scholarly journals ASSESSMENT OF AWARENESS OF FAMILY PHYSICIANSABOUT THE OSTEOPOROSIS AS A PROBLEM OF ELDERLY

Author(s):  
O Yu Kuznetsova ◽  
I E Moiseeva

The prevalence of osteoporosis in Russia is about 10%, and in the age group over 50 years - up to 25-35%. The role of primary care physicians in the prevention, diagnosis and treatment of this disease is high, because 80% of patients seeking medical help in primary health care. The article presents the results of the assessment of the awareness of the general practitioners (family doctors) on the preven- tion, diagnostics and treatment of osteoporosis

Author(s):  
Karen M. T. Turner ◽  
Carol W. Metzler

Primary care providers such as family doctors, pediatricians, and community child health nurses are a trusted first port of call for parents seeking advice on parenting issues, and routine well-child visits provide multiple opportunities for screening, support, and intervention. Pediatric practices and family-centered health settings are an ideal, nonstigmatized context for providing integrated care, including parenting support, as part of universal prevention and early intervention. This chapter describes how Triple P can be applied in brief interventions through the primary health care system to prevent and reduce social, emotional, and behavioral problems in children. Workforce development, clinic management support, and sustainable funding models are discussed as key implementation factors that require careful planning if there is to be widespread dissemination of evidence-based parenting support in pediatric primary care settings.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
K Illy

Abstract Children treated in different European countries continue to have very variable outcomes. Among several factors that might affect these outcomes, organisation of primary care services for children and training programmes for primary care clinicians are likely to be important factors. Children have an unquestionable right to health, safety, and wellbeing. Children have the right to access the highest possible standards of health-care services and facilities, both in primary health care and when they need specialised care. Any restriction of provision of appropriate care would contradict article 24 of the UN Convention on the Rights of the Child. Paediatric primary care is an academic and scientific discipline dealing with all issues affecting the health and wellbeing of infants, children, and adolescents from birth to adulthood in the context of their family, community, and culture. The primary clinician, ideally a paediatrician, is the first contact for children until they reach adulthood and is thus responsible for provision of comprehensive and continuing care throughout infancy, childhood, and adolescence. Paediatric care in both primary care and hospital settings needs special knowledge, ethics, empathic behaviour, and access to services, including disease prevention and health promotion. These aspects are therefore mandatory for all paediatric training both for paediatricians and family doctors. There should be a structured and accountable paediatric training programme for all doctors providing first-line care to children in primary care. When family doctors provide primary health care close collaboration with paediatricians and adequate continued training in both paediatrics and primary care is advised. Moreover, all children need timely access to professional paediatric advice.


2020 ◽  
Author(s):  
Kyleigh Schraeder ◽  
Gina Dimitropoulos ◽  
Brooke Allemang ◽  
Kerry McBrien ◽  
Susan Samuel

Abstract Background Family physicians and other members of the primary health care (PHC) team may be ideally positioned to provide transition care to adolescents and young adults (AYAs; aged 12–25 years) exiting pediatric specialty services. Potential solutions to well-known challenges associated with integrating PHC and specialty care need to be explored. Objective To identify strategies to transition care by PHC professionals for AYAs with chronic conditions transitioning from pediatric to adult-oriented care. Methods Participants were recruited from six Primary Care Networks in Calgary, Alberta. A total of 18 semi-structured individual interviews were completed, and transcribed verbatim. Data were analyzed using a qualitative description approach, involving thematic analysis. Results Participants offered a range of strategies for supporting AYAs with chronic conditions. Our analysis resulted in three overarching themes: (i) educating AYAs, families, and providers about the critical role of primary care; (ii) adapting existing primary care supports for AYAs and (iii) designing new tools or primary care practices for transition care. Conclusions Ongoing and continuous primary care is important for AYAs involved with specialty pediatric services. Participants highlighted a need to educate AYAs, families and providers about the critical role of PHC. Solutions to improve collaboration between PHC and pediatric specialist providers would benefit from additional perspectives from providers, AYAs and families. These findings will inform the development of a primary care-based intervention to improve transitional care.


1995 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Heather Gardner

The advent of the Australian Journal of Primary Health - Interchange reflects the changes which are taking place in the Australian health sector and the increased and increasing importance of primary health care and community health services. The significant role of primary care in maintaining health and enhancing wellbeing is at last being recognised, and the relationships between primary care, continuing care, and acute care are being redefined and the connections made, so that improvement in continuity of care can be achieved.


