scholarly journals ASSESSMENT OF MOTIVATIONAL AND COGNITIVE STATUS OF PRIMARY CARE CLINICIANS WHO TREAT METABOLIC SYNDROME PATIENTS

2013 ◽  
Vol 12 (5) ◽  
pp. 45-48
Author(s):  
L. L. Kirichenko ◽  
K. V. Ovsyannikov ◽  
A. N. Fedoseev ◽  
A. P. Korolev ◽  
O. V. Budrik
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Medical Education ◽  
Chronic Disease ◽  
Continuous Medical Education ◽  
Term Treatment ◽  
Cognitive Status ◽  
Long Term Treatment ◽  
Moscow City ◽  
Primary Care Clinicians

Recently, the clinicians’ attention has been driven to metabolic syndrome (MS), due to increasing prevalence and adverse prognosis of MS. The goal of the treatment of any chronic disease is the achievement of adequate therapeutic compliance which, in turn, is determined by motivational status of both clinicians and patients. The associations between clinicians’ motivation for long-term treatment, their knowledge levels, and the readiness to apply this knowledge in practice, on one hand, and the achievement of chronic disease compensation in patients, on the other hand, deserve further investigation.Aim. To analyse the readiness of primary care clinicians for the treatment of MS patients. The specific objective was to assess the district therapeutists’ knowledge, skills, and readiness to implement them in clinical practice while treating MS patients.Material and methods. The study included district therapeutists working at Moscow City polyclinics. In 2011-2013, the participants took continuous medical education courses at the Therapy Department No. 2, Post-diploma Medical Education Faculty, Moscow State Medico-Stomatological University. The doctors’ knowledge and skills were assessed in a questionnaire survey.Conclusion. The results obtained demonstrate inadequate readiness of district therapeutists for the treatment of MS patients.

scholarly journals Quality improvement for depression enhances long-term treatment knowledge for primary care clinicians

2000 ◽  
Vol 15 (12) ◽  
pp. 868-877 ◽  
Author(s):  
Lisa S. Meredith ◽  
Maga Jackson-Triche ◽  
Naihua Duan ◽  
Lisa V. Rubenstein ◽  
Patti Camp ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Term Treatment ◽  
Long Term Treatment ◽  
Treatment Knowledge ◽  
Primary Care Clinicians

scholarly journals Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems

2018 ◽  
Vol 24 (5) ◽  
pp. 372
Author(s):  
Elizabeth Sturgiss ◽  
Claire Deborah Madigan ◽  
Doug Klein ◽  
Nicholas Elmitt ◽  
Kirsty Douglas
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Chronic Disease ◽  
Healthcare System ◽  
Developed Countries ◽  
Individual Risk ◽  
Primary Care Clinicians ◽  
The Uk ◽  
Lifestyle Related Diseases

Lifestyle behaviours are contributing to the increasing incidence of chronic disease across all developed countries. Australia, Canada and the UK have had different approaches to the role of primary care in the prevention and management of lifestyle-related diseases. Both obesity and metabolic syndrome have been targeted by programs to reduce individual risk for chronic disease such as type 2 diabetes. Three interventions are described – for either obesity or metabolic syndrome – that have varying levels of involvement of GPs and other primary care professionals. The structure of a healthcare system for example, financing and physical locations of primary care clinicians, shapes the development of primary care interventions. The type of clinicians involved in interventions, whether they work alone or in teams, is influenced by the primary care setting and resource availability. Australian clinicians and policymakers should take into account the healthcare system where interventions are developed when translating interventions to the Australian context.

scholarly journals Primary care workforce and continuous medical education in China: lessons to learn from a nationwide cross-sectional survey

BMJ Open ◽  
2017 ◽  
Vol 7 (7) ◽  
pp. e015145 ◽  
Author(s):  
William C W Wong ◽  
ShanZhu Zhu ◽  
Jason J Ong ◽  
MingHui Peng ◽  
Cindy L K Lam ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Education ◽  
Continuous Medical Education ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Primary Care Workforce ◽  
Education In China

scholarly journals Sildenafil citrate long-term treatment effects on cardiovascular reactivity in a SHR experimental model of metabolic syndrome

PLoS ONE ◽  
2019 ◽  
Vol 14 (11) ◽  
pp. e0223914 ◽  
Author(s):  
Yosra Doghri ◽  
Fabien Chetaneau ◽  
Moez Rhimi ◽  
Aicha Kriaa ◽  
Valérie Lalanne ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Experimental Model ◽  
Cardiovascular Reactivity ◽  
Treatment Effects ◽  
Term Treatment ◽  
Sildenafil Citrate ◽  
Long Term Treatment

scholarly journals Evidence-based treatments of addiction

2008 ◽  
Vol 363 (1507) ◽  
pp. 3277-3286 ◽  
Author(s):  
Charles P O'Brien
Keyword(s):  
Chronic Disease ◽  
Animal Models ◽  
Term Treatment ◽  
Evidence Based ◽  
Behavioural Treatment ◽  
Addictive Disorders ◽  
Long Term Treatment ◽  
Evidence Based Treatments

Both pharmacotherapy and behavioural treatment are required to relieve the symptoms of addictive disorders. This paper reviews the evidence for the benefits of pharmacotherapy and discusses mechanisms where possible. Animal models of addiction have led to some medications that are effective in reducing symptoms and improving function but they do not produce a cure. Addiction is a chronic disease that tends to recur when treatment is stopped; thus, long-term treatment is recommended.

