Search results for " Primary care"

showing 10 items of 28 documents

Expectations among patients and health professionals regarding Web-based interventions for depression in primary care: A qualitative study

2015

Background: One-quarter of the world's population will suffer from depression symptoms at some point in their lives. Mental health services in developed countries are overburdened. Therefore, cost-effective interventions that provide mental health care solutions such as Web-based psychotherapy programs have been proposed. Objective: The intent of the study was to identify expectations regarding Web-based psychotherapy for the treatment of depression in primary care among patients and health professionals that might facilitate or hinder its effects. Methods: The expectations of untreated patients and health professionals were examined by means of interviews and focus groups. There were 43 pa…

MaleAdultAttitude of Health PersonnelPopulationhumanosPsychological interventiondepresiónHealth Informaticslcsh:Computer applications to medicine. Medical informaticsPhysicians Primary CareGrounded theoryYoung AdultPatient satisfactionNursingMedicineHumanseducationQualitative Researchmediana edadpsicoterapiaOriginal PaperInterneteducation.field_of_studyPrimary Health Carebusiness.industryDepressionlcsh:Public aspects of medicinecomputer-delivered psychotherapylcsh:RA1-1270Middle Agedadultoactitud del personal sanitarioMental healthFocus groupPsychotherapyadulto jovenPatient Satisfactiondepressionlcsh:R858-859.7FemaleThematic analysisinvestigación cualitativabusinessQualitative researchqualitative methodsexpectations
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Evaluation design of Urban Health Centres Europe (UHCE): preventive integrated health and social care for communitydwelling older persons in five Eur…

2017

BackgroundOlder persons often have interacting physical and social problems and complex care needs. An integrated care approach in the local context with collaborations between community-, social-, and health-focused organisations can contribute to the promotion of independent living and quality of life. In the Urban Health Centres Europe (UHCE) project, five European cities (Greater Manchester, United Kingdom; Pallini (in Greater Athens Area), Greece; Rijeka, Croatia; Rotterdam, the Netherlands; and Valencia, Spain) develop and implement a care template that integrates health and social care and includes a preventive approach. The UHCE project includes an effect and process evaluation.Meth…

MaleGerontologyIntegrated health and social carePoison controllcsh:GeriatricsBIOMEDICINA I ZDRAVSTVO. Javno zdravstvo i zdravstvena zaštita. Javno zdravstvo.Suicide preventionOccupational safety and healthStudy Protocol0302 clinical medicinePreventive Health ServicesHealth careMedicine030212 general & internal medicineintegrated careNetherlandsBIOMEDICINE AND HEALTHCARE. Public Health and Health Care. Public Health.Aged 80 and overGreeceFrailty030503 health policy & servicesIntegrated health and social care ; Prevention ; Frailty ; Older citizens ; Primary care ; Specific pre-post controlled clinical trialPrimary careEuropeurban health centresFemaleIndependent LivingSpecific pre-post controlled clinical trial0305 other medical scienceCroatiaFrail ElderlySocial issueselderly03 medical and health sciencesQuality of life (healthcare)NursingHumansCitiesGeriatric AssessmentAgedOlder citizensbusiness.industrycomplex carePreventionUrban HealthUnited KingdomIntegrated carelcsh:RC952-954.6SpainPrimary careQuality of LifeGeriatrics and GerontologybusinessIndependent living
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Predictors of emergency department referral in patients using out-of-hours primary care services

2016

Background Out of hours (OOH) doctors could manage many cases limiting the inappropriate accesses to ED. However the possible determinants of referral to ED by OOH doctors are poorly studied. We aimed to characterize patients referred from the OOH to ED service in order to explore the gate-keeping role of OOH service for hospital emergency care and to facilitate future research in improving its cost-effectiveness. Methods A retrospective study was made through data collection of 5217 contacts in a local OOH service in the North-East of Italy (from 10/01/2012 to 03/31/2013). Results Only 8.7% (=454 people) of the total contacts were referred to ED. In the multivariate analysis, the significa…

