scholarly journals Epidemiological profile of orthopedics and traumatology patients in Palmas, Tocantins, Brazil

2021 ◽  
Vol 43 ◽  
pp. e54797
Author(s):  
Ediana Vasconcelos da Silva ◽  
Kércio Jeaneryson Nogueira de Sousa Leite ◽  
Roqueline Ametila e Gloria Martins de Freitas Aversi-Ferreira ◽  
Tales Alexandre Aversi-Ferreira
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Health Professionals ◽  
Vertebral Column ◽  
Epidemiological Studies ◽  
National Plan ◽  
General Picture ◽  
Treatment Plans ◽  
Epidemiological Profile ◽  
Promotion Process

Epidemiological studies, both in general and specifically, are part of the health promotion process and prophylactic actions that can generate treatment plans for a population, however, the accomplishment of prophylactic work in relation to musculoskeletal (i.e., traumatological) problems must start from the specific and go to the general, from cities to a national plan, since each population has its own characteristics in the general picture of conditions. Hypothetically, the epidemiological profile in traumatology and orthopedics, due to the general behavior in the national territory, presents the lack of prevention; in this way, is necessary to verify. This work aims to determine the incidence of orthopedic and traumatological problems in the region of Palmas, state of Tocantins (TO), Brazil, in order to contribute to a possible prophylactic plan for the population of the region. The data of the present study agree with most other studies about the orthopedic profile in terms of gender, age and problems with vertebral column, in general. However, the finding that most of the conditions were associated with scoliosis was unexpected, as it differs from the findings of most studies. It was possible to establish a profile of patients seen at the clinic-school and indicate the management of training for health professionals related to the treatment of people over the age of 40 years. The importance of the action of physiotherapists in the processes of prevention and primary care was evident given the patients indicated in this and other articles who need help with traumatic diseases.

scholarly journals Situação constrangedora envolvendo profissionais das Unidades Básicas de Saúde do município de Porto Velho/Rondônia

2011 ◽  
Vol 2 (SUP) ◽  
pp. 94-97
Author(s):  
Flávio Salomão Miranda ◽  
Daniele Ferreira Garcia ◽  
Maria Rita Soares do Nascimento Barreto
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Health Professionals ◽  
Basic Health ◽  
Education And Health ◽  
The City ◽  
Transversal Study ◽  
Porto Velho ◽  
Basic Health Units

Este estudo tem por objetivo estimar as situações constrangedoras envolvendo profissionais das Unidades Básicas de Saúde do município de Porto Velho/Rondônia, caracterizar o fenômeno da violência contra os profissionais de saúde no local de trabalho, abordar aspectos relativos à violência e suas implicações na área de saúde e conhecer os fatores considerados importantes no que tange à violência contra profissionais de saúde. Os dados coletados com médicos, enfermeiros e dentistas, mediante estudo transversal, apontaram que há relevância de aproximação das áreas de educação e de saúde, eixos fundamentais para uma melhor possibilidade de enfrentamento da problemática da violência.Descritores: Violência, Promoção de Saúde, Prevenção.Embarrassing involving professional Basic Health Units of the city of Old Port/RondôniaThis study aims to estimate the embarrassing situations involving professionals from primary care units in the city of Porto Velho, Rondônia, to characterize the phenomenon of violence against health professionals in the workplace, addressing issues related to violence and its implications on health and determining the factors considered important when it comes to violence against health professionals. The data collected by health professionals, doctors, nurses and dentists, by means of transversal study showed that there is relevance to approximate the areas of education and health, the cornerstones for a better chance of coping with problems of violence.Descriptors: Violence, Health Promotion, Prevention.Situación embarazosa con profesionales de las Unidades Básicas de Salud del município de Puerto Viejo/RondôniaEsse estúdio tiene como objetivo estimar las situaciones embarazosas de profesionales de unidades de atención primaria en la ciudad de Porto Velho, Rondônia, para caracterizar el fenómeno de la violencia contra los profesionales de la salud en el lugar de trabajo, abordando temas relacionados con la violencia y sus consecuencias en la salud y la determinación de los factores considerados importantes cuando se trata de la violencia contra los profesionales de la salud. Los datos recogidos por esses profesionales como médicos, enfermeras y dentistas, por medio de estudio transversal mostró que es pertinente la aproximación de las áreas de educación y salud, factores fundamentales para una mejor oportunidad de hacer frente a los problemas de la violencia.Descriptores: Violencia, Promoción de la Salud, Prevención.

