scholarly journals Effective Patient-Provider Communication For Newly Diagnosed Patients In A Primary Care Setting: A Quantitative Study

2018 ◽  
Author(s):  
Ralston R Lockett ◽  
Myra Michelle DeBose, PhD, MSN, MSEd, RN
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Health Outcomes ◽  
Care Setting ◽  
Graduate Program ◽  
Primary Care Setting ◽  
Depression Scale ◽  
Provider Communication ◽  
Newly Diagnosed ◽  
Primary Care Settings

Ralston Lockett, BSN, RN - FNP StudentMyra Michelle DeBose, PhD, MSN, MSEd, RN - Faculty AdvisorPrairie View A & M University - College of Nursing - Graduate Program - Houston, TXBackground: There are newly diagnosed patients in primary care settings with depressive symptomsdue to lack of communication from providers. The aim of this proposed study is to assess newlydiagnosed patients who may express depressive symptomology. Establishing a sound relationshipbetween patients and providers is essential for a trusting relationship. Patient-centeredcommunication increases better health outcomes in primary care settings. There is reason to believethat missed opportunities between patient-providers can decrease patient compliance and increasedepression.Research Hypothesis: Newly diagnosed patients that receive effective provider communication willhave a decrease in depressive symptoms as compared to newly diagnosed patients who do not receiveeffective communication.Methodology: This study uses a longitudinal, quasi-experimental research design, conveniencesampling. Up to 80 newly diagnosed patients who did not receive effective communication will beevaluated for approximately six months. The primary setting will be 2 urban area clinics in Houston,Texas. The Center for Epidemiologic Studies Depression Scale (CES-D), will be used within 30 days afterthe initial healthcare provider visit to assess depressive symptoms.Results: Depressive symptoms will be measured using the (CES-D) assessment tool of 20 – items. Thetool assesses how frequently an individual experienced depressive symptoms within a week. Inaddition, a 45 min post visit survey regarding provider communication will be sent after 30 days.Sample analysis will include diagnosis and literacy level. Participants will be asked to identify preferredmethods of communicating with their provider.Significance: There is a correlation between depressive symptoms and lack of effective communicationwith patients in a primary care setting. Poor identification of patient’s mental health status andengagement in plan of care can lead to poor patient health outcomes, increase health care costs, anddisparities to under-privilege communities.

scholarly journals Epidemiology and health outcomes associated with hyperkalemia in a primary care setting in England

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Laura Horne ◽  
Akhtar Ashfaq ◽  
Sharon MacLachlan ◽  
Marvin Sinsakul ◽  
Lei Qin ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Outcomes ◽  
Care Setting ◽  
Primary Care Setting

Screening Younger Individuals in a Primary Care Setting Flags Putative Dementia Cases and Correlates Gastrointestinal Diseases with Poor Cognitive Performance

2016 ◽  
Vol 43 (1-2) ◽  
pp. 15-28 ◽  
Author(s):  
Ilka M. Rosa ◽  
Ana Gabriela Henriques ◽  
Liliana Carvalho ◽  
Joana Oliveira ◽  
Odete A.B. da Cruz e Silva
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Gastrointestinal Disease ◽  
Gastrointestinal Diseases ◽  
Diagnostic Tools ◽  
Clinical Dementia Rating ◽  
Dementia Prevalence ◽  
Dementia Screening ◽  
Primary Care Settings

Background/Aims: Diagnosing dementia is challenging in many primary care settings, given the limited human resources and the lack of current diagnostic tools. With this in mind, a primary care-based cohort was established in the Aveiro district of Portugal. Methods: A total of 568 participants were evaluated using cognitive tests and APOE genotyping. Results: The findings revealed a dementia prevalence of 12%. A strong correlation between increasing Clinical Dementia Rating (CDR) scores and education was clearly evident. Other highly relevant risk factors were activities of daily living (ADL), instrumental ADL, aging, depression, gender, the APOE ε4 allele, and comorbidities (depression as well as gastrointestinal, osteoarticular, and neurodegenerative diseases). A hitherto unreported, significant correlation between gastrointestinal disease and high CDR score was clearly observable. Conclusions: This study shows the merit of carrying out a dementia screening on younger subjects. Significantly, 71 subjects in the age group of 50-65 years were flagged for follow-up studies; furthermore, these cases with a potentially early onset of dementia were identified in a primary care setting.

scholarly journals Is hyperglycemia associated with anxious-depressive symptoms? An Italian study in primary care setting

2015 ◽  
Vol 78 (6) ◽  
pp. 620
Author(s):  
G. Rioli ◽  
G. Mattei ◽  
G.M. Galeazzi ◽  
S. Ferrari ◽  
S. Bursi ◽  
...  
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Care Setting ◽  
Primary Care Setting ◽  
Italian Study

scholarly journals Association of Depression with Uncontrolled Hypertension in Primary Care Setting: A Cross-Sectional Study in Less-Developed Northwest China

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Lin Wang ◽  
Nanfang Li ◽  
Mulalibieke Heizhati ◽  
Mei Li ◽  
Zhikang Yang ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Depression Scale ◽  
Northwest China ◽  
Directed Acyclic Graphs ◽  
Uncontrolled Hypertension ◽  
Lasso Regression ◽  
Cross Sectional ◽  
Optimal Adjustment