Orlistat in the Long-term Treatment of Obesity in Primary Care Settings.

2001 ◽  
Vol 21 (1) ◽  
pp. 53
Author(s):  
J Hauptman ◽  
C Lucas ◽  
M N Boldrin ◽  
H Collins ◽  
K R Segal
Keyword(s):  
Primary Care ◽  
Term Treatment ◽  
Primary Care Settings ◽  
Long Term Treatment ◽  
Treatment Of Obesity

scholarly journals Traditional and complementary medicine (TCM) usage and its association with Patient Assessment of Chronic Illness Care (PACIC) among individuals with metabolic syndrome in primary care

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Nor Farha Basri ◽  
Anis Safura Ramli ◽  
Mariam Mohamad ◽  
Khairatul Nainey Kamaruddin
Keyword(s):  
Primary Care ◽  
Metabolic Syndrome ◽  
Chronic Disease ◽  
Primary Care Clinic ◽  
Conventional Care ◽  
Chronic Illness Care ◽  
Patient Assessment ◽  
Care Clinic ◽  
Factors Associated ◽  
Patients Experience

Abstract Background Traditional and Complementary Medicine (TCM) is widely used particularly among patients with chronic diseases in primary care. However, evidence is lacking regarding TCM use among patients with Metabolic Syndrome (MetS) and its association with patients’ experience on chronic disease conventional care that they receive. Therefore, this study aims to determine the prevalence and pattern of TCM use, compare the patients’ experience of chronic disease care using the Patient Assessment of Chronic Illness Care - Malay version (PACIC-M) questionnaire between TCM users and non-users and determine the factors associated with TCM use among patients with MetS in primary care. Methodology A cross-sectional study was conducted at a university primary care clinic. Patients aged 18 to 80 years old with MetS were recruited. Socio-demographic characteristic, clinical characteristics and information on TCM use and its pattern were recorded in a proforma. Patient’s experience of chronic disease conventional care was measured using PACIC-M questionnaire. The comparison of PACIC-M mean score between TCM users and non-users was measured using independent t-test. The factors associated with TCM use were determined by simple logistic regression (SLogR), followed by multiple logistic regression (MLogR). Results Out of 394 participants, 381 (96.7%) were included in the final analysis. Of the 381 participants, 255 (66.9%) were TCM users (95% CI 62.7, 71.7). Only 36.9% of users disclosed about TCM use to their health care providers (HCP). The overall mean PACIC-M score was 2.91 (SD ± 0.04). TCM users had significantly higher mean PACIC-M score compared to non-users (2.98 ± 0.74 vs 2.75 ± 0.72, p = 0.01). The independent factors associated with TCM use were being female (Adj. OR 2.50, 95% CI 1.55, 4.06), having high education level (Adj. OR 2.16, 95% CI 1.37, 3.41) and having high overall PACIC-M mean score (Adj. OR 1.49, 95% CI 1.10, 2.03). Conclusion TCM use was highly prevalent in this primary care clinic. However, the disclosure rate of TCM use to HCP was low. Females, those with high education and high PACIC-M mean score were more likely to use TCM. Further research should explore the reasons for their TCM use, despite having good experience in conventional chronic disease care.

scholarly journals Knowledge of modern principles of rational cardiovascular therapy in Moscow primary care physicians: survey-based assessment

2012 ◽  
Vol 11 (5) ◽  
pp. 61-66 ◽  
Author(s):  
T. G. Kheliya ◽  
S. Yu. Martsevich ◽  
G. B. Selivanova ◽  
Yu. V. Lukina ◽  
L. Yu. Drozdova ◽  
...  
Keyword(s):  
Primary Care ◽  
Adverse Effects ◽  
Primary Care Physicians ◽  
Term Treatment ◽  
Pharmacological Therapy ◽  
Assessment System ◽  
Angiotensin Ii Receptor ◽  
Registration System ◽  
Long Term Treatment ◽  
Therapy Effectiveness

Aim. To assess the knowledge of primary care physicians on the choice of medications for the long-term treatment of cardiovascular disease (CVD); on the control of pharmacological therapy effectiveness and safety; and on the selection of optimal medications for specific clinical situations. Material and methods. In 2010, a voluntary survey of Moscow physicians working at specialised and municipal out-patient clinics was conducted. The number of participants was 281 (response rate 70%). Results. Thirty percent of the physicians correctly identified a selective β-adrenoblocker (β-AB) from the list of various medications. Typical adverse effects of statins, β-ABs, and calcium antagonists were known to 33%, 66,4%, and 38%, respectively. Every fifth respondent (22,6%) would recommend ACE inhibitors or angiotensin II receptor antagonists (captopril or losartan) to pregnant women. Sixty six percent of the participants identified the patients’ unwillingness to simultaneously take many medications and the fear of adverse effects (AE) as the major barriers to prescribing modern complex pharmacological therapy. Conclusion. Specialised questionnaires, used for interactive voting, and point-based assessment system provided an opportunity to identify the inadequate physicians’ knowledge of pharmacological therapyrelated AE and of the AE registration system. Poor knowledge of clinical recommendations affects the physicians’ ability to make correct decisions in specific clinical situations.

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