Search results for "Primary health"

showing 10 items of 185 documents

Mindfulness, perceived stress, and subjective well-being: a correlational study in primary care health professionals

2015

Background Primary health care professionals (PHPs) usually report high levels of distress and burnout symptoms related to job strain. Mindfulness, defined as non-judgmental-present-moment awareness, seems to be a moderator in the causal association between life stressors and well-being. This study aimed to verify correlations among self-reported mindfulness, perceived stress (PS), and subjective well-being (SW) in Brazilian PHPs. Methods We performed a correlational cross-sectional study in a purposive sample of Brazilian PHPs (physicians, nurses, nursing assistants, and community health workers), working in community-oriented primary care programs (known locally as “Family Health Programs…

EstrèsMalemedicine.medical_specialtyMindfulnessHealth PersonnelPerceived Stress ScaleBurnoutHumansHealth services researchMedicineSubjective well-beingPsychiatryBurnout ProfessionalPrimary health care professionalsPrimary Health CareJob strainbusiness.industryHealth services researchPerceived stressGeneral MedicineModerationMeditacióSubjective well-beingDistressCross-Sectional StudiesComplementary and alternative medicineFemalebusinessMindfulnessBrazilStress PsychologicalResearch ArticleBMC Complementary and Alternative Medicine
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Encuesta de Satisfacción a Los Usuarios de un Centro De Salud

1993

ResumenObjetivoConocer el nivel de satisfacción de los usuarios del Centro de Salud (CS) de Nazaret (Valencia); detectar posibles deficiencias en las áreas estudiadas; observar si existen diferencias respecto a estudios previos en atención primaria.DiseñoEstudio transversal, evaluación de resultados, con grupo control no equivalente.ÁmbitoAtención Primaria. Barrio de Valencia con 6794 personas con un índicede Sundbarg regresivo, y un 42,6% de población mayor de nueve años analfabeta o con estudios primarios incompletos, y con un indicadordel nivel de renta por barrios en 1986 de −5,6 (rango de 13,4; −8,1).ParticipantesPoblación diana: el conjunto de usuarios del CS de Nazaret. Los criterios…

Evaluación resultadosPublic Health Environmental and Occupational HealthResults evaluationAtención PrimariaSatisfaction inquiryEncuesta satisfacciónPrimary health careGaceta Sanitaria
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Spain: a decentralised health system in constant flux

2009

The Spanish healthcare system is one of Europe’s most efficient, but urgent reform is needed if it is to cope with changing demands and rising costs, argue Jose M Martin-Moreno and colleagues

Financing GovernmentPrimary Health CareNatural resource economicsHealth PolicyPoliticsGeneral EngineeringGeneral MedicinePatient Acceptance of Health CareState MedicineProfessional RolePatient SatisfactionSpainEnvironmental protectionAmbulatory CareHealth Status IndicatorsHumansGeneral Earth and Planetary SciencesEnvironmental scienceHealth ExpendituresConstant (mathematics)Flux (metabolism)Health Services AdministrationGeneral Environmental ScienceHealthcare systemBMJ
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Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: a systematic review

2018

OBJECTIVE: To summarize the best available evidence regarding the effectiveness of interventions for preventing frailty progression in older adults. INTRODUCTION: Frailty is an age-related state of decreased physiological reserves characterized by an increased risk of poor clinical outcomes. Evidence supporting the malleability of frailty, its prevention and treatment, has been presented. INCLUSION CRITERIA: The review considered studies on older adults aged 65 and over, explicitly identified as pre-frail or frail, who had been undergoing interventions focusing on the prevention of frailty progression. Participants selected on the basis of specific illness or with a terminal diagnosis were …

GerontologyActivities of daily livingCost effectivenessfrail older adultsPsychological interventionfrailtylaw.invention03 medical and health sciences0302 clinical medicineQuality of life (healthcare)Randomized controlled trialpreventionsystematic reviewlawAdaptation PsychologicalHumansMedicine030212 general & internal medicineGeneral NursinginterventionAgedFrailtyPrimary Health Carebusiness.industryClinical study designGeneral MedicineCaregiver burdenCritical appraisalDisease ProgressionIndependent LivingCorrigendumbusiness030217 neurology & neurosurgery
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Profiles of Frailty among Older People Users of a Home-Based Primary Care Service in an Urban Area of Barcelona (Spain): An Observational Study and C…

