Barriers and Pathways to Changing Smoking and Risky Drinking in Primary Care Patients With Chronic Conditions Who Failed to Respond to Brief Advice

2021 ◽  
Vol 23 (4) ◽  
Author(s):  
Julie C. Gass ◽  
Jennifer S. Funderburk ◽  
Stephen A. Maisto
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Risky Drinking ◽  
Primary Care Patients ◽  
Brief Advice

Association of adult attachment and suicidal ideation in primary care patients with multiple chronic conditions

2019 ◽  
Vol 246 ◽  
pp. 121-125 ◽  
Author(s):  
Ina-Maria Rückert-Eheberg ◽  
Karoline Lukaschek ◽  
Katja Brenk-Franz ◽  
Bernhard Strauß ◽  
Jochen Gensichen
Keyword(s):  
Primary Care ◽  
Suicidal Ideation ◽  
Adult Attachment ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Primary Care Patients

Fear and depression as remediable causes of disability in common medical conditions in primary care

2015 ◽  
Author(s):  
Michael Von Korff
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Conditions ◽  
Social Role ◽  
Low Back ◽  
Psychological States ◽  
Primary Care Patients

This chapter argues that psychological states, in particular fear and depression, are potentially remediable causes of social role disability among primary care patients. Using chronic low back pain as an example, it considers how recognising and treating depression can improve disability and quality of life for primary care patients with this and many other chronic conditions.

Patient-provider relationship as mediator between adult attachment and self-management in primary care patients with multiple chronic conditions

2017 ◽  
Vol 97 ◽  
pp. 131-135 ◽  
Author(s):  
Katja Brenk-Franz ◽  
Bernhard Strauß ◽  
Fabian Tiesler ◽  
Christian Fleischhauer ◽  
Nico Schneider ◽  
...  
Keyword(s):  
Primary Care ◽  
Adult Attachment ◽  
Chronic Conditions ◽  
Self Management ◽  
Multiple Chronic Conditions ◽  
Primary Care Patients

Health Coaching via an Internet Portal for Primary Care Patients With Chronic Conditions

Medical Care ◽  
2009 ◽  
Vol 47 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Suzanne G. Leveille ◽  
Annong Huang ◽  
Stephanie B. Tsai ◽  
Marybeth Allen ◽  
Saul N. Weingart ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Health Coaching ◽  
Internet Portal ◽  
Primary Care Patients

scholarly journals Prevalence, characteristics, and patterns of patients with multimorbidity in primary care: a retrospective cohort analysis in Canada

2019 ◽  
Vol 69 (686) ◽  
pp. e647-e656 ◽  
Author(s):  
Kathryn Nicholson ◽  
Amanda L Terry ◽  
Martin Fortin ◽  
Tyler Williamson ◽  
Michael Bauer ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Retrospective Cohort ◽  
Cohort Analysis ◽  
Analysis Tool ◽  
Patient Age ◽  
Patient Âgé ◽  
Retrospective Cohort Analysis ◽  
Primary Care Patients ◽  
Over Time

BackgroundMultimorbidity is a complex issue in modern medicine and a more nuanced understanding of how this phenomenon occurs over time is needed.AimTo determine the prevalence, characteristics, and patterns of patients living with multimorbidity, specifically the unique combinations (unordered patterns) and unique permutations (ordered patterns) of multimorbidity in primary care.Design and settingA retrospective cohort analysis of the prospectively collected data from 1990 to 2013 from the Canadian Primary Care Sentinel Surveillance Network electronic medical record database.MethodAdult primary care patients who were aged ≥18 years at their first recorded encounter were followed over time. A list of 20 chronic condition categories was used to detect multimorbidity. Computational analyses were conducted using the Multimorbidity Cluster Analysis Tool to identify all combinations and permutations.ResultsMultimorbidity, defined as two or more and three or more chronic conditions, was prevalent among adult primary care patients and most of these patients were aged <65 years. Among female patients with two or more chronic conditions, 6075 combinations and 14 891 permutations were detected. Among male patients with three or more chronic conditions, 4296 combinations and 9716 permutations were detected. While specific patterns were identified, combinations and permutations became increasingly rare as the total number of chronic conditions and patient age increased.ConclusionThis research confirms that multimorbidity is common in primary care and provides empirical evidence that clinical management requires a tailored, patient-centred approach. While the prevalence of multimorbidity was found to increase with increasing patient age, the largest proportion of patients with multimorbidity in this study were aged <65 years.

scholarly journals ‘I’m not a real boozer’: a qualitative study of primary care patients’ views on drinking and its consequences

2018 ◽  
Vol 41 (2) ◽  
pp. e185-e191 ◽  
Author(s):  
Z Khadjesari ◽  
F Stevenson ◽  
P Toner ◽  
S Linke ◽  
J Milward ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Life Stage ◽  
Problematic Drinking ◽  
Risk Levels ◽  
White Ethnicity ◽  
Primary Care Patients ◽  
Public Health Message ◽  
Brief Advice ◽  
And Control

Abstract Background The public health message around alcohol is complex, with benefits versus harms, the confusing concept of risk and drinking guidance changing over time. This provides a difficult context for alcohol screening in primary care, with established barriers from the practitioner perspective, but less is known about the patients’ perspective. This study explores patients’ views on drinking. Methods Eligible participants were recorded as drinking above low risk levels in primary care. Six practices in North London participated. Interviews were in-depth, semi-structured, transcribed verbatim and underwent detailed thematic analysis. Findings Interviews were conducted with 8 women and 12 men, aged 26–83 years, mostly educated to undergraduate level and of ‘White’ ethnicity. UK drinking guidance was viewed as irrelevant for reasons related to life stage, lifestyle and absence of harm. Dependence, loss of functionality and control were perceived as key features of problematic drinking. Healthy lifestyles, in terms of diet, exercise and not smoking, were thought to mitigate potential problems associated with alcohol intake. Conclusion The findings suggest that public health messages and brief advice should focus on harm experienced at different life stages, among people with different lifestyles, to challenge the ubiquitous view that ‘I’m not a real boozer’.

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