scholarly journals Advocating evidence based health promotion in physiotherapy

2008 ◽  
Vol 64 (1) ◽  
Author(s):  
J.M. Frantz
Keyword(s):  
Health Promotion ◽  
Environmental Conditions ◽  
Health Professionals ◽  
Evidence Based ◽  
Health It ◽  
Equity In Health ◽  
Health Delivery ◽  
Significant Acceleration ◽  
Promotion Process

There has been a significant acceleration in the development ofhealth promotion in Africa over the last 20 years. Health promotion is a practicalapproach to achieving greater equity in health. It has thus become an essentialcomponent of health delivery for all health professionals. Health promotionstrategies can develop and change lifestyles as well as have an impact on thesocial, economic and environmental conditions that determine health. The mostvisible challenge for health promotion development in Africa is the fact that people only passively participate in thehealth promotion process. Health professionals such as doctors and nurse control the majority of the programmes andthe question remains: “What is the role of Physiotherapy in health promotion?” This paper thus aims to highlight andrecommend the role of Physiotherapy in evidence-based health promotion

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.

Physical activity promotion in primary health care in Slovenia

2014 ◽  
Vol 62 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Health Promotion ◽  
Health Professionals ◽  
Healthy Lifestyle ◽  
Graduate Nurses ◽  
Primary Health ◽  
The Family ◽  
Prevention Of Cardiovascular Disease

In Slovenia, the role of general practitioners in counselling physical activity for prevention of cardiovascular disease (CVD) is well recognized. The role of general practitioners in advising healthy lifestyle for individuals who are at risk of developing CVD is formally defined in the National Program for Primary Prevention of Cardiovascular Disease, which has been running since 2001. Part of the program is counselling on healthy lifestyle including physical activity, performed in all health centres across the country. First a screening and medical examination is performed. In case of higher risk for CVD (>20%) the physician should give advice on the particular risk factor and direct patients to health-education centres, where they can participate in healthy lifestyle workshops lead by health professionals. Physicians and other health professionals who are involved in the implementation of prevention activities within the program need knowledge and skills that are crucial for successful counselling on healthy lifestyle. The educational program “basic education in health promotion and prevention of chronic non-communicable diseases in primary health care/family medicine” consists of two parts. The first part of the training is open to all health professionals working within the program. The second part is intended for health professionals working in health-education workshops. In the last few years a new family practice model has been introduced and disseminated. Some duties of the family physician, including health promotion and counselling, are being transferred to graduate nurses who become part of the family practice team. This new division of work undoubtedly brings many advantages, both in terms of the work organization, and of high-quality patient care. Nevertheless preventive action cannot be fully passed on to graduate nurses. Careful planning and education are needed to ensure a comprehensive approach in healthy life style counselling.

Experiences in physical activity promotion in health care settings for primary prevention in the UK

2014 ◽  
Vol 62 (2) ◽  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Health Professionals ◽  
Controlled Trial ◽  
Full Range ◽  
Tertiary Care ◽  
Physical Activity Promotion ◽  
Community Based ◽  
Activity Promotion ◽  
Randomised Controlled

