Filling the GAPS: Description and Evaluation of a Primary Care Intervention for Children With Chronic Health Conditions

2004 ◽  
Vol 4 (3) ◽  
pp. 249-256 ◽  
Author(s):  
Jannette M. McMenamy ◽  
Ellen C. Perrin
Keyword(s):  
Primary Care ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Care Intervention

scholarly journals Detection and follow-up of chronic health conditions in Rio de Janeiro – the impact of residency training in family medicine

2021 ◽  
Author(s):  
Adelson Jantsch ◽  
Bo Burström ◽  
Gunnar Nilsson ◽  
Antônio de Leon
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Residency Training ◽  
Rio De Janeiro ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Medical Consultations ◽  
The Impact

Abstract There is a need for evidence that residency training in family medicine (RTFM) can benefit the care of patients in primary care in low- and middle-income countries. We tested the hypothesis that two years of RTFM enables doctors to better detect chronic health conditions (CHC) while requesting fewer laboratory exams and providing more follow-up visits. We performed a retrospective longitudinal observational analysis of medical consultations from 2013 to 2018 in primary care in Rio de Janeiro, comparing doctors without RTFM (Generalists) versus family physicians (FPs). Multivariate multilevel binomial regression models estimated the risks of patients being diagnosed for a list of 31 CHCs, having a follow-up visit for these CHCs, and having laboratory tests ordered from a list of 30 exams. 569.289 patients had 2.908.864 medical consultations performed by 734 generalists and 231 FPs. Patients seen by FPs were at a higher risk of being detected for most of the CHCs, at a lower risk of having any of the 30 LTs requested, and at higher risk of having a follow-up visit in primary care. RTFM can make physicians more skilled to work in primary care. Policymakers must prioritize investments in RTFM to make primary care truly comprehensive.

Transition of adolescents with chronic health conditions to adult primary care: Factors associated with physician acceptance

2014 ◽  
Vol 7 (1) ◽  
pp. 63-70 ◽  
Author(s):  
Suzanne Elizabeth McLaughlin ◽  
Jason Machan ◽  
Phillip Fournier ◽  
Tamara Chang ◽  
Katelyn Even ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health ◽  
Factors Associated

scholarly journals Primary care interventions to improve transition of youth with chronic health conditions from paediatric to adult healthcare: a systematic review

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e011871 ◽  
Author(s):  
Jasmin Bhawra ◽  
Alene Toulany ◽  
Eyal Cohen ◽  
Charlotte Moore Hepburn ◽  
Astrid Guttmann
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Chronic Health

scholarly journals Primary Care Supports for Children with Chronic Health Conditions: Identifying and Predicting Unmet Family Needs

2004 ◽  
Vol 29 (5) ◽  
pp. 355-367 ◽  
Author(s):  
J. E. Farmer ◽  
W. E. Marien ◽  
M. J. Clark ◽  
A. Sherman ◽  
T. J. Selva
Keyword(s):  
Primary Care ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Family Needs ◽  
Chronic Health
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