behavior and psychology in primary care

... by the integrated activities of clinical and non-clinical members of the primary care team There are National Institute for Health and Clinical Effectiveness (NICE) guidelines defining standards ... clinical and non-clinical members of the primary care team within each practice We will collect information about the organisation and team functioning of the primary care team from both clinical ... care and individual and organisational factors A consistent finding in health services research is that the transfer of research findings into practice is unpredictable and can be a slow and haphazard...

Ngày tải lên: 11/08/2014, 05:21

... by the integrated activities of clinical and non-clinical members of the primary care team There are National Institute for Health and Clinical Effectiveness (NICE) guidelines defining standards ... clinical and non-clinical members of the primary care team within each practice We will collect information about the organisation and team functioning of the primary care team from both clinical ... care and individual and organisational factors A consistent finding in health services research is that the transfer of research findings into practice is unpredictable and can be a slow and haphazard...

Ngày tải lên: 11/08/2014, 16:20

... dementia and their carers in health and social care, managing depression in primary and secondary care, assessing and preventing falls in older people, obesity, commonly used methods to increase ... developing training programmes and setting competencies, standards and continuing professional development schemes • NHS and local authority senior managers, human resources and training providers and ... keeping safe in the community • keeping safe in the home Personal circumstances • dealing with finance • social relationships and maintaining friendships • dining as an activity • interests and...

Ngày tải lên: 05/03/2014, 18:20

... means including patient-specific reminders, continuing education and training, and clinical audit 8.2 KEY POINTS FOR AUDIT n n n n n Are primary care workers opportunistically identifying people ... current drinking pattern TRAINING Training healthcare providers in the use of structured interventions enhances the efficacy of brief interventions.71 Training practice nurses at health centres in screening ... difficulties in disseminating research findings to primary care providers Research on implementing screening and brief alcohol intervention showed personal meetings to effect most behaviour change in GPs,...

Ngày tải lên: 08/03/2014, 14:20

... eight of the GPs were working in an urban or suburban area, nine in a rural area All GPs were working in a primary care practice; some of them had an additional education in geriatrics Physician ... things during their Swiss Medical Weekly · PDF of the online version · www.smw.ch medical education As a result they suggested integrating health promotion into under and postgraduate training ... specialised nurses and other health professionals If health promotion in the elderly would be more integrated into under and postgraduate training, knowledge base and counselling Table 3: Frequency...

Ngày tải lên: 22/03/2014, 14:20

... monitoring and medication adjustment • clinical monitoring and medication adjustment • a continuing point of contact for support, including home visits, when appropriate • a continuing point of ... practice and promoting clinical excellence We provide physicians in the United Kingdom and overseas with education, training and support throughout their careers As an independent body representing ... alone52 123I-FP-CIT SPECT: Binding index in putamen contralateral to initially clinically affected side50 TRODAT-1 SPECT: Binding index in putamen contralateral to initially clinically affected side50...

Ngày tải lên: 31/03/2014, 13:20

... QoL in diabetics, especially in unselected patients as in primary care [5,6] With increasing age QoL depends more and more on the individual health status and resulting impairments [7-9] In general ... collected in a primary care setting Since patients' selection was primarily conducted by using routine claims data and secondarily by drawing a random sample selection bias is unlikely AM designed and ... reasonable [41] Furthermore the BMI and the percentage of smokers in our study sample were comparable to findings in the primary care population in the US and Germany [42-44] http://www.hqlo.com/content/7/1/19...

Ngày tải lên: 18/06/2014, 19:20

... Brief Pain Inventory in patients with oncological pain Med Clin (Barc) 2003, 120:52-59 26 Cleeland CS, Gonin R, Hatfield AK, Edmonson JH, Blum RH, Stewart JA, Pandya KJ: Pain and its treatment in ... function (FIQ) and the intensity and interference of pain which these subjects have in their daily lives (BPI) The linear relationships found using the FIQ illustrated that an increase in the impact ... no competing interests Authors' contributions AS-M and JR participated in the design and analysis of this study and in the writing of the manuscript RN participated in Available online http://arthritis-research.com/content/11/2/R54...

Ngày tải lên: 09/08/2014, 14:20

... of would indicate testing of urinary microalbumin and serum LDL within a year, measuring BP and glycosylated haemoglobin within six months, and having active prescriptions for a statin and an angiotensin-modifying ... angiotensin-modifying agent For patients with IHD, a maximum score of would indicate testing fasting blood glucose within two years and LDL within one year, measuring BP within six months, and having ... fasting blood glucose, LDL = low density lipoprotein cholesterol, ACR = urinary albumin-to-creatinine ratio, ASA = aspirin, ACE/ARB = angiotensin-modifying agent guidelines for glucose, LDL, and...

Ngày tải lên: 10/08/2014, 10:23

... decisionmaking process In spite of the growing interest in SDM, few health professionals practice it, and only a few studies on implementing SDM in clinical settings exist [4] A way to increase ... translation intervention because of its potential to promote clinicians’ adoption of best practices, including the practices needed for SDM to occur in primary care [9] The DECISION+ training program ... knowledge and skills in SDM, in order to optimize the prescription of antibiotics for acute respiratory infections (ARIs) [10] ARIs are the principal reason for medical consultations in primary care in...

