scholarly journals PreView: Development and Pilot Testing of an Interactive Video Doctor Plus Provider Alert to Increase Cancer Screening

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Millie Arora ◽  
Barbara Gerbert ◽  
Michael B. Potter ◽  
Ginny Gildengorin ◽  
Judith M. E. Walsh
Keyword(s):  
Primary Care ◽  
Cancer Screening ◽  
San Francisco ◽  
Transtheoretical Model ◽  
Interactive Video ◽  
Primary Care Clinic ◽  
Pap Test ◽  
Screening Tests ◽  
Care Clinic ◽  
Primary Care Clinics

Background. Interventions to increase recommended cancer screening tests and discussions are needed. Methods. We developed the PREventive VIdeo Education in Waiting Rooms Program (PreView), a multimedia cancer prevention intervention for primary care clinics based on the Transtheoretical Model of Behavior Change. We pilot tested PreView, an interactive Video Doctor plus Provider Alert for feasibility and acceptability in primary care clinic settings in the San Francisco Bay Area , CA in 2009-2010. Results. Eighty participants (33 men and 47 women; more than half non-White) at 5 primary care clinics were included. After PreView, 87% of women were definitely interested in mammography when due, and 77% were definitely interested in a Pap test. 73% of participants were definitely interested in colorectal cancer screening when due, and 79% of men were definitely interested in a discussion about the PSA test. The majority indicated that they received an appropriate amount of information from PreView and that the information presented helped them decide whether or not to be screened. Conclusions. PreView was well received and accepted and potentially provides an innovative and practical way to support physicians' efforts to increase cancer screening.

scholarly journals 140. Symptoms and Situations Predispose Patients to Use Antibiotics Without Medical Advice

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S200-S200
Author(s):  
Michael Hansen ◽  
Barbara Trautner ◽  
Roger Zoorob ◽  
George Germanos ◽  
Osvaldo Alquicira ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Emergency Departments ◽  
Primary Care Clinic ◽  
Antibiotic Use ◽  
Safety Net ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Primary Care Patients ◽  
Emergency Department Patients

Abstract Background Use of antibiotics without a prescription (non-prescription use) contributes to antimicrobial resistance. Non-prescription use includes obtaining and taking antibiotics without a prescription, taking another person’s antibiotics, or taking one’s own stored antibiotics. We conducted a quantitative survey focusing on the factors that impact patients’ decisions to use non-prescription antibiotics. Methods We surveyed patients visiting public safety net primary care clinics and private emergency departments in a racially/ethnically diverse urban area. Surveys were read aloud to patients in Spanish and English. Survey domains included patients’ perspectives on which syndromes require antibiotic treatment, their perceptions of health care, and their access to antibiotics without a prescription. Results We interviewed 190 patients, 122 from emergency departments (64%), and 68 from primary care clinics (36%). Overall, 44% reported non-prescription antibiotic use within the past 12 months. Non-prescription use was higher among primary care clinic patients (63%) than the emergency department patients (39%, p = 0.002). The majority felt that antibiotics would be needed for bronchitis (78%) while few felt antibiotics would be needed for diarrhea (30%) (Figure 1). The most common situation identified “in which respondents would consider taking antibiotics without contacting a healthcare provider was “got better by taking this antibiotic before” (Figure 2). Primary care patients were more likely to obtain antibiotics without prescription from another country than emergency department patients (27% vs. 13%, P=0.03). Also, primary care patients were more likely to report obstacles to seeking a doctor’s care, such as the inability to take time off from work or transportation difficulties, but these comparisons were not statistically significant. Figure 1. Patients’ agreement that antibiotics would be needed varied by symptom/syndrome. Figure 2. Situations that lead to non-prescription antibiotic use impacted the two clinical populations differently Conclusion Non-prescription antibiotic use is a widespread problem in the two very different healthcare systems we included in this study, although factors underlying this practice differ by patient population. Better understanding of the factors driving non-prescription antibiotic use is essential to designing patient-focused interventions to decrease this unsafe practice. Disclosures All Authors: No reported disclosures

scholarly journals Evaluation of a two-minute strep A direct swab test (SADST) on patients with pharyngitis at a primary care clinic

