[Micturition Complaints in Men: One Symptom, Multiple Causes].
Abstract Micturition Complaints in Men: One Symptom, Multiple Causes Abstract. Micturition complaints in male patients are a common problem in the general practice. The complaints are summarized as lower urinary tract symptoms (LUTS) and are often an expression of prostate enlargement and the resulting bladder outlet -obstruction. Differential diagnosis has to exclude prostate-related LUTS. Basic diagnostics are performed by means of detailed physical history, Combur test and ultrasound. The most common diagnoses can already be made at this point and therapy can be initiated. If -secondary changes of the urinary t...
Source: Praxis - May 25, 2018 Category: General Medicine Authors: Cermak S, Putman S Tags: Praxis (Bern 1994) Source Type: research

Complex Care Needs in Multiple Chronic Conditions: Population Prevalence and Characterization in Primary Care. A Study Protocol
Conclusions:This research protocol intends to describe and analyse complex care needs from a primary care professional perspective in order to improve knowledge of complexity beyond multimorbidity and previous consumption of health resources. Knowing about health and social complexity with a more robust empirical basis could help for a better integration of social and health policies and a more proactive and differentiated care approach in this most vulnerable population. Published on 2018-05-25 17:23:38 (Source: International Journal of Integrated Care)
Source: International Journal of Integrated Care - May 25, 2018 Category: Nursing Source Type: research

Comparing Smoking Cessation Outcomes in Nurse-Led and Physician-Led Primary Care Visits
Smoking is a significant public health concern in the United States, yet 50% of patients do not receive recommended tobacco use screening and counseling. This project compared smoking cessation rates in newly reimbursable nurse-led wellness visits with rates in physician-led visits. Although the findings were not statistically significant, they suggested that smoking cessation is at least equivalent in patients who attend nurse-led visits compared with physician-led visits and may be higher. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 25, 2018 Category: Nursing Tags: Articles Source Type: research

Implementing Comprehensive Primary Care Referral Tracking in a Patient-Centered Medical Home
This study evaluated the referral practices in a nurse-managed Patient-Centered Medical Home primary care clinic. The major findings corroborate the need for a well-organized referral-tracking system that is centralized and contains safety nets to reduce the number of delayed or missed referrals. (Source: Journal of Nursing Care Quality)
Source: Journal of Nursing Care Quality - May 25, 2018 Category: Nursing Tags: Articles Source Type: research

Intensity of previous teaching but not diagnostic skills influences stigmatization of patients with substance use disorder by general practice residents. A vignette study among French final-year residents in general practice.
CONCLUSION: Residents in general practice had a good capacity to diagnose SUD correctly but on average expressed negative attitudes toward people with SUD. More SUD teaching seems to help in reducing stigmatizing attitudes. PMID: 29792534 [PubMed - in process] (Source: European Journal of General Practice)
Source: European Journal of General Practice - May 25, 2018 Category: Primary Care Tags: Eur J Gen Pract Source Type: research

Complementary therapies as resources for mental health in Primary Health Care.
CONCLUSION The professionals' knowledge needs to be deepened. Still, they consider PIC as a resource for Mental Health in Primary Care. PMID: 29791533 [PubMed - in process] (Source: Revista gaucha de enfermagem EENFUFRGS)
Source: Revista gaucha de enfermagem EENFUFRGS - May 25, 2018 Category: Nursing Tags: Rev Gaucha Enferm Source Type: research

Medical Student Exposure to Integrated Behavioral Health.
CONCLUSIONS: A majority of medical students in the USA and Canada are not exposed to IBH models during their primary care clerkship. Larger systematic studies are needed to elucidate the steps necessary to prepare graduating medical students to collaborate in IBH models. PMID: 29790101 [PubMed - as supplied by publisher] (Source: The Journal of American Association of Directors of Psychiatric Residency Training)
Source: The Journal of American Association of Directors of Psychiatric Residency Training - May 25, 2018 Category: Psychiatry Tags: Acad Psychiatry Source Type: research

Erratum to: Clinical pathways for primary care: current use, interest and perceived usability
In the article “Clinical pathways for primary care: current use, interest and perceived usability,” the author order was listed incorrectly and has been amended. We apologize for the error. (Source: Journal of the American Medical Informatics Association)
Source: Journal of the American Medical Informatics Association - May 25, 2018 Category: Information Technology Source Type: research

