Browsing by Subject "Primary Health Care"
Now showing items 1-20 of 33
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A Structured Approach to Detecting and Treating Depression in Primary Care: VitalSign6 Project.
(Annals of family medicine, 2019-07)<h4>Purpose</h4>This report describes outcomes of an ongoing quality-improvement project (VitalSign6) in a large US metropolitan area to improve recognition, treatment, and outcomes of depressed patients in 16 primary care ... -
Association between depression and hypertension using classic and revised blood pressure thresholds.
(Family practice, 2020-10)<h4>Background</h4>In a primary care population, the relationship between treatment of depression and hypertension (HTN) under the recently revised American College of Cardiology and American Heart Association HTN thresholds ... -
Can caregivers report their care recipients' post-stroke hospitalizations and outpatient visits accurately? Findings of an Asian prospective stroke cohort.
(BMC health services research, 2018-10-25)<h4>Background</h4>Health services research aimed at understanding service use and improving resource allocation often relies on collecting subjectively reported or proxy-reported healthcare service utilization (HSU) data. ... -
Capacity of Primary Healthcare Facilities on Prevention and Management of Cardiovascular Diseases in a Resource-limited Area in Vietnam
(2017)Background: Vietnam is in the process of an epidemiological transition, with cardiovascular diseases now ranked as the leading cause of death. This study assessed the commune health centers in selected rural and urban communities ... -
Caring for Alaska Native prostate cancer survivors in primary care: a survey of Alaska Tribal Health System providers.
(Int J Circumpolar Health, 2014)BACKGROUND: Little is known about the constraints of optimizing health care for prostate cancer survivors in Alaska primary care. OBJECTIVE: To describe the experiences and attitudes of primary care providers within the ... -
Characteristics of primary care and rates of pediatric hospitalizations in Brazil.
(Revista de saude publica, 2020-01)<h4>Objective</h4>To evaluate the association among characteristics of primary health care center (PHCC) with hospitalizations for primary care sensitive conditions (PCSC) in Brazil.<h4>Method</h4>In this study, a cross-sectional ... -
Cost-effectiveness analysis of the diagnosis of meniscus tears.
(Am J Sports Med, 2015-01)BACKGROUND: Diagnostic imaging represents the fastest growing segment of costs in the US health system. This study investigated the cost-effectiveness of alternative diagnostic approaches to meniscus tears of the knee, a ... -
Design of the NIDA clinical trials network validation study of tobacco, alcohol, prescription medications, and substance use/misuse (TAPS) tool.
(Contemporary clinical trials, 2016-09)Substance use and its associated use disorders are under-detected and under-treated in primary care. There is a need for a clinically useful brief screening and assessment instrument to identify primary care patients with ... -
Detection of depression in low resource settings: validation of the Patient Health Questionnaire (PHQ-9) and cultural concepts of distress in Nepal.
(BMC Psychiatry, 2016-03-08)BACKGROUND: Despite recognition of the burden of disease due to mood disorders in low- and middle-income countries, there is a lack of consensus on best practices for detecting depression. Self-report screening tools, such ... -
Digital health competencies for primary healthcare professionals: A scoping review.
(International journal of medical informatics, 2020-11)<h4>Background</h4>Despite digital health providing opportunities to enhance the quality, efficiency and safety of primary healthcare, the adoption of digital tools and technologies has been slow, partly because of poor ... -
DSM-5 substance use disorders among adult primary care patients: Results from a multisite study.
(Drug and alcohol dependence, 2017-10)BACKGROUND:There are limited data about the extent of DSM-5 substance use disorders (SUDs) among primary care patients. METHODS:This study analyzed data from a multisite validation study of a substance use screening instrument ... -
Effect of genetic testing for risk of type 2 diabetes mellitus on health behaviors and outcomes: study rationale, development and design.
(BMC Health Serv Res, 2012-01-18)BACKGROUND: Type 2 diabetes is a prevalent chronic condition globally that results in extensive morbidity, decreased quality of life, and increased health services utilization. Lifestyle changes can prevent the development ... -
Effectiveness of Acute Care Remote Triage Systems: a Systematic Review.
(Journal of general internal medicine, 2020-07)<h4>Background</h4>Technology-based systems can facilitate remote decision-making to triage patients to the appropriate level of care. Despite technologic advances, the effects of implementation of these systems on patient ... -
Healthcare utilization and cost trajectories post-stroke: role of caregiver and stroke factors.
(BMC health services research, 2018-11-22)<h4>Background</h4>It is essential to study post-stroke healthcare utilization trajectories from a stroke patient caregiver dyadic perspective to improve healthcare delivery, practices and eventually improve long-term outcomes ... -
Identifying substance misuse in primary care: TAPS Tool compared to the WHO ASSIST.
(Journal of substance abuse treatment, 2017-05)There is a need for screening and brief assessment instruments to identify primary care patients with substance use problems. This study's aim was to examine the performance of a two-step screening and brief assessment ... -
Medication coaching program for patients with minor stroke or TIA: a pilot study.
(BMC Public Health, 2012-07-25)BACKGROUND: Patients who are hospitalized with a first or recurrent stroke often are discharged with new medications or adjustment to the doses of pre-admission medications, which can be confusing and pose safety issues ... -
Portable Pocket colposcopy performs comparably to standard-of-care clinical colposcopy using acetic acid and Lugol's iodine as contrast mediators: an investigational study in Peru.
(BJOG : an international journal of obstetrics and gynaecology, 2018-09)<h4>Objective</h4>Our goal was to develop a tele-colposcopy platform for primary-care clinics to improve screening sensitivity and access. Specifically, we developed a low-cost, portable Pocket colposcope and evaluated its ... -
Prevalence and patterns of opioid misuse and opioid use disorder among primary care patients who use tobacco.
(Drug and alcohol dependence, 2019-01)BACKGROUND:Current data suggest that opioid misuse or opioid use disorder (OUD) may be over represented among tobacco users. However, this association remains understudied in primary care settings. A better understanding ... -
Prevalence, patterns, and correlates of multiple substance use disorders among adult primary care patients.
(Drug and alcohol dependence, 2018-06)BACKGROUND:Addressing multiple substance use disorders (SUDs) in primary care-based screening and intervention may improve SUD treatment access, engagement, and outcomes. To inform such efforts, research is needed on the ... -
Primary Care Networks and Starfield's 4Cs: A Case for Enhanced Chronic Disease Management.
(International journal of environmental research and public health, 2021-03-12)The primary care network (PCN) was implemented as a healthcare delivery model which organises private general practitioners (GPs) into groups and furnished with a certain level of resources for chronic disease management. ...
