1194-P: Unbinding Constraints on Clinical Inertia and Improving Practices: A Novel Comprehensive Primary Care Approach that Grew a Single Practice of 2,000 Patients to 40,000 Patients in Less than 4 Years

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1194-P
Author(s):  
RICHARD B. AGUILAR ◽  
MERLIN OSORIO ◽  
JOHN MCGOOHAN ◽  
MARLOW HERNANDEZ ◽  
MARY HERMAN ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Inertia ◽  
Care Approach

scholarly journals Primary care approach to frailty: Japan’s latest trial in responding to the emerging needs of an ageing population

2020 ◽  
Vol 2 (1) ◽  
pp. e000049
Author(s):  
Megumi Rosenberg ◽  
Katsunori Kondo ◽  
Naoki Kondo ◽  
Hiroyuki Shimada ◽  
Hidenori Arai
Keyword(s):  
Primary Care ◽  
Ageing Population ◽  
Care Approach

scholarly journals RESPECT-Mil: Feasibility of a Systems-Level Collaborative Care Approach to Depression and Post-Traumatic Stress Disorder in Military Primary Care

2008 ◽  
Vol 173 (10) ◽  
pp. 935-940 ◽  
Author(s):  
Charles C. Engel ◽  
Thomas Oxman ◽  
Christopher Yamamoto ◽  
Darin Gould ◽  
Sheila Barry ◽  
...  
Keyword(s):  
Primary Care ◽  
Post Traumatic Stress Disorder ◽  
Collaborative Care ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Care Approach ◽  
Post Traumatic

Palliative Care For Patients with Advanced COPD in Primary Care

Praxis ◽  
2021 ◽  
Vol 110 (15) ◽  
pp. 902-906
Author(s):  
Tanja Fusi-Schmidhauser
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
Symptom Management ◽  
Quality Care ◽  
Symptom Burden ◽  
High Quality ◽  
High Quality Care ◽  
Care And Support ◽  
Care Approach ◽  
Advance Planning

Abstract. Patients with advanced COPD have a high symptom burden that is often multidimensional. Identification of patients who might benefit from palliative care through validated identification tools, multidimensional symptom management, and timely discussion of advance planning are elements of a palliative care approach for these patients and their families. Coordination among stakeholders providing care and support to these patients is central to ensuring high-quality care and meeting all of their needs.

scholarly journals The Igarau fluvial mobile clinic: Lessons learned while implementing an innovative primary care approach in Rural Amazonia, Brazil

2017 ◽  
Vol 9 (4) ◽  
pp. 41-45 ◽  
Author(s):  
Rocha Kadri Michele ◽  
Rose Wilson Debra ◽  
Cesar Schweickardt Julio ◽  
G. Linn James ◽  
N. Guimaraes Farias Lisandra ◽  
...  
Keyword(s):  
Primary Care ◽  
Lessons Learned ◽  
Mobile Clinic ◽  
Care Approach

scholarly journals ‘SIMPLES’: a structured primary care approach to adults with difficult asthma

2013 ◽  
Vol 22 (3) ◽  
pp. 365-373 ◽  
Author(s):  
Dermot Ryan ◽  
Anna Murphy ◽  
Bjorn Stallberg ◽  
Noel Baxter ◽  
Liam G Heaney
Keyword(s):  
Primary Care ◽  
Care Approach ◽  
Difficult Asthma

Enabling Advance Care Planning in Dementia Care: A Primary Care Approach

2020 ◽  
pp. 082585972097393
Author(s):  
Linda Lee ◽  
Loretta M. Hillier ◽  
Stephanie K. Lu ◽  
Donna Ward
Keyword(s):  
Primary Care ◽  
Advance Care Planning ◽  
Health Professionals ◽  
Online Survey ◽  
Ease Of Use ◽  
Depth Information ◽  
Care Planning ◽  
Care Approach ◽  
Memory Clinics ◽  
Advance Care

Background: Lack of tools to support advance care planning (ACP) has been identified as a significant barrier to implementing these discussions. Aim: We pilot tested an ACP framework tool for use with persons living with dementia (PLWD) in primary care-based memory clinics and an Adult Day Program; this study describes user and recipient experiences with this framework. Methods: We used a mixed methods approach. Health professionals completed an online survey following pilot testing and PLWD and substitute decision makers (SDM) completed survey immediately following the ACP discussion assessing their satisfaction (5-point scale) with the framework and exploring potential outcomes. Interviews with health professionals, PLWD, and SDM were conducted to gather more in-depth information on their perceptions of the ACP framework/ discussion. Results: Surveys were completed by 12 health professionals, 13 PLWD, and 16 SDM. While PLWD and SDM were satisfied with the ACP discussion (M = 4.0/5), health professionals were minimally satisfied with the ease of use of the framework (M = 2.0/5), acceptability for patients (M = 2.4/5) and feasibility in practice (M = 1.9/5). Sixteen interviews were completed with 8 health professionals, 1 PLWD, and 7 SDM. While health professionals valued ACP, lack of time and training were identified barriers to framework use. SDM felt better prepared for future decisions and PLWD were put at ease, knowing that their wishes for care were understood. Conclusion: PLWD and SDM value the opportunity for ACP, and although health professionals identified some concerns with framework administration, they acknowledge the value and importance of ACP. Continuing efforts to refine ACP processes are justified.

Primary care approach to dysphonia

2010 ◽  
Vol 142 (3) ◽  
pp. 310-314 ◽  
Author(s):  
Richard Turley ◽  
Seth Cohen
Keyword(s):  
Primary Care ◽  
Care Approach
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