Raising burden of non-communicable diseases: importance of integrating Yoga and Naturopathy at primary care level

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Hyndavi Salwa ◽  
Pradeep M.K. Nair
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Care Delivery ◽  
Total Mortality ◽  
Holistic Approach ◽  
Communicable Diseases ◽  
Care Level ◽  
Primary Care Level ◽  
Non Communicable Diseases ◽  
The People

AbstractPrimary health care is a vital component in health care delivery. Non-communicable diseases (NCD’s) are rising like a major threat to human survival, which is expected to account for 75% of the total mortality by 2030. Lifestyle and behavioural changes are reckoned as the way ahead. Yoga and Naturopathy, a drugless system of medicine has intersecting paradigms which addresses all planes of health effectively. Yoga and Naturopathy through its holistic approach educate and make the people responsible for their own health. It has shown its efficacy in alleviating and preventing various NCD’s. A systematic approach should be initiated, which can channelize the integration of Yoga and Naturopathy at the primary care level considering its cost-effectiveness and efficacy over NCD’s.

scholarly journals The cost of implementing a nationwide program to decrease the epilepsy treatment gap in a high gap country

2012 ◽  
Vol 4 (3) ◽  
pp. 14 ◽  
Author(s):  
Gretchen L. Birbeck ◽  
Elwyn Chomba ◽  
Edward Mbewe ◽  
Masharip Atadzhanov ◽  
Alan Haworth ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Income ◽  
Care Delivery ◽  
Low Income Countries ◽  
Care Provision ◽  
Treatment Gap ◽  
Care Level ◽  
Primary Care Level ◽  
Epilepsy Treatment ◽  
The Cost

Healthcare systems in many low income countries have evolved to provide services for acute, infections and are poorly structured for the provision of chronic, non-communicable diseases which are increasingly common. Epilepsy is a common chronic neurologic condition and antiepileptic drugs are affordable, but the epilepsy treatment gap remains >90% in most African countries. The World Health Organization has recently released evidence-based guidelines for epilepsy care provision at the primary care level. Based upon these guidelines, we estimated all direct costs associated with epilepsy care provision as well as the cost of healthcare worker training and social marketing. We developed a model for epilepsy care delivery primarily by primary healthcare workers. We then used a variety of sources to develop cost estimates for the actual implementation and maintenance of this program being as comprehensive as possible to include all costs incurred within the health sector. Key sensitivity analyses were completed to better understand how changes in costs for individual aspects of care impact the overall cost of care delivery. Even after including the costs of healthcare worker retraining, social marketing and capital expenditures, epilepsy care can be provided at less than $25.00 per person with epilepsy per year. This is substantially less than for drugs alone for other common chronic conditions. Implementation of epilepsy care guidelines for patients receiving care at the primary care level is a cost effective approach to decreasing the epilepsy treatment gap in high gap, low income countries.

scholarly journals Between No Help and Coercion: Toward Referral to Involuntary Psychiatric Admission. A Qualitative Interview Study of Stakeholders' Perspectives

2021 ◽  
Vol 12 ◽  
Author(s):  
Irene Wormdahl ◽  
Tonje Lossius Husum ◽  
Solveig Helene Høymork Kjus ◽  
Jorun Rugkåsa ◽  
Trond Hatling ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Secondary Care ◽  
Involuntary Admission ◽  
Psychiatric Admission ◽  
Care Level ◽  
Primary Care Level ◽  
Qualitative Interview Study

Objective: Paths toward referral to involuntary psychiatric admission mainly unfold in the contexts where people live their everyday lives. Modern health services are organized such that primary health care services are often those who provide long-term follow-up for people with severe mental illness and who serve as gatekeepers to involuntary admissions at the secondary care level. However, most efforts to reduce involuntary admissions have been directed toward the secondary health care level; interventions at the primary care level are sparse. To adapt effective measures for this care level, a better understanding is needed of the contextual characteristics surrounding individuals' paths ending in referrals for involuntary admission. This study aims to explore what characterizes such paths, based on the personal experiences of multiple stakeholders.Method: One hundred and three participants from five Norwegian municipalities participated in individual interviews or focus groups. They included professionals from the primary and secondary care levels and people with lived experience of severe mental illness and/or involuntary admission and carers. Data was subject to constant comparison in inductive analysis inspired by grounded theory.Results: Four main categories emerged from the analysis: deterioration and deprivation, difficult to get help, insufficient adaptation of services provided, and when things get acute. Combined, these illustrate typical characteristics of paths toward referral for involuntary psychiatric admission.Conclusion: The results demonstrate the complexity of individuals' paths toward referral to involuntary psychiatric admission and underline the importance of comprehensive and individualized approaches to reduce involuntary admissions. Furthermore, the findings indicate a gap in current practice between the policies to reduce involuntary admissions and the provision of, access to, and adaptation of less restrictive services for adults with severe mental illness at risk of involuntary admissions. To address this gap, further research is needed on effective measures and interventions at the primary care level.

scholarly journals Innovative Multidisciplinary Care Models Provided via Telehealth During the COVID Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 280-280
Author(s):  
Shahla Baharlou ◽  
Lee Lindquist
Keyword(s):  
Primary Care ◽  
Health Care ◽  
New York ◽  
Collaborative Care ◽  
Care Delivery ◽  
Behavioral Therapy ◽  
Multidisciplinary Care ◽  
Holistic Approach ◽  
Health Care Planning ◽  
Care Needs

Abstract Integrated and collaborative care lead to better care. Addressing the behavioral and mental health care needs of patients results in better health outcomes. Interdisciplinary and multi-disciplinary approaches to health care delivery yield more effective health care planning. A holistic approach to healthcare sees the individual as more than the sum of diseases. Research studies have supported these assertions and yet, in actual practice, they are often more aspirational than actualized. The COVID-19 pandemic has made it even more difficult to implement collaborative care delivered by varied professional disciplines. This symposium describes efforts to provide more holistic and multidisciplinary care in the primary care geriatrics practice of the Dept. of Geriatrics & Palliative Medicine, Icahn School of Medicine. This New York City practice has 4,500 patients with diverse backgrounds and a median age of 85. In the first paper, Baharlou and her colleagues describe the establishment of an IMPACT collaborative care depression model in the middle of the COVID-19 pandemic. It was adapted to be provided by telephone and uses a different psychosocial intervention than is usually implemented. Hinrichsen and Leipzig outline the successful integration of Cognitive Behavioral Therapy for Insomnia into geriatrics primary care to improve insomnia in older adults and deprescribe sleep medications. Munoz and her colleagues describe the ALIGN program which is an interdisciplinary team effort, informed by the social determinants of health framework, to facilitate access to an array of services delivered virtually because of the pandemic.

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