scholarly journals What Lies Ahead: Northwest Florida’s Healthcare Workforce Supply

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Sophia Railing ◽  
Tiffany Jackman
Keyword(s):  
Primary Care ◽  
Underserved Populations ◽  
Supply And Demand ◽  
Primary Care Providers ◽  
Care Providers ◽  
Physician Supply ◽  
Factors Affecting ◽  
Policy Initiatives ◽  
Healthcare Workforce ◽  
Workforce Issues

Studies describing healthcare workforce distribution are myriad. Little space, however, has been devoted to regional and local workforce issues. This literature review sought to first review national factors affecting healthcare supply, then progressively focus on the state and regional levels. The analysis concluded that, while healthcare workforce shortages are not present in Florida in terms of nursing, there is a significant gap between physician supply and demand. The results concluded that nearly all of the factors presented can be addressed through educational and health policy initiatives. Strategies were suggested to better meet the needs of Florida’s underserved populations through primary care providers.

Is patient satisfaction in primary care dependent on structural and organizational characteristics among providers? Findings based on data from the national patient survey in Sweden

2012 ◽  
Vol 8 (3) ◽  
pp. 317-333 ◽  
Author(s):  
Anna H. Glenngård
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Social Deprivation ◽  
Primary Care Providers ◽  
Patient Survey ◽  
Structural Factors ◽  
Care Providers ◽  
Factors Affecting ◽  
Provider Performance ◽  
National Patient

AbstractIn parallel to market-like reforms in Swedish primary care, the gathering and compilation of comparative information about providers, for example through survey tools, has been improved. Such information is increasingly being used to guide individuals’ choice of provider and payers’ assessments of provider performance, often without critically reflecting about underlying factors affecting the results. The purpose of this study was to analyze variation in patient satisfaction, with respect to organizational and structural factors, including the mix of registered individuals, among primary care providers, based on information from a national patient survey in primary care and register data in three Swedish county councils. Systematic variation in patient satisfaction was found with respect to both organizational and structural factors, including characteristics of registered individuals. Smaller practices and practices where a high proportion of all visits were with a doctor were associated with higher patient satisfaction. Also practices where registered individuals had a low level of social deprivation and a high overall illness on average were associated with higher patient satisfaction. Factors that are of relevance for how well providers perform according to patient surveys are more or less possible to control for providers. This adds to the complexity for the use of such information by individuals and payers to assess provider performance.

scholarly journals Factors Affecting Gynecologic and Sexual Assessment in Older Women: A Lesson for Primary Care Providers

Healthcare ◽  
2015 ◽  
Vol 3 (3) ◽  
pp. 683-694 ◽  
Author(s):  
Ayasha Thomason ◽  
Natalie Capps ◽  
Leanne Lefler ◽  
Gloria Richard-Davis
Keyword(s):  
Primary Care ◽  
Older Women ◽  
Primary Care Providers ◽  
Care Providers ◽  
Factors Affecting ◽  
Sexual Assessment

scholarly journals Evaluating Primary Care Providers’ Readiness for Delivering Genetic and Genomic Services to Underserved Populations

2021 ◽  
pp. 1-10
Author(s):  
Yashoda Sharma ◽  
Livia Cox ◽  
Lucie Kruger ◽  
Veena Channamsetty ◽  
Susanne B. Haga
Keyword(s):  
Primary Care ◽  
Precision Medicine ◽  
Health Center ◽  
Underserved Populations ◽  
Care Delivery ◽  
Primary Care Providers ◽  
Clinical Genetics ◽  
Care Providers ◽  
Genetic Tests ◽  
Genetics And Genomics

<b><i>Introduction:</i></b> Increased genomics knowledge and access are advancing precision medicine and care delivery. With the translation of precision medicine across health care, genetics and genomics will play a greater role in primary care services. Health disparities and inadequate representation of racial and ethnically diverse groups threaten equitable access for those historically underserved. Health provider awareness, knowledge, and perceived importance are important determinants of the utilization of genomic applications. <b><i>Methods:</i></b> We evaluated the readiness of primary care providers at a Federally Qualified Health Center, the Community Health Center, Inc. (CHCI) for delivering genetic and genomic testing to underserved populations. Online survey questions focused on providers’ education and training in basic and clinical genetics, familiarity with current genetic tests, and needs for incorporating genetics and genomics into their current practice. <b><i>Results:</i></b> Fifty of 77 (65%) primary care providers responded to the survey. Less than half received any training in basic or clinical genetics (40%), were familiar with specific genetic tests (36%), or felt confident with collecting family health history (44%), and 70% believed patients would benefit from genetic testing. <b><i>Conclusion:</i></b> Despite knowledge gaps, respondents recognized the value and need to bring these services to their patients, though would like more education on applying genetics and genomics into their practice, and more training about discussing risk factors associated with race or ethnicity. We provide further evidence of the need for educational resources and standardized guidelines for providers caring for underserved populations to optimize appropriate use and referral of genetic and genomic services and to reduce disparities in care.

