scholarly journals ‘Just asking the question’: a qualitative study of health professionals’ experiences and perceptions of recording torture in vulnerable migrants in primary care settings

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X702929
Author(s):  
Gemma Whyatt ◽  
Max Cooper
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Care Setting ◽  
Research Study ◽  
Political Factors ◽  
Factors Affecting ◽  
Qualitative Research Study ◽  
Primary Care Settings ◽  
Targeted Screening ◽  
Survivors Of Torture

BackgroundA large proportion of vulnerable migrants may be survivors of torture, with complex health needs as a result; yet there is a lack of guidance or understanding of how to identify and record signs of torture. Clinical professionals in primary care are in a unique position to care for and support this patient population.AimThe primary aim of this study was to explore the primary care context of how signs of torture could be better recorded to support patients and meet their needs.MethodThis was a qualitative research study conducted through remote interviews with health professionals from a range of clinical backgrounds and experience of working with survivors of torture.ResultsTwelve health professionals participated in the study, with results analysed using applied thematic analysis. Seven themes were identified, ranging from the barriers to asking about and disclosing torture, the underlying purpose of doing so, political factors affecting this issue and various ways to potentially improve recording torture.ConclusionBefore clinical professionals can record torture, they must first ask the patient about it as survivors are unlikely to raise the topic themselves. Many clinical professionals lack the awareness or confidence to do this, thereby warranting further discussion on strategies to educate clinical professionals about torture. Accessible guidance and a simple, systematic method to identify survivors of torture which is suitable for a primary care setting is necessary, with suggestions for further research including routine enquiry and targeted screening.

Tailoring Communications for Primary Care Settings

1998 ◽  
Vol 37 (02) ◽  
pp. 171-178 ◽  
Author(s):  
B. Glassman ◽  
B. K. Rimer
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Contact Time ◽  
Behavioral Changes ◽  
Patient Specific ◽  
Specific Information ◽  
Medical Settings ◽  
Primary Care Settings ◽  
Professional Contact ◽  
Tailored Communications

AbstractIn more and more medical settings, physicians have less and less time to be effective communicators. To be effective, they need accurate, current information about their patients. Tailored health communications can facilitate positive patient-provider communications and foster behavioral changes conducive to health. Tailored communications (TCs) are produced for an individual based on information about that person. The focus of this report is on tailored print communications (TPCs). TPCs also enhance the process of evaluation, because they require a database and the collection of patient-specific information. We present a Tailoring Model for Primary Care that describes the steps involved in creating TPCs. We also provide examples from three ongoing studies in which TPCs are being used in order to illustrate the kinds of variables used for tailoring the products that are developed and how evaluation is conducted. TPCs offer opportunities to expand the reach of health professionals and to give personalized, individualized massages in an era of shrinking professional contact time.

Screening Younger Individuals in a Primary Care Setting Flags Putative Dementia Cases and Correlates Gastrointestinal Diseases with Poor Cognitive Performance

2016 ◽  
Vol 43 (1-2) ◽  
pp. 15-28 ◽  
Author(s):  
Ilka M. Rosa ◽  
Ana Gabriela Henriques ◽  
Liliana Carvalho ◽  
Joana Oliveira ◽  
Odete A.B. da Cruz e Silva
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Gastrointestinal Disease ◽  
Gastrointestinal Diseases ◽  
Diagnostic Tools ◽  
Clinical Dementia Rating ◽  
Dementia Prevalence ◽  
Dementia Screening ◽  
Primary Care Settings

Background/Aims: Diagnosing dementia is challenging in many primary care settings, given the limited human resources and the lack of current diagnostic tools. With this in mind, a primary care-based cohort was established in the Aveiro district of Portugal. Methods: A total of 568 participants were evaluated using cognitive tests and APOE genotyping. Results: The findings revealed a dementia prevalence of 12%. A strong correlation between increasing Clinical Dementia Rating (CDR) scores and education was clearly evident. Other highly relevant risk factors were activities of daily living (ADL), instrumental ADL, aging, depression, gender, the APOE ε4 allele, and comorbidities (depression as well as gastrointestinal, osteoarticular, and neurodegenerative diseases). A hitherto unreported, significant correlation between gastrointestinal disease and high CDR score was clearly observable. Conclusions: This study shows the merit of carrying out a dementia screening on younger subjects. Significantly, 71 subjects in the age group of 50-65 years were flagged for follow-up studies; furthermore, these cases with a potentially early onset of dementia were identified in a primary care setting.

