scholarly journals Association between suicidal ideation and causes of primary care visits: A cross-sectional study to identify patients with suspected suicidal ideation

2019 ◽  
Author(s):  
Gyeongsil Lee ◽  
Jung-Ha Kim
Keyword(s):  
Primary Care ◽  
Suicidal Ideation ◽  
Primary Care Providers ◽  
Cross Sectional Study ◽  
Care Physician ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patients At Risk ◽  
Primary Care Patients

Abstract Background: Evidence increasingly suggests that suicide victims are highly likely to visit a primary care provider within one month of the suicide event. However, it would be impossible for primary care providers to act as gatekeepers and thus screen all patients for suicidal ideation or attempts. Therefore, we aimed to investigate potential differences in the chief diagnoses received by primary care patients with and without suicidal ideation, as this information may provide clues and predict patients at risk of committing suicide. Methods: This cross-sectional study included 1,211 Korean adults aged ≥20 years who had participated in the Korea National Health and Nutrition Examination Survey during 2014 and provided information about their histories of suicidal ideation and visits to primary care providers. Multiple logistic regression analyses were used to examine whether suicidal ideation was associated with specific diseases after controlling for age, household income, education, occupation, marital status, smoking, alcohol consumption and physical activity. Results: Among primary care patients, the sample-weighted percentage of suicidal ideation was 11.8%. The diagnoses of neoplasm and mental disorder were associated with a higher likelihood of suicidal ideation (odds ratio; OR [95% confidence interval, CI]: 8.32 [1.01–68.56] and 6.19 [1.72–22.33], respectively). Notably, diseases of the musculoskeletal system and connective tissue were also associated with suicidal ideation (OR [95% CI]: 1.93 [1.09–3.43]). Conclusions: The observed visit patterns and correlations of certain diagnoses with suicidal ideation suggest that primary care physician should pay careful attention to their patients with mood or musculoskeletal disorders and consider screening to determine the risk of suicide.

scholarly journals Association between Suicidal Ideation and Causes of Primary Care Visits: A Cross-Sectional Study to Identify Patients with Suspected Suicidal Ideation

2020 ◽  
Vol 17 (7) ◽  
pp. 667-673 ◽  
Author(s):  
Gyeongsil Lee ◽  
Jung-Ha Kim
Keyword(s):  
Primary Care ◽  
Suicidal Ideation ◽  
Primary Care Physicians ◽  
Primary Care Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patients At Risk ◽  
Primary Care Patients

Objective Suicide victims are likely to visit a primary care provider within 1 month of the suicide attempt. However, it is impossible for primary care providers to screen all patients for suicidal ideation or attempts. We, therefore, aimed to investigate potential differences in the chief diagnoses received by primary care patients with and without suicidal ideation, as this information may provide clues and predict patients at risk of suicide.Methods This cross-sectional study included 1,211 Korean adults aged ≥20 years who had participated in the Korea National Health and Nutrition Examination Survey during 2014 and provided information about their histories of suicidal ideation and visits to primary care providers. Multiple logistic regression analyses were used to examine whether suicidal ideation was associated with specific diseases after controlling for age, sex, household income, education, occupation, marital status, smoking, alcohol consumption, and physical activity.Results Among primary care patients, the sample-weighted percentage of suicidal ideation was approximately 12%. The diagnoses of neoplasm and mental disorder were associated with a higher likelihood of suicidal ideation {odds ratio (OR) [95% confidence interval (CI)] 8.32 (1.01–68.56) and 6.19 (1.72–22.33), respectively}. Notably, diseases of the musculoskeletal system and connective tissue were also associated with suicidal ideation [OR (95% CI): 1.93 (1.09–3.43)].Conclusion The observed visit patterns and correlations of certain diagnoses with suicidal ideation suggest that primary care physicians should pay attention to patients with relevant disorders, consider screening suicidal ideation, and properly consult to a psychiatrist.

scholarly journals Drivers and strategies for avoiding overuse. A cross-sectional study to explore the experience of Spanish primary care providers handling uncertainty and patients’ requests

