scholarly journals Barriers to The Utilization of Cardiovascular Risk Prediction Tools as Perceived by Primary Health Care and Family Physicians

2015 ◽  
Vol 33 (1) ◽  
pp. 15-32
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Risk ◽  
Risk Prediction ◽  
Family Physicians ◽  
Prediction Tools ◽  
Primary Health ◽  
Cardiovascular Risk Prediction

scholarly journals Cardiovascular Risk Assessment among Adults in Primary Health Care Settings in Sulaimani Using WHO Risk Prediction Charts

2018 ◽  
pp. 150-155
Author(s):  
Vian Najim Edeen ◽  
Zhian Salah Ramzi
Keyword(s):  
Cardiovascular Disease ◽  
Risk Assessment ◽  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Risk ◽  
Risk Prediction ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
World Health ◽  
Primary Health

WHO adopted World Health Organization/International Society of Hypertension (WHO/ISH) risk charts to predict cardiovascular disease risk in low and middle income countries. The aim of this study was to estimate the cardiovascular risk in adults ≥40 years old by using the two versions of the WHO/ISH risk prediction charts “with and without cholesterol”, and to find out the risk by other parameters not found in the chart; also, to evaluate concordance between the two approaches. A cross-sectional study was conducted from August 2016 to February 2017 in two primary health care centers in Sulaimani City among 500 persons aged 40-82 years. The desired information was collected by using a pretested questionnaire; anthropometric measurements and laboratory investigations were also carried out for the participants. Cardiovascular risk was assessed by the WHO/ISH risk prediction charts for the Eastern Mediterranean region in category D. Mean age of the participants was 52.5(±9.55) years and 70.4% of the participants were females. Only 260 participants had the results of total cholesterol and triglycerides. The results revealed that, using the risk assessment charts with and without cholesterol, 22.3% and 19.2% respectively of the study population were in the ten-year cardiovascular risk category of ≥20%. Risk categories were concordant in 86.2% of the population; and when we applied single risk factor approach 51.5% would require drug treatment. The WHO/ISH risk chart is an affordable and simple tool to estimate cardiovascular disease risk. Nearly one fifth of adults aged ≥ 40 years in Sulaimani City are at high-very high risk of developing cardiovascular event in the next ten years as assessed by WHO/ISH risk prediction charts. The use of the without cholesterol version of the chart to estimate cardiovascular disease risk could be useful is settings where cholesterol cannot be measured.

Do primary health care nurses address cardiovascular risk in diabetes patients?

2014 ◽  
Vol 106 (2) ◽  
pp. 212-220 ◽  
Author(s):  
Barbara Daly ◽  
Timothy Kenealy ◽  
Bruce Arroll ◽  
Nicolette Sheridan ◽  
Robert Scragg
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Cardiovascular Risk ◽  
Primary Health ◽  
Primary Health Care Nurses ◽  
Diabetes Patients

scholarly journals Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine

2019 ◽  
Vol 23 ◽  
Author(s):  
Armando Henrique Norman ◽  
Charles Dalcanale Tesser
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Complementary Medicine ◽  
Family Physicians ◽  
Holistic Approach ◽  
Explanatory Models ◽  
Moderate Risk ◽  
Safe Environment ◽  
Primary Health ◽  
Risk Patients

Family physicians have developed a holistic approach to patients’ care which can facilitate a mutual understanding of different Traditional and Complementary Medicine (T&CM) practices. This analytical paper considers three intertwined issues: (1) Ian McWhinney’s critique of biomedical abstractions (i.e., disease categories); (2) The similarity between the cosmology of family medicine’s organismic thinking and homeopathy’s vitalism as an example of T&CM; and (3) The gradient of explanatory models (EMs) to delineate the space within which T&CM can be applied to patients’ care. In primary health care predominates a blend of physiopathological and semiological EMs comprised of low to moderate risk patients. In this scenario, the introduction of T&CM practices can enhance family physicians’ therapeutic scope. Thus, the combination of gradient of EMs, primary health care attributes, and family physicians’ professionalism can provide the required safe environment for implementing T&CM services.

scholarly journals Why are there gaps in our management of those with high cardiovascular risk?