Evaluating the implementation of a quality improvement process in General Practice using a realist evaluation framework
Journal of Evaluation in Clinical Practice, EarlyView. (Source: Journal of Evaluation in Clinical Practice)
Source: Journal of Evaluation in Clinical Practice - May 25, 2018 Category: General Medicine Authors: PamMouleEdD, MSc, BSc (Hons), RN , SusanClompusDHSC, MA, PGCE, BA (Hons) RN , JonFieldhouseDPhil, MSc, BSc (Hons), DipCOT , JulieEllis ‐JonesMSc, RN , JacquelineBarkerMBA, BSc (Hons) Source Type: research

Acute myeloid leukemia —current data from the 2017 American Society of Hematology meeting
SummaryPurposeTo review data on acute myeloid leukemia (AML) presented at the 2017 meeting of the American Society of Hematology (ASH) and to discuss these data within the framework of future developments for the disease.Results and conclusionData generated by next generation sequencing (NGS) may be used for primary diagnosis, therapy selection and monitoring as well as characterization of persons at risk for AML development. After validation, this method will need to be implemented in general practice in the future. For treatment more targeted therapies —single agent or in combination with standard chemotherapy or l...
Source: Memo - Magazine of European Medical Oncology - May 25, 2018 Category: Cancer & Oncology Source Type: research

Substance-induced anxiety disorder after one dose of 3,4-methylenedioxymethamphetamine: a case report
ConclusionsOur patient ’s case not only demonstrates a rare presentation of 3,4-methylenedioxymethamphetamine-induced anxiety disorder but also provides support for the use of the Primary Care Behavioral Health model to deliver individualized, timely mental health care in a primary care setting. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 25, 2018 Category: General Medicine Source Type: research

Factors associated with cigarette smoking among public school adolescents
Conclusion The prevalence of cigarette smoking and the associated variables point to the need for intervention strategies among more vulnerable groups of adolescents, encompassing family involvement and assistance from teachers and health professionals, in particular nurses working in Primary Care. (Source: Revista da Escola de Enfermagem da USP)
Source: Revista da Escola de Enfermagem da USP - May 24, 2018 Category: Nursing Source Type: research

Cost of treatments of 'low clinical value' rising despite prescriptions falling, researchers discover
The overall cost of prescribing for treatments identified by NHS England as of “low clinical value” has risen, despite a decrease in the number of items prescribed, according to a cross-sectional analysis of primary care. (Source: The Pharmaceutical Journal)
Source: The Pharmaceutical Journal - May 24, 2018 Category: Drugs & Pharmacology Source Type: research

Validation of a moral distress instrument in nurses of primary health care.
CONCLUSION: the instrument is valid and reliable to be used in the identification of the factors that trigger moral distress in primary care nurses, providing subsidies for new research in this field of professional practice. PMID: 29791671 [PubMed - in process] (Source: Revista Latino-Americana de Enfermagem)
Source: Revista Latino-Americana de Enfermagem - May 24, 2018 Category: Nursing Authors: Barth PO, Ramos FRS, Barlem ELD, Dalmolin GL, Schneider DG Tags: Rev Lat Am Enfermagem Source Type: research

Development of a clinical protocol for detection of cervical cancer precursor lesions.
CONCLUSION: the clinical protocol proved to be a validated material with scores above the minimum required. The protocol obtained positive recommendations with modifications and went through adjustments in order to make it more effective. PMID: 29791673 [PubMed - in process] (Source: Revista Latino-Americana de Enfermagem)
Source: Revista Latino-Americana de Enfermagem - May 24, 2018 Category: Nursing Authors: Sousa DMDN, Chagas ACMA, Vasconcelos CTM, Stein AT, Oriá MOB Tags: Rev Lat Am Enfermagem Source Type: research

Emergency care units and dimensions of accessibility to health care for the elderly.
Abstract OBJECTIVE: to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units. Methodo: a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference. RESULTS: According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors...
Source: Revista Brasileira de Enfermagem - May 24, 2018 Category: Nursing Authors: Scolari GAS, Rissardo LK, Baldissera VDA, Carreira L Tags: Rev Bras Enferm Source Type: research