2021

Background: The multidimensional assessment of frailty allows stratifying it into degrees

GerontologyOlder people's careCataloniaÀrea metropolitana) [Barcelona (Catalunya]multimorbidityMetropolitan area) [Barcelona (Catalonia]Multidimensional assessmentPrimary health careCura de les persones gransPrimary carefrailty:instalaciones servicios y personal de asistencia sanitaria::servicios de salud::Servicios de Salud Comunitaria::Servicios de Atención de Salud a Domicilio [ATENCIÓN DE SALUD]Urban areaArticle03 medical and health sciences0302 clinical medicineCataluñaMedicine030212 general & internal medicine:Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care [HEALTH CARE]:Health Care Facilities Manpower and Services::Health Services::Community Health Services::Home Care Services [HEALTH CARE]Persones grans - Atenció domiciliària - Barcelona (Catalunya)Service (business)geographygeography.geographical_feature_categorybusiness.industryRGeneral MedicinePersones grans dependents - Cura:personas::Grupos de Edad::adulto::anciano::personas mayores frágiles [DENOMINACIONES DE GRUPOS]Primary careHome basedprimary health careMorbiditatAtenció primària:Persons::Age Groups::Adult::Aged::Frail Elderly [NAMED GROUPS]MedicineObservational studycare dependence:administración de los servicios de salud::gestión de la atención al paciente::atención integral de salud::atención primaria de la salud [ATENCIÓN DE SALUD]MorbiditybusinessOlder peoplehome care030217 neurology & neurosurgerycluster analysis
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Convergent and discriminative validity of the Frail-VIG index with the EQ-5D-3L in people cared for in primary health care

2021

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study peri…

GerontologyQuality of life:disciplinas y actividades conductuales::pruebas psicológicas::psicometría [PSIQUIATRÍA Y PSICOLOGÍA]Index (economics)PsychometricsPsychometricsFrail ElderlyPromoció de la salutContext (language use)Validation studies as topicHealth statusQuality of life:Pathological Conditions Signs and Symptoms::Pathologic Processes::Frailty [DISEASES]EQ-5DSurveys and QuestionnairesFractures - AvaluacióHumansMedicinePrimary care (Medicine)AgedPrimary health care:atención a la salud (salud pública)::niveles de atención a la salud::atención a la salud (salud pública)::atención primaria de la salud [SALUD PÚBLICA]Frailtybusiness.industryPersones grans dependentsRC952-954.6Reproducibility of ResultsCorrectionConstruct validity:afecciones patológicas signos y síntomas::procesos patológicos::fragilidad [ENFERMEDADES]Primary careFrail elderlyCross-Sectional StudiesHealth promotionConvergent validityAtenció primàriaSpainQualitat de vidaGeriatrics:Health Care (Public Health)::Health Care Levels::Health Care (Public Health)::Primary Health Care [PUBLIC HEALTH]Quality of LifeHealth promotion:Behavioral Disciplines and Activities::Psychological Tests::Psychometrics [PSYCHIATRY AND PSYCHOLOGY]Geriatrics and GerontologybusinessPsicometriaResearch Article
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Non-use of information and communication technology as a predictor of frailty in postmenopausal midlife and older women

2021

Frailty is a clinically discernible state in which decreased physiological reserve and function result in a reduced ability to cope with stressors. Information and communication technology (ICT) has been proposed as an aid to help with frailty, yet the use of ICT by older people, particularly women, is an understudied area.To analyze the association between use of ICT (specifically internet functions and social media) and frailty status in postmenopausal midlife and elderly women.A cross-sectional study was designed to investigate whether frailty status is related to ICT use in postmenopausal midlife and older women. Community-dwelling women attending primary health care centers for health …