MaleMultivariate analysisReferralPopulationContext (language use)Emergency department; Gate-keeping; Out-of-hours primary careHealth Services AccessibilityOut-of-hours primary care03 medical and health sciences0302 clinical medicineAfter-Hours CareGate-keepingHumansMedicine030212 general & internal medicineeducationReferral and ConsultationRetrospective Studieseducation.field_of_studyPrimary Health Carebusiness.industryEmergency department030503 health policy & servicesHealth PolicyAge FactorsRetrospective cohort studyOvercrowdingEmergency departmentOdds ratioMiddle Agedmedicine.diseaseNursing HomesItalyFemaleMedical emergencyEmergency Service Hospital0305 other medical sciencebusiness
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The safety attitudes questionnaire for out-of-hours service in primary healthcare—Psychometric properties of the Croatian version

2020

The aim of the study was to assess the reliability and construct validity of the Croatian trans- lation of the Safety Attitudes Questionnaire—Ambulatory version (SAQ-AV) in the out-of- hours (OOH) primary care setting. A cross-sectional observational study using anonymous web-survey was carried out targeting a convenience sample of 358 health professionals working in the Croatian OOH primary care service. The final sample consisted of 185 questionnaires (response rate 51.7%). Psychometric properties were assessed using exploratory hierarchical factor analysis with Schmid-Leiman rotation to bifactor solution, McDonald’s ω, and Cronbach’s α. Five group factors were identified: Organization cl…

MaleQuestionnairesCritical Care and Emergency MedicineEconomicsHealth Care ProvidersSocial SciencesMathematical and Statistical TechniquesPsychological AttitudesSurveys and QuestionnairesMedicine and Health SciencesPsychologymedia_commonAllied Health Care ProfessionalsTeamworkMultidisciplinaryQStatisticsRWorkloadMiddle AgedOrganisation climateResearch DesignPhysical SciencesOut-of-hours Safety attitudes questionnaire Primary care Patient safety culture Quality improvement Adverse events Medical errorsMedicineJob satisfactionFemalePatient SafetyPsychologyFactor AnalysisClinical psychologyResearch ArticleAdultEmploymentPsychometricsCroatiaSciencemedia_common.quotation_subjectHealth PersonnelPasientsikkerheteducationJobsResearch and Analysis MethodsJob SatisfactionPatient safetyCronbach's alphaAfter-Hours CareHumansStatistical MethodsPrimary CareAgedSurvey ResearchPrimary Health CareConstruct validityBiology and Life SciencesTranslatingPsykometriHealth CareCross-Sectional StudiesLabor EconomicsObservational studyFactor Analysis StatisticalMathematics
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Efficacy of a blended low-intensity internet-delivered psychological programme in patients with multimorbidity in primary care: study protocol for a …

2019

BackgroundThe World Health Organization (WHO) has included comorbidity between depression and a chronic disease among the 10 leading global health priorities. Although there is a high prevalence of multimorbidity, health care systems are mainly designed for the management of individual diseases. Given the difficulty in delivering face-to-face psychological treatments, alternative models of treatment delivery have been proposed, emphasizing the role of technologies such as the Internet. The aim of this study is to assess the efficacy in Primary Care (PC) of a blended low-intensity psychological intervention applied using information and communication technologies (ICTs) for the treatment of …