1986 ◽  
Vol 97 (1) ◽  
pp. 133-138 ◽  
Author(s):  
G. F. Araj ◽  
H. A. Majeed
Keyword(s):  
Primary Care ◽  
Primary Care Clinic ◽  
Culture Method ◽  
Care Clinic ◽  
Predictive Values ◽  
Primary Care Clinics ◽  
Clinical Laboratories ◽  
Standard Culture ◽  
Group A ◽  
Lancefield Group

SUMMARYA two-minute strep A direct swab test (SADST) was used to detect the presence of Lancefield group A streptococci (GAS) from the throats of 207 patients with pharyngitis at a primary-care clinic. The results were compared with a standard culture method. Fifty-one specimens were positive and 156 specimens were negative for GAS by culture. The SADST had a sensitivity of 96% (49 of 51) and specificity of 98·7% (154 of 156). The predictive values of a positive and negative SADST, for GAS, were 96% and 98·7 % respectively. The SADST showed negative reactions with five specimens containing beta-haemotytic streptococci other than GAS and 34 known stock cultures other than GAS. Our results indicate that SADST is a rapid, simple, convenient and reliable test to use for diagnosis of GAS pharyngitis at primary care clinics, physicians' offices and clinical laboratories.

Opportunities for and Barriers to Using Smartphones for Health Education Among Families at an Urban Primary Care Clinic

2018 ◽  
Vol 57 (11) ◽  
pp. 1281-1285 ◽  
Author(s):  
Francis J. Real ◽  
Dominick DeBlasio ◽  
Cesarina Rounce ◽  
Adrienne W. Henize ◽  
Andrew F. Beck ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Education ◽  
Mobile Devices ◽  
Mobile Technology ◽  
Primary Care Clinic ◽  
Pediatric Primary Care ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Survey Questions

Mobile technology is omnipresent in society. Though studies suggest increased rates of smartphone accessibility, current access and barriers to smartphone usage at urban primary care clinics remains unclear. A self-administered survey was distributed to families presenting to an urban, underserved pediatric primary care clinic in spring 2017. Survey questions related to smartphone ownership and barriers to usage. A total of 273 parents completed the survey. Ninety-five percent of participants owned a smartphone. Fifty-eight percent of participants identified no barriers to smartphone usage. Among those who identified one or more barriers (n = 108), difficulties were primarily related to Wi-Fi access (46%), available phone memory (45%), existing phone data (28%), and discomfort with technology (11%). The majority of parents (59%) were interested in using a smartphone to learn about their child’s health. In conclusion, there is opportunity to transform health education utilizing mobile devices, though disparities to usage should be considered.

scholarly journals Association of Primary Care Clinic Appointment Time With Clinician Ordering and Patient Completion of Breast and Colorectal Cancer Screening

2019 ◽  
Vol 2 (5) ◽  
pp. e193403 ◽  
Author(s):  
Esther Y. Hsiang ◽  
Shivan J. Mehta ◽  
Dylan S. Small ◽  
Charles A. L. Rareshide ◽  
Christopher K. Snider ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Clinic Appointment ◽  
Appointment Time

Direct-to-Consumer Marketing of Osteoporosis Drugs and Bone Densitometry

2003 ◽  
Vol 37 (7-8) ◽  
pp. 976-981 ◽  
Author(s):  
Matthew F Hollon ◽  
Eric B Larson ◽  
Thomas D Koepsell ◽  
Ann E Downer
Keyword(s):  
Primary Care ◽  
Bone Densitometry ◽  
Pap Smear ◽  
Strong Association ◽  
Primary Care Clinic ◽  
Screening Tests ◽  
Care Clinic ◽  
Direct To Consumer ◽  
Academic Primary Care ◽  
Consumer Marketing