scholarly journals Strengthening the Health Workforce through the ECHO Stages of Participation: Participants’ Perspectives on Key Facilitators and Barriers

2019 ◽  
Vol 6 ◽  
pp. 238212051882092 ◽  
Author(s):  
Suzuho Shimasaki ◽  
Erin Bishop ◽  
Michelle Guthrie ◽  
John F (Fred) Thomas
Keyword(s):  
Primary Care ◽  
Health Workforce ◽  
Curriculum Design ◽  
Underserved Populations ◽  
Primary Care Providers ◽  
Health Science ◽  
Care Providers ◽  
Key Factors ◽  
Science Center ◽  
The University

Introduction: Project Extension for Community Health Outcomes (ECHO) was originally developed by the University of New Mexico’s Health Science Center (UNMHSC) to build the capacities of primary-care providers and to increase specialty-care access to rural and underserved populations. ECHO Colorado, a replication site at the University of Colorado Anschutz Medical Campus (CUAMC), was developed with the same purpose and to help build the health workforce of Colorado. The CUAMC and its community-based partners recognized that by reducing unnecessary referrals to the medical campus and building primary-care capacity in communities, both would increase their scope and expand overall capacity. This study examines the key factors that influence participant engagement, how participants value the ECHO experience, and the utility of the ECHO Colorado experience according to participants. Methods: This study used a mixed-methods approach including 42 interviews and 34 completed surveys. Transcribed interview recordings were coded in NVivo 11, and codes were queried in NVivo and Excel to identify key themes. Survey responses were analyzed in SPSS. Data were examined between and across four attendance groups and triangulated to assess the reliability of the data and validity of overall findings. Findings: Key factors increasing registrant engagement included relevant and practical curriculum content; strong and supportive relationships among learners, ECHO faculty, and workplace colleagues; and innovative learning approaches that included opportunities for active, virtual participation through technology, participant management activities, and ECHO’s unique curriculum design. Conclusion: Findings from this study validated many of the important elements of ECHO Colorado that make it unique from other iterations of the model being implemented nationally and internationally and identified participant-driven strategies for further amplifying its impact.

Factors Affecting Subspecialty Referrals by Pediatric Primary Care Providers for Children With Obesity-Related Comorbidities

2013 ◽  
Vol 52 (8) ◽  
pp. 777-785 ◽  
Author(s):  
Carolyn O. Walsh ◽  
Carly E. Milliren ◽  
Henry A. Feldman ◽  
Elsie M. Taveras
Keyword(s):  
Primary Care ◽  
Primary Care Providers ◽  
Pediatric Primary Care ◽  
Care Providers ◽  
Factors Affecting

scholarly journals Implementation of a Psychiatric Nurse-Led Outreach Service at Older Adult Homes: A Hong Kong Experience

2015 ◽  
pp. 1-6
Author(s):  
Yuen-ling Fung
Keyword(s):  
Primary Care ◽  
Older Adult ◽  
Healthcare Service ◽  
Planning Process ◽  
Underserved Populations ◽  
Mental Healthcare ◽  
Primary Care Providers ◽  
Healthcare Services ◽  
Care Providers ◽  
Healthcare Needs

This article reports on the implementation of a local pioneering psychiatric nurseled service that was designed to address the unmet mental healthcare needs of adults residing at older adult homes. It also describes features of potentially wider relevance to nurses interested in developing healthcare service for other underserved populations. We highlight the view that the crux of developing a successful service involves understanding existing service gaps, grasping the pulse of changing healthcare service policies, involving relevant stakeholders in the planning process, validating service outcomes, and seeking support from management. A central goal of the service was to enhance the accessibility of mental healthcare services to people with unmet needs. This model of service is preferred by service users (both the care providers and the residents in the older adult homes), is efficient in terms of providing prompt psychiatric nursing interventions, is able to supply primary care providers with ractical advice in response to their enquiries, and helps primary care providers to detect and manage the mental healthcare needs of older adults.

The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Socioeconomic Status ◽  
Thematic Analysis ◽  
Older Men ◽  
Primary Care Providers ◽  
Depression Treatment ◽  
Care Providers ◽  
Low Socioeconomic ◽  
Self Image ◽  
The Impact

Abstract. Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. Method: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. Results: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" Conclusion: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide.

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