BMJ Open ◽  
2018 ◽  
Vol 8 (6) ◽  
pp. e021339 ◽  
Author(s):  
José Joaquín Mira ◽  
Irene Carrillo ◽  
Carmen Silvestre ◽  
Pastora Pérez-Pérez ◽  
Cristina Nebot ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Pandemic response in pluralistic health systems: a cross-sectional study of COVID-19 knowledge and practices among informal and formal primary care providers in Bihar, India

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e047334
Author(s):  
Krishna D Rao ◽  
Japneet Kaur ◽  
Michael A Peters ◽  
Navneet Kumar ◽  
Priya Nanda
Keyword(s):  
Primary Care ◽  
Health Systems ◽  
Management Practices ◽  
Primary Care Providers ◽  
Cross Sectional Study ◽  
Contact Tracing ◽  
Care Seeking ◽  
Care Providers ◽  
Sectional Study ◽  
Cross Sectional

ObjectivesResponding to pandemics is challenging in pluralistic health systems. This study assesses COVID-19 knowledge and case management of informal providers (IPs), trained practitioners of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH) and Bachelor of Medicine, Bachelor of Surgery (MBBS) medical doctors providing primary care services in rural Bihar, India.DesignThis was a cross-sectional study of primary care providers conducted via telephone between 1 and 15 July 2020.SettingPrimary care providers from 224 villages in 34 districts across Bihar, India.Participants452 IPs, 57 AYUSH practitioners and 38 doctors (including 23 government doctors) were interviewed from a census of 1138 primary care providers used by community members that could be reached by telephone.Primary outcome measure(s)Providers were interviewed using a structured questionnaire with choice-based answers to gather information on (1) change in patient care seeking, (2) source of COVID-19 information, (3) knowledge on COVID-19 spread, symptoms and methods for prevention and (4) clinical management of COVID-19.ResultsDuring the early days of the COVID-19 pandemic, 72% of providers reported a decrease in patient visits. Most IPs and other private primary care providers reported receiving no COVID-19 related engagement with government or civil society agencies. For them, the principal source of COVID-19 information was television and newspapers. IPs had reasonably good knowledge of typical COVID-19 symptoms and prevention, and at levels similar to doctors. However, there was low stated compliance among IPs (16%) and qualified primary care providers (15% of MBBS doctors and 12% of AYUSH practitioners) with all WHO recommended management practices for suspect COVID-19 cases. Nearly half of IPs and other providers intended to treat COVID-19 suspects without referral.ConclusionsPoor management practices of COVID-19 suspects by rural primary care providers weakens government pandemic control efforts. Government action of providing information to IPs, as well as engaging them in contact tracing or public health messaging can strengthen pandemic control efforts.

Portuguese Patient Dignity Question: A cross-sectional study of palliative patients cared for in primary care

2020 ◽  
Vol 18 (6) ◽  
pp. 658-661
Author(s):  
Mafalda Lemos Caldas ◽  
Miguel Julião ◽  
Ana João Santos ◽  
Harvey Max Chochinov
Keyword(s):  
Primary Care ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Sectional Study ◽  
Clinical Tool ◽  
Cross Sectional ◽  
Old Patients ◽  
Promising Tool ◽  
Palliative Patients

AbstractIntroductionThe Patient Dignity Question (PDQ) is a clinical tool developed with the aim of reinforcing the sense of personhood and dignity, enabling health care providers (HCPs) to see patients as people and not solely based on their illness.ObjectiveTo study the acceptability and feasibility of the Portuguese version of the PDQ (PDQ-PT) in a sample of palliative care patients cared for in primary care (PC).MethodA cross-sectional study using 20 palliative patients cared for in a PC unit. A post-PDQ satisfaction questionnaire was developed.ResultsTwenty participants were included, 75% were male; average age was 70 years old. Patients found the summary accurate, precise, and complete; all said that they would recommend the PDQ to others and want a copy of the summary placed on their family physician's medical chart. They felt the summary heightened their sense of dignity, considered it important that HCPs have access to the summary and indicated that this information could affect the way HCPs see and care for them. The PDQ-PT's took 7 min on average to answer, and 10 min to complete the summary.Significance of resultsThe PDQ-PT is well accepted and feasible to use with palliative patients in the context of PC and seems to be a promising tool to be implemented. Future trials are now warranted.

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