The relevance of the study of psychiatry as a crossdiscipline at the stage of general practice doctors postgraduate training

2019 ◽  
pp. 7-12
Author(s):  
Esedulla M. OSMANOV
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Postgraduate Training ◽  
Psychiatric Symptoms ◽  
Federal State ◽  
Initial Stage ◽  
Number Of Patients ◽  
Mental Diseases ◽  
The World ◽  
Simultaneous Decrease

We consider the questions of psychiatry study as a crossdiscipline at the stage of general practice doctors postgraduate training. The relevance of the study of psychiatry as a crossdiscipline is that knowledge of psychiatry basics is necessary for any doctor, as most patients at the initial stage do not turn to psychiatrists, but most often to primary care specialists. Each doctor in his practical work is faced with various mental health disorders. He should know the basics of diagnosis of the most common psychiatric symptoms and syndromes. In modern conditions around the world there is an increase in the number of patients with neuropsychiatric disorders. If in the world on average about 15 % of people need psychiatric care, in Russia their number reaches 25 %. Despite certain distortions in the statistics of Russian Federal State Statistics Service (the growth of mental diseases with a simultaneous decrease in the number of patients taken under dispensary observation), it should be noted that up to 40 % of patients who turn to primary care specialists do not need any medical care, except for psychotherapeutic help.

scholarly journals Datasets collected in general practice: an international comparison using the example of obesity

2018 ◽  
Vol 42 (5) ◽  
pp. 563 ◽  
Author(s):  
Elizabeth Sturgiss ◽  
Kees van Boven
Keyword(s):  
Primary Care ◽  
General Practice ◽  
The Netherlands ◽  
Care Management ◽  
Clinical Care ◽  
International Comparisons ◽  
Health Condition ◽  
Practice Management ◽  
Number Of Patients ◽  
Primary Care Management

International datasets from general practice enable the comparison of how conditions are managed within consultations in different primary healthcare settings. The Australian Bettering the Evaluation and Care of Health (BEACH) and TransHIS from the Netherlands collect in-consultation general practice data that have been used extensively to inform local policy and practice. Obesity is a global health issue with different countries applying varying approaches to management. The objective of the present paper is to compare the primary care management of obesity in Australia and the Netherlands using data collected from consultations. Despite the different prevalence in obesity in the two countries, the number of patients per 1000 patient-years seen with obesity is similar. Patients in Australia with obesity are referred to allied health practitioners more often than Dutch patients. Without quality general practice data, primary care researchers will not have data about the management of conditions within consultations. We use obesity to highlight the strengths of these general practice data sources and to compare their differences. What is known about the topic? Australia had one of the longest-running consecutive datasets about general practice activity in the world, but it has recently lost government funding. The Netherlands has a longitudinal general practice dataset of information collected within consultations since 1985. What does this paper add? We discuss the benefits of general practice-collected data in two countries. Using obesity as a case example, we compare management in general practice between Australia and the Netherlands. This type of analysis should start all international collaborations of primary care management of any health condition. Having a national general practice dataset allows international comparisons of the management of conditions with primary care. Without a current, quality general practice dataset, primary care researchers will not be able to partake in these kinds of comparison studies. What are the implications for practitioners? Australian primary care researchers and clinicians will be at a disadvantage in any international collaboration if they are unable to accurately describe current general practice management. The Netherlands has developed an impressive dataset that requires within-consultation data collection. These datasets allow for person-centred, symptom-specific, longitudinal understanding of general practice management. The possibilities for the quasi-experimental questions that can be answered with such a dataset are limitless. It is only with the ability to answer clinically driven questions that are relevant to primary care that the clinical care of patients can be measured, developed and improved.

scholarly journals Care in Chronic Diseases and in "Frail" Patients in General Practice

2020 ◽  
Vol 1 (1) ◽  
pp. 28-31
Author(s):  
Lucio Mango
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Health Service ◽  
Health Services ◽  
Chronic Diseases ◽  
Frail Patients ◽  
The World ◽  
Progressive Growth ◽  
At Home

The world of chronicity is an area in progressive growth that involves a considerable commitment of resources, requiring continuity of assistance for long periods of time and a strong integration of health services with social ones and those requiring residential and territorial services often not sufficiently designed and developed. The fundamental aim of the treatment of chronic systems is to keep as much as possible the patient at home and prevent or reduce the risk of institutionalization. GP could put their expertise to good use in the Complex of Primary Care Units and Territorial Functional Aggregations, reducing the costs of the health service.