Ngày tải lên: 10/08/2014, 10:23

... healthcare system includes a well-developed primary care system with financial incentives to provide chronic care in primary care settings, so the results cannot be generalized to other settings ... this in both diabetes patients and CHF patients In diabetes, testing for creatinine is important in identifying affected kidney functioning due to damaged blood vessels and nerves, resulting in ... is worth mentioning that the variation in our outcome ‘disease monitoring’ was mainly related to varying levels of creatinine testing, i.e., monitoring of kidney functioning Clinical research...

Ngày tải lên: 10/08/2014, 11:20

... strong intention and PBC over giving PA advice, health professionals who perceived their competing GDBs as helpful and not hindering reported giving PA advice to more patients The findings extend ... of promoting questionnaire completion at follow-up, such as printing questionnaires in colour, sending questionnaires using recorded delivery, using shorter questionnaires, and including stamped ... and FFS The study was run by JP Data handling and analyses were conducted by JP JP led the writing of this paper and all authors commented on drafts and approved the final version Competing interests...

Ngày tải lên: 10/08/2014, 11:20

... participants in the tailoring process, the implemented changes in practice, and their ideas about influencing factors will be structured, interpreted, and described in a qualitative way Direct and indirect ... depression and anxiety guidelines, collaboration with professionals and institutions specialised in mental healthcare and GPs’ levels of burnout This questionnaire is developed and used in the Netherlands ... the tailoring process and the one-day training and feedback, (b) material costs for the one-day training, and (c) the costs per hour of the GP related to the implemented interventions In addition,...

Ngày tải lên: 10/08/2014, 11:20

... consent and training (if randomized to the intervention) Provider Training All providers allocated to the intervention received approximately 45 minutes of training on how the iCPRs are integrated into ... Chest heaviness Intermittent dysphagia Chronic cough Laryngeal pain Pain on swallowing Chronic coughing Congestion pulmonary Pain or burning when swallowing Cough Pain with swallowing Cough due ... due to angiotensin-converting enzyme inhibitor Painful swallowing Cough secondary to angiotensin converting enzyme inhibitor (ACE-I) Problems with swallowing Coughing Swallowing difficulty Cryptogenic...

Ngày tải lên: 10/08/2014, 11:20

... examine changes in adherence to guidelines and patient clinical outcomes between baseline and Year and baseline and Year of the intervention (see section on Project Outcomes) The time offset in ... Practice and Organization of Care (EPOC) Group on changing practice behavior [18] In order to initiate positive, sustainable changes in practice behavior to improve chronic disease care, interventions ... abstraction training, (3) continuous re-abstraction and validation to monitor the interrater reliability between Abstractors, and (4) constant feedback and retraining Our overall baseline interrater...

Ngày tải lên: 10/08/2014, 11:20

... the intervention This was motivated by the belief that recording various process measures can provide insight into how the intervention was perceived and implemented in clinical practice, and ... educational meeting (minutes) Proportion of doctors declining installation of software Doctors' attitude toward using software* Doctors' attitude toward printing out patient-information* Doctors' ... computerised evidence based guidelines in primary care BMJ 2003, 326:314 Hetlevik I, Holmen J, Kruger O: Implementing clinical guidelines in the treatment of hypertension in general practice Evaluation...

Ngày tải lên: 11/08/2014, 05:22

... being readily available raises duty of care issues and, in Page of isolation from other service improvements, screening for depression in primary care will generally be ineffective in reducing ... intervention [19] The training drew on an evaluated CBT program for PND [20,21] adapted for routine application in primary care using a counselling framework The training was conducted by a senior ... three pathways of care for managing PND, all treatments requiring training the key primary care health professionals involved An important question in the management of perinatal mood disorders...

Ngày tải lên: 11/08/2014, 15:22

... 'clinical inertia' in primary care physicians [2123] Clinical inertia is defined as a lack of treatment initiation or intensification in a patient that is not achieving evidence-based goals of care ... and reducing clinical inertia in primary care physicians Aim of the study Our program goal is to improve adherence to evidencebased guidelines and to reduce clinical inertia in primary care physicians, ... latest insights and findings on high-quality chronic care, and high-quality diabetes care in particular [9,19,46-53] The differences between the AQIP and the UQIP are outlined further below and in...

Ngày tải lên: 11/08/2014, 16:21

... striking finding from these data is the variability in experiences of and desire for involvement in treatment decision making, both within and across clients, clinicians and services Yet involvement, ... involved in so far as providing information and being informed, but that the clinician should make the final decision Caregiver involvement Most caregivers had similar experiences of the ways in which ... being seen in primary care settings with improved access to evidence-based treatments and compared this to usual care As part of the CCM intervention, participants were informed about, and involved...

Ngày tải lên: 11/08/2014, 16:21

... lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C), triglycerid, urea, and creatinine) and microalbuminuria in the spot urine were performed for all patients in the study ... glucose and well-being and treatment satisfaction We could not compare the management of patients with diabetes in primary and tertiary level which was our aim in the beginning of the study planning ... agents and diet [11] We found a significant association between OHA and positive well-being However, this finding should not be generalized as the number of patients administering insulin therapy...

Ngày tải lên: 12/08/2014, 01:21