In addition to the delivery of primary care services, recent changes to the NHS in the United Kingdom have placed increasing responsibility on GPs for the commissioning of the full range of health services from prevention through to clinical interventions and rehabilitation. Whilst historically there has always been an expectation that primary care professionals were ideally placed to provide support for prevention as well as treatment, their active engagement in the promotion of physical activity has remained largely superficial. With notable exceptions where individuals have a personal interest or commitment, the majority of health professionals tend to limit themselves to peremptory non-specific advice at best, or frequently don’t broach the subject at all. There are a number of reasons for this including increasing time pressures, a general lack of knowledge, limited evidence and concerns about litigation in the event of an adverse exercise induced event. However in the 1990s there was a surge of interest in the emerging “Exercise on Prescription” model where patients could be referred to community based exercise instructors for a structured “prescription” of exercise in community leisure centres. Despite the continuing popularity of the model there remain problems particularly in getting the active support of health professionals who generally cite the same barriers as previously identified. In an attempt to overcome some of these problems Wales established a national exercise referral scheme with an associated randomised controlled trial. The scheme evaluated well and had subsequently evolved with new developments including integration with secondary and tertiary care pathways, accredited training for exercise instructors and exit routes into alternative community based exercise opportunities.

Instagramming our way through public health communication: why and who is using it?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Vareda ◽  
T Garcia ◽  
J Rachadell
Keyword(s):  
Public Health ◽  
Social Media ◽  
Health Promotion ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
Communicable Diseases ◽  
Healthy Lifestyles ◽  
Communication Tool ◽  
Cross Sectional ◽  
Non Communicable Diseases

Abstract Background From disease prevention to health promotion, communication is key for Public Health (PH) practice and, according to the 9th Essential Public Health Operation its goal is to improve populations health literacy and capacity to access, understand and use information. Though social media is frequently presented as a potentially useful tool for PH communication, there is a lack of evidence about its effectiveness and impact on PH outcomes. This study researches Instagram® as a PH tool and aims to know who is using it, what content is shared on the platform and how much engagement there is. Methods This cross-sectional study regards information on 1000 Instagram® posts with the hashtags publichealth, publichealthpromotion, healthpromotion, publichealthmatters and publichealtheducation. Authors categorized post content and creators, and reviewed the number of likes and comments per post to determine engagement. Data analysis was performed on IBM SPSS® Statistics. Results The most common content categories were communicable diseases (n = 383), non-communicable diseases (n = 258) and healthy lifestyles (n = 143). Health professionals post more about communicable diseases (43,6%) and non-professionals about healthy lifestyles (36,1%). Non-professionals (n = 191) post about PH issues almost as much as health professionals (n = 220) and PH associations (n = 201). Most don't reference their sources (n = 821). Posts on communicable diseases have the most likes and comments per post (mean of 172 likes and 3,1 comments). Conclusions Half the Instagram® posts analysed in this study were made by health professionals or organizations. Communicable diseases, non-communicable diseases and healthy lifestyles were the most frequent content categories and had the most engagement. The majority of posts didn't reference their sources. Though Instagram® seems to be a potential PH communication tool, further research is needed to confirm its benefits for PH. Key messages Social media platforms like Instagram® are potentially powerful tools for PH communication. There is a need to understand the efficacy of social media as health promotion tools.

scholarly journals Improving mobility and participation of older people with vertigo, dizziness and balance disorders in primary care using a care pathway: feasibility study and process evaluation

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Eva Seckler ◽  
Verena Regauer ◽  
Melanie Krüger ◽  
Anna Gabriel ◽  
Joachim Hermsdörfer ◽  
...  
Keyword(s):  
Primary Care ◽  
Data Collection ◽  
Older People ◽  
Process Evaluation ◽  
Feasibility Study ◽  
Health Professionals ◽  
Implementation Strategy ◽  
Care Pathway ◽  
Main Trial ◽  
Telephone Helpline

