laboratory reporting and clinical application in primary 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, ... and to reduce '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 ... evidencebased guidelines and to reduce the rate of clinical inertia in PCPs The term 'usual' is applied because these interventions address the principal factors contributing to clinical inertia (physician,...

Ngày tải lên: 11/08/2014, 16:21

... 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

... 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

... 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

... findings indicate that the use of RSV A2 in host-pathogen interaction studies might not be representative of recent RSV clinical isolates in terms of virus growth kinetics, CPE and chemokine induction ... syncytium formation in these cells Interestingly, RSV BT4a-infected PBECs and mock-infected controls were indistinguishable in terms of CPE Similar data were obtained following infection at MOI ... not affect growth kinetics Differential chemokine/cytokine secretion following RSV A2 and clinical isolate infection Chemokines/cytokines are important mediators of innate and adaptive immune...

Ngày tải lên: 11/08/2014, 21:22

... 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

... 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

... 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

... 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

... data, analysis and interpretation of data; he has also been involved in drafting the manuscript and revising it critically MN has been involved in the acquisition, analysis and interpretation ... monitoring and assembling data The study was supported by the drug and therapeutics committees in Stockholm and Sörmland, the Stockholm County Council, the Vårdal Foundation, and Karolinska Institutet ... distributed Floor and ceiling effects were negligible (1.8% in the symptoms domain, less in other domains) Distributions in the functional and mental state domains were skewed In the entire population...

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 ... homes and are instruments that are easy to understand and well used in daily clinical practice, which is why we believe that the errors in the degree of accuracy should be minor Conclusions Taking...

Ngày tải lên: 09/08/2014, 14:20

... 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 ... develop CME programs in SDM for other clinically relevant topics This would help optimize clinical decisions in primary care In short, this study will improve our understanding not only of how ... 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 ... 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 ... 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...

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

... 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 ... Clancy CM: Practical clinical trials: increasing the value of clinical research for decision making in clinical and health policy JAMA 2003, 290:1624-1632 52 Lavis JN, Posada FB, Haines A, Osei E: ... changing primary care practice to foster healthy behaviors Ann Fam Med 2005, 3(Suppl 2):S4-11 10 Hensrud DD: Clinical preventive medicine in primary care: background and practice: Rationale and...

Ngày tải lên: 10/08/2014, 11:20

... 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 ... all 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 ... nurses, and administrative staff); skill mix (ratio of doctors to non-medical clinical staff, and of clinical to administrative staff); organisation of care for the clinical conditions (including...

Ngày tải lên: 11/08/2014, 05:21

... 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 ... 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 ... educational meeting (minutes) Proportion of doctors declining installation of software Doctors' attitude toward using software* Doctors' attitude toward printing out patient-information* Doctors'...

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 ... Nicholl J: Clinical effectiveness of health visitor training in psychologically informed approaches for depression in postnatal women: pragmatic cluster randomised trial in primary care BMJ 2009,...

Ngày tải lên: 11/08/2014, 15:22

... 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 ... all 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 ... nurses, and administrative staff); skill mix (ratio of doctors to non-medical clinical staff, and of clinical to administrative staff); organisation of care for the clinical conditions (including...

Ngày tải lên: 11/08/2014, 16:20

... 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 ... ‘shared’ model of client involvement in decision making, called shared decision making, has received increased interest in both research and clinical settings Shared decision making (SDM) facilitated...

Ngày tải lên: 11/08/2014, 16:21