2012 ◽  
Vol 4 (1) ◽  
pp. 21 ◽  
Author(s):  
Fiona Doolan-Noble ◽  
Jocelyn Tracey ◽  
Stewart Mann
Keyword(s):  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Cardiovascular Risk ◽  
New Zealand ◽  
Barriers And Facilitators ◽  
Care Providers ◽  
High Cardiovascular Risk ◽  
Text Data ◽  
Primary Health

INTRODUCTION: Multiple New Zealand and other international studies have identified gaps in the management of those identified at high risk of a future cardiovascular (CV) event. This study sought to explore the views of health professionals about the barriers and facilitators present within the current primary health care system to the optimal management of those at high CV risk. METHODS: This qualitative study utilised a focus group methodology to examine the barriers and facilitators within primary health care (PHC), and employed a general inductive approach to analyse the text data. FINDINGS: The analysis of text data resulted in the emergence of interrelated themes, underpinned by subthemes. The patient, their circumstances and their characteristics and perceptions provided the first key theme and subthemes. The next key theme was primary health care providers, with subthemes of communication and values and beliefs. The general practice was the third theme and included multiple subthemes: implementation planning and pathway development, time and workload and roles and responsibilities. The final main theme was the health system with the subthemes linking to funding and leadership. CONCLUSION: This study determined the factors that act as barriers and facilitators to the effective management of those at high CV risk within the New Zealand PHC sector. General practice has a pivotal role in preventive health care, but to succeed there needs to be a refocusing of the PHC sector, requiring support from policy makers, District Health Boards and Primary Health Organisations, as well as those working in the sector. KEYWORDS: Primary health care; high cardiovascular risk management; general practitioners; practice nurses; barriers; facilitators

scholarly journals Evaluation of the Quality of Services in Primary Health Care Institutions

Medicina ◽  
2011 ◽  
Vol 47 (1) ◽  
pp. 9
Author(s):  
Leonas Valius ◽  
Daiva Rastenytė ◽  
Vilija Malinauskienė ◽  
Daina Krančiukaitė-Butylkinienė
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Physician ◽  
Family Physicians ◽  
Quality Of Services ◽  
Primary Health ◽  
The Family ◽  
Primary Health Care Institutions ◽  
Primary Health Care Settings

The aim of the study was to evaluate patients’ satisfaction with the quality of provided services in private primary health care institutions in Kaunas. Material and Methods. A questionnaire-based inquiry of 280 persons registered to family physicians at primary health care settings was performed. The study was carried out using 20-item anonymous questionnaires with questions about the quality of services provided in primary health care settings. Results. More than 50.0% of the respondents stated that they waited for more than 15 minutes at the physician’s office, while 17.0% of the respondents stated that the waiting time exceeded 30 minutes. More than 25.0% of the respondents positively evaluated the possibility to consult their family physician by phone. In 67.0% of patients, the family physician determined the cause of the disorder and administered treatment; in 32.0% of patients, the family physician referred them to a specialist, and 1.0% of patients were urgently sent to hospital. More than 90.0% of the respondents were satisfied with the services provided by their family physicians. Those who were dissatisfied with these services indicated that the provided treatment failed to eliminate the disorder, that they wanted to be referred to a specialist, and that they expected more diagnostic tests to be performed for more effective treatment. Conclusions. A greater part of the patients indicated that the main reason for long waiting at the physician’s office was physicians’ wish to serve too many patients. More than two-thirds (67.0%) of the patients stated that their family physicians determined the cause of the disorder and prescribed treatment. The overwhelming majority (more than 90.0%) of the patients were satisfied with the services provided by their family physicians.

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