Author(s):  
Mai Mohamed Mahmoud Abu Kahf ◽  
Khalil Mohamed Abbas Ayad ◽  
Mamdoh Ahmed Gabr ◽  
Walaa Mohamed El Sayed Shehata

Background: With increasing prevalence of diabetes mellitus worldwide, primary health care physicians are the main providers of diabetes care and their knowledge, attitudes and practices are important to achieve goals in diabetes management. Objectives: Assessment of the knowledge, attitude and practices (KAP) of primary health care physicians regarding management of diabetes. To find-out gaps between the practices of primary health care physicians and the already established national and international guidelines. Methods: This cross- sectional study was conducted on 144 primary health care physicians working in a randomly chosen primary health care centers in Al Garbia Governorate. Data collected concerning knowledge, attitudes and practices of primary care physicians regarding diabetes management. Results: The study included 144 primary health care physicians working in 38 primary health care centers in Gharbia governorate. About two thirds (95) of the studied physicians were working in rural areas and the rest (49) in urban ones. As regards years since graduation, fifty three of the studied physicians were graduated <5 years and the rest (91) were graduated ≥5 years. Concerning relevant certifications or training courses, about three fourths (106) had relevant past experiences while one fourth (38) had no such experiences. Urban primary care physicians had higher percentage of correct knowledge than the rural ones as regards diagnosis, complications and managements of DM (p value <0.05). Primary care physicians with increased years of practice and who attended relevant training courses had favorable attitude and practices as regards counseling and regular examination of diabetic patients (p value <0.05). Conclusion: The current study revealed a shortage of knowledge, attitude and practices of primary health care physicians as regards management of diabetes. The defect in knowledge and unfavourability of attitude and inappropriateness of practices are obvious in family physicians working in the rural health care facilities, those without relevant experience and those graduated less 5 years.


2021 ◽  
Vol 2 (2) ◽  
pp. 24-27
Author(s):  
Najma Javed ◽  
Sumera Naz

To explore the basic knowledge of primary health care doctors on transmission routes, risk factors and management of HCV infection. A cross-sectional facility based study of six-month (Dec. 2008 - June 2009). Universal sampling technique. Thirty three Basic Health Units (BHUs) in Islamabad and Rawalpindi districts with their attached 07 dispensaries were surveyed. A total of 40 Primary Health Care Physicians (PHCPs) from two cities (Islamabad and Rawalpindi) were interviewed. A pretested questionnaire with multiple choices was used to record their knowledge on transmission routes, causative factors and management of this infection. A total of 40 primary care physicians were interviewed. There was poor knowledge about modes of disease transmission while diagnosis and treatment was wellknown in the majority. The frequency of disease transmission to neonate and the time of checking the child in case of a HCV positive mother were not known by many GPs, which need to be taken seriously specially in our setting where GP is the first or second line person that is approached by the patient. Majority of the physicians knew that HCV is not transmitted through breast feeding. Genotyping is done by about 61% physicians thus adding a very expensive test with very limited use. About 60% GPs counsel the patients that are found positive for the test, which is a good sign. The study identified a strong need for continuing education program for the primary care physicians on HCV infection.


2020 ◽  
Vol 28 ◽  
pp. e55687
Author(s):  
Helena Maria Scherlowski Leal David

Editorial sobre a importancia da atenção Primária no contexto da pandemia por covid-19, as ameaças que sofre e o papel da enfermagem.ABSTRACTEditorial aproaching the importance of primary care in the context of the 19-covid pandemic, the threats it suffers and the role of nursing.RESUMENEditorial sobre la importancia de la atención primaria en el contexto de la pandemia del 19-covid, las amenazas que sufre y el papel de la enfermería.


2021 ◽  
Vol 19 (2) ◽  
pp. 2290
Author(s):  
Cláudia B. Santos-Pinto ◽  
Claudia S. Osorio-de-Castro ◽  
Larissa M. Ferreira ◽  
Elaine S. Miranda

Background: Zika virus (ZIKV) infection emerged in Brazil in 2015, leading to the declaration of a national public health emergency, mainly due to its consequences for pregnant women and newborn babies. The Zika epidemic demanded major efforts from the public health system to address the full range of disease consequences. Objective: The objective of this study was to investigate the role of Primary Health Care pharmacists working in the city of Campo Grande in the State of Mato Grosso do Sul. Methods: A qualitative cross-sectional interview-based study with pharmacists working in municipal Primary Health Care services was carried out to investigate knowledge about the disease and involvement in the response to the health emergency. Informed consent was obtained. After coding, the corpus underwent thematic analysis. Results: The data show that few professionals had received specific training in public health. Knowledge largely encompassed disease transmission by the mosquito and collective and individual preventive measures. Findings highlight knowledge gaps relating to signs and symptoms, diagnosis, consequences of infection, and the role of epidemiological surveillance. Most professionals mentioned at least one of the recommendations on the use of medicines in symptom management protocols. The practical implications surrounding knowledge gaps and misconceptions were reflected in pharmacists´ role in response, restricted to counselling on preventive measures. Few respondents participated in institutional groups and committees or in multiprofessional teams involving case management. Conclusions: The study identified important knowledge gaps and showed that the involvement of pharmacy professionals in the response to the Zika epidemic was timid or inadequate. The results also suggest that pharmacists failed to recognize their role in interventions related to the ZIKV epidemic. Findings highlight the need to increase the involvement of primary care pharmacists in community-based actions, for communication and reduction of health risks, and emergency preparedness and response.


