scholarly journals Influenza vaccination rate among high risk group patients in primary health care in Greece

2020 ◽  
Vol 28 (4) ◽  
pp. 297-301
Author(s):  
Anastasia Papaioannou ◽  
Apostolia-Evangelia Konstantinidi ◽  
Ekaterini Primikiri ◽  
Foteini Asimakopoulou ◽  
Dimitrios Aravantinos ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Influenza Vaccination ◽  
Risk Group ◽  
Vaccination Rate ◽  
High Risk Group ◽  
Primary Health

MEMORY BROUGHT TO MIND. FIVE-YEAR FOLLOW-UP OF CASE FINDING AND INTERVENTION OF DEMENTIA IN A SWEDISH PRIMARY HEALTH CARE DISTRICT

2015 ◽  
pp. 1-7
Author(s):  
S. Josefsson ◽  
M. Kjellmark ◽  
P. Adenmark ◽  
E. Karlsson ◽  
R. Åstrand ◽  
...  
Keyword(s):  
Health Care ◽  
Cognitive Impairment ◽  
Primary Health Care ◽  
Risk Group ◽  
Case Finding ◽  
High Risk Group ◽  
Single Item ◽  
Primary Health ◽  
Urban Rural

BACKGROUND: In an urban/rural primary health care (PHC) district a five-year integrated project of early detection and management of cognitive disorders was made in collaboration between home care (HC) and family practice services using a single-item case-finding and intervention approach. OBJECTIVES: To assess feasibility, outcome and morbidity over a 5-year period. DESIGN, SETTING AND PARTICIPANT: In autumn 2008, the question “Have you experienced memory difficulties or been told of them by family members?” was mailed to all eligible persons > 75 years of age (n=367) in the urban/rural Vålberg HC and PHC district (population = 5073). 320 (= 87%; 184 no and 136 yes) responded and 117 yes-responders came for further examination. In the follow-up, all diagnoses up till November 2013 were collected and compared anonymously in both yes and no answerers. RESULTS: 114 completed examination. 29 showed low risk of cognitive impairment, 39 moderate and 46 high. Definitive diagnosis was obtained in 34 of the latter: 10 cognitive impairment, 16 Alzheimer’s disease, 5 non-specific, 2 vascular and 1 alcoholic dementia. During follow-up no further dementia diagnoses occurred in the low, two in the moderate, and none in the high-risk group, versus 12 in the no responders. Age and mortality were significantly higher in the high-risk group. Co-morbidity was very frequent but did not differ between the groups. CONCLUSIONS: Population response and compliance were excellent; the single-item direct question approach gave workable results with in particular high negative predictive power persisting over the five-year follow-up period, and can be applied in early case-finding, prevention and intervention of cognitive impairment in an integrated local HC, PHC and Hospital setting.

scholarly journals Problem-Orientated Antenatal Notekeeping: A Useful Primary Health Care Tool

Curationis ◽  
1978 ◽  
Vol 1 (3) ◽  
Author(s):  
J.V. Larsen
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Significant Risk ◽  
Obstetric Care ◽  
Antenatal Screening ◽  
Primary Health ◽  
Risk Patients

It has recently been demonstrated that about 56 percent of patients delivering in a rural obstetric unit had significant risk factors, and that 85 percent of these could have been detected by meticulous antenatal screening before the onset of labour. These figures show that the average rural obstetric unit in South Africa is dealing with a large percentage of high risk patients. In this work, it is hampered by: 1. Communications problems: i.e. bad roads, long distances. and unpredictable telephones. 2. A serious shortage of medical staff resulting in primary obstetric care being delivered by midwives with minimal medical supervision.

High-risk alcohol use and associated socio-demographic, health and psychosocial factors in patients with HIV infection in three primary health care clinics in South Africa

2016 ◽  
Vol 28 (7) ◽  
pp. 651-659 ◽  
Author(s):  
Diana Huis in ‘t Veld ◽  
Supa Pengpid ◽  
Robert Colebunders ◽  
Linda Skaal ◽  
Karl Peltzer
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Alcohol Use ◽  
Hiv Infection ◽  
Psychosocial Factors ◽  
Low Risk ◽  
Health Care Clinics ◽  
Primary Health

Alcohol use may have a negative impact on the course of HIV disease and the effectiveness of its treatment. We studied patients with HIV who use alcohol and associated socio-demographic, health and psychosocial factors. Outcomes from this study may help in selecting patients from clinical practice with high-risk alcohol use and who are likely to benefit most from alcohol reduction interventions. In a cross sectional study in three primary health care clinics in Pretoria, South Africa, from January 2012 to June 2012, patients with HIV infection were interviewed and patients’ medical files were reviewed to obtain data on levels of alcohol use (Alcohol Use Disorder Identification Test), patients’ socio-demographic characteristics, HIV-related information, health related quality of life (WHOQoL-HIVBref), internalized AIDS stigma, symptoms of depression and adherence to antiretroviral therapy. Analyses consisted of descriptive statistics, bi- and multivariate logistic regression models. A total of 2230 patients (1483 [66.5%] female) were included. The median age was 37 years (interquartile range 31–43), 99.5% were black Africans, 1975 (88.6%) had started ART and the median time on ART was 22 months (interquartile range 9–40). No alcohol was used by 64% of patients, 8.9% were low risk drinkers, 25.1% of patients were hazardous or harmful drinkers and 2.0% had possible alcohol dependence. In multivariate analysis high-risk drinking was positively associated with male gender, never being married, tobacco use, a higher score for the ‘level of independence’-domain measured with the WHOQoL-HIVBref questionnaire, and with more depressive symptoms compared to low-risk drinking. This study shows a high prevalence of hazardous or harmful drinking in patients with HIV infection (especially men) attending primary health care clinics in South Africa. Routine screening for alcohol use should be introduced in these clinics and harm reduction interventions should be evaluated, taking into account associated factors.

