scholarly journals Use of eHealth Tools by Primary Care Physicians According to the Provided Healthcare in the Czech Republic

Author(s):  
Eva Ardielli
2010 ◽  
Vol 19 (3) ◽  
pp. 243-250
Author(s):  
David Holub ◽  
Barbora Wenigová ◽  
Daniel Umbricht ◽  
Andor E. Simon

SUMMARYAim– To explore knowledge, treatment setting, attitudes and needs associated with patients in early phases of psychosis among general practitioners (GPs) in Prague, andto compare results with GPs from 6 countries participating in theInternational GP Study(IGPS)on Early Psychosis(Canada, Australia, New Zealand, England, Norway,Austria).Methods– Survey questionnaires were mailed to 648 GPs in the city of Prague.Results– The response rate was 19.9%. Prague GPs showed significantly lower diagnostic knowledge of early phases of psychosis compared to their international colleagues. They frequently indicated depression/anxiety and somatic complaints as early warnings of psychosis. They more often considered their behaviour to be problematic and more commonly handed them over to specialists. The majority of Prague GPs wished specialized outpatient services for low-threshold referrals of such patients.Conclusions– Along the mental health reforms in the Czech Republic which emphasis the role of primary care, GPs' knowledge of the early warning signs of psychosis needs to be improved.Declaration of Interest:The study was supported by an unrestricted grant from Sanofi-Synthélabo SA, Switzerland, to the principal investigators of the IGPS (AES, DU). The authors have stated that there are none; all authors are independent from the funding body and the views expressed in this paper have not been influenced by the funding source.


2016 ◽  
Vol 28 (suppl 1) ◽  
pp. 64.1-64
Author(s):  
H. Konecna ◽  
L. Sidlo ◽  
B. Burcin ◽  
P. Stych

2018 ◽  
Vol 12 (1) ◽  
pp. 41-43
Author(s):  
Bohumil Seifert

The academic development of general practice (GP) within countries of Central and Eastern Europe began only after the political changes in the 1990s. From a research perspective GP has a reputation for being amongst the least intellectually rigorous clinical disciplines. This has several serious consequences; loss of self-confidence, lack of attractiveness as an intellectual discipline and less application of critical thinking in routine clinical work. The only solution is an effort to develop research in primary care, as this is the ultimate attribute of scientifically oriented disciplines such as medicine. GP research in the Czech Republic has a low level of awareness and support. Its development is slow and faces many barriers; lack of financial resources, lack of leading personalities within the field, lack of ideas, lack of scientific education, lack of experience, and insufficient research capacity. As GPs, we do not have enough skills to write and publish scientific papers. Research is also not recognised as an essential component of GP training. However, research in primary care is developing and here I present several successful research projects withinour department. Research has been proposed as a vital agenda towards the new concept of general practice, as recently presented to the government by the Society of GPs.


Author(s):  
Stepan Svacina ◽  
Igor Karen ◽  
Cyril Mucha ◽  
Jan Hendl ◽  
Martin Matoulek

2018 ◽  
Vol 32 ◽  
pp. 130
Author(s):  
Martin Šatný ◽  
Barbora Grauová ◽  
Pavel Horák ◽  
Michaela Šnejdrlová ◽  
Martina Vaclová ◽  
...  

2020 ◽  
Author(s):  
Christos D Lionis ◽  
Marilena Anastasaki ◽  
Antonios Bertsias ◽  
Agapi Angelaki ◽  
Axel C Carlsson ◽  
...  