2017 ◽  
Vol 25 ◽  
pp. e26278
Author(s):  
Maria Tereza Soares Rezende Lopes ◽  
Célia Maria Gomes Labegalini ◽  
Vanessa Denardi Antoniassi Baldissera

Objetivo: elaborar os preceitos teóricos das práticas de Educação Permanente em Saúde para a implantação e utilização dos dispositivos da Política Nacional de Humanização na atenção básica brasileira. Método: revisão realista da literatura do período de 2003 a 2016, norteada pela questão de estudo: Quais as práticas de Educação Permanente em Saúde têm sido utilizadas para a implantação e organização dos dispositivos da Política Nacional de Humanização no âmbito da atenção básica? Resultados: metodologias ativas de aprendizagem e grupalidade foram intervenções educativas relevantes para implantação e utilização dos dispositivos de humanização. A partir dessa evidência, foram identificadas duas teorias que explicitam os processos de educação permanente na atenção básica para a implantação e utilização destes dispositivos. Conclusão: as práticas de Educação Permanente são importantes para a implantação e organização dos referidos dispositivos na atenção básica e os preceitos teóricos elaborados podem tornar os trabalhadores da atenção básica permeáveis à sua implantação e facilitar esse processo.ABSTRACTObjective: to develop the theoretical principles of continuing education in health practices for deployment and use of the provisions of Brazil’s National Humanization Policy in primary care. Method: realistic review of literature from 2003 to 2016, guided by the study question: what continuing health education practices have been used to deploy and organize National Humanization Policy provisions in the primary care context? Results: active learning methodologies and grouping were significant educational interventions used to deploy and use humanization provisions. On this evidence, two theories were identified to explain continuing education processes applied in primary care to deploy and use these provisions. Conclusion: continuing education practices are important to deploy and organize these provisions in primary care, and the theoretical principles developed can make primary health care workers receptive to their introduction, and facilitate this process.RESUMENObjetivo: desarrollar los preceptos teóricos de la Educación Permanente en Salud para la implementación y uso de los dispositivos de la Política Nacional de Humanización en la atención básica brasileña. Método: revisión realista de literatura de 2003 a 2016, guiada por la cuestión de estudio: ¿Qué prácticas de Educación Permanente en Salud se han utilizado para la implementación y organización de los dispositivos de la Política Nacional de Humanización en el contexto de la atención primaria? Resultados: metodologías de aprendizaje y grupalidad fueron intervenciones educativas pertinentes para la implementación y uso de los dispositivos de humanización. Desde esta evidencia, se identificaron dos teorías que explican los procesos de educación permanente en la atención básica para la implementación y uso de estos dispositivos. Conclusión: las prácticas de Educación Permanente son importantes para la organización y la implementación de estos dispositivos en la atención básica y los preceptos teóricos elaborados pueden volver a los trabajadores de atención básica permeables para su implementación y así facilitar este proceso. DOI: http://dx.doi.org/10.12957/reuerj.2017.26278


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Dilara Orynbassarova

Introduction. Advanced models of delivering primary health care are being implemented in various countries of the world. This is especially true for countries undergoing a healthcare transition in Central Asia, such as Kazakhstan, which obtained independence from Soviet Union in 1991. The Kazakhstan National Program of Health Reform, implemented between 2005-2010, aimed to create an effective system of primary care. One of the key directions of healthcare reform implemented in Kazakhstan included the development of family medicine, which has become cutting-edge agenda for Kazakhstan Health Ministry over the past 10 years. While many papers have been published about the importance of family medicine and primary healthcare models, few have focused on analyzing family medicine effectiveness in Kazakhstan and its impact on access to family doctor services and patient satisfaction. The key aims of this pilot investigation were 1) to assess the model’s impact on access to primary care and patients’ satisfaction, and 2) to explore the model’s effectiveness in some Central Asian and transitional countries in the literature. Methods. This pilot study was based on semi-structured interviews and questionnaires about the perception and impact of the primary care model to 86 respondents aged 19-51 (54% females, 46% males). The majority of respondents were Almaty city residents (71%), while the rest were Almaty Province rural residents (22%) and residents of other Kazakhstan regions (7%).Results. Respondents from rural areas associated general practitioners, or family doctors, with community clinics (also referred to as feldsher posts). Even though urban area respondents use family doctor services, they were more likely to get those services in private rather than public clinics. Rural residents appear to have better access to primary care providers than urban residents participating in our study. Also, respondents from rural areas were more satisfied with services provided by family doctors than respondents from urban areas.Conclusions. This pilot study helped to improve our understanding of primary health care reforms implemented in Kazakhstan, a topic that is not traditionally covered in international literature. This pilot study suggests that primary care is more effectively implemented in rural areas of Kazakhstan (Almaty Province); however, future full-scale research in this area is needed to fully understand the complexity of primary healthcare access in Kazakhstan.


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