The ageing population

2021 ◽  
pp. 175573802199281
Author(s):  
Jenny Walton ◽  
Angus Kaye
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Older People ◽  
Healthcare Professionals ◽  
Ageing Population ◽  
Huge Amount ◽  
Older Population ◽  
The World ◽  
The Individual

As we all age, the demographic of the world changes. Looking after older people well can bring a huge amount of pleasure and satisfaction, not just to the individual, but also to their family, friends and indeed healthcare professionals. How we care for our elderly now is likely to set a precedent for our own care in the future. This article highlights some of the features of ageing and discusses the role of primary care in the management of the older population, within the context of the general practice curriculum.

Managing dental emergencies in general practice

2018 ◽  
Vol 11 (6) ◽  
pp. 313-320
Author(s):  
Garrett M Mills ◽  
Mark D Gribben ◽  
Sarah EE Mills
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Dental Care ◽  
Oral Lesions ◽  
Medical Providers ◽  
Dental Injury ◽  
Appropriate Care ◽  
Accident And Emergency ◽  
Number Of Patients ◽  
Ethical And Legal Considerations

Patients will often avoid seeking dental care until they are acutely unwell and may present to other medical providers of care, including GPs and Accident and Emergency departments. The number of patients seeing GPs for dental problems is increasing, with GPs seeing on average of between 30 and 48 patients with dental problems per year. Common dental presentations to primary care include pain, swelling, bleeding, dental injury, ulceration, and oral lesions. There are a number of clinical, ethical and legal considerations when triaging, managing and signposting such patients to appropriate care.

scholarly journals Audit of a psychiatric liaison service – the value of general practice casenotes

1990 ◽  
Vol 14 (12) ◽  
pp. 727-729 ◽  
Author(s):  
Sheila M. Curran ◽  
Ian M. Pullen
Keyword(s):  
Primary Care ◽  
General Practice ◽  
General Practitioners ◽  
Care Setting ◽  
Primary Care Setting ◽  
Number Of Patients

The practice of out-patient psychiatry has undergone a number of significant developments in recent years: the number of patients referred by general practitioners has steadily increased: a large number of psychiatrists are now seeing patients in the primary care setting and more patients are being seen on one occasion only.

scholarly journals Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey

2019 ◽  
Vol 69 (684) ◽  
pp. e507-e514 ◽  
Author(s):  
Louise H Hall ◽  
Judith Johnson ◽  
Ian Watt ◽  
Daryl B O’Connor
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Patient Safety ◽  
Improve Patient Safety ◽  
Near Miss ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Safety Outcomes ◽  
Administrative Tasks

BackgroundGPs have particularly high levels of burnout and poor wellbeing. Although both are associated with poorer safety outcomes within secondary care, there have been no quantitative studies investigating this within primary care. Furthermore, little is known about how occupational demands, burnout and wellbeing, and patient safety are all associated.AimTo investigate whether occupational variables (demands and support) are associated with patient safety outcomes in general practice through their influence on GP burnout and wellbeing.Design and settingCross-sectional survey in the UK between March 2016 and August 2017.MethodA total of 232 practising GPs completed an online or paper survey measuring burnout, wellbeing, occupational demands and support, and patient safety.ResultsIn all, 93.8% of GPs were classed as likely to be suffering from a minor psychiatric disorder, 94.7% as suffering from mild (22.0%) or severe (72.7%) exhaustion, and 86.8% as having mild (37.9%) or severe (48.9%) disengagement. Structural equation modelling (SEM) analyses showed that spending a higher number of hours on administrative tasks and on call, and feeling less supported in their practice, was associated with lower wellbeing, which in turn was associated with a higher likelihood of having reported a near miss in the previous 3 months. A higher number of hours spent on administrative tasks, a higher number of patients seen per day, and feeling less supported were associated with higher burnout levels, which in turn was associated with worse perceptions of safety.ConclusionTo improve patient safety within general practice changes could be made at both practice and individual levels to promote a healthier work environment for staff and patients.