scholarly journals Physical activity promotion in the health care setting in Switzerland

2014 ◽  
Vol 62 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Professionals ◽  
Care Setting ◽  
Physical Activity Promotion ◽  
Health Care Setting ◽  
Primary Health ◽  
Activity Promotion

The role of regular physical activity for population health has been clearly documented. Improvements in population levels of physical activity require long-term implementation of a combination of measures, including the evidence based approaches described in the “seven best investments for physical activity” (www.globalpa.org.uk): whole-of-school programmes, transport, urban planning, integration of physical activity promotion into primary health care systems, public education, community-wide programmes, sport for all. The health care setting has a particular role in this context, particularly in its access to physically inactive individuals. Switzerland has seen a number of successful research projects in this field, but there has been no wide adaptation of these approaches in the medical community. In recent years, a group of institutions including the Swiss College of Primary Care Medicine, the Policlinique Médicale Universitaire in Lausanne, the Ligue Vaudoise contre les Maladies Cardiovasculaires and the Institute of Social and Preventive Medicine of the University of Zurich have therefore focussed on the development of a physical activity counselling approach based on international evidence as well as on established tools, but streamlined to the specific demands of primary health care providers in Switzerland. PAPRICA (Physical Activity Promotion in Primary Care, www.paprica.ch) has been the result of these developments, and nearly 300 health professionals, most of them primary care physicians, have been successfully trained so far. PAPRICA is implemented together with the Swiss Society for Sports Medicine and a number of regional partners. The development of a national programme structure is currently under preparation. This will allow Switzerland to explore and better use the potential of physicians and other health professionals in the promotion of physical activity and in the fight against non-communicable diseases.

Weight Communication: How Do Health Professionals Communicate about Weight with Their Patients in Primary Care Settings?

2020 ◽  
pp. 1-7
Author(s):  
Stephanie Aboueid ◽  
Rukhsana Ahmed ◽  
Monika Jasinska ◽  
Catherine Pouliot ◽  
Billie Jane Hermosura ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Primary Care Settings

scholarly journals Patient Safety Culture Assessment in Primary Care Settings in Greece

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 880
Author(s):  
Ioannis Antonakos ◽  
Kyriakos Souliotis ◽  
Theodora Psaltopoulou ◽  
Yannis Tountas ◽  
Maria Kantzanou
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Safety Culture ◽  
Health Professionals ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool ◽  
Primary Care Settings

Introduction: A positive safety culture is considered a pillar of safety in health organizations and the first crucial step for quality health services. In this context, the aim of this study was to set a reference evaluation for the patient safety culture in the primary health sector in Greece, based on health professionals’ perceptions. Methods: We used a cross-sectional survey with a 62% response rate (n = 459), conducted in primary care settings in Greece (February to May 2020). We utilized the “Medical Office Survey on Patient Safety Culture” survey tool from the Agency for Healthcare Research and Quality (AHRQ). The study participants were health professionals who interacted with patients from 12 primary care settings in Greece. Results: The most highly ranked domains were: “Teamwork” (82%), “Patient Care Tracking/Follow-up” (80% of positive scores), and “Organizational Learning” (80%); meanwhile, the lowest-ranked ones were: “Leadership Support for Patient Safety” (62%) and “Work Pressure and Pace” (46%). The other domains, such as “Overall Perceptions of Patient Safety and Quality” (77%), “Staff Training“ (70%), “Communication about Error” (70%), “Office Processes and Standardization” (67%), and “Communication Openness” (64%), ranked somewhere in between. Conclusions: A positive safety culture was identified in primary care settings in Greece, although weak areas concerning the safety culture should be addressed in order to improve patient safety.

scholarly journals Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting

2018 ◽  
Vol 9 ◽  
pp. 215013271875921 ◽  
Author(s):  
Lisa A. Mueller ◽  
Alexa Sevin Valentino ◽  
Aaron D. Clark ◽  
Junan Li
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Time Frame ◽  
Primary Objective ◽  
Completion Rate ◽  
Primary Care Settings ◽  
Significant Difference ◽  
Referral Completion ◽  
Time Frames

