consultation liasion for depression in primary care

... trial, checking their eligibility (including conducting the CIDI interview) and conducting the computerised randomisation • Day 2: covered the procedures and information required for the intervention ... Day 4: This training session was for the procedures required for the final assessment at 24 months, including conducting a further CIDI interview (see further details below) Clinical Supervision ... telephone or Internet in each case Randomisation was at the patient level within each practice, using a block design to maintain a balance of numbers in the control and intervention groups Trial Intervention...

Ngày tải lên: 11/08/2014, 16:22

... (explained or unexplained), yielding the Final Clinical Symptom Evaluation (FCSE) Whenever information was insufficient for a decision on a reported "borderline" symptom, it was considered explained ... painful breathing and paralysis/weakness, indicating a high discriminative power, followed by nausea (30.8), difficulty in swallowing (28.9), bringing swallowed food up again (27.1), vomiting (21.2), ... attained both for SOMS-2 and R-SOMS-2 at FCSE, and the corresponding values at self-report are 57.9% and 88.2% for the former, decreasing slightly the sensitivity and increasing the specificity for...

Ngày tải lên: 11/08/2014, 16:22

... socio-demographic and clinical forms, including information about medical history, current pharmacological treatments and health services utilization in the last months (including information about use ... of interpersonal problems in domains: domineering or controlling, vindictive or self-centred, cold and distant, socially inhibited, non-assertive, overly accommodating, self-sacrificing, and intrusive ... intervention for symptoms of stress and distress among patients in primary care Med Care 1987, 25:1078-1088 33 Weissman MM: Interpersonal counselling for stress and distress in primary care: a treatment...

Ngày tải lên: 11/08/2014, 16:22

... using VA electronic medical records Inclusion criteria were having at least one primary care appointment in the preceding 12 months in a participating practice, and having one pending appointment ... EBQI for adapting research-based CCM while maintaining its effectiveness; and to provide information for improving the implemented model Implementation of CCM as part of routine primary care ... diagnoses in primary care Med Care 2010, 48(9):843-51 59 Post EP, et al: Integrating mental health into primary care within the Veterans Health Administration Fam Syst Health 2010, 28(2):83-90 60 Uniform...

Ngày tải lên: 10/08/2014, 11:20

... control: insulin therapy Oral agent combination therapy with insulin Insulin therapy Insulin detemir Insulin delivery devices 125 130 146 146 12 12.1 12.2 12.3 Blood pressure therapy Clinical introduction ... following publication in order to provide suggestions of areas for audit in line with the key recommendations for implementation s Structuring and writing the guideline The guideline is divided into ... human insulin in which change of the amino-acid sequence alters duration of action after injection 4 Glossary and definitions Insulin regimen A therapeutic combination of different insulin preparations,...

Ngày tải lên: 08/03/2014, 14:20

... 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 factors Barriers for ... conducted in both areas Of the five focus group interviews, three were conducted in Zurich with GPs working in and around Zurich Two focus group interviews were conducted in Geneva with GPs working in ... programmes for the elderly This contains the accessibility in a regional sense as well as regarding the content of the programme Providing information over the internet for instance, may not reach a substantial...

Ngày tải lên: 22/03/2014, 14:20

... addressing decision making in primary care, the sector in which most individuals seek health-related advice [4] The importance of translating shared decision making into primary care Growing numbers ... Promoting informed choice: transforming health care to dispense knowledge for decision making Ann Intern Med 2005, 143:293-300 Makoul G, Clayman ML: An integrative model of shared decision making in ... coordinated efforts to enhance international research in this field The environmental scan performed in this study will help determine the existing knowledge base regarding effective CPD for translating...

Ngày tải lên: 10/08/2014, 10:23

... the province of Ontario’s Personal Health Information Protection Act, which allows for the collection of individual level health information for use in planning and managing the healthcare system ... haemoglobin, FBG = fasting blood glucose, LDL = low density lipoprotein cholesterol, ACR = urinary albumin-to-creatinine ratio, ASA = aspirin, ACE/ARB = angiotensin-modifying agent guidelines for ... having active prescriptions for a statin and an angiotensin-modifying agent For patients with IHD, a maximum score of would indicate testing fasting blood glucose within two years and LDL within...

Ngày tải lên: 10/08/2014, 10:23

... 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 North ... 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 ... facilitators to the dissemination of DECISION+, a continuing medical education program for optimizing decisions about antibiotics for acute respiratory infections in primary care: A study protocol...

