scholarly journals An Italian Guidance Model for the Management of Suspected or Confirmed COVID-19 Patients in the Primary Care Setting

2020 ◽  
Vol 8 ◽  
Author(s):  
Noemi Lopes ◽  
Federica Vernuccio ◽  
Claudio Costantino ◽  
Claudia Imburgia ◽  
Cesare Gregoretti ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Service ◽  
Care Setting ◽  
Primary Care Setting ◽  
Preventive Measures ◽  
General Medicine ◽  
First Aid ◽  
Number Of Patients ◽  
Guidance Model

An outbreak of Severe Acute Respiratory Syndrome Coronavirus 2 started in China's Hubei province at the end of 2019 has rapidly become a pandemic. In Italy, a great number of patients was managed in primary care setting and the role of general practitioners and physicians working in the first-aid emergency medical service has become of utmost importance to coordinate the network between the territory and hospitals during the pandemic. Aim of this manuscript is to provide a guidance model for the management of suspected, probable, or confirmed cases of SARS-CoV-2 infection in the primary care setting, from diagnosis to treatment, applying also the recommendations of the Italian Society of General Medicine. Moreover, this multidisciplinary contribution would analyze and synthetize the preventive measures to limit the spread of SARS-CoV-2 infection in the general population as well as the perspective for vaccines.

scholarly journals The Role of Behavioral Health in Optimizing Care for Complex Patients in the Primary Care Setting

2015 ◽  
Vol 31 (3) ◽  
pp. 265-267 ◽  
Author(s):  
Martha C. Ward ◽  
Benjamin F. Miller ◽  
Vincent C. Marconi ◽  
Nadine J. Kaslow ◽  
Eugene W. Farber
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Care Setting ◽  
Primary Care Setting ◽  
Complex Patients

scholarly journals Barriers to End-of-life Discussions in the Primary Care Setting

2020 ◽  
pp. 12-15
Author(s):  
Devon Boydstun ◽  
Shandra Basil ◽  
JIll Porter ◽  
Anand Gupta
Keyword(s):  
Primary Care ◽  
End Of Life ◽  
Primary Care Physicians ◽  
Care Setting ◽  
Primary Care Setting ◽  
Age Difference ◽  
Advanced Directives ◽  
Healthcare Facilities ◽  
Number Of Patients ◽  
Study Population

Background: The Patient Self Determination Act was passed in 1991 and requires healthcare facilities to present patients with information regarding advanced directives. Since that time, there has been no improvement in the number of patients reported to have had such discussions. Numerous barriers to these discussions exist both on the patient and provider side. This study aims to identify barriers to end of life discussions among providers in the primary care setting. Methods: The study population included practicing primary care physicians in the OhioHealth system. They were administered an anonymous questionnaire addressing demographic information and questions specific to end of life discussions and what barriers exist. Results: A majority of primary care physicians reported engaging in end of life discussions with their patients. A majority of physicians cited lack of time as a barrier to having these discussions. There was a statistically significant age difference among primary care physicians who reported they have end of life discussions with their patients and among these physicians there was a statistically significant increase in their level of comfort having these discussions. Conclusion: Primary care physicians further into their career reported having end of life discussions more frequently and felt more comfortable doing so. Additionally, physicians cite lack of time as the most common barrier to holding end of life discussions.

scholarly journals Australian practice nurses’ perceptions of their role and competency to provide nutrition care to patients living with chronic disease

2014 ◽  
Vol 20 (2) ◽  
pp. 203 ◽  
Author(s):  
Sarah Cass ◽  
Lauren Ball ◽  
Michael Leveritt
Keyword(s):  
Primary Care ◽  
Chronic Disease ◽  
Nutrition Education ◽  
Care Setting ◽  
Primary Care Setting ◽  
Practice Nurses ◽  
Nutrition Care ◽  
Nurses Perceptions ◽  
Basic Level

Nutrition is important in the management of chronic disease, and practice nurses in the Australian primary care setting are increasingly providing nutrition care to patients living with chronic disease. The aim of the present study was to investigate practice nurses’ perceptions of their role and competency to provide nutrition care to patients living with chronic disease in Australia. Twenty practice nurses currently employed in general practice participated in an individual semi-structured telephone interview. Interviews were transcribed verbatim and thematically analysed. Practice nurses perceived themselves to be in a prime position to provide opportunistic nutrition care to patients. Participants perceived that the ideal role of a practice nurse is to advocate for nutrition and provide a basic level of nutrition care to patients; however, the interpretation of the term ‘basic’ varied between participants. Participants perceived that practice nurses are highly trusted and approachable, which they valued as important characteristics for the provision of nutrition care. Barriers to providing nutrition care included time constraints, lack of nutrition knowledge and lack of confidence. Participants were concerned about the availability and accessibility of nutrition education opportunities for practice nurses. The present study has demonstrated that practice nurses perceive themselves as having a significant role in the provision of nutrition care to patients with chronic disease in the Australian primary care setting. Further investigation of strategies to enhance the effectiveness of nutrition care provision by practice nurses is warranted.

scholarly journals No Ifs, Ands, or Buts: Leveraging Population Health to Focus on the Care of Patients Who Smoke

2017 ◽  
Vol 4 ◽  
pp. 238212051773501
Author(s):  
Jenny K Cohen ◽  
Allison Bakamjian ◽  
Lisa Leng ◽  
Mili Adhikari ◽  
Davida Flattery ◽  
...  
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Population Health ◽  
Care Setting ◽  
Primary Care Setting ◽  
Clinical Knowledge ◽  
Smoking Cessation Counseling ◽  
Panel Management ◽  
Number Of Patients ◽  
Before And After

We developed a multidisciplinary curriculum to improve our residents’ proficiency with smoking cessation counseling and prescribing of nicotine replacement therapy (NRT). The curriculum included a didactic portion, informational handouts, and a panel management component during which residents did telephone outreach and clinic in-reach to address high rates of smoking among patients. Residents rated their confidence with smoking cessation counseling and clinical knowledge before and after the intervention. We also tracked the number of patients flagged in the electronic medical record as smokers, the number of patients contacted, and the number of patients who received counseling. Although we did not make statistically significant improvements in perceived confidence with prescribing NRT, we found that there is an urgent need to address smoking cessation in the primary care setting and that working with a clinical pharmacist and psychologist offered a comprehensive approach. Furthermore, by anchoring the intervention with a population health component, almost 200 patients benefited from outreach efforts.

scholarly journals Audit of a psychiatric liaison service – the value of general practice casenotes

1990 ◽  
Vol 14 (12) ◽  
pp. 727-729 ◽  
Author(s):  
Sheila M. Curran ◽  
Ian M. Pullen
Keyword(s):  
Primary Care ◽  
General Practice ◽  
General Practitioners ◽  
Care Setting ◽  
Primary Care Setting ◽  
Number Of Patients

The practice of out-patient psychiatry has undergone a number of significant developments in recent years: the number of patients referred by general practitioners has steadily increased: a large number of psychiatrists are now seeing patients in the primary care setting and more patients are being seen on one occasion only.

Age and Mental Health Status Differences in Medical Service Utilization in an Integrated Primary Care Setting

2004 ◽  
Vol 27 (4) ◽  
pp. 71-82
Author(s):  
David C. Speer ◽  
Larry W. Dupree ◽  
Celestino Vega ◽  
Myra G. Schneider ◽  
Jini M. Hanjian ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Status ◽  
Service Utilization ◽  
Medical Service ◽  
Care Setting ◽  
Primary Care Setting ◽  
Integrated Primary Care ◽  
Medical Service Utilization ◽  
Status Differences
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