three expectable transition points in primary care

... training primary care AIDS clinicians to diagnose and treat CMV retinitis in a resource-limited setting CMV retinitis screening is now carried out in four regions in Myanmar, and at the beginning ... complaints Training approach A training workshop for the diagnosis and treatment of CMV retinitis was developed and refined in Myanmar over three years The curriculum focused narrowly on teaching indirect ... monitoring in this programme As is the case for HIV/AIDS care generally in many settings in the developing world, this programme Table Diagnosis following screening for CMV retinitis in Yangon...

Ngày tải lên: 20/06/2014, 08:20

... health? Maintaining mental wellbeing • sleep as an activity • keeping mentally active • memory Maintaining physical wellbeing • nutrition • pain • keeping physically active Occupation in the home ... and older living at home, in the community, in supported housing or in residential care homes • they included interventions and activities that promote or sustain mental wellbeing in older people, ... 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...

Ngày tải lên: 05/03/2014, 18:20

... 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, ... interviewing techniques should be considered when delivering brief interventions for harmful drinking in primary care Staff who deliver motivational interviewing should be appropriately trained 1+ ... the primary care team includes: n n n n n n n n n n initial discussion and support advice regarding non-hazardous drinking levels and ways to reduce drinking counselling and therapy for the individual...

Ngày tải lên: 08/03/2014, 14:20

... 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 ... 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...

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 ... heterogeneous study sample 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 ... class index based on the three dimensions education, occupation and household-income Based on a score with possible ranges from to 21 points three social classes (lower, middle, upper) were defined...

Ngày tải lên: 18/06/2014, 19:20

... 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 ... value to the primary care consultation The SGRQ has properties allowing use at the individual level, but it is extensive and not adapted for everyday use in primary care The scoring system is ... 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 of...

Ngày tải lên: 18/06/2014, 19:20

... higher cost increments A similar phenomenon was observed using the BPI using the pain interference index For example, an increase in the degree of pain interference by point (0- to 10-point scale) ... grouped according to pain intensity (Figure 2) Direct health care costs and pain intensity due to FM were driven largely by pharmacological costs (Figure 3) However, pain interference in general ... chest pain Furthermore, there should be pain to touch in at least 11 out of the following 18 symmetric points: occipital, low cervical, trapezium, supraspinal, second intercostal space in the...

Ngày tải lên: 09/08/2014, 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 ... knowledge, taking into account the context in which the knowledge is to be used Continuing professional development (CPD) is the principal means by which healthcare professionals continue to gain, improve, ... patient-centered care [23] In 2008, 93.4% of the 17,758 physicians in the Province of Quebec, Canada, had followed CPD activities or workshops in the previous year [24] In the United Kingdom, to maintain registered...

Ngày tải lên: 10/08/2014, 10:23

... albumin-to-creatinine ratio, ASA = aspirin, ACE/ARB = angiotensin-modifying agent guidelines for glucose, LDL, and BP; and the prescriptions rates for insulin, beta blockers, 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 ... 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...

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 the practice ... 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 ... 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...

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 ... supervision of the principal investigators, two family physicians (an epidemiologist expert in evidence-based medicine and an expert in SDM and its implementation in primary care) , in collaboration ... 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...

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

... of promoting questionnaire completion at follow-up, such as printing questionnaires in colour, sending questionnaires using recorded delivery, using shorter questionnaires, and including stamped ... were measured at baseline using single items (to maximise response rates) in a single block prefaced with ‘Please rate the following statements based on the following action: In the next two weeks, ... 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...

Ngày tải lên: 10/08/2014, 11:20

... questionnaire in writing or digitally Inclusion in the study will be definite if the patient returns the baseline questionnaire and gives informed consent for participation in the study GPs are not informed ... psychological complaints (anxiety, worrying, sorrow/grief, stress, feeling down and sleeping disorder, unexplainable somatic complaints); (c) the International Classification of Primary Care- 1 (ICPC-1) ... factors influencing the tailoring process To measure the experiences, semistructured interviews are conducted, and reports of the interviews are made To get an insight into the factors that influence...

Ngày tải lên: 10/08/2014, 11:20

... 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 ... 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...

Ngày tải lên: 10/08/2014, 11:20

... Canada [33] Excluding walk -in clinics, all models of primary care practices in the selected geographic areas of the Champlain LHIN are eligible to participate in this project, including solo practices, ... physicians) Baseline-Cb Baseline-A Intensive phase Sustainability phase Baseline-A Intensive phase Control for Step I (Intensive Phase) III 27 practices (53 physicians) Baseline-C Baseline-C Sustainability ... facilitation in a Canadian healthcare setting still remains unclear, as all investigations conducted to date have taken place in highly controlled small-scale settings, with the interventions being focused...

Ngày tải lên: 10/08/2014, 11:20

... 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 scheduled within the three ... entering and exiting CCM During and after the trial improvement work continued, with for instance a focus on care manager electronic decision support, training, and methods for engaging primary care ... with psychiatric 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...

Ngày tải lên: 10/08/2014, 11:20

... Primary Care, 2008 is intended for primary care clinicians, including not only residents and practicing physicians in the specialties of family medicine, internal medicine, pediatrics, and obstetrics ... against screening and behavioral counseling interventions to prevent or reduce alcohol misuse by adolescents in primary care settings Parents should routinely receive instructions on monitoring their ... for her assistance in contacting and obtaining information from professional societies and updating internet addresses, as well as the following professional societies for providing updates/feedback...

Ngày tải lên: 10/08/2014, 18:21

... Evidence is insufficient to recommend for or against routine screening using a total-body skin examination for early detection of cutaneous melanoma, basal cell carcinoma, or squamous cell skin cancer ... Evidence is inadequate to deterhttp://www.aafp.org/ mine whether visual examination of the skin online/en/home/ in asymptomatic individuals would lead to a clinical/exam.html reduction in mortality ... important clinical problems Based on good evidence, current prostate cancer treatments result in permanent side effects in many men, including erectile dysfunction and urinary incontinence (NCI,...

Ngày tải lên: 10/08/2014, 18:21

... assessment for dementia include difficulties in (1) learning and retaining new information, (2) handling complex tasks (eg, balancing a checkbook or cooking a meal), (3) reasoning ability (eg, a new ... for infection.a,b,c AAFP USPSTF 2007 Sexually 2005 active men Insufficient evidence to recommend for or against routine screening in men at increased risk for infection.d Vaginal culture remains ... hearing loss and intrauterine infection dSee also Appendix II: Functional Assessment Screening in the Elderly eReview of accuracy and precision of bedside clinical maneuvers for diagnosing hearing...

Ngày tải lên: 10/08/2014, 18:21