GerontologyTechnologyFrail ElderlyPrimary health careGeneral Biochemistry Genetics and Molecular Biology03 medical and health sciences0302 clinical medicineparasitic diseasesHumansMedicineSocial media030212 general & internal medicineGeriatric AssessmentAgedMultinomial logistic regression030219 obstetrics & reproductive medicinePostmenopausal womenFrailtybusiness.industryCommunicationStressorObstetrics and GynecologyPostmenopauseCross-Sectional StudiesInformation and Communications TechnologyFemaleIndependent LivingbusinessOlder peopleMaturitas
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Prevention of overweight and obesity in a Norwegian public health care context: a mixed-methods study

2021

Abstract Background Greater understanding about the prevention and treatment of overweight and obesity in preschool children within public health care is needed. This study assessed the impact of The First Steps module in routine primary health care including mapping of height/weight and diet followed by parental counselling of healthy habits on overweight and obesity in children aged 2 to 7 years. Further, we explored the experiences of public health nurses (PHNs) with the module. Methods Body weight and height obtained in 2014 and 2016 were extracted retrospectively for 676 children from the health records of children at 2, 4, or 6 years of age in five child health centers in Southern Nor…

Gerontologymedicine.medical_specialty030209 endocrinology & metabolismContext (language use)OverweightChildhood obesityBody Mass Index03 medical and health sciences0302 clinical medicineEpidemiologymedicineHumans030212 general & internal medicineRetrospective StudiesPrimary health careChild healthbusiness.industryNorwayPublic healthResearchPreventionPreschool childrenPublic Health Environmental and Occupational HealthPediatric obesityOverweightmedicine.diseaseObesityPublic health nurseVDP::Medisinske Fag: 700::Helsefag: 800Child PreschoolPublic HealthBiostatisticsmedicine.symptomPublic aspects of medicineRA1-1270businessBody mass indexBMC Public Health
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Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a prim…

2020

Abstract Aim: To explore what thoughts, feelings, and learning processes were involved in obese participants’ lifestyle change during an acceptance and commitment therapy (ACT) lifestyle intervention delivered in primary health care. Background: Previous studies have revealed that lifestyle interventions are effective at promoting initial weight loss, but reduced weight is often difficult to sustain because of the failure to maintain healthy lifestyle changes. Achieving and maintaining lifestyle changes requires to learn self-regulation skills. ACT-based lifestyle interventions combine many self-regulatory skill factors, and the results from previous studies are promising. Research on the i…

Gerontologyself-regulationAdultMaleelintavatobesityMindfulnessoppiminenDatabases Factualmedia_common.quotation_subjecthyväksymis- ja omistautumisterapiaeducationitsesääntely030209 endocrinology & metabolismAcceptance and commitment therapy03 medical and health sciences0302 clinical medicineWeight lossIntervention (counseling)Surveys and QuestionnairesmedicineHumans030212 general & internal medicineCare PlanningGoal settingLife StyleFinlandmedia_commonlearninglifestyle changePrimary Health CareResearchPublic Health Environmental and Occupational HealthFlexibility (personality)selfregulationMiddle Agedmedicine.diseaseObesity3141 Health care scienceacceptance and commitment therapyFeelinginterventiohoitolihavuusFemaleweb-based interventionmedicine.symptomPsychologyRisk Reduction BehaviorPrimary Health Care Research & Development
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Promoting coordination in Norwegian health care

2011

This is the journal's version originally published in International Journal of Integrated Care. This article is designet as ”Open Access”. © International Journal of Integrated Care: http://www.ijic.org/index.php/ijic/index Introduction: The Norwegian health care system is well organized within its two main sectors - primary health and long term care on the one hand, and hospitals and specialist services on the other. However, the relation between them lacks mediating structures. Policy practice: Enhancing coordination between primary and secondary health care has been central in Norwegian health care policy the last decade. In 2003 a committee was appointed to identify coordination problem…

Health (social science)Index (economics)Sociology and Political ScienceDenmarkNorwegianNursing:Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 [VDP]Health carereform plansMedicineCoordination; primary healthcare sector; secondary health sector; reform plans; Norway; Denmark; SwedenGeneralLiterature_REFERENCE(e.g.dictionariesencyclopediasglossaries)Health policySwedenHRHISlcsh:R5-920business.industryNorwayHealth Policylanguage.human_languageIntegrated carePeer reviewCoordinationlanguagebusinesslcsh:Medicine (General)Norwegian health caresecondary health sectorprimary healthcare sector
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