Abstract Background Cardio-metabolic diseases are the most common cause of death worldwide. Implementing selective prevention strategies has proven a substantial challenge, especially in primary care. Objectives As part of a collaborative European study, this paper aims to assess the implementation of primary care selective prevention interventions in the Czech Republic, Denmark, Greece, the Netherlands and Sweden. We sought to determine participants’ cardio-metabolic risk profile, as well as their evaluation of the intervention in terms of feasibility and impact in promoting a healthy lifestyle. Methods A selective prevention intervention, including patient invitation and cardio-vascular risk assessment using country-adjusted tools, was implemented. Eligible participants were primary care patients, 40–65 years of age, without any diagnosis of cardio-metabolic disease. Main outcomes included intervention acceptance and completion rates. Patient demographics, lifestyle-related cardio-metabolic risk factors, and opinions on intervention feasibility were recorded. Findings are summarized descriptively. Results In each country, 200 patients were invited to participate in the study. Acceptance rates varied from 19.5% (n = 39/200) in Sweden to 100% in the Czech Republic (n = 200/200). Risk assessment completion rates ranged from 65.4% (n = 70/107) in Greece to 100% (n = 39/39) in Sweden. Twelve individuals (6.9%) were identified as being at high risk of cardio-vascular disease in the Czech Republic, five (8.6%) in Denmark, eight (11.4%) in Greece, 21 (36.8%) in the Netherlands and none (0%) in Sweden. On a ten-point scale, the median (25%-75% quartile) of participant-reported intervention feasibility ranged from 7.4 (6.9–7.8) in Greece to 9.2 (8.2–9.9) in Sweden. Willingness to change lifestyle exceeded 80% in all countries, with the desire for better health representing the main motivating factor for more than half of the participants. Conclusions Although substantial variations in patient cardio-metabolic risk profile and intervention receptiveness were observed, our findings add to existing evidence regarding the implementation of selective prevention programs in European primary care and can be used as part of future cardio-metabolic risk reduction strategies.


2019 ◽  
Vol 287 ◽  
pp. e150
Author(s):  
M. Satny ◽  
M. Vrablik ◽  
T. Altschmiedova ◽  
E. Tumova ◽  
M. Vaclova ◽  
...  

2008 ◽  
Vol 13 (46) ◽  
Author(s):  
V Jindrák ◽  
J Marek ◽  
V Vaniš ◽  
P Urbaskova ◽  
J Vlček ◽  
...  

Repeated surveys among primary care paediatricians were performed annually from 1998 to 2002 in the Czech Republic. The task was to assess the prescription of antibiotics in treatment of respiratory infections in children. The results were evaluated in the light of existing guidelines and conclusions were used in a number of interventions aimed at reducing the inadequate use of antibiotics and hence preventing the potential increase of the antibiotic-resistant bacteria. In addition, data on overall consumption of antibiotics in outpatient care and trends in the prevalence of resistant strains of Streptococcus pneumoniae and Streptococcus pyogenes are discussed.


2003 ◽  
Vol 29 (4) ◽  
pp. 489-524
Author(s):  
Brent Pollitt

Mental illness is a serious problem in the United States. Based on “current epidemiological estimates, at least one in five people has a diagnosable mental disorder during the course of a year.” Fortunately, many of these disorders respond positively to psychotropic medications. While psychiatrists write some of the prescriptions for psychotropic medications, primary care physicians write more of them. State legislatures, seeking to expand patient access to pharmacological treatment, granted physician assistants and nurse practitioners prescriptive authority for psychotropic medications. Over the past decade other groups have gained some form of prescriptive authority. Currently, psychologists comprise the primary group seeking prescriptive authority for psychotropic medications.The American Society for the Advancement of Pharmacotherapy (“ASAP”), a division of the American Psychological Association (“APA”), spearheads the drive for psychologists to gain prescriptive authority. The American Psychological Association offers five main reasons why legislatures should grant psychologists this privilege: 1) psychologists’ education and clinical training better qualify them to diagnose and treat mental illness in comparison with primary care physicians; 2) the Department of Defense Psychopharmacology Demonstration Project (“PDP”) demonstrated non-physician psychologists can prescribe psychotropic medications safely; 3) the recommended post-doctoral training requirements adequately prepare psychologists to prescribe safely psychotropic medications; 4) this privilege will increase availability of mental healthcare services, especially in rural areas; and 5) this privilege will result in an overall reduction in medical expenses, because patients will visit only one healthcare provider instead of two–one for psychotherapy and one for medication.


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