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Primary Health Care Research & Development

Sally Kendall, Ros Bryar, Katie Henderson
No abstract text is available yet for this article.
January 23, 2019: Primary Health Care Research & Development
Tonia Olson, Angela Bowen, Julie Smith-Fehr, Swagata Ghosh
Shorter length of stay for postpartum mothers and their newborns necessitates careful community follow-up after hospital discharge. The vast amount of information given during the initial postpartum period can be overwhelming. New parents often need considerable support to understand the nuances of newborn care including newborn feeding. Primary health care and community services need to ensure there is a seamless continuum of care to support, empower, and educate new mothers and their families to prevent unnecessary hospital readmission and other negative health outcomes...
December 27, 2018: Primary Health Care Research & Development
Michelle R Brear, Pinky N Shabangu, Karin Hammarberg, Jane Fisher, Helen Keleher
BACKGROUND: Care of children affected by AIDS in Swaziland is predominately provided by families, with support from 'community-based responses'. This approach is consistent with United Nations International Children's Fund's (UNICEF) framework for the protection, care and support of children affected by AIDS. However, the framework relies heavily on voluntary caregiving which is highly gendered. It pays limited attention to caregivers' well-being or sustainable community development which enables more effective caregiving...
November 16, 2018: Primary Health Care Research & Development
Helen Chapman, Lisa Farndon, Rebekah Matthews, John Stephenson
AimsTo assess the 'Okay to Stay' plan to investigate if this reduces visits to emergency departments, unplanned admissions and elective admission to hospital in elderly patients with long-term health conditions. BACKGROUND: The incidence of long-term conditions is rising as the elderly population increases, resulting in more people from this group attending emergency departments and being admitted to hospital. Okay to Stay is a simple plan for people with long-term conditions to help them remain in their own home if they suffer an acute exacerbation in their health...
November 15, 2018: Primary Health Care Research & Development
Arusyak Harutyunyan, Armine Abrahamyan, Varduhi Hayrumyan, Varduhi Petrosyan
BACKGROUND: Despite compelling evidence that physicians play a prominent role in smoking cessation, most smokers do not receive the recommended smoking cessation counseling.AimTo identify perceived barriers that hinder primary healthcare physicians (PHPs) from providing smoking cessation treatment to patients in Armenia. METHODS: A sequential exploratory mixed-methods study was conducted among PHPs from two Armenian cities (Yerevan and Gyumri). We implemented qualitative phase through focus group discussions (FGDs) using a semi-structured guide...
November 13, 2018: Primary Health Care Research & Development
Sabrina T Wong, Julia M Langton, Alan Katz, Martin Fortin, Marshall Godwin, Michael Green, Eva Grunfeld, Kasra Hassani, Claire Kendall, Clare Liddy, Jenny Ploeg, Walter P Wodchis, Jeannie L Haggerty
AimTo describe the process by which the 12 community-based primary health care (CBPHC) research teams worked together and fostered cross-jurisdictional collaboration, including collection of common indicators with the goal of using the same measures and data sources. BACKGROUND: A pan-Canadian mechanism for common measurement of the impact of primary care innovations across Canada is lacking. The Canadian Institutes for Health Research and its partners funded 12 teams to conduct research and collaborate on development of a set of commonly collected indicators...
November 6, 2018: Primary Health Care Research & Development
Julian Barratt, Nicola Thomas
AimTo advance understanding of the discrete nature of the communication processes and social interactions occurring in nurse practitioner consultations. BACKGROUND: Preceding qualitative investigations of nurse practitioner consultations have, when conducting interviews with participants, often exclusively sampled either nurse practitioners or patients. Furthermore, previous qualitative studies of the nature of nurse practitioner consultations have not typically also sampled carers attending with patients for nurse practitioner consultations...
October 31, 2018: Primary Health Care Research & Development
Heewon Lee, Asayeon Choi, Yongjun Jang, Jong In Lee
AimTo analyze the use of YouTube videos as educational tools for four physical examinations of the shoulder: the Neer, Hawkins, empty can, and drop arm tests. BACKGROUND: Video-based education, which is accompanied by text-based education, can be an effective education method, especially in learning medical skills. Medical students and doctors in training often use YouTube videos to share medical education materials, and more systematic review of the reliability of these videos is required...
October 30, 2018: Primary Health Care Research & Development
Lívia P Bonifácio, João M A Marques, Elisabeth M Vieira
AimTo evaluate prenatal care knowledge of Brazilian community health workers (CHWs). BACKGROUND: Routine prenatal care is critical for reducing health risks in women and their children. One of the responsibilities of primary healthcare providers is the provision of prenatal care. The CHWs, with their frequent contact with populations, work to improve health outreach efforts and therefore may be key role players in prenatal care. METHODS: This was a cross-sectional study...
October 9, 2018: Primary Health Care Research & Development
Janneke van Leeuwen, Marienke van Middelkoop, Winifred D Paulis, Patrick J E Bindels, Bart W Koes
AIM: The aim of this study is to investigate the differences between reported and measured weight and height for underweight, normal-weight, and overweight children, particularly in a general practitioner setting. BACKGROUND: Screening, signaling, and treatment of childhood obesity by the general practitioner depends on accurate weight and height measurements. METHODS: Data on reported and measured weight and height from a cohort including 715 normal-weight and overweight children aged 2-17 were used...
