scholarly journals In which journals do family and community physicians in Brazil publish?

2021 ◽  
Vol 16 (43) ◽  
pp. 2589
Author(s):  
Leonardo Ferreira Fontenelle ◽  
Miguel Henrique Moraes de Oliveira ◽  
Stephani Vogt Rossi ◽  
Diego José Brandão ◽  
Thiago Dias Sarti

Introduction: Authors choose scholarly journals not only to advance their careers but also to interact with their respective scholarly communities. Objective: To describe the journals where family and community physicians in Brazil publish their work. Methods: In late 2018, we compiled a nationwide list of family and community physicians, and downloaded their curricula from the Lattes Platform. We extracted data on their complete journal articles from their curricula, completed these data with queries to CrossRef, VHL/LILACS, and PubMed/MEDLINE, and obtained data on the journals with queries to the United States NLM Catalog. Results: We found 3558 unique articles, published by 1011 journals. The most productive journal was RBMFC (Revista Brasileira de Medicina de Família e Comunidade), which published 347 (9.8%) of these articles. About one in six articles were published in journals on family practice or primary health care. The proportion of articles published in journals in Brazil decreased during the study period from 83.8% to 58.4%. Conclusion: As in other countries, family and community physicians in Brazil usually publish in the national journal dedicated to their scholarly community, while also publishing extensively in journals from other disciplines. The increasing proportion of articles published in journals outside Brazil suggests primary care research in Brazil is increasingly of international relevance.

1972 ◽  
Vol 2 (2) ◽  
pp. 217-228 ◽  
Author(s):  
S. Wolfe

The outflow from the field of primary medical practice has been coupled with the failure of the voluntary insurance system in the United States to pay for the costs of most primary care services. These are facts that are even more applicable to the poor who number between 40 and 50 million persons from the point of view of inability to pay for the skyrocketing costs of health services. In the United States, much primary care for the poor is provided in emergency rooms, charity outpatient clinics, and public health department clinics, and is fragmented between various categorical assistance programs. In contrast, in Canada, primary health care is now a right, whereas it is not in the United States, and so the poor in Canada increasingly obtain their health care within the so–called mainstream system. In the United States a series of new categorical assistance programs have revived the development of the concept of comprehensive, neighborhood–based health centers, but at most 1,500,000 persons obtained care in such centers during 1971. The Meharry Medical College experience in this development is unique and multidimensional. But for the great majority of the poor in the United States, adequate primary health care service and the way to finance it with dignity remains as yet an illusory dream.


2018 ◽  
Vol 34 (S1) ◽  
pp. 102-103
Author(s):  
Charles Yan ◽  
Bing Guo ◽  
Paula Corabian

Introduction:Population growth, epidemiological and demographic transition, and a shortage of healthcare workers are affecting health care systems in Australia, Canada, the United Kingdom (UK), and the United States (US). Community paramedicine (CP) programs provide a bridge between primary care and emergency care to address the needs of patients with low acuity but lack of access to primary care. However, how to capture the key characteristics of these programs and present them in a meaningful way is still a challenge. The objective of this presentation is to identify and describe the characteristics of currently existing CP programs in the four countries to inform policy-making on CP program development in Alberta.Methods:Information was obtained from systematic reviews, health technology assessments, general reviews, and government documents identified through a comprehensive literature search. The characteristics of the CP programs are described using a framework originally developed in Australia with three categories: (i) the primary health care model, (ii) the health integration model (in Australia, called the substitution model), and (iii) the community coordination model.Results:In general, Australia emphasizes rural/remote paramedics, whereas Canada, the UK, and the US implement expanded paramedic practice within different environments including rural, remote, regional, and metropolitan settings. Extended care provider programs have been intensively investigated and widely implemented in the UK. While the identified CP programs vary in terms of program components, designation of providers, skill mix, target population, and funding model, the majority of these CP programs fall under the primary health care category of the Australian framework.Conclusions:Transitioning from hospital-based to community-based health care requires careful consideration of all key factors that could contribute to future program success. Delineating key components of CP programs using the Australian framework will help Alberta decision-makers design, develop, and implement appropriate CP programs that adequately address local needs.


1994 ◽  
Vol 38 (4) ◽  
pp. 489-495 ◽  
Author(s):  
Toshihide Tsuda ◽  
Hideyasu Aoyama ◽  
Jack Froom

2021 ◽  
Vol 60 (3) ◽  
pp. 138-144
Author(s):  
Sally Kendall

Abstract This editorial describes how research in primary health care can be used to influence policy. It draws on previous literature to give an example from the UK of how research in one part of primary care, the health-visiting service, has endeavoured to use evidence to influence policy and practice. The editorial considers frameworks for policy implementation such as Bardach’s eight phase approach and concepts that can inform policy implementation such as Lipsky’s Street-Level Bureaucrat approach.


