Access to Primary Care for Patients with Diabetes at an Urban Public Hospital Walk-in Clinic

1998 ◽  
Vol 9 (2) ◽  
pp. 170-183 ◽  
Author(s):  
Robert L. Schiff ◽  
David Ansell ◽  
David Goldberg ◽  
Stuart Dick ◽  
Corinne Peterson
Keyword(s):  
Primary Care ◽  
Public Hospital ◽  
Patients With Diabetes ◽  
Access To Primary Care

scholarly journals Recognising potential for preventing hospitalisation

2010 ◽  
Vol 34 (1) ◽  
pp. 116 ◽  
Author(s):  
David Banham ◽  
Tony Woollacott ◽  
John Gray ◽  
Brett Humphrys ◽  
Angel Mihnev ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Public Hospital ◽  
Hospital Admissions ◽  
South Australia ◽  
Local Area ◽  
Care Plan ◽  
Older Individuals ◽  
Preventable Hospitalisation ◽  
Access To Primary Care

To identify the incidence and distribution of public hospital admissions in South Australia that could potentially be prevented with appropriate use of primary care services, analysis was completed of all public hospital separations from July 2006 to June 2008 in SA. This included those classified as potentially preventable using the Australian Institute of Health and Welfare criteria for selected potentially preventable hospitalisations (SPPH), by events and by individual, with statistical local area geocoding and allocation of relative socioeconomic disadvantage quintile. A total of 744 723 public hospital separations were recorded, of which 79 424 (10.7%) were classified as potentially preventable. Of these, 59% were for chronic conditions, and 29% were derived from the bottom socioeconomic status (SES) quintile. Individuals in the lowest SES quintile were 2.5 times more likely to be admitted for a potentially preventable condition than those from the top SES quintile. Older individuals, males, those in the most disadvantaged quintiles, non-metropolitan areas and Indigenous people were more likely to have more than one preventable admission. People living in more disadvantaged areas in SA appear to have poorer utilisation of effective primary care, resulting in preventable hospital admissions, than those in higher SES groups. The SA Health Care Plan, 2007–2016 is aimed at investing in improved access to primary care in those areas of most disadvantage. The inclusion of SPPHs in future routine reporting should identify if this has occurred. What is known about the topic?Ambulatory care sensitive conditions, or selected potentially preventable hospitalisation separations (SPPH), are an indicator of the availability and effectiveness of primary health care. SPPHs are increasingly reported by area level disadvantage. What does this paper add?This paper offers analysis by individuals. It shows around three-quarters of individuals had one potentially preventable public hospital separation. The rate among those living in the most disadvantaged areas was more than twice that of lowest disadvantage areas. What are the implications for practitioners?Realising the potential for preventing potentially avoidable hospitalisation may involve focus on particular target areas and subpopulations. Potentially preventable separations by area of disadvantage can assist with monitoring performance and evaluating policy and program initiatives. Analysis by numbers of individuals will enhance this further.

scholarly journals Correction to: Measuring the impact of the Afordable Care Act Medicaid expansion on access to primary care using an interrupted time series approach

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Elizabeth A. Brown ◽  
Brandi M. White ◽  
Walter J. Jones ◽  
Mulugeta Gebregziabher ◽  
Kit N. Simpson
Keyword(s):  
Primary Care ◽  
Time Series ◽  
Interrupted Time Series ◽  
Medicaid Expansion ◽  
Time Series Approach ◽  
Access To Primary Care ◽  
The Impact

An amendment to this paper has been published and can be accessed via the original article.

scholarly journals Structural inequities in seasonal influenza vaccination rates

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lara I. Brewer ◽  
Mark J. Ommerborn ◽  
Augustina Le Nguyen ◽  
Cheryl R. Clark
Keyword(s):  
Primary Care ◽  
Health Insurance ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
American Indian ◽  
Low Socioeconomic Status ◽  
Behavioral Risk ◽  
Vaccination Rates ◽  
Access To Primary Care ◽  
Structural Inequities