MaleTecnología de la informaciónhumanosPsychological interventiondepresiónEnsayo clínico controlado aleatoriolaw.invention:Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]dolor lumbarStudy Protocol0302 clinical medicineRandomized controlled triallawlcsh:PsychiatryDepresiónHealth careGlobal healthMedicine030212 general & internal medicineRandomized Controlled Trials as Topic:Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic [Medical Subject Headings]:Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Evaluation Studies as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic [Medical Subject Headings]:Diseases::Pathological Conditions Signs and Symptoms::Pathologic Processes::Disease Attributes::Chronic Disease [Medical Subject Headings]Depressionensayos clínicos controlados aleatorizados como asuntoMultimorbilidadadultoPrimary careLow back pain:Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care [Medical Subject Headings]Psychiatry and Mental healthdiabetes mellitus:Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internet [Medical Subject Headings]:Diseases::Pathological Conditions Signs and Symptoms::Signs and Symptoms::Pain::Back Pain::Low Back Pain [Medical Subject Headings]Femalemedicine.symptomAdultmedicine.medical_specialtyenfermedad crónicalcsh:RC435-571:Check Tags::Male [Medical Subject Headings]03 medical and health sciencesInformation and communication technologies (ICTs)Atención primaria de saludIntervention (counseling)Humans:Persons::Persons::Age Groups::Adult [Medical Subject Headings]:Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings]InternetPrimary Health Carebusiness.industry:Diseases::Endocrine System Diseases::Diabetes Mellitus::Diabetes Mellitus Type 2 [Medical Subject Headings]Multimorbidity:Health Care::Health Care Facilities Manpower and Services::Health Personnel::Physicians::Physicians Primary Care [Medical Subject Headings]medicine.diseaseComorbidity030227 psychiatryClinical trial:Check Tags::Female [Medical Subject Headings]Diabetes Mellitus Type 2SpainChronic DiseasePhysical therapyRandomized controlled trial (RCT)business:Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression [Medical Subject Headings]Low Back PainBMC psychiatry
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Expectations, experiences and attitudes of patients and primary care health professionals regarding online psychotherapeutic interventions for depres…

2013

Abstract Background In the year 2020, depression will cause the second highest amount of disability worldwide. One quarter of the population will suffer from depression symptoms at some point in their lives. Mental health services in Western countries are overburdened. Therefore, cost-effective interventions that do not involve mental health services, such as online psychotherapy programs, have been proposed. These programs demonstrate satisfactory outcomes, but the completion rate for patients is low. Health professionals’ attitudes towards this type of psychotherapy are more negative than the attitudes of depressed patients themselves. The aim of this study is to describe the profile of d…

Médicos de atención primariaPsychological interventionActitud ante los ordenadoresActitud ante la salud:Psychiatry and Psychology::Behavior and Behavior Mechanisms::Attitude::Attitude to Computers [Medical Subject Headings]:Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings]DepresionStudy ProtocolCompletion rateProtocol:Health Care::Health Care Quality Access and Evaluation::Delivery of Health Care::Attitude to Health [Medical Subject Headings]Depression (differential diagnoses)Qualitative Researcheducation.field_of_studyOnline psychotherapyEntrevistas como asuntoAttitude to ComputersDepressionGrupos focales:Health Care::Health Care Quality Access and Evaluation::Delivery of Health Care::Attitude of Health Personnel [Medical Subject Headings]TelemedicinaFocus GroupsTelemedicinePsychiatry and Mental health:Health Care::Health Services Administration::Patient Care Management::Delivery of Health Care::Telemedicine [Medical Subject Headings]Attitude to Healthmedicine.medical_specialtyTelemedicineAttitude of Health Personnel:Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy [Medical Subject Headings]PopulationInternet-based treatmentPhysicians Primary CareInterviews as TopicActitud del personal sanitariomedicineHumansPsychiatryeducationbusiness.industry:Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Interviews as Topic::Focus Groups [Medical Subject Headings]:Analytical Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Interviews as Topic [Medical Subject Headings]:Health Care::Health Care Facilities Manpower and Services::Health Personnel::Physicians::Physicians Primary Care [Medical Subject Headings]:Disciplines and Occupations::Natural Science Disciplines::Science::Research::Empirical Research::Qualitative Research [Medical Subject Headings]Mental healthFocus groupPsychotherapyQualitative study:Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression [Medical Subject Headings]businessQualitative research
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The effect of budesonide/formoterol maintenance and reliever therapy on the risk of severe asthma exacerbations following episodes of high reliever u…