Ngày tải lên: 10/08/2014, 10:23

... meeting) Intervention (the DECISION+ program) The intervention was based on a conceptual framework integrating the principles of SDM, including evidencebased medicine and patients’ involvement in ... and shared decision-making in primary care J Antimicrob Chemother 2001, 48(3):435-440 Towle A, Godolphin W: Framework for teaching and learning informed shared decision making BMJ 1999, 319(7212):766-771 ... after the meeting, as none of the FMGs reported the lack of payment as a reason for refusal This reinforced earlier findings showing that financial incentive alone is not sufficient for a high recruitment...

Ngày tải lên: 10/08/2014, 10:23

... health care organizations in primary and secondary care [31-33] Aim The aim of this study is to improve the quality of care for patients with diabetes cared for in primary care by identifying individual, ... managed 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...

Ngày tải lên: 11/08/2014, 05:21

... degree connections defined by receiving information were confirmed by those defined by providing information (simple matching) [14] A ‘match’ of receiving and providing information between two ... understanding is required of appropriate methodologies for collecting and analyzing social network data in primary care settings In particular, efficient and effective ways for collecting reliable primary ... missing values in the information receiving networks by imputation from the information providing network, when available If the response of an individual on receiving information was missing, it was...

Ngày tải lên: 11/08/2014, 05:21

... Mammogram Td vaccine Flu vaccine Pneumococcal vaccine Hep A vaccines (n> = 2) Chlamydia screening Depression screening Alcohol screening Alcohol counseling Tobacco counseling Diagnosing HTN Blood ... measures within multiple clinical domains, efforts to improve quality in one area may yield a decline in quality in another area In such circumstances, a summary measure may provide clinicians and ... improve care for diabetes patients in the primary care setting During the A-TRIP project, making the patient-level SQUIDs available to the clinicians responsible for the patients' care has allowed...

Ngày tải lên: 11/08/2014, 05:22

... What we know about primary care teams that would inform the development of a more effective intervention to overcome these barriers in primary care settings? Primary care clinics are complex adaptive ... improve patient care It has proven effective in the primary care setting for improving quality of care processes for rates of colorectal cancer screening [24], health habit counseling [25], and ... quality of asthma care for children [26] Although the effectiveness of in primary care settings has been demonstrated for process measures of quality, its effectiveness in improving clinical outcomes...

Ngày tải lên: 11/08/2014, 05:22

... health care organizations in primary and secondary care [31-33] Aim The aim of this study is to improve the quality of care for patients with diabetes cared for in primary care by identifying individual, ... managed 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...

Ngày tải lên: 11/08/2014, 16:20

... degree connections defined by receiving information were confirmed by those defined by providing information (simple matching) [14] A ‘match’ of receiving and providing information between two ... understanding is required of appropriate methodologies for collecting and analyzing social network data in primary care settings In particular, efficient and effective ways for collecting reliable primary ... missing values in the information receiving networks by imputation from the information providing network, when available If the response of an individual on receiving information was missing, it was...

Ngày tải lên: 11/08/2014, 16:20

... 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 ... experiencing depression specifically [15] Clinical guidelines for the treatment of depression in children and adolescents advocate for the inclusion of young people in learning about and making decisions ... existing domains of involvement (communication between clients and clinicians about decision making; efforts made by the client in relation to decision making; and efforts made by the clinician in...

Ngày tải lên: 11/08/2014, 16:21

... science The well documented decline of secondary school students’ interest in being involved in further studies in science is becoming increasingly evident in students in primary school (Crooks & Flockton, ... the causes for the decline in science teaching and learning in primary schools Findings from the 2006 TIMSS showed that there had been a significant decline in the hours spent teaching science ... Wonder, arising from Aesthetic Experiences, should be the Starting Point for Inquiry in Primary Science (1956) identifies the notion of children having an “inborn sense of wonder” and her thinking,...

Ngày tải lên: 19/02/2014, 17:20

... should include: − meeting or maintaining healthcare needs (for example, eye, hearing and foot care) − nutrition (for example, healthy eating on a budget) − personal care (for example, shopping, ... 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 physical ... home • 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...

Ngày tải lên: 05/03/2014, 18:20

... 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 ... Down Your Drink Online program for reducing drinking Website: www.downyourdrink.org.uk National Alcohol Information Resource Information and Statistics Division Trinity Park House Edinburgh, EH5 ... when delivering brief interventions for harmful drinking in primary care D Training for GPs, practice nurses, community nurses and health visitors in the identification of hazardous drinkers and...

Ngày tải lên: 08/03/2014, 14:20