Evaluating quality of diabetic care in patients with severe mental illness (SMI) in an academic primary care clinic

OBJECTIVE: To determine whether there is an association between a woman's exposure to direct-to-consumer (DTC) advertisements for 2 osteoporosis drugs and presentation for bone densitometry. METHODS: A matched case–control study was conducted between October and December 1998 at an academic primary care clinic in Seattle, WA. Seventeen women from the study population (aged ≥18 y, seen in the previous 2 y at the academic primary care clinic) presented for bone densitometry. All 51 women completed a self-administered questionnaire. RESULTS: Women familiar with 1 of 2 osteoporosis drugs due to exposure to advertisements had 9 times the odds of densitometry (unadjusted OR 9.3, 95% CI 1.0 to 86). Multivariate analysis, including confounders such as education level and whether a woman had previously had 3 screening tests (mammography, Pap smear, serum cholesterol), revealed a significant and strong association between exposure to advertisements and densitometry (adjusted OR 29, 95% CI 1.6 to 511). CONCLUSIONS: DTC marketing may increase health services utilization. Further independent evaluation of DTC marketing based on available observational evidence is feasible and warranted.

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DoloTest in General Practice Study: Sensitivity and Specificity Screening for Depression

International Journal of Family Medicine ◽

10.1155/2012/472505 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8

Author(s):

Kim Kristiansen ◽

Pernille Lyngholm-Kjaerby ◽

Claus Moe

Keyword(s):

Primary Care ◽

Sensitivity And Specificity ◽

Screening Tool ◽

Assessment Tool ◽

Primary Care Clinic ◽

High Sensitivity ◽

Care Clinic ◽

Major Depression Inventory ◽

Hrqol Assessment

Background. Coexistence of pain and depression has significant impact on the patient’s quality of life and treatment outcome. DoloTest is a pain and HRQoL assessment tool developed to provide shared understanding between the clinician and the patient of the condition by a visual profile. Aim. To find the sensitivity and specificity of DoloTest as a screening tool for depression for patients in primary care. Methods. All patients coming to a primary care clinic were asked to fill in a DoloTest and a Major Depression Inventory. Results. 715 (68.5%) of 1044 patients entered the study. 34.4% came due to pain. 16.1% met depression criteria, and 26.8% of patients coming due to pain met criteria for depression. 65.6% of the men and 54.2% of the women meeting the criteria for depression came due to pain. Depressed patients had statistically significant higher scores on all DoloTest domains. Selecting the cutoff value for the domain “low spirits” to be “65” (0–100) for depression gave a sensitivity of 78% (70–85%) and a specificity of 95% (93–96%) for meeting depression criteria. Conclusion. DoloTest can with a high sensitivity and specificity identify persons meeting criteria for depression and is an easy-to-use screening tool to identify patients with the coexistence of pain and depression.

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Satisfaction with Quality of Care Received by Patients without National Health Insurance Attending a Primary Care Clinic in a Resource-Poor Environment of a Tertiary Hospital in Eastern Nigeria in the Era of Scaling up the Nigerian Formal Sector Health Insurance Scheme

Annals of Medical and Health Sciences Research ◽

10.4103/2141-9248.109471 ◽

2013 ◽

Vol 3 (1) ◽

pp. 31 ◽

Cited By ~ 8

Author(s):

GUP Iloh ◽

PU Njoku ◽

AN Amadi ◽

EU Godswill-Uko ◽

JN Ofoedu ◽

...

Keyword(s):

Primary Care ◽

Health Insurance ◽

Primary Care Clinic ◽

Scaling Up ◽

Tertiary Hospital ◽

Formal Sector ◽

Insurance Scheme ◽

Care Clinic ◽

Resource Poor

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Creating Primary Care Access for Mental Health Care Clients in A Community Mental Health Setting

Canadian Journal of Community Mental Health ◽

10.7870/cjcmh-2008-0023 ◽

2008 ◽

Vol 27 (2) ◽

pp. 129-138 ◽

Cited By ~ 8

Author(s):

Tamison Doey ◽

Pamela Hines ◽

Bonnie Myslik ◽

JoAnn Elizabeth Leavey ◽

Jamie A. Seabrook

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Mental Illness ◽

Mental Health Care ◽

Health Care Services ◽

Primary Care Clinic ◽

Health Clinic ◽

Care Clinic ◽

Mental Health Association

Successful support of persons living with a mental illness in the community is challenged by the lack of primary care accessible to this population. The Canadian Mental Health Association–Windsor Essex County Branch explored options to provide mental and physical health care, initially creating an integrated primary care clinic and later a larger community health clinic co-located with its mental health care services and staffed by a multidisciplinary team. A retrospective review of 805 charts and a client satisfaction survey were conducted in 2001 to evaluate this service. Findings indicate that access to primary care and mental health care co-located at a community-based clinic has reduced the number of emergency room visits and admissions, and length of stay in hospital, for individuals with moderate to serious mental illness. A client survey in January 2008 supports these preliminary findings.

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