2012

Abstract Background Divergent strategies have emerged for the management of severe asthma. One strategy utilises high and fixed doses of maintenance treatment, usually inhaled corticosteroid/long-acting β2-agonist (ICS/LABA), supplemented by a short-acting β2-agonist (SABA) as needed. Alternatively, budesonide/formoterol is used as both maintenance and reliever therapy. The latter is superior to fixed-dose treatment in reducing severe exacerbations while achieving similar or better asthma control in other regards. Exacerbations may be reduced by the use of budesonide/formoterol as reliever medication during periods of unstable asthma. We examined the risk of a severe exacerbation in the per…

Pulmonary and Respiratory MedicineBudesonideExacerbationAsthma in primary careSeverity of Illness Indexlaw.inventionRandomized controlled trialDouble-Blind MethodlawAdrenal Cortex HormonesRisk FactorsFormoterol FumarateAdministration InhalationmedicineBudesonide Formoterol Fumarate Drug CombinationHumansAnti-Asthmatic AgentsBudesonideAsthmalcsh:RC705-779Maintenance dosebusiness.industryResearchlcsh:Diseases of the respiratory systemmedicine.diseaseAsthmaBronchodilator AgentsDrug CombinationsTreatment OutcomeBudesonide/formoterolEthanolaminesAnesthesiaDisease ProgressionFormoterol FumarateDrug Therapy CombinationFormoterolbusinesshormones hormone substitutes and hormone antagonistsmedicine.drugRespiratory research
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Training of primary care physicians enhances performance of mobile teledermatology

2020

Teledermatologybusiness.industryTraining (meteorology)Primary careDermatologymedicine.diseaseSkin DiseasesPhysicians Primary CareTelemedicineRL1-803Research LetterMedicineHumansMedical emergencybusinessAnais Brasileiros de Dermatologia
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Cuba and Italy: a comparative study on the determinants of health in a context of limited resources

2012

Italian and Cuban healthcare systems, although operating in very different context, show some of the best evidence in the world in terms of health outcomes. The Cuban model, unique because of an historical-economic-political asset not repeatable, had oriented its development on education and health promotion through a public health approach. The aim of our study is to perform a comparison of the Italian and Cuban healthcare system through the use of health indicators validated at international level in order to identify best practices. Cuba provides health care to all residents focusing strongly on primary care and health promotion and obtains similar results to Italy despite the limited av…

cuba sustainability primary care delivery of healthcare public healthSettore MED/42 - Igiene Generale E Applicata
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Catching allergy by a simple questionnaire

2014

Background Identifying allergic rhinitis requires allergy testing, but the first-line referral for rhinitis are usually primary care physicians (PCP), who are not familiar with such tests. The availability of easy and simple tests to be used by PCP to suggest allergy should be very useful. Methods The Respiratory Allergy Prediction (RAP) test, based on 9 questions and previously validated by a panel of experts, was evaluated in this study. Results An overall number of 401 patients (48.6% males, age range 14–62 years) with respiratory symptoms was included. Of them, 89 (22.2%) showed negative results to SPT, while 312 (77.8%) had at least one positive result to SPT. Cohen’s kappa coefficient…

lcsh:Immunologic diseases. AllergyPulmonary and Respiratory MedicinePediatricsmedicine.medical_specialtyAllergyReferralAllergymedicine.medical_treatmentImmunologyAllergy testingPrimary careAllergy testingSettore MED/10 - Malattie Dell'Apparato RespiratorioPharmacistsAllergic rhinitisCohen's kappaAllergic rhinitimedicineImmunology and AllergyOriginal Researchbusiness.industrymedicine.diseaseAllergic rhinitis; Allergy; Allergy testing; Pharmacists; Primary care physicians; Immunology and AllergyTest (assessment)Primary care physicianNasal sprayPharmacistPrimary care physiciansAllergistslcsh:RC581-607business
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