scholarly journals Seasonal influenza vaccination among primary health care workers in Southwestern Saudi Arabia

2019 ◽  
Vol 16 (2) ◽  
pp. 321-326 ◽  
Author(s):  
Nabil J. Awadalla ◽  
Hassan Mohammed Al-Musa ◽  
Khalid Mohammed Al-Musa ◽  
Abdulmajeed Mohammed Asiri ◽  
Ahmed Ali Albariqi ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Seasonal Influenza ◽  
Seasonal Influenza Vaccination ◽  
Primary Health ◽  
Care Workers

scholarly journals Knowledge in Tracking Danger Signs in Newborns and their Referrals by ASHA in Uttar Pradesh, India

2019 ◽  
Vol 10 (12) ◽  
pp. 20762-20765
Author(s):  
Dr. Tridibesh Tripathy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Child Survival ◽  
Uttar Pradesh ◽  
Structured Interview ◽  
Interview Schedule ◽  
Danger Signs ◽  
Primary Health ◽  
Depth Interviews

When ASHAs were introduced in NRHM in 2005, their primary aim was to visit homes of newborns as the first program in UP operated through the ASHAs was the Comprehensive Child Survival Program in 2008. Since then, tracking of all deliveries and all the newborns are an integral part of the work of ASHAs in all the primary health care programs operated by the NHM in UP. The current study explores some of the crucial variables of the danger signs in newborns and their subsequent referrals by the ASHAs in four districts of UP. Through this profile, the knowledge of ASHAs on these danger signs and the action that they take after identification is detailed out.    The relevance of the study assumes significance as data on the details of targeted activities on high risk newborns done by ASHAs in comparison to their performance are usually not available in various studies. A total of four districts of Uttar Pradesh were selected purposively for the study and the data collection was conducted in the villages of the respective districts with the help of a pre-tested structured interview schedule with both close-ended and open-ended questions. In addition, in-depth interviews were also conducted amongst the ASHAs and a total 250 respondents had participated in the study.

DETECTION RATE AND MANAGEMENT TACTICS OF PATIENTS WITH ARTERIAL HYPERTENSION IN PRIMARY HEALTH CARE

2021 ◽  
Vol 2 (3) ◽  
pp. 57-60
Author(s):  
Akida Tillabaeva ◽  
◽  
Shakhnoza Tulkinovna Iskandarova
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Arterial Hypertension ◽  
Nursing Care ◽  
Detection Rate ◽  
Who Classification ◽  
Risk Group ◽  
Primary Health ◽  
Care Nursing

This articlereflects the results of a study that retrospectively analyzed outpatient records of 30 patients with headache complaints. Their blood pressure parameters were assessed, and treatment tactics were also assessed. AH was diagnosed according to the WHO classification. According to our studyresults, it was found that when dealing with headache in 36.7% of patients, AH of 1 and 2 degrees was detected.Regularelevated blood pressure was noted in 30%. This group is a risk group for the development of AH. They were recommended to exclude risk factors for AH.Keywords: arterial hypertension, primary health care,nursing care

Hepatitis C virus antibodies are absent among high risk group of health care workers in Damascus Hospital

2018 ◽  
Vol 19 (2) ◽  
pp. 80-83 ◽  
Author(s):  
Hoda Alhamoudi ◽  
Nawras Alhalabi ◽  
Mouhammed Zein ◽  
Nazir Ibrahim
Keyword(s):  
Health Care ◽  
Hepatitis C Virus ◽  
Hepatitis C ◽  
High Risk ◽  
Health Care Workers ◽  
Risk Group ◽  
High Risk Group ◽  
Care Workers

scholarly journals Improving clinical outcomes for type 2 diabetes patients using teleconsultations during the COVID-19 pandemic

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Samya Ahmad Al-Abdulla ◽  
Mariama Mansaray
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Patient Management ◽  
Diabetes Management ◽  
Diabetic Patients ◽  
Primary Health ◽  
Medicine Physician ◽  
Management Plans

Background: Diabetic patients are at significant risk of serious complications and higher mortality rates if they contract COVID-19. Primary Health Care Corporation (PHCC) in Qatar launched a Diabetes Teleconsultation Clinic to proactively support high risk diabetic patients with a hemoglobin A1c (HbA1C) superior or equal to 8 mg/dL and without a primary health care encounter in the last 2-12 months, in an attempt to support this high risk population and still provide continuity of care. Methods/Case presentation: Patients meeting the criteria were proactively contacted and received a teleconsultation call from a family medicine physician. During the call, family physicians and patients reviewed individual management plans, and if agreed and required changes, the patient management plans were adjusted and monitored. Patients were additionally supported by a wider team of professionals via teleconsultations, including dieticians, health educators and primary care psychology and psychiatry services. A paired sample T-Test was conducted to compare the HbA1c mean levels for patients before and after joining the PHCC Diabetes Management Teleconsultation Clinic, after a 4-month period. Results/Findings/Recommendations: There was a statistically significant difference in the results of mean HbA1c levels for patients before joining the Diabetes Management Teleconsultation Clinic and after the intervention. Of the 384 patients analysed, the average HbA1c level before the intervention was 9.49 mg/dL, and after the intervention the average was 8.83 mg/dL (p < 0.001). Conclusion: The use of teleconsultations, remote multidisciplinary team support, and collaborative patient management plans has had a positive impact on the health outcomes of 384 high-risk diabetic patients within primary care. This inclusive model of care will be replicated to support more patients as a preventative and supportive intervention not only during the COVID-19 pandemic but in the long term.

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