Abstract Background Community-dwelling older people are frequently affected by vertigo, dizziness and balance disorders (VDB). We previously developed a care pathway (CPW) to improve their mobility and participation by offering standardized approaches for general practitioners (GPs) and physical therapists (PTs). We aimed to assess the feasibility of the intervention, its implementation strategy and the study procedures in preparation for the subsequent main trial. Methods This 12-week prospective cohort feasibility study was accompanied by a process evaluation designed according to the UK Medical Research Council’s Guidance for developing and evaluating complex interventions. Patients with VDB (≥65 years), GPs and PTs in primary care were included. The intervention consisted of a diagnostic screening checklist for GPs and a guide for PTs. The implementation strategy included specific educational trainings and a telephone helpline. Data for mixed-method process evaluation were collected via standardized questionnaires, field notes and qualitative interviews. Quantitative data were analysed using descriptive statistics, qualitative data using content analysis. Results A total of five GP practices (seven single GPs), 10 PT practices and 22 patients were included in the study. The recruitment of GPs and patients was challenging (response rates: GP practices: 28%, PT practices: 39%). Ninety-one percent of the patients and all health professionals completed the study. The health professionals responded well to the educational trainings; the utilization of the telephone helpline was low (one call each from GPs and PTs). Familiarisation with the routine of application of the intervention and positive attitudes were emphasized as facilitators of the implementation of the intervention, whereas a lack of time was mentioned as a barrier. Despite difficulties in the GPs’ adherence to the intervention protocol, the GPs, PTs and patients saw benefit in the intervention. The patients’ treatment adherence to physical therapy was good. There were minor issues in data collection, but no unintended consequences. Conclusion Although the process evaluation provided good support for the feasibility of study procedures, the intervention and its implementation strategy, we identified a need for improvement in recruitment of participants, the GP intervention part and the data collection procedures. The findings will inform the main trial to test the interventions effectiveness in a cluster RCT. Trial registration Projektdatenbank Versorgungsforschung Deutschland (German registry Health Services Research) VfD_MobilE-PHY_17_003910, date of registration: 30.11.2017; Deutsches Register Klinischer Studien (German Clinical Trials Register) DRKS00022918, date of registration: 03.09.2020 (retrospectively registered).

scholarly journals Oral health promotion practices of Australian community mental health professionals: a cross sectional web-based survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Roisin McGrath ◽  
Rodrigo Marino ◽  
Julie Satur
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Oral Health ◽  
Community Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Oral Health Promotion ◽  
Mental Health Consumers ◽  
Australian Community ◽  
Health Support

Abstract Background This study explored the oral health promotion practices of Australian community mental health professionals working with people living with severe mental illness (SMI). Methods An anonymous cross-sectional web-based survey was distributed to all Community Rehabilitation and Support Workers (CRSWs) working at Neami National (n = 471), an Australian community mental health service. The validated questionnaire assessed participants’ self-rated oral health knowledge and confidence (7 questions); their perceived barriers (9 questions) and attitudes (5 questions) to oral health promotion; and their oral health promotion practices (7 questions). Differences in responses between groups were analysed using Chi-square, Fisher’s exact and Mann–Whitney U tests. Logistic Regression Analysis served to explore the probability of providing oral health support to mental health consumers. Results A total of 141 CRSWs were included in this study, achieving a response rate of 30 percent. Roughly two-fifths (39.0%) of participants had oral health training in the previous 12-months. The majority of CRSWs (89.3%) believed (‘Agreed’ or ‘Strongly agreed’) that mental health support workers have a role to play in promoting oral health. However, less than half (44.0%) of CRSWs practiced oral health promotion activities when working with mental health consumers. When asked about barriers to promoting oral health, ‘lack of consumer interest’ was the most prevalent issue. CRSWs who had oral health training were over three-times (OR 3.5, 95% CI 1.25–9.83, p = 0.017) more likely to provide oral health support. Results showed the provision of oral health support was most strongly associated with self-rated knowledge and confidence (OR 4.089, 95% CI 1.629–10.263, p = 0.003) and attitudes to oral health promotion (OR 3.906, 95% CI 1.77–8.65, p = 0.001). Conclusion The results of this study suggest that mental health support workers who have more positive attitudes to oral health promotion and who have higher self-rated oral health knowledge and confidence are more likely to provide oral health support in their professional role. Training for community mental health professionals is essential to build confidence and skills to promote oral health for mental health consumers.

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