Worksite Clinics

2014 ◽  
pp. 149-167
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Occupational Injuries ◽  
Work Related ◽  
Healthcare Environment ◽  
Outcomes Of Care ◽  
Primary Care Health ◽  
Manufacturing Sectors ◽  
Care Health ◽  
New Generation

In this chapter, the evolution and growth of worksite clinics is discussed. Worksite clinics are not a new phenomenon. Prior to the 1980s, many large employers operated onsite company clinics to treat work-related injuries. However, many of these clinics closed in the 1980s and 1990s because of the decline in heavy industry and manufacturing sectors and the reduction in workplace hazards. Recently, there has been a significant resurgence of worksite clinics. The new generation of clinics is markedly different in that their main focus is on primary care, health promotion, and wellness rather than occupational injuries. The authors discuss in-depth the operations, stakeholders, and outcomes of care in worksite clinics. They predict that worksite clinics seem to be well positioned to thrive in a post-reform healthcare environment.

scholarly journals Primary Care, Health Promotion, and Disease Prevention with Michigan Medicaid Expansion

2019 ◽  
Vol 35 (3) ◽  
pp. 800-807 ◽  
Author(s):  
Susan Dorr Goold ◽  
Renuka Tipirneni ◽  
Tammy Chang ◽  
Matthias A. Kirch ◽  
Corey Bryant ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Disease Prevention ◽  
Medicaid Expansion ◽  
Primary Care Health ◽  
Care Health

scholarly journals Service use of older people who participate in primary care health promotion: a latent class analysis

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
John A. Ford ◽  
Kalpa Kharicha ◽  
Caroline S. Clarke ◽  
Allan Clark ◽  
Steve Iliffe ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Older People ◽  
Latent Class Analysis ◽  
Service Use ◽  
Latent Class ◽  
Class Analysis ◽  
Primary Care Health ◽  
Care Health

scholarly journals Do electronic reminders alter recorded diagnoses in primary care office-hours practices of health centers: A register-based study in a Finnish city

2021 ◽  
Vol 9 ◽  
pp. 205031212110361
Author(s):  
Mika Lehto ◽  
Kaisu Pitkälä ◽  
Ossi Rahkonen ◽  
Merja K Laine ◽  
Marko Raina ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Health Centers ◽  
Health Record ◽  
Record System ◽  
Electronic Reminder ◽  
Primary Health ◽  
Primary Care Health ◽  
Before And After ◽  
Care Health

Objectives: One purpose of electronic reminders is improvement of the quality of documentation in office-hours primary care. The aim of this study was to evaluate how implementation of electronic reminders alters the rate and/or content of diagnostic data recorded by primary care physicians in office-hours practices in primary care health centers. Methods: The present work is a register-based longitudinal follow-up study with a before-and-after design. An electronic reminder was installed in the electronic health record system of the primary health care of a Finnish city to remind physicians to include the diagnosis code of the visit in the health record. The report generator of the electronic health record system provided monthly figures for the number of various recorded diagnoses by using the International Classification of Diseases, 10th edition, and the total number of visits to primary care physicians, thus allowing the calculation of the recording rate of diagnoses on a monthly basis. The distribution of diagnoses before and after implementing ERs was also compared. Results: After the introduction of the electronic reminder, the rate of diagnosis recording by primary care physicians increased clearly from 39.7% to 87.2% (p < 0.001). The intervention enhanced the recording rate of symptomatic diagnoses (group R) and some chronic diseases such as hypertension, type 2 diabetes and other soft tissue disorders. Recording rate of diagnoses related to diseases of the respiratory system (group J), injuries, poisoning and certain other consequences of external causes (group S), and diseases of single body region of the musculoskeletal system and connective tissue (group M) decreased after the implementation of electronic reminders. Conclusion: Electronic reminders may alter the contents and extent of recorded diagnosis data in office-hours practices of the primary care health centers. They were found to have an influence on the recording rates of diagnoses related to chronic diseases. Electronic reminders may be a useful tool in primary health care when attempting to change the behavior of primary care physicians.

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