OBJECTIVE: To determine whether there is an association between a woman's exposure to direct-to-consumer (DTC) advertisements for 2 osteoporosis drugs and presentation for bone densitometry. METHODS: A matched case–control study was conducted between October and December 1998 at an academic primary care clinic in Seattle, WA. Seventeen women from the study population (aged ≥18 y, seen in the previous 2 y at the academic primary care clinic) presented for bone densitometry. All 51 women completed a self-administered questionnaire. RESULTS: Women familiar with 1 of 2 osteoporosis drugs due to exposure to advertisements had 9 times the odds of densitometry (unadjusted OR 9.3, 95% CI 1.0 to 86). Multivariate analysis, including confounders such as education level and whether a woman had previously had 3 screening tests (mammography, Pap smear, serum cholesterol), revealed a significant and strong association between exposure to advertisements and densitometry (adjusted OR 29, 95% CI 1.6 to 511). CONCLUSIONS: DTC marketing may increase health services utilization. Further independent evaluation of DTC marketing based on available observational evidence is feasible and warranted.

scholarly journals A GWEP COLLABORATION: IMPLEMENTING THE AWV IN A RURAL PRIMARY CARE CLINIC

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S393-S393
Author(s):  
Christine McKibbin
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Primary Care Clinic ◽  
Lessons Learned ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Rural Primary Care

Abstract This presentation will focus on the collaboration with the Dartmouth GWEP to implement the AWV in a rural primary care clinic. The challenges of practice transformation in busy primary care clinics will be discussed along with lessons learned on a successful GWEP partnership to achieve improved patient outcomes in primary care.

Mo1080 Improved Colorectal Cancer Screening in the Internal Medicine Resident Primary Care Clinic

2013 ◽  
Vol 144 (5) ◽  
pp. S-571
Author(s):  
Charoen Mankongpaisarnrung ◽  
Grerk Sutamtewagul ◽  
Kunut Kijsirichareanchai ◽  
Naree Panamonta ◽  
Ariwan Rakvit ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Colorectal Cancer ◽  
Primary Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Primary Care Clinic ◽  
Internal Medicine Resident ◽  
Care Clinic ◽  
Medicine Resident

scholarly journals Hearing New Voices: Registered Nurses and Health Technicians Experience Caring for Chronic Pain Patients in Primary Care Clinics

2014 ◽  
Vol 8 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Linda H. Pellico ◽  
Wesley P. Gilliam ◽  
Allison W. Lee ◽  
Robert D. Kerns
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Registered Nurses ◽  
Primary Care Clinic ◽  
Patient Centered Care ◽  
Valuable Insight ◽  
Patient Centered ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Centered Care

Recent national estimates from the U.S. reveal that as many as one-third of all Americans experience chronic pain resulting in high prevalence rates of visits to primary care clinics (PCC). Indeed, chronic pain appears to be an emerging global health problem. Research has largely ignored the perspective of PCC staff other than physicians in providing care for patients with chronic pain. We wanted to gain insights from the experiences of Registered Nurses (RNs) and Health Technicians (HTs) who care for this patient population. Krippendorff’s method for content analysis was used to analyze comments written in an open-ended survey from fifty-seven primary care clinic staff (RNs-N=27 and HTs-N=30) respondents. This represented an overall response rate of 75%. Five themes emerged related to the experience of RNs and HTs caring for patients with chronic pain: 1) Primacy of Medications and Accompanying Clinical Quandaries; 2) System Barriers; 3) Dealing with Failure; 4) Primacy of Patient Centered Care; and 5) Importance of Team Based Care. This study demonstrates that nursing staff provide patient-centered care, recognize the importance of their role within an interdisciplinary team and can offer valuable insight about the care of patients with chronic pain. This study provides insight into strategies that can mitigate barriers to chronic pain management while sustaining those aspects that RNs and HTs view as essential for improving patient care for this vulnerable population in PCCs.

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