scholarly journals Dyspepsia in primary care practice in Bangladesh

2014 ◽  
Vol 42 (2) ◽  
pp. 63-69 ◽  
Author(s):  
M Hasan
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Eradication Rate ◽  
Primary Care Practice ◽  
Treatment Options ◽  
Care Practice ◽  
Helicobactor Pylori ◽  
Primary Care Settings ◽  
H Pylori

Dyspepsia generally refers to pain or discomfort in epigastric region. It is a common problem in the community and clinical practice. It affects quality of life, productivity and causes significant resources utilization. There are a number of different causes of dyspepsia which varies from country to country. But the commonest cause in all the countries is functional dyspepsia. Investigations needed to diagnose the cause of dyspepsia are many and treatment options also vary. Consequently different scientific bodies have issued guidelines regarding the management strategy of this common disorder. But the strategy should depend on local prevalence of Helicobactor pylori infection, available health care resources and underlying serious diseases. Most dyspeptic patients are managed by primary care physicians. In Bangladesh, investigation facilities are lacking in most parts of the country. Furthermore, eradication rate of H. pylori is low and recurrence rate is high. In this article, we have reviewed the current evidences and recommendations on evaluation and treatment of dyspepsia and discussed the preferred option in primary care settings in Bangladesh. DOI: http://dx.doi.org/10.3329/bmj.v42i2.18989 Bangladesh Med J. 2013 May; 42 (2): 63-69

scholarly journals Cross-sectional study evaluating the association between integrated care and health-related quality of life (HRQOL) in Dutch primary care

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e040781
Author(s):  
Pim P Valentijn ◽  
Marcel Kerkhoven ◽  
Jantien Heideman ◽  
Rosa Arends
Keyword(s):  
Primary Care ◽  
Integrated Care ◽  
Primary Care Practice ◽  
Anxiety And Depression ◽  
Care Practice ◽  
Cross Sectional ◽  
Practice Population ◽  
Related Quality ◽  
Health Related

ObjectivesThe aim of this study was to evaluate the association between integrated care and health-related quality of life (HRQOL) in a primary care practice population.DesignA cross-sectional survey study.SettingPrimary care practice population.ParticipantsA sample (n=5562) of patients in two general practitioner practices in the Netherlands.Primary outcome measuresThe Rainbow Model of Integrated Care Measurement Tool patient version and EQ-5D was used to assess integrated service delivery and HRQOL. The association between integrated care and HRQOL groups was analysed using multivariate logistic regression.ResultsOverall, 933 respondents with a mean age of 62 participated (20% response rate) in this study. The multivariate analysis revealed that positive organisational coordination experiences were linked to better HRQOL (OR=1.87, 95% CI 1.18 to 2.95), and less anxiety and depression problems (OR=0.36, 95% CI 0.20 to 0.63). Unemployment was associated with a poor HRQOL (OR=0.15, 95% CI 0.08 to 0.28). Ageing was associated with more mobility (OR=1.06, 95% CI 1.04 to 1.09), self-care (OR=1.06, 95% CI 1.02 to 1.11), usual activity (OR=1.03, 95% CI 1.01 to 1.05) and pain problems (OR=1.02, 95% CI 1.01 to 1.04). Being married improved the overall HRQOL (OR=1.60, 95% CI 1.13 to 2.26) and decreased anxiety and depression (OR=0.47, 95% CI 0.31 to 0.72). Finally, females had a poor overall HRQOL (OR=1.67, 95% CI 0.48 to 0.93) and more pain and discomfort problems (OR=1.47, 95% CI 1.11 to 1.95).ConclusionThis study shows for the first time that organisational coordination activities are positively associated with HROQL of adult patients in a primary care context, adding to the evidence of an association between integrated care and HRQOL. Also, unemployment, ageing and being female are accumulating risk factors that should be considered when designing integrated primary care programmes. Further research is needed to explore how various integration types relate to HRQOL for people in local communities.

Improving the Quality of Diabetes Care in Primary Care Practice

2004 ◽  
Vol 26 (4) ◽  
pp. 14-21 ◽  
Author(s):  
Janice C. Zgibor ◽  
Harsha Rao ◽  
Jacqueline Wesche-Thobaben ◽  
Nancie Gallagher ◽  
Janis McWilliams ◽  
...  
Keyword(s):  
Primary Care ◽  
Diabetes Care ◽  
Primary Care Practice ◽  
Care Practice ◽  
Quality Of Diabetes Care

scholarly journals Opioid Addiction and Abuse in Primary Care Practice: A Comparison of Methadone and Buprenorphine as Treatment Options

2012 ◽  
Vol 104 (7-8) ◽  
pp. 342-350 ◽  
Author(s):  
Jean Bonhomme ◽  
Ruth S. Shim ◽  
Richard Gooden ◽  
Dawn Tysu ◽  
George Rust
Keyword(s):  
Primary Care ◽  
Primary Care Practice ◽  
Treatment Options ◽  
Opioid Addiction ◽  
Care Practice

scholarly journals Call your doctor: prospective description study of telemedicine during the first COVID-19 outbreak in a Swiss primary care practice

2020 ◽  
Author(s):  
Joëlle Suillot ◽  
Sophie Zuercher ◽  
Lydie Zufferey ◽  
Julien Sagez
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Primary Care Practice ◽  
Emergency Services ◽  
Phone Call ◽  
Categorical Variables ◽  
Care Practice ◽  
Or Groups ◽  
Swiss Primary Care