Abstract Background Influenza immunization is a highly effective method of reducing illness, hospitalization and mortality from this disease. However, influenza vaccination rates in the U.S. remain below public health targets and persistent structural inequities reduce the likelihood that Black, American Indian and Alaska Native, Latina/o, Asian groups, and populations of low socioeconomic status will receive the influenza vaccine. Methods We analyzed correlates of influenza vaccination rates using the 2019 Behavioral Risk Factor Surveillance System (BRFSS) in the year 2020. Our analysis compared influenza vaccination as the outcome of interest with the variables age, sex, race, education, income, geographic location, health insurance status, access to primary care, history of delaying care due to cost, and comorbidities such as: asthma, cardiovascular disease, hypertension, body mass index, cancer and diabetes. Results Non-Hispanic White (46.5%) and Asian (44.1%) participants are more likely to receive the influenza vaccine compared to Non-Hispanic Black (36.7%), Hispanic (33.9%), American Indian/Alaskan Native (36.6%), and Native Hawaiian/Other Pacific Islander (37.9%) participants. We found persistent structural inequities that predict influenza vaccination, within and across racial and ethnic groups, including not having health insurance [OR: 0.51 (0.47–0.55)], not having regular access to primary care [OR: 0.50 (0.48–0.52)], and the need to delay medical care due to cost [OR: 0.75 (0.71–0.79)]. Conclusion As COVID-19 vaccination efforts evolve, it is important for physicians and policymakers to identify the structural impediments to equitable U.S. influenza vaccination so that future vaccination campaigns are not impeded by these barriers to immunization.

scholarly journals Referrals to Urgent Dental Centres During the COVID-19 Pandemic: A Multi-Site Analysis Research Project

2021 ◽  
Vol 10 (1) ◽  
pp. 40-45
Author(s):  
Adam Shathur ◽  
Samuel Reeves ◽  
Faizal Sameja ◽  
Vishal Patel ◽  
Allan Jones
Keyword(s):  
Primary Care ◽  
Secondary Care ◽  
Easy Access ◽  
Dental Services ◽  
Care Services ◽  
Dental Practitioners ◽  
Consultation And Referral ◽  
Care Systems ◽  
Access To Primary Care ◽  
The Uk

Introduction: The COVID-19 pandemic enforced the cessation of routine dentistry and the creation of local urgent dental care systems in the UK. General dental practices are obligated by NHS guidance to remain open and provide remote consultation and referral where appropriate to patients having pain or problems. Aims: To compare two urgent dental centres with different triage and referral systems with regard to quality and appropriateness of referrals, and patient management outcomes. Methods: 110 consecutive referrals received by a primary care urgent dental centre and a secondary care urgent dental centre were assessed. It was considered whether the patients referred had access to remote primary care dental services, fulfilled the criteria required to be deemed a dental emergency as mandated by NHS guidance, and what the outcomes of referrals were. Results: At the primary care centre, 100% of patients were referred by general dental practitioners and had access to remote primary care dental services. 95.5% of referrals were deemed appropriate and were seen for treatment. At the secondary care site, 94.5% of referrals were direct from the patient by contacting NHS 111. 40% had received triaging to include ‘advice, analgesia and antimicrobial’ from a general dental practitioner, and 25.5% were deemed appropriate and resulted in treatment. Conclusion: Urgent dental centres face many issues, and it would seem that easy access to primary care services, collaboration between primary care clinicians and urgent dental centres, and training of triaging staff are important in operating a successful system.

Do Ya Know What It Means to Miss New Orleans?: A Musicians' Clinic Creates Nimble Solutions to Keep Music Alive

2007 ◽  
Vol 22 (4) ◽  
pp. 135-139
Author(s):  
Bethany Ewald Bultman
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Medical School ◽  
New Orleans ◽  
Professional Musicians ◽  
School Today ◽  
Preventative Health ◽  
Part Time ◽  
Access To Primary Care

The New Orleans Musicians Clinic (NOMC) was founded in 1998 to help sustain Louisiana's musicians in mind, body, and spirit by developing access to primary care, preventative health services, and social and occupational outreach. Before Katrina, an estimated 3500 professional musicians were living and performing in New Orleans, and the NOMC had 1,300 musician-patients treated by a volunteer network of more than 300 nurses and doctors within the LSU Medical School. Today, there are less than 1800 professional musicians, who now struggle to survive as part-time musicians, and the Clinic likewise has changed to meet new and increasing demands for its services.

Assesment of nutrition care provided to patients with diabetes in primary-care clinics

1992 ◽  
Vol 92 (7) ◽  
pp. 854-856
Author(s):  
WYLIE-ROSETT JUDITH ◽  
CYPRESS MARJORIE ◽  
WALKER ELIZABETH ◽  
ENGEL SAMUEL ◽  
ENGEL SAMUEL ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Clinics ◽  
Nutrition Care ◽  
Patients With Diabetes
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