommendations are provided for future qualitative research about stigma, such as qualitative interviewing by non-clinical personnel, involving non-clinical staff for recruitment of participants, conducting interviews in non-clinical settings, and partnering with people with mental illness to facilitate qualitative data collection and analysis.

Practitioners in primary care settings play an important role in preventing suicide

2009 ◽  
Author(s):  
C. J. Bryan ◽  
K. A. Corso ◽  
T. A. Neal-Walden ◽  
M. D. Rudd
Keyword(s):  
Primary Care ◽  
Primary Care Settings
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