Objectives: The primary objective of this study was to determine the effect of a pharmacist-provided spirometry service within a federally qualified health center on the percentage of spirometry referrals completed with results reviewed by the ordering provider. Secondary objectives evaluated differences between internal and external referrals, medication recommendations made by the pharmacist, and revenue brought in by the service. Methods: Chart reviews were completed to determine the referral completion rates between patients who received a spirometry referral before (December 2014–September 2015) and after (January 2016–October 2016) the implementation of the pharmacy-provided spirometry service. Chart reviews were also used to determine the number and completion rate among referrals for internal and external services in the postimplementation time frame. Chart reviews also assessed medication recommendations made by the pharmacist. Results: The results demonstrate an increase in referral completion rate from 38.1% to 47.0% ( P = .08) between the pre- and postimplementation time frames. In the postimplementation time frame, there was a statistically significant difference in the percentage of referrals completed between in-house referrals and external referrals (70.0% and 40.9%, respectively, P = .0004). Comparing clinics with and without the spirometry service, there was a statistically significant difference in the total number of spirometry referrals (1.13% and 0.59%, respectively, P < .0001) and the percent of referrals completed (0.55% and 0.27%, respectively, P = .0002). Conclusion: The results suggest that offering spirometry within the primary care setting helps to increase the rate of completed spirometry tests with results available to the primary care provider. Additionally, the results show that there is an increased completion rate in patients who receive an internal spirometry referral, which may be due to reduced barriers in obtaining this testing. Overall, these results demonstrate that providing spirometry in the primary care setting helps to increase spirometry results obtained and could be beneficial in other primary care settings.

scholarly journals Factors affecting satisfaction with education program for chronic airway disease in primary care settings

2017 ◽  
Vol 9 (7) ◽  
pp. 1911-1918 ◽  
Author(s):  
Andrew Kim ◽  
Yong Il Hwang ◽  
Joo Hee Kim ◽  
Seung Hun Jang ◽  
Sunghoon Park ◽  
...  
Keyword(s):  
Primary Care ◽  
Education Program ◽  
Airway Disease ◽  
Factors Affecting ◽  
Primary Care Settings ◽  
Chronic Airway Disease ◽  
Satisfaction With Education ◽  
Chronic Airway

Scottish Psychiatrists in Primary Health-Care Settings

1988 ◽  
Vol 153 (5) ◽  
pp. 663-666 ◽  
Author(s):  
Ian M. Pullen ◽  
Alex J. Yellowlees
Keyword(s):  
Primary Care ◽  
Rural Areas ◽  
Care Setting ◽  
Primary Care Setting ◽  
Health Care Settings ◽  
Primary Care Settings ◽  
Practice Experience ◽  
Primary Health ◽  
Similar Survey ◽  
Primary Health Care Settings

There has been a growing number of reports of psychiatrists moving out into primary-care settings. We report a survey of consultant psychiatrists to assess the extent of this practice in Scotland. Some time spent in the primary-care setting was reported by 56%, the figures being highest in rural areas. An equal number of non-consultant medical staff were involved. Most schemes were initiated by psychiatrists, over half of whom had had some postgraduate general-practice experience. A similar survey in England and Wales showed that only 19% of consultant psychiatrists spent time in primary-care settings, a smaller proportion of non-consultant staff being involved. The value of working in primary-care settings has yet to be assessed.

scholarly journals Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program

2020 ◽  
Vol 17 (17) ◽  
pp. 6248
Author(s):  
Antonio Jesús Ramos-Morcillo ◽  
David Harillo-Acevedo ◽  
David Armero-Barranco ◽  
César Leal-Costa ◽  
José Enrique Moral-García ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Health Professionals ◽  
Best Practice ◽  
Research Study ◽  
Structured Interviews ◽  
Qualitative Research Study ◽  
Implementation Program

International institutions facilitate the contact of health professionals to evidence-based recommendations for promoting exclusive breast feeding (BF). However, the achievement of good rates of exclusive BF is still far from the optimum. The intention of the present work is to determine the barriers identified by managers and health professionals involved in the implementation and sustainability of Clinical Practice Guidelines (CPG) for breastfeeding under the auspices of the Best Practice Spotlight Organization program. A qualitative research study was carried out. The participants were managers, healthcare assistants, nurses, midwives, pediatricians and gynecologists. Semi-structured interviews were conducted which were transcribed and analyzed using the six steps of thematic analysis. Twenty interviews were conducted, which defined four major themes: (1) Lack of resources and their adaptation; (2) Where, Who and How; (3) Dissemination and reach of the project to the professionals; and (4) The mother and her surroundings. This research identifies the barriers perceived by the health professionals involved in the implementation, with the addition of the managers as well. Novel barriers appeared such as the ambivalent role of the midwives and the fact that this CPG is about promoting health. The efforts for promoting the implementation program should be continuous, and the services should be extended to primary care.

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