Social representation of elderly people on falls: structural analysis and in the light of Neuman.
Abstract OBJECTIVE: To understand the symbolic elements and the hierarchical system of representations of elderly people on falls, according to Abric's structural analysis and Neuman's theory. METHOD: Abric structural approach developed at the home of primary care users in a city of Minas Gerais. A free evocation technique of images triggered by images was performed in 2016 with elderly individuals (≥65 years old). Data treated by dictionary of equivalent terms; processed in Evoc 2000 software converging, analytically, according to Neuman. Ethical/legal criteria were met. RESULTS: 195 people participa...
Source: Revista Brasileira de Enfermagem - May 24, 2018 Category: Nursing Authors: Santos JC, Arreguy-Sena C, Pinto PF, Pereira EP, Alves MDS, Loures FB Tags: Rev Bras Enferm Source Type: research

Repercussions of hospitalization due to fall of the elderly: health care and prevention.
SMAD Abstract OBJECTIVE: To know the repercussions of the fall reported by the elderly and their caregiver during hospitalization in a public hospital in Florianópolis city from October to December 2014. METHOD: Exploratory research with a qualitative approach, conducted by depth interviews with 16 participants, the eight elderly were hospitalized for falls and eight elderly caregivers. Data analysis were performed through the Thematic Content Analysis. RESULTS: It was evidenced the thematic axis: Faller Elderly supported by four thematic categories: Changes caused by Falls, I am a faller, I take...
Source: Revista Brasileira de Enfermagem - May 24, 2018 Category: Nursing Authors: Luzardo AR, Paula Júnior NF, Medeiros M, Wolkers PCB, Santos SMAD Tags: Rev Bras Enferm Source Type: research

The complexity, diversity, and science of primary care teams.
This article examines the past, present and future of primary care and teamwork. It begins with a definition and description of primary care–its uniqueness, diversity and complexity, including the historical role of teams within primary care. The article then reviews the emergence of innovative primary care teams, including those grounded in new processes such as the Patient-Centered Medical Home and interprofessional teams that include new types of health professionals, particularly psychologists and other integrated behavioral health clinicians. The article describes key factors that support or hinder primary care ...
Source: American Psychologist - May 24, 2018 Category: Psychiatry & Psychology Source Type: research

Exploring Canadian Women's Multiple Abortion Experiences: Implications for Reducing Stigma and Improving Patient-Centered Care
Roughly one-third of all abortions in Canada are subsequent abortions. However, few published reports showcase women's voices or explore women's experiences on this topic. Our study aimed to understand better the ways that women who have had multiple abortions talk about and view those experiences. (Source: Womens Health Issues)
Source: Womens Health Issues - May 24, 2018 Category: Primary Care Authors: Kathryn J. LaRoche, Angel M. Foster Tags: Original article Source Type: research

Determining type 2 diabetes risk factors for the adults: A community based study from Turkey
Type 2 diabetes (T2D) is a significant health problem affecting millions of people worldwide and is increasing more rapidly than expected. The International Diabetes Federation (IDF) reports that 424.9 million people were diabetes patients at the end of 2017, and that this number will reach 628.6 million in 2045. In addition, 50% of the people with diabetes are not aware of their disease, and three-quarters of them lived in the countries in low to moderate income group [1]. The study for the Diabetes Epidemiology in Turkey (TURDEP-2) suggests that 45% of diabetes patients in Turkey are not aware of their disease, and that ...
Source: Primary Care Diabetes - May 24, 2018 Category: Primary Care Authors: Gulhan Cosansu, Selda Celik, Seyda Özcan, Nermin Olgun, Nurdan Yıldırım, Hulya Gulyuz Demir Tags: Original research Source Type: research

Vitamin D Prescribing Practices in Primary Care Pediatrics: Underpinnings From the Health Belief Model and Use of Web-Based Delphi Technique for Instrument Validity
This study examines the relationship between primary care providers' prescribing vitamin D to children ages 1 through 18 years and their practice actions and knowledge. A descriptive correlation design was used. Participants were recruited from a purposive sample of pediatricians and pediatric nurse practitioners through an online invitation to participate in a survey. (Source: Journal of Pediatric Health Care)
Source: Journal of Pediatric Health Care - May 24, 2018 Category: Pediatrics Authors: Nancy J. DelGiudice, Nancy Street, Ronald J. Torchia, Susan S. Sawyer, Sylvia Allison Bernard, Michael F. Holick Source Type: research