Abstract Background: Telemedicine is a healthcare assistance method which has been promoted during the COVID-19 pandemic for the management of patients. The aim of this study is to quantify the type of request that primary care physicians are experiencing, as well as the healthcare assistance modalities and ultimately, how many physical consultations are necessary.Methods: We conducted a prospective, descriptive study in a primary care practice in Switzerland on telephone consultations related to COVID-19. The data collected included the reasons for the call, symptoms, healthcare assistance modalities and follow-up. The categorical variables are expressed as percentages of the total cases or groups.Results: We included 200 calls corresponding to 113 patients. The majority of patients (76.1%) were taken care of solely through telemedicine. The physical consultations were due to the need: for a swab test (12.4%), for a somatic assessment at the practice (9.7%) and for an emergency services consultation (1.8%). In 64.6% of cases, patient assistance required only one phone call. Calls lasted 7.85 minutes on average and were more frequent on Mondays (24%) and Fridays (18.5%). Calls led to the prescription of medication in 12.5% of cases, of a bronchodilator in 3% of cases and of an antibiotic in 0.5% of cases.Conclusion: A rigorous telephone follow-up strategy carried out by primary care physicians requires few physical consultations in patients showing symptoms of COVID-19.

scholarly journals Impact of Interprofessional Primary Care Practice on Patient Outcomes: A Scoping Review

SAGE Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 215824402093589
Author(s):  
Livia R. M. McCutcheon ◽  
Stuart T. Haines ◽  
Ruta Valaitis ◽  
Deborah A. Sturpe ◽  
Grant Russell ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Primary Care Practice ◽  
Collaborative Practice ◽  
Economic Outcomes ◽  
Future Research ◽  
Care Practice ◽  
Interprofessional Collaborative Practice ◽  
Primary Care Settings ◽  
The Impact

Systematic reviews have provided some insight into the impact of interprofessional collaborative practice on patient outcomes. Despite strong interest in interprofessional collaborative practice, relatively little is known about its impact in primary care settings. This scoping literature review describes the essential elements of an interprofessional primary care practice and explores what is known about its impact on patient care including clinical, humanistic, and economic outcomes. We completed a review of the literature examining the breadth of knowledge related to interprofessional collaborative practice in primary care settings. A search was conducted to identify studies based on predefined criteria. A total of 51 studies met the criteria. A total of 27 studies reported a significantly positive clinical outcome with the interprofessional collaborative practice model, 27 studies reported no difference, and one study reported negative outcome in mortality. A total of 15 studies reported a significantly positive humanistic outcome. There was little to no difference in economic outcomes. This study provides new insights for future research that examines the impact of interprofessional primary care practice.

Transition for Youth With Chronic Conditions: Primary Care Physicians’ Approaches

PEDIATRICS ◽  
2002 ◽  
Vol 110 (Supplement_3) ◽  
pp. 1315-1321 ◽  
Author(s):  
Peter Scal
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Chronic Conditions ◽  
Primary Care Physicians ◽  
Care Transitions ◽  
Transition Services ◽  
Professional Organizations ◽  
Care Practice ◽  
Primary Care Settings ◽  
Health Care Transitions

Since the US Surgeon General’s conference on health care transitions in 1989, transition from pediatric to adult-oriented health care for youth with chronic conditions continues to develop as an important issue among youth, parents, and health professionals. Key professional organizations, public agencies, and disease-specific organizations have promoted research on transition and the development of transition services. Although there is evidence of the advancement of the science and practice of transition in the context of subspecialty medical care, the same may not be true for transition in the context of primary care practice. Little has been written about the role of the primary care provider in facilitating transition, and little is published in the medical literature about how transition occurs in primary care settings.

scholarly journals Primary Care Practice Addressing Child Overweight and Obesity: A Survey of Primary Care Physicians at Four Clinics in Southern Appalachia

2011 ◽  
Vol 104 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Nicole Holt ◽  
Karen E. Schetzina ◽  
William T. Dalton ◽  
Fred Tudiver ◽  
Hazel Fulton-Robinson ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Primary Care Practice ◽  
Overweight And Obesity ◽  
Care Practice ◽  
Southern Appalachia ◽  
Child Overweight

Adjustment disorder with anxiety: Care practice

2015 ◽  
Vol 30 (S2) ◽  
pp. S8-S8
Author(s):  
D. Stein
Keyword(s):  
Primary Care ◽  
Randomized Clinical Trials ◽  
Psychiatric Symptoms ◽  
Rebound Effect ◽  
Adjustment Disorder ◽  
Care Practice ◽  
Double Blind ◽  
Primary Care Settings ◽  
Few Data

Adjustment disorder with anxiety (ADWA) is a highly prevalent condition, particularly in primary care practice. Adjustment disorders significantly impair patients’ quality of life, but there are relatively few systematic treatment trials in the area of ADWA, and there are few data on predictors of treatment response. Here we review the limited pharmacotherapy data available on the treatment of ADWA. In primary care settings benzodiazepines are frequently prescribed for psychiatric symptoms, despite their adverse event profile and their potential risk for dependence. The non-benzodiazepine drug etifoxine is a promising agent insofar as it is not associated with dependence. Its efficacy and safety have been evaluated in three double-blind randomized clinical trials in comparison with non-benzodiazepine (buspirone) and benzodiazepines (lorazepam and alprazolam) . The three trials point to the anxiolytic properties of etifoxine, demonstrating an overall clinical improvement of patients, and no risk for dependence or rebound effect. In conclusion, even if benzodiazepines are often used for the treatment of ADWA, other therapeutic options are possible, with a better safety profile.

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