scholarly journals Colon Polyp Detection in Primary Health Care Institutions of Korea: Detection Rate and Issues with Following the Guidelines

2021 ◽  
Vol 78 (6) ◽  
pp. 328-336
Author(s):  
Sang Hyun Park ◽  
Kwang Il Hong ◽  
Hyun Chul Park ◽  
Young Sun Kim ◽  
Gene Hyun Bok ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Detection Rate ◽  
Colon Polyp ◽  
Polyp Detection ◽  
Primary Health ◽  
Health Care Institutions ◽  
Primary Health Care Institutions

scholarly journals ІНФОРМАТИЗАЦІЯ ЗАКЛАДІВ ОХОРОНИ ЗДОРОВ'Я ЯК ОСНОВА ЕФЕКТИВНИХ КОМУНІКАЦІЙ В СИСТЕМІ ОХОРОНИ ЗДОРОВ'Я

2015 ◽  
Author(s):  
M. A. Znamenska ◽  
G. O. Slabkiy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Internet Access ◽  
Current Level ◽  
Low Level ◽  
Primary Health ◽  
Health Care Institutions ◽  
Effective System ◽  
Secondary Health Care ◽  
Primary Health Care Institutions

A low level of computerization of primary and secondary health care and a higher level in tertiary health care is shown. At the same time a low level of Internet access in primary health care institutions and much higher - in institutions of secondary and tertiary levels of health care is shown. The current level of informatization does not allow health care institutions to implement an effective system of communication in healthcare.

scholarly journals Primary health care development in 2002–2006 in Lithuania: Will we achieve the objective set?

Medicina ◽  
2008 ◽  
Vol 44 (6) ◽  
pp. 472 ◽  
Author(s):  
Mindaugas Plieskis ◽  
Aldona Gaižauskienė ◽  
Milda Garbuvienė
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Public Institutions ◽  
Family Doctors ◽  
Primary Health ◽  
Health Care Institutions ◽  
Study Results ◽  
Private And Public ◽  
Annual Changes ◽  
Primary Health Care Institutions

The aim of this study was to identify the changes in the development of primary health care in 2002–2006 and to predict its potential results in 2008, based on various criteria (indicators). Data from the compulsory health insurance system “Sveidra” have been used for the analysis. A share of the private primary health care institutions, the persons enrolled with them, and visits in such institutions from all primary health care institutions during the study period have significantly statistically increased (average annual changes were 6.9%, 22.2%, and 27.2%, respectively). In 2008, this part would make up 61.0%, 30.6%, and 27.2%, respectively. The proportion of persons registered with family doctors and the number of visits to family doctors were significantly increasing (average annual changes were 22.5% and 27.2%, respectively). It is predicted that this part would make up 27.8% and 35.2% in 2008. More detailed analysis has shown that relatively more young and working-age persons (aged 18–44 years) were enrolled in private primary health care institutions. It is in particular evident in Vilnius and Kaunas where the choice of such institutions is high. The number of persons registered with family doctors was increasing in both private and public institutions (average annual changes were 22.5% and 8.3%, respectively; P<0.05). In private institutions, the proportion of persons registered with local district pediatricians was also significantly increasing. The study results have shown significant differences in the developments of primary health care in 2002– 2006 by various indicators. The objective defined in the strategy of restructuring will be achieved in 2008 only in respect of the number of institutions. Assessing by the aspect of services, the results achieved will be approximately two times lower. The practice of the institution of the family doctor is becoming more intensive in both private and public institutions.

scholarly journals Drug-Related Problems of Patients in Primary Health Care Institutions: A Systematic Review

2021 ◽  
Vol 12 ◽  
Author(s):  
Xiao-Feng Ni ◽  
Chun-Song Yang ◽  
Yu-Mei Bai ◽  
Zi-Xian Hu ◽  
Ling-Li Zhang
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
Cochrane Library ◽  
Drug Related Problems ◽  
Primary Health ◽  
Health Care Institutions ◽  
The Future ◽  
Primary Health Care Institutions

Introduction: Drug-related problems (DRPs) are not only detrimental to patients' physical health and quality of life but also lead to a serious waste of health care resources. The condition of DRPs might be more severe for patients in primary health care institutions.Objective: This systematic review aims to comprehensively review the characteristics of DRPs for patients in primary health care institutions, which might help find effective strategies to identify, prevent, and intervene with DRPs in the future.Methods: We searched three English databases (Embase, The Cochrane Library, and PubMed) and four Chinese databases (CNKI, CBM, VIP, and Wanfang). Two of the researchers independently conducted literature screening, quality evaluation, and data extraction. Qualitative and quantitative methods were combined to analyze the data.Results: From the 3,368 articles screened, 27 met the inclusion criteria and were included in this review. The median (inter-quartile range, IQR) of the incidences of DRPs was 70.04% (59%), and the median (IQR) of the average number of DRPs per patient was 3.4 (2.8). The most common type of DRPs was “treatment safety.” The causes of DRPs were mainly in the prescribing section, including “drug selection” and “dose selection”, while patients' poor adherence in the use section was also an important cause of DRPs. Risk factors such as the number of medicines, age, and disease condition were positively associated with the occurrence of DRPs. In addition, the medians (IQR) of the rate of accepted interventions, implemented interventions, and solved DRPs were 78.8% (22.3%), 64.15% (16.85%), and 76.99% (26.09%), respectively.Conclusion: This systematic review showed that the condition of DRPs in primary health care institutions was serious. In pharmaceutical practice, the patients with risk factors of DRPs should be monitored more closely. Pharmacists could play important roles in the identification and intervention of DRPs, and more effective intervention strategies need to be established in the future.

