scholarly journals The Essential Role of Primary Care Professionals in Achieving Health for All

2019 ◽  
Vol 17 (4) ◽  
pp. 293-295 ◽  
Author(s):  
Maria van den Muijsenbergh ◽  
Chris van Weel
2015 ◽  
Vol 86 (11) ◽  
pp. e4.6-e4
Author(s):  
Sophie Binks ◽  
Liz Green

IntroductionMultiple sclerosis (MS) is a long-term neurological condition requiring a multi-disciplinary team approach. Recently, NICE highlighted the role of primary care professionals in MS management through an updated clinical guideline. This quality improvement project investigated aspects of MS patient care in a large Brighton GP practice.MethodElectronic GP records were searched to identify all currently registered patients with a diagnosis of MS. Details of initial presentation, epidemiology and care received over a one-year period were examined.ResultsThere were 19 patients, representing a prevalence of 186 per 100,000. Most patients first presented in GP with sensory disturbance, optic neuritis or motor symptoms. The mean number of primary care contacts per patient per year was 4.3, compared to 0.4 contacts per person per year with a neurologist and 0.5 with the MS nurse. 46% of GP consultations were wholly or partially related to the patient's MS. Around half of patients took up proactive interventions such as flu vaccination (47%) and Vitamin D monitoring (50%).ConclusionsPrimary care professionals are significant contributors to the care of people with MS with frequent patient contact. During this project, patients were reminded of preventive care opportunities and this will be re-audited in 2015.


2012 ◽  
Vol 200 (6) ◽  
pp. 444-445 ◽  
Author(s):  
Richard Morriss

SummaryFunctional somatic symptoms associated with persistent frequent attendance is emotionally demanding, costly and intractable to treat. Such patients are hard to engage in practice and research by mental health professionals, whose main role may be indirect training, supporting and advising primary care professionals rather than direct patient care.


2021 ◽  
Vol 10 (13) ◽  
pp. 2822
Author(s):  
Sébastien Lobet ◽  
Merel Timmer ◽  
Christoph Königs ◽  
David Stephensen ◽  
Paul McLaughlin ◽  
...  

The physiotherapist plays an essential role for people with haemophilia, an inherited bleeding disease responsible for musculoskeletal complications. Yet, with the advent of new and advanced therapies, the medical landscape is changing, and physiotherapy must adapt alongside. This paper considers whether there will still be a need for physiotherapy in the era of advanced therapies, and discusses ways in which services should evolve to complement emerging treatment paradigms for haemostasis in people with haemophilia. Ultimately, physiotherapy will remain an important element of care, even for people with little joint damage and low risks in the era of the new mild phenotype. However, competencies will need to evolve, and physiotherapists in both primary care and specialist treatment centres should work with haematology colleagues to develop more sensitive tools for detecting early joint changes. Physiotherapists will also play a crucial role in counselling and physically coaching, monitoring the musculoskeletal status of people with haemophilia who have transitioned to new treatments.


2021 ◽  
Vol 11 (2) ◽  
pp. 5-9
Author(s):  
Jorge Gelvane Tostes ◽  
Carla Benedita da Silva Tostes ◽  
Rodrigo Petrim Cruz ◽  
Vanessa Santos de Souza ◽  
Maria das Graças Mota Cruz de Assis Figueiredo ◽  
...  

Telemedicine has proven to be an important tool for the assistance continuity facing the current COVID-19 pandemic. We discussed the role of tele-interconsultation and remote matrix support as resources, within the scope of the Unified Health System, in supporting primary care teams, aiming at maintaining quality and resolution, increasing demand for services, as well as the limitations to their implementation. There are difficulties in access by the population, the need for investment and resistance by professionals and managers. It is still necessary regulation of telemedicine activity in the country, given that the permission by the Federal Council of Medicine occured only during the pandemic. The ability to fill gaps and deficiencies left by specialized services and reference centers stands out, since there is an increase in demand in several areas. In addition, the opportunity for learning, safety in conduct and empowerment of primary care professionals is investigated.


2007 ◽  
Author(s):  
Thomas J. Power ◽  
Nathan J. Blum ◽  
Jennifer A. Mautone ◽  
Patricia H. Manz ◽  
Leslee Frye

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