October 8, 2018: Primary Health Care Research & Development
Csaba Móczár, Imre Rurik
BACKGROUND: In Hungary, since 1990, each government has tried to transform and rationalize the structure of health care. One of the reforms was the Care Managing Organization (CMO) programme introduced in 1999. OBJECTIVES: The aim of this paper is to describe the regional, environmental, structural and preliminary health related outcomes of the CMO in Bács-Kiskun County (Central-Eastern Hungary). METHODS: First, cardiovascular screening programmes were organized for pre-screened and randomly selected populations of a total of 4462 persons...
October 8, 2018: Primary Health Care Research & Development
Gordon W Macdonald
AimTo determine the responsiveness of primary care chaplaincy (PCC) to the current variety of presenting symptoms seen in primary care. This was done with a focus on complex and undifferentiated illness. BACKGROUND: Current presentations to primary care are often complex, undifferentiated and display risk factors for social isolation and loneliness. These are frequently associated with loss of well-being and spiritual issues. PCC provides holistic care for such patients but its efficacy is unknown in presentations representative of such issues...
October 8, 2018: Primary Health Care Research & Development
Madelon Kroneman, Kim van Erp, Peter Groenewegen
AimThe aim of the study is to explore to what extent members of the community are willing to participate in the way their primary care practice is organized and which characteristics of people and community are associated with this willingness. BACKGROUND: Community participation in primary care refers to involvement of community members in the organization, governance and policy making of primary care facilities. Due to demographic changes and changes in the role of patients and the community concerning health care, it becomes important to include the social environment of patients into healthcare...
September 27, 2018: Primary Health Care Research & Development
Alexandre Baumgarten, Juliana B Hilgert, Ione C Pinto, Fabiana C M Zacharias, Alexandre F Bulgarelli
BACKGROUND: Tuberculosis (TB) is still a major public health problem in many countries, including Brazil. Primary health care (PHC) services are a set of important services with infrastructure and resources to diagnose, treat, and cure several diseases, including the TB.AimThe aim of this study is to analyse aspects of the facility infrastructure of Brazilian PHC, regarding the control and treatment of TB from a countrywide perspective. METHODS: This is a cross-sectional study based on PHC services...
September 17, 2018: Primary Health Care Research & Development
Bruna R Gouveia, Andreas Ihle, Matthias Kliegel, Duarte L Freitas, Élvio R Gouveia
A population-based cross-sectional study aimed to examine sex differences in health-related quality of life (HRQoL) of older adults, and investigate whether the relation patterns between HRQoL and its correlates differed between sexes. A stratified proportional and representative sample included 802 volunteers, aged 60-79. HRQoL (36-item Short Form Health Survey), functional fitness (Senior Fitness Test), physical activity (PA) (Baecke questionnaire), demographic information and health features (questionnaires) were assessed...
September 13, 2018: Primary Health Care Research & Development
Andrea Manfrin, Janet Krska
AimThis study aimed to assess the consistency and replicability of these process measures during provision of the Italian Medicines Use Review (I-MUR). BACKGROUND: Medication review is a common intervention provided by community pharmacists in many countries, but with little evidence of consistency and replicability. The I-MUR utilised a standardised question template in two separate large-scale studies. The template facilitated pharmacists in recording medicines and problems reported by patients, the pharmaceutical care issues (PCIs) they found and actions they took to improve medicines use...
September 13, 2018: Primary Health Care Research & Development
Hans Kluge, Edward Kelley, Pavlos N Theodorakis, Shannon Barkley, Jose M Valderas
No abstract text is available yet for this article.
September 2018: Primary Health Care Research & Development
Stacey L Schepens Niemiec, Jeanine Blanchard, Cheryl L P Vigen, Jenny Martínez, Laura Guzmán, Alyssa Concha, Michelle Fluke, Mike Carlson
AimThe aim of this study was to determine the feasibility and efficacy of a culturally tailored lifestyle intervention, ¡Vivir Mi Vida! (Live My Life!). This intervention was designed to improve the health and well-being of high risk late middle-aged Latino adults and to be implemented in a rural primary care system. BACKGROUND: Rural-dwelling Latino adults experience higher rates of chronic disease compared with their urban counterparts, a disparity exacerbated by limited access to healthcare services...
September 2018: Primary Health Care Research & Development
Hamideh Mahdaviazad, Vahid Keshtkar, Mohammad Jafar Emami
AimThis study investigates the knowledge, attitudes, and practices (KAP) of family physicians in Iran, regarding osteoporosis and their experience with national osteoporosis guideline. BACKGROUND: Osteoporosis is a relatively preventable, chronic and progressive disease. Family physicians play a crucial role in relieving the burden of care. METHODS: This cross-sectional study was addressed at all qualified family physicians who registered at urban family physicians and referral system program...
September 2018: Primary Health Care Research & Development
Karlijn M J Ganzeboom, Annemarie A Uijen, Doreth T A M Teunissen, Willem J J Assendelft, Hans J G Peters, Jeannine L A Hautvast, Cornelia H M Van Jaarsveld
BACKGROUND: Urinary tract infections (UTIs) are common in general practice, and antibiotic resistance is often seen. Urine cultures are advised by the Dutch national UTI guideline for patients at high risk of UTI complications. Prudent use of antibiotics and taking into account national guidelines and urine culture results are important to combat antibiotic resistance in general practice.AimTo identify subgroups of UTI patients in which the use of urine cultures and antibiotic prescriptions deviates from the national guidelines...
August 31, 2018: Primary Health Care Research & Development
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