scholarly journals Investigation and Analysis of Standardized Training for Residents of General Practitioners of Gansu Province in China

2020 ◽  
Author(s):  
Hui Cai ◽  
Hongjing Wang ◽  
Jin He ◽  
Dongzhi Zhang ◽  
Yue Wu ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
General Practitioners ◽  
General Medicine ◽  
Gansu Province ◽  
Common Disease ◽  
Family Doctors ◽  
Primary Health ◽  
Health Care Institutions ◽  
Primary Health Care Institutions

Abstract Background: China’s standardized training for residents of General Practitioners (GPs) is aimed at providing the postgraduate training for family doctors who will serve the primary health care institutions. The aim of this paper is to investigate the standardized training situation, satisfaction with standardized training, work situation, intention, satisfaction and attitude of GPs who have finished standardized training. Methods: This study was undertaken in 6 training hospitals in Gansu province using a questionnaire with 45 questions. Results: Approximately 275 residents of GPs were enrolled. Finally, 263 residents completed the questionnaire (95.64% response rate), including 133 females (50.57%) and 130 males (49.43%) with an average age of 28 years (standard deviation, 1.93 years; range, 25-36 years). Additionally, 56.65% were single and 43.35% were married. Of all subjects, 92.40% residents had obtained certification of standardized training for residents of GPs and only 39.54% residents were satisfied with monthly income during training. There were 171 oriented rural medical graduates, of whom, only 42.69% expressed the willing to continue working in the primary health care institutions after the serve time (6 years) expired. Around 86.31% of residents of GPs who had finished standardized training got jobs with more than half serving in the primary health care institutions. For medical institutions and sanitary bureau were clear about general medicine policies, only 29.96% subjects registered as GPs. Among the residents in general practice department, 68.42% were engaged in the diagnosis and treatment of common disease and frequently-occurring diseases as well as referral of patients. The percentage of residents who were satisfied with the job and income were 30.40% and 14.98%, respectively. Conclusion: Standardized training for residents of GPs in China is gradually improving. In order to cultivate more GPs and increase their willing to serve in the primary health care institutions, it is necessary to formulate and execute better policy of GPs, publize general medicine and improve the training quality.

scholarly journals Clinicopathological Characteristics of Colon Cancer Diagnosed at Primary Health Care Institutions

2014 ◽  
Vol 12 (2) ◽  
pp. 131 ◽  
Author(s):  
Sang Hyun Park ◽  
Chi Wook Song ◽  
Yun Bae Kim ◽  
Young Sun Kim ◽  
Hwang Rae Chun ◽  
...  
Keyword(s):  
Health Care ◽  
Colon Cancer ◽  
Primary Health Care ◽  
Clinicopathological Characteristics ◽  
Primary Health ◽  
Health Care Institutions ◽  
Primary Health Care Institutions

scholarly journals Opportunities for Competitive Advantage in the Value Created by Primary Health Care Institutions in Lithuania: Is Competitiveness Dependent on the Form of Ownership?

2021 ◽  
Author(s):  
Aida Budrevičiūtė ◽  
Ramunė Kalėdienė ◽  
Leonas Valius
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Focus Group ◽  
Competitive Advantage ◽  
Medical Staff ◽  
Professional Skills ◽  
Public And Private ◽  
Primary Health ◽  
Health Care Institutions ◽  
Primary Health Care Institutions

Abstract Background.In the face of competition between primary health care institutions (PHCIs), attempts are made to gain a competitive advantage in the market by creating greater value for patients. Applying and developing the professional skills of medical staff (family physicians and nurses) is important both in providing value to patients and in pursuit of the competitiveness of the institution. Little research has been conducted on whether the form of a PHCI’s ownership is a factor of its competitive advantage. The aim of the study.To determine opportunities for competitive advantage in the management of value creation in public and private primary health care institutions by using the method of focus group discussion with managers.Methods.Focus group discussions were held in 10 Lithuanian counties, and 10 focus group sessions were carried out overall. A total of 48 primary health care managers were interviewed.Results.The competitive advantage of a PHCI depends on its form of ownership, which makes for unfair competitive conditions. A competitive advantage is created by factors such as: the variety of services available; the health care policy in action; the function of the manager; the professionalism of the staff; and the location of the institution. Medical staff have the same opportunities to express and develop their professional skills in public and private PHCIs, but private institutions attract the most skilled staff because they have the resources to increase their motivation.Conclusions.The managers of PHCIs indicated that the competitive advantage depends on the form of ownership. In management science this study and the results can be a basis for the health care reform development and the foundation for new theories.

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