Background. Hypertensive patients commonly experience comorbid depression, which is closely associated with adverse health outcomes. This study aimed to examine the association between depression and uncontrolled hypertension in primary care setting of Northwest China. Methods. We used a stratified multistage random sampling method to obtain 1856 hypertensives subjects aged ≥18 years among primary care setting in Xinjiang, Northwest China, between April and October 2019. Depression was evaluated by Hospital Anxiety and Depression Scale (HADS), with a cut-off score ≥8. We related depression to uncontrolled hypertension, using multiple logistic regression, adjusting for minimally sufficient adjustment set of variables retrieved from a literature-based directed acyclic graphs (DAGs) and optimal adjustment set of variables derived from the least absolute shrinkage and selection operator (LASSO) regression. Results. A total of 1,653 (89.1%) patients had uncontrolled hypertension. The prevalence of depression was 14.5% and 7.4% among patients with uncontrolled and controlled hypertension. Depression was associated with 1.12-fold increased odds of uncontrolled hypertension [odds ratio (OR) 2.12, 95% confidence interval (CI): 1.23–3.65]. The association remained significant even after adjusting for the minimal sufficient adjustment sets and the optimal adjustment set of variables. Conclusion. Depression is significantly associated with uncontrolled hypertension in primary care setting of northwest China. The integrated management of depression and hypertension in the setting might be warranted.

scholarly journals Regional Origin and Decrease of Pain in Patients with Depressive Symptoms Under Treatment with Venlafaxine

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
S. Begré ◽  
M. Traber ◽  
M. Gerber ◽  
R. von Känel
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Pain Intensity ◽  
Care Setting ◽  
Primary Care Setting ◽  
Antidepressant Medication ◽  
Illness Severity ◽  
Thoracic Pain ◽  
Regional Origin ◽  
Analogue Scales

Aims:Worldwide data are extensively lacking in regard to patients with depressive symptoms under therapy with antidepressants in the primary care setting. We hypothesized that the magnitude of pain reduction under treatment with venlafaxine differently relates to regional origin of patients.Methods:We conducted a prospective naturalistic observational trial on 420 pain sufferers with depressive symptoms from all over Switzerland who were treated with venlafaxine by 122 physicians in primary care. Previous and additional antidepressant medication was not taken into account. Physicians rated illness severity using the Clinical Global Impression severity scale and pain intensity by means of visual analogue scales.Results:Compared with Middle European patients (ME), those from Eastern Europe (EE), and Southern Europe (SE) were younger and presented more intense overall pain mainly affecting the head, extremities and back. In addition, SE patients suffered more intense thoracic pain than ME patients, and EE patients suffered less frequently from abdominal pain compared to their ME and SE counterparts. Furthermore, 3 months after study entry, ME patients were found to profit more from treatment with venlafaxine in terms of overall illness severity and pain intensity than patients from EE and SE.

scholarly journals Impact of a Pharmacist-Provided Spirometry Service on Access to Results in a Primary Care Setting

2018 ◽  
Vol 9 ◽  
pp. 215013271875921 ◽  
Author(s):  
Lisa A. Mueller ◽  
Alexa Sevin Valentino ◽  
Aaron D. Clark ◽  
Junan Li
Keyword(s):  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Time Frame ◽  
Primary Objective ◽  
Completion Rate ◽  
Primary Care Settings ◽  
Significant Difference ◽  
Referral Completion ◽  
Time Frames

Objectives: The primary objective of this study was to determine the effect of a pharmacist-provided spirometry service within a federally qualified health center on the percentage of spirometry referrals completed with results reviewed by the ordering provider. Secondary objectives evaluated differences between internal and external referrals, medication recommendations made by the pharmacist, and revenue brought in by the service. Methods: Chart reviews were completed to determine the referral completion rates between patients who received a spirometry referral before (December 2014–September 2015) and after (January 2016–October 2016) the implementation of the pharmacy-provided spirometry service. Chart reviews were also used to determine the number and completion rate among referrals for internal and external services in the postimplementation time frame. Chart reviews also assessed medication recommendations made by the pharmacist. Results: The results demonstrate an increase in referral completion rate from 38.1% to 47.0% ( P = .08) between the pre- and postimplementation time frames. In the postimplementation time frame, there was a statistically significant difference in the percentage of referrals completed between in-house referrals and external referrals (70.0% and 40.9%, respectively, P = .0004). Comparing clinics with and without the spirometry service, there was a statistically significant difference in the total number of spirometry referrals (1.13% and 0.59%, respectively, P < .0001) and the percent of referrals completed (0.55% and 0.27%, respectively, P = .0002). Conclusion: The results suggest that offering spirometry within the primary care setting helps to increase the rate of completed spirometry tests with results available to the primary care provider. Additionally, the results show that there is an increased completion rate in patients who receive an internal spirometry referral, which may be due to reduced barriers in obtaining this testing. Overall, these results demonstrate that providing spirometry in the primary care setting helps to increase spirometry results obtained and could be beneficial in other primary care settings.

Scottish Psychiatrists in Primary Health-Care Settings

1988 ◽  
Vol 153 (5) ◽  
pp. 663-666 ◽  
Author(s):  
Ian M. Pullen ◽  
Alex J. Yellowlees
Keyword(s):  
Primary Care ◽  
Rural Areas ◽  
Care Setting ◽  
Primary Care Setting ◽  
Health Care Settings ◽  
Primary Care Settings ◽  
Practice Experience ◽  
Primary Health ◽  
Similar Survey ◽  
Primary Health Care Settings

There has been a growing number of reports of psychiatrists moving out into primary-care settings. We report a survey of consultant psychiatrists to assess the extent of this practice in Scotland. Some time spent in the primary-care setting was reported by 56%, the figures being highest in rural areas. An equal number of non-consultant medical staff were involved. Most schemes were initiated by psychiatrists, over half of whom had had some postgraduate general-practice experience. A similar survey in England and Wales showed that only 19% of consultant psychiatrists spent time in primary-care settings, a smaller proportion of non-consultant staff being involved. The value of working in primary-care settings has yet to be assessed.

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