2017 ◽  
Author(s):  
Mike Grady ◽  
Laurence Barry Katz ◽  
Pamela Anderson ◽  
Brian Leonard Levy

BACKGROUND We previously demonstrated in patients with diabetes that displaying blood glucose results in association with color improved their ability to interpret glucose results. OBJECTIVE The objective of this study was to investigate the perceptions of health care professionals (HCPs) in specific countries about the value of color on a new glucose meter and to determine if HCP perspectives among countries differ on the value of this approach in clinical practice. METHODS A total of 180 HCPs, including 105 endocrinologists, 34 primary care physicians, 25 diabetes educators, and 16 pharmacists, were recruited from India (n=50), Russia (n=50), China (n=50), and the United States (n=30). These HCPs experienced the OneTouch Select Plus Simple glucose meter online from their own office computer using interactive demonstrations (webpages, meter simulator, and video clips). After providing demographic and current clinical practice insights, HCPs responded to questions about the utility of the color-enhanced glucose meter. RESULTS Mean age and years in their current professional role for the 180 HCPs was 41.3 (SD 8.1) and 13.3 (SD 6.8) years for endocrinologists, 41.3 (SD 8.3) and 14.1 (SD 6.8) years for primary care physicians, 37.5 (SD 8.7) and 12.7 (SD 6.8) years for diabetes educators, and 35.9 (SD 5.3) and 9.5 (SD 5.2) years for pharmacists. In all, 88% (44/50) of Russian and 83% (25/30) of American HCPs said their patients find it easy to recognize low, in-range, or high blood glucose results compared to 56% (28/50) of HCPs in China and 42% (21/50) in India. Regardless of country, HCPs had less confidence that their patients act on blood glucose results with 52% (26/50) in Russia, 63% (19/30) in the United States, 60% (30/50) in China, and 40% (20/50) in India responding positively. During the interactive online meter experience, HCPs from all countries responded positively to questions about a meter with color features. After reflecting on the value of this meter, most HCPs strongly agreed or agreed their patients would be more inclined to act on results using a meter with color features (Russia: 92%, 46/50; United States: 70%, 21/30; China: 98%, 49/50; India: 94%, 47/50). They also said that color was particularly useful for patients with lower numeracy or education who may struggle with interpreting results (Russia: 98%, 49/50; United States: 77%, 23/30; China: 100%, 50/50; India: 82%, 41/50). CONCLUSIONS This multicountry online study provides evidence that HCPs had high overall satisfaction with the OneTouch Select Plus glucose meter, which uses color-coded information to assist patients with interpreting blood glucose results. This may be especially helpful in patient populations with low numeracy or literacy and limited access to health care and direct interaction with HCPs.


Geriatrics ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. 41 ◽  
Author(s):  
Mattan Schuchman ◽  
Mindy Fain ◽  
Thomas Cornwell

This article describes the forces behind the resurgence of home-based primary care (HBPC) in the United States and then details different HBPC models. Factors leading to the resurgence include an aging society, improved technology, an increased emphasis on home and community services, higher fee-for-service payments, and health care reform that rewards value over volume. The cost savings come principally from reduced institutional care in hospitals and skilled nursing facilities. HBPC targets the most complex and costliest patients in society. An interdisciplinary team best serves this high-need population. This remarkable care model provides immense provider satisfaction. HBPC models differ based on their mission, target population, geography, and revenue structure. Different missions include improved care, reduced costs, reduced readmissions, and teaching. Various payment structures include fee-for-service and value-based contracts such as Medicare Shared Savings Programs, Medicare capitation programs, or at-risk contracts. Future directions include home-based services such as hospital at home and the expansion of the home-based workforce. HBPC is an area that will continue to expand. In conclusion, HBPC has been shown to improve the quality of life of home-limited patients and their caregivers while reducing health care costs.


2009 ◽  
Vol 5 (3) ◽  
pp. 119-123 ◽  
Author(s):  
Lawrence N. Shulman ◽  
Linda A. Jacobs ◽  
Sheldon Greenfield ◽  
Barbara Jones ◽  
Mary S. McCabe ◽  
...  

The combination of a shortfall in oncologists and primary care physicians and an increased number of patients using more health care resources raises concerns about our health care system's ability to accommodate future patients with cancer and cancer survivors.


2016 ◽  
Vol 22 (2) ◽  
pp. 71
Author(s):  
Jenny Advocat ◽  
Grant Russell ◽  
Mary Mathews

Primary care is the foundation of a nation’s health care system. Real world research is a requirement of a health system built to deliver the benefits of a strong primary care community. In the last decade, new approaches to optimising the impact of research on practice and policy have been formulated across disciplines. However, in Australia, the primary care research community remains small and primary care researchers are not well represented in either receiving support for or governing research. While practice-based research networks (PBRNs) have brought GPs and, sometimes, other clinicians together with academics, few have managed to bring local decision makers and other primary health care stakeholders into partnerships where they can work together on common problems. This paper outlines a novel three-way partnership between a health authority, a primary care organisation and a university in the south-eastern suburbs of Melbourne. A case study was undertaken based on author experience of the Southern Academic Primary Care Research Unit (SAPCRU) and semi-structured interviews with representatives from partner organisations. Interviews elicited perceived barriers and facilitators, including complex financial, human resources and governance challenges, associated with bridging the gap between research and practice. It was found that SAPCRU has been successful in engaging with research partners and has begun to develop links with policy makers and orient research themes to the needs of its varied communities. Especially with the introduction of Primary Health Networks (PHNs), the model has the potential to translate to different settings but barriers should be noted.


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