Mental health in general practice: assessment of current state and future needs

2005 ◽  
Vol 22 (3) ◽  
pp. 83-86 ◽  
Author(s):  
Mimi Copty ◽  
David L Whitford
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Health Services ◽  
Postgraduate Training ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychiatric Services ◽  
Psychological Therapies

AbstractObjectives: To determine the extent of mental health services provided in the community in one Irish health board area. To examine the influence of postgraduate mental health training of GPs on provision of mental health services.Method: Questionnaire and focus group methods were employed to determine views on mental health service provision. Data analysis was with parametric and non-parametric tests of association including student's t and chi-squared tests. Thematic analysis of the focus groups was carried out.Results: Twenty-five per cent of patients attending general practice have mental health problems and over 95% of these problems are dealt with in primary care. Only 32% of GPs had received postgraduate training in psychological therapies. GPs with postgraduate training in psychological therapies were more likely to estimate a higher proportion of their patient population with mental health problems and less likely to refer to psychiatric services. A need for support from other health care professionals in primary care was also identified.Conclusion: The majority of patients with mental health problems are treated in primary care. Further training of GPs and increased resources would improve mental health care in primary care and lead to fewer referrals to psychiatric services.

Antimicrobial resistance: The fundamental role of primary care

2021 ◽  
pp. 175573802110392
Author(s):  
Emily Brown
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Antimicrobial Resistance ◽  
Global Health ◽  
Antimicrobial Agent ◽  
Antimicrobial Stewardship ◽  
Antibiotic Prescribing ◽  
The World ◽  
Primary Care Clinicians

Antimicrobial resistance (AMR) develops when microbes, such as bacteria, evolve to no longer be susceptible to an antimicrobial agent. AMR is a huge concern, being regarded internationally as one of the current top 10 threats to global health. By 2050, it is predicted that AMR will be responsible for more deaths globally than cancer. Countries around the world are rising to the challenge of reducing antimicrobial resistance, and primary care has a key role in this objective, as the vast majority of antibiotic prescribing takes place in the community. This article will explore the challenges facing primary care clinicians regarding antimicrobial stewardship and will consider approaches in day-to-day general practice that can help tackle AMR, including a number of helpful and easy to use resources. Future considerations and innovative technologies will also be discussed.

scholarly journals Diagnosis and management of melanoma in a rural general practice

2018 ◽  
Vol 10 (3) ◽  
pp. 207 ◽  
Author(s):  
Tony Townsend
Keyword(s):  
Primary Care ◽  
General Practice ◽  
New Zealand ◽  
Diagnosis And Management ◽  
Melanoma Detection ◽  
The World

ABSTRACT A review covering 5 years of melanoma detection and management in a small rural New Zealand practice is presented. The incidence of both in situ and invasive melanoma was approximately four-fold the national figures, which are among the highest in the world. Most melanomas can be managed in primary care but cost remains an issue.

scholarly journals A systematic review of postgraduate training programmes directed at pharmacists entering primary care

2020 ◽  
Author(s):  
Anna Groen ◽  
Cherie Lucas ◽  
Helen Benson ◽  
Mohammed Alsubaie ◽  
Matthew J Boyd
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
General Practice ◽  
Web Of Science ◽  
Postgraduate Training ◽  
Postgraduate Education ◽  
Disease States ◽  
Training Courses ◽  
Training Programmes ◽  
And Training

This systematic review explores the international postgraduate education and training programmes designed to provide or develop knowledge or skills focused on enabling pharmacists to work in a general practice setting. Four thousand, eight hundred and seventy-one (4,871) articles were identified from database searches of SCOPUS, EMBASE, Medline, CINAHL, IPA, Web of Science and ERIC. After removal of duplicates and article screening, seven articles were included. Educational content, setting, contact time and methods of assessment varied across all studies. There is paucity of published literature relating to the development and evaluation of education programmes directed at pharmacists entering into general practice. A combination of work and classroom-based education provided by general practitioners and pharmacists already working in primary care is deemed most beneficial coupled with systematic debriefing sessions at the completion of training courses. The findings suggest future training should focus on specific disease states.

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