Impact of group treatment for insomnia on daytime symptomatology: analyses from a randomized controlled trial in primary care
People typically seek primary care for daytime symptoms and impairments they experience in association with their insomnia. However, few studies address the question of whether insomnia treatment can improve such symptomatology. (Source: International Journal of Nursing Studies)
Source: International Journal of Nursing Studies - May 24, 2018 Category: Nursing Authors: Christina Sandlund, Jerker Hetta, Gunnar H. Nilsson, Mirjam Ekstedt, Jeanette Westman Source Type: research

Are Michigan State University medical school (MSU-CHM) alumni more likely to practice in the region of their graduate medical education primary care program compared to non-MSU-CHM alumni?
Over the past 10 years, three new MD schools have been created in the state of Michigan, while the Michigan State University College of Human Medicine (MSU-CHM) has increased their class size to 850 students. ... (Source: BMC Medical Education)
Source: BMC Medical Education - May 24, 2018 Category: Universities & Medical Training Authors: Richard Switzer, Luke VandeZande, Alan T. Davis and Tracy J. Koehler Tags: Research article Source Type: research

Comparison of glycopyrronium versus tiotropium on the time to clinically important deteriorations in patients with COPD: a post-hoc analysis of randomized trials
Comparison of glycopyrronium versus tiotropium on the time to clinically important deteriorations in patients with COPD: a post-hoc analysis of randomized trials, Published online: 24 May 2018; doi:10.1038/s41533-018-0084-8A novel inhaled drug shows promise in treating moderate to severe chronic lung disease. Guidelines recommend long-term treatment of chronic obstructive pulmonary disease (COPD) with long-acting muscarinic antagonist (LAMA) inhalers. Tiotropium is a common COPD LAMA. Now, Anthony D’Urzo at the University of Toronto, Canada, together with an international research team, have carried out a pooled anal...
Source: npj Primary Care Respiratory Medicine - May 24, 2018 Category: Primary Care Authors: Anthony D ’Urzo Giovanni Bader Steven Shen Pankaj Goyal Pablo Altman Source Type: research

Turnover intention and related factors among general practitioners in Hubei, China: a cross-sectional study
High turnover among general practitioners (GPs) is a significant challenge in China ’s efforts to build a sustainable, effective primary care system, but little data is available to help understand and address ... (Source: BMC Family Practice)
Source: BMC Family Practice - May 24, 2018 Category: Primary Care Authors: Yong Gan, Yanhong Gong, Yawen Chen, Shiyi Cao, Liqing Li, Yanfeng Zhou, Chulani Herath, Wenzhen Li, Xingyue Song, Jing Li, Tingting Yang, Xiaoxv Yin and Zuxun Lu Tags: Research article Source Type: research

Design and participant characteristics of a primary care adaptation of the Look AHEAD Lifestyle Intervention for weight loss in type 2 diabetes: The REAL HEALTH-diabetes study
The REAL HEALTH -Diabetes Study is a practice-based clinical trial that adapted the Look AHEAD lifestyle intervention for implementation in primary care settings. The trial will compare the effectiveness and cost-effectiveness of in-person group lifestyle intervention, telephone group lifestyle intervention, and individual medical nutrition therapy (MNT), the current recommended standard of care in type 2 diabetes. The primary outcome is percent weight loss at 6  months with outcomes also measured at 12, 18, 24 (intervention completion), and 36 months. (Source: Contemporary Clinical Trials)
Source: Contemporary Clinical Trials - May 24, 2018 Category: Radiology Authors: Linda M. Delahanty, Yuchiao Chang, Douglas E. Levy, Bianca Porneala, Amy Dushkin, Laurie Bissett, Valerie Goldman, Jeanna Perrotta, Anthony Romeo Rodriguez, Barbara Chase, A.N.P. APRN, Rajani LaRocca, Amy Wheeler, Deborah J. Wexler Source Type: research

Questionnaire survey on adjuvant chemotherapy for elderly patients after gastrectomy indicates their vulnelabilities
ConclusionIn general practice, surgery alone can be regarded as the standard of care for stage II and III gastric cancer patients over 80  years old. The feasibility and efficacy of S-1 adjuvant chemotherapy should be elucidated in a randomized control trial considering the vulnerabilities of the elderly. (Source: Gastric Cancer)
Source: Gastric Cancer - May 24, 2018 Category: Gastroenterology Source Type: research

Telemedicine in Complex Diabetes Management
AbstractPurpose of ReviewTelehealth has the potential to positively transform the quality and cost-effectiveness of complex diabetes management in adults. This review explores the landscape of telemedicine approaches and evidence for incorporation into general practice.Recent FindingsTelemedicine for diabetes care is feasible based on over 100 randomized clinical trials. Evidence shows modest benefits in A1c lowering and other clinical outcomes that are better sustained over time vs. usual care. While telemedicine interventions are likely cost-effective in diabetes care, more research is needed using implementation science...
Source: Current Diabetes Reports - May 24, 2018 Category: Endocrinology Source Type: research

Systematic review of the safety of medication use in inpatient, outpatient and primary care settings in the Gulf Cooperation Council countries
Conclusions Studies of medication errors, drug related problems and adverse drug events are increasing in the GCC. However, variation in methods, definitions and denominators preclude calculation of an overall error rate. Research with more robust methodologies and longer follow up periods is now required. (Source: Saudi Pharmaceutical Journal)
Source: Saudi Pharmaceutical Journal - May 24, 2018 Category: Drugs & Pharmacology Source Type: research

Estimated Glomerular Filtration Rate, Cardiovascular Events and Mortality Across Age Groups Among Individuals Older Than 60 Years in Southern Europe
Conclusions In a region with low coronary disease incidence, the risk of death and CVE increased with decreasing eGFR. In ≥ 75-year-olds, the eGFR 45 to 59 category, which had borderline risk for CVE, included many individuals without significant additional risk. (Source: Revista Espanola de Cardiologia)
Source: Revista Espanola de Cardiologia - May 24, 2018 Category: Cardiology Source Type: research

Lifestyle habits and well-being among primary health physicians in western Saudi Arabia
ConclusionHealth and well-being promotion programs should be established for physicians in primary care centers coinciding with regular check-ups and screenings for early detection and intervention to reduce the burden of lifestyle-associated diseases among primary care physicians. (Source: Journal of Public Health)
Source: Journal of Public Health - May 24, 2018 Category: Health Management Source Type: research

Role of out of hours primary care service in limiting inappropriate access to emergency department
AbstractOut of hours (OOH) doctors can have an important gate-keeping role over the access to the emergency department (ED), but the outcome and the quality of their ED referrals have been poorly studied. We aimed to investigate the outcome of patients referred to ED from OOH service and the determinants of admission or short-stay dispositions. We collected retrospectively data about referrals to ED from a local OOH service in the north-east of Italy using the OOH paper register and the ED electronic database, over the period of 01/10/2012 to 31/03/2013. Out of 5217 patients accessing the OOH service, 408 referrals were in...
Source: Internal and Emergency Medicine - May 23, 2018 Category: Emergency Medicine Source Type: research

A Survey of Prescribers' Attitudes, Knowledge, Comfort, and Fear of Consequences Related to an Opioid Overdose Education and Naloxone Distribution Program
Conclusions: Results indicate that barriers to OEND implementation continue to exist, and not all clinicians or practice specialties at VACHS are comfortable with dispensing naloxone. A targeted approach to training health care clinicians may lead to increased acceptance of naloxone dispensing. Additional research is needed to elicit the best method of improved acceptance of naloxone to expand naloxone access. (Source: Journal of Public Health Management and Practice)
Source: Journal of Public Health Management and Practice - May 23, 2018 Category: Health Management Tags: Research Reports: Research Full Report Source Type: research

Healthcare resource utilisation by patients with coronary heart disease receiving a lifestyle-focused text message support program: an analysis from the TEXT ME study
Jay Thakkar, Julie Redfern, Ehsan Khan, Emily Atkins, Jeffrey Ha, Kha Vo, Aravinda Thiagalingam, Clara K. Chow (Source: Australian Journal of Primary Health)
Source: Australian Journal of Primary Health - May 23, 2018 Category: Primary Care Authors: Jay Thakkar Julie Redfern Ehsan Khan Emily Atkins Jeffrey Ha Kha Vo Aravinda Thiagalingam Clara K. Chow Source Type: research

Implementation of a Population-Based Cirrhosis Identification and Management System
Cirrhosis-related morbidity and mortality is potentially preventable. Antiviral treatment in patients with cirrhosis-related to hepatitis C virus (HCV) or hepatitis B virus can prevent complications.1 –3 Beta-blockers and endoscopic treatments of esophageal varices are effective in primary prophylaxis of variceal hemorrhage.4 Surveillance for hepatocellular cancer is associated with increased detection of early stage cancer and improved survival.5 However, many patients with cirrhosis are eithe r not diagnosed in a primary care setting, or even when diagnosed, not seen or referred to specialty clinics to receive dise...
Source: Clinical Gastroenterology and Hepatology - May 23, 2018 Category: Gastroenterology Authors: Fasiha Kanwal, Srikar Mapaskhi, Donna Smith, Tamar Taddei, Khozema Hussain, Stella Madu, Ngoc Duong, Donna White, Yumei Cao, Rajni Mehta, Hashem El-Serag, Steven Asch, Amanda Midboe Tags: Practice management: The road ahead Source Type: research

IJERPH, Vol. 15, Pages 1050: Determinants of Inappropriate Admissions in County Hospitals in Rural China: A Cross-Sectional Study
This study characterised the degree and determinants of inappropriate admissions in county hospitals. We used expert consultation to develop an appropriateness evaluation protocol that included nine requirements for services and 21 indicators of disease severity. A total of 2230 medical records from 2014 were collected from five county hospitals by stratified cluster sampling and evaluated for appropriateness using the protocol in 2016. The determinants of inappropriate admissions were analysed by two-level logistic regression. The overall inappropriate admission rate was 15.2%. Patients aged <20 years (19.3%), ...
Source: International Journal of Environmental Research and Public Health - May 23, 2018 Category: Environmental Health Authors: Yan Zhang Liang Zhang Haomiao Li Yingchun Chen Tags: Article Source Type: research

End-Stage Renal Disease Models in the Americas: Optimizing Resources to Achieve Better Health Outcomes
Publication date: December 2018 Source:Value in Health Regional Issues, Volume 17 Author(s): Ramiro E. Gilardino, Eduardo González-Pier, Claudia Brabata End-stage renal disease, the last and most severe stage of chronic kidney disease, represents a major and rising concern for countries in Latin America, driven in large part by aging populations and the near-epidemic rises in diabetes, obesity, and hypertension. This places a great clinical, economic, and social burden on the region’s health systems. During the ISPOR 6th Latin America Conference held in Sao Paulo, Brazil, in September 2017, an educational for...
Source: Value in Health Regional Issues - May 23, 2018 Category: International Medicine & Public Health Source Type: research

The early working life of one occupational physician in the 1970s
I joined ICI ’s Medical Service, as it was then called, in 1976 after completing a three-year general practice vocational training course. ICI offered comprehensive training and it was indeed provided. At the time ICI had many divisions and owned many companies around the world. To name just a few, the divisio ns were Mond, Organics (formerly Dyestuffs), Agriculture, Petrochemicals, Paints, Plastics, Plant Protection, Fibres and Pharmaceuticals. The site I worked on in Scotland had parts of Organics and Petrochemicals Divisions, plus the major part of Nobel’s Explosive Company. On-site manufacture inclu ded ini...
Source: Occupational Medicine - May 23, 2018 Category: Respiratory Medicine Source Type: research

Effect of Lavender cream with or without footbath on sleep quality and fatigue in pregnancy and postpartum: a randomized controlled trial.
CONCLUSION: Lavender cream with or without footbath may improve sleep quality in pregnancy and postpartum. PMID: 29787355 [PubMed - as supplied by publisher] (Source: Women and Health)
Source: Women and Health - May 22, 2018 Category: Primary Care Authors: Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Taghizadeh M, Bekhradi R, Zarei S Tags: Women Health Source Type: research

Impact of a pharmacist-physician collaborative care model on patient outcomes and health services utilization.
Abstract PURPOSE: The impact of a pharmacist-physician collaborative care model on patient outcomes and health services utilization is described. METHODS: Six hospitals from the Carilion Clinic health system in southwest Virginia, along with 22 patient-centered medical home (PCMH) practices affiliated with Carilion Clinic, participated in this project. Eligibility criteria included documented diagnosis of 2 or more of the 7 targeted chronic conditions (congestive heart failure, hypertension, hyperlipidemia, diabetes mellitus, asthma, chronic obstructive pulmonary disease, and depression), prescriptions for 4 ...
Source: American Journal of Health-System Pharmacy : AJHP - May 22, 2018 Category: Drugs & Pharmacology Authors: Matzke GR, Moczygemba LR, Williams KJ, Czar MJ, Lee WT Tags: Am J Health Syst Pharm Source Type: research

"All my relations": experiences and perceptions of Indigenous patients connecting with Indigenous Elders in an inner city primary care partnership for mental health and well-being.
"All my relations": experiences and perceptions of Indigenous patients connecting with Indigenous Elders in an inner city primary care partnership for mental health and well-being. CMAJ. 2018 May 22;190(20):E608-E615 Authors: Hadjipavlou G, Varcoe C, Tu D, Dehoney J, Price R, Browne AJ Abstract BACKGROUND: Mental health services in urban settings generally have not been adapted to serve the needs of Indigenous patients. We explored how patients' encounters with Indigenous Elders affected their overall mental health and well-being to identify therapeutic mechanisms underlying improvement. ...
Source: cmaj - May 22, 2018 Category: General Medicine Authors: Hadjipavlou G, Varcoe C, Tu D, Dehoney J, Price R, Browne AJ Tags: CMAJ Source Type: research

A nursing solution to primary care delivery shortfall
Nursing Inquiry, EarlyView. (Source: Nursing Inquiry)
Source: Nursing Inquiry - May 22, 2018 Category: Nursing Authors: Michael Carter , Phillip Moore , Nina Sublette Source Type: research

A focus group study to understand biases and confounders in a cluster randomized controlled trial on low back pain in primary care in Norway
Cluster randomized controlled trials are often used in research in primary care but creates challenges regarding biases and confounders. We recently presented a study on low back pain from primary care in Norw... (Source: BMC Family Practice)
Source: BMC Family Practice - May 22, 2018 Category: Primary Care Authors: Erik L. Werner, Ida L øchting, Kjersti Storheim and Margreth Grotle Tags: Research article Source Type: research

Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives
Primary care is changing rapidly to meet the needs of an ageing and chronically ill population. New ways of working are called for yet the introduction of innovative service interventions is complicated by org... (Source: BMC Family Practice)
Source: BMC Family Practice - May 22, 2018 Category: Primary Care Authors: Ian Litchfield, Paramjit Gill, Tony Avery, Stephen Campbell, Katherine Perryman, Kate Marsden and Sheila Greenfield Tags: Research article Source Type: research

Perceptions of insulin use in type 2 diabetes in primary care: a thematic synthesis
Increasing numbers of patients with type 2 diabetes mellitus are progressing to insulin therapy, and despite its potency many such individuals still have suboptimal glycaemic control. Insulin initiation and in... (Source: BMC Family Practice)
Source: BMC Family Practice - May 22, 2018 Category: Primary Care Authors: Kathy Ellis, Henrietta Mulnier and Angus Forbes Tags: Research article Source Type: research

Nutrition care practices of primary care providers for weight management in multidisciplinary primary care settings in Ontario, Canada - a qualitative study
Despite the recommended guidelines on addressing diet for the management and prevention of obesity in primary care, the literature highlights that their implementation has been suboptimal. In this paper, we pr... (Source: BMC Family Practice)
Source: BMC Family Practice - May 22, 2018 Category: Primary Care Authors: Stephanie Aboueid, Ivy Bourgeault and Isabelle Giroux Tags: Research article Source Type: research

Effect of Low Back Pain Risk-Stratification Strategy on Patient Outcomes and Care Processes: the MATCH Randomized Trial in Primary Care
ConclusionsA resource-intensive intervention to support stratified care for LBP in a US healthcare setting had no effect on patient outcomes or healthcare use.Trial RegistrationNational Clinical Trial Number NCT02286141. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - May 22, 2018 Category: Internal Medicine Source Type: research

Building Behavioral Health Homes: Clinician and Staff Perspectives on Creating Integrated Care Teams
AbstractAdults with serious mental illness and substance use disorders have elevated risk of mortality and higher healthcare costs compared to the general population. As these disparities have been linked to poor management of co-occurring chronic conditions in primary care, the behavioral health setting may be a preferred setting for routine medical screening and treatment. This qualitative study describes early stages of integrating care teams in emerging medical homes based in mental health and addiction treatment settings. Clinicians and staff from ten agencies engaged in the Behavioral Health Home Learning Collaborati...
Source: The Journal of Behavioral Health Services and Research - May 22, 2018 Category: Psychiatry & Psychology Source Type: research

Assessing the value of rural community health services
Jane Farmer, Hilary Davis, Irene Blackberry, Tracy de Cotta (Source: Australian Journal of Primary Health)
Source: Australian Journal of Primary Health - May 22, 2018 Category: Primary Care Authors: Jane Farmer Hilary Davis Irene